Open Recommendations

Implement procedures and related mechanisms to show when unobligated transferred funds are obligated and to what projects.

Advise WSDOT as part of stewardship and oversight activities to include change orders in WSDOT's next project management review of SDOT.

Direct the FHWA WA Division to review WSDOT's established process of reviewing subrecipients' supporting documentation for internal staffing charges (e.g., billing records, invoices, timecards) to ensure compliance with 2 CFR 200.403.

The Under Secretary for Health ensures the Office of Mental Health and Suicide Prevention develops, implements, and monitors action plans to meet Intensive Community Mental Health Recovery visit frequency requirements, to include program resource needs and the ongoing role for virtual care.

The Under Secretary for Health requires the Office of Mental Health and Suicide Prevention to develop a process for Intensive Community Mental Health Recovery programs to ensure veterans receiving low-intensity services do not represent greater than 20 percent of caseloads and to distinguish between veterans receiving high- and low-intensity services for accurate and effective program oversight.

The Under Secretary for Health identifies barriers and ensures healthcare systems develop, implement, and maintain contingency plans specific to Intensive Community Mental Health Recovery programs regarding veteran access to medications during emergencies, including long-acting injectable antipsychotic medications.

The Under Secretary for Health ensures the Office of Mental Health and Suicide Prevention develops, implements, and monitors action plans to meet Intensive Community Mental Health Recovery visit frequency requirements, to include program resource needs and the ongoing role for virtual care.

The Under Secretary for Health requires the Office of Mental Health and Suicide Prevention to develop a process for Intensive Community Mental Health Recovery programs to ensure veterans receiving low-intensity services do not represent greater than 20 percent of caseloads and to distinguish between veterans receiving high- and low-intensity services for accurate and effective program oversight.

CDC should work with awardees to enhance current and future capabilities for provider training and oversight.

CDC should clarify roles and responsibilities within HHS for vaccine public health messaging during a pandemic.

CDC should strengthen reporting of vaccine allocation data and administration data.

CDC should update its plans for mass vaccination programs with strategies that address awardee-reported logistical challenges.

CDC should provide educational outreach to ensure that State and local immunization programs are aware of existing tools to address vaccination campaign needs.

CDC should work with State and local immunization programs and retail pharmacy partners to mitigate reported data gaps and timeliness challenges.

[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.]

Refund $394,733 to the Federal Government for unallowable costs charged to the Head Start awards.

Work with ACF to determine the amount of allowable vehicle costs or refund $92,678 to the Federal Government for potentially unallowable vehicle costs.

Strengthen its policies and procedures to ensure that grant drawdowns are used to cover immediate cash needs necessary for its Head Start expenditures; only allowable costs are charged to the Head Start program; vehicle usage costs are adequately supported; and background checks and health screenings are performed on all volunteers who provide more than 20 percent of services during GBCA's weekly operating hours.

We recommend that CPB management require Valley PBS to repay $214,340 in CSG overpayments.

We recommend that CPB management require Valley PBS to identify the AA revenues reported as NFFS for the prior two fiscal years to recover related CSG overpayments.

We recommend that CPB management require Valley PBS to identify the corrective actions and controls it will implement to ensure future compliance with all CPB NFFS reporting requirements, including documenting its in-kind agreements and verifying the funding sources associated with local productions and workshops.

We recommend that CPB management require Valley PBS to exclude $8,820 for presenting fees that were paid in FY 2022, along with any additional presenting fees that were incurred and reported as NFFS on the FY 2022 AFR.