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entitled 'Social Security Administration: Policies and Procedures Were 
in Place over MMA Spending, but Some Instances of Noncompliance 
Occurred' which was released on October 1, 2007. 

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Report to the Committee on Finance, U.S. Senate: 

United States Government Accountability Office: 

GAO: 

August 2007: 

Social Security Administration: 

Policies and Procedures Were in Place over MMA Spending, but Some 
Instances of Noncompliance Occurred: 

Social Security Administration: 

GAO-07-986: 

GAO Highlights: 

Highlights of GAO-07-986, a report to the Committee on Finance, U.S. 
Senate. 

Why GAO Did This Study: 

The Medicare Prescription Drug, Improvement, and Modernization Act of 
2003 (MMA) created a voluntary outpatient prescription drug benefit as 
part of the Medicare program, and appropriated up to $500 million for 
the Social Security Administration (SSA) to fund the start-up 
administrative costs in meeting its responsibilities to implement MMA. 
SSA was given a great deal of discretion in how to use the funds and 
the act provided little detail on how the funds were to be spent. You 
asked us to review SSA’s costs for implementing MMA to determine (1) 
how the MMA funds were expended, (2) what procedures SSA has in place 
over the use of those funds, and (3) how SSA complied with those 
procedures related to contractor and vendor payments. 

What GAO Found: 

SSA spent the $500 million in MMA funds from December 2003 through 
January 2006 to implement activities outlined in MMA. The majority of 
costs paid with MMA funds consisted of personnel-related expenses, 
contractors, and indirect costs. More than half of the funds were spent 
on payroll for staff hours used on MMA activities in SSA headquarters 
and field offices (see table). Once the $500 million was spent, SSA 
began to use its general appropriation to fund the remaining costs of 
implementing MMA activities. SSA used its cost analysis system to track 
the total costs of its implementation of MMA activities. As of February 
20, 2007, SSA had completed implementation of 16 of the 22 tasks for 
the six provisions under the act. 

SSA had agencywide policies and procedures in place for its cost 
tracking and allocation, asset accountability, and invoice review 
processes. It also established specific guidance to assign and better 
allocate SSA’s costs in implementing MMA. There were some instances 
though where SSA did not comply with these policies and procedures. SSA 
did not effectively communicate the specific MMA-related guidance to 
all affected staff. SSA subsequently identified and corrected at least 
$4.6 million of costs that initially were incorrectly allocated to MMA, 
but had not corrected approximately $313,000 misallocated credit card 
purchase transactions. In addition, GAO found instances where 
accountable assets purchased with MMA funds, such as electronic and 
computer equipment, were not being properly tracked by SSA in 
accordance with its policies and instances where purchase card 
transactions were not properly supported. Although purchase card 
transactions and accountable asset purchases represented a small 
percentage of total MMA costs, proper approval and support for these 
types of transactions is essential to reduce the risk of improper 
payments. 

Table: Breakdown of SSA's Reported Costs Paid with MMA Funds by 
Category: 

Expense category: Personnel-related expenses; 
Amount (in thousands): $261,160; 
Percentage: 52.2. 

Expense category: Indirect allocated costs; 
Amount (in thousands): 116,733; 
Percentage: 23.4. 

Expense category: Contractors; 
Amount (in thousands): 91,692; 
Percentage: 18.3. 

Expense category: Government agencies; 
Amount (in thousands): 27,898; 
Percentage: 5.6. 

Expense category: Purchase card payments; 
Amount (in thousands): 2,517; 
Percentage: 0.5. 

Total; 
Amount (in thousands): $500,000; 
Percentage: 100%. 

Source: SSA, Cost Analysis System reports; Fiscal years 2004 through 
2006. 

[End of table] 

What GAO Recommends: 

GAO made three recommendations to help ensure SSA’s (1) ability to 
track costs of program activities, including those paid with special 
appropriation funds, (2) controls over its review and approval process 
for purchase card payments, and (3) tracking of its accountable assets. 
SSA generally agreed with two of our recommendations and disagreed with 
the one recommendation. GAO reaffirms its position on all of its 
findings and recommendations. 

[hyperlink, http://www.gao.gov/cgi-bin/getrpt?GAO-07-986]. 

To view the full product, including the scope and methodology, click on 
the link above. For more information, contact Jeanette Franzel at (202) 
512-9471 or FranzelJ@gao.gov. 

[End of section] 

Contents: 

Letter: 

Results in Brief: 

Background: 

The Majority of Reported Costs Incurred Using MMA Funds Consisted Of 
Personnel-Related and Contractor Expenses, and Indirect Costs: 

SSA Had Policies and Procedures for Tracking MMA Funds but They Were 
Not Complied with Consistently: 

Conclusions: 

Recommendations for Executive Action: 

Agency Comments and Our Evaluation: 

Appendix I: Objectives, Scope, and Methodology: 

Appendix II: Comments from the Social Security Administration: 

Appendix III: GAO Contact and Staff Acknowledgments: 

Tables: 

Table 1: SSA's Reported Cost Outlays Covered by the Medicare Trust 
Funds for 5 Years Ended in Fiscal Year 2006: 

Table 2: Breakdown of SSA's Reported MMA Administrative Costs by 
Category: 

Table 3: Breakdown of Completed Tasks under MMA by Major Provision, as 
of February 2007: 

United States Government Accountability Office: 

Washington, DC 20548: 

August 31, 2007: 

The Honorable Max Baucus: 
Chairman: 
The Honorable Charles Grassley: 
Ranking Member: 
Committee on Finance: 
United States Senate: 

The Congress passed the Medicare Prescription Drug, Improvement, and 
Modernization Act of 2003 (MMA),[Footnote 1] which represented the most 
significant expansion of the Medicare program since its enactment in 
1965. The act was established to (1) provide for a voluntary program 
for prescription drug coverage under the Medicare[Footnote 2] program 
(referred to as Medicare Part D), (2) modernize the Medicare program, 
(3) allow a deduction to individuals for amounts contributed to health 
savings security accounts and health savings accounts, (4) provide for 
the disposition of unused health benefits in cafeteria plans and 
flexible spending arrangements, and (5) for other purposes. The MMA 
included an appropriation of $500 million for the Social Security 
Administration (SSA) to fund the start-up administrative costs to 
implement MMA. SSA was given a great deal of discretion in how to use 
the funds as the act provided little detail on how the funds were to be 
spent. You asked us to review SSA's use of MMA funds to implement MMA 
activities to determine (1) how those funds were expended, (2) what 
procedures SSA has in place over the use of those funds, and (3) how 
SSA complied with those procedures related to contractor and vendor 
payments. 

