# IHS Did Not Always Provide the Necessary Resources and Assistance To Help Ensure That Tribal Programs Complied With All Requirements During Early COVID-19 Vaccination Program Implementation
> **Audit** by Department of Health & Human Services OIG · 2022-10-17
> *About: Department of Health & Human Services*
## Report
- **Title:** IHS Did Not Always Provide the Necessary Resources and Assistance To Help Ensure That Tribal Programs Complied With All Requirements During Early COVID-19 Vaccination Program Implementation
- **Submitting OIG:** Department of Health & Human Services OIG
- **Component agency:** Department of Health & Human Services
- **Type:** Audit
- **Publication date:** 2022-10-17

## Recommendations

- **Rec 23-A-07-002.01** (Closed): We recommend that Indian Health Service ensure that Tribal programs comply with vaccine program requirements by establishing formal reconcilation processes for all IHS Areas to ensure that the data that the Tribal programs submit on doses administered…
- **Rec 23-A-07-002.02** (Closed): We reocmmend that Indian Health Service ensure that Tribal programs comply with vaccine program requirements by addressing data management system incompatibilities between Tribal programs and IHS
- **Rec 23-A-07-002.03** (Closed): We recommend that Indian Health Service work with CMS to disseminate guidance to Tribal programs on vaccine coding and billing.
- **Rec 23-A-07-002.04** (Closed): We recommend that Indian Health Service work with CDC and the apporpriate Tribal program to ensure that it returns funds to those individuals who were balanace-billed inappropriately.
- **Rec 23-A-07-002.05** (Closed): We recommend that Indian Health Service work with CDC to develop and disseminate additional guidance related to dual enrollment and together implement a formal monitoring process to assist in ensuring that Tribal programs do not enter into unallowable…
## Source
- [oversight.gov report page](https://www.oversight.gov/reports/audit/ihs-did-not-always-provide-necessary-resources-and-assistance-help-ensure-tribal)
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