Open Recommendations

We recommend that Indian Affairs perform annual work order cleanup and send reports of outstanding work orders to field personnel, as outlined in the Aged Work Orders Training Manual.

We recommend that Indian Affairs require the Division of Facilities Management and Construction to provide regular reports to the Office of Justice Services detailing the amounts of operation and maintenance funds provided for each building used for detention and review the reports to ensure funding is not distributed for facilities that are no longer in use.

We recommend that Indian Affairs establish oversight procedures to ensure review of facility and maintenance conditions at facilities that BIA directly maintains or are maintained by contract.

We recommend the Senior Vice President, Strategy and Communications Officer, Commercial Energy Solutions, consider establishing a negative net present value threshold, that upon reaching, the TVA Board of Directors must be consulted prior to entering into solar power purchase agreements.

We recommend the Senior Vice President, Strategy and Communications Officer, Commercial Energy Solutions, update Commercial Energy Solutions Standard Programs and Processes 21.704 to require utility scale solar power purchase agreements have a second economic analysis if the project has a proposed price change to the price from the original contract amount.

We recommend the Senior Vice President, Strategy and Communications Officer, Commercial Energy Solutions, consider taking a measured approach with new developers by limiting the number of contracts with the developers until a performance history has been established.

The Under Secretary for Health, in conjunction with Veterans Integrated Service Network directors and facility senior leaders, ensures an external practitioner with equivalent specialized training and similar privileges completes solo and two-deep practitioners professional practice evaluations in a timely manner.

The Under Secretary for Health, in conjunction with Veterans Integrated Service Network chief medical officers and facility senior leaders, ensures an external practitioner with equivalent specialized training and similar privileges completes Ongoing Professional Practice Evaluations of chiefs of staff in each facility in a timely manner.

The Under Secretary for Health, in conjunction with Veterans Integrated Service Network directors, reviews state licensing board reporting processes at the network level to ensure compliance with Veterans Health Administration policy.

The Under Secretary for Health, in conjunction with the Veterans Integrated Service Network 8 Director, ensures the Chief Medical Officer oversees each facilitys annual self-assessment and confirms responses reflect accurate data.

Remedy the $11,012 in unallowable personnel costs.

Ensure that Tennessee Voices adheres to established policies and procedures and requests approvals for future budget modifications.

Recommendation not publicly available.

CMS should engage Medicare Administrative Contractors regarding opportunities and barriers to improving security measures for EFTs that were reported in response to OIG's survey.

CMS should share information with State Medicaid agencies to help address challenges implementing security measures to protect against EFT fraud.

CMS should support periodic information sharing among Medicare and Medicaid payors and expert groups to mitigate evolving threats of EFT fraud schemes.

Recommendation is not publicly available.

Recommendation is not publicly available.

Recommendation is not publicly available.

Recommendation is not publicly available.

Recommendation is not publicly available.

Recommendation is not publicly available.

Recommendation is not publicly available.

Recommendation is not publicly available.

Recommendation is not publicly available.