We reviewed MMA and discussed its impact with SSA to obtain an 
understanding of SSA's responsibilities under the act. We also reviewed 
the policies and regulations SSA had to track and report the use of MMA 
funds implementing MMA provisions, as well as additional guidance 
established by SSA officials to track the spending of MMA funds for MMA 
implementation. We obtained cost and other information on SSA's 
implementation activities from officials in the agency's headquarters 
in Baltimore, Maryland. In addition, we discussed specific cost 
information with officials and staff in headquarters and field offices 
that were responsible for particular transactions. To obtain specific 
cost and program information, as well as information related to 
specific financial statement issues, we reviewed our reports and 
reports from SSA's independent financial statement auditors. We also 
tested individual transactions for adequate supporting documentation, 
authorization, and evidence of purchase and receipt, as well as 
accountability of assets purchased with MMA funds. We provided SSA a 
draft of this report for review and comment. SSA provided written 
comments, which are reprinted in appendix II. SSA also provided 
technical comments, which we have incorporated as appropriate. We 
conducted our work in Washington, D.C. and Baltimore, Md., from March 
2006 through June 2007 in accordance with generally accepted government 
auditing standards. Appendix I provides a detailed description of our 
scope and methodology. 

Results in Brief: 

SSA spent $500 million of MMA appropriated funds from December 2003 
through January 2006 on MMA implementation activities. The majority of 
the funding was used for personnel-related expenses, contractors, and 
indirect costs. SSA financial reports show that more than half of the 
funds were spent on personnel-related costs for staff hours for MMA 
activities in SSA's headquarters and field offices. Once the $500 
million was spent, SSA began to use its Limitation on Administrative 
Expenses (LAE)[Footnote 3] appropriation to fund the remaining costs of 
implementing the MMA activities. SSA used its financial Online 
Accounting and Reporting System (SSOARS)[Footnote 4] and its cost 
analysis system (CAS) to track the overall costs of implementing the 
MMA provisions. As of February 20, 2007, SSA had completed work on 16 
of the 22 tasks SSA developed to implement provisions affecting SSA 
under the act. 

SSA had agencywide policies and procedures in place over its cost 
tracking and allocation, asset accountability, and invoice review 
processes. It also established specific MMA-related guidance to 
specifically track and account for costs of implementing MMA. There 
were some instances where SSA did not comply with those procedures. SSA 
did not effectively communicate the specific MMA-related guidance to 
all affected staff. As a result, while SSA subsequently identified and 
corrected at least $4.6 million of costs that initially were 
incorrectly allocated to MMA, it did not correct the misallocation of 
approximately $313,000 of credit card purchase transactions. We also 
identified transactions, paid for using SSA's government purchase card, 
which were not properly approved or were not adequately supported as 
MMA-related activities. Although purchase card transactions represented 
a small percentage of total MMA implementation costs, proper approval 
and support for these transactions is essential to reduce the risk of 
improper purchases. In addition, we identified instances where 
accountable assets[Footnote 5] purchased with MMA funds, such as 
electronic and computer equipment, were not properly tracked by SSA in 
accordance with its policies, raising the risk that equipment could be 
lost or stolen without detection. 

We are making three recommendations to address the issues identified in 
the report to enhance SSA's (1) ability to track costs of program 
activities, including those paid with special appropriation funds, (2) 
controls over its review and approval processes for purchase card 
payments, and (3) ability to track accountable assets purchased. In 
written comments on a draft of this report, SSA generally agreed with 
two of the recommendations and disagreed with one recommendation, 
stating that the recommendation was too broad and that SSA's current 
guidance was sufficient. By design this recommendation is broad to 
provide SSA management flexibility to determine the most appropriate 
actions needed to correct issues with authorization and documentation 
of purchase card transactions, where we found unacceptably high error 
rates. These comments are presented and evaluated in the Agency 
Comments and Our Evaluation section of this report and are reprinted in 
appendix II. SSA also provided technical comments that we incorporated 
as appropriate. 

Background: 

MMA enacted and affected a number of activities that SSA identified as 
related to its responsibilities. Listed are six provisions enumerated 
in MMA affecting SSA, and the Medicare-related functions and activities 
undertaken by SSA as a result. 

* Prescription Drug Program (Part D) and Low Income Subsidy (LIS)-In 
addition to establishing a beneficiary outreach demonstration project 
for this provision, SSA is responsible for developing forms and 
procedures for LIS including a simplified application, conducting 
education and outreach activities, and processing LIS appeals. In 
addition, SSA will use computer matching data for verification of 
attestations, process subsidy-changing events, periodically redetermine 
LIS eligibility, and deduct Part D premiums when the beneficiary 
chooses to have their premium withheld from their Title II benefit 
payment and the Centers for Medicare and Medicaid Services (CMS) 
notifies SSA of this. SSA was also responsible for transferring 
premiums withheld from Title II benefit payments to CMS. 

* Medicare Prescription Drug Discount Card Program-SSA will support CMS 
administration of this program by providing data from SSA's records and 
data obtained from other federal agencies on potentially eligible 
Medicare beneficiaries for transitional assistance. 

* TRICARE-SSA will be responsible for enrolling TRICARE[Footnote 6] 
beneficiaries into Medicare Part B, calculating their premiums, and 
refunding excess premiums paid. 

* Medicare Part B Premium-SSA is tasked with implementing Medicare Part 
B income-based premium subsidy reductions for beneficiaries with income 
above a stipulated level. SSA will also collect the income-related 
monthly amount from the Title II benefit payment and transfer the 
premiums withheld from Title II benefit payments to CMS, and process 
appeals of the initial determination. 

* Medicare Advantage (MA) Part C-SSA will compute and collect Part C 
premiums when the beneficiary chooses to have premiums deducted from 
his or her Title II benefit payment and transfer premiums withheld from 
Title II benefit payments to CMS. 

