Open Recommendations

The Bureau of Fiscal Operations should work with the Centers for Medicare and Medicaid Services to update the Medicare interagency agreement and establish procedures for maintaining and updating the agreement.

The Bureau of Fiscal Operations should re-evaluate the Railroad Retirement Boards’s cost allocation plan and implement an Office of Management and Budget Circular A-87 compliant methodology for future Medicare direct labor costs using appropriate specialists and expertise.

The Bureau of Fiscal Operations should utilize and maintain Office of Management and Budget Circular A-87 compliant personnel activity reports and employee certifications through authorization by the Railroad Retirement Board’s Executive Committee to ensure that reimbursed Medicare direct labor costs represents costs for actual and allowable Medicare work performed.

The Bureau of Fiscal Operations should work with the Centers for Medicare and Medicaid Services to determine, adjust, and correct any erroneous reimbursement of Medicare direct labor costs beginning with fiscal year 2010 to current based on actual work performed.

The Executive Committee should conduct a thorough investigation and determine if the Purpose Statute and/or Antideficiency Act was violated as a result of the RRB’s Medicare reimbursement process and report violations in accordance with Office of Management and Budget Circular A-11.

The Bureau of Fiscal Operations should develop and certify an indirect cost methodology and rate that complies with Office of Management and Budget Circular A-87 using appropriate specialists and expertise.

The Bureau of Fiscal Operations should obtain Centers of Medicare and Medicaid Services approval for the indirect cost methodology and rate developed based on the recommendations in this report.

The Bureau of Fiscal Operations should determine the correct Medicare indirect cost reimbursement amount for fiscal years 2010 to current using the compliant indirect cost rate for the period.

The Bureau of Fiscal Operations should establish procedures requiring annual certification of the cost allocation plan and indirect cost rate prior to reimbursement that complies with Office of Management and Budget Circular A-87.

The Bureau of Fiscal Operations should establish a variance analysis control process that will help to identify indirect cost reimbursement miscalculations and ensure timely corrective action.

Complete the anti-backsliding study on the air quality impacts of the Renewable Fuel Standard as required by the Energy Independence andSecurity Act.

Determine whether additional action is needed to mitigate any adverse air quality impacts of the Renewable Fuel Standard as required by the Energy Independence and Security Act.

The General Access Control Policy and attendant procedures should be updated to include the elements outlined in the report.

Develop, document, and maintain a software inventory including license management policies and procedures.

Comply with and enforce HSPD-12 multifactor authentication supported by the Personal Identity Verification Card.

Provide training or document training completion by individual system owners on establishing, implementing, and maintaining logical access policies and procedures for systems that contain PII.

Support the cost reasonableness of the nine contracts or reimburse $408,958 to the appropriate Operating Fund, Capital Fund, and Housing Choice Voucher programs from non-Federal funds.

Rec. 1.b: The DoD OIG recommended that the Commander of U.S. Army Materiel Command review and correct moving average cost valuation for all Inventory, Available and Purchased for Resale.

Direct the New Orleans, LA, field office to enforce its monitoring findings and require the grantee to provide documentation to support costs totaling $4,959,911 or the grantee must reimburse its program from non-Federal funds for any costs that it cannot support.

Enforce the Miami, FL, field office's monitoring findings and require the grantee to provide documentation to support costs totaling $1,161,616 or the grantee must reimburse its program from non-Federal funds for any costs that it cannot support.

Direct the Washington, DC, field office to require the grantee to provide documentation to support the $1,766,778 in unsupported payments identified or the grantee must reimburse its program from non-Federal funds for any costs that it cannot support.

Direct the Washington, DC, field office to require the grantee to repay its program $4,214 from non-Federal funds for the ineligible costs associated with activity 1515.

Direct field offices to include property acquisition and disposition activities as an area of special emphasis when assessing grantee risk and establishing their monitoring plans and grantee monitoring strategies.

(U) Rec. A.1: The DoD OIG recommended that the Under Secretary of Defense for Policy update DoD Directive 5230.20, "Visits and Assignments of Foreign Nationals," June 22, 2005, to include the establishment of criteria for granting exceptions to policy and clarification of guidance on the use of extended visit requests.

Improve the collection and analysis of utilization data for inmate medical care to better understand the services that inmates need and the impact it has on the BOP's medical spending.

Clarify guidance to further define “legitimate decommissioning activities” by developing objective criteria for this term.

Develop and issue clarifying guidance to NRC staff and licensees specifying the instances when an exemption is not needed.

Develop a process to ensure the Office of Airports reports its Aircraft Rescue and Fire Fighting enforcement actions to FAA's Enforcement Information System database according to FAA Order 2150.3B.

We recommend the Executive for Agency Services  Establish standardized policies and procedures for tracking and documenting IRS record problems, including problems with refiles.  Identify timeframes for resolution and when the IRS should assist with resolution.

We recommend the Executive for Agency Services implement a mechanism (database, etc.) to facilitate the problem tracking and resolution process.

The Office of Programs should revise its overall process for the Railroad Retirement Act program that supports improper payment reporting requirements to ensure the accuracy of the data.