Open Recommendations

OIG recommends that the Bureau of Population, Refugees, and Migration review its standard operating procedures to consolidate and clarify guidance related to prescreening refugee applicants and ensuring data consistency between START and the physical case file.

OIG recommends that the Bureau of Population, Refugees, and Migration collaborate with U.S. Citizenship and Immigration Services to evaluate steps in the standard operating procedures related to prescreening refugees and update those procedures as appropriate.

OIG recommends that the Bureau of Population, Refugees, and Migration (a) determine whether the $426,527 in questioned costs related to International Rescue Committee’s cooperative agreement (SPRMCO22CA0007) for an office renovation contract and canvas bags, as detailed in Appendix B, are allowable and (b) recover any costs determined to be unallowable.

OIG recommends that the Bureau of Population, Refugees, and Migration (a) determine whether the $127,899 in unsupported costs related to International Rescue Committee’s cooperative agreement (SPRMCO22CA0007) for the purchase of equipment, the renting of meeting rooms, and professional services contracts, as detailed in Appendix B, are supported and (b) recover any costs determined to be unsupported.

OIG recommends that the Bureau of Population, Refugees, and Migration (a) determine whether the $42,884 in unsupported costs related to Church World Service’s cooperative agreement (SPRMCO22CA0005) for a security services contract, mechanical engineer consulting services contract, and lodging costs, as detailed in Appendix B, are supported and (b) recover all costs determined to be unsupported.

OIG recommends that the Bureau of Population, Refugees, and Migration (a) determine whether all other payments made in the first, second, and fourth quarters of FY 2022 related to Church World Service’s cooperative agreement (SPRMCO22CA0005) for a security services contract and a mechanical engineer consulting services contract are supported and (b) recover all additional costs determined to be unsupported.

OIG recommends that the Bureau of Population, Refugees, and Migration (a) determine whether the $39,094 in unsupported costs related to International Catholic Migration Commission’s cooperative agreement (SPRMCO22CA0002) for consulting services contracts, as detailed in Appendix B, are supported and (b) recover any costs determined to be unsupported.

OIG recommends that the Bureau of Population, Refugees, and Migration (a) determine whether the $122,596 in questioned costs related to International Catholic Migration Commission’s cooperative agreement (SPRMCO22CA0002) for a security contract, as detailed in Appendix B, are reasonable and (b) recover all costs determined to be unreasonable.

OIG recommends that the Bureau of Population, Refugees, and Migration (a) review all contracts executed by International Catholic Migration Commission under award SPRMCO22CA0002 not already covered under this audit report to determine whether the costs associated with those contracts comply with Code of Federal Regulations requirements and (b) recover all costs determined to be unallowable.

OIG recommends that the Bureau of Population, Refugees, and Migration develop and implement a communications strategy to inform current and future award recipients about the cost principles for award recipients outlined in the Code of Federal Regulations (C.F.R.), 2 C.F.R. Part 200 and 2 C.F.R. Part 600.

FDA should give greater weight to retailers' past noncompliance when taking enforcement actions against retailers with histories of violations.

FDA should determine whether variation in inspection activity on the basis of neighborhoods' socioeconomic status is appropriate and the extent to which it is meeting FDA's objective for protecting vulnerable populations.

Develop additional strategies and solutions to manage delays in detainee transfers to partners and implement these improvements throughout the El Paso sector when the holding facilities in the sector are over capacity.

The Veterans Crisis Line Director conducts a full review of the Veterans Crisis Line staff’s management of the patient and third-party contacts, consults with Human Resources and General Counsel Offices, and takes actions as warranted.

The Veterans Crisis Line Director conducts a review of the interactions between the Director, Quality and Training, and staff in preparation and during the Office of Inspector General healthcare inspection, educates staff on the importance of fully cooperating, responding in an open and transparent manner, and avoiding any appearance of coordination between employees, and take actions as warranted.

Establish performance targets aligned with the key objectives of a new loyalty program and establish parameters to actively monitor progress for effective program management.

Develop a comprehensive communication strategy for a new loyalty program that promotes awareness of functionality for prospective, and once enrolled, ongoing customers.

Conduct an evaluation of customer spending requirements and discounts, related to any future loyalty program, to ensure the program's design promotes customer engagement and shipping growth

Involve all participating federal components in a review of its KPIs, revise those KPIs that need clarification, include disincentives where appropriate, retain supporting documentation on the development of the performance measures, and work with Leidos to modify the contract.

Implement procedures to conduct periodic assessments to determine how current KPIs could be modified and whether new KPIs should be added to adequately address the government's need.

Work with Leidos to ensure its monthly status reports accurately summarize its performance,
technical progress, and challenges, as required.

Implement procedures to ensure federal components review and identify inaccuracies and
incompleteness in Leidos' monthly status reports.

Document and implement a process to validate that server policies and/or related automated scripts are configured and running as desired when introducing a new server to the NCUA information technology environment.

We recommend that the NPS develop and implement policies and procedures that provide guidance for appropriately estimating the cost of maintenance projects.

We recommend that the NPS include accurate estimates for all existing and future work orders based on the guidance developed under Recommendation 5.

The auditors recommend that Chief Information Officer require the Department and FSA to take immediate correctiveactions to implement enhanced monitoring procedures to allow for timely review of system authorization packages andappropriate authorization prior to submission into CSAM.

