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GAO-23-106466 1 (2023-05-09)

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                       U.S. GOVERNMENT ACCOUNTABILITY OFFICE
441 G St. N.W.                                                           Comptroller General
Washington, DC  20548                                                    of the United States


May  9, 2023


Dr. Kilolo Kijakazi
Acting Commissioner
Social Security Administration
6401  Security Boulevard
Windsor  Park Building
Baltimore, MD 21235

Priority Open Recommendations: Social Security Administration

Dear Dr. Kijakazi:

The purpose  of this letter is to provide you with an update on the overall status of the Social
Security Administration's (SSA) implementation of GAO's recommendations  and to call your
continued attention to areas where open recommendations  should be given high priority.1 In
November   2022, we reported that, on a government-wide basis, 77 percent of our
recommendations   made  4 years ago were implemented.2 SSA's  recommendation
implementation rate was 85 percent. As of March 2023, SSA  had 42 open recommendations.
Fully implementing these open recommendations   could significantly improve SSA's operations.

Since our June 2022  letter, SSA has implemented four of six priority recommendations:

      SSA  implemented  our April 2020 recommendation  to establish a process to measure the
       effectiveness of corrective actions for improper payments for Supplemental Security
       Income  and Old-Age, Survivors and Disability Insurance. The new process includes
       establishing measurements  and benchmarks   and analyzing data to better evaluate the
       effectiveness of corrective actions. Measuring the effectiveness of corrective actions
       increases the certainty they are indeed reducing improper payments.3

      SSA  took steps to improve its oversight of organizational payees who manage Social
       Security benefits for vulnerable beneficiaries, including the model used to identify
       potentially high-risk organizational payees, as we