* Health Savings Accounts-SSA will obtain information from employer 
reports, record the information on SSA's records, and pass the 
information to the Internal Revenue Service. 

As a result of the enactment of MMA, SSA conducts outreach efforts to 
identify individuals entitled to benefits or enrolled under the 
Medicare program under Title 18 of the Social Security Act, who may be 
eligible for transitional assistance under the Medicare Prescription 
Drug Discount Card Program and premium and cost-sharing subsidies under 
the Prescription Drug Card Part D Program. SSA continues to have a role 
in the outreach to low-income Medicare beneficiaries for payment of 
Medicare cost-sharing under the Medicaid program. SSA is also required 
to verify the eligibility of applicants for the subsidy under MMA who 
self-certify their income, resources, and family size. To determine 
whether a Medicare beneficiary is eligible for a subsidy, SSA collects 
information on whether the individual has income up to 150 percent of 
the federal poverty guidelines. SSA has established a database to 
maintain the information it collects and shares information on those 
eligible and ineligible for subsidies with CMS. 

To implement the new responsibilities under MMA, SSA established a 
Medicare Prescription Drug Planning and Implementation Task Force in 
December 2003. The objectives of the task force included identifying 
the potentially eligible population, the number and locations of 
potential workloads and staff and material resource needs, and agreeing 
on specific responsibilities with other federal government agencies. 
SSA also identified the specific tasks to carry out the implementation 
of the activities for each of the provisions under MMA, including 
designing and managing the planning and implementation processes; 
issuing regulations; and developing and implementing communication 
strategies, budget, appeals process, subsidy-changing event process, 
redetermination process, and strategies for service delivery. 

Under MMA, the Congress provided SSA with a $500 million appropriation 
to fund SSA's start-up administrative costs to implement MMA, during 
fiscal years 2004 and 2005, but later extended this budget authority to 
fiscal year 2006. SSA reported that the $500 million for these 
administrative costs was exhausted in January 2006, and MMA costs are 
now funded using the LAE. LAE is SSA's basic administrative account and 
is an annual appropriation financed from the Social Security and 
Medicare trust funds. 

The total amount of SSA administrative costs covered by the Medicare 
Trust Funds to fund SSA's Medicare responsibilities has increased with 
the enactment of MMA. Prior to the establishment of Part D under MMA, 
Medicare did not generally pay for outpatient prescription drugs, but 
it did provide health insurance to individuals who are either 65 or 
older or disabled. Table 1 reflects SSA's reported administrative cost 
outlays covered by the Medicare Trust Funds for implementing MMA 
activities and other Medicare activities. 

Table 1: SSA's Reported Cost Outlays Covered by the Medicare Trust 
Funds for 5 Years Ended in Fiscal Year 2006: 

Dollars in millions. 

Fiscal year: 2002; 
MMA: $0.0; 
Non-MMA: $1,180.9; 
Total SSA outlays applicable to Medicare: $1,180.9. 

Fiscal year: 2003; 
MMA: 0.0; 
Non-MMA: 1,214.6; 
Total SSA outlays applicable to Medicare: 1,214.6. 

Fiscal year: 2004; 
MMA: 52.4; 
Non-MMA: 1,185.5; 
Total SSA outlays applicable to Medicare: 1,237.9. 

Fiscal year: 2005; 
MMA: 338.6; 
Non-MMA: 1,372.3; 
Total SSA outlays applicable to Medicare: 1,710.9. 

Fiscal year: 2006; 
MMA: 109.0; 
Non-MMA: 1,571.2; 
Total SSA outlays applicable to Medicare: 1,680.2. 

Total; 
MMA: $500.0; 
Non-MMA: $6,524.5; 
Total SSA outlays applicable to Medicare: $7,024.5. 

Source: SSA, Budget Justification for Appropriations Committees, Fiscal 
Years 2004 through 2008, and additional documentation provided by SSA 
Office of Budget, Finance and Management. 

[End of table] 

The Majority of Reported Costs Incurred Using MMA Funds Consisted Of 
Personnel-Related and Contractor Expenses, and Indirect Costs: 

SSA reported spending the $500 million MMA funds from December 2003 
through January 2006 on activities to implement the provisions 
specified in MMA. SSA's financial reports showed that almost all of the 
funding reported was used for personnel-related expenses, contractors, 
and indirect costs (see table 2). More than half of the funds were 
spent on personnel-related expenses for staff hours used on MMA 
activities at SSA's headquarters and field offices. Once the $500 
million was spent, MMA costs were funded by SSA's LAE appropriation. 
SSA used its financial accounting and reporting system, SSOARS, and its 
cost analysis system (CAS) to track overall costs related to the 
implementation of MMA legislation. SSA did not separately track the 
administrative costs incurred to implement the individual provisions 
under MMA legislation because the act did not specifically require SSA 
to do so and it was not cost effective to do so. 

Table 2: Breakdown of SSA's Reported MMA Administrative Costs by 
Category: 

Dollars in thousands. 

Personnel-related expenses; 
Amount: $261,160; 
Percentage: 52.2. 

Indirect allocated costs; 
Amount: 116,733; 
Percentage: 23.4. 

Contractors; 
Amount: 91,692; 
Percentage: 18.3. 

Government agencies; 
Amount: 27,898; 
Percentage: 5.6. 

Purchase card payments; 
Amount: 2,517; 
Percentage: 0.5. 

Total; 
Amount: $500,000; 
Percentage: 100%. 

Source: SSA, CAS reports, fiscal years 2004 through 2006. 

[End of table] 

SSA reported that it spent approximately $261 million on personnel- 
related expenses, which consisted of salaries and related benefits for 
both newly hired and existing SSA employees. As a result of MMA, SSA 
hired and trained more than 2,200 new employees at its field offices 
and 500 at headquarters to handle the additional workload created by 
SSA's new responsibilities under MMA. Personnel-related expenses 
included salaries for current SSA employees who were also involved in 
activities related to implementing MMA, including the new Medicare Part 
D responsibilities. Many of these employees may have been engaged in 
work on other SSA programs during the same time. SSA used CAS to 
prorate these employees' salaries and related expenses based on the 
amount of time employees charged to MMA and various other SSA 
responsibilities. 

