Open Recommendations

CMS should geographically target efforts to increase the number of MOUD providers that treat Medicare enrollees in high-need counties.

CMS should work with States to assess whether their Medicaid reimbursement rates for treatment with MOUD are sufficient to recruit and retain enough MOUD providers.

CMS should work with SAMHSA to develop and maintain a list of active office-based buprenorphine providers.

CMS should geographically target efforts to increase the number of MOUD providers that treat Medicaid enrollees in high-need counties.

We recommend the Commandant of the U.S. Coast Guard develop and implement appropriate planning documents to ensure Infrastructure Investment and Jobs Act funds are obligated before they expire.

We recommend the Commandant of the U.S. Coast Guard develop and implement a process to ensure projects on the unfunded priorities list meet the requirements of the Unfunded Priorities List Business Rules and Civil Engineering Manual.

We recommend the Commandant of the U.S. Coast Guard develop and implement a strategic staffing plan to identify and obtain the staffing resources needed to assist in the timely execution of the IIJA projects.

We recommend the Commandant of the U.S. Coast Guard develop and implement official guidance for formulating quarterly acquisition briefings reported to Congress.

Make capability determinations and/or document capability determinations for the 58[1] beneficiaries in our sample.

Improve controls, such as enhancing eRPS and business processes, to ensure employees complete and document capability determinations that comply with SSA’s policies.

Issue a reminder to ensure employees follow SSA’s policy when they authorize direct payments to incapable beneficiaries while they continue developing for payees, follow up to assess how beneficiaries are managing their benefits, and document the results of the followups.

The Chief Information Officer, in conjunction with the Chief Operating Officer, should implement more prohibitive controls for allowing users to ******************* ****************

The Chief Information Officer, in conjunction with the Chief Operating Officer, should revise the DLP rules to be more restrictive to help prevent intentional data exfiltration.

The Chief Information Officer, in conjunction with the Chief Operating Officer, should continue to ensure that the managers and executives responsible for reviewing and approving BEARS ********************** requests carefully review all requests and only approve requests with sufficient and appropriate responses to the required questions.

Update Revenue Procedure 2013-14 to include the language found in the Treasury Regulation § 301.7216-3 that the consent statement must identify the purpose of disclosure and specific recipient(s).

Evaluate whether any clarifications or updates to Revenue Procedure 2013-14 or Treasury Regulation § 301.7216-3 are needed to address concerns or raise awareness of data sharing practices with tax software companies that use pixels.

We recommend that the Principal Deputy Assistant Secretary for Water and Science, as the delegated Federal Geographic Data Committee Chair, conduct an analysis to identify the root cause(s) of the geospatial dataset unavailability on GeoPlatform.

We recommend that the Principal Deputy Assistant Secretary for Water and Science, as the delegated Federal Geographic Data Committee Chair, conduct an analysis to determine the costs, benefits, and feasibility of resolving the root causes identified with GeoPlatform.

We recommend that the Principal Deputy Assistant Secretary for Water and Science, as the delegated Federal Geographic Data Committee Chair, implement appropriate changes based on the root cause and cost benefit analyses to address dataset availability issues.

We recommend that the Office of the Chief Information Officer develop and implement a methodology for the bureaus to identify all DOI geospatial-related costs to ensure consistency.

We recommend that the Office of the Chief Information Officer, in the absence of Federal Geographic Data Committee standards, identify relevant best practices and develop requirements for specific data fields for National Geospatial Data Assets in alignment with best practices.

We recommend that the Office of the Chief Information Officer direct the bureaus to track all geospatial-related costs using the methodology developed in recommendation 4 and report these costs to the Office of the Chief Information Officer annually.

Take corrective action for the subrecipient monitoring and agreement issues cited for eight of the ESG-CV grantees reviewed, and provide additional guidance and technical assistance as needed to ensure that they understand requirements.

Develop and implement additional subrecipient monitoring training and guidance for all ESG grantees.

Confirm VA has resumed submitting biweekly reports and, therefore, has submitted reports from June 2023 to present as required by the VA Transparency & Trust Act of 2021.