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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 this positive change, we produce reports and identify recommendations for improvement. We have developed this public-facing page for tracking all of our open recommendations.
Use the “Top Unimplemented” View below to read OIG’s Top Unimplemented Recommendations—a subset that we think, if implemented, would have the most impact (learn more). Notable differences from our previous Top Unimplemented Recommendations report include:
- The list is comprised of individual recommendations from OIG reports, not rolled up by topic.
- No arbitrary cap is imposed on the number of recommendations included.
- Status updates as recommendations are implemented.
Summary of All Recommendations
Updated Monthly · Last updated on November 15, 2024
1,310
Unimplemented
recommendations
$27.0B
Potential savingsfrom unimplemented recommendations
2,698
Implemented and Closed
recommendations since FY 2017
Views
OIG Recommendations Grouped by Report
-
The Administration for Children and Families Did Not Always Resolve Audit Recommendations in Accordance With Federal Requirements
18-A-07-125.01We recommend that ACF follow its policies and procedures to ensure that management decisions are issued within the required 6-month resolution period,- Status
- Closed Implemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 08/15/2019
- Legislative Related
- No
18-A-07-125.02We recommend that ACF resolve the 678 outstanding audit recommendations that were past due as of September 30, 2016.- Status
- Closed Implemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 08/15/2019
- Legislative Related
- No
18-A-07-125.03We recommend that ACF follow its recently implemented procedures by reconciling each month the OIG stewardship reports with ACF's internal audit tracking and monitoring system and following up on any differences noted.- Status
- Closed Implemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 08/15/2019
- Legislative Related
- No
18-A-07-125.04We recommend that ACF give higher priority to audit resolution so that the audit resolution process is conducted in accordance with Federal requirements.- Status
- Closed Implemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 08/15/2019
- Legislative Related
- No
-
CMS Did Not Detect Some Inappropriate Claims for Durable Medical Equipment in Nursing Facilities
18-E-06-023.01CMS should improve oversight of place-of-service codes submitted by DME suppliers for DME provided during noncovered SNF stays.- Status
- Closed Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 11/14/2022
- Legislative Related
- No
18-E-06-023.02CMS should assess the costs and benefits of improving oversight of no-payment bills submitted by SNFs.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 07/14/2022
- Legislative Related
- No
18-E-06-023.03CMS should assess the costs and benefits of collecting and maintaining information regarding the level of care provided by Medicaid-only nursing facilities.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 12/16/2019
- Legislative Related
- No
-
Entities Generally Met Federal Select Agent Program Internal Inspection Requirements But CDC Could Do More To Improve Effectiveness
18-E-04-022.01CDC should clarify the requirement for internal inspections.- Status
- Open Unimplemented
- Responsible Agency
- CDC
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- 02/07/2024
- Next Update Expected
- 02/08/2025
- Legislative Related
- No
18-E-04-022.02CDC should clarify the procedures for DSAT inspectors to assess entity compliance.- Status
- Closed Implemented
- Responsible Agency
- CDC
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 05/13/2019
- Legislative Related
- No
18-E-04-022.03For DSAT inspectors, develop and provide additional training.- Status
- Closed Implemented
- Responsible Agency
- CDC
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 05/13/2019
- Legislative Related
- No
18-E-04-022.04For entities, develop and provide additional training and guidance.- Status
- Closed Implemented
- Responsible Agency
- CDC
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 05/13/2019
- Legislative Related
- No
-
Virginia Did Not Claim Some Medicaid Administrative Costs for Its Medallion 3.0 Waiver Program In Accordance With Federal Requirements
18-A-03-124.01We recommend that the State agency refund to the Federal government $7,674,911 for administrative costs that were not identified in the CAP.- Status
- Closed Acceptable Alternative
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- $7,674,910
- Last Update Received
- -
- Closed Date
- 03/08/2024
- Legislative Related
- No
18-A-03-124.02We recommend that the State agency reclassify $2,331,902 ($1,165,951 Federal share) in administrative costs that directly benefited Virginia's CHIP programs, not the Waiver program.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 09/30/2021
