Open Recommendations

To address the 164 incorrectly billed hospital claims in our sample, we recommend that the Centers for Medicare & Medicaid Services: collect the portion of the $914,128 for the incorrectly billed hospital claims that are within the reopening period.

Make a determination regarding the allowability of questioned costs identified in this report and recover those costs determined to be unallowable.

Make a determination regarding the allowability of questioned costs identified in this report and recover those costs determined to be unallowable;

We recommend that the Centers for Medicare & Medicaid Services issue guidance, such as an Informational Bulletin, to inform States that performing a data analysis to identify Medicaid claims containing one or more diagnosis codes indicating potential child abuse or neglect could help identify incidents of potential child abuse or neglect and help ensure compliance with the States’ mandatory reporting laws.

We recommend that the Centers for Medicare & Medicaid Services assess the sufficiency of existing Federal requirements to report suspected child abuse and neglect of Medicaid beneficiaries to determine whether it should strengthen those requirements or seek additional authorities to provide oversight over the reporting of suspected child abuse and neglect of Medicaid beneficiaries.

We recommend that the Texas Health and Human Services Commission implement a system to ensure that it can track complaints not closed within 10 days.

We recommend that the Texas Health and Human Services Commission implement procedures to ensure that ensure that procedures are followed to detect unreported deaths.

We recommend that the Texas Health and Human Services Commission implement procedures to ensure that investigations of abuse, neglect, and exploitation are entered in the Health and Human Services Enterprise Administration Reporting and Tracking system database.

We recommend that Sharon Baptist Head Start: refund to the Federal Government the $36,264 in unallowable rent expense charged to its direct Head Start grant during our audit period,

We recommend that Sharon Baptist Head Start: work with ACF to determine the portion of the $489,564 in rent expense from prior periods that should be refunded and refund the appropriate amount

We recommend that Sharon Baptist Head Start: refund to the Federal Government the $171,000 in embezzled funds.

We recommend that the FWS work with the NBCI to develop and implement policies and procedures that comply with Federal regulations.

We recommend that the FWS identify other similar programs or grantees receiving WSFR awards or subawards that may also have the issues outlined in this advisory, and take corrective action.

OIG recommends that the Under Secretary for Management develop and publish specific guidance in the Foreign Affairs Manual to clarify guidance on obtaining a medical clearance based on educational needs, as it relates to the Special Needs Education Allowance. At a minimum, the guidance should describe the process to obtain medical clearances for children with special needs.

OIG recommends that the Bureau of Medical Services develop and implement internal policies and procedures to guide the effective use of eMED to document the Special Needs Education Allowance application status. The policies and procedures should ensure accurate, real-time data are available to appropriate Department of State officials.

We recommend the Under Secretary for Strategy, Policy, and Plans conduct an objective workforce analysis of the C-UAS Program Management Office to determine the appropriate staff needed to accomplish the office's mission cost-effectively.

We recommend the Under Secretary for Strategy, Policy, and Plans develop a timeline with achievable goals for C-UAS capability implementation across the Department.

We recommend the Under Secretary for Strategy, Policy, and Plans complete the Secretary's Counter Unmanned Aircraft Systems Policy Guidance, including the annexes specifying processes and procedures the Department needs to conduct C-UAS operations and ensure program uniformity and consistency

The OIG has determined that the contents of this recommendation would not be appropriate for public disclosure and has therefore limited its distribution to selected officials.

The OIG has determined that the contents of this recommendation would not be appropriate for public disclosure and has therefore limited its distribution to selected officials.

The OIG has determined that the contents of this recommendation would not be appropriate for public disclosure and has therefore limited its distribution to selected officials.

Update and obtain final NARA approval of all HUD records retention schedules, including the Capstone email schedule, to comply with Federal requirements, including OMB M-19-21.

Develop and approve an enterprise strategy to meet all M-19-21 electronic transition requirements.

Issue a formal policy and requirements for managing CUI.