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Recommendations Tracker
HHS-OIG provides independent and objective oversight that promotes economy, efficiency, and effectiveness in HHS programs and operations. To drive positive change, we produce reports and identify recommendations for improvement. We have developed this public-facing page for tracking all of our open recommendations. Learn More
Summary of Recommendations Data
Updated Monthly · Last updated on June 24, 2024
1,301
Unimplemented
recommendations
$281.3B
Potential savingsfrom unimplemented recommendations
2,518
Implemented and Closed
recommendations since FY 2017
OIG Recommendations Grouped by Report
Views
-
NIH Generally Implemented System Controls Over the Sequence Read Archive But Some Improvements Needed
24-A-18-041.01Brown & Company recommends that the NIH complete the security categorization in accordance with FIPS Pub 199 to include documenting results and supporting rationale in the security plan.- Status
- Open Unimplemented
- Responsible Agency
- NIH
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 08/06/2024
- Legislative Related
- No
24-A-18-041.02Brown & Company recommends that the NIH conduct a system-level risk assessment for the SRA in accordance with NIST SP 800-53 requirements and NIH polices.- Status
- Open Unimplemented
- Responsible Agency
- NIH
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 08/06/2024
- Legislative Related
- No
24-A-18-041.03Brown & Company recommends that the NIH ensure that the data normalization policy and procedures comply with Federal requirements to include defining roles and responsibilities.- Status
- Open Unimplemented
- Responsible Agency
- NIH
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 08/06/2024
- Legislative Related
- No
-
Colorado Could Better Ensure That Nursing Homes Comply With Federal Requirements for Life Safety, Emergency Preparedness, and Infection Control
24-A-07-040.01We recommend that the Colorado Department of Health Care Policy & Financing follow up with the 20 nursing homes reviewed in this audit that demonstrated life safety, emergency preparedness, and infection control deficiencies to ensure that they have taken corrective actions.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 08/01/2024
- Legislative Related
- No
24-A-07-040.02We recommend that the Colorado Department of Health Care Policy & Financing work with CMS to develop a risk-based approach to identify nursing homes at which surveys would be conducted more frequently than once every 15 months, such as those with a history of multiple high-risk deficiencies or frequent management turnover.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 08/01/2024
- Legislative Related
- No
24-A-07-040.03We recommend that the Colorado Department of Health Care Policy & Financing work with CMS to develop standardized life safety training for nursing home staff.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 08/01/2024
- Legislative Related
- No
-
Two Tribes in Oklahoma and Their Health Programs Did Not Meet All Federal and Tribal Requirements for Background Investigations on Individuals in Contact With Indian Children
24-A-01-039.01We recommend that the Choctaw Nation perform background investigations, as required by the ICPFVPA, on all employees and temporary employees who currently have contact with Indian children and determine whether these individuals meet the required minimum character standards.- Status
- Open Unimplemented
- Responsible Agency
- IHS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 07/11/2024
- Legislative Related
- No
24-A-01-039.02We recommend that the Choctaw Nation request and review agency contractor background investigations that comply with the ICPFVPA, including documentation that confirms HHS employees met all background investigation requirements of the ICPFVPA, or perform background investigations on these individuals that comply with the ICPFVPA.- Status
- Open Unimplemented
- Responsible Agency
- IHS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 07/11/2024
- Legislative Related
- No
24-A-01-039.03We recommend that the Choctaw Nation develop and implement policies and procedures that ensure that the Tribe follows the requirements of the ICPFVPA to: collect information about the applicants' previous 5 years of residency, conduct FBI fingerprint background investigations using FBI-approved procedures for all individuals in contact with Indian children, conduct inquiries to State and Tribal law enforcement agencies about the applicants' previous 5 years of residency, and assess criminal history results to verify that applicants meet the required minimum character standards.- Status
- Open Unimplemented
- Responsible Agency
- IHS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 07/11/2024
- Legislative Related
- No
24-A-01-039.04We recommend that the Cherokee Nation perform background investigations, as required by the ICPFVPA, on the employees and volunteers we identified as not having complete background investigations who currently have contact with Indian children and determine whether these individuals meet the required minimum character standards.- Status
- Open Unimplemented
- Responsible Agency
- IHS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 07/11/2024
