HHS’s Office of the Inspector General (OIG) released an updated list of its Active Work Plan Items reflective of OIG’s audits, evaluations, and inspections that are underway or planned in determination of providers’ compliance with temporary authorities during the COVID-19 public health emergency. The newly-announced COVID-related work plan item includes a review of Medicaid and ACA enrollment processes during the COVID-19 pandemic. The review has been prompted by increases in new applications for health insurance through the Medicaid and ACA Marketplace programs and the impact on State health care systems attributable to meeting the new enrollment and oversight demands. HHS OIG will assess efforts by the States and CMS to effectively enroll residents impacted by the COVID-19 pandemic in Medicaid and ACA Marketplace plans. By identifying effective practices or any breakdowns in enrollment and oversight systems, this review is intended to help improve the efficiency of State health insurance enrollment processes under both emergency and more typical conditions.