Open Recommendations

Provide supporting documentation to show whether the outstanding liability of $324,478 is correctly classified as an NSP2 liability. If not, HUD should ensure that NHSLA corrects its NSP2 cost reimbursement summary for the 12 months ending June 30, 2018, to reclassify the expenses to a non-NSP2 program. Such funds would be considered funds to be put to better use.

Obtain training to ensure that it understands NSP2 regulations and requirements related to payroll allocation for its administrative and project delivery costs and program income calculation methodology to ensure it properly computes the amount it is allowed to charge for administrative costs.

Support the reasonableness of the South Gate contract or repay NSP2 $856,692 from non-Federal funds.

The Office of Cuba Broadcasting, in coordination with the U.S. Agency for Global Media, should prepare and communicate with its staff a comprehensive plan for timely implementation of the editorial oversight reforms, including annual program reviews.

The United States Agency for Global Media should direct each network to develop systematic employee training on journalistic standards and related professional development plans.

We recommend that the FWSrequire the Division to resolve the identified encroachments on land purchased with Federal awards.

CMS should provide States with acquisition cost data for a wider range of specialty drugs.

CMS should Collaborate with States to conduct greater oversight of Medicaid MCOs’ management of specialty drugs; this oversightcould include a review of contract language that allows States to obtain requested information on specialty drug categorizations, specialty drug reimbursement methodologies, and cost management strategies.

Assign responsibility and delegate authority to an office or individual to update and establish a formal policy with procedures, practices, and methodologies identified in the PPE ILSP, to standardize the process for all DHS components to follow for their PPE programs.

Implement a process for approving deviations from established configuration settings.

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We recommend that the Centers for Medicare & Medicaid Services work with Texas to determine whether the source of IGTs and the practice of using debt instruments to fund the non-Federal share of QIPP payments meets program objectives and promotes economy and efficiency in Medicaid.

We recommend that the Centers for Medicare & Medicaid Services reevaluate QIPP to ensure that it operates in a manner that meets program objectives while promoting economy and efficiency in Medicaid.

Complete the process of configuring the scanning tool to account for the approved deviations for the standard baseline configurations.

Ensure all personnel whose responsibilities include access to PII complete annual privacy-role based training.

CMS should assess the results of infection control surveys and revise the survey as appropriate.

CMS should work with States to help overcome challenges with PPE and staffing.

CMS should clarify expectations for States to complete backlogs of standard surveys and high-priority complaint surveys.

IHS should provide additional guidance and training to facilities on patient protection policies, including the role of law enforcement and the reporting process related to patient abuse.

IHS should improve the process and timeliness for conducting staff background investigations and notifying facilities when staff are approved.

IHS should examine and revise, as needed, the reporting structure in the policies and the incident reporting system to ensure that staff and patients can report abuse anonymously.

IHS should establish and enforce a deadline by which all facilities must fully incorporate the new requirements into their policies and procedures, and actively monitor facility adherence.

The Commissioner, Wage and Investment Division, should develop processes and procedures to retain and provide access to historical ERS data, including actions taken by tax examiners.

Identify and take action on the population of terminated beneficiaries with underpayments payable to eligible beneficiaries and individuals.