Open Recommendations

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.

Establish and implement monitoring procedures in guidance requiring State officials to ensure county executive directors complete spot checks and evaluate the results of the reviews.

We recommend the State strengthen guidance to nursing facilities on reporting incidents of potential abuse or neglect of Medicaid beneficiaries.

We recommend that the California Department of Public Health ensure that its staff are regularly trained on updated Federal and State requirements to ensure that appropriate priorities are assigned to allegation of abuse or neglect.

The BOP should ensure that alarms on all exterior building doors in FPCs and SPCs are in working condition and should take appropriate measures to prevent them from being susceptible to tampering.

The BOP should ensure that all existing video cameras in FPCs and SPCs are in working condition.

The BOP should install video cameras on all exterior building doors at FPCs and SPCs, so that BOP Control Officers can observe the doors while Camp Officers are occupied with performing their duties, such as inmate counts.

We recommend that University of Michigan Health System refund to the Medicare program the estimated $12,520 overpayment for claims that it incorrectly billed that are within the 4-year reopening period.