Open Recommendations

Assess the actions the medical facility has taken to review the consults that were potentially affected by the 29-day default in the clinically indicated date field and ensure veterans received the care they needed.

At a minimum, conduct annual reviews of cost and volume inputs for the PostalPro Undeliverable-as-Addressed data model to verify they are accurate and up-to-date.

Collaborate with the National Customer Support Center to identify primary customers of PostalPro Undeliverable-as-Addressed data, evaluate the impact of inaccuracies on customers, and make necessary corrections.

Identify, address, and monitor delivery unit supervisors and carriers not following Undeliverable Marketing Mail policy.

Determine the frequency in which supervisors perform and document reviews of carrier handling and disposal of Undeliverable Marketing Mail, and implement accordingly.

Identify, address, and monitor delivery units with elevated rates of No Record Mail to achieve the nationwide target.

Determine the frequency in which supervisors perform and document reviews on proper handling of Carrier Identified Forward mail and verification of Change of Address forms, and implement accordingly.

Perform a root cause analysis on the inaccuracy of the PostalPro Undeliverable-as-Addressed data.

Revise Undeliverable-as-Addressed data shared to PostalPro in fiscal years 2023 and 2024 to ensure it is accurate and reliable.

We recommend that the Ohio Department of Medicaid ensure providers correct the 117 instances of provider noncompliance identified in this report.

We recommend that the Ohio Department of Medicaid improve its oversight and monitoring of all providers.

We recommend that the Ohio Department of Medicaid work with providers to improve their facilities, staffing, and training.

Seek the opinion of the Office of General Counsel on whether the identified potential overbillings could or should be recouped.

We recommend that the Chief Operating Officer for Federal Student Aid (FSA), in conjunction with the Commissioner of NCES, require NUC University to develop, document, and implement policies and procedures for collecting, consolidating, assessing the reliability of, and reporting data to IPEDS through the SFA survey.

We recommend that the Chief Operating Officer for FSA, in conjunction with the Commissioner of NCES, require NUC University to develop, document, and implement procedures to ensure that formulas used to calculate the total amount of financial aid awarded to undergraduate students by Federal, State, or local governments or the school include all student financial aid the school is required to report.

We recommend that the Chief Operating Officer for FSA, in conjunction with the Commissioner of NCES, require NUC University to develop, document, and implement policies and procedures for collecting, consolidating, assessing the reliability of, and reporting data to IPEDS through the Graduation Rates survey.

We recommend that the Chief Operating Officer for FSA, in conjunction with the Commissioner of NCES, require NUC University to develop, document, and implement procedures for ensuring that employees enter information in all required data fields in its student information system.

We recommend that the Chief Operating Officer for FSA, in conjunction with the Commissioner of NCES, require NUC University to maintain records supporting its categorization of students as full-time undergraduate students who began attending the school in the fall of each academic year, were seeking their first postsecondary certificate or degree, and completed their program within 150 percent of the normal time for completion.

We also recommend that the Chief Operating Officer for FSA consider taking appropriate action pursuant to subpart G of 34 C.F.R. section 668 because the school reported inaccurate and incorrect information to IPEDS through the Graduation Rates survey for the 2020–2021 reporting period.

As a part of the annual certification process of the Capital Asset Inventory, the executive director of the Office of Asset Enterprise Management should provide guidance on underground storage tank entries to ensure these assets are recorded with consistent identifying terminology in asset identification fields and with the appropriate real property predominant use code: code 40 storage (other than buildings).

Ensure Veterans Integrated Service Network officials fulfill their oversight responsibilities found in Veterans Health Administration Directive 1811 requiring VA medical facilities maintain a current inventory of underground storage tanks, inclusive of all associated equipment and component levels.

Ensure the assistant under secretary for health for support updates the responsibility section in Veterans Health Administration Directive 7707 to ensure that the responsibilities of VA medical facility directors include appropriate designation of staff and training for environmental regulatory requirements.

Ensure Veterans Integrated Service Networks are fulfilling responsibilities in Veterans Health Administration Directive 1811 to ensure facility compliance with federal, state, and local codes, laws, and regulations"including monitoring and addressing underground storage tank alarms promptly to confirm a release has not occurred.

Ensure Veterans Integrated Service Networks are fulfilling responsibilities in Veterans Health Administration Directive 1811 for work order (unplanned corrective maintenance) tracking from creation through completion in the approved maintenance management system"to include underground storage tank and associated component-level equipment failures or deficiencies identified in regulatory agencies inspections.

Confirm VA medical facility directors and Veterans Integrated Service Network directors are fulfilling responsibilities in Veterans Health Administration Directive 7707 to ensure regulatory compliance deficiencies are promptly reviewed, corrective actions are developed, and issues are tracked through completion to satisfactorily address environmental compliance.