Reports

Department of Health & Human Services OIG

Lessons Learned During the Pandemic Can Help Improve Care in Nursing Homes

Full Details: Oversight.gov Report Page

Inspection / Evaluation | 2/26/2024

Department of Health & Human Services OIG

CDC Has Improved the Nursing Home Reporting Process for COVID-19 Data in NHSN, but Challenges Remain

Full Details: Oversight.gov Report Page

Inspection / Evaluation | 1/08/2024

Election Assistance Commission OIG

Audit of the Help America Vote Act Grants Awarded to the Territory of American Samoa

EAC OIG, through the independent public accounting firm of McBride, Lock & Associates, LLC, audited $1.8 million in funds received by the territory of American Samoa under the Help America Vote Act. The objectives of the audit were to determine whether the Territorial Election Office of American Samoa: 1) used funds for authorized purposes in accordance with Section 101 and Section 251 of HAVA and other applicable requirements; 2) properly accounted for and controlled property purchased with HAVA payments; and 3) used the funds in a manner consistent with the informational plans provided to...

Full Details: Oversight.gov Report Page

Audit | 11/29/2023

1 - Open

We recommend that the EAC require the Office to return $77,074 to the EAC for CARES expenditures outside of the budget period.

10 - Open

We recommend that the EAC require the Office to implement a policy to ensure property purchased with federal funds is used, managed, and disposed in accordance with the Office’s procedures.

11 - Open

We recommend that the EAC require the Office to ensure all property purchased with Federal funds is placed on a compliant property record.

2 - Open

We recommend that the EAC require the Office to transfer to the Election Security election fund $130,945 for the unsupported non-payroll expenditures and $18,673 and associated fringe benefits for the unsupported payroll expenditures.

3 - Open

We recommend that the EAC require the Office to return $8,811 and associated fringe benefits to the EAC for the unsupported CARES Act payroll expenditures.

4 - Open

We recommend that the EAC require the Office to implement procedures and training to ensure adequate documentation is maintained to support the allowability of expenditures charged to the HAVA grants.

5 - Open

We recommend that the EAC require the Office to implement procedures to ensure interest is earned on any election funds received going forward.

6 - Open

We recommend that the EAC address and resolve the following recommendation that the Office perform a reconciliation of the grant activity for the Election Security grant through March 31, 2022 to ensure that all expenditures are fully disclosed and reconcile into the fund balance.

7 - Open

We recommend that the EAC address and resolve the following recommendation that the Office prepare and submit revised financial reports to the EAC for Election Security activities as of March 31, 2022.

8 - Open

We recommend that the EAC address and resolve the following recommendation that the Office implement procedures and training to ensure proper reporting of HAVA grant activity on future financial reports.

9 - Open

We recommend that the EAC require the Office to implement a policy to ensure amounts reported on the Territory-wide SEFA are properly identified by ALN title and number in compliance with Uniform Guidance.

Election Assistance Commission OIG

Audit of the Help America Vote Act Grants Awarded to the Territory of Guam

EAC OIG, through the independent public accounting firm of McBride, Lock & Associates, LLC, audited $1.8 million in funds received by the territory of Guam under the Help America Vote Act. The objectives of the audit were to determine whether the Guam Election Commission: 1) used funds for authorized purposes in accordance with Section 101 and Section 251 of HAVA and other applicable requirements; 2) properly accounted for and controlled property purchased with HAVA payments; and 3) used the funds in a manner consistent with the informational plans provided to EAC. The audit also determined if...

Full Details: Oversight.gov Report Page

Audit | 11/03/2023

Department of Health & Human Services OIG

New York City Department of Health and Mental Hygiene Charged Some Unallowable Costs to Its CDC COVID-19 Award

Full Details: Oversight.gov Report Page

Audit | 10/26/2023

Department of Health & Human Services OIG

CDC's Internal Control Weaknesses Led to Its Initial COVID-19 Test Kit Failure, but CDC Ultimately Created a Working Test Kit

Full Details: Oversight.gov Report Page

Audit | 10/24/2023

Department of Health & Human Services OIG

The Strategic National Stockpile Was Not Positioned To Respond Effectively to the COVID-19 Pandemic

