Federal Reports

The Missouri Department of Social Services (State agency) claimed Federal Medicaid reimbursement of at least $6 million (almost $3.8 million Federal share) for unallowable targeted case management (TCM) payments during Federal fiscal years 2014 and 2015. The State agency paid TCM providers and claimed unallowable Federal Medicaid reimbursement because its policies and procedures did not ensure that those providers complied with Federal and State requirements for documenting case managers' qualifications and for documenting and claiming TCM services. In addition, the State agency did not have policies and procedures to ensure that it correctly reported, in its claims for Federal Medicaid reimbursement, TCM paid claims it had recouped from a TCM provider.

We reviewed the oversight of opioid prescribing and the monitoring of opioid use in West Virginia. This factsheet shows West Virginia's responses to our questionnaire covering five categories related to its approach to addressing the opioid epidemic: policies and procedures, data analytics, programs, outreach, and other efforts. The information in this factsheet, along with information from seven additional States, will be summarized in a report to the Centers for Medicare & Medicaid Services.

The OIG investigated complaints that Grand Canyon National Park (GRCA) Superintendent Christine Lehnertz, proposed a disciplinary action against a GRCA senior official for an improper purpose; created a hostile work environment; and engaged in bullying and retaliatory behavior against senior leaders, particularly male leaders, at the GRCA. The complainant also alleged that Lehnertz authorized unnecessary renovations to a park housing unit resulting in a waste of almost $180,000.We found that Lehnertz’ proposal of disciplinary action for the senior official was supported by the evidence. The senior official failed to complete several required tasks relating to a high-priority park initiative and, despite Lehnertz’ multiple requests to the official over several days to provide specific performance management information to her, the official elected not to do so and misrepresented the status of the information to Lehnertz. We found no evidence that Lehnertz created a hostile work environment at the GRCA or that she authorized unnecessary renovations to a park residence.We provided this report to the National Park Service Deputy Director Exercising the Authority of Director.

The National Security Agency Office of the Inspector General (OIG) released an unclassified version of its Audit of the Agency’s Travel Program. The OIG identified a number of concerns, including that the NSA did not adequately monitor cardholder activities, which may have permitted improper cash advances and other misuse of individually billed travel cards; the Agency did not require travel card training for travelers, managers, or authorizing officials; and the Agency’s travel management information systems are in need of modernization. The OIG made 10 recommendations to assist the NSA in ensuring that its travel program is managed appropriately and compliantly. The Agency agreed with all the recommendations, and the OIG concluded that the actions planned by Agency management met the intent of the recommendations.