- Legislative Related
- No
-
Tennessee Medicaid Fraud Control Unit: 2017 Onsite Inspection
18-E-12-021.01Repay Federal matching funds spent on cases that were ineligible for Federal funding and ensure that cases worked are within grant authority- Status
- Closed Implemented
- Responsible Agency
- MFCU
- Response
- Concur
- Potential Savings
- $42,109
- Last Update Received
- -
- Closed Date
- 01/23/2019
- Legislative Related
- No
18-E-12-021.02Implement processes to ensure that it reports convictions and adverse actions to Federal partners within the appropriate timeframes- Status
- Closed Implemented
- Responsible Agency
- MFCU
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 01/23/2019
- Legislative Related
- No
18-E-12-021.03Continue to pursue its proposed expansion plan and work towards increasing Unit staff size to be commensurate with Medicaid program expenditures- Status
- Closed Implemented
- Responsible Agency
- MFCU
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 01/23/2019
- Legislative Related
- No
18-E-12-021.04Develop a policy to document its program recommendations to TennCare and to monitor the response to those recommendations- Status
- Closed Implemented
- Responsible Agency
- MFCU
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 01/23/2019
- Legislative Related
- No
-
Some New York City Childcare Providers Did Not Always Comply With Health and Safety Requirements
18-A-02-123.01We recommend that the State agency ensure that the health and safety issues noted in this report are corrected.- Status
- Closed Implemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 04/03/2020
- Legislative Related
- No
18-A-02-123.02We recommend that the State agency develop written procedures to ensure that legally exempt providers' compliance with physical conditions and background check requirements is regularly monitored as legal or policy changes are made to comply with the CCDBG Act of 2014.- Status
- Closed Implemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 04/03/2020
- Legislative Related
- No
18-A-02-123.03We recommend that the State agency seek a change to State law to allow private school providers to access the Statewide Central Register of Child Abuse and Maltreatment or take other steps to ensure that required background checks are completed.- Status
- Closed Implemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 04/03/2020
- Legislative Related
- No
-
Florence Crittenton Services of Orange County, Inc., Did Not Always Meet Applicable Safety Standards Related to Unaccompanied Alien Children
18-A-09-122.01We recommend that Crittenton ensure that all required background checks are conducted and documented.- Status
- Closed Unimplemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 03/08/2019
- Legislative Related
- No
18-A-09-122.02We recommend that Crittenton provide periodic training to staff on maintaining documentation related to public records checks.- Status
- Closed Unimplemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 03/08/2019
- Legislative Related
- No
18-A-09-122.03We recommend that Crittenton increase oversight of its quality review for UAC case files to ensure that all required documentation is maintained in the files.- Status
- Closed Unimplemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 03/08/2019
- Legislative Related
- No
18-A-09-122.04We recommend that Crittenton develop policies and procedures for obtaining necessary documentation in the case files for children transferred from another shelter care provider.- Status
- Closed Implemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 10/23/2023
- Legislative Related
- No
18-A-09-122.05We recommend that Crittenton develop a process to document the information used to prepare its quarterly performance reports and verify the information's accuracy.- Status
- Closed Unimplemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 03/08/2019
- Legislative Related
- No
-
Michigan Did Not Always Comply With Federal and State Requirements for Claims Submitted for the Nonemergency Medical Transportation Brokerage Program
18-A-05-121.01We recommend that the State agency refund $4,503,738 to the Federal Government.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- $4,503,738
- Last Update Received
- -
- Closed Date
- 03/19/2024
- Legislative Related
- No
18-A-05-121.02We recommend that the State agency improve its oversight and monitoring of its Medicaid NEMT brokerage program by requiring LogistiCare to strengthen its procedures to ensure that NEMT services are adequately documented and the documentation maintained according to Federal and State regulations; transportation provider qualifications meet State requirements; and vehicle inspection, safety, and insurance requirements are met.- Status
- Closed Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 06/30/2019
- Legislative Related
- No
