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OIG Reports (Audits + Evaluations) · October 29, 2026 · Primary source

OIG Report (Audit): HRSA Made $658 Million in Potential Overpayments to Selected Providers Under Phase 3 of the Provider Relief Fund Program

Score 85PRIMARYregulatoryHHS OIG

Summary

The OIG issued audit report A-09-23-01006 on October 29, 2026, finding that HRSA made $658 million in potential overpayments to selected providers under Phase 3 of the Provider Relief Fund program. Auditors reviewed a statistical sample of 150 providers and a nonstatistical sample of 15 providers from the $19.3 billion Phase 3 General Distribution. For 65 of the 150 sampled providers, payments were not correctly calculated or supported by appropriate documentation. OIG recommends HRSA review the flagged providers and seek repayment of up to $658 million in overpayments.

What this may mean

HRSA is now directed to conduct targeted reviews and initiate repayment demands against providers identified in both samples, with potential recovery of up to $658 million. Providers who received Phase 3 PRF payments and had calculation or documentation deficiencies face repayment demands tied to their specific payment amounts. HRSA did not concur or non-concur with the recommendations but described responsive actions, leaving the repayment process in an uncertain but active posture.

Informational only. Not legal, medical, financial, or other professional advice. Always consult a qualified professional familiar with your specific facts before relying on any item.

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