Open Recommendations

We recommend that the New York State Department of Health identify and recover improper managed care payments made to the same MCO on behalf of beneficiaries with more than one Medicaid ID number prior to and after our audit period, and repay the Federal share of the amounts recovered

We recommend that the New York State Department of Health ensure that improvements made to its processes for determining whether an individual applying for Medicaid has already been assigned a Medicaid ID number are effective by verifying that: - system queries are adequate to identify all individuals with existing Medicaid ID numbers and - local district and Marketplace staff are following guidance on identifying individuals with Medicaid ID numbers and using all available resources to identify and prevent the issuance of more than one Medicaid ID number to the same individual.

We recommend that the Centers for Medicare & Medicaid Services direct the Medicare contractors to educate providers on the billing of direct LDL tests in addition to lipid panels (e.g., by providing guidance about the requirements for separately billing direct LDL tests).

We recommend that Suncoast Hospice refund to the Federal Government the portion of the estimated $47,363,971 for hospice services that did not comply with Medicare requirements and that are within the 4-year claims reopening period.

We recommend that Suncoast Hospice strengthen its policies and procedures to ensure that hospice services comply with Medicare requirements.

[Description omitted; CSOSA has determined that this recommendation contains information that is limited official use or classified.]

[Description omitted; CSOSA has determined that this recommendation contains information that is limited official use or classified.]

[Description omitted; CSOSA has determined that this recommendation contains information that is limited official use or classified.]

[Description omitted; CSOSA has determined that this recommendation contains information that is limited official use or classified.]

Conduct new residual risk reviews for Group I polymers and resins that cover neoprene production, synthetic organic chemical manufacturing industry, polyether polyols production, commercial sterilizers, and hospital sterilizers using the new risk values for chloroprene and ethylene oxide and revise the corresponding National Emission Standards for HazardousAir Pollutants, as needed.

Revise National Emission Standards for Hazardous Air Pollutants for chemical manufacturing area sources to regulate ethylene oxide andconduct a residual risk review to ensure that the public is not exposed to unacceptable risks.

Conduct overdue technology reviews for Group I polymers and resins that cover neoprene production, synthetic organic chemical manufacturing industry, commercial sterilizers, hospital sterilizers, and chemical manufacturing area sources, which are required to be completed at leastevery eight years by the Clean Air Act.

Develop and implement a process to validate the data between Foreign Assistance Coordination and Tracking System Info and the Development Information Solution system to maximize its value per GAO's Agile Assessment Guide.

develop new procedures or enhance current ones to identify beneficiaries with concurrent eligibility in another State, which could have saved the State agency an estimated $1,100,008 ($665,440 Federal share) in capitation payments for the month of August 2018

ensure that county caseworkers follow procedures to timely review and terminate eligibility for beneficiaries who were identified as concurrently eligible in another State.

We recommend that SAMHSA mitigate its Governance risk by formally documenting its full organizational structure.

We recommend the AOC Office of the Chief Security Officer establish well-defined policies and procedures with a preparation checklist for jurisdictions based on the severity of threat that provides clear guidance on execution of support activities related to coordination, mobilization, de-mobilization, asset protection and reporting of activities associated with special events across the Capitol campus.

We recommend that Virtua Our Lady of Lourdes Hospital based on the results of this audit, exercise reasonable diligence to identify, report, and return any overpayments in accordance with the 60-day rule and identify any of those returned overpayments as having been made in accordance with this recommendation.

CMS should take additional steps to validate the information reported in MDS assessments

CMS should supplement the data it uses to monitor the use of antipsychotic drugs in nursing homes.

We recommend the Secretary, in coordination with DHS components and FPS, establish and implement a plan, policy, and process toimprove preparedness for multi-component response to future incidents of civil disturbance at Federal facilities, including:A. a process for designating DHS component personnel under 40 U.S.C. §1315 and verification of required legal training completion;B. equipment and training needs and requirements; andC. consistent tactics and operational policies.

We recommend that the IA coordinate with Pine Hill School to ensure that the general facility deficiencies noted in this report are either addressed or included as part of the consolidation and renovation of the school facilities (Phase II).

We recommend that the IA coordinate with Pine Hill School to complete the planned consolidation and renovation (Phase II).

We recommend that the IA coordinate with Pine Hill School to complete the gymnasium replacement project (Phase III).

Direct Clemson to strengthen its monitoring procedures and internal control processes for applying indirect costs to Federal awards. Updated procedures could include: a. Requiring that personnel assess whether Clemson should capitalize ongoing and future construction projects. Specifically, Clemson should consider Federal regulation specific to the capitalization of construction related to additions to, improvements to, alterations of, or reconfigurations of Clemson buildings when Clemson uses Federal funding to finance construction. b. Requiring that personnel manually review capitalized charges made to an award to ensure that Clemson has included all applicable costs in the capitalized amount. Specifically, Clemson should consider whether capitalized…