- Legislative Related
- No
24-A-01-039.05We recommend that the Cherokee Nation identify employees and volunteers outside our sample who lack evidence that a background investigation was performed, as required by the ICPFVPA, and who currently have contact with Indian children and perform the required background investigation and determine whether these individuals meet the required minimum character standards.- Status
- Open Unimplemented
- Responsible Agency
- IHS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 07/11/2024
- Legislative Related
- No
24-A-01-039.06We recommend that the Cherokee Nation request and review agency contractor background investigations that comply with the ICPFVPA, including documentation that confirms HHS employees met all background investigation requirements of the ICPFVPA, or perform background investigations on these individuals that comply with the ICPFVPA.- Status
- Open Unimplemented
- Responsible Agency
- IHS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 07/11/2024
- Legislative Related
- No
24-A-01-039.07We recommend that the Cherokee Nation develop and implement policies and procedures to ensure that: all individuals, including contractors and volunteers, in contact with Indian children are fingerprinted prior to starting employment, illegible fingerprints are retaken and resubmitted to FBI until a background investigation is completed in accordance with the requirements of the ICPFVPA, background investigations of contractors, including HHS employees, are reviewed or performed as required by the ICPFVPA and Tribal policies, and criminal history results are assessed to verify that applicants meet the required minimum character standards.- Status
- Open Unimplemented
- Responsible Agency
- IHS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 07/11/2024
- Legislative Related
- No
24-A-01-039.08We recommend that the Indian Health Service enhance Single Audit Compliance Supplement, part 4: "Agency Program Requirements," for Tribes receiving ISDEAA funds from IHS by: establishing special tests and audit procedures in the annual Single Audit Compliance Supplement for all its ISDEAA programs to ensure that the ICPFVPA's requirements are tested during a review of a Tribal health program as part of the single audit, and reviewing the results of those special tests and audit procedures in the annual single audits for Tribal health programs to help assess whether Tribes are complying with ICPFVPA requirements to conduct background investigations and meet minimum standards of character.- Status
- Open Unimplemented
- Responsible Agency
- IHS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 07/11/2024
- Legislative Related
- No
24-A-01-039.09We recommend that the Indian Health Service develop and offer a nationwide training seminar to Tribes on background investigation requirements of the ICPFVPA.- Status
- Open Unimplemented
- Responsible Agency
- IHS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 07/11/2024
- Legislative Related
- No
24-A-01-039.10We recommend that the Indian Health Service provide Tribes with documentation that confirms that current HHS employees assigned to Tribal health programs met all background investigation requirements of the ICPFVPA.- Status
- Open Unimplemented
- Responsible Agency
- IHS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 07/11/2024
- Legislative Related
- No
24-A-01-039.11We recommend that the Indian Health Service develop policies and procedures to communicate to Tribes that HHS employees assigned to Tribal health programs met the background investigation requirements of the ICPFVPA and inform Tribes that Federal background investigation criminal history results may not cover more stringent character standards that Tribes may adopt as allowed by the ICPFVPA.- Status
- Open Unimplemented
- Responsible Agency
- IHS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 07/11/2024
- Legislative Related
- No
-
CDC Has Improved the Nursing Homes Reporting Process for COVID-19 Data in NHSN, but Challenges Remain
24-E-06-008.01CDC should improve the user support the NHSN Help Desk provides to nursing homes.- Status
- Open Unimplemented
- Responsible Agency
- CDC
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 07/07/2024
- Legislative Related
- No
24-E-06-008.02CDC should take further steps to ensure the quality of nursing home reporting of COVID-19 data to NHSN.- Status
- Open Unimplemented
- Responsible Agency
- CDC
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 07/07/2024
- Legislative Related
- No
24-E-06-008.03CDC should consider how quality assurance checks can be enhanced to ensure data accuracy, as appropriate.- Status
- Open Unimplemented
- Responsible Agency
- CDC
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 07/07/2024
- Legislative Related
- No
-
Cahaba Government Benefits Administrators, LLC, Claimed Some Unallowable Medicare Postretirement Benefit Costs Through Its Incurred Cost Proposals
24-A-07-035.01We recommend that Cahaba Government Benefits Administrators, LLC, work with CMS to ensure that its final settlement of contract costs reflects a decrease in Medicare PRB costs of $1,085,470 for CYs 2017 through 2019.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- $1,085,470
- Last Update Received
- -
