Federal Reports

We found that Idaho’s oversight of the Title I and IDEA, Part B programs was adequate to determine whether services were being provided to students and that teachers were highly qualified, or that deficiencies were identified and corrective actions were required. Specifically, we found that it had sufficient policies and procedures for overseeing schools’ compliance with Federal program requirements. Idaho also conducted monitoring activities that supported implementation of these policies and procedures. However, we also found that Idaho needs to ensure full and prompt implementation of corrective actions and improve its Federal program oversight, as the issues we identified at one of the virtual charter schools, Inspire, were nearly identical to issues Idaho had identified several years earlier.

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We determined that Medicare costs related to the replacement of all recalled or prematurely failed medical devices could not be identified and tracked using only Medicare claim data. Such costs cannot be determined using only claim data because, although Medicare claim forms identify the medical procedures performed, they do not contain a field for reporting medical device-specific information. The lack of information on the claim forms prevents the Centers for Medicare & Medicaid Services (CMS) from being able to fully understand and address the Medicare costs related to recalled or prematurely failed medical devices. In addition, the lack of information impedes the Food and Drug Administration and CMS's ability to identify poorly performing devices as early as possible. This diminishes device recipients' chances of receiving timely followup care.