18-A-05-121.03We recommend that the State agency strengthen its controls over its process for reporting expenditures claimed for NEMT services.- Status
- Closed Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 06/30/2019
- Legislative Related
- No
18-A-05-121.04We recommend that the State agency ensure that the State agency's contract with the transportation broker contains provisions that consider improper claims submitted by transportation providers to the transportation broker when developing future capitated rates paid by the State agency and 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.- Status
- Closed Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 06/30/2019
- Legislative Related
- No
-
Most Medicare Claims for Replacement Positive Airway Pressure Device Supplies Did Not Comply With Medicare Requirements
18-A-04-120.01We recommended that CMS instruct the Medicare contractors to recover the portion of the overpayments of $13,414 associated with the 86 sample claims that are within the 4-year reopening period.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Non-Concur
- Potential Savings
- $13,414
- Last Update Received
- -
- Closed Date
- 04/09/2019
- Legislative Related
- No
18-A-04-120.02We recommended that CMS work with Medicare contractors to establish periodic reviews of claims for replacement PAP device supplies and take remedial action for suppliers that the contractors find consistently bill claims that do not meet Medicare requirements, which could have saved Medicare an estimated $631,272,181 over a 2-year period.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- $631,272,181
- Last Update Received
- -
- Closed Date
- 08/31/2021
- Legislative Related
- No
18-A-04-120.03We recommended that CMS instruct the Medicare contractors to notify 82 suppliers, associated with 86 claims with potential overpayments of $13,414, to exercise reasonable diligence to investigate and return any identified overpayments, in accordance with the 60-day rule, and to identify and track any returned overpayments as having been made in accordance with this recommendation.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 04/09/2019
- Legislative Related
- No
-
Companion Data Services, LLC, Did Not Claim Some Allowable Pension Costs Through Its Incurred Cost Proposals
18-A-07-119.01We recommend that CDS work with CMS to ensure that its final settlement of contract costs reflects an increase in Medicare pension costs of $17,943 for CYs 2008 through 2011.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 09/24/2019
- Legislative Related
- No
-
New York Claimed Federal Reimbursement for Consumer-Directed Personal Assistance Services That Did Not Meet Medicaid Requirements
18-A-02-116.01We recommend that the State agency refund $74,871,340 to the Federal Government.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- $74,871,340
- Last Update Received
- 09/24/2024
- Next Update Expected
- 03/24/2025
- Legislative Related
- No
18-A-02-116.02We recommend that the State agency reinforce guidance to the social services districts and providers related to CDPAP documentation and billing requirements.- Status
- Closed Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 03/12/2019
- Legislative Related
- No
18-A-02-116.03We recommend that the State agency improve its monitoring of the CDPAP to ensure that social services districts and providers comply with CDPAP requirements.- Status
- Closed Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 03/12/2019
- Legislative Related
- No
-
University of Wisconsin Hospitals and Clinics Authority Incorrectly Billed Medicare Inpatient Claims With Severe Malnutrition
18-A-03-115.01We recommend that the Hospital refund to the Medicare program $2,412,137 for the incorrectly coded claims.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Non-Concur
- Potential Savings
- $2,412,137
- Last Update Received
- -
- Closed Date
- 03/01/2019
- Legislative Related
- No
18-A-03-115.02We recommend that the Hospital exercise reasonable diligence to identify and return any additional similar overpayments outside of our audit period, in accordance with the 60-day rule, and identify any returned overpayments as having been made in accordance with this recommendation.- Status
- Closed Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 03/29/2019
- Legislative Related
- No
18-A-03-115.03We recommend that the Hospital strengthen controls to ensure full compliance with Medicare billing requirements.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 10/22/2018
- Legislative Related
- No
-
Minnesota Did Not Comply With Federal Waiver and State Requirements for All 20 Adult Day Care Centers Reviewed
18-A-05-112.01We recommend that the State agency ensure that the 200 instances of noncompliance with health and safety and administrative requirements identified in this report are corrected.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 05/07/2021
- Legislative Related
