Administration for Children and Families (ACF) - Head Start
Program level Payment Integrity results
Sponsoring agency: Department of Health and Human Services
View on Federal Program InventoryPROGRAM METRICS
$11,727 M
in FY 2025 outlays, with a
89.7%
payment accuracy rate
-
Improper payment estimates over time
View as:
Chart toggle amounts:Proper paymentsOverpaymentUnderpaymentTechnically improperUnknown
Payment Integrity results
-
FY 2025 improper payment estimates
Chart legend and breakdown
Payment accuracy rate
Improper payment rate
Unknown payment rate
Sampling & estimation methodology details
Sampling timeframe:
10/2023 - 09/2024
Confidence interval:
90% to <95%
Margin of error:
+/-3.59
Causes
| Overpayment root cause | Overpayment amount |
|---|---|
| Amount of overpayments within the agency's control | $0.0 M |
| Amount of overpayments outside the agency's control | $2.69 M |
| Amount of overpayments that occurred because the data/information needed to validate payment accuracy prior to making a payment does not exist | $0.0 M |
| Amount of overpayments that occurred because of an inability to access the data/information needed to validate payment accuracy prior to making a payment | $0.0 M |
| Amount of overpayments that occurred because of a failure to access data/information needed to validate payment accuracy prior to making a payment | $2.69 M |
| Underpayment root cause | Underpayment amount |
|---|---|
| Amount of underpayments | $5.47 M |
| The amount of underpayments that occurred because the data/information needed to validate payment accuracy prior to making a payment does not exist | $0.0 M |
| The amount of underpayments that occurred because of an inability to access the data/information needed to validate payment accuracy prior to making a payment | $0.0 M |
| The amount of underpayments that occurred because of a failure to access data/information needed to validate payment accuracy prior to making a payment | $5.47 M |
| The amount of improper payments that were paid to the right recipient for the correct amount but were considered technically improper because of failure to follow statute or regulation | $188.38 M |
| The amount that could either be proper or improper but the agency is unable to determine whether it was proper or improper as a result of insufficient or lack of documentation | $1,010.33 M |
Prevention
Beginning in Spring 2026, HHS will deploy targeted technical assistance for the smallest recipients with the highest improper payment rates. This will begin with a fiscal institute and will be supported by ongoing use of monitoring and regional data to identify risk factors requiring intervention through the Fiscal Consultants Initiative. HHS is implementing several recommendations from the Office of Head Start (OHS) Fiscal Assessment, including development of a fiscal toolkit and a risk assessment tool, to mitigate fraud, waste, and abuse. Where recipients maintain inaccurate or insufficient fiscal documentation, HHS will issue disallowances as appropriate to ensure accountability and compliance.
To support long-term prevention efforts, fiscal transaction reviews have been formally integrated into ongoing monitoring activities through the FY2026 OHS Monitoring Protocol, and HHS is developing internal policies for disallowance tracking and retroactive testing to identify previously unknown improper payments. Improper payment review methods will also be incorporated into additional monitoring mechanisms to ensure consistent oversight. In FY2026, HHS will pilot a Fiscal Risk Assessment tool for all new five-year grant recipients, beginning with smallest recipients with the highest improper payment rates in the last two review cycles, enabling early identification of fiscal risks.
Finally, HHS will continue the implementation and monitoring of Defend the Spend notifications to help ensure proper drawdown approvals and strengthen real-time fiscal oversight. Collectively, these actions—initiated or scheduled for completion throughout FY2026—provide a comprehensive, preventative, and corrective framework to reduce improper and unknown payments across HHS programs.
HHS will closely monitor how corrective actions are implemented and assess their interim effectiveness. This monitoring will help determine whether further steps are needed to ensure stronger controls. The approach is intended to be responsive and adaptable as results are evaluated over time. Importantly, HHS’s corrective actions are proportional to the severity and rate of errors identified. They are also carefully aligned with the root causes of errors at both the federal and recipient levels to strengthen overall program integrity.
To ensure accountability, HHS will issue Information Memoranda and Program Instructions as necessary and will follow up directly with funding recipients to confirm corrective action has been taken. An official has been designated to oversee progress in reducing Improper and Unknown Payments across the program. While the impact of corrective actions cannot be immediately measured, HHS will evaluate their effectiveness over time and adjust as needed. These actions reflect a coordinated approach at both the federal and recipient levels to strengthen fiscal integrity and reduce future errors.
