Open Recommendations

Review all pediatric skilled nursing service requests for which overnight care was completely denied and determine whether the overnight care requests meet the medical necessity requirement regardless of whether the caregiver provided work or school verification documentation.

Implement a revised initial denial notice to explain that a beneficiary has the right to request a State fair hearing after exhausting the MCO's appeals process.

We recommend that the Pennsylvania Department of Human Services, Office of Medical Assistance Program, revise the initial denial notice template referenced under Exhibit N in the HealthChoices Agreement to include information regarding the beneficiary's right to request a State fair hearing after exhausting the MCO's appeals process.

We recommend that CMS update the HH Pricer logic to check for missing and invalid FIPS codes on all home health claims and work with MACs to ensure that these claims are returned to providers for correction.

We recommend that CMS re-educate providers on the requirement for all home health claims to be submitted with the FIPS code for the county where the service was provided.

In a timely manner, ensure that complaints are filed with the relevant state appraiser licensing authorities for each appraisal from its December 2021 review in which FHFA found overt references to race, color, and other prohibited bases.

We recommend the El Centro Sector Chief, Border Patrol, U.S. Customs andBorder Protection, and Director of Field Operations, San Diego Field Office,Office of Field Operations, U.S. Customs and Border Protection: Conduct refresher training on recording information incustody logs, highlighting the importance of accurately accounting for allactions completed by CBP and contract personnel, such as health interviews,meals, and showers.

Rec. 2.a: The DoD OIG recommended that the Assistant Secretary of Defense for Sustainment, in coordination with the Deputy Assistant Secretary of Defense for Global Partnerships develop risk assessment procedures to identify and plan for future temporary housing and facility usage operations, such as those experienced during Operation Allies Welcome and Operation Allies Refuge, so installations can return to normal operations in a timelier manner.

Rec. 2.b: The DoD OIG recommended that the Assistant Secretary of Defense for Sustainment, in coordination with the Deputy Assistant Secretary of Defense for Global Partnerships create policies to ensure that DoD installations have permits in place before hosting interagency temporary housing and facility usage agreements, or they risk not being reimbursed for repair and restoration of the facilities.

Rec. 2.c: The DoD OIG recommended that the Assistant Secretary of Defense for Sustainment, in coordination with the Deputy Assistant Secretary of Defense for Global Partnerships develop policy for future humanitarian aid operations that require DoD installations to perform assessments of buildings that will be used before the housing of Department of State supported operations. The assessments will form the basis for restoration reimbursement after the Department of State supported operation is complete.

Develop and implement a process for revoking access to Bureau systems for separating Bureau employees.

Develop and implement procedures for timely collection of servicing fees and advisor fees in accordance with TIFIA program requirements.

Develop an accurate reporting system to identify and monitor payments not received on the date they are due.

Reimburse the $200,000 advisor fee overpayment referenced in this report.

Develop and implement a uniform policy identifying what documentation borrowers must submit with requisition request and disseminate to Operating Administrations.

Enhance processes and tools to notify customers of delayed mail and undelivered and partially delivered routes.

Embassy Buenos Aires should conduct joint evaluation reviews with the government of Argentina for Bureau of International Narcotics and Law Enforcement Affairs-funded assistance.

Embassy Buenos Aires, in coordination with the Bureau of Educational and Cultural Affairs, should develop and present options for Binational Fulbright Commission review to address reasonable balance between Argentine and U.S. Fulbright Educational Exchange participation.

Embassy Buenos Aires should delete nonimmigrant visa case records in accordance with Department standards.

Embassy Buenos Aires, in coordination with the Bureau of Overseas Buildings Operations, should bring its fire protection program into compliance with Department standards.

Embassy Buenos Aires, in coordination with the Bureau of Overseas Buildings Operations, should mitigate the fire and life-safety risks of its high-rise residential properties that do not comply with Department standards.

Embassy Buenos Aires should complete and document safety certifications for all embassy properties in the Post Occupational Health and Safety Officer Certification Application and correct any identified safety issue prior to occupancy, in accordance with Department standards.

Embassy Buenos Aires should obtain authorization from the Bureau of Overseas Buildings Operations to use shipping containers for permanent storage and office space or dismantle and remove them in accordance with Department requirements.

Embassy Buenos Aires should comply with all Department overseas motor vehicle safety standards for chauffeurs and incidental drivers under chief of mission authority.

Embassy Buenos Aires should enforce driver duty limits for all embassy drivers in accordance with Department guidelines.