SSA reported indirect costs of approximately $117 million for MMA 
implementation. During each year, SSA incurred administrative costs in 
support of the various programs. For example, SSA makes rental payments 
for most of the approximately 1,300 regional field offices it has 
located around the country and staff in these offices perform duties 
related to all of the programs administered by SSA, including MMA. In 
order to allocate these administrative costs to each of its programs, 
SSA used its cost analysis system, CAS, to charge certain types of 
costs either proportionally or in full against the MMA appropriation. 
SSA charges both direct and indirect costs to its programs[Footnote 7] 
either by directly charging specific program-related amounts to the 
affected program in SSOARS or using CAS to allocate personnel-related 
and general administrative costs that apply to more than one SSA 
program. CAS accounts for work-years and costs for each program 
administered by SSA by specific subfunctions within the SSA programs. 
It is a centralized, computer-based system that uses data from the 
financial reporting system to break out costs at SSA by program and 
major functions. The main objective of CAS is to distribute costs 
equitably across programs and among the various trust funds and general 
funds. However, SSA stated that systems modifications to enable 
tracking MMA administrative costs by each of the MMA provisions were 
not required by the legislation and that it would not have been cost 
effective to modify the system. 

SSA reported that $119.6 million in MMA funds went to contractors, 
vendors, and other government agencies that provided various goods and 
services necessary for SSA to meet its responsibilities under MMA. Some 
of the largest reported expenditures included: 

* $34.2 million paid to one contractor for software systems development 
and support; 

* $23 million paid to one contractor for telephone-based beneficiary 
outreach and information distribution; 

* $18.6 million to the United States Postal Service for mass mailings 
and other paper-based information distribution; 

* $11.4 million to one contractor for computer hardware and software 
upgrades; and: 

* $6.5 million to the Government Printing Office for the design and 
production of informational mailings, posters, and other printed 
materials. 

The remaining expenditures to other contractors, vendors, and 
government agencies for goods and services charged to the MMA 
implementation appropriation included additional computer hardware, 
software development, and information systems support, as well as 
installation and reconfiguration of MMA service centers workstations. 

As of February 2007, SSA reported it had completed 16 of the 22 tasks 
for implementing six provisions of MMA. SSA is continuing its 
implementation of the remaining six tasks using LAE funding. Table 3 
provides a breakdown of the 22 tasks by major MMA provision. 

Table 3: Breakdown of Completed Tasks under MMA by Major Provision, as 
of February 2007: 

MMA provision: Part D - Prescription Drug Program; 
Number of tasks: 8; 
Number completed: 7. 

MMA provision: Part B - Income-Related Premiums; 
Number of tasks: 6; 
Number completed: 3. 

MMA provision: TRICARE; 
Number of tasks: 3; 
Number completed: 3. 

MMA provision: Health Savings Account; 
Number of tasks: 2; 
Number completed: 2. 

MMA provision: Drug Discount Card; 
Number of tasks: 1; 
Number completed: 1. 

MMA provision: Beneficiary Outreach Demonstration Project; 
Number of tasks: 2; 
Number completed: 0. 

MMA provision: Total tasks; 
Number of tasks: 22; 
Number completed: 16. 

Source: SSA. 

[End of table] 

SSA Had Policies and Procedures for Tracking MMA Funds but They Were 
Not Complied with Consistently: 

SSA had agencywide policies and procedures in place over its cost 
tracking and allocation, asset accountability, and invoice review and 
approval processes. SSA also established specific guidance to charge 
and allocate its costs to implement MMA. However, those policies and 
procedures were not always complied with consistently. We found that 
SSA did not effectively communicate the specific MMA-related guidance 
to all relevant staff. This ineffective communication resulted in 
millions of dollars of costs being misallocated to MMA. Some of these 
misallocations were subsequently detected by SSA and corrected during 
SSA's review process. In the area of purchase card transactions, which 
represented: 

0.5 percent of the $500 million, we found some instances where credit 
card purchases had not yet been correctly allocated to MMA. In 
addition, we found that some purchases made with credit cards were not 
properly supported or reviewed and may not have been a proper use of 
MMA funds. Finally, noncompliance with SSA policies and procedures over 
asset accountability resulted in inadequately tracked accountable 
assets that were purchased with MMA funds. 

SSA Did Not Effectively Communicate MMA-Related Guidance Resulting in 
Misallocation of Costs to MMA: 

In order to track costs associated with the development and 
implementation of SSA's MMA-related activities, SSA used existing 
processes and applications, such as CAS, expanded existing processes, 
such as establishing unique common accounting numbers (CAN) for MMA- 
related costs, and implemented new processes, such as the online time 
recording system for MMA-related time spent by administrative staff. In 
addition, SSA developed specific cost accounting principles for each of 
its major offices which, when appropriately applied, would enable the 
offices to allocate nonpersonnel costs among MMA-related activities and 
across other SSA operating activities. However, the lack of a formal 
process to ensure that this critical information was communicated to 
the appropriate level within the SSA offices resulted in misallocation 
of costs to MMA. 

In January 2004, SSA initiated a process to expand on its cost 
accounting process to track and report the cost of implementing the MMA-
related activities. The Deputy Commissioner for Finance, Assessment, 
and Management issued a series of three memoranda to senior officials 
containing policies and procedures for reporting time spent and 
updating cost accounting principles associated with MMA planning and 
implementation efforts. These memoranda included accounting codes and 
procedures for tracking costs specific to implementing MMA activities, 
reporting formats for MMA-related costs, and updated cost accounting 
principles for LAE and MMA allocations. 

In May 2005 the Deputy Commissioner for Finance, Assessment, and 
Management issued a memorandum to the deputy commissioners and other 
key officers for all SSA offices, which reemphasized the need to 
properly account for MMA-related costs, provided updated cost 
accounting principles for costs associated with the planning and 
implementation of MMA, and requested SSA-wide assistance in accurately 
applying these principles. The updated cost accounting principles were 
included in a table that was attached to the memorandum. The table 
provided specific guidance for each office on the cost principle 
methodology to apply for specific types of costs in order to allocate 
the costs between the component's regular resource allocations and the 
MMA funding. In addition, the memorandum requested that each component 
identify an individual who would aid in ensuring these principles were 
appropriately applied. 

