Federal Reports

The Patient Protection and Affordable Care Act gave States the option to expand Medicaid coverage to low-income adults without dependent children. It also mandated changes to Medicaid eligibility rules and established a higher Federal reimbursement rate for services provided to these beneficiaries, which led us to audit whether States were correctly determining eligibility for these newly eligible beneficiaries. States operate and fund Medicaid in partnership with the Federal Government through the Centers for Medicare & Medicaid Services. Louisiana was one of 36 States, along with the District of Columbia, that chose to expand Medicaid coverage.

Evaluated NASA’s efforts to mitigate the risks posed by orbital debris as well as the Agency’s coordination and communication efforts with international and commercial organizations to address the issue.

The Office of Inspector General evaluated NASA’s efforts to mitigate the risks posed by orbital debris—human-made objects in space no longer serving a useful purpose—as well as the Agency’s coordination with international and commercial organizations to address the issue.

The VA Office of Inspector General (OIG) assessed the merits of an August 2019 hotline allegation that a deceased veteran’s VA funds had been misused while he was living at a California nursing home. As part of its assessment, which is the subject of an upcoming report, the OIG discovered the Veterans Benefits Administration (VBA) had not finalized the veteran’s incompetency proposal. VBA staff had received medical evidence that he was incapable of managing his VA benefits payments and had prepared an incompetency proposal, which when finalized results in VA appointing a fiduciary to manage the beneficiary’s funds. However, the proposal had been initiated three years before his death but not completed. This delay conflicts with VBA guidance that the decision be made and a fiduciary—a person or legal entity charged with managing the incompetent beneficiary’s estate—appointed within 141 days.The OIG expanded its review and found VBA had not finalized incompetency proposals for 221 beneficiaries from January 1, 2016, through December 31, 2019. Of the 221 beneficiaries, the OIG statistically selected 55 records and determined that all were without incompetency decisions. Generally, the incomplete decisions occurred because staff did not update the workload management tool to show an incompetency proposal was pending a decision. Without that update, the case does not appear in the inventory of incompetency proposals requiring final action, no decision is made or fiduciary appointed, and vulnerable beneficiaries’ funds could be mismanaged. VBA agreed 52 of the 55 were incomplete (stalled); the others were on appeal or had been flagged for a decision. This management advisory memo provides VBA with the remaining 166 of the 221 records found to have incomplete decisions so that VBA can determine whether further action is needed to ensure incompetency proposals are finalized.

Inspector General's FY2020 Letter to OMB on SEC's Implementation of Purchase Card Program Audit Recommendations

Department of Veterans Affairs, Office of Inspector General (OIG) conducted this audit to determine whether VA complied with the requirements of section 759(a), “Covered Agency Responsibilities,” of the Geospatial Data Act of 2018. Geospatial data is information that is tied to a location on the Earth, and is used by VA to support budget, strategic planning, and policy decisions. VA did not meet three of the 13 agency responsibilities.First, VA did not promote geospatial data activities, although the OIG found VA did not have the necessary criteria from the Federal Geographic Data Committee to develop and implement a strategy to comply with this requirement. Second, VA had not promoted geospatial data integration and, third, ensured that geospatial information was included on agency record schedules that have been approved by the National Archives and Records Administration (NARA), as required by the act. VA met the other ten requirements of the act by sharing geospatial data, allocating geospatial resources, using geospatial data standards, coordinating with other federal and nonfederal entities, and making geospatial information more useful to the public. VA also protected personal privacy, maintained confidentiality, searched required sources before expending funds to acquire geospatial data, provided high quality data to those receiving federal funds for geospatial data collection, and designated representatives to coordinate with other lead covered agencies. According to VA officials they do not collect, hold, manage, or consume declassified geospatial data, and the OIG team did not find evidence to the contrary, making the related requirement not applicable.The OIG recommended that VA establish mandatory policies and responsibilities to promote the integration of geospatial data and establish a process that ensures geospatial data and activities are included on VA record schedules that have been approved by NARA.