- Next Update Expected
- 07/04/2024
- Legislative Related
- No
-
Cahaba Safeguard Administrators, LLC, Claimed Some Unallowable Medicare Postretirement Benefit Costs Through Its Incurred Cost Proposals
24-A-07-036.01We recommend that Cahaba Safeguard Administrators, LLC, work with CMS to ensure that its final settlement of contract costs reflects a decrease in Medicare PRB costs of $9,806 for CYs 2017 through 2019.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- $9,806
- Last Update Received
- -
- Next Update Expected
- 07/04/2024
- Legislative Related
- No
-
Oklahoma Could Better Ensure That Nursing Homes Comply With Federal Requirements for Life Safety, Emergency Preparedness, and Infection Control
24-A-06-032.01We recommend that the Oklahoma State Department of Health follow up with the 20 nursing homes reviewed in this audit that demonstrated life safety, emergency preparedness, and infection control deficiencies to ensure that they have taken corrective actions.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 07/03/2024
- Legislative Related
- No
24-A-06-032.02We recommend that the Oklahoma State Department of Health follow up with the 20 nursing homes reviewed in this audit that demonstrated life safety, emergency preparedness, and infection control deficiencies to ensure that they have taken corrective actions and work with CMS to develop an approach to identify nursing homes where surveys should be conducted more frequently than once every 15 months, such as those with a history of multiple deficiencies or frequent management turnover.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 07/03/2024
- Legislative Related
- No
24-A-06-032.03We recommend that the Oklahoma State Department of Health work with CMS to develop a plan to address the foundational issues preventing more frequent surveys at nursing homes with a history of multiple deficiencies.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 07/03/2024
- Legislative Related
- No
-
Cahaba Government Benefits Administrators, LLC, Properly Updated the Medicare Segment Pension Assets and Overstated Medicare's Share of the Medicare Segment Excess Pension Liabilities as of December 31, 2018
24-A-07-030.01We recommend that Cahaba Government Benefits Administrators, LLC, decrease Medicare's share of the Medicare segment excess pension liabilities as of December 31, 2018, by $135,979 and recognize $2,111,600 as Medicare's share of the pension liabilities as a result of the benefit curtailment.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 07/03/2024
- Legislative Related
- No
-
Cahaba Safeguard Administrators, LLC, Overstated Its Medicare Segment Pension Assets as of January 1, 2020
24-A-07-031.01We recommend that Cahaba Safeguard Administrators, LLC decrease the Medicare segment pension assets by $94,960 and recognize $10,970,030 as the Medicare segment pension assets as of January 1, 2020.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 07/03/2024
- Legislative Related
- No
24-A-07-031.02We recommend that Cahaba Safeguard Administrators, LLC, develop quality assurance procedures, to include improved policies and procedures, to ensure that going forward, it calculates Medicare segment pension assets in accordance with Federal requirements.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 07/03/2024
- Legislative Related
- No
-
Cahaba Government Benefits Administrators, LLC, Did Not Claim Some Allowable Medicare Pension Costs Through Its Incurred Cost Proposals
24-A-07-033.01We recommend that Cahaba Government Benefits Administrators, LLC, work with CMS to ensure that its final settlement of contract costs reflects an increase in Medicare pension costs of $348,929 for CYs 2017 through 2019.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 07/03/2024
- Legislative Related
- No
-
Cahaba Safeguard Administrators, LLC, Claimed Some Unallowable Medicare Pension Costs Through Its Incurred Cost Proposals
24-A-07-034.01We recommend that Cahaba Safeguard Administrators, LLC, work with CMS to ensure that its final settlement of contract costs reflects a decrease in Medicare pension costs of $146,658 for CYs 2017 through 2019.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- $146,658
- Last Update Received
- -
- Next Update Expected
- 07/03/2024
- Legislative Related
- No
-
Ohio Could Better Ensure That Nursing Homes Comply With Federal Requirements for Life Safety, Emergency Preparedness, and Infection Control
24-A-05-029.01We recommend that the Ohio Department of Health follow up with the 18 nursing homes in this audit that demonstrated life safety, emergency preparedness, and infection control deficiencies to verify that corrective actions have been taken regarding the deficiencies identified in this report.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- 01/08/2024
- Next Update Expected
- 07/09/2024
- Legislative Related
- No
24-A-05-029.02We recommend that the Ohio Department of Health work with CMS to develop a risk-based approach to identify nursing homes where surveys should be conducted more frequently than once every 15 months, such as those with a history of multiple high-risk deficiencies or frequent management turnover.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- 01/08/2024
- Next Update Expected
- 07/09/2024
- Legislative Related
