Open Recommendations

Rec. A.1: The DoD OIG recommended that the Under Secretary of Defense for Acquisition and Sustainment update DoD Instruction 4165.70, "Real Property Management," April 6, 2005, to include the requirement to incorporate climate resilience plans in all installation Master Plans.

Rec. A.2.a-e: The DoD OIG recommended that the Under Secretary of Defense for Acquisition and Sustainment update DoD Instruction 4165.70, "Real Property Management," April 6, 2005 to: a. Define the climate hazards so that climate impacts are being reported consistently across the DoD and require the military installations to address the rationale for the climate hazards that were determined not applicable to the installation. b. List DoD-approved sources of information. c. Require military installations to assess the accuracy of the information contained in any data source that is not included in the approved list and provide a summary of that…

Rec. A.3: The DoD OIG recommended that the Deputy Assistant Secretary of Defense for Construction in coordination with the Commanders of the U.S. Army Corps of Engineers, Naval Facilities Engineering Systems Command, and Air Force Civil Engineer Center update Unified Facilities Criteria 2-100-01, "Installation Master Planning," September 30, 2020, and then the Military Departments update their respective handbooks to include the policy updates for Recommendations A.2.a through A.2.e and the requirement for each installation to assess the climate hazards outlined in the updated Unified Facilities Criteria 2-100-01, "Installation Master Planning," September 30, 2020.

Rec. A.3: The DoD OIG recommended that the Deputy Assistant Secretary of Defense for Construction in coordination with the Commanders of the U.S. Army Corps of Engineers, Naval Facilities Engineering Systems Command, and Air Force Civil Engineer Center update Unified Facilities Criteria 2-100-01, "Installation Master Planning," September 30, 2020, and then the Military Departments update their respective handbooks to include the policy updates for Recommendations A.2.a through A.2.e and the requirement for each installation to assess the climate hazards outlined in the updated Unified Facilities Criteria 2-100-01, "Installation Master Planning," September 30, 2020.

Rec. A.3: The DoD OIG recommended that the Deputy Assistant Secretary of Defense for Construction in coordination with the Commanders of the U.S. Army Corps of Engineers, Naval Facilities Engineering Systems Command, and Air Force Civil Engineer Center update Unified Facilities Criteria 2-100-01, "Installation Master Planning," September 30, 2020, and then the Military Departments update their respective handbooks to include the policy updates for Recommendations A.2.a through A.2.e and the requirement for each installation to assess the climate hazards outlined in the updated Unified Facilities Criteria 2-100-01, "Installation Master Planning," September 30, 2020.

Rec. A.3: The DoD OIG recommended that the Deputy Assistant Secretary of Defense for Construction in coordination with the Commanders of the U.S. Army Corps of Engineers, Naval Facilities Engineering Systems Command, and Air Force Civil Engineer Center update Unified Facilities Criteria 2-100-01, "Installation Master Planning," September 30, 2020, and then the Military Departments update their respective handbooks to include the policy updates for Recommendations A.2.a through A.2.e and the requirement for each installation to assess the climate hazards outlined in the updated Unified Facilities Criteria 2-100-01, "Installation Master Planning," September 30, 2020.

Rec. A.4: The DoD OIG recommended that, after the update to DoD Instruction 4165.70 and Unified Facilities Criteria 2-100-01, the Commander of the U.S. Army Corps of Engineers, the Commander of the Naval Facilities Engineering Systems Command, and the Commander of the Air Force Civil Engineer Center update their respective guidance to include the requirement for each installation to assess all elements required by Public Law 116-92, "The National Defense Authorization Act for Fiscal Year 2020," section 2801, "Military installation resilience plans and projects," December 20, 2019, and outlined in the updated Unified Facilities Criteria 2-100-1, "Installation Master Planning," September…

