Federal Reports

Why OIG Did This Audit Under a Medicaid waiver, Tennessee was allowed to claim as certified public expenditures (CPEs) the uncompensated cost of care (UCC) at public hospitals for Medicaid enrollees and uninsured patients. During State fiscal years (SFYs) 2009 through 2014, Tennessee claimed a total of $2 billion in CPEs.For SFYs 2010 through 2013, Tennessee claimed the same amount of $373.8 million each year, indicating that it may not have calculated specific estimates of the CPEs for each of those years, as required. Additionally, a recent audit found that a State had improperly paid $686 million in Medicaid supplemental pool payments. Our objective was to determine whether Tennessee complied with Federal requirements for claiming CPEs for public hospital unreimbursed costs. How OIG Did This AuditOur audit covered the $2 billion in CPEs that Tennessee claimed for SFYs 2009 through 2014 (audit period), which were the most recent SFYs for which supporting calculations of actual CPEs were available. We compared the CPEs that Tennessee claimed to its summaries of actual CPEs for each SFY and reviewed the UCC calculations and supporting documentation for five hospitals that received disproportionate share hospital (DSH) payments and five institutions for mental diseases (IMDs).

The audit objectives were to determine whether program funds were managed in accordance with the ARC and Federal grant requirements

The Office of Special Counsel (OSC) completed an investigation based on a referral from the Federal Election Commission (FEC) Office of Inspector General (OIG). On January 31, 2019, the FEC OIG received an anonymous hotline complaint that alleged prohibited personnel practices (i.e., nepotism) on the part of a senior FEC employee.

The objective of this review was to identify specific gaps in transparency in award data for federal assistance spending in response to COVID-19. We looked at 51,000 awards worth $347 billion that supported the pandemic response (as of June 15, 2021). The report includes three findings, including we found more than 15,400 awards worth $33 billion with meaningless descriptions that make it difficult to know how COVID-19 relief money was used. The report includes five recommendations to help improve the transparency into COVID-19 relief spending.

Our objective was to assess contractual compliance and oversight of the Parcel Select shipping services contract with [redacted] (customer).