- No
24-A-05-029.03We recommend that the Ohio Department of Health develop a plan with CMS to address the foundational issues preventing more frequent surveys at nursing homes with a history of multiple high-risk deficiencies.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- 01/08/2024
- Next Update Expected
- 07/09/2024
- Legislative Related
- No
24-A-05-029.04We recommend that the Ohio Department of Health work with CMS to develop standardized life safety training for nursing home staff.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- 01/08/2024
- Next Update Expected
- 07/09/2024
- Legislative Related
- No
-
California Did Not Comply With Requirements for Documenting Psychotropic and Opioid Medications Prescribed for Children in Foster Care
24-A-05-027.01We recommend that the California Department of Social Services establish procedures for county agency staff to document all medications (including opioid medications) prescribed for children in foster care in CWS/CMS, to the extent allowable under California law.- Status
- Open Unimplemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 06/18/2024
- Legislative Related
- No
24-A-05-027.02We recommend that the California Department of Social Services coordinate with California Department of Health Care Services to modify the existing data sharing agreement to obtain access to Medicaid claim data for all medications prescribed for children under its care and supervision, to the extent allowable under California law.- Status
- Open Unimplemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 06/18/2024
- Legislative Related
- No
24-A-05-027.03We recommend that the California Department of Social Services establish procedures for county agency staff to utilize Medicaid data match reports to verify that court authorizations for psychotropic medications prescribed for children in foster care are documented and maintained.- Status
- Open Unimplemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 06/18/2024
- Legislative Related
- No
24-A-05-027.04We recommend that the California Department of Social Services develop and implement procedures for county agency staff to upload the court authorizations for psychotropic medications prescribed for children in foster care into CWS/CMS.- Status
- Open Unimplemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 06/18/2024
- Legislative Related
- No
-
NIH Did Not Consistently Meet Federal Single Audit Requirements for Extramural Grants
24-E-04-006.01NIH should ensure that the 6-month requirement for issuing MDLs for all single audits is met.- Status
- Open Unimplemented
- Responsible Agency
- NIH
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- 06/12/2024
- Next Update Expected
- 06/13/2024
- Legislative Related
- No
24-E-04-006.02NIH should use risk to prioritize the issuance of MDLs.- Status
- Closed Implemented
- Responsible Agency
- NIH
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- Legislative Related
- No
24-E-04-006.03NIH should ensure that relevant single audit data are available and used by NIH staff to inform decisions about new and ongoing awards.- Status
- Open Unimplemented
- Responsible Agency
- NIH
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- 06/12/2024
- Next Update Expected
- 06/13/2024
- Legislative Related
- No
24-E-04-006.04NIH should track the effectiveness of single audit processes and single audits' use.- Status
- Open Unimplemented
- Responsible Agency
- NIH
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- 06/12/2024
- Next Update Expected
- 06/13/2024
- Legislative Related
- No
-
The National Institutes of Health Did Not Receive 81 of 109 Required Audit Reports for Foreign Grant Recipients
24-A-05-026.01We recommend that the National Institutes of Health follow up with the foreign grant recipients to confirm the 81 outstanding audits were completed, obtain the outstanding audit reports, and issue management decision letters where appropriate.- Status
- Open Unimplemented
- Responsible Agency
- NIH
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 06/13/2024
- Legislative Related
- No
24-A-05-026.02We recommend that the National Institutes of Health issue management decision letters for the two audit reports that indicated a need for increased monitoring.- Status
- Closed Implemented
- Responsible Agency
- NIH
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- Legislative Related
- No
24-A-05-026.03We recommend that the National Institutes of Health work with HHS ARD officials to identify foreign grant recipients required to submit annual audit reports and address audit report submission delinquencies by NIH foreign grant recipients.- Status
- Closed Implemented
- Responsible Agency
- NIH
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- Legislative Related
- No
24-A-05-026.04We recommend that the National Institutes of Health develop policies and procedures to issue timely management decision letters for foreign grant recipient audit reports, with audit findings, within 6 months of the date HHS accepts the audit report package.- Status
- Closed Implemented
- Responsible Agency
- NIH
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- Legislative Related
- No
-
The Provider Relief Fund Helped Select Nursing Homes Maintain Services During the COVID 19 Pandemic, but Some Found Guidance Difficult to Use
