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Brought to you by the Council of the Inspectors General on Integrity and Efficiency
Audit of NARA's financial statements for fiscal years 2017 and 2016; and the results of the Office of Inspector General (OIG) oversight of the audit and the report.
Texas Medicaid did not always stop making capitation payments after a beneficiary's death, despite its efforts to identify and recover any unallowable payments. Specifically, Texas Medicaid paid managed care organizations $1.8 million ($1 million Federal share) for capitation payments between January 1, 2013, and December 31, 2015, for deceased beneficiaries.
The report objective was to emphasize the potential challenges that FEMA will face in providing Public Assistance funding for facilities that may have sustained damages from back-to-back disasters. Hurricanes Harvey, Irma, and Maria — some of the most catastrophic disasters in recent United States history — resulted in multiple disaster declarations and billions of dollars in damages to areas within several Gulf Coast and Southeast states, Puerto Rico, and the U.S. Virgin Islands. We noted many of the same designated disaster areas for Hurricanes Harvey and Irma overlapped areas also declared for incidents earlier in 2017 and 2016. As a result, many of the same facilities affected by an earlier incident may have also received damage under Hurricanes Harvey or Irma before repairs to the facility had been completed. To avoid obligating duplicate repair costs to an affected facility, FEMA will need to discern which incident caused damages to the facility and whether repairs necessitated by the previous incident were complete. Therefore, FEMA needs to make certain that it has effective controls in place to minimize the risk of funding duplicate or ineligible repair costs of facilities damaged by back-to-back incidents.
We determined that the Coast Guard does not have sufficient controls to adequately identify information technology (IT) acquisition programs. Although the Coast Guard approved the procurement of approximately $1.8 billion of IT investments between fiscal years 2014 and 2016, it does not know if almost 400 systems are receiving proper acquisition oversight. This occurs because the Coast Guard’s controls over IT investments lack synergy and create weaknesses that affect its ability to adequately identify, designate, and oversee non-major IT acquisition programs. As a result, the Coast Guard IT investments risk wasting money, missing milestones, and not achieving performance requirements We recommended that the Coast Guard conduct a comprehensive analysis of related acquisition and IT review processes to identify redundancies, gaps, and potential improvements; implement a verifiable process to identify non-major IT programs; evaluate and identify existing IT investments; and improve the quality of IT investment information and guidance. We made four recommendations that the Coast Guard concurred with and when implemented will improve the Coast Guard’s IT investment process.