We met with SSA staff to discuss the policies and procedures in place 
to disseminate these critical memoranda within SSA. We found that not 
all staff responsible for MMA activities were aware of the guidance. We 
were told that there was no specific guidance related to the 
dissemination of key management memoranda. The May 2005 memorandum was 
addressed to the deputy commissioners of each of SSA's major offices, 
and it clearly stated the importance of applying the principles 
described. We obtained information and documentation from the 
individuals identified as the contact employee for each component to 
aid in the effort. We found that there was no mechanism in place to 
help ensure that all memoranda were disseminated to all relevant staff 
at SSA's headquarters and field offices. 

Timely and thorough communication of operational procedures is critical 
in ensuring that an agency is able to perform its responsibilities 
effectively. Our Standards for Internal Control in the Federal 
Government state that for an entity to run and control its operations, 
it must have relevant, reliable, and timely communications relating to 
internal as well as external events. Information is needed throughout 
the agency to achieve its internal control objectives. Operating 
information is also needed to determine whether the agency is achieving 
its compliance requirements under various laws and regulations. 
Pertinent information should be identified, captured, and distributed 
in a form and time frame that permits people to perform their duties 
efficiently. Effective communications should occur in a broad sense 
with information flowing down, across, and up through the organization. 

As a result of the ineffective communication of MMA-related guidance, 
at least $4.6 million of costs were initially incorrectly allocated to 
MMA. SSA's offices went through a process to review the allocation of 
the charges between MMA and LAE appropriation activities, and make 
appropriate adjustments. The offices identified numerous transactions 
and adjusted the transaction amounts to reflect the appropriate 
allocation of costs between MMA and the LAE appropriation. In total 
they identified transactions totaling more than $4.6 million that had 
not initially been properly allocated to LAE. However, SSA officials 
agreed that they had probably not identified all of the transactions 
that had not been properly allocated and should have been adjusted, 
such as purchase card purchases. 

In addition, during our review of the supporting documentation of MMA 
purchase card transactions, we found 48 purchases totaling $375,313 
that had been charged entirely to MMA when a portion of those costs 
should have been allocated to other SSA programs. The purchases 
included more than 160 digital projectors, furniture, and other IT 
equipment such as routers, servers, and tape libraries. While some of 
these items were initially purchased to carry out MMA-related 
activities, such as beneficiary outreach, SSA realized that they would 
also be used for SSA programs other than MMA in the future. Therefore, 
according to the guidance on accounting for MMA-related expenses, the 
offices should have charged only one-sixth of the costs for equipment 
to MMA, with the remainder of the cost charged to the LAE appropriation 
account to be further allocated across other SSA programs. However, 
these costs were not allocated as described above and as a result; SSA 
over-allocated these costs against the MMA appropriation by 
approximately $313,000. 

SSA Asset Accountability Policies and Procedures Were Not Consistently 
Followed for Assets Purchased for MMA Activities: 

SSA had policies and procedures for purchasing assets and for 
maintaining accountability for those assets. Included were definitions 
of the types of assets for which SSA required the requestor to affix 
bar codes for identification and record in SSA's asset inventory 
system. In addition, SSA issued an acquisition alert on the purchase of 
accountable sensitive and personal government property, which reminded 
purchase card holders that they were required to provide information to 
the requestor to ensure that the purchases were reported to their 
property management or custodial officers so that the property was 
properly bar-coded and entered into SSA's property system. However, we 
found in our review of accountable property purchases that for 21 of 36 
transactions that we tested, the purchasers were not aware of their 
responsibility to provide the requestor of the property with 
information on the property purchased. 

The 36 transactions we reviewed included a total of 3,254 accountable 
property items with a total cost of approximately $4.2 million. As of 
May 25, 2007, SSA had not properly identified 317 of these items with 
bar codes or included these assets in the asset inventory system. These 
items included assets such as information technology network servers 
and switches, digital projectors, and other electronic equipment. These 
items had a total cost of approximately $1.3 million. As a result, 
hundreds of assets purchased with MMA funds were not properly accounted 
for and SSA was unable to provide us with bar codes or evidence of 
inclusion of those assets in SSA's asset inventory system. 

Some Credit Card Purchases Were Not Properly Approved or Supported: 

SSA also has guidance for credit card purchases applicable to 
micropurchases and purchases made by contracting officers. According to 
SSA policy on micro-purchasing, credit card purchases are limited to 
$2,500, must have funds pre-approved, and may not be used to split 
purchases into more than one transaction to avoid purchase limits. In 
addition, all credit card purchases must be documented, including 
written requests, approvals, and proof of purchase and delivery, and 
maintained by the cardholders for 3 years. 

Over the last several years, inspectors general and we have reported 
that some federal agencies do not have adequate internal control over 
their purchase card programs. Without effective internal control, 
management does not have adequate assurance that fraudulent, improper, 
and abusive purchases are being prevented or, if occurring, are being 
promptly detected with appropriate corrective actions taken. 
Supervisory approval of purchase requests is a principal means of 
ensuring that only valid transactions are initiated or entered into by 
persons acting within the scope of their authority, and the proper 
amounts are paid to contractors and appropriately charged. A 
supervisory review of purchase requests is also critical because a 
supervisor or approving official may be the only person other than the 
purchaser who would be in a position to identify an inappropriate 
purchase. Therefore, the supervisor's or approving official's review is 
a critical internal control for ensuring that purchases are appropriate 
and comply with agency regulations. However, we identified invoices 
that were paid for questionable amounts without the appropriate 
supervisory review and approval. Of the 147 purchase card transactions 
we reviewed, we found 45 transactions totaling $63,828 that did not 
have proper approval or did not have adequate support for the propriety 
of the purchase. 

While SSA's micro-purchase card policy requires the purchaser to 
receive an approved purchase request before acquiring goods or 
services, we noted instances in which the supervisory review or 
approval was inadequate. We identified the following 18 transactions 
totaling $31,914 that were initiated and completed by cardholders 
without proper prior approval. 

