Program Integrity

In FY2022, states spent more than 44 percent of federal TANF and state funds on non-assistance services, including work, education, and training activities; childcare; and child welfare services. Questions have arisen about how states use and…
Oversight of America’s welfare system is still falling short of protecting taxpayers and preventing waste, fraud and abuse. The Government Accountability Office (GAO) has found that the Department of Health and Human Services must do more to…
The Centers for Medicare & Medicaid Services (CMS) is committed to combating Medicaid provider fraud, waste, and abuse which diverts dollars that could otherwise be spent to safeguard the health and welfare of Americans. This Medicaid webpage…
The U.S. Department of the Treasury has engaged with Emergency Rental Assistance grantees across the country to identify program strategies that promise to speed up program implementation, more efficiently deliver program benefits, enhance…
In July 2024, the U.S. Department of Health and Human Services (HHS) completed its first TANF fraud risk assessment using its Fraud Risk Assessment Portal. The HHS identified and assessed 21 fraud risks, and the Government Accountability Office (…
These Government Accountability Office (GAO) resources provide helpful ways to identify and clarify the different types of fraud that may affect federal programs and guide efforts to prevent and address such fraud. These resources are organized…