Open Recommendations

We recommend that the California Department of Health Care Services, in coordination with the Department of Developmental Services perform additional analytical procedures, such as data matches, to identify potential critical incidents that have not been reported and follow up on them as required.

We recommend that the California Department of Health Care Services, in coordination with the Department of Developmental Services improve oversight to ensure that timeliness and followup requirements related to reported critical incidents are met.

We recommend the Secretary of Homeland Security, in consultation with TSA and the Coast Guard, re-evaluate the HSOACassessment, and report on further corrective actions necessary to address the four areas of concern from the assessment findings, as identified in this report, or justify excluding these areas of concern from the corrective action plan.

Ensure all identified series either have Notification Preference Forms on file or maintain complete information on the status of efforts to acquire the forms.

We recommend the Secretary, in coordination with the DHS Chief Medical Officer and components, reassess its COVID-19 responseframework to identify areas for improvement to mitigate the spread of COVID19 while balancing its primary mission of securing the border.

We recommend the Secretary ensure DHS components continue to coordinate with the DHS Chief Medical Officer and are provided theresources needed to operate safely and effectively during the COVID-19 pandemic and any future public health crisis.

We recommend the Commandant of the United States Coast Guard prioritize funding and purchasing of the appropriate technologyneeded to ensure full operational capability of Rescue 21 Alaska.

We recommend the Commander of Coast Guard District 17 in Alaska develop and implement a plan to use additional methods to notifythe public of VHF communications coverage outages in the District 17 area of responsibility.

Develop and implement formal processes and procedures to ensure allegations of egregious harassment raised in EEOcomplaints can be referred to OPR for separate, potential misconduct review at the discretion of the OER director.

(U) Rec. 1.a: The DoD OIG recommended that the Under Secretary of Defense for Acquisition and Sustainment develop and issue implementing guidance for DoD supply chain risk management for DoD materiel in accordance with DoD Instruction 4140.01.

(U) Rec. 2.a: The DoD OIG recommended that the Director of the Defense Health Agency, after the new DoD implementing guidance for supply chain risk management is published, develop and publish implementing guidance for supply chain risk management specifically for pharmaceuticals, that includes the Component responsible for policy execution.

(U) Rec. 2.b.1: The DoD OIG recommended that the Director of the Defense Health Agency complete the implementation of its Drug Supply Chain Security Act Compliance Strategy by establishing policies and procedures for drugs purchased with Government Purchase Cards or local contracts to comply with the Drug Supply Chain Security Act.

(U) Rec. 2.b.2: The DoD OIG recommended that the Director of the Defense Health Agency complete the implementation of its Drug Supply Chain Security Act Compliance Strategy by, in coordination with the Commander of Defense Logistics Agency Troop Support, establishing policy and procedures for drugs purchased with Defense Logistics Agency-managed processes, including Defense Logistics Agency Depot Stock, Direct Vendor Delivery, and Defense Logistics Agency Electronic Catalog.

Update Customs Directive No. 4320-003, July 1990 (TECS Directive) to clarify the appropriate bases for placing lookouts and provide training to all CBP officials who have the authority to place lookouts.

Develop and implement procedures to ensure CBP officials update and remove lookouts in accordance with the TECS Directive.

Develop and issue a policy regarding asking, advising, or otherwise communicating with foreign governments about denying entry to U.S. citizens. At a minimum, the policy should specify the appropriate circumstances for such communications, who is authorized to approve such communications, and the procedures to follow when making such communications.

Provide training to all CBP personnel on the process for sharing information with foreign nations, covering all applicable policies and procedures, including which CBP personnel are authorized to make foreign disclosures.

Take immediate action to end the use of WhatsApp for operational purposes or to ensure that WhatsApp messages are retained in compliance with legal and policy requirements including records retention schedules.

CMS should share information to help States address challenges with using telehealth to provide behavioral health services to Medicaid enrollees

CMS should conduct monitoring for fraud, waste, and abuse, and support State efforts to oversee telehealth for behavioral health services.

CMS should ensure that the three States that are unable to distinguish telehealth from in-person services implement indicators to identify which services are provided via telehealth.

CMS should conduct evaluations, and support State efforts to evaluate the effects of telehealth on access, cost, and quality of behavioral health services.

Develop and implement an action plan to reduce turnover of management and staff and to ensure continuity of Unit operations should turnover occur

Ensure that all convictions and adverse actions are reported to Federal partners within the appropriate timeframes

Revise the Unit's MOU with the State Medicaid agency to establish procedures by which the Unit will receive referrals of potential fraud from MCOs