Open Recommendations

To enhance its stewardship activities, we recommend that the National Institutes of Health: employ a primary software asset management tool that centralizes and automates the capture of software inventory and entitlement data into each IC operating environment.

Rec. B.1.a: The DoD OIG recommended that the Under Secretary of Defense for Personnel and Readiness develop policy that specifies how installation commanders should address serious juvenile-on-juvenile misconduct incidents.

Rec. B.1.b: The DoD OIG recommended that the Under Secretary of Defense for Personnel and Readiness develop policy that identifies which support agency will provide counseling support services to victims and offenders of serious juvenile-on-juvenile misconduct incidents.

Rec. B.2: The DoD OIG recommended that the Secretaries of the Army, Navy, and Air Force update Military Law Enforcement Organization and Military Criminal Investigative Organization policies to require personnel to document in all investigative case files all notifications to civilian legal authorities and installation commanders, and, when possible, the legal and administrative actions taken.

Rec. B.2: The DoD OIG recommended that the Secretaries of the Army, Navy, and Air Force update Military Law Enforcement Organization and Military Criminal Investigative Organization policies to require personnel to document in all investigative case files all notifications to civilian legal authorities and installation commanders, and, when possible, the legal and administrative actions taken.

Rec. B.2: The DoD OIG recommended that the Secretaries of the Army, Navy, and Air Force update Military Law Enforcement Organization and Military Criminal Investigative Organization policies to require personnel to document in all investigative case files all notifications to civilian legal authorities and installation commanders, and, when possible, the legal and administrative actions taken.

CMS should require MAOs to implement best practices to ensure care coordination for HRAs.

CMS should provide targeted oversight of the 10 parent organizations that drove most of the risk-adjusted payments resulting from in-home HRAs.

CMS should provide targeted oversight of the 20 MAOs that drove risk-adjusted payments resulting from in-home HRAs for beneficiaries who had no other service records in the 2016 encounter data.

CMS should reassess the risks and benefits of allowing in-home HRAs to be used as sources of diagnoses for risk adjustment and reconsider excluding such diagnoses from risk adjustment.

CMS should require MAOs to flag any MAO-initiated HRAs in their MA encounter data.

We recommend that Baylor Scott & White-College Station refund to the Medicare contractor the portion of the $189,27637 in estimated overpayments for incorrectly billed claims that are within the 4-year reopening period.

We recommend that Baylor Scott & White-College Station improve procedures and provide education to ensure claims billed to Medicare are accurate.

We recommend that Baylor Scott & White-College Station implement changes to billing system to ensure claims billed to Medicare are accurate.

We recommend the Administrator for the Federal Emergency Management Agency revise FEMA's approach to ensure equitable and timely distribution of mitigation funding. At a minimum, FEMA should: - devise a plan and conduct outreach to communities with a large number of SRL properties to identify and address barriers to their participation in the Flood Mitigation Assistance (FMA) grant program; - update regional, state, and community training to address inconsistent practices and requirements that hinder NFIP-insured participation in the FMA grant program; and - develop and implement policies and procedures to monitor and enforce grant requirements.

We recommend the Administrator for the Federal Emergency Management Agency devise a plan to strengthen its management of SRL properties and ensure the accuracy of the SRL list. The plan should: - assign specific roles and responsibilities to ensure cross-division integration, implementation, and monitoring of FEMA's SRL strategy; - improve its workflow tracking system to monitor all requested changes to the SRL list and capture resulting outcomes; and - evaluate alternatives for updating the SRL list apart from Form AW-501, such as permitting updates to a property's mitigation status based on submission of a proper elevation certificate.

CMS should require that participating States consistently submit data that allow for CMS and each State to calculate determinations of ineligibility.

update the CBMS by implementing an automatically accessible eligibility history that retains all beneficiary histories when retroactive changes occur, thereby eliminating the need for manual interventions to identify changes in eligibility status

ensure that the MMIS retains all beneficiary eligibility changes and reconcile the beneficiaries’ data contained in the MMIS to the data in the CBMS to determine whether discrepancies in Medicaid eligibility groups are occurring

ensure that the CBMS has automated edits to enroll Transitional Medicaid beneficiaries in the correct eligibility group

(U) Rec. 2: This recommendation is Controlled Unclassified Information

1. We recommend NCUA management continue its efforts to work with appropriate Congressional committees regarding amending the Federal Credit Union Act to grant the NCUA the authority to subject credit union service organizations and credit union vendors to examination and enforcement authority to the same extent as if they were an insured credit union.

Embassy London, in coordination with the Bureau of Overseas Buildings Operations, should bring Consulate General Edinburgh’s consular waiting room into compliance with current Department standards.

Embassy London, in coordination with the Bureaus of the Comptroller and Global Financial Services, Global Talent Management, and European and Eurasian Affairs, should implement a plan to fund current liabilities and reduce future liabilities in the locally employed staff defined benefit pension plan in order to comply with local labor law and address long-term funding concerns.

The Chief of Management and Administration and the Chief Operating Officer ensure the Risk Executive, Chief of Management and Administration, Chief Operating Officer, and Senior Accountable Official for risk management roles and responsibilities are fully and accurately defined in NARA policies.