Open Recommendations

Redetermine, as appropriate, the current Medicaid eligibility of the sampled beneficiaries who may not have met Federal and State eligibility requirements

Ensure that: all eligibility requirements, including those pertaining to resources, are properly verified during annual redeterminations for all non-newly eligible beneficiaries

Ensure that the 55 developments without sufficient support for an exemption either support the exemption status or complete the required lead-based paint inspections and provide the documentation to the appropriate field office.

Ensure that the remaining 244 developments' exemption status is properly supported.

Ensure that the 382 potentially noncompliant developments are reported in its response tracking system and reviewed for compliance with the Lead Safe Housing Rule.

Implement a comprehensive case management system that allows for efficient access to case documents and information.

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

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

We recommend that CMS issue clarifying guidance to States to help ensure that they use all of the diagnosis codes that inpatient hospitals report to them to identify PPCs.

We recommend that CMS work with States to ensure that their systems and processes for identifying PPCs use all diagnosis codes reported by inpatient hospitals.

We recommend that CMS issue a revised State plan preprint that contains all of the provisions identified in Federal requirements, if CMS continues to require States to use the preprint.

We recommend that CMS issue clarifying guidance to States to help ensure that they correctly use the Medicare HAC list to identify PPCs.

We recommend that CMS issue clarifying guidance to States to help ensure that they acquire from all inpatient hospital providers the information necessary to determine whether Medicare crossover claims contain PPCs and fully understand how to determine whether a crossover claim containing a PPC requires a payment adjustment.

We recommend that CMS issue clarifying guidance to States to help ensure that they identify PPCs on inpatient claims from all inpatient hospitals.

We recommend that CMS issue clarifying guidance to States to help ensure that they understand how and when to apply the “reasonably isolate” language in 42 CFR § 447.26(c)(3)(ii) as it relates to the limitation of reduction in payment for PPCs.

Complete, within 30 days of the issuance of this audit report, the review for preventing duplication of benefits associated with its 2008 CDBG-DR grant and pursue appropriate remedies for any instances of noncompliance found.

Submit supporting documentation showing that contracts and purchase orders complied with Federal and its own procurement requirements and that these were reasonable and necessary costs or reimburse the CDBG-DR program $55,010 from non-Federal funds.

Submit supporting documentation showing that contracts and purchase orders complied with Federal and its own procurement requirements and that these were reasonable and necessary costs or cancel the $361,501 in unpaid obligations related to CDBG-DR funds.

We recommend the Assistant Secretary for OSHA revise OSHA’s Debt Collection Procedures to comply with OMB Circular A-129.

We recommend that the Missouri Department of Health and Senior Services follow up with the 20 nursing homes to ensure that corrective actions have been taken regarding the life safety and emergency preparedness deficiencies identified in this report.

We recommend that the Missouri Department of Health and Senior Services work with CMS to develop standardized life safety training for nursing home staff.

We recommend that the Missouri Department of Health and Senior Services conduct more frequent surveys at nursing homes that have a history of multiple high-risk deficiencies and follow up to ensure that corrective actions have been taken.

We recommend that the Missouri Department of Health and Senior Services expand training of nursing home staffs with specific attention to the updating of emergency preparedness plan templates to address facility-specific preparations.

(U) Rec. A.1: The DoD OIG recommended that the Commander for U.S. Southern Command prioritize the risk of each unmitigated vulnerability identified in DoD Cyber Red Team Reports and adversarial assessments, take immediate actions to mitigate high-risk vulnerabilities, and if unable to immediately mitigate any of the vulnerabilities, include them on a command-approved plan of action and milestones.

(U) Rec. B.1.b: The DoD OIG recommended that the Secretary of Defense, in conjunction with the implementation of Recommendation A.5, assign an organization with responsibility to perform a joint DoD-wide mission-impact analysis to determine the number of DoD Cyber Red Teams, minimum staffing levels of each team, and the composition of the staffing levels needed to meet current and future DoD Cyber Red Team mission requests.