The auditors recommend that the Chief Information Officer require the Department to develop and implement an effectivequality control review process for its policies and procedures.

The auditors recommend that the Chief Information Officer require the Department and Federal Student Aid to takeimmediate corrective actions to remove users from the PIV exempt list.

The auditors recommend that the Chief Information Officer require the Department to take immediate corrective actions forestablishing quality control policies, procedures, and additional processes to ensure that user onboarding, elevated andnon-elevated user access forms are properly completed, tracked, and maintained for records.

The auditors recommend that the Chief Information Officer require that the Department and FSA to take immediatecorrective actions to ensure appropriate resources and funding are available and dedicated to complete implementation ofthe required EL1 and EL2 event logging maturities.

The auditors recommend that the Chief Information Officer require the Department to update Department PIA processes,quality control procedures, and monitoring controls to validate, track, and enforce the timely completion and review ofPIAs.

We recommend that the Kentucky Cabinet for Health and Family Services, Department for Medicaid Services file invoices for and collect from manufacturers rebates totaling $15,611,770 ($11,209,642 Federal share) for single-source and top-20 multiple-source physician-administered drugs and refund the Federal share of rebates collected.

We recommend that the Kentucky Cabinet for Health and Family Services, Department for Medicaid Services strengthen its internal controls to ensure that all eligible physician-administered drugs are invoiced for rebate.

We recommend that the Kentucky Cabinet for Health and Family Services, Department for Medicaid Services ensure that all physician-administered drugs eligible for rebates after our audit period are processed for rebates.

We recommend that the Kentucky Cabinet for Health and Family Services, Department for Medicaid Services work with CMS to determine whether the other claims for multiple-source physician-administered drugs, totaling $5,967,128 ($4,281,678 Federal share), were eligible for rebates and, if so, determine the rebates due and, upon receipt of the rebates, refund the Federal share of the rebates collected.

We recommend that Novitas Solutions, Inc., work with CMS to ensure that its final settlement of contract costs reflects a decrease in Medicare nonqualified costs of $84,291 for CYs 2016 through 2018.

Bureau for Asia coordinate with USAID/Regional Development Mission for Asia, USAID/Central Asia Regional, and USAID/Philippines, Pacific Islands, and Mongolia to review and revise each mission's procedures to incorporate guidance on integrating C-TIP during strategy, project, and activity design.

Bureau for Asia coordinate with USAID/Regional Development Mission for Asia, USAID/Central Asia Regional, and USAID/Philippines, Pacific Islands, and Mongolia to review and revise each mission's mission orders to incorporate guidance on designating C-TIP Coordinators, assigning responsibilities, and using C-TIP Coordinators. As part of this review, each mission should (1) designate C-TIP Coordinator(s) in its mission orders and (2) insert C-TIP Coordinator responsibilities into the position descriptions and annual work objectives for designated C-TIP Coordinators.

Bureau for Asia coordinate with USAID/Regional Development Mission for Asia, USAID/Central Asia Regional, and USAID/Philippines, Pacific Islands, and Mongolia to develop and implement an action plan to bring each mission's monitoring and enforcement practices for acquisition and assistance awards into compliance with trafficking in persons regulations, policies, and procedures.

We recommend that the Puerto Rico Department of Health develop written policies and procedures to use sources other than the Puerto Rico Demographic Registry to identify deceased enrollees.

We recommend that the Puerto Rico Department of Health identify capitation payments made after the audit period on behalf of deceased enrollees and refund to the Federal Government the Federal share of any unallowable payments.

We recommend that the Puerto Rico Department of Health refund $6,979,822 to the Federal Government.

We recommend that the Puerto Rico Department of Health establish a process with ASES to ensure ASES ceases making payments to MCOs on behalf of enrollees after their deaths are recorded in DOH's eligibility system and recoups unallowable payments made on behalf of deceased enrollees.

We recommend that the Puerto Rico Department of Health develop written policies and procedures to ensure that DOH staff periodically update, at least monthly, DOH's eligibility system with data on deaths recorded in the Puerto Rico Demographic Registry.

We recommend that the Puerto Rico Department of Health identify capitation payments made on behalf of enrollees with a date of death in the DMF before the month covered by the capitation payments, estimated as $885,123 in Federal Medicaid funds, and refund to the Federal Government the Federal share of any unallowable payment.

We recommend that the Substance Abuse and Mental Health Services Administration improve its policies and procedures for awarding CCBHC-E grants to ensure that clinics comply with Federal requirements by establishing required time frames to verify that clinics met certification eligibility requirements, and processes to verify whether clinics entered into agreements with DCOs to provide certain services.

We recommend that the Substance Abuse and Mental Health Services Administration improve its policies and procedures for monitoring CCBHC-E grants to ensure that clinics comply with Federal requirements by establishing processes to verify that clinics filled key personnel positions, ensured key personnel met level-of-effort requirements, timely submitted FFRs, and properly reported cash on hand.

We recommend that the Puerto Rico Department of Health establish policies and procedures with the Puerto Rico Health Insurance Administration (referred to in Spanish with acronym ASES) to ensure ASES recovers unallowable payments made on behalf of enrollees assigned more than one identification number.

We recommend that the Puerto Rico Department of Health refund $516,762 to the Federal Government.

We recommend that the Puerto Rico Department of Health strengthen its process for ensuring that no person is issued more than one identification number.