* For 8 transactions totaling $17,454, the approvals on the request 
authorization form occurred after the items had already been purchased 
by the cardholders. 

* For 2 transactions totaling $2,163, the authorizing signatures were 
provided on the request authorization form before the request was 
signed by the requestor. 

* For 2 transactions totaling $3,984, SSA could not provide evidence 
that the electronic signatures on the purchase requests represented 
valid authorizations. 

* For 6 transactions totaling $8,313, SSA did not provide evidence that 
the purchase requests, which authorize the purchase of goods to be 
made, were approved. 

We also found instances where the supporting documentation did not 
provide evidence to support that the costs were related to SSA's 
implementation of MMA. We found the following 27 transactions totaling 
$31,914 for which sufficient supporting evidence was not provided. 

* For 6 transactions totaling $7,077, SSA did not provide any 
documentation to support the purchases. 

* For 21 transactions totaling $24,837, SSA could not provide 
sufficient evidence of any relationship between the goods and services 
purchased and implementation of MMA. The items purchased included five 
wireless headsets, one big-screen television, remote control devices 
for PowerPoint presentations, and engraved items. In addition to being 
unable to relate these purchases to the implementation of MMA, we found 
no evidence these items were necessary purchases for SSA. 

In addition, we found evidence that one cardholder circumvented the 
$2,500 per transaction purchase authority by submitting four purchase 
requests for the purchase of audio and video media (CDs, DVDs, and VHS 
tapes) from a single vendor on the same day. As a result, the 
cardholder ultimately paid a total of $4,365 for four invoices, which 
was $1,865 above the $2,500 purchase authority limit. 

Conclusions: 

SSA had existing policies and procedures in place to track and report 
the total costs it incurred to implement MMA provisions and to maintain 
accountability and control over its MMA-related activities. However, 
procedures and controls over purchase card transactions and asset 
accountability could be improved. Although purchase card transactions 
and accountable asset purchases represented a small percentage of the 
total MMA administrative costs that were paid with MMA funds, having 
effective controls in place to ensure the proper approval, support, and 
accountability for these transactions is essential to reduce the risk 
of improper purchases and improperly accounted for assets. 

Recommendations for Executive Action: 

To enhance SSA's (1) ability to track the costs of program activities 
including MMA administrative costs, (2) controls over its review and 
approval processes for purchase card payments, and (3) tracking of its 
accountable assets, we recommend that the Commissioner of Social 
Security: 

* establish procedures to ensure better dissemination of policies and 
procedures to all relevant offices and staff; 

* establish additional detailed procedures for a purchase card 
supporting documentation review and approval process to help ensure 
that purchase card payments are properly supported, allowable, and 
allocated; and: 

* reinforce existing policies and procedures for the purchase of 
accountable assets to ensure that accountable assets are bar coded, 
recorded in SSA's asset inventory system, and inventoried periodically. 

Agency Comments and Our Evaluation: 

In written comments reprinted in appendix II, SSA generally agreed with 
two of our recommendations, but disagreed with one recommendation. SSA 
also stated its belief that our report title, SSA Policies and 
Procedures Were in Place over MMA Spending, but Some Instances of 
Noncompliance Occurred, did not accurately reflect the findings in the 
report since it believed there was compliance with its policies and 
procedures. SSA also believes our characterization of the cause of 
SSA's misallocation of costs to MMA as ineffective communication needs 
to be modified, and pointed out that there was no mention of the 
remaining misallocated credit card transactions representing only 0.06 
percent of the total amount appropriated. SSA suggested the change in 
the report title because SSA had identified and corrected the $4.6 
million initially incorrectly allocated to MMA and the remaining 
uncorrected instances were insignificant to the total amount 
appropriated. However, the areas where policies and procedures were not 
complied with also included misallocated credit card purchases not 
corrected (which represented more than 10 percent of the dollar value 
of the credit card purchases charged to MMA), and maintaining 
accountability over assets purchased with MMA funds. Therefore, we 
continue to believe that the title of our report accurately 
characterizes our findings. 

SSA agreed in theory with our recommendation to establish procedures to 
better disseminate policies and procedures, but stated its belief that 
the recommendation was too broad and did not accurately reflect what 
needed to be done. SSA stated that it will provide more specific 
instructions for distribution of costs in future guidance. SSA also 
believed that it had sufficient dissemination methods for acquisition 
related issues. Our recommendation was intentionally broad to provide 
SSA management flexibility to determine the most appropriate steps it 
should take to ensure the complete dissemination of future guidance. To 
that end, SSA including more specific instructions in future memoranda 
guidance would provide a corrective action that would be sufficient to 
address our recommendation. 

SSA disagreed with our recommendation to establish additional detailed 
procedures for reviewing and approving supporting documentation for 
credit card purchases to help ensure that purchase card payments are 
properly supported, allowable, and allocated. SSA stated its belief 
that our recommendation was too broad and its guidance for contracting 
officers and micro-purchasers is sufficient. While SSA stated its 
belief that its guidance is sufficient and that its contracting 
officers are already aware of the file documentation required for 
purchases, we found that 45 of 147 (30 percent) credit card purchases 
we reviewed did not have proper authorization or complete 
documentation. This is an unacceptable error rate. We agree that our 
recommendation is broad, but it is intended to allow SSA the 
flexibility to determine the most appropriate actions needed to help 
ensure that there is sufficient evidence available to determine that 
all credit card purchases are properly approved, supported, allowable, 
and allocable. SSA pointed out that its current "remote" reviews of 
micropurchases made in the regions do not include a full file review, 
and that SSA is considering changing this process to include such 
reviews. SSA agreed with our recommendation to reinforce existing 
policies and procedures for accountable asset purchases to help ensure 
that those assets are bar coded, recorded in SSA's asset inventory 
system, and inventoried periodically. SSA also identified its plan to 
include an acquisition topics website on one of its intranet pages by 
September 2007 and listed several actions undertaken since December 
2006 to reinforce existing policies and procedures and to implement an 
improvement work plan. SSA also provided additional technical comments, 
which have been included in the report as appropriate. 

