Federal Reports

The VA Office of Inspector General (OIG) audited the Veteran Health Administration’s (VHA’s) Program of Comprehensive Assistance for Family Caregivers from June 2017 through June 2018 to determine if VHA effectively provided program services to qualified veterans and their caregivers. The Family Caregiver Program pays a monthly stipend to caregivers of eligible veterans. The OIG found that veterans and their caregivers did not receive consistent access to the program. The OIG found that caregiver support coordinators (CSCs) did not determine eligibility within the required 45 days for about 65 percent of the 1,822 veterans approved for the program from January through September 2017. The OIG also found that VHA did not correctly apply eligibility criteria when enrolling veterans. Four percent of the 1,604 veterans discharged from the program from January through September 2017 were never eligible. As a result, VHA made about $4.8 million in improper payments to their caregivers. VHA also did not consistently monitor and document the health statuses of an estimated 50 percent of the veterans discharged during the same period. The OIG found clinicians and CSCs either did not adequately document the extent that veterans’ health conditions changed or they failed to routinely monitor veterans and their caregivers before the reassessment leading to their program discharge. VHA failed to manage the Family Caregiver Program effectively because it did not establish governance that promoted accountability for program management. Also, VHA did not establish a staffing model to ensure medical facilities were well equipped to manage the program’s workload. The OIG recommended designating additional program oversight, applying program criteria to ensure eligibility determinations are accurate, ensuring veteran applications are processed within the 45-day standard, consistently monitoring and documenting veterans’ health statuses, and establishing guidelines for when a veteran’s need for care changes.

What We Looked AtWe reviewed the State of Rhode Island and Providence Plantations' single audit report for the fiscal year ending June 30, 2017, in order to identify findings that affect directly awarded Department of Transportation programs. An independent auditor prepared the single audit report, dated March 28, 2018.What We FoundWe found that the report contained a special tests and provisions requirements finding that needs prompt action from the Federal Highway Administration's (FHWA) management.RecommendationsWe recommend that FHWA ensures that the State complies with the special tests and provisions requirements. We also recommend that FHWA recovers $214,516 from the State, if applicable.

What We Looked AtWe reviewed the North Coast Railroad Authority's single audit report for the fiscal year ending June 30, 2017, in order to identify findings that affect directly awarded Department of Transportation programs. An independent auditor prepared the single audit report, dated March 27, 2018.What We FoundWe found that the report contained a reporting requirements finding that needs prompt action from the Office of the Secretary's (OST) management.RecommendationsWe recommend that OST ensures that the North Coast Railroad Authority complies with the reporting requirements.

What We Looked AtWe reviewed the San Francisco Municipal Transportation Agency's single audit report for the fiscal year ending June 30, 2017, in order to identify findings that affect directly awarded Department of Transportation programs. An independent auditor prepared the single audit report, dated March 29, 2018.What We FoundWe found that the report contained a procurement, suspension, and debarment finding that needs prompt action from the Federal Transit Administration's (FTA) management.RecommendationsWe recommend that FTA ensures that the Agency complies with the procurement, suspension, and debarment requirements. We also recommend that FTA recovers $214,494 from the Agency, if applicable.

What We Looked AtWe reviewed the State of North Carolina's single audit report for the fiscal year ending June 30, 2017, in order to identify findings that affect directly awarded Department of Transportation programs. An independent auditor prepared the single audit report, dated March 19, 2018.What We FoundWe found that the report contained a special tests and provisions finding that needs prompt action from the Federal Highway Administration's (FHWA) management.RecommendationsWe recommend that FHWA ensures that the State complies with the special tests and provisions requirements.

What We Looked AtWe reviewed the Puerto Rico Highways and Transportation Authority's single audit report for the fiscal year ending June 30, 2016, in order to identify findings that affect directly awarded Department of Transportation programs. An independent auditor prepared the single audit report, dated April 6, 2018.What We FoundWe found that the report contained subrecipient monitoring requirements, special tests and provisions requirements, and matching requirements findings that need prompt action from the Federal Highway Administration's (FHWA) management and the Federal Transit Administration's (FTA) management.RecommendationsWe recommend that FTA ensures that the Authority complies with the subrecipient monitoring requirements. We recommend that FHWA ensures that the Authority complies with the special tests and provisions requirements and the matching requirements.