Federal Reports

What We Looked AtWe reviewed the Massachusetts Bay Transportation Authority's single audit report for the fiscal year ending June 30, 2018, in order to identify findings that affect directly awarded Department of Transportation programs. An independent auditor prepared the single audit report, dated October 5, 2018.What We FoundWe found that the report contained equipment and real property management and reporting findings that need prompt action from the Federal Transit Administration's (FTA) and Office of the Secretary's (OST) management.RecommendationsWe recommend that FTA ensures that the Authority complies with the equipment and real property management requirements. We recommend that FTA and OST ensure that the Authority complies with the reporting requirements.

Medicaid Fraud Control Units (MFCUs or Units) investigate and prosecute Medicaid provider fraud and patient abuse or neglect. The Department of Health and Human Services Office of Inspector General is the designated Federal agency that oversees and annually approves Federal funding for MFCUs through a recertification process. For this report we analyzed the annual statistical data on case outcomes—such as convictions, civil settlements and judgments, and recoveries—that the 50 MFCUs submitted for fiscal year 2018.

We could not determine whether New Jersey appropriately claimed Medicaid reimbursement for pay-for-performance incentive payments to five selected hospitals. Specifically, we could not determine if the hospitals met performance goals calculated from Medicaid claims data. In addition, the hospitals did not report patients' health records information consistent with performance measure criteria. As a result, we could not determine what portion of pay-for-performance incentive payments, totaling approximately $51 million ($25 million Federal share), that New Jersey made to the five selected hospitals based on determinations from New Jersey's Delivery System Reform Incentive Payment (DSRIP) program contractor was appropriate.

DOJ News Release