Open Recommendations

Conduct overdue technology reviews for Group I polymers and resins that cover neoprene production, synthetic organic chemical manufacturing industry, commercial sterilizers, hospital sterilizers, and chemical manufacturing area sources, which are required to be completed at least every eight years by the Clean Air Act.

develop new procedures or enhance current ones to identify beneficiaries with concurrent eligibility in another State, which could have saved the State agency an estimated $1,100,008 ($665,440 Federal share) in capitation payments for the month of August 2018

ensure that county caseworkers follow procedures to timely review and terminate eligibility for beneficiaries who were identified as concurrently eligible in another State.

We recommend that SAMHSA mitigate its Governance risk by formally documenting its full organizational structure.

We recommend that Virtua Our Lady of Lourdes Hospital based on the results of this audit, exercise reasonable diligence to identify, report, and return any overpayments in accordance with the 60-day rule and identify any of those returned overpayments as having been made in accordance with this recommendation.

CMS should take additional steps to validate the information reported in MDS assessments

CMS should supplement the data it uses to monitor the use of antipsychotic drugs in nursing homes.

We recommend the Secretary, in coordination with DHS components and FPS, establish and implement a plan, policy, and process toimprove preparedness for multi-component response to future incidents of civil disturbance at Federal facilities, including:A. a process for designating DHS component personnel under 40 U.S.C. §1315 and verification of required legal training completion;B. equipment and training needs and requirements; andC. consistent tactics and operational policies.

We recommend that the IA coordinate with Pine Hill School to ensure that the general facility deficiencies noted in this report are either addressed or included as part of the consolidation and renovation of the school facilities (Phase II).

We recommend that the IA coordinate with Pine Hill School to complete the planned consolidation and renovation (Phase II).

We recommend that the IA coordinate with Pine Hill School to complete the gymnasium replacement project (Phase III).

Clarify officer safety-related training requirements for operational personnel, including Task Force Officers, and ensure that the requirements are clearly established in policy.

Ensure that all Tactical Training Officers receive skills sustainment training.

Ensure that the new After-Action Review policy is implemented so that all critical incidents stemming from operations led by and/or involving U.S. Marshals Service personnel are reviewed for lessons learned and used to update and adjust officer safety-related training.

Evaluate whether modifications to training are needed to adequately cover open space encounters and to better support small teams, and, if so, develop and implement methods to ensure that training adequately addresses these.

Update and implement EXRM directives, policies, and procedures regarding position designation to reflect current EXRM operations and address current OPM policies and guidelines.

Develop and maintain an accessible database with all information required to effectively manage the position designation and suitability program. At a minimum, this system should contain the name of the employee or contractor, position number and title, position designation, tier of background investigation completed, entry-on-duty date, date the background investigation was requested, date the background investigation was completed, whether it was an initial investigation or reinvestigation, whether reciprocity was applied, and reinvestigation due date.

Use the information developed in Recommendation Two to track an employee’s investigation versus the designation of their position and ensure they are properly aligned.

Use an automated tool to track when employee and contractor reinvestigations are due.

Update the investigations of employees whose completed investigation has exceeded the five-year reinvestigation requirement.

Allocate the appropriate resources going forward to ensure that all reinvestigations are initiated on or before the due date.

Establish a process to include Office of Human Resources Management during the drafting of the statement of work to determine the appropriate investigative tier for contractors prior to when the request for quotes is released to potential vendors.

Develop a formal documented process (directive or standard operating procedure) for onboarding contractors.

Develop a system to communicate any changes in the onboarding process to contracting officer’s representatives and other personnel involved in the onboarding of employees and contractors.

Develop and document a systematic and repeatable risk assessment process to evaluate the risk of applying reciprocity for incoming contractors.

Regarding contractors, develop and maintain an accessible database containing the information outlined in Recommendation Two, as well as the contract number, similar CPSC position, contractor name, employer, and name of contracting officer’s representative.

Complete the work required to fully implement OPM’s recommendations from 2017.

We recommend that the National Heart, Lung, and Blood Institute strengthen its internal controls for OTs by updating its policies and procedures to require that OT justification memos be signed, dated, and written or developed with involvement from appropriate parties, including OT Agreements Officers.

We recommend that the National Heart, Lung, and Blood Institute strengthen its internal controls for OTs by updating its policies and procedures to require that OT justification memos include explicit statements as to why a traditional award instrument could not be used for a project.

We recommend that the National Heart, Lung, and Blood Institute strengthen its internal controls for OTs by updating its policies and procedures to require that justifications for the continued use of OT authority be documented throughout the life of OT agreements with reconsideration required at a defined frequency.

We recommend that the National Heart, Lung, and Blood Institute strengthen its internal controls for OTs by updating its policies and procedures to specify requirements for determining and documenting the fairness and reasonableness of award amounts or cost estimates provided by OT award applicants.

We recommend that the National Heart, Lung, and Blood Institute strengthen its internal controls for OTs by updating its policies and procedures to specify requirements for determining and documenting the allowability of costs charged to OT awards.

We recommend that the National Heart, Lung, and Blood Institute strengthen its internal controls for OTs by updating its policies and procedures to specify requirements for determining and documenting its compliance with Federal funding requirements including the proper establishment of bona fide needs through specific work requirements prior to the obligation of OT funds.

Review the modified National Pollutant Discharge Elimination System mining permits issued by West Virginia based on the 2019 revisions to its National Pollutant Discharge Elimination System program to determine whether the permits contain effluent limits for ionic pollution and other pollutants that are or may be discharged at a level that causes, has the reasonable potential to cause, or contributes to an excursion above any applicable water quality standard, as required by Clean Water Act regulations. If a permit lacks required effluent limits, take appropriate action to address such deficiencies.

Rec. 1.e: The DoD OIG recommended that the Principal Director, Defense Pricing and Contracting clarify its policy for determining the approval level required for project awards when using consortiums and ensure the guidance is uniformly applied and implemented by contracting personnel.

Rec. 1.g: The DoD OIG recommended that the Principal Director, Defense Pricing and Contracting establish Department of Defense-level training specific to awarding other transactions through consortiums that ensures Agreements Officers receive training to demonstrate expertise in executing, managing, and administering complex acquisition instruments, and can function in a less structured environment where prudent judgment is essential.

Rec. 1.j: The DoD OIG recommended that the Principal Director, Defense Pricing and Contracting establish requirements to vet consortium members upon membership to identify which members meet applicable security requirements for future opportunities.

Rec. 1.m: The DoD OIG recommended that the Principal Director, Defense Pricing and Contracting develop procedures to require security reviews of solicitation and supplementary information, including the aggregate of all information being provided in the solicitations to ensure potential sensitive information is not revealed by the compilation of information.

We recommend that Humana, Inc. refund to the Federal Government the $197,720,651 of net overpayments

We recommend that Humana, Inc. enhance its policies and procedures to prevent, detect, and correct noncompliance with Federal requirements for diagnosis codes that are used to calculate risk-adjusted payments.

Establish a data strategy implementation project plan with milestones that consider mission priorities and current and expected staffing levels to track the progress of the data management program maturation against the current Data and Analytics Strategy Implementation Plan.

Develop and implement a Data Quality Plan that supports the collection and maintenance of data related to identified key CPSC open data sets.

Identify and assign responsibilities to all of the resources who have data governance roles and responsibilities. These resources should include, at a minimum, data owners and data stewards, and those resources should be trained on their responsibilities.

Dedicate resources to the data management program based on a needs assessment, which should be revisited as the FDS action plans are published. Supplementary resources to consider adding may include data architects, data scientists, data analysts, and training resources.

We recommend that the Georgia Department of Community Health remind nursing facilities of Federal and State requirements for reporting incidents of potential abuse or neglect.

We recommended that the Georgia Department of Community Health strengthen its procedures for monitoring nursing facilities and follow up with those that may not be following required policies and procedures.

We recommended that the State agency ensure that it documents actions it takes when nursing facilities fail to report incidents and fail to report incidents on time.

We recommended that the State agency ensure that it assigns a priority level to all incidents or complaints by the mandatory deadline.

We recommend that Palmetto Government Benefits Administrator, LLC decrease its Excess Plan Medicare segment pension assets by $9,196 and recognize $737,271 as the Excess Plan Palmetto Medicare segment pension assets as of January 1, 2017.

We recommend that Palmetto Government Benefits Administrator, LLC improve policies and procedures to ensure that going forward, it calculates Medicare segment pension assets in accordance with Federal requirements.