This limited-scope audit evaluated the outcomes of the Kansas Office of the Inspector General’s (OIG) investigations and audits from calendar years 2021 through 2024, with a focus on financial recoveries and prosecutorial results. The OIG is an independent entity within the Kansas Attorney General’s Office and is tasked with increasing accountability and oversight of Kansas medical (and other) assistance programs through audits, reviews, and investigations. To assess the impact of OIG’s work, we examined summary data on 280 investigations initiated during the review period, consulted relevant district court records, and conducted follow-up interviews with OIG officials. Our analysis found that 2 of the 280 investigations have led to prosecutions, which have resulted in the recovery of less than $1,000 to date. Additional legal actions may be possible given the number of still open investigations. We also reviewed all 9 audits and reviews OIG published between 2021 and 2024. Of these, we confirmed the recovery of $1.3 million documented in 1 report.