- No
18-A-05-112.02We recommend that the State agency ensure the health and safety of vulnerable adults by considering staffing standards and caseload thresholds for State licensors.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 05/07/2021
- Legislative Related
- No
18-A-05-112.03We recommend that the State agency consider developing templates for administrative records the State requires.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 05/07/2021
- Legislative Related
- No
-
Nebraska Did Not Always Verify Correction of Deficiencies Identified During Surveys of Nursing Homes Participating in Medicare and Medicaid
18-A-07-114.01We recommend that the State agency revise its policies to (1) require nursing homes to include evidence of correction with all submitted correction plans for deficiencies with ratings of D or higher and (2) ensure that this evidence is retained by the State agency.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 04/04/2019
- Legislative Related
- No
18-A-07-114.02We recommend that the State agency maintain accessibility of, and the ability to read, survey data documentation in accordance with changes in technology.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 01/24/2019
- Legislative Related
- No
-
Nevada Did Not Comply With Federal and State Requirements Prohibiting Medicaid Payments for Inpatient Hospital Services Related to Provider-Preventable Conditions
18-A-09-111.01We recommend that the State agency strengthen its policies and procedures to ensure that it reviews inpatient hospital claims for all Medicare hospital-acquired conditions identified by CMS.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 08/09/2019
- Legislative Related
- No
18-A-09-111.02We recommend that the State agency review retrospective review reports for our audit period and after our audit period to determine whether payments should be reduced for any claims that contain PPCs and refund to the Federal Government its share of any unallowable amounts.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 11/08/2021
- Legislative Related
- No
18-A-09-111.03We recommend that the State agency strengthen its policies and procedures to ensure that it performs retrospective reviews of billing data from all inpatient hospitals to identify PPCs.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 12/07/2020
- Legislative Related
- No
-
HRSA Helped Health Centers With Elevated Risks and Can Continue To Take Additional Steps
18-E-05-017.01HRSA should ensure that it uses its risk management interventions as intended.- Status
- Closed Implemented
- Responsible Agency
- HRSA
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 12/20/2018
- Legislative Related
- No
18-E-05-017.02HRSA should explore additional steps it could take to help health centers reduce their elevated financial risks.- Status
- Closed Implemented
- Responsible Agency
- HRSA
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 12/20/2018
- Legislative Related
- No
-
Ohio Did Not Always Comply With Requirements Related to the Case Management of Children in Foster Care
18-A-05-110.01We recommend that the State agency ensure that the appropriate internal controls are in place for maintaining the required documentation in the case files to substantiate that children in foster care are receiving the necessary services.- Status
- Closed Implemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 12/13/2018
- Legislative Related
- No
18-A-05-110.02We recommend that the State agency ensure that the county agencies maintain the required documentation in the caseworkers' personnel files.- Status
- Closed Implemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 12/13/2018
- Legislative Related
- No
18-A-05-110.03We recommend that the State agency improve controls to ensure that critical incidents involving children in foster care residing in group homes are reported timely to the county agencies.- Status
- Closed Implemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 12/13/2018
- Legislative Related
- No
18-A-05-110.04We recommend that the State agency implement controls to ensure that the appropriate criminal record checks are completed for the caseworkers upon hire and that the minimum training requirements are met and documented.- Status
- Closed Implemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 10/30/2019
- Legislative Related
- No
-
CMS Did Not Always Provide Accurate Medicaid Unit Rebate Offset Amounts to State Medicaid Agencies
18-A-07-109.01We recommend that CMS conduct periodic matches that would compare the UROA information sent to the State agencies to the MDR system to ensure that CMS is sending accurate rebate information.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 09/05/2018
- Legislative Related
- No
-
The South African National Department of Health Did Not Always Manage and Expend the President's Emergency Plan for AIDS Relief Funds in Accordance With Award Requirements
