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ICE Major Surgeries Were Not Always Properly Reviewed and Approved for Medical Necessity

Submitting OIG: 
Department of Homeland Security OIG
Report Description: 
In fiscal years 2019 through 2021, U.S. Immigration and Customs Enforcement’s (ICE) Health Service Corps (IHSC) did not always properly process and authorize major surgical procedures for noncitizens in ICE custody. Per IHSC’s process, only designated Regional Clinical Directors (RCD) or Clinical Directors (CD) are qualified to review authorizations for medical necessity and approve major surgical procedures performed by off-site providers.
Date Issued: 
Wednesday, January 24, 2024
Agency Reviewed / Investigated: 
Department of Homeland Security
Submitting OIG-Specific Report Number: 
OIG-24-16
Component, if applicable: 
United States Immigration and Customs Enforcement (ICE)
Location(s): 
Agency-Wide
Type of Report: 
Audit
Questioned Costs: 
$0
Funds for Better Use: 
$0
Number of Recommendations: 
1
Report updated under NDAA 5274: 
No
Additional Details Link: 
https://www.oig.dhs.gov/sites/default/files/assets/2024-01/OIG-24-16-Jan24.pdf

Related Open Recommendations

Recommendation Number Recommendation Status Significant Recommendation Additional Details
1 Open No
We recommend the Acting Director of U.S. Immigration and Customs Enforcement’s Health Services Corps develop and implement a policy requiring Regional Clinical Directors and Clinical Directors to document their review and approval of major surgical procedures in IHSC’s electronic health records system to ensure medically necessary and appropriately documented medical care for detained non-citizens.
Displaying 1 of 1 Recommendations