As agreed with your offices, unless you publicly announce its contents 
earlier, we plan no further distribution of this report until 30 days 
from its date. At that time, we will send copies of this report to the 
Commissioner of SSA, and other interested parties. Copies will also be 
made available at no charge on GAO's Web site at [hyperlink, 
http://www.gao.gov]. If you have questions concerning this report, 
please call me on (202) 512- 9471. Contact points for our Offices of 
Congressional Relations and Public Affairs may be found on the last 
page of this report. GAO staff who made contributions to this report 
are listed in appendix III. 

Jeanette Franzel: 

Director, Financial Management and Assurance: 

[End of section] 

Appendix I: Objectives, Scope, and Methodology: 

To review the costs of the Social Security Administration's (SSA) 
implementation of MMA activities, we reviewed the Medicare Prescription 
Drug, Improvement, and Modernization Act of 2003 and discussed its 
impact with SSA to obtain an understanding of SSA's responsibilities 
under the act. We also reviewed the policies and regulations SSA 
established to track and report MMA-related costs and other information 
pertaining to its program activities, as well as additional guidance 
provided to SSA officials so that they could track the costs of new MMA-
related activities. We obtained cost and other information on SSA's 
implementation activities from SSA officials in the agency's 
headquarters in Baltimore, Maryland. In addition, we discussed specific 
cost information with various officials and staff in headquarters and 
field offices who were responsible for specific transactions. To obtain 
specific cost and program information, as well as information related 
to specific financial statement issues, we reviewed our reports and 
reports from SSA's independent financial statement auditors. 

To determine how SSA expended the MMA funds to implement MMA 
activities, we obtained annual schedules of amounts charged to MMA for 
fiscal years 2004 (starting in December 2003), 2005, and 2006. We 
analyzed the expenditure data, sorted it by object class, and 
segregated the amounts charged to the Limitation on Administrative 
Expenses appropriation after the $500 million of MMA funding had been 
used by SSA. We discussed our sorted detailed analysis with SSA budget 
and finance officials. We also compared expenditure data to audited 
Social Security Online Accounting and Reporting System (SSOARS) data 
and determined that the data were sufficiently reliable for the 
purposes of this report. 

To determine what procedures SSA had in place over the MMA funds, we 
reviewed MMA and SSA policies, procedures, and other guidance and 
interviewed key SSA officials for information on the contract 
procurement, payroll, cost accounting, budget, and payment processes to 
obtain a thorough understanding of each process. We also conducted 
follow-up discussions to verify our understanding of all key processes 
related to spending MMA funds. We reviewed SSA's independent financial 
statement auditors' reports and audit documentation to determine the 
level of audit coverage provided in the payroll; property, plant, and 
equipment; and cost accounting areas, plus any internal control 
weaknesses identified. On the basis of the clean audit opinion on SSA's 
financial statements and no related findings, we did not perform 
testing on the payroll and cost accounting areas. As a result, we 
focused our testing of transactions on contractor and vendor payments. 

To determine whether SSA's contractor expenditures were properly 
supported as valid uses of MMA funds, we selected and tested a monetary 
unit sample of 59 transactions totaling $82.6 million from a population 
of 20,736 transactions totaling $123.5 million paid from January 2004 
through February 2006.[Footnote 8] We found no exceptions during 
testing.[Footnote 9] We also used various nonstatistical sampling 
methods (data mining, document analysis, and other forensic techniques) 
to nonstatistically select 208 transactions to test adequate supporting 
documentation of requests, authorization, evidence of purchase and 
receipt, and applicability to MMA. We discussed all testing exceptions 
with the appropriate SSA officials and staff involved with the specific 
transaction. 

We conducted our work in Washington, D.C., and Baltimore, Md., from 
March 2006 through April 2007 in accordance with generally accepted 
government auditing standards. 

[End of section] 

Appendix II: Comments from the Social Security Administration: 

Social Security: 
The Commissioner: 
Social Security Administration: 
Baltimore, Md 21235-0001: 

August 16, 2007: 

Ms. Jeanette Franzel, Director: 
Financial Management and Assurance: 
United States Government Accountability Office: 
441 G St., NW: 
Washington, D.C. 20548: 

Dear Ms. Franzel: 

Thank you for the opportunity to review and comment on the draft 
report, "Social Security Administration: Policies and Procedures Were 
in Place Over MMA Spending, But Instances of Noncompliance Occurred" 
(GAO-07-986). 

Enclosed are our detailed comments on the draft report recommendations, 
along with suggested technical revisions. 

If you have any questions, please contact Ms. Candace Skurnik, 
Director, Audit Management and Liaison Staff, at (410) 965-4636. 

Sincerely, 

Signed by: 

Michael J. Astrue: 

Enclosure: 

Comments On The Government Accountability Office (GAO) Draft Report, 
"Social Security Administration: Policies And Procedures Were In Place 
Over MMA Spending, But Instances Of Noncompliance Occurred” (GAO-07-
986): 

Thank you for the opportunity to review and comment on the draft 
report. We feel that the title “Policies and Procedures Were in Place 
Over MMA Spending, but Instances of Noncompliance Occurred,” does not 
accurately reflect the findings in the report and would recommend that 
it be changed to “Policies and Procedures Were In Place Over MMA 
Spending And There Was Compliance”. 

Also, the summary page and pages 3, 12 and 13 of the report state that 
“SSA subsequently identified and corrected at least $4.6 million of 
amounts [were] misallocated between MMA and other SSA program 
activities, but had not corrected approximately $313,000 misallocated 
credit card purchase transactions.” The fact is that $4.6 million was 
initially not correctly allocated to MMA. However, the original plan on 
allocation was to review the ongoing transactions to assure policy 
consistency. That being said, the $4.6 million was correctly allocated 
as planned. As a result, the statement on page 10 that the “ineffective 
communications resulted in millions of dollars of costs being 
misallocated to MMA” needs to be appropriately modified. Also, no 
mention is made that the $313,000 in misallocated credit card purchase 
transactions represents only 0.06 percent of the total amount 
appropriated. 

Our comments on the draft report recommendations, along with technical 
revisions to assist in the clarity of the report, are as follows: 

Recommendation: 

Establish procedures to ensure better dissemination of policies and 
procedures to all relevant offices and staff. 