| Payment type | Mitigation strategies taken | Mitigation strategies planned |
|---|---|---|
| Overpayments | Audit, Change Process, Cross Enterprise Sharing, Training | Audit, Change Process, Cross Enterprise Sharing, Training |
| Underpayments | Audit, Change Process, Cross Enterprise Sharing, Training | Audit, Change Process, Cross Enterprise Sharing, Training |
| Technically improper payments | Audit, Change Process, Cross Enterprise Sharing, Training | Audit, Change Process, Cross Enterprise Sharing, Training |
| Unknown payments | Audit,Change Process,Cross Enterprise Sharing,Training | Audit,Change Process,Cross Enterprise Sharing,Training |
| Eligibility element/information needed | Description of the eligbility element/information |
|---|---|
| Financial | The financial position or status of a beneficiary, recipient, or their family |
Additional information
In addition to the actions already described, the Head Start program continues to strengthen its overall payment integrity posture by fostering a culture of accountability, transparency, and continuous improvement. Head Start’s long-standing emphasis on fiscal responsibility is reflected in its integrated system of financial oversight, which combines recipient self-monitoring, federal monitoring reviews, and periodic independent audits. These layers of oversight help ensure that federal funds are used effectively to support children and families, while also enabling HHS to identify patterns, share best practices, and target assistance to recipients that need additional support.
Another important element of the program’s payment integrity story is its investment in building recipient capacity. Many Head Start recipients operate in underserved communities with limited administrative resources, and HHS works to mitigate these challenges by offering ongoing training, technical assistance, and tools designed to strengthen local financial systems. These capacity-building efforts not only help reduce improper and unknown payments but also enhance long-term organizational stability and fiscal stewardship among recipients.
Finally, Head Start’s commitment to continuous learning and improvement extends to the development of new methodologies for estimating improper and unknown payments. As the program now enters its second year under a revised methodology, HHS is using these early results to refine processes, improve data quality, and enhance future reporting. This iterative approach ensures that the agency’s understanding of payment risks evolves over time and supports informed decision-making. Collectively, these efforts underscore Head Start’s dedication to protecting taxpayer resources while maintaining its mission to promote school readiness and support the well-being of children and families.
Reduction target
9.87 %HHS has not yet assessed whether its current internal controls, human capital resources, information systems, and related infrastructure are sufficient to reduce improper and unknown payments in the Head Start program to a level where the cost of further reductions would outweigh the benefits. Because this is only the second year of reporting improper and unknown payment estimates under the new methodology, HHS has not established a tolerable error rate against which to measure the adequacy of its existing infrastructure. As additional years of performance data become available, HHS expects to define a tolerable rate and conduct a more informed evaluation of whether current systems and capacities are adequate. This future assessment will help determine whether further investments are warranted or whether existing controls are appropriately cost-effective in managing improper and unknown payments.
In the most recent budget submission, HHS requested resources that support the agency’s broader effort to strengthen payment integrity within the Head Start program. The FY 2026 Justification of Estimates includes reform principles focused on improving efficiency and modernizing program operations, which indirectly enhance the agency’s capacity to prevent and detect improper and unknown payments. By maintaining the $21 million set-aside to supplement federal administrative costs and evaluation activities, the budget request ensures continued support for oversight functions, data analysis, and financial management systems that contribute to payment integrity. These requested resources help sustain the infrastructure needed to monitor program performance and ensure that federal funds are used appropriately and effectively.
HHS employs a multilayered approach to ensure that executive managers, program officials, and, where appropriate, state and local governments are held accountable for meeting improper payment reduction goals. Each year, HHS conducts a comprehensive assessment of internal controls in accordance with OMB Circular A-123, Management’s Responsibility for Enterprise Risk Management and Internal Controls, including Appendix C, which specifically addresses payment integrity improvement. As part of this process, senior officials in each HHS office must complete and sign an Internal Control and Risk Management Certification, affirming their responsibility for maintaining effective controls that prevent, detect, and reduce improper payments. Operating Divisions also submit annual assurance statements, which require leadership to evaluate and attest to the adequacy of internal controls over operations, financial reporting, and compliance—including controls related to payment accuracy.
Beyond federal leadership accountability, HHS ensures that states, local governments, tribes, and nonprofit organizations receiving federal funds meet accountability standards through the Single Audit process. Entities that expend at least $1,000,000 in federal awards are required to undergo an annual Single Audit. These audits evaluate if recipients have effective controls in place and if federal funds, including Head Start grants, are spent in accordance with applicable requirements. Findings from Single Audits and HHS Office of Inspector General (OIG) audits are used to identify overpayments and may result in the repayment of disallowed costs, complementing enforcement mechanisms for improper payment recovery.
HHS further reinforces accountability by using audit results, monitoring activities, and internal reviews to guide corrective action expectations for both internal leadership and external recipients. Executive managers and program offices are expected to address identified weaknesses promptly, and failure to do so can influence performance evaluations and oversight decisions. Collectively, these steps create a robust framework that emphasizes oversight, prevention, and timely recovery of overpayments, ensuring all levels of program administration are responsible for maintaining strong payment integrity.