Which office negotiates and monitors Corporate Integrity Agreements?

• A. The Office of Inspector General (OIG)
• B. The Office of Counsel to the Inspector General (OCIG)
• C. The Department of Health and Human Services
• D. The Centers for Medicare & Medicaid Services

Answer: (B)

Corporate Integrity Agreements are negotiated and overseen by the Office of Counsel to the Inspector General, a component of the HHS Office of Inspector General. OCIG provides the legal counsel to OIG and handles the negotiations with providers under investigation, along with the ongoing monitoring of the agreement—ensuring compliance plans, audits, and required reporting are followed. While the broader OIG conducts investigations and audits, the specific task of negotiating and supervising CIAs rests with OCIG. The Department of Health and Human Services is the parent agency, and the Centers for Medicare & Medicaid Services administers programs like Medicare and Medicaid, but they do not negotiate CIAs.