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Treasury Inspector General for Tax Administration

Controls over Coronavirus Response Funding

Evaluate controls implemented by the IRS to ensure the $765.7 million in appropriated funds received for its Coronavirus response is adequately tracked and used for its intended purpose. 
Small Business Administration OIG

Evaluation of SBA's Contract for Data Analysis and Loan Recommendation Services to Support the Office of Disaster Assistance

The Office of Inspector General will be conducting an evaluation of SBA's contract for data analysis and loan recommendation services to support the Office of Disaster Assistance. Our objectives are to determine whether SBA: (1) procured services for data analysis and loan recommendation services in accordance with 8(a) Program requirements and Federal Acquisition Regulations; and (2) effectively monitored the contractor's compliance with 8(a) Program requirements and subcontracting limitations.
Department of Health and Human Services OIG

Indian Health Service Use of Critical Care Response Teams To Support Health Care Facilities During the COVID-19 Pandemic

The Indian Health Service (IHS) is charged with providing comprehensive health care for approximately 2.6 million American Indians and Alaska Natives (AI/ANs). It is critical to ensure safe and accessible health care for AI/ANs during the COVID-19 pandemic. Prior OIG work found that IHS facilities often lack sufficient clinical and other staff, and identified numerous problems caused by staffing shortages, including limited patient access to specialists and problems with the use of contracted staff. The COVID-19 pandemic may exacerbate staffing shortages as IHS and Tribal hospitals continue to see more COVID-19 patients. As a response, IHS contracted additional staff by forming a Critical Care Response Team pilot program, which is designed to provide urgent medical care for COVID-19 patients in facilities with insufficient staffing. The teams are also charged with preparing and training frontline health care staff on evidence-based and best practices, supporting clinical decision making, and providing consultations and advice on hospital operations and how to manage critically ill patients. As of September 29, 2020, IHS had deployed five teams to provide services at six IHS-operated facilities and three tribally operated facilities and planned to make the program a longer-term part of IHS operations. Doing so could help remedy longstanding staffing shortages at IHS facilities. However, problems identified in prior OIG work indicate that IHS may have difficulty managing this contracted resource and integrating the teams into facility practices. OIG's review will use interviews with IHS and contracted staff, as well as document reviews, to assess IHS use of the Critical Care Response Teams, including development, management, and oversight of the teams, and IHS selection criteria for determining which facilities would receive deployments.
Department of Health and Human Services OIG

Medicare Telehealth Services During the COVID-19 Pandemic: Program Integrity Risks

In response to the COVID-19 pandemic, CMS implemented a number of waivers and flexibilities that allowed Medicare beneficiaries to access a wider range of telehealth services without having to travel to a health care facility. This review will be based on Medicare Parts B and C data and will identify program integrity risks associated with Medicare telehealth services during the pandemic. We will analyze providers' billing patterns for telehealth services. We will also describe key characteristics of providers that may pose a program integrity risk to the Medicare program.
Department of Health and Human Services OIG

Audit of National Domestic Violence Hotline and Shelter-in-Place Orders During the COVID-19 Pandemic

The COVID-19 pandemic poses special challenges for victims of domestic violence. Because of economic and other uncertainties surrounding the pandemic and the shelter-in-place orders in effect for most States, abusers may exert further power and control over their partners. Victims in these States are more socially isolated and have fewer opportunities to connect with others who may be able to assist them. Isolated victims may be less likely to use crisis hotlines because their abusers are close by, and victims may face repercussions if they reach out for help. For fiscal year 2020, the Administration for Children and Families allocated $12 million for the National Domestic Violence Hotline (the Hotline). The Hotline operates a 24-hour, national, toll-free, and confidential telephone hotline for victims of domestic violence. It maintains a comprehensive resource database on services for these victims and is the only 24/7 center in the Nation that has access to service providers and shelters across the United States. The Coronavirus Aid, Relief, and Economic Security Act provided additional funding of $2 million for the Hotline, including hotline services provided remotely. Our objectives are to identify: (1) trends with the Hotline data that occurred during nationwide shelter-in-place orders and (2) whether the Hotline faced challenges that occurred during States' shelter-in-place orders and actions it has taken to address these challenges while continuing to support those affected by domestic violence.
Department of Health and Human Services OIG