24-E-06-007.01HRSA should create a document to record lessons learned from managingPRF and submit the document to HHS leadership.- Status
- Open Unimplemented
- Responsible Agency
- HRSA
- Response
- Overdue
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 06/11/2024
- Legislative Related
- No
24-E-06-007.02HRSA should expedite audits of provider use of PRF payments.- Status
- Open Unimplemented
- Responsible Agency
- HRSA
- Response
- Overdue
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 06/11/2024
- Legislative Related
- No
-
The Consistently Low Percentage of Medicare Enrollees Receiving Medication to Treat Their Opioid Use Disorder Remains a Concern
24-E-02-005.01CMS should educate enrollees and providers about options for access to overdose-reversal medications, as Narcan and its generic equivalents will no longer be covered by Part D.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- 04/17/2024
- Next Update Expected
- 05/08/2025
- Legislative Related
- No
-
Washington State Did Not Ensure That Selected Nursing Homes Complied With Federal Requirements for Life Safety, Emergency Preparedness, and Infection Control
24-A-09-024.01We recommend that the Washington State Department of Social and Health Services follow up with the 20 nursing homes reviewed in this audit to ensure that these nursing homes have taken corrective actions to address the life safety, emergency preparedness, and infection control deficiencies identified.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Overdue
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 06/07/2024
- Legislative Related
- No
24-A-09-024.02We recommend that the Washington State Department of Social and Health Services provide training to State surveyors to ensure that deficiencies related to life safety, emergency preparedness, and infection control are consistently identified.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Overdue
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 06/07/2024
- Legislative Related
- No
24-A-09-024.03We recommend that the Washington State Department of Social and Health Services educate nursing home management that life safety and emergency preparedness training resources are available to nursing home staff.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Overdue
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 06/07/2024
- Legislative Related
- No
-
Connecticut Implemented Our Prior Audit Recommendations and Generally Complied With Federal and State Requirements for Reporting and Monitoring Critical Incidents
24-A-01-022.01We recommend that the Connecticut Department of Social Services continue to coordinate with the Department of Developmental Services to provide training for staff of DDS and private group homes on how to monitor and report reasonable suspicions of abuse and neglect, especially in light of the significant staff hiring and retention problems in Connecticut group homes.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 06/05/2024
- Legislative Related
- No
24-A-01-022.02We recommend that the Connecticut Department of Social Services continue to coordinate with the Department of Developmental Services to use the new analytical procedures to identify potential cases of abuse or neglect involving Medicaid enrollees with developmental disabilities that incurred injuries and are treated in hospital emergency room settings.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- 04/23/2024
- Next Update Expected
- 06/05/2024
- Legislative Related
- No
-
Pennsylvania Implemented Our Prior Audit Recommendations for Critical Incidents Involving Medicaid Enrollees With Developmental Disabilities but Should Continue To Take Action To Reduce Unreported Incidents
24-A-03-021.01We recommend that the Pennsylvania Department of Human Services continue working with community-based providers to ensure that all community-based providers' staff identify and understand the requirements for reporting 24-hour reportable incidents within required timeframes.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- 06/04/2024
- Next Update Expected
- 12/04/2024
- Legislative Related
- No
24-A-03-021.02We recommend that the Pennsylvania Department of Human Services provide targeted training to community-based providers that repeatedly do not report 24-hour reportable incidents.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- 06/04/2024
- Next Update Expected
- 12/04/2024
- Legislative Related
- No
24-A-03-021.03We recommend that the Pennsylvania Department of Human Services expand the pilot program to other regions to periodically match Medicaid claims with diagnosis codes indicating potential abuse or neglect to 24-hour reportable incidents recorded in the incident reporting system.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- 06/04/2024
- Next Update Expected
- 12/04/2024
- Legislative Related
- No
24-A-03-021.04We recommend that the Pennsylvania Department of Human Services continue working with supports coordinators to ensure they verify with the community-based provider that incidents that they are aware of are reported in the EIM system.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- 06/04/2024
- Next Update Expected
- 12/04/2024
- Legislative Related
- No