Open Recommendations

We recommend that Presbyterian Health Plan, Inc., continue its examination of its existing compliance procedures to identify areas where improvements can be made to ensure that diagnosis codes that are at high risk for being miscoded comply with Federal requirements (when submitted to CMS for use in CMS's risk adjustment program) and take the necessary steps to enhance those procedures.

We recommend that Presbyterian Health Plan, Inc., refund to the Federal Government the $1,302,682 of estimated net overpayments.

We recommend that the Assistant Administrator for FEMA’s Grant Programs Directorate establish and implement controls to avoid reimbursing grantees for costs not directly associated with protecting designated non-governmental Presidential residences.

We recommend that First Coast work with CMS to ensure that its final settlement of contract costs reflects an increase in Medicare SERP costs of $266,886 for CYs 2015 through 2018.

We recommend that First Coast Service Options, Inc., decrease the Medicare segment PRB assets by $211,471 as of January 1, 2019.

We recommend that First Coast work with CMS to ensure that its final settlement of contract costs reflects an increase in Medicare PRB costs of $762,388 for CYs 2015 through 2018.

We recommend that First Coast work with CMS to ensure that its final settlement of contract costs reflects a decrease in Medicare nonqualified costs of $73,194 for CYs 2015 through 2018.

We recommend that CPB management require WSRE-TV to repay $57,990 in CSG questioned costs.

We recommend that CPB management require WSRE-TV to identify the corrective actions and controls it will implement to reconcile the licensee’s, PSC, financial records to the station’s financial statements on September 30 of each year to ensure that CPB funds are expended within the proper spending periods.

We recommend that CPB management require WSRE-TV to repay $779 in CSG overpayments.

We recommend that CPB management require WSRE-TV to identify the corrective actions and controls it will implement to ensure that NFFS is properly reported on Schedules A and B in compliance with financial reporting requirements.

We recommend that CPB management require WSRE-TV to identify the corrective actions and controls it will implement to ensure future compliance with AFR Schedule E reporting requirements.

Conduct Federal and match grant close-out reconciliations for all grantees whose financial management systems did not support the Federal or match costs reported within their Federal Financial Reports. If the grantee’s financial management system records do not reconcile to the amounts reported or appear to include costs that are not allocable, reasonable, or allowable, take action accordingly

Require that grantees revise their existing financial management systems to ensure that the grantees can identify and reconcile all Federal and match costs reported within their Federal Financial Reports and that they can differentiate between expenses paid using Federal funds and expenses paid using other funding sources.

Recover the $42,945 in questioned Federal expenses that were not allowable, appropriately allocated, or adequately supported.

Require AmeriCorps Seniors grantees to develop and implement additional procedures and internal controls to ensure that costs are allowable, allocable, and adequately supported.

Require AmeriCorps Seniors grantees to develop and implement additional procedures and internal controls to ensure they appropriately and timely perform National Service Criminal History Checks

Verify that AmeriCorps Seniors grantees revise their financial management systems to ensure that the financial management systems can support comparisons of actual expenditures to amounts budgeted for each AmeriCorps Seniors grant.

Work with its grantees to revise their written policies and procedures to address Federal payment requirements and 2 C.F.R. § 200, Subpart E – Cost Principles.

That the agency update and finalize the travel policy, travel manual, and procurement office policies and procedures.

The Commissioner, Wage and Investment Division, should assess and implement, if possible, the capability to provide taxpayers with the option to transfer to the appointment line versus having to hang up and call a different number.

We recommend that the New York State Department of Health work with the New York State Office of Mental Health to improve monitoring activities by increasing the number of case files reviewed when conducting provider site visits to ensure that service plans and subsequent service plan reviews are timely signed and maintained, community rehabilitation claims meet Medicaid reimbursement standards, and services are appropriately authorized. We recommend that the New York State Department of Health work with the New York State Office of Mental Health to improve monitoring activities by providing formal guidance or training to providers to clarify requirements related…

We recommend that New York State Department of Health refund $19,888,031 to the Federal Government.

Use the death information already in its records to input death information on 2.5 million numberholders’ Numident records.

Use death information in Centers for Medicare & Medicaid Services and various state death data files to input death information on approximately 498,000 Numident records.