Open Recommendations

Clearly define all the roles to be used in the agency’s OEP.

Develop and implement an effective OEP team training program with drills and exercises to include all team members at least annually.

Develop and implement procedures to address the needs of individuals requiring additional assistance. These procedures should include a process to routinely update the list of persons requiring assistance.

Develop and implement procedures to maintain, retain, and update OEP program documents at least semi-annually.

Develop and implement an annual round-table discussion with OEP coordinators and teams.

Develop and implement facility-specific policies and procedures.

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We recommend that the State agency refund $74,871,340 to the Federal Government.

We recommend that the State agency ensure that the 200 instances of noncompliance with health and safety and administrative requirements identified in this report are corrected.

We recommend that the State agency consider developing templates for administrative records the State requires.

We recommend that the State agency ensure the health and safety of vulnerable adults by considering staffing standards and caseload thresholds for State licensors.

We recommend that the State agency review retrospective review reports for our audit period and after our audit period to determine whether payments should be reduced for any claims that contain PPCs and refund to the Federal Government its share of any unallowable amounts.

We recommend that the Ministry implement training on the VAP process.

We recommend that the Ministry work with CDC to obtain $343,930 of VAT reimbursement from the South African Government.

We recommend that Retirement Services develop and implement additional cost effective corrective actions, aimed at the root cause(s) of improper payments, in order to further reduce the improper payments rate.

Refund $5,516,838 to the Federal Government

We recommend that Texas work with the Centers for Medicare & Medicaid Services to determine the portion of the $1.1 million that it received for payments that exceeded providers’ billed charges should be refunded to the Federal Government.

We recommend that Texas refund $20.7 million to the Federal Government that it received for incorrectly claimed and unallowable payments.

We recommend that the Institute refund to CDC $431,458 of unallowable expenditures: $379,243 that it could not adequately support and $52,215 that it used to support non-PEPFAR activities.

We recommend that the Institute, work with CDC to obtain VAT reimbursement from the Government of Mozambique.

Identify error-prone MACADE inputs for overpayment adjustments and consider the cost-effectiveness of establishing user messages to alert employees of common errors before they complete their inputs.

As expeditiously as possible, the Under Secretary for Terrorism and Financial Intelligence should ensure that the Office of Intelligence and Analysis (OIA) implements a compliance monitoring program to assess whether intelligence analysts' activities are conducted in accordance with OIA authorities, and electronic searches and other queries are performed in a manner that fully protects the rights of U.S. persons.

Conduct a cost benefit analysis to determine whether tracking SSN cards would be beneficial to the Agency.

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

Provide documentation to support the $811,325 in code enforcement costs (activities 591, 619, and 645), including meeting code enforcement and salary and benefit requirements,4 or repay the program from non-Federal funds.

Develop and implement a targeted code enforcement strategy that specifies deteriorating or deteriorated areas where code enforcement would be expected to arrest decline. The strategy should include a description of public or private improvements, rehabilitation, or services that would help facilitate code enforcement and also include performance metrics to track progress.

Develop and implement policies and procedures to ensure that code enforcement salaries and benefits are charged and documented in accordance with program requirements.

Provide documentation to support $285,496 in graffiti abatement expenditures or repay the program from non-Federal funds (appendix D).

Develop and implement procedures and controls to ensure that graffiti abatement expenditures, including salaries and benefits, are accurately charged to CDBG grants and properly supported.

Disallow and recover $1,663,952 in Federal costs awarded to Madison;

Develop a method for using the Do Not Pay portal during the underwriting process to identify delinquent child support and delinquent Federal debt to prevent future FHA loans to ineligible borrowers to put $1.9 billion to better use.

Status

Revise the single-family handbook to comply with regulations that prevent loans to borrowers with delinquent child support subject to Federal offset.

We recommended that CMS establish mechanisms to better monitor the appropriateness of outpatient physical therapy claims.