Federal Reports

Texas did not fully comply with Federal Medicaid requirements for billing manufacturers for some rebates for pharmacy drugs dispensed to managed-care organization enrollees. Texas properly processed claims for rebates in most instances; however, some claims were bypassed in the Drug Rebate Analysis and Management System and were not processed for rebate. The bypassed claims occurred during the rebate billing for the second quarters of 2012 and 2014. These claims were bypassed because they were loaded during the rebate invoicing process and Texas did not perform the required invoice recalculation to ensure they were applied to the current quarter. The bypassed claims resulted in 220,336 claim lines that were not invoiced for rebate. The rebates associated with these claims total $7.8 million ($4.4 million Federal share).

Our transmittal begins on page 51 of the Defense Logistics Agency General Fund Fiscal Year 2017 Agency Financial Report.

Our transmittal begins on page 45 of the Defense Logistics Agency Transaction Fund Fiscal Year 2017 Agency Financial Report.

Our transmittal begins on page 65 of the Defense Logistics Agency Working Capital Fund Agency Financial Report for Fiscal Year 2017.

This evaluation focused on the appropriateness of programming, training, and evaluation; the adequacy of Volunteer support; and the effectiveness of post leadership and management. While there are many areas of strength for this post, there are 22 recommendations. The majority are directed at the areas of programming, site development, and training.

Our objective was to quickly alert FEMA and its partners about attempts to profit from hurricane survivors seeking disaster assistance in Puerto Rico. FEMA must quickly take steps to stop those attempting to profit from survivors seeking disaster assistance through a fee for service that FEMA provides at no cost to the disaster survivor. The service advertised to complete required FEMA forms in order to obtain disaster assistance will require disaster survivors to provide a third party with their Personally Identifiable Information that will expose them to unnecessary risks. This management alert did not contain any recommendations

In response to concerns raised by immigrant rights groups and complaints to the Office of Inspector General (OIG) Hotline about conditions for detainees held in U.S. Immigration and Customs Enforcement (ICE) custody, we conducted unannounced inspections of five detention facilities to evaluate their compliance with ICE detention standards. We identified problems that undermine the protection of detainees’ rights, their humane treatment, and the provision of a safe and healthy environment. Although the climate and detention conditions varied among the facilities and not every problem was present at all of them, our observations, interviews with detainees and staff, and our review of documents revealed several issues. Upon entering some facilities, detainees were housed incorrectly based on their criminal history. Further, in violation of standards, all detainees entering one facility were strip searched. Available language services were not always used to facilitate communication with detainees. Some facility staff reportedly deterred detainees from filing grievances and did not thoroughly document resolution of grievances. Staff did not always treat detainees respectfully and professionally, and some facilities may have misused segregation. Finally, we observed potentially unsafe and unhealthy detention conditions.