Open Recommendations

We recommend that the FWS develop and implement an action plan with measurable goals and milestones to address gaps identified by the radio communication program assessment.

We recommend that the NPS complete baseline condition assessments for all radio communication sites, in accordance with the updated OCIO Directive.

We recommend that the NPS develop and implement a comprehensive plan to ensure that, in compliance with the updated OCIO Directive, annual condition assessments of all radio infrastructure are completed, and corrective actions are promptly taken.

We recommend that the NPS after the issuance of the updated OCIO Directive, develop and implement a policy that includes detailed procedures for recording radio infrastructure inventories, conducting condition assessments of radio infrastructure, and addressing identified corrective actions to ensure bureauwide and Departmentwide consistency and compliance with OCIO Directives.

We recommend that the NPS conduct a comprehensive assessment of its radio communications program to determine whether it has the internal controls, appropriate senior responsible official(s), staffing, funding, technology, systems, and other resources necessary to effectively manage radio communications.

We recommend that the NPS develop and implement an action plan with measurable goals and milestones to address gaps identified by the radio communication program assessment.

The VA Eastern Colorado Health Care System Director evaluates and ensures that telemetry medical instrument technicians and registered nurses comply with Veterans Health Administration and facility policy requirements for documentation and scanning, specifically related to telemetry oxygenation and rhythm strips and change in patient condition.

The VA Eastern Colorado Health Care System Director in conjunction with telemetry nursing leaders, ensures completion of a comprehensive review of the telemetry program and documented oversight of compliance with medical instrument technician monitoring expectations, identifies deficiencies, and takes actions as warranted

The VA Eastern Colorado Health Care System Director evaluates and ensures quality and patient safety event review processes comply with Veterans Health Administration guidance, specifically regarding rejection and follow-up of patient safety reports.

The VA Eastern Colorado Health Care System Director and facility leaders meet all Veterans Health Administration requirements for institutional disclosures for events meeting institutional disclosure criteria.

Verify load scanning is consistently completed in accordance with policy at the Charleston Processing and Distribution Center.

We recommend that USAID's Office of Acquisition and Assistance Cost, Audit and Support Division/Contract Audit Management Branch verify that Humanitarian Outcomes Ltd corrects the instance of
material noncompliance detailed on page 21 of the audit report.

Determine the allowability of the questioned costs of $34,805 ($34,368 ineligible and $437 unsupported), on pages 10-12 of the audit report and recover any amount that is unallowable.

Correct the six material weaknesses in internal control disclosed on page 17 of the audit report.

Verify that Unistream corrects the two instances of material noncompliance detailed on pages 23 to 25 of the audit report.

We recommend that the Massachusetts' Executive Office of Health and Human Services redetermine eligibility for the three sampled enrollees whose eligibility was incorrectly determined and take appropriate action.

We recommend that the Massachusetts' Executive Office of Health and Human Services provide periodic training to caseworkers about verifying and documenting enrollees' income and residency during the renewal process.

We recommend that the Massachusetts' Executive Office of Health and Human Services revise policies and procedures to be consistent with CMS guidance related to preparing unwinding data reports and any future reports of a similar nature.

We recommend that MMM Healthcare, LLC, refund to the Federal Government the $165,312 of net overpayments.

We recommend that MMM Healthcare, LLC, continue to improve its policies and procedures to prevent, detect, and correct noncompliance with Federal requirements for diagnosis codes that are used to calculate risk-adjusted payments.

We recommend that MMM Healthcare, LLC, refund to the Federal Government the $165,312 of net overpayments.

We recommend that MMM Healthcare, LLC, continue to improve its policies and procedures to prevent, detect, and correct noncompliance with Federal requirements for diagnosis codes that are used to calculate risk-adjusted payments.

OIG recommends that the Bureau of Budget and Planning, in coordination with the Office of Foreign Assistance, develop and distribute guidance related to designing and managing complex, globally focused programs and projects that are to be coordinated and implemented among multiple bureaus and offices within the Department of State.

OIG recommends that the Bureau of Budget and Planning, in coordination with the Office of Foreign Assistance, develop and implement a mechanism that bureaus and offices can use to document a justification supporting a decision not to fully implement requirements included in the Foreign Affairs Manual, 18 FAM 301.4-2, for a program or a project (e.g., project justification, scope, stakeholder information, key deliverables, and project schedule).

OIG recommends that the Deputy Secretary of State designate a formal lead and management structure to orchestrate the Department's implementation of the Creating Helpful Incentives To Produce Semiconductors Act of 2022 for the purpose of promoting efficiencies and coordination; furthering the timely advancement of the goal of boosting American semiconductor research, development, and production; and supporting secure and trusted telecommunications technology development.