Open Recommendations

Recommendation is not publicly available.

We recommend the Assistant Administrator for Response in the Office of Response and Recovery at FEMA improve the reliability ofWebEOC data by:a) developing internal controls for WebEOC to prevent incomplete andinaccurate information from being entered into the system; andb) ensuring all new users receive formal training on completing,submitting, processing, and tracking of resource requests in WebEOC.

We recommend the Associate Administrator for Response and Recovery at FEMA strengthen FEMA’s coordination during the COVID-19response and future pandemics by formally documenting the policies and procedures for making informed and consistent resource allocation decisions for critical lifesaving supplies and equipment.

We recommend the Administrator of FEMA, working with the Secretary of Health and Human Services, issue clarifying guidancedefining agencies’ pandemic response roles and responsibilities under Stafford Act declarations.

Based on the analysis performed in Recommendation 1, update Departmental guidance outlining timeframes for processing program complaints. Once updated, publish the Departmental guidance on OASCR’s public website.

We recommend that the California Department of Health Care Services, in coordination with the Department of Developmental Services perform additional analytical procedures, such as data matches, to identify potential critical incidents that have not been reported and follow up on them as required.

We recommend that the California Department of Health Care Services, in coordination with the Department of Developmental Services improve oversight to ensure that timeliness and followup requirements related to reported critical incidents are met.

We recommend the Secretary of Homeland Security, in consultation with TSA and the Coast Guard, re-evaluate the HSOACassessment, and report on further corrective actions necessary to address the four areas of concern from the assessment findings, as identified in this report, or justify excluding these areas of concern from the corrective action plan.

Ensure all identified series either have Notification Preference Forms on file or maintain complete information on the status of efforts to acquire the forms.

We recommend the Secretary, in coordination with the DHS Chief Medical Officer and components, reassess its COVID-19 responseframework to identify areas for improvement to mitigate the spread of COVID19 while balancing its primary mission of securing the border.

We recommend the Secretary ensure DHS components continue to coordinate with the DHS Chief Medical Officer and are provided theresources needed to operate safely and effectively during the COVID-19 pandemic and any future public health crisis.

We recommend the Commandant of the United States Coast Guard prioritize funding and purchasing of the appropriate technologyneeded to ensure full operational capability of Rescue 21 Alaska.

We recommend the Commander of Coast Guard District 17 in Alaska develop and implement a plan to use additional methods to notifythe public of VHF communications coverage outages in the District 17 area of responsibility.

Develop and implement formal processes and procedures to ensure allegations of egregious harassment raised in EEOcomplaints can be referred to OPR for separate, potential misconduct review at the discretion of the OER director.

Update Customs Directive No. 4320-003, July 1990 (TECS Directive) to clarify the appropriate bases for placing lookouts and provide training to all CBP officials who have the authority to place lookouts.

Develop and implement procedures to ensure CBP officials update and remove lookouts in accordance with the TECS Directive.

CMS should share information to help States address challenges with using telehealth to provide behavioral health services to Medicaid enrollees

CMS should conduct monitoring for fraud, waste, and abuse, and support State efforts to oversee telehealth for behavioral health services.

CMS should ensure that the three States that are unable to distinguish telehealth from in-person services implement indicators to identify which services are provided via telehealth.

CMS should conduct evaluations, and support State efforts to evaluate the effects of telehealth on access, cost, and quality of behavioral health services.

Develop and implement an action plan to reduce turnover of management and staff and to ensure continuity of Unit operations should turnover occur

Ensure that all convictions and adverse actions are reported to Federal partners within the appropriate timeframes

Revise the Unit's MOU with the State Medicaid agency to establish procedures by which the Unit will receive referrals of potential fraud from MCOs

Ensure that costs associated with non-MFCU activities are excluded from the Unit's Federal reimbursement request

IHS should solicit feedback from CCRTs regarding their observations of potential need for broader IHS-wide improvements