Open Recommendations

Reiterate to examiners requirements around prompt communication of risk and supervisory results to bank management, emphasizing the significance of prompt communication over linear or chronological issuance of supervisory products.

Reevaluate the FDIC's strategy to attract, retain, and allocate staffing, including how to enhance the supervision of large, complex financial institutions.a. This evaluation should be documented and submitted to the FDIC’s Chairman for review and approval.

Implement target metrics and monitor variances for key supervisory outputs consistent with requirements contained in CEP Procedures, such as:a. Supervisory Plan percentage completed to actual percentage completed to identify and take timely corrective action when examination teams are not on track to achieve objectives detailed in annual supervisory plans.b. Target review start date to actual review start date to identify and take timely corrective action when examination teams are not on track to achieve objectives detailed in annual supervisory plans.c. Number of days elapsed between target review start date and exit meeting to expectation to identify and take corrective action…

2. We recommend that the Deputy Assistant Secretary for Regional Affairs of EDA, the Grants Management Division Director of NIST, and the Grants Management Division Director of NOAA review and revise their respective policies and procedures to comply with the Uniform Guidance that management decisions are issued within the 6 month deadline and contain the required content.

We recommend that the Director, Office of Disaster Recovery, perform monitoring of or otherwise review grantees' detailed procedures for preventing duplication of benefits for each grant activity within the first year after HUD signs the grant agreement or before grantees process applications for assistance, whichever occurs first.

We recommend that the Director, Office of Disaster Recovery, develop and implement a process to review grantees' detailed procedures for preventing duplication of benefits and require grantees to correct any deficiencies identified in the review before grantees process applications for assistance.

We recommend that the Centers for Medicare & Medicaid Services use the information we obtained from States about the challenges they are still encountering and develop an action plan for helping States more easily identify liable third parties and recover Medicaid payments.

We recommend that the Centers for Medicare & Medicaid Services work with States, as appropriate, to encourage better cooperation from third parties that routinely resist States' TPL identification and recovery efforts.

We recommend that the Centers for Medicare & Medicaid Services, for the four States we identified as not having fully complied with the DRA's TPL provisions, verify whether the States have since come into compliance; and pursue corrective actions for States that have not fully complied.

We recommend that the Centers for Medicare & Medicaid Services verify whether Virginia has refunded the $1.25 million Federal share of the Medicaid TPL collections underreported during two fiscal quarters and, if not, require Virginia to refund any remaining amount owed.

We recommend that the Centers for Medicare & Medicaid Services provide guidance to States to assist them with developing processes that improve the reporting of Medicaid TPL amounts on the form 64.9A.

We recommend that the Centers for Medicare & Medicaid Services ensure that States have current instructions on completing the form 64.9A.

We recommend that the Centers for Medicare & Medicaid Services ensure that States correctly report TPL amounts on the form 64.9A.

We recommend that the Centers for Medicare & Medicaid Services remove or disable lines from the form 64.9A that States are supposed to leave blank.

Incorporate a representative from the Logistics Management Division into each Artemis-related program and project at appropriate milestones, including at the onset of a contract and each life-cycle milestone.

Ensure an Artemis-specific study of the Agency’s industrial base and supply chain is completed on a recurring basis.

We recommend that the Mississippi Division of Medicaid work with CMS to calculate the rebate amount for claims identified in our findings, invoice drug manufacturers for the calculated rebates, and refund the Federal share of rebates collected for the years covered by our audit period and for years after our audit period.

We recommend that the Mississippi Division of Medicaid strengthen internal controls to facilitate the invoicing of all physician-administered drugs for rebate.

We recommend that the South Dakota Department of Social Services remediate the six control findings OIG identified.

We recommend the Assistant Secretary for Mine Safety and Health update MSHA policies to: (1) define a schedule for verifying mine statuses; (2) specify when visual verifications (e.g., E28 idle mine visits) are necessary; (3) limit deviations from the mine status criteria to defined exceptional situations; (4) define how “primary mine type” changes apply during calculation of inspection requirements; (5) define timeliness metrics for certification of E01 inspections; (6) require mandatory inspections start and end in the same fiscal year; and (7) define how to calculate the mandatory inspection completion rate annually.

We recommend the Assistant Secretary for Mine Safety and Health redesign monitoring processes to check Part 50 data reporting for mines on a quarterly basis, and verify timely certification of mandatory inspections and accuracy of activity codes and inspection dates.

We recommend the Assistant Secretary for Mine Safety and Health update supporting tools based on revisions to the mine status criteria.

We recommend the Assistant Secretary for Mine Safety and Health develop a process to verify if: (1) mines in “temporarily idle” status for extended periods need a change to “abandoned” status and (2) mines with underground openings are being timely sealed when their “primary mine type” is not listed as “underground.”

We recommend the Assistant Secretary for Mine Safety and Health verify all underground coal mines in abandoned status for more than 90 days are either sealed (and its status updated in MSHA’s system), in the process of sealing and are issued a violation for non-compliance with the regulation, or has a remark in MSHA’s system indicating why it will not be sealed. This may include verifying the mine was identified for future reclamation in the Abandoned Mine Lands program inventory.

We recommend the Assistant Secretary for Mine Safety and Health communicate to staff on: (1) the current version of mine status criteria, (2) MSHA reports and tools available for the mandatory inspection program, and (3) leadership’s expectations on districts correcting activity codes and when Part 50 data should be available to districts (including follow-up and violations for operators not reporting timely).