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Brought to you by the Council of the Inspectors General on Integrity and Efficiency
Federal Reports
Report Date
Agency Reviewed / Investigated
Report Title
Type
Location
Office of Personnel Management
Audit of Claims Processing and Payment Operations at Select Anthem Blue Cross and Blue Shield Plan Sites for Contract Years 2020 through 2022
We audited the Boston Housing Authority’s Housing Choice Voucher (HCV) Program. We initiated this audit based upon our assessment of risks associated with public housing agencies' HCV Program units, as well as recent media attention and public concern about the conditions of subsidized housing properties. Our objective was to determine whether the physical conditions of the Authority’s HCV units complied with both the U.S. Department of Housing and Urban Development’s (HUD) and the Authority’s requirements.The Authority did not always ensure that its HCV Program units met HUD’s housing quality standards (HQS). Specifically, we reviewed a sample of 87 units that had passed a recent HQS inspection and determined that 50 units had 193 deficiencies. Of the 50 units, 15 units had 53 deficiencies that existed at the time of the Authority’s last inspection. In addition, the Authority did not (1) consistently stop housing assistance payments (HAP) to owners for uncorrected unit deficiencies and (2) comply with HUD’s monitoring and data collection requirements of the Lead Safe Housing Rule (LSHR) for cases of children with elevated blood lead levels (EBLL).These conditions occurred because the Authority's inspectors did not thoroughly inspect housing units in a consistent manner and the Authority’s quality control process for HQS inspections had weaknesses. Further, (1) the Authority’s information system did not have controls in place to stop payments properly and (2) the Authority did not consistently follow its own established procedures to take appropriate actions to address unit deficiencies. Additionally, although the Authority was aware of HUD’s EBLL requirements, it (1) was uncertain about its authority to require owners to comply with those requirements and (2) believed that coordinating with the vast number of local health departments would have been challenging. As a result, families participating in the Authority’s HCV Program resided in housing units that were not always decent, safe, and sanitary. Based on our statistical sample, we estimate that over the next year, the Authority will pay owners more than $34 million in housing assistance for units that do not meet HQS. Further, (1) the Authority paid $180,309 in housing assistance to owners for units with uncorrected deficiencies and (2) HUD lacked assurance that the Authority and owners appropriately addressed their responsibilities under the LSHR for cases of children with EBLLs in a timely manner.We recommend that the Director of HUD’s Boston Office of Public Housing require the Authority to (1) ensure that the owners correct the outstanding unit deficiencies; (2) recover or repay from non-Federal funds $106,477 for HAP that were not properly stopped; (3) review its records to confirm whether it had cases of children with EBLLs during our audit period and work with the owner(s) of the HCV Program units to provide required documentation to HUD; (4) update publications and educational materials to owners to ensure that they understand their reporting responsibilities to HUD regarding confirmed cases of children with EBLLs; (5) develop and implement procedures and controls for coordinating with public health departments and monitoring owners for compliance with the requirements of the LSHR; and (6) improve controls over its inspections, stop payments for uncorrected deficiencies, and monitor owners for compliance with the requirements of the LSHR. Additionally, we recommend that the Director of HUD’s Boston Office of Public Housing work with the Office of Lead Hazard Control and Healthy Homes to provide training to the Authority’s staff involved with managing lead‐based paint and technical assistance in developing and implementing new procedures and controls.
Financial Audit of "A New Reality: Innovating Together" Program in West Bank and Gaza, Managed by Tech2Peace, Agreement 72029421CA00002, September 29, 2021, to December 31, 2022
Closeout Audit of the Schedule of Expenditures of Moona-A Space for Change, Bringing Professionals to Bridge Communities: Starter Program for Young Engineers in West Bank and Gaza, Cooperative Agreement 72029419CA00001, January1 to September 3, 2022
This review consisted of an examination of the office’s I&E policy as the CFTC OIG did not issue any I&E reports during the period under review. The AmeriCorps OIG identified instances in which the I&E policy was inconsistent with the updated Council of the Inspectors General on Integrity and Efficiency’s (CIGIE’s) Quality Standards for Inspection and Evaluation, December 2020 (Blue Book), and recommended that the CFTC OIG update its policy.
The VA Office of Inspector General (OIG) reviewed the Veterans Crisis Line’s (VCL’s) preparation for implementation of the National Suicide Prevention Hotline three-digit dialing code “9-8-8 press 1” (988 press 1). The review focused on responder and supervisor staffing and training, including postvention support awareness; information technology equipment and support; and quality metrics data and oversight.VCL leaders collaborated with the Substance Abuse and Mental Health Services Administration to add the 988 press 1 option. VCL leaders expected an increase in call volume from the addition of 988 press 1 access. The OIG determined VCL leaders hired additional frontline staff in anticipation of the call volume increase. However, VCL had not increased the number of supervisors to meet the identified supervisor-to-staff ratio. Supervisors’ oversight ensures frontline staff provide adequate assessments of callers.The OIG identified a concern related to frontline staff’s awareness of and feelings of support from supervisors to use postvention resources. VCL staff would benefit from awareness and training regarding postvention resources.VCL leaders, in conjunction with the Office of Information and Technology leaders, assessed, planned for, and implemented technology changes related to 988 press 1. The VCL did not encounter technology concerns. The OIG also found quality metrics data were reported monthly to VCL leaders at Executive Leadership Committee meetings and reflected quality oversight.The OIG obtained and compared pre- and post-988 press 1 call volumes from July through December of each calendar year. From 2021 to 2022, call volume increased by 12.5 percent; from 2022 to 2023, call volume increased by 15.1 percent.The OIG made two recommendations to the VCL Director related to determining the optimal supervisor-to-staff ratio and ensuring staff are aware and trained on postvention resources available to them.