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Open Recommendations

VA Disability Benefits: Additional Oversight and Information Could Improve Quality of Contracted Exams for Veterans
GAO-25-107483
Sep 03, 2025
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4 Open Recommendations
Agency Affected Recommendation Status
Department of Veterans Affairs The Secretary of VA should ensure that MDEO develops and uses written procedures to validate the accuracy of its financial incentive calculations, including data entry and scoring of performance measures. (Recommendation 1)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Department of Veterans Affairs The Secretary of VA should ensure that MDEO recalculates all financial incentives since 2022 and documents and corrects any inaccurate penalties and payments. (Recommendation 2)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Department of Veterans Affairs The Secretary of VA should ensure that MDEO conducts Special Focused Reviews of contracted exams for complex claims (traumatic brain injury, military sexual trauma, and Gulf War Illness) on a biennial basis, in accordance with its procedures. (Recommendation 3)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Department of Veterans Affairs The Secretary of VA should ensure that MDEO identifies and uses a mechanism to collect and address direct feedback from examiners on the quality of exams. (Recommendation 4)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

VA Acquisitions: Leadership Accountability and Savings Goals Needed to Improve Purchasing Efficiency
GAO-25-107398
Sep 02, 2025
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6 Open Recommendations
Agency Affected Recommendation Status
Department of Veterans Affairs The Secretary of Veterans Affairs should ensure that the Deputy Secretary, as the category management senior accountable official, establishes performance requirements to hold category managers accountable for fulfilling their respective category management responsibilities established in VA policy. (Recommendation 1)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Department of Veterans Affairs The Secretary of Veterans Affairs should ensure that the Deputy Secretary, as the category management senior accountable official, establishes the category management council, or designates an existing entity to perform the duties of the category management council, as described in VA policy to guide the implementation, coordination, and oversight of VA's category management initiative. (Recommendation 2)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Department of Veterans Affairs The Secretary of Veterans Affairs should ensure that the Deputy Secretary, as the category management senior accountable official, and in coordination with the Chief Acquisition Officer and Senior Procurement Executive, identifies the category management training required for specific roles, including category managers, category leads, and officials identified as having requirements responsibilities, and ensures those officials complete required training. (Recommendation 3)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Department of Veterans Affairs The Secretary of Veterans Affairs should ensure that the Deputy Secretary and category managers establish category-specific goals for cost avoidance and budget savings, and track progress toward these goals. (Recommendation 4)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Department of Veterans Affairs The Secretary of Veterans Affairs should ensure that category managers assess the availability of, or feasibility of making available, item-level data on prices paid, utilization, and cost avoidance to facilitate use of such data to track cost avoidance within the department's common spending categories. (Recommendation 5)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Department of Veterans Affairs The Secretary of Veterans Affairs should ensure that the Deputy Secretary, as the category management senior accountable official, ensures that category managers, in conjunction with heads of contracting activities, develop and maintain vendor management plans for their respective categories, that identify mission-critical functions and associated contractors and include strategies to address supply base risks. (Recommendation 6)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

VA Vet Centers: Opportunities to Improve Survey of Counselor Productivity Expectations
GAO-25-107631
Jul 31, 2025
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2 Open Recommendations
Agency Affected Recommendation Status
Department of Veterans Affairs The Under Secretary for Health should ensure the RCS Chief Officer analyzes the potential for nonresponse bias in the Counselor and Client Engagement Survey and, as appropriate, develops strategies to increase the likelihood of representative survey findings. (Recommendation 1)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Department of Veterans Affairs The Under Secretary for Health should ensure the RCS Chief Officer modifies the Counselor and Client Engagement Survey to clarify that counselors and directors should provide feedback on both the time management and the encounters productivity expectations for counselors. (Recommendation 2)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Veterans Crisis Line: Actions Needed to Better Ensure Effectiveness of Communications with Veterans
GAO-25-107182
Jun 25, 2025
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3 Open Recommendations
Agency Affected Recommendation Status
Department of Veterans Affairs The Under Secretary for Health should ensure the VCL more comprehensively assesses the risks of adverse effects associated with its procedure for immediately routing CWCN callers to main phone line responders when there is no availability in the CWCN unit. Such an assessment should include comparing the quality of CWCN calls handled by main line responders with those handled by CWCN-trained responders. Depending on the results of the assessment, the VCL should make adjustments to its procedure for routing CWCN calls and to how it staffs the CWCN unit to better meet the needs of CWCN callers, as appropriate. (Recommendation 1)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Department of Veterans Affairs The Under Secretary for Health should ensure the VCL more comprehensively assesses the risks of adverse effects associated with its digital services procedures, making modifications to them and to how it staffs the unit, as appropriate. Such an assessment may require obtaining and analyzing additional data on digital services responder workload, such as time spent interacting with customers as well as on documentation after interactions. (Recommendation 2)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Department of Veterans Affairs The Under Secretary for Health should establish a procedure for the VCL, as a non-clinical service, that identifies the types of incidents that warrant disclosure to customers or their representatives and outlines a process for disclosing such incidents, or direct the VCL to develop such a procedure. (Recommendation 4)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
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