Open Recommendations

Update the travel policy and continue efforts to ensure that all written policies and
procedures are reviewed and revised in a timely manner.

Note: We did not make a formal recommendation for this report. However, we are claiming cost savings. The following is the language we used in the Tracking Sheet we submitted to the agency. We request SSA review the cases of the beneficiaries in payment status that are listed as deceased in the New York City death data and terminate benefits for the beneficiaries it confirms are deceased, as they appear to be based on the New York City death data. Because payments should not be made after beneficiaries’ deaths, SSA should initiate overpayment collections for any such payments. We referred…

The Ralph H. Johnson VA Health Care System Director ensures that mental health Hinesville VA Clinic staff are using accurate current procedural terminology codes to document services provided to patients in the electronic medical record.

The Ralph H. Johnson VA Health Care System Director confirms evaluation of administrative processes to include consult management and patient scheduling within the mental health service at the Hinesville VA Clinic and takes action as necessary to optimize patient access and experience.

The Ralph H. Johnson VA Health Care System Director considers evaluating the Choose My Therapy program at other system sites for clinic practice management deficiencies and takes action as appropriate.

We recommend that the Agency for Healthcare Research and Quality reassess the Question Builder app to determine if the unnecessary functionality and privileges built into the app can and should be removed or formally assess, document, and accept the risk of not removing them.

We recommend that the Agency for Healthcare Research and Quality update the AHRQ Mobile Application Development Policy to require project officers and app developers to assess AHRQ mobile apps for unnecessary or unused functionality and remove or disable such functionality where feasible before submitting it to an app store and establish a procedure to ensure adherence to these requirements.

We recommend that the Agency for Healthcare Research and Quality update the AHRQ Mobile Application Development Policy to require vetting the security of all AHRQ mobile apps for compliance with the HHS secure coding policy requirements and correcting any security vulnerabilities identified before releasing a mobile app to app stores for public use and establish a procedure to ensure adherence to these requirements

We recommend that Johnson College implement its existing procurement policy, by requiring that the minimum number of price quotations are received and documented for each procurement action

We recommend that Johnson College work with ARC, to resolve the $72,122 of questioned matching costs.

Since the grant period had ended and the reporting section of ARC portal is no longer accessible, we recommend that Johnson College’s management communicate with the ARC grant coordinator to request access to the portal in order to resubmit the missing SF-270 and Performance Progress reports.

We recommend that Johnson College’s management review and update its internal grant management procedures to include clearer guidelines on reporting during all phases of a grant, including during no-cost extension periods. Additionally, grant staff should receive training to ensure that they are aware of their reporting responsibilities.

Treasury Office of Inspector General (OIG) should request DC to provide support for replacement expenses, not previously charged, that were eligible during the CRF period of performance for the $5,217,865 of ineligible costs charge to the Contracts greater than or equal to $50,000 payment type. If support is not provided, Treasury OIG should recoup the funds.

Based on DC management's ability to respond to Treasury OIG's requests related to the health care contract's ineligible costs, Treasury OIG should request the details on the remainder of the contract balance. If DC management is unable to itemize the portion of the medical expenses that were COVID-19 related, Treasury OIG determine if the remaining contract balance was similarly ineligible and should be recouped or replaced by other eligible expenditures, not previously charged to CRF, that were incurred during the period of performance. Based on DCs responsiveness to Treasury OIG's requests and its ability to provide sufficient documentation and/or replace…

Treasury OIG should request DC to provide support for replacement expenses, not previously charged, that were eligible during the CRF period of performance for the $6,117 of ineligible costs charged to the Contracts greater than or equal to $50,000 payment type. If support is not provided, Treasury OIG should recoup the funds. Based on DC management's responsiveness to Treasury OIG's requests and management's ability to provide sufficient documentation and/or replace ineligible transactions charged to CRF with valid expenditures, Treasury OIG should determine the feasibility of conducting an audit for the Contracts greater than or equal to $50,000 payment types.

