Open Recommendations

Correct the reporting and use of proceeds received from the current lease, thereby putting $1,278,260 to better use.

Repay from non-Federal funds any proceeds used for unallowable expenses identified in recommendation 1C.

Submit a Section 18 application to obtain HUD approval of any proposed new lease agreement prior to its execution, in compliance with the United States Housing Act of 1937 and 24 CFR Part 970.

Consider and take additional action if the Authority does not complete recommendations 1A and 1B before submitting its next annual plan, including withholding further awards for its program, conditioning future grant funds, and other remedies that may be legally available until the Authority completes recommendations 1A and 1B.

Support that $2,870,374 paid for goods and services was reasonable in accordance with applicable requirements or repay its Public Housing Operating Fund or Capital Fund programs from non-Federal funds for any amount that it cannot support or that is not considered reasonable.

Support that $1,236,210 in funds not yet spent on the contracts reviewed, along with any new procurements, would be reasonable or reallocate the funds to ensure that they will be put to their intended use

Incorporate interim guidance into final policy directives per established guidance.

Conduct a UAS detection and C-UAS program assessment that includes a determination of future resource needs and organizational structure based on how to best align those resources.

Evaluate the UAS detection and C-UAS coordination request process to identify and correct inefficiencies to improve timeliness in anticipation of future program growth.

Finalize internal UAS detection and C-UAS request processing and document retention guidance.

Integrate its C-IED data sources and modernize its NCCAD reporting system to generate automated reports at the national, regional, and state level.

We recommend that the New York City provider refund to the Medicare program the estimated $1,118,789 overpayment.

We recommend that the New York City provider based upon the results of this audit, exercise reasonable diligence to identify, report, and return any overpayments in accordance with the 60-day rule and identify any of those returned overpayments as having been made in accordance with this recommendation.

We recommend that the New York City provider develop policies and procedures to ensure that: o treatment plans contain all required elements, are maintained and are signed by the treating physician, o the performing therapists and supervising physicians comply with the requirements related to incident-to services, o psychotherapy services are conducted by therapists that meet Medicare qualification requirements, o time spent on psychotherapy services is documented, and o treatment notes are signed and maintained to support the services billed.

CMS should Encourage Part D plans to increase access to and use of biosimilars.

CMS should Monitor Part D plans’ submitted formularies to determine whether they discourage beneficiaries from using biosimilars

[Description omitted; CSOSA has determined that this recommendation contains information that is limited official use or classified.]

[Description omitted; CSOSA has determined that this recommendation contains information that is limited official use or classified.]

[Description omitted; CSOSA has determined that this recommendation contains information that is limited official use or classified.]

[Description omitted; CSOSA has determined that this recommendation contains information that is limited official use or classified.]

Ensure that the Cloud Resource Center's inventory of cloud projects in the configuration and production phases is comprehensive and periodically maintained.

Develop and implement a process to ensure that the FedRAMP Project Management Office has an accurate inventory of FedRAMP-approved cloud systems used by the Board.

Ensure that the Board’s information security continuous monitoring standards and associated procedures provide consistent guidance on continuous monitoring frequencies and associated documentation review requirements for cloud service providers.

Require the SAAO to develop and implement a policy to ensure Operating Administrations (OA) meet Uniform Guidance's requirements for Federal awarding agencies.

Require the SAAO to develop and implement processes to ensure that OAs confirm its recipients' single audits and reporting packages are completed and timely submitted to the Federal Audit Clearinghouse (FAC).