Where To Report Waste

Fraud, Abuse, Or Retaliation

Audit of Blue Shield of California Access+ HMO Oakland, California

Submitting OIG:

Office of Personnel Management OIG

Date Issued:

Monday, August 21, 2023

Agency Reviewed / Investigated:

Office of Personnel Management

Submitting OIG-Specific Report Number:

2022-ERAG-0022

Component, if applicable:

Federal Employees Health Benefits Program

External entity, if applicable:

Blue Shield of California Access+ HMO

Location(s):

Agency-Wide

Type of Report:

Audit

Questioned Costs:

$322,015

Funds for Better Use:

$0

Number of Recommendations:

19

Report updated under NDAA 5274:

No

View Document:

Attachment	Size
2022-ERAG-0022.pdf	762.34 KB

Related Open Recommendations

Recommendation Number	Recommendation Status	Significant Recommendation	Additional Details
10	Open	No
We recommend that the contracting officer disallow $145,091 for the questioned employee compensation costs that were net overcharged to the FEHBP for contract years 2017 through 2021. However, since we verified that the Plan subsequently returned $8,365 of the questioned employee compensation costs to the FEHBP, the contracting officer only needs to ensure that the Plan makes the appropriate accounting adjustments of $136,726 (i.e., $63,997 for 2018 and $72,729 for 2020) to properly reduce the filed administrative expenses for contract years 2018 and 2020.