Open Recommendations

CMS should work with its partners, such as hospitals and caregiver groups, to make available consumer-friendly information explaining the hospice benefit to beneficiaries and their families and caregivers;

CMS should analyze claims data to inform the survey process.

We recommend the Administrator of the Transportation Security Administration develop performance measures for all activities in FAMS' strategic plan as well as improve measurements for its Visible Intermodal Prevention and Response operations by fiscal year 2019.

We recommend the Administrator of the Transportation Security Administration develop a method for tracking the Office of Law Enforcement/Federal Air Marshal Service's funding by operations.

Provide regular training for EPA drinking water staff, managers and senior leaders on Safe Drinking Water Act tools and authorities; state and agency roles and responsibilities; and any Safe Drinking Water Actamendments or Lead and Copper Rule revisions.

Create a system that tracks citizen complaints and gathers information on emerging issues. The system should assess the risk associated with the complaints, including efficient and effective resolution.

The Management Control Review Committee should implement formal internal control activities in the Current Risk Response portion of their risk profile.

Management Control Review Committee should document and maintain current support for Risk Profile determinations.

Management Control Review Committee should include assessable units in risk profile that are critical to the Railroad Retirement Board’s strategic goals.

Management Control Review Committee should acknowledge material weaknesses and revise assessments accordingly in the next risk profile.

Management Control Review Committee should monitor audit recommendations on a regular basis and take action to ensure they are closed in the required timeframe.

Complete a cost analysis to 1) determine the efficacy of relocating CI assets in each of the field offices to existing IRS computer rooms versus upgrading the CI computer rooms to ensure that assets are protected in accordance with Federal and IRM security requirements and 2) implement the most cost-effective solution.

Determine if the newly standardized LDR data are reliable for direct maintenance workloads in the Technical Operations Staffing Model, and if so, develop and implement an action plan with milestones to replace the workload assessments with LDR data.

USDA OIG has determined that this recommendation contains sensitive information and will not be publicly released due to privacy concerns.

Reclassify $2,331,902 ($1,165,951 Federal share) in administrative costs that directly benefited Virginia’s CHIP programs, not the Waiver program

Refund to the Federal government $7,674,911 for administrative costs that were not identified in the CAP

We recommend that the Bureau of Indian Affairs resolves the $14,492,813 in questioned costs claimed by the Tribe.

Consider making explicit that, except in situations where the law requires or permits disclosure, an investigating agency cannot publicly announce its recommended charging decision prior to consulting with the Attorney General, Deputy Attorney General, U.S. Attorney, or his or her designee, and cannot proceed without the approval of one of these officials.

Consider providing guidance to agents and prosecutors concerning the taking of overt investigative steps, indictments, public announcements, or other actions that could impact an election.

Take steps to improve the retention and monitoring of text messages Department-wide

Consider adopting a policy addressing the appropriateness of Department employees discussing the conduct of uncharged individuals in public statements.

We recommend that the State agency • strengthen its controls over its process for reporting expenditures claimed for NEMT services.

We recommend that the State agency refund $4,503,738 to the Federal Government

We recommend that the State agency • improve its oversight and monitoring of its Medicaid NEMT brokerage program by requiring LogistiCare to strengthen its procedures to ensure that (1) NEMT services are adequately documented and the documentation maintained according to Federal and State regulations; (2) transportation provider qualifications meet State requirements; and (3) vehicle inspection, safety, and insurance requirements are met.