Comment: 

We agree in theory. As the recommendation exists, we do not feel it 
accurately reflects what needs to be done and find it too broad. In 
reference to memoranda regarding accounting for costs, rather than 
establishing specific procedures, which would require interpretation by 
staff, future memorandum providing guidance similar to that issued for 
MMA implementation will contain specific instructions for 
distribution.  

With respect to acquisition policy, we believe that we have already 
established sufficient dissemination methods for acquisition related 
issues. Our Office of Acquisition and Grants (OAG) uses Acquisition 
Alerts to disseminate policy related to micro-purchasers (and, when 
noted, to all persons with delegated acquisition authority). 
Additionally, we have established an email distribution list consisting 
of project officers, who are requestors for purchases at various dollar 
levels, in order to better disseminate policies and procedures 
applicable to them. 

Recommendation 2: 

Establish additional detailed procedures for purchase card supporting 
documentation review and approval process to help ensure that purchase 
card payments are properly supported, allowable, and allocated. 

Comment: 

We disagree. With respect to the policies and procedures directed to 
micro-purchasers and contracting officers (not requestors), we do not 
concur with this recommendation and find it too broad. Contracting 
officers (COs) are already aware of the file documentation required for 
their purchases, whether paid with the purchase card or otherwise. We 
believe that our current guidance, “Micro-purchasing in SSA,” contains 
sufficient information for micro- purchasers and their approving 
officials regarding file documentation and retention. Micro- purchasers 
and approving officials must take this course prior to being appointed 
and, beginning in fiscal year 2008, they will be required to take 
refresher training every three years. 

Additionally, OAG and regional COs conduct acquisition management 
reviews (AMRs) of micro-purchase activity. When OAG conducts reviews of 
purchases made by micro- purchasers in Headquarters, and when regional 
COs conduct on-site AMRs within their regions, we review the purchase 
log and the file documentation associated with the purchases. OAG also 
conducts “remote” AMRs of purchases made in the regions. These remote 
reviews currently do not entail a review of an entire contract file. We 
are currently considering altering this process to request, for select 
cases, that the cardholder under review send us a copy of all the file 
documentation related to the purchase being reviewed. 

Regarding the issue of proper allocation of purchase card transactions, 
we will review this area with the appropriate component officials. 

Recommendation 3: 

Reinforce existing policies and procedures for accountable assets 
purchased to help ensure that accountable assets are bar coded, 
recorded in SSA’s asset inventory system, and inventoried periodically. 

Comment 

We agree. As previously stated, we will add this policy to the 
“Acquisition Special Topics” webpage on the OAG intranet page. A notice 
and other cross-references to this permanent location of the policy 
will be disseminated via Acquisition Alerts and Acquisition Updates. We 
anticipate completing this by the end of September 2007. Page 21 GAO-07-
986 SSA MMA Costs Appendix II: Comments from the Social Security 
Administration

With regard to accountable assets and related policies, since December 
2006, our Office of Publications and Logistics Management have 
undertaken actions to reinforce existing policies and procedures and to 
implement an improvement work plan. These include: 

* Entering into collaborative agreements with our Operations and 
Systems components to establish mechanisms for correcting Property 
Management issues and policies; 

* Developing a new User’s Guide for the Sunflower Asset System (SFA), 
our Property Management System. The new guide contains not only the 
“how” but also the “why” to give users a better understanding of 
Property Management; 

* Reviewing and revising internal policy guides, Administrative 
Instructions Manual Systems (AIMS Guides); 

* Developing stronger lines of communication with employees responsible 
for property management (e.g., established a Quarterly Property 
Management Teleconference, updated and distributed news letters on 
Property Management, offered Sunflower training sessions, website 
updates, etc.); 

* Updating and clarifying the listing of “Items to be Bar-coded”; and:  

* Continuing to reinforce the importance of asset accountability and 
management. 

Finally, for the 317 assets noted on page 13 of the report, we have 
requested GAO provide us specific asset details to assure our inventory 
system includes the required information. 

[End of section]  

Appendix III: GAO Contact and Staff Acknowledgments: 

GAO Contact: 

Jeanette Franzel, (202) 512-9471 or franzelj@gao.gov: 

Acknowledgments: 

The following team members made key contributions to this report: 
Steven R. Haughton, Assistant Director; William (Ed) Brown; Sharon 
Byrd; Rich Cambosos; Marcia Carlsen; Lisa Crye; Leslie C. Jones; Brent 
J. LaPointe; Margaret Mills; and Robert Martin. 

[End of section] 

Footnotes: 

[1] Public Law 108-173 (Dec. 8, 2003). 

[2] Medicare is a health insurance program for people 65 years of age 
or older, certain people under 65 with disabilities, and people of all 
ages with End-Stage Renal Disease (ESRD is permanent kidney failure 
requiring dialysis or a kidney transplant). There are currently about 
43 million Medicare beneficiaries. 

[3] SSA's LAE account in the annual Department of Labor, Health and 
Human Services, and Education, and Related Agencies Appropriations Act, 
establishes administrative expense limitations for SSA that are funded 
from various sources. 

[4] SSA's SSOARS records, classifies, and summarizes information on 
SSA's financial position and operation. 

[5] Accountable property is equipment purchased with a value of $1,000 
to $99,999, or deemed by SSA to be "sensitive," that is, equipment 
valued at less than $1,000, but considered susceptible to loss, such as 
laptop computers, projectors, and copiers. 

[6] TRICARE is the health care plan for the Uniformed Services, 
retirees, and their families, and serves a beneficiary population of 
more than 9.2 million worldwide. 

[7] Direct costs are those that can be specifically identified with a 
program, such as salaries and benefits, materials, and supplies to 
carry out the program. Indirect costs cannot be specifically identified 
with a program because they are agencywide expenses, including things 
such as general administrative expenses, technical support, and 
operations and maintenance. 

[8] The sample population consisted of accrued expenditures greater 
than $0 and excluded 284 Herman Miller expenditures totaling $1.1 
million and 3,903 Citibank expenditures totaling $2.5 million. These 
transactions were tested separately. 

[9] We did not find any exceptions during testing, and we are 95 
percent confident that the actual total amount in error associated with 
the sampling error inherent in statistical sampling is less than or 
equal to 5 percent. 

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