Rec. A.4: The DoD OIG recommended that, after the update to DoD Instruction 4165.70 and Unified Facilities Criteria 2-100-01, the Commander of the U.S. Army Corps of Engineers, the Commander of the Naval Facilities Engineering Systems Command, and the Commander of the Air Force Civil Engineer Center update their respective guidance to include the requirement for each installation to assess all elements required by Public Law 116-92, "The National Defense Authorization Act for Fiscal Year 2020," section 2801, "Military installation resilience plans and projects," December 20, 2019, and outlined in the updated Unified Facilities Criteria 2-100-1, "Installation Master Planning," September…

Rec. A.4: The DoD OIG recommended that, after the update to DoD Instruction 4165.70 and Unified Facilities Criteria 2-100-01, the Commander of the U.S. Army Corps of Engineers, the Commander of the Naval Facilities Engineering Systems Command, and the Commander of the Air Force Civil Engineer Center update their respective guidance to include the requirement for each installation to assess all elements required by Public Law 116-92, "The National Defense Authorization Act for Fiscal Year 2020," section 2801, "Military installation resilience plans and projects," December 20, 2019, and outlined in the updated Unified Facilities Criteria 2-100-1, "Installation Master Planning," September…

We recommend the FEMA Administrator ensure that the EFSP National Board resolve the $7.4 million in questioned costs and incorporate controls in the American Rescue Plan Act of 2021 Humanitarian Relief Funding and Application Guidance to minimize future reimbursements of unsupported costs. Additionally, the FEMA Administrator should ensure the labor hour reimbursements made to the COVID-19 testing contractor are appropriately supported.

We recommend the FEMA Administrator ensure the EFSP National Board implements oversight measures to enforce the American Rescue Plan Act of 2021 Humanitarian Relief Funding and Application Guidance for future supplemental appropriations. Specifically, develop a risk-based methodology to review a sample of ongoing funding execution for future supplemental appropriations to ensure funds approved are: reviewed and reconciled for completeness and accuracy; and  supported with appropriate documentation, including rosters or other documentation for the number of people served.

Assess whether the Office of the Attorney General's case management system can be modified to fully meet the Unit's needs, and if appropriate, seek approval to implement its own case management system.

Establish policies and/or procedures to ensure that case files are maintained in an effective manner.

Develop a plan to ensure that case files include documentation of periodic supervisory reviews and update the Unit's policies and procedures manual to describe the Unit's current practices for periodic supervisory reviews.

Update its policies and procedures manual to reflect current practices.

Assess the duties of the Supervisor of Investigations, and if warranted, develop a plan to reduce his nonmanagerial duties.

Take steps to ensure that convictions and adverse actions are reported to Federal partners within the appropriate timeframes.

Take steps to track and verify that Unit staff meet requirements in its training plan.

Instruct the State to conduct monitoring reviews of its CDBG-DR HIM activities and subrecipients that satisfy monitoring requirements.

Develop and implement an agencywide crisis readiness plan addressing likely hazards arising from a crisis. This guidance should include all key elements that meet CIGFO crisis guidance.

Ensure that converted contracts are included in integrated system testing and user acceptance testing.

We recommend that Cigna-HealthSpring Life & Health Insurance Company, Inc. refund to the Federal Government the $468,372 of overpayments.

We recommend that Cigna-HealthSpring Life & Health Insurance Company, Inc. identify, for the high-risk diagnoses included in this report, similar instances of noncompliance that occurred before or after our audit period and refund any resulting overpayments to the Federal Government.

We recommend that Cigna-HealthSpring Life & Health Insurance Company, Inc. continue its examination of its existing compliance procedures to identify areas where improvements can be made to ensure that diagnosis codes that are at high risk for being miscoded comply with Federal requirements (when submitted to CMS for use in CMS's risk adjustment program) and take the necessary steps to enhance those procedures.

Rec. 1.a-c: The DoD OIG recommended that the Director of the Defense Health Agency review and update Defense Health Agency Procedural Instruction 6490.04. At a minimum, the review and update should: a. Establish the timeline associated with 72-hour followup. b. Change the 72-hour followup from a recommendation to a requirement. c. Review the applicability and clinical use in its entirety of the Military Acute Concussion Evaluation, Version 2 tool within the Military Treatment Facilities.