Recommendations Tracker

We recommend that the State agency develop controls to ensure that allegations and referrals of abuse and neglect of children in foster care eligible for assistance under Title IV-E of the Act are recorded and investigated in accordance with State requirements. Specifically, we recommend that the State agency ensure that its cases, and, by working with the Justice Center, that Justice Center cases are recorded and investigated in accordance with State requirements; develop procedures to ensure required documentation is submitted timely and retained in case files and by the SCR; ensure that staff meet all required timeframes for submission of reports, and notification of investigations; and ensure that its staff, and, by working with the Justice Center, that Justice Center staff meet all required timeframes for determination of investigations.

We recommend that the State agency ensure that surveyors follow CMS guidance for verifying and documenting the correction of nursing home deficiencies in accordance with Federal requirements.

We recommend that Southeast Arkansas Community Action Corporation conduct a full physical inventory to ensure that inventory asset records are accurate and complete, and update the inventory asset records as assets are purchased, moved, or disposed.

We recommend that Southeast Arkansas Community Action Corporation limit future drawdowns from the Health and Human Services Payment Management System to past expenditures and immediate future needs as recorded in the general ledger.

We recommend that Southeast Arkansas Community Action Corporation update its cost allocation plan to include only the methodology that allocates vacation, holiday, and sick pay based on the percentage of hours worked for each program.

We recommend that Southeast Arkansas Community Action Corporation update its cost allocation plan to address how to allocate shared equipment costs to more than one program.

We recommend that Southeast Arkansas Community Action Corporation refund $4,784 in unallowable costs.

We recommend that CMS use the information in this report and the detailed data previously provided to recoup the $2,420,761 in capitation payments made to MA organizations for Medicare Parts A and B services on behalf of deceased beneficiaries.

We recommend that the State agency refund to the Federal Government $4,588,756 for Day Treatment Program services that were not claimed in accordance with Federal and District requirements.

We recommend that CMS continue to work with the Accredited Standards Committee X12 to ensure that the DI is included on the next version of claim forms.

CMS should identify strategies to increase MACs� collection of ZPIC- and UPIC-referred overpayments.

We recommend that TMT refund to the Federal Government $587,248 in unsupported and unallowable LIHEAP funds.

We recommend that the State agency bill for and collect from manufacturers rebates for pharmacy drugs and refund to the Federal Government $8,045,840 (Federal share).

We recommend that the State agency work with CMS to determine whether the non-top-20 multiple-source physician-administered drugs were eligible for rebates and, if so, upon receipt of the rebates, refund up to $57,783 (Federal share) of rebates collected.

We recommend that the State agency determine which physician-administered drugs were not billed for rebates after our audit period, determine the rebates due, and upon receipt of the rebates refund the Federal share of the rebates collected.

FDA should improve the timeliness of FDA's actions, including warning letters, so that facilities do not continue to operate under harmful conditions.

We recommend that the State agency revise the State licensing requirement for the monitoring of vehicles used to transport children to ensure that the State agency monitors all vehicles at least annually.

We recommend that CMS set firm deadlines for marketplaces to fully develop system functionality for verifying applicants� eligibility and resolving inconsistencies, assess potential enforcement mechanisms that would ensure that marketplaces meet those deadlines, and, if such mechanisms are identified, seek legislative authority to establish them.

We recommend that CMS require marketplaces to submit additional data elements related to average length of time to resolve inconsistencies, number of unresolved inconsistencies, and number of applicants for whom the marketplace received an FTR response code from the IRS and who were determined eligible for insurance affordability programs.

OHRP should request that HHS consider the adequacy of whistleblower protections for complainants who make disclosures to OHRP about human subjects protections.

We recommend that CMS determine whether the cost reports that had exceeded the 3-year reopening limit may be reopened due to similar fault and, if so, work with the Medicare contractors to reopen them.

We recommend that CMS maintain a system that identifies and tracks all cost reports that Medicare contractors have referred for reconciliation and that recalculates outlier payments on the basis of claim submissions made by hospitals.

FDA should provide technical assistance regarding exempt products.

We recommend that DOH ensure that future contracts with MLTC plans include provisions that allow the State agency to recover payments when plans do not comply with contract requirements. This measure could have saved the Medicaid program approximately $1.4 billion ($717 million Federal share) during SFY 2014.

We recommend that CDS decrease its Medicare segment pension assets as of January 1, 2013 by $117,880 and recognize $10,430,248 as the CDS Medicare segment pension assets.

We recommended that the State agency refund to the Federal Government the $18,925,853 Federal share of unallowable reimbursement that was claimed for the Medicaid SHARS program because the random moments were coded incorrectly.

We recommend that the State agency fully implement its own regulations regarding the reporting and monitoring of critical incidents involving Medicaid beneficiaries with developmental disabilities residing in community residences. Specifically, we recommend that the State agency work with community-based providers to ensure that administrative reviews are conducted and reported appropriately.

We recommend that the State agency improve its oversight and monitoring of its Medicaid NEMT brokerage program by requiring that LogistiCare strengthen its procedures to ensure that (1) transport personnel are licensed and qualified, (2) NEMT services are adequately documented, (3) vehicles used to transport Medicaid beneficiaries meet State requirements (4) beneficiaries receive Medicaid-eligible medical services on the date of transportation, and (5) NEMT services are provided.