Full Details: Oversight.gov Report Page

Audit | 10/16/2023

Department of Health & Human Services OIG

Home Health Agencies Rarely Furnished Services Via Telehealth Early in the COVID-19 Public Health Emergency

Full Details: Oversight.gov Report Page

Department of Health & Human Services OIG

Four States Reviewed Received Increased Medicaid COVID-19 Funding Even Though They Terminated Some Enrollees' Coverage for Unallowable or Potentially Unallowable Reasons

Full Details: Oversight.gov Report Page

Audit | 9/22/2023

Department of Health & Human Services OIG

Although IHS Allocated COVID-19 Testing Funds To Meet Community Needs, It Did Not Ensure That the Funds Were Always Used in Accordance With Federal Requirements

Full Details: Oversight.gov Report Page

Audit | 7/20/2023

23-A-07-091.01 - Open

We recommend that the Indian Health Service correct Purpose Statute violations totaling $19,912 relating to funds not used on COVID-19 testing and other testing-related activities from the Pine Ridge Service Unit (an IHS Direct program), and, if IHS is unable to correct those violations, report any Antideficiency Act violations.

23-A-07-091.02 - Open

We recommend that the Indian Health Service identify and correct any other Purpose Statute violations relating to funds not used on COVID-19 testing and other testing-related activities from the Families First Act and Paycheck Protection Act funds allocated to the IHS Direct programs within the GPAO, and, if IHS is unable to correct those violations, report any Antideficiency Act violations.

23-A-07-091.03 - Open

We recommend that the Indian Health Service recover $460,525 in funds not used on COVID-19 testing and other testing-related activities from the applicable sampled Tribal and UIO programs.

23-A-07-091.04 - Open

We recommend that the Indian Health Service identify and recover amounts not used for COVID-19 testing or other testing-related activities that we did not sample from remaining Tribal and UIO programs within the GPAO.

23-A-07-091.05 - Open

We recommend that the Indian Health Service develop and implement procedures to identify and deobligate any unused Families First Act funds that expired on September 30, 2022, from all locations within the GPAO.

23-A-07-091.06 - Open

We recommend that the Indian Health Service develop and provide adequate guidance to programs within the GPAO on the proper use of Paycheck Protection Act funds in accordance with Federal requirements.

23-A-07-091.07 - Open

We recommend that the Indian Health Service strengthen its review process to ensure that modifications to ISDEAA agreements and IHCIA/FAR contracts contain complete and accurate information, including the funding source, amount awarded, and applicable language required under the funding source.

23-A-07-091.08 - Open

We recommend that the Indian Health Service provide adequate guidance to the programs on how to track and account for funds allocated and used under the Paycheck Protection Act.

23-A-07-091.09 - Open

We recommend that the Indian Health Service work with Tribal and UIO programs within the GPAO that we did not sample to ensure that they have properly tracked and accounted for funds used under the Paycheck Protection Act.

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State/Local Agency

State (State and Local Reports)

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Agency Reviewed

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Management Challenges

Any Recommendations

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Reports

Lessons Learned During the Pandemic Can Help Improve Care in Nursing Homes

CDC Has Improved the Nursing Home Reporting Process for COVID-19 Data in NHSN, but Challenges Remain

Audit of the Help America Vote Act Grants Awarded to the Territory of American Samoa

Audit of the Help America Vote Act Grants Awarded to the Territory of Guam

New York City Department of Health and Mental Hygiene Charged Some Unallowable Costs to Its CDC COVID-19 Award

CDC's Internal Control Weaknesses Led to Its Initial COVID-19 Test Kit Failure, but CDC Ultimately Created a Working Test Kit

The Strategic National Stockpile Was Not Positioned To Respond Effectively to the COVID-19 Pandemic

Home Health Agencies Rarely Furnished Services Via Telehealth Early in the COVID-19 Public Health Emergency

Four States Reviewed Received Increased Medicaid COVID-19 Funding Even Though They Terminated Some Enrollees' Coverage for Unallowable or Potentially Unallowable Reasons

Although IHS Allocated COVID-19 Testing Funds To Meet Community Needs, It Did Not Ensure That the Funds Were Always Used in Accordance With Federal Requirements

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