Perform an assessment of its prisoner medical request and medical claim review processes and implement a formal strategy that seeks to centralize critical functions where appropriate and considers modernizing elements of these processes to ensure the most effective and efficient administration of this critical program, including electronic processing. Such processing would enable the USMS to employ data analytical tools in its reviews of medical claims, thereby enhancing its controls and identification of problem areas.

Develop a strategy for obtaining and paying for dental care to maximize cost effectiveness. As part of this effort, the USMS should explore cost saving opportunities, including negotiating dental pricing in its contract solicitation or negotiating prices of common dental procedures with dental providers in order to reduce the variance in prices charged to the USMS.

Evaluate the access to care provided to USMS prisoners for dental services and ensure consistent access to care is provided throughout the 95 USMS districts.

Remedy the $7,841 in unallowable dental services identified by the OIG.

Develop and disseminate guidance to assist DOJ components in determining when a document constitutes a nondisclosure policy, form, or agreement subject to inclusion of the WPEA-required statement. This guidance should provide clarity on the terms "policies," "forms," or "agreements" because the WPEA does not define those terms.

Require all components to review documents identified by using the guidance developed as a result of recommendation number 1 and revise or update all such documents, as appropriate, to ensure they incorporate the full statutory language at 5 U.S.C. 2302(b)(13)(A).

Ensure that CADA establishes and implements written policies and procedures for its Victims of Crime Act VOCA performance reporting to accurately capture and report performance statistics.

Ensure CADA formally documents its procedures to help ensure compliance with the DOJ Grants Financial Guide requirement to track award funds separately.

Ensure its mileage calculation process captures driving miles as required by the FSA.

Ensure each inmate placement decision is sufficiently supported with proper documentation.

Incorporate controls such as address standardization and verification to ensure that each inmate's legal address is accurate throughout their time in custody and that legal address entries are populated with "No Residence" when appropriate.

Require the Lake County ROE to submit the developed training materials that were published to BJA for review.

Ensure the Lake County ROE updates its website and published materials to include the required funding notice and appropriate grant-related information.

Ensure the Lake County ROE develops and implements written policies and procedures that facilitate accurate performance reporting, including specific procedures for completing performance report categories that may not directly align with grant-related activities.

Remedy $137,034 in unsupported costs for the contract that did not comply with federal requirements.

Work with the Lake County ROE to develop and implement grant financial management policies and procedures to help ensure adequate administration of federal grant funds. In particular, these policies and procedures should cover, at a minimum: (1) the tracking and approval of employee time, (2) procurement and acquisition practices for federal awards, (3) preparing and submitting drawdown requests and FFRs, (4) the requirement to track award funds separately, and (5) the process for completing and reviewing bank reconciliations.

Ensure the Lake County ROE corrects and resubmits, as necessary, its inaccurate FFRs.

Ensure the Lake County ROE completes historical bank reconciliations for the grant period.

Ensure that CASA NH receives the necessary guidance to report only VOCA-funded activities in PMT and prorate, when applicable.

Ensure that CASA NH develops and implements written policies and procedures that clearly describe the process for separately tracking VOCA expenditures and income from other sources of funding.

Ensure that CASA NH implements written policies and procedures for the preparation and submission of quarterly reimbursement requests.

Ensure that CASA NH enhances its time and effort reporting controls to document supervisory review of employee activities to include the date of the review.

Ensure the CVG PD, in conjunction with the Airport Board, updates procurement policies and procedures to verify vendors for all qualified purchases are registered in SAM.gov and are not suspended or debarred.

Ensure the CVG PD, in conjunction with the Airport Board, updates the property management policies and processes to fully comply with OMB's Uniform Guidance requirements, and that the CVG PD updates its equitable sharing property records based upon those requirements.

Require Snohomish County to develop and implement written policies and procedures to ensure performance measures are calculated correctly and that source documents to support reported performance measures are retained.

Take appropriate action to ensure that the applicable Snohomish County officials responsible for executing the award adhere to the award requirements, to include compliance with the grant award conditions.

Confirm Snohomish County has complied with the three tested award conditions related to grant training, SAM.gov reporting, and pre-publication review of grant-funded materials.

Require Snohomish County to develop and implement written policies and procedures to provide subrecipients with the necessary federal funding information, which will help promote appropriate management of federal funds that complies with the Uniform Guidance and the DOJ Grants Financial Guide.

Require Snohomish County to develop and implement written policies and procedures for subrecipient monitoring, to include financial monitoring and performance monitoring, to ensure Snohomish County monitors subrecipients in accordance with the Uniform Guidance.

Ensure that Snohomish County performs financial monitoring as required by the Uniform Guidance and the recently developed and implemented Snohomish County's monitoring policy.