Audit of HRSA's Controls Over Medicare Providers' Compliance with the Attestation, Submitted-Revenue-Information, and Quarterly Use-of-Funds Reporting Requirements Related to the $50 Billion General Distribution of the Provider Relief Fund

A combined $175 billion in funding from the Coronavirus Aid, Relief, and Economic Security (CARES) Act and the Paycheck Protection Program and Health Care Enhancement Act constitutes the Provider Relief Fund (PRF), which provides relief funds to hospitals and other health care providers for health-care-related expenses or lost revenue attributable to COVID-19 and to ensure that uninsured Americans can get testing and treatment for COVID-19. HHS allocated $50 billion for a General Distribution to Medicare providers. Providers that receive PRF funds are subject to certain requirements for attestation, submission of revenue information, and reporting of quarterly use-of-funds to HHS. A provider that received a PRF payment and retained it for at least 90 days without contacting HHS regarding the payment is deemed to have accepted its terms and conditions. Further, a provider must submit general revenue data after receiving or when applying to receive a payment. Finally, according to the CARES Act, Division B, Title V, Section 15011(b)(2), no later than 10 days after the end of each calendar quarter, a provider that received more than $150,000 in total funds for the coronavirus response and related activities shall submit a report to HHS regarding the use of those funds. As part of the OIG's oversight of the $50 billion General Distribution of the PRF, we will provide a snapshot of the effectiveness of the Health Resources and Services Administration's (HRSA's) controls over Medicare providers' compliance with the attestation, submitted-revenue-information, and quarterly use-of-funds reporting requirements. Specifically, we will review HRSA's internal controls and assess its policies and procedures related to these areas.
Treasury Inspector General for Tax Administration

Coronavirus Aid, Relief and Economic Security (CARES) Act Provisions for Retirement Distributions

Assess the IRS's efforts to oversee the relief from taxes associated with early retirement distributions and the Required Minimum Distribution pursuant to the CARES Act.  
Small Business Administration

SBA's Handling of Identity Theft in the Economic Injury Disaster Loan Program

The Office of Inspector General Audits Division is conducting an inspection to assess SBA’s handling of identity theft in the Economic Injury Disaster Loan program; actions SBA has taken to provide relief to the victims; and actions SBA has taken to mitigate the risk of financial loss.
Agency for International Development OIG

Audit of USAID's Missions Capacity to Monitor During COVID-19

USAID missions are faced with the unprecedented burdens of continuing operations and routine monitoring of activities in the field—despite the constraints posed by the pandemic. The audit objectives are to (1) determine the extent to which USAID missions’ capacity to monitor programs has been impacted by COVID-19 and (2) assess to what extent USAID has taken steps to mitigate the effects of the pandemic on program monitoring.
Department of Health and Human Services OIG

Audit of Health Resources and Services Administration's COVID-19 Uninsured Program

To address the COVID-19 pandemic, the Families First Coronavirus Response Act (FFCRA) and the Paycheck Protection Program and Health Care Enhancement Act (PPP) together appropriated $2 billion to reimburse providers for costs associated with conducting COVID-19 testing and testing-related items and services for the uninsured. Additionally, a portion of the $175 billion appropriated to the Provider Relief Fund by the Coronavirus Aid, Relief, and Economic Security Act (CARES Act) and PPP will be used for treating uninsured individuals with a confirmed COVID-19 diagnosis. HHS, through the Health Resources and Services Administration (HRSA), launched the COVID-19 Uninsured Program Portal, a single electronic claims processing system for health care providers for submitting claims for reimbursements for diagnostic testing and treating uninsured individuals. We will determine whether claims for COVID-19 diagnostic testing and treatment services reimbursed by HHS through HRSA's COVID-19 Uninsured Program complied with Federal requirements.