Open Recommendations

We recommend that the Centers for Medicare & Medicaid Services instruct Palmetto GBA to recover $72,208 in unallowable Medicare payments by adjusting the applicable OPOs' cost reports to correct the $148,750 of unallowable professional and public education overhead costs reported, consistent with relevant laws and the agency's policies and procedures.

Treasury OIG should follow-up with the Commonwealth of Virginia (Virginia) management on necessary reporting corrections. Specifically, Items Not Listed Above (INLA) description corrections are needed in the Contracts greater than or equal to $50,000, Grants greater than or equal to $50,000, Transfers greater than or equal to $50,000, and Direct Payments greater than or equal to $50,000 payment types. In addition, Treasury OIG should pursue obtaining documentation from Virginia management for Contracts greater than or equal to $50,000, Transfers greater than or equal to $50,000, Direct Payments greater than or equal to $50,000, Aggregate Reporting less than $50,000, and Aggregate…

The Commissioner, Wage and Investment Division, should develop processes and procedures to ensure that microfilm cartridges are destroyed in compliance with record destruction time frames.

We recommend that the Texas Department of Health and Human Services Commission refund the $1,776,003 Federal share to the Federal Government.

Treasury OIG should request missing documentation from the Commonwealth of the Northern Mariana Islands (CNMI) management and follow-up on necessary reporting corrections. Further, based on CNMI’s responsiveness to Treasury OIG’s requests and its ability to provide sufficient documentation, Treasury OIG should determine if a full scope audit is feasible.

Treasury OIG should follow-up to obtain the status of these Single Audits. Treasury OIG should pursue obtaining missing documentation from Puerto Rico’s management and follow-up on necessary reporting corrections within the GrantSolutions portal. Based on Puerto Rico’s responsiveness to Treasury OIG’s requests and management’s ability to provide documentation, Treasury OIG should determine if a full scope audit is feasible.

Treasury OIG should follow-up on Navajo Nation management's corrective action related to $141,187 in questioned costs reported in Single Audit finding number 2020-009.

Treasury OIG should follow-up with Navajo Nation management to obtain missing documentation to support expenditures and that Navajo Nation has made necessary reporting corrections; and determine the feasibility of performing a focused audit for Grants greater than or equal to $50,000.

Treasury OIG should follow-up with Navajo Nation management to obtain missing documentation to support expenditures and that Navajo Nation has made necessary reporting corrections; and determine the feasibility of performing a focused audit for Grants greater than or equal to $50,000.

Treasury OIG should follow-up with Navajo Nation management to obtain missing documentation to support expenditures and that Navajo Nation has made necessary reporting corrections; and determine the feasibility of performing a focused audit for Aggregate Reporting less than or equal to $50,000.

Treasury OIG should follow-up to obtain the status of the Navajo Nation's 2021 Single Audit.

Treasury OIG should follow-up with Navajo Nation management to obtain missing documentation to support expenditures and that Navajo Nation has made necessary reporting corrections; and determine the feasibility of performing a focused audit for Aggregate Payments to individuals with a specific focus on Navajo Nation's non-payroll COVID-19 hardship claims and payroll expenditures for employees substantially dedicated to COVID-19 recovery efforts.

Treasury OIG should confirm that Navajo Nation management has reversed $(Amount Redacted) in duplicate hardship check payments that were fraudulently cashed by tribal citizens and recorded by management within the Aggregate Payments to Individuals payment type in the Cycle 3 GrantSolutions submission.

Treasury OIG should ensure Navajo Nation management re-issued $(Amount Redacted) in stale-dated checks before the end of December 31, 2022 and ensure that checks were cashed by the beneficiaries, or funds are returned to Treasury.

Treasury OIG should ensure Navajo Nation management has reversed the $(Amount Redacted) in sub-recipient incurred costs that they determined to be ineligible as a result of their internal investigation.

We recommend the Executive Assistant Commissioner of CBP’s Office of Field Operations develop and institute a comprehensive policy for outbound inspections.

We recommend the Executive Assistant Commissioner of CBP’s Office of Field Operations assess infrastructure, internet connectivity, and technology at each land border crossing and ensure that officers have the necessary resources to conduct outbound inspections and can operate in a safe working environment.

We recommend that Presbyterian Health Plan, Inc., identify, for the high-risk diagnoses included in this report, similar instances of noncompliance that occurred before or after our audit period and refund any resulting overpayments to the Federal Government.

We recommend that Presbyterian Health Plan, Inc., continue its examination of its existing compliance procedures to identify areas where improvements can be made to ensure that diagnosis codes that are at high risk for being miscoded comply with Federal requirements (when submitted to CMS for use in CMS's risk adjustment program) and take the necessary steps to enhance those procedures.

We recommend that Presbyterian Health Plan, Inc., refund to the Federal Government the $1,302,682 of estimated net overpayments.

Rec. A.2.a: The DoD OIG recommended that the Secretary of the Navy issue a policy memorandum to recruiting personnel reiterating the importance of completing all required steps for screening applicants for extremist or criminal gang associations during the accessions process.

Rec. A.2.b: The DoD OIG recommended that the Secretary of the Navy establish and implement requirements in Service-specific policies for periodic reviews of recruiter compliance with required accessions screening procedures to ensure recruiters screen applicants for extremist and criminal gang associations in accordance with guidance.

We recommend that the Assistant Administrator for FEMA’s Grant Programs Directorate establish and implement controls to avoid reimbursing grantees for costs not directly associated with protecting designated non-governmental Presidential residences.

We recommend that First Coast work with CMS to ensure that its final settlement of contract costs reflects an increase in Medicare SERP costs of $266,886 for CYs 2015 through 2018.

We recommend that First Coast Service Options, Inc., decrease the Medicare segment PRB assets by $211,471 as of January 1, 2019.