Open Recommendations

We recommend the Principal Deputy Assistant Secretary of Employment and Training: Issue a new UIPL within 15 days of this memorandum to instruct SWAs that disclosure of information to the OIG for audits, evaluations, and investigations is mandatory without need for a subpoena, and that the OIG will notify SWAs directly of current and future information disclosure requirements, to include data elements.

We recommend the Principal Deputy Assistant Secretary of Employment and Training: Ensure the new UIPL guidance advises SWAs that they may not require the OIG to enter into data sharing agreements as a prerequisite to disclosure of information to the OIG for audits, consistent with the IG Act and federal law.

The OIG recommended the under secretary for health develop and initiate a plan to reevaluate veterans’ entitlement to recurring clothing allowance benefits in collaboration with the Veterans Benefit Administration.

Designate an office to take the ownership of NARA’s inappropriate use program, and formally document and communicate to all stakeholders their management and oversight responsibilities for detecting and reporting suspected inappropriate use.

Update Supplement 1 to NARA Directive 363, NARA Penalty Guide, to include penalties for misusing government IT equipment and resources.

Strengthen contract oversight controls to ensure all contract deliverables are completed in a complete, accurate, and timely manner, as it relates to the analyzing and monitoring of inappropriate Internet use on NARA IT resources.

Ensure a process is developed to select sample inappropriate use occurrences on a periodic basis for further investigation and analysis.

Complete the planned update of the debt collection system to allow recovery of overpayments for non-entitled debtors.

Take corrective action for the remaining 1,208 beneficiaries we identified in Sample Frame 1 to (a) determine whether it used all its available collection tools to obtain restitution and (b) reimburse beneficiaries, as applicable, when it collected restitution from payees.

NIH should centrally capture and monitor data on ICs' funding of grant applications out of rank order.

The OIG recommended the acting assistant secretary for human resources and administration/operations, security, and preparedness develop and implement an enterprise wide plan to independently examine and validate the HR Smart position inventory.

The OIG recommended the acting assistant secretary for human resources and administration/operations, security, and preparedness establish standard guidance to ensure positions are consistently approved, created, and maintained.

The OIG recommended the acting assistant secretary for human resources and administration/operations, security, and preparedness implement enterprise wide oversight mechanisms to monitor position management on a regular basis and ensure the HR Smart position inventory is properly maintained.

The OIG recommended the acting under secretary for health develop and implement a standardized national policy and procedures for the documentation and communication of staffing level approvals at VA medical facilities.

We recommend that the Nebraska Department of Health and Human Services report and refund $1,788,119 (Federal share) of the unreported MFCU-determined Medicaid overpayments that related to paid claims.

We recommend that the Nebraska Department of Health and Human Services report and refund up to $781,732 (Federal share) of the unreported MFCU-determined Medicaid overpayments that related to court-ordered awards if and when collected.

We recommend that the Nebraska Department of Health and Human Services determine the value of overpayments, including those related to court-ordered awards, identified after our audit period that have been collected but not reported; report them on the Form CMS-64; and refund the Federal share of the collected overpayments.

We recommend that the Nebraska Department of Health and Human Services improve policies and procedures to ensure that overpayments are reported correctly and in a timely manner on the Form CMS-64 in accordance with Federal requirements, to include adding instructions on (1) how to report double and treble damage amounts awarded by the courts, (2) application of the correct FMAP rate, and (3) the timely reporting of these overpayments.

We recommend that the Nebraska Department of Health and Human Services improve policies and procedures to ensure that MFCU-determined Medicaid overpayments are reported on line 2 of the Form CMS-64.9C1 if collected or on line 2 of the Form CMS-64.9OFWA if not collected within timelines specified by Federal requirements.

We recommend that Professional Healthcare at Home, LLC refund to the Federal Government the portion of the estimated $3,358,906 for hospice services that did not comply with Medicare requirements and that are within the 4-year reopening period.

We recommend that Professional Healthcare at Home, LLC strengthen its policies and procedures to ensure that hospice services comply with Medicare requirements.

Rec. A.8: The DoD OIG recommended that the Commanders of U.S. Special Operations Command Europe, U.S. Special Operations Command Africa, and U.S. Marine Corps Forces Europe provide all units in the U.S. European Command area of responsibility with access to the applicable accountable property systems of record. In addition, the Commanders should enforce the requirements that units record all munitions inventory in a timely manner in the systems of record; conduct 100 percent semiannual inventories; and prescribe more frequent inventories for units with known deficiencies, including the units identified in this report.

Rec. B.2: The DoD OIG recommended that the Executive Director of the DoD Explosives Safety Board develop and issue clarifying policy requiring DoD Components to conduct explosives and munitions risk assessments at grandfathered facilities or revise the Defense Explosives Safety Regulation 6055.09 to remove the grandfathering clause.

Establish and implement monitoring procedures in guidance requiring State officials to ensure district directors complete reviews and evaluate the results of the reviews to ensure ECP policies are being followed.

Establish and implement procedures in guidance to define how the district director reviews should be documented.