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Brought to you by the Council of the Inspectors General on Integrity and Efficiency
The Passamaquoddy Tribe at Pleasant Point did not always meet Federal requirements for medical referrals. Specifically, we found that the Pleasant Point Health Center (PPHC) did not utilize a Managed Care Committee (MCC), composed of the required medical and administrative staff, to review medical referrals on a weekly basis. In addition, PPHC did not always maintain accurate and complete documentation of medical referrals.
For the fiscal year (FY) 2019 coordinated audit plan, the U.S. Department of Health and Human Services, Office of Inspector General (HHS-OIG), requests $1.5 million to conduct program integrity and fraud prevention activities for the President's Emergency Plan for AIDS Relief (PEPFAR) program. The Centers for Disease Control and Prevention (CDC) received over $1.7 billion in FY 2017 PEPFAR funds (about 97 percent of the PEPFAR funds received by HHS) to accelerate progress toward achieving an AIDS-free generation and creating a lasting infrastructure that enables partner countries to respond to a range of health challenges and threats.