Open Recommendations

The District Director verifies clinical staff follow confidentiality requirements when consulting and coordinating care with the support VA medical facility for shared clients at high risk for suicide, and monitors compliance across all zone vet centers.

The District Director determines reasons for lack of evidence that clinical quality review deficiencies were resolved at the Center City, Huntington, Northeast, and Scranton Vet Centers; takes indicated actions to ensure completion; and monitors compliance.

The District Director determines reasons clinical quality review remediation plans did not include documentation of deficiency resolution and the time frame for resolution for the Baltimore, Dundalk, Raleigh, and Richmond Vet Centers; takes indicated actions to ensure completion; and monitors compliance.

The District Director determines reasons for lack of evidence for clinical quality review deficiency resolution for the Baltimore, Dundalk, Raleigh, and Richmond Vet Centers; takes indicated actions to ensure completion; and monitors compliance.

The District Director ensures clinical staff consult and coordinate care with the support VA medical facility for shared clients flagged as high risk for suicide and monitors compliance across all zone vet centers.

The District Director verifies clinical staff follow confidentiality requirements when consulting and coordinating care with the support VA medical facility for shared clients at high risk for suicide and monitors compliance across all zone vet centers.

We recommend that the Millennium Challenge Corporation verify that the MCA-Senegal corrects the three instances of material noncompliance detailed on pages 47 to 50 of the audit report.

We recommend that the Maryland Department of Health remediate the seven control findings OIG identified.

We recommend that the Maryland Department of Health assess the effectiveness of all required NIST SP 800-53 controls according to the organization's defined frequency.

We recommend that the Maryland Department of Health assess at least annually and if necessary, adjust baseline configurations for its MMIS and E&E public servers.

We recommend that the Maryland Department of Health perform periodic phishing exercises and enhance employee and contractor cybersecurity awareness training based on the results of the phishing exercises, if needed.

We recommend that the Vermont Department of Health, Division of Substance Use Programs refund $282,643 to the Federal Government.

We recommend that the Vermont Department of Health, Division of Substance Use Programs require subrecipients to provide and retain supporting documentation for invoices submitted for reimbursement under Federal grants as recommended in Bulletin No. 5.

We recommend that the Vermont Department of Health, Division of Substance Use Programs conduct a periodic review of supporting documentation (i.e., invoices, payroll registers, and time and effort reports) for subrecipient expenditures submitted to DSU for reimbursement.

We recommend that the Vermont Department of Health, Division of Substance Use Programs provide training to State employees responsible for conducting pre-award risk assessments of potential subrecipients of Federal grant funds.

We recommend that the Vermont Department of Health, Division of Substance Use Programs conduct annual site visits as required within the terms and conditions of the grant award that include program and fiscal reviews.

We recommend that the Centers for Medicare & Medicaid Services remediate the seven security control findings OIG identified.

We recommend that the Centers for Medicare & Medicaid Services update security controls to align with the most current NIST SP 800-53 requirements.

We recommend that the Centers for Medicare & Medicaid Services enhance policies and procedures to periodically identify and assess whether security controls are in place and operating effectively in accordance with the most current NIST SP 800-53 controls and remediate weak controls timely.

Embassy Brussels, in coordination with the Bureaus of Consular Affairs and Overseas Buildings Operations, should provide a wheelchair-accessible restroom option for consular customers.

The U.S. Mission to the North Atlantic Treaty Organization, in coordination with Embassy Brussels, should require that all residences are inspected and certified in the Post Occupational Safety and Health Officer Certification Application in accordance with Department standards.

Embassy Brussels should categorize, assess, and authorize its locally developed applications in accordance with Department standards.

We recommend the DHS Chief Financial Officer ensure FEMA conducts payment integrity testing of the Funeral Assistance program.

We recommend the DHS Chief Financial Officer ensure FEMA assesses and conducts payment integrity testing, as applicable, for any program with COVID-19 funding that meets the Payment Integrity Information Act of 2019 threshold.

We recommend the DHS Chief Financial Officer ensure DHS’ Risk Management and Assurance Division follows OMB requirements for programs that do not comply with the Payment Integrity Information Act of 2019, as stated in Appendix C of OMB Circular A-123.