Federal Reports

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We found that the Rehabilitation Services Administration (RSA) did not have adequate internal controls to provide reasonable assurance that data State vocational rehabilitation agencies submitted in their RSA-911 reports were accurate and complete. We found that RSA’s monitoring procedures did not require program staff to determine whether State vocational rehabilitation agencies had established and implemented adequate internal controls that provided reasonable assurance that their data were accurate and complete, nor did the procedures require program staff to perform any testing of the data during monitoring visits. We also found that RSA did not require State vocational rehabilitation agencies to certify that the data submitted were accurate and complete. Lastly, we found that although RSA’s edit check programs provided some level of assurance regarding the completeness of State vocational rehabilitation agency submitted data, RSA had not properly documented its procedures on the use of these programs.

17-AUD-06 was issued on November 15, 2016 without management's response. The response was received on December 7, 2016. We assessed management's response and action plan.

Housing Works, Inc., operating in Brooklyn, New York, did not comply with all applicable Federal requirements and grant terms related to its Affordable Care Act (ACA)-funded New Access Point grant. Specifically, a Housing Works subsidiary (1 of 14 subsidiary nonprofit organizations overseen by Housing Works) did not track and account for these ACA-funded New Access Point grant expenditures separately from other Federal and non-Federal operating expenses and did not reconcile actual grant expenditures to its approved budgeted amounts used to draw down Federal funds. The Housing Works subsidiary followed Federal procurement standards and claimed allowable New Access Point grant costs of $150,000 for the purchase of a mobile health unit. However, we could not determine whether the remaining $1.2 million in grant costs claimed by the Housing Works subsidiary were allowable.

From April 1 through December 31, 2010, the California Department of Health Care Services (State agency) did not always comply with Federal Medicaid requirements for billing manufacturers for rebates for physician-administered drugs dispensed to enrollees of Medicaid managed-care organizations (MCOs). For the 20 MCOs we reviewed, the State agency billed for rebates for physician-administered drugs dispensed by 7 MCOs. However, the State agency did not bill for rebates for physician-administered drugs dispensed by the remaining 13 MCOs.