Open Recommendations

We recommend that Noridian Healthcare Solutions, LLC based on the results of this audit, notify appropriate physicians and qualified nonphysician practitioners (i.e., those for whom Noridian determines this audit constitutes credible information of potential overpayments) so that the physicians and practitioners can exercise reasonable diligence to identify, report, and return any overpayments in accordance with the 60-day rule and identify any of those returned overpayments as having been made in accordance with this recommendation.

We recommend that Noridian Healthcare Solutions, LLC recover $4,663 in improper payments made to physicians and qualified nonphysician practitioners for the 26 sampled enrollee-months.

Rec. 2.c: The DoD OIG recommended that the Defense Manpower Data Center Director implement automated system input controls to prevent entries from processing unless users populate required fields in accordance with updated requirements.

Establish a process to document the monitoring of all grantees’ Federal Financial Reports to ensure they are submitted and reviewed within the required timeframes.

Establish a process to periodically review all ended grants to ensure they were timely closed out and unused funds are deobligated.

We recommend that the FWS work with the Division to resolve the Federal share of questioned costs related to the unsupported drawdowns totaling $20,210.

We recommend that the FWS work with the Division to develop and implement controls to ensure drawdowns are performed on actual and allowable expenditures.

We recommend that the FWS work with the Division to develop and implement controls to ensure expenditures are not incurred and charged to a grant after the period of performance.

We recommend that the FWS work with the Division to resolve the Federal share of questioned costs related to equipment totaling $1,609.

We recommend that the FWS work with the Division to resolve the potential diversion of $11,586 related to unsupported equipment.

We recommend that the FWS work with the Division to complete a physical inventory immediately.

We recommend that the FWS work with the Division to identify any equipment items that are obsolete, damaged, or disposed of, and update items in the asset management database.

We recommend that the FWS work with the Division to develop and implement a mechanism to hold Division employees accountable for ensuring physical inventories are conducted once every 2 years and assets reflect the correct status.

We recommend that the FWS work with the Division to develop and implement a mechanism to ensure the Division carries over the grant objectives from the original grant award to the final project performance reports and explains any deviations from the original objective.

We recommend that the FWS work with the Division to ensure Division personnel receive adequate grants program management training to comply with Federal regulations.

We recommend that the FWS work with the Division to develop a mechanism to hold employees accountable for submitting Federal Financial Reports timely.

We recommend that the FWS work with the Division to develop and implement a mechanism of controls to ensure all indirect costs and approved indirect cost rates are accurately reported on Federal Financial Reports.

We recommend that the FWS work with the Division to develop and implement procedures to ensure compliance with Federal regulations and Federal Funding Accountability and Transparency Act requirements related to subaward reporting.

We recommend that the FWS work with the Division to develop and implement procedures to evaluate each subrecipient's risk of noncompliance with Federal statutes, regulations, and the terms and conditions of the subaward.

We recommend that the FWS work with the Division to develop and implement procedures to adjust monitoring plans based on the results of each subrecipient's risk assessment.

Treasury OIG should pursue obtaining documentation from the Chippewa Cree Tribe's (CCT) management and ensure reporting corrections are made within the GrantSolutions portal. Further, based on CCT’s responsiveness to Treasury OIG’s requests and its ability to provide documentation, Treasury OIG should determine if a focused audit is feasible for Grants greater than or equal to $50,000 and Direct Payments greater than or equal to $50,000.

Develop a standardized statement for Social Security Administration employees to confirm the beneficiary or representative payee’s intent to enroll into the Direct Express Debit Card program and explain Comerica Bank is the financial institution that will mail the debit card and provide instructions on activating the card. The standardized statement could also include such information as the Direct Express® customer service telephone number.

The Under Secretary for Health ensures the Office of Primary Care and Office of Mental Health and Suicide Prevention determine impediments to maintaining accurate identification of opioid use disorder in electronic health record problem lists and implement policy and training to support accurate use of problem lists.

The Under Secretary for Health confirms the Office of Primary Care and Office of Mental Health and Suicide Prevention evaluate barriers affecting provider access and use of Department of Defense treatment records in Joint Longitudinal Viewer and implement solutions.

The Under Secretary for Health ensures the Office of Primary Care and Office of Mental Health and Suicide Prevention improve continuity of care by confirming providers are educated on the navigation and retrieval of Department of Defense treatment records in Joint Longitudinal Viewer.