Open Recommendations

Rec. 2.a-d: The DoD OIG recommended that the Under Secretary for Personnel and Readiness, in coordination with the Assistant Secretary of Defense (Health Affairs), the Director of the Defense Health Agency, the Service Surgeons General, and the Joint Staff Surgeon, establish an oversight plan for the management of traumatic brain injury care within the Military Health System. At a minimum, the oversight plan should: a. Include the completion and tracking of required screening tools, including Military Acute Concussion Evaluation, Version 2. b. Include the completion and tracking of the Progressive Return to Activity protocol. c. Include the completion and tracking…

Rec. 3.a-b: The DoD OIG recommended that the Under Secretary for Personnel and Readiness, in coordination with the Assistant Secretary of Defense (Health Affairs), the Director of the Defense Health Agency, the Service Surgeons General, and the Joint Staff Surgeon, establish a Traumatic Brain Injury Program of Record for traumatic brain injury care within the Military Health System that: a. Establishes baseline resource requirements and guidance for personnel, equipment, and staffing and budget modeling. b. Standardizes programming, concept of operations, business practices, staffing, and referral standards.

Rec. 4: The DoD OIG recommended that the Under Secretary for Personnel and Readiness, in coordination with the Assistant Secretary of Defense (Health Affairs), the Director of the Defense Health Agency, the Service Surgeons General, and the Joint Staff Surgeon, establish a process by which Military Health System providers can access, create, and update Service members' profiles, regardless of their Service Component.

Develop a plan to analyze costs associated with the processing and delivery of Election Mail and explore opportunities to be compensated for the implementation of Election Mail key practices and extraordinary measures.

Strengthen controls over the development and approval of tree, bush, and vine prices, and expand current review to include verification of the sufficiency and accuracy of supporting information.

Establish a policy that, when using information or data from any outside entity, FSA will conduct an accuracy and applicability review with the outside entity to ensure that the information or data provided is being used in accordance with its intended purpose and with FSA regulations and policies.

Based on established guidance, assess the actual production value for all questioned insured production losses totaling $15,681,325 identified by OIG. Recover any disallowed costs from the producers and issue payments to the producers for any underpayments

We recommend that MCS Advantage, Inc. refund to the Federal Government the $220,577 of net overpayments.

We recommend that MCS Advantage, 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 MCS Advantage, 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.

(U) Rec. A.2.a: The DoD OIG recommended that the Chief Information Officer of the Department of the Air Force revise its policy to align with the Windows 10 Security Technical Implementation Guide requirement for disabling inactive user accounts after no more than 35 days.

(U) Rec. A.2.b: The DoD OIG recommended that the Chief Information Officer of the Department of the Air Force direct network and system administrators to disable inactive user accounts after no more than 35 days of inactivity in accordance with the Windows 10 Security Technical Implementation Guide, develop compensating controls, or formally accept the risk of not disabling the inactive user accounts.

Ensure that the projected costs and benefits of all available options for housing detainees are fully disclosed to responsible officials and stakeholders when making decisions pertaining to EO 14006.

Ensure that the projected costs and benefits of all available options for housing detainees are fully disclosed to responsible officials and stakeholders when making decisions pertaining to EO 14006.

Maintain documentation of any associated decisions-and the related justifications-for the appropriate method for housing detainees, which should describe the rationale for those decisions.

Maintain documentation of any associated decisions-and the related justifications-for the appropriate method for housing detainees, which should describe the rationale for those decisions.

Resolve the $5,928 in questioned inappropriately allocated publication costs for which RPI has not agreed to reimburse NSF and direct RPI to repay or otherwise remove the sustained questioned costs from its NSF awards.

Resolve the $611 in questioned inadequately supported travel expenses for which RPI has not agreed to reimburse NSF and direct RPI to repay or otherwise remove the sustained questioned costs from its NSF awards.

We recommend that the Census Bureau revise Chapter D-5, Section 11 (b) Cost Moinitoring to address any unique procedures necessary for Fixed Fee projects.

Determine the allowability of the questioned transactions and recover
$5,538,037, if applicable.

Conduct a thorough assessment of single-celling policies and processes, including those applicable to inmates housed in quarantine and medical isolation units and to inmates vulnerable to suicide.

Ensure that actions, including any policy revisions, the BOP takes to close the two open recommendations from our 2017 restrictive housing report that reference single-celling also apply to single-celling during quarantine and medical isolation.

Explore options for permanent changes to facility infrastructures that would allow for better implementation of social distancing and other infection control measures.

Immediately update guidance regarding (1) when staff should notify the families of inmates who become seriously ill or die, including a specific timeframe, and (2) uniform criteria for what constitutes a serious illness.

Ensure that inmate family information, or the inmate emergency contact form, is updated according to policy and readily available for BOP staff who need to notify next of kin in cases of inmate serious illness or death.