18-A-04-108.01We recommend that the Ministry refund to CDC $12,734 for transactions that were not adequately supported.- Status
- Closed Implemented
- Responsible Agency
- CDC
- Response
- Concur
- Potential Savings
- $12,374
- Last Update Received
- -
- Closed Date
- 05/23/2019
- Legislative Related
- No
18-A-04-108.02We recommend that the Ministry maintain adequate supporting documentation for expenditures.- Status
- Closed Implemented
- Responsible Agency
- CDC
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 05/16/2018
- Legislative Related
- No
18-A-04-108.03We recommend that the Ministry work with CDC to obtain $343,930 of VAT reimbursement from the South African Government.- Status
- Closed Implemented
- Responsible Agency
- CDC
- Response
- Concur
- Potential Savings
- $343,930
- Last Update Received
- -
- Closed Date
- 05/14/2021
- Legislative Related
- No
18-A-04-108.04We recommend that the Ministry develop and implement policies and procedures to ensure that it submits accurate FFRs on time.- Status
- Closed Implemented
- Responsible Agency
- CDC
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 05/23/2019
- Legislative Related
- No
18-A-04-108.05We recommend that the Ministry develop and implement policies and procedures to ensure that it obtains VAT reimbursement.- Status
- Closed Implemented
- Responsible Agency
- CDC
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 05/23/2019
- Legislative Related
- No
18-A-04-108.06We recommend that the Ministry implement policies and procedures to ensure that it prepares accurate FFRs.- Status
- Closed Implemented
- Responsible Agency
- CDC
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 05/16/2018
- Legislative Related
- No
18-A-04-108.07We recommend that the Ministry implement polices and procedures that it maintains adequate supporting documentation for expenditures.- Status
- Closed Implemented
- Responsible Agency
- CDC
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 05/16/2018
- Legislative Related
- No
18-A-04-108.08We recommend that the Ministry implement policies and procedures to ensure that it determines which cooperative agreement costs are assigned.- Status
- Closed Implemented
- Responsible Agency
- CDC
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 05/16/2018
- Legislative Related
- No
18-A-04-108.09We recommend that the Ministry implement internal controls to ensure expenditures are assigned to the correct budget code.- Status
- Closed Implemented
- Responsible Agency
- CDC
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 05/23/2019
- Legislative Related
- No
18-A-04-108.10We recommend that the Ministry implement training on the VAP process.- Status
- Closed Implemented
- Responsible Agency
- CDC
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 05/14/2021
- Legislative Related
- No
18-A-04-108.11We recommend that the Ministry implement the unimplemented recommendations from our prior audit.- Status
- Closed Implemented
- Responsible Agency
- CDC
- Response
- Concur
- Potential Savings
- $77,790
- Last Update Received
- -
- Closed Date
- 05/16/2018
- Legislative Related
- No
-
Missouri Did Not Comply With Federal and State Requirements Prohibiting Medicaid Payments for Inpatient Hospital Services Related to Provider-Preventable Conditions
18-A-07-106.01We recommend that the State agency work with CMS to determine what portion of the $1,709,925 (Federal share) was unallowable for Federal Medicaid reimbursement and refund that unallowable portion to the Federal Government.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- $148,995
- Last Update Received
- -
- Closed Date
- 01/16/2019
- Legislative Related
- No
18-A-07-106.02We recommend that the State agency develop and implement policies and procedures to ensure that all claims with PPCs that have certain POA codes are identified and adjusted in accordance with Federal and State requirements.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 01/16/2019
- Legislative Related
- No
18-A-07-106.03We recommend that the State agency enhance its system edits to ensure that all claims that lack a valid POA code in the POA indicator data field are denied.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 01/16/2019
- Legislative Related
- No
18-A-07-106.04We recommend that the State agency ensure that its system edits use all of the diagnosis codes that appear on the list of Medicare hospital-acquired conditions when identifying PPCs.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 01/16/2019
- Legislative Related
- No
18-A-07-106.05We recommend that the State agency revise its system edits to ensure that the diagnosis codes used for payment reductions include only those codes that are included in the list of Medicare hospital-acquired conditions and that CMS has designated as CCs or MCCs.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 01/16/2019
- Legislative Related
- No