Treasury OIG should request DC to provide support for replacement expenses, not previously charged, that were eligible during the CRF period of performance for the $148,721 of ineligible costs charged to the Contracts greater than or equal to $50,000 payment type. If support is not provided, Treasury OIG should recoup the funds. Based on DCs management's responsiveness to Treasury OIG's requests and its ability to provide sufficient documentation and/or replace ineligible transactions charged to CRF with valid expenditures, Treasury OIG should determine the feasibility of conducting an audit for the Contracts greater than or equal to $50,000 payment types.

Treasury OIG should follow-up with DC's management to confirm if the $39,384 unsupported expenditures within the Grants greater than or equal to $50,000 payment type can be supported. If support is not provided, Treasury OIG should recoup the funds or request DC management to provide replacement expenses, not previously charged, that were eligible during the CRF period of performance.

Treasury OIG should follow-up with DC's management to determine if the remaining grant balance was similarly unsupported and should be recouped or replaced by other eligible expenditures, not previously charged to CRF, that were incurred during the period of performance. Based on DC's responsiveness to Treasury OIG's requests and its ability to provide sufficient documentation, and/or replace unsupported transactions charged to CRF with valid expenditures, Treasury OIG should determine the feasibility of conducting an audit for Grants greater than or equal to $50,000 payment type.

Treasury OIG should follow-up with DC's management to confirm if the $24,261 noted as unsupported expenditures within the Grants greater than or equal to $50,000 payment type can be supported. If support is not provided, Treasury OIG should recoup the funds or request DC management to provide replacement expenses, not previously charged, that were eligible during the CRF period of performance.

Treasury OIG should determine the feasibility of performing additional testing over portions of the remaining untested grant balance. If DC is unable to provide support Treasury OIG should recoup the funds or request that DC management provide support for replacement expenses, not previously charged, that were eligible during the CRF period of performance. Further, based on DC's responsiveness to Treasury OIG's requests and its ability to provide sufficient documentation, and/or replace unsupported transactions charged to CRF with valid expenditures, Treasury OIG should determine the feasibility of conducting an audit for Grants greater than or equal to $50,000 payment type.

Treasury OIG should request DC to provide support for replacement expenses, not previously charged, that were eligible during the CRF period of performance for the $8,290 of ineligible costs charge to the Grants greater than or equal to $50,000 payment type. If support is not provided, Treasury OIG should recoup the funds. Based on DC management's responsiveness to Treasury OIG's requests and management's ability to provide sufficient documentation, Treasury OIG should determine the feasibility of conducting an audit for Grants greater than or equal to $50,000 payment type.

Treasury OIG should request DC to provide support for replacement expenses, not previously charged, that were eligible during the CRF period of performance for the $14,000 of ineligible costs charged to the Grants greater than or equal to $50,000 payment type. If support is not provided, Treasury OIG should recoup the funds. Based on DC management's responsiveness to Treasury OIG's requests and its ability to provide sufficient documentation and/or replace ineligible transactions charged to CRF with valid expenditures, Treasury OIG should determine the feasibility of conducting an audit for the Grants greater than or equal to $50,000 payment types.

Treasury OIG should request DC management perform an assessment over the remaining balance of $861,000 within its Grants greater than or equal to $50,000 payment types to determine if there were other similarly ineligible expenses.

Treasury OIG should request DC to provide support for replacement expenses, not previously charged, that were eligible during the CRF period of performance for the $12,744 of ineligible costs charged to the Grants greater than or equal to $50,000 payment type. If support is not provided, Treasury OIG should recoup the funds. Based on DC management's responsiveness to Treasury OIG's requests and its ability to provide sufficient documentation and/or replace ineligible transactions charged to CRF with valid expenditures, Treasury OIG should determine the feasibility of conducting an audit for the Grants greater than or equal to $50,000 payment types.

Treasury OIG should request DC management perform an assessment over the remaining balance of $862,256 within its Grants greater than or equal to $50,000 payment types to determine if there were other similarly ineligible expenses.