Alerts9.16.25
OIG Greenlights Independent Family Grant Program
OIG Advisory Opinion 25-10 affirms independent support for access to family therapy
Highlights
- A therapy provider established and funded a nonprofit foundation to offer need-based grants to families of children in specialized therapy.
- The independently operated foundation applied uniform and objective eligibility criteria and offered grants regardless of a family’s therapy provider.
- The Office of Inspector General (OIG) for the U.S. Department of Health and Human Services found the structure posed low risk of fraud or abuse and would not trigger administrative sanctions under the federal Anti-Kickback Statute or Beneficiary Inducements Civil Monetary Penalty (CMP).
A company delivering “family-powered” therapy for children with a specific disorder launched a nonprofit foundation to help families overcome financial and practical barriers to access therapy. Although therapy is often covered by insurance, families still face cost-sharing obligations and may need to reduce work hours to support treatment.
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