Open Recommendations

Establish controls that mitigate the risk of inmates communicating with unknown and un-vetted parties and take steps, including the utilization of available technological features as found in TRULINCS, to reduce the risk of mass emails being received by high-risk inmates, including terrorist inmates.

We recommend that BMA exercise reasonable diligence to identify and return any additional similar overpayments outside of our audit period, in accordance with the 60-day rule, and identify any returned overpayments as having been made in accordance with this recommendation

We recommend that BMA refund to the Federal Government the portion of the estimated $96,185 in improper payments for claims incorrectly billed to the Medicare program that are within the reopening period

We recommend that BMA for the remaining portion of the estimated $96,185 in improper payments for claims that are outside of the Medicare reopening period, exercise reasonable diligence to identify any additional similar improper payments in accordance with the 60-day rule, and identify any returned overpayments as having been made in accordance with this recommendation

Rec. 1.a.2: The DoD OIG recommended that the Assistant Secretary of Defense for Sustainment, in coordination with U.S. Transportation Command and the Military Services, give the Military Surface Deployment and Distribution Command the authority and ability to enforce the Military Services' compliance with the Military Surface Deployment and Distribution Command accident investigation recommendations by tasking the Military Services to take specific action through a system of draft recommendations, command response, Military Surface Deployment and Distribution Command evaluation of those responses, and adjustment of the Military Surface Deployment and Distribution Command recommendations.

We recommend that the U.S. Department of Health and Human Services, Assistant Secretary for Financial Resources continue the grant remediation process to close remaining pooled accounts in the PMS.

We recommend that the U.S. Department of Health and Human Services, Assistant Secretary for Financial Resources work with CMS to: 1. implement an electronic grant management system for CMCS and CCSQ, 2.assign clear roles and responsibilities related to grant closeout activities at CMCS, and 3. clarify CMCS’s ability to close out its grants.

Information is maintained in case files to support that eligibility determinations were performed in accordance with Federal and State requirements.

Redetermine, as appropriate, the current Medicaid eligibility of the sampled beneficiaries who may not have met Federal and State eligibility requirements

Ensure that: all eligibility requirements, including those pertaining to resources, are properly verified during annual redeterminations for all non-newly eligible beneficiaries

Ensure that the 55 developments without sufficient support for an exemption either support the exemption status or complete the required lead-based paint inspections and provide the documentation to the appropriate field office.

Ensure that the remaining 244 developments' exemption status is properly supported.

Ensure that the 382 potentially noncompliant developments are reported in its response tracking system and reviewed for compliance with the Lead Safe Housing Rule.

Implement a comprehensive case management system that allows for efficient access to case documents and information.

[Description omitted; DOJ has determined that this recommendation contains information that is limited official use or classified.]

[Description omitted; DOJ has determined that this recommendation contains information that is limited official use or classified.]

We recommend that CMS issue clarifying guidance to States to help ensure that they use all of the diagnosis codes that inpatient hospitals report to them to identify PPCs.

We recommend that CMS work with States to ensure that their systems and processes for identifying PPCs use all diagnosis codes reported by inpatient hospitals.

We recommend that CMS issue a revised State plan preprint that contains all of the provisions identified in Federal requirements, if CMS continues to require States to use the preprint.

We recommend that CMS issue clarifying guidance to States to help ensure that they correctly use the Medicare HAC list to identify PPCs.

We recommend that CMS issue clarifying guidance to States to help ensure that they acquire from all inpatient hospital providers the information necessary to determine whether Medicare crossover claims contain PPCs and fully understand how to determine whether a crossover claim containing a PPC requires a payment adjustment.

We recommend that CMS issue clarifying guidance to States to help ensure that they identify PPCs on inpatient claims from all inpatient hospitals.

We recommend that CMS issue clarifying guidance to States to help ensure that they understand how and when to apply the “reasonably isolate” language in 42 CFR § 447.26(c)(3)(ii) as it relates to the limitation of reduction in payment for PPCs.

Complete, within 30 days of the issuance of this audit report, the review for preventing duplication of benefits associated with its 2008 CDBG-DR grant and pursue appropriate remedies for any instances of noncompliance found.

We recommend the Assistant Secretary for OSHA revise OSHA’s Debt Collection Procedures to comply with OMB Circular A-129.

We recommend that the Missouri Department of Health and Senior Services follow up with the 20 nursing homes to ensure that corrective actions have been taken regarding the life safety and emergency preparedness deficiencies identified in this report.

We recommend that the Missouri Department of Health and Senior Services work with CMS to develop standardized life safety training for nursing home staff.

We recommend that the Missouri Department of Health and Senior Services conduct more frequent surveys at nursing homes that have a history of multiple high-risk deficiencies and follow up to ensure that corrective actions have been taken.

