Recommendations Tracker

We recommend the State agency ensure that managed care contracts with the transportation broker contain provisions that (1) consider improper claims to the transportation broker when developing future capitated rates paid by the State agency and (2) provide a means for the State agency to recoup funds from the transportation broker when contract provisions and State requirements are not met—a measure that, if incorporated, could result in cost savings for the Medicaid program.

OHRP should post the following on its website: (a) a description of its approach to oversight and (b) data (in aggregate) on the full array of its compliance activities.

We recommend that FCSO decrease the Other segment PRB costs used to calculate its indirect cost rates by $3,357,884 for CYs 2008 through 2012.

We recommend that the PSC work with the HHS Office of the Secretary to report Antideficiency Act expenditure violations totaling $29,188,270.

We recommend that the PSC use “no cost” contract extensions for severable services contracts only when they do not extend the period of performance for a program year to more than 12 months.

We recommend that the State agency review and revise payment controls to ensure the correct rates are paid for partial hospitalization services.

We recommend that the State agency instruct OMH to look for the types of noncompliance we identified in this report when it performs its licensing renewal visits.

We recommend that the State agency strengthen its policies and procedures to ensure that transportation services are provided only to recipients who are receiving Medicaid-covered services on the dates that they are receiving NET services; NET providers maintain records documenting that recipients are actually transported in the vehicles for all trips on the dates that NET services are rendered; NET providers maintain records to document the services provided; it does not pay NET providers or claim Federal reimbursement for non-covered transportation services; NET providers complete the required background checks on all potential drivers before permitting them to render NET services and annually thereafter, and maintain documentation of these checks; NET providers maintain records of all vehicle maintenance checks; and NET providers maintain documentation verifying that their drivers are qualified with current and valid driver’s licenses.

We recommended that the University strengthen oversight of payroll charges to Federal awards by ensuring that suitable means exist for a PI to verify that salary charges made to an award are reasonable in relation to the work performed.

We recommended that the University strengthen oversight of payroll charges to Federal awards by requiring and documenting prior approval and justification for adjustments made after grant expenditures have been reported to the Federal Government.

We recommended that the University strengthen oversight of payroll charges to Federal awards by requiring and documenting prior approval and justification for cost transfers.

We recommended that the University strengthen oversight of payroll charges to Federal awards by following Federal requirements for supporting payroll costs claimed.

We recommended that the University strengthen its general IT controls for systems used to support the pilot PCS by implementing a password setting that requires password changes periodically.

We recommended that the University strengthen its general IT controls for systems used to support the pilot PCS by implementing procedures to ensure that vendor support does not expire on the University’s operating system.

We recommend that the State agency refund $25.5 million to CMS that was misallocated to the establishment grants by not using updated, better data, or work with CMS to resolve the amount misallocated to the establishment grants, from April 16 through December 31, 2014.

We recommend that the State agency work with CMS to ensure that costs claimed after our audit period were allocated correctly using updated, better data, and refund any unallowable amount.