Recommendations Tracker

CDC should provide educational outreach to ensure that State and local immunization programs are aware of existing tools to address vaccination campaign needs.

Work with ACF to determine the amount of allowable vehicle costs or refund $92,678 to the Federal Government for potentially unallowable vehicle costs.

We recommend that the National Institutes of Health implement enhanced monitoring, documentation, and reporting requirements for recipients with foreign subrecipients.

We recommend that the National Institutes of Health ensure that administrative actions such as terminations are performed in compliance with Federal regulations and HHS policies and procedures, and appropriate notifications of appeal rights are provided.

We recommend that the National Institutes of Health work with EcoHealth to determine whether EcoHealth had any unreimbursed costs at the time award R01AI110964 was terminated.

We recommend that the National Institutes of Health based on information provided in this audit and any other information available to NIH, consider whether it is appropriate to refer WIV to HHS for debarment and exercise continued monitoring and enforcement activities as appropriate over the course of the grant awards and subawards.

We recommend that EcoHealth Alliance prepare subaward and consultant agreements that contain all required information and are accurate.

We recommend that EcoHealth Alliance comply with requirements to immediately notify NIH of conditions that materially impact the ability to meet award objectives.

We recommend that EcoHealth Alliance properly identify subawards in financial statements.

We recommend EcoHealth Alliance refund to the Government $89,171 in unallowable costs consisting of: 1. salary costs claimed in excess of the NIH salary cap totaling $10,627; 2. bonus costs totaling $15,977; 3. indirect and fringe benefits associated with salary and bonus costs totaling $17,836; 4. Ph.D. education tuition costs totaling $13,951 and associated indirect costs of $4,641; 5. Indirect costs totaling $13,037 claimed by a subrecipient; 6. travel costs totaling $5,752 and associated indirect costs of $1,876; 7. visa costs of $2,500 and associated indirect costs of $896; 8. subaward costs of $2,052; and 9. professional fees costs of $19 and associated indirect costs of $7.

We recommend that the Food and Drug Administration consistently implement its existing policies and procedures and use existing checklists to ensure that contractor performance assessments are completed and uploaded to the Contractor Performance Assessment Reporting System timely.

We recommend that the Food and Drug Administration evaluate internal procedures and documents for key contracting decisions and activities to verify that all supporting contract documents are based on current HHS and FDA policies and procedures.

We recommend that the Food and Drug Administration should consistently implement its existing policies and procedures and use existing checklists to ensure that the appropriate contracting documents and supporting documents are uploaded to the Purchase Request Information System (PRISM).

CMS should improve how surveys identify infection control risks to nursing home residents and strengthen guidance on assessing the scope and severity of those risks.

We recommend that National Government Services, Inc. increase Medicare's share of the UGS Medicare segment excess pension liabilities as of December 31, 2018, by $69,360 and recognize $510,580 as Medicare's share of the pension liabilities as a result of the benefit curtailment.

We recommend that National Government Services, Inc. decrease Medicare's share of the Plan A Medicare segment excess pension liabilities as of December 31, 2018, by $47,508 and recognize $657,263 as Medicare's share of the pension liabilities as a result of the benefit curtailment.

We recommend that National Government Services, Inc. decrease Medicare's share of the Plan B Medicare segment excess pension assets as of December 31, 2018, by $435,942 and recognize $374,464 as Medicare's share of the pension assets as a result of the benefit curtailment.

We recommend that Cigna-HealthSpring of Tennessee, Inc. identify, for the high-risk diagnoses included in this report, similar instances of noncompliance that occurred before and after our audit period and refund any resulting overpayments to the Federal Government.

Develop and implement procurement policies and procedures to avoid acquiring unnecessary items and to perform analyses to determine the most reasonable approach for future vehicle purchases.

We recommend that the State agency enhance the monitoring of provider compliance by conducting periodic reviews of telehealth payments for compliance with requirements.

Review all pediatric skilled nursing service requests for which overnight care was completely denied and determine whether the overnight care requests meet the medical necessity requirement regardless of whether the caregiver provided work or school verification documentation.

We recommend that the Pennsylvania Department of Human Services, Office of Medical Assistance Program, revise the initial denial notice template referenced under Exhibit N in the HealthChoices Agreement to include information regarding the beneficiary's right to request a State fair hearing after exhausting the MCO's appeals process.

We recommend that CMS re-educate providers on the requirement for all home health claims to be submitted with the FIPS code for the county where the service was provided.