We recommend that the Missouri Department of Health and Senior Services expand training of nursing home staffs with specific attention to the updating of emergency preparedness plan templates to address facility-specific preparations.

(U) Rec. A.1: The DoD OIG recommended that the Commander for U.S. Southern Command prioritize the risk of each unmitigated vulnerability identified in DoD Cyber Red Team Reports and adversarial assessments, take immediate actions to mitigate high-risk vulnerabilities, and if unable to immediately mitigate any of the vulnerabilities, include them on a command-approved plan of action and milestones.

SAMHSA should work closely with States and territories during the no-cost extension period to address barriers to timely spending and to ensure that administrative cost caps are not exceeded

SAMHSA should require States that receive grants for OUD treatment to specifically report how many patients are receiving MAT

OCFO should review and update the Contract File Content Checklist to reflect current documents maintained in the file.

ASD should review and update the COR Appointment Letter as needed and specifically address the maintenance of electronic contract files.

OCFO should revise EEOC Order 360.001 as needed to assist CORs in performing their duties and include implementation guidance for contract administration activities, such as submitting contract modifications.

We recommend that the Assistant Secretary for the Office of Elementary and Secondary Education require Texas to develop and implement effective policies and procedures that include guidance for Texas and its LEAs to track student enrollment in the event of a disaster in order to document and accurately report data.

We recommend that the Assistant Secretary for the Office of Elementary and Secondary Education require Texas to develop and implement policies and procedures to ensure it collects accurate and complete data on displaced students that can be used for Federal reporting requirements related to the Emergency Impact Aid program.

We recommend that the Assistant Secretary for the Office of Elementary and Secondary Education require Texas to revise, for any future Emergency Impact Aid program grants, (1) its reasonableness check for displaced student data counts to identify and follow up with LEAs regarding student counts that are identical in applications and weekly submissions, or that increase over all four quarters; and (2) its annual desk reviews to include steps to review Emergency Impact Aid program displaced student count data

We recommend that the Assistant Secretary for the Office of Elementary and Secondary Education require Texas to provide support for the unsupported displaced student data counts at Houston, Goose Creek, and Spring, or return $10,551,519 million in Emergency Impact Aid program funds received based on unsupported displaced student count data. This amount includes $874,665 of duplicated unsupported funds noted in Finding 2.

We recommend that the Assistant Secretary for the Office of Elementary and Secondary Education require Texas to identify all LEAs with reported displaced student counts, including Spring, that matched PEIMS data or that increased by quarter; review support for all, or a statistically valid sample of students reported as displaced by quarter; and return any funds related to unsupported displaced student counts.

We recommend that the Assistant Secretary for the Office of Elementary and Secondary Education require Texas to provide support showing that the three LEAs we reviewed properly used Emergency Impact Aid program funds for students reported as students with disabilities or return $1.94 million to the Department. This amount includes $874,665 of duplicated unsupported funds noted in Finding 1.

We recommend that the Assistant Secretary for the Office of Elementary and Secondary Education require Texas to provide support demonstrating that employees in Houston and Goose Creek worked at schools with displaced students or return $750,088 to the Department

We recommend that the Assistant Secretary for the Office of Elementary and Secondary Education require Texas to determine whether other Texas LEAs that received Emergency Impact Aid program funds separately accounted for Emergency Impact Aid program funds received for the benefit of displaced students reported as students with disabilities. For all, or a statistical sample, of these LEAs that did not separately account for these funds, review support to determine whether they properly used these funds and return any funds that were not properly used.

We recommend that the Assistant Secretary for the Office of Elementary and Secondary Education require Texas to develop procedures for providing guidance and monitoring of future emergency funding from the Department to ensure that (1) award notifications to the LEAs identify Emergency Impact Aid program funds by student type (including children with disabilities) and (2) as part of annual desk reviews, it determines whether LEAs separately recorded and tracked these funds

We recommend that the Assistant Secretary for the Office of Elementary and Secondary Education require Texas to develop controls to provide reasonable assurance that LEAs use funds received for displaced students for activities and services related to serving displaced students.

Revise notices sent to beneficiaries and their representative payees informing them of benefit increases due to additional earnings to include the employer(s) name, earnings amounts, a reminder to report errors to SSA, and instructions on reporting errors.

Establish and document an acquisition workforce strategic plan to address achieving the objectives of key acquisition positions.

In conjunction with ESDIS, once NISAR and SWOT are operational and providing sufficient data, complete an independent analysis to determine the long-term financial sustainability of supporting the cloud migration and operation while also maintaining the current DAAC footprint.

We recommend that Saint Francis Health Center: refund to the Medicare contractor $5,533,169 of the estimated overpayments for the claims incorrectly billed that are within the Medicare reopening period.