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Brought to you by the Council of the Inspectors General on Integrity and Efficiency
Federal Reports
Report Date
Agency Reviewed / Investigated
Report Title
Type
Location
Department of Veterans Affairs
Clinical Assessment Program Review of the Southeast Louisiana Veterans Health Care System, New Orleans, Louisiana
Our objective was to determine whether U.S. Government and Coalition train, advise, and assist efforts will enable the Afghan Ministry of Defense (MoD) and subordinate organizations to develop a Transparency, Accountability, and Oversight (TAO) capability
CBP administered polygraph examinations to applicants who previously provided disqualifying information on employment documents or during the pre-test interview. This occurred because CBP’s process did not stop, and is not sufficient to prevent, unsuitable applicants from continuing through the polygraph examination. As a result, we estimated that between fiscal years 2013 and 2016 CBP spent about $5.1 million completing more than 2,300 polygraphs for applicants with significant pre-test admissions of wrongdoing.If CBP implemented a security interview and improved utilization of the adjudicative process, it could put its funds to better use by focusing on applicants with the best chance of making it through the hiring process. Not doing so slows the process for qualified applicants; wastes polygraph resources on unsuitable applicants; and will make it more difficult for CBP to achieve its hiring goals.We recommend CBP improve its screening by establishing an in-person pre-security interview process, requiring examiners to use the on-call adjudication process, and discontinue testing of unsuitable applicants.
The State agency did not adequately oversee its Medicaid Nonemergency Medical Transportation (NEMT) brokerage program to ensure that Federal and State requirements and contract provisions were met. Specifically, Oklahoma's oversight and monitoring of its Medicaid NEMT brokerage program did not ensure that (1) drivers attended required training courses and had their records reviewed by their employers, (2) transportation services were adequately documented, (3) vehicles used to transport Medicaid beneficiaries met State requirements and standards, (4) beneficiaries received Medicaid-eligible medical services on the date of transportation, and (5) transportation services were provided. Of the 100 claims in our random sample, 58 complied with Federal and State requirements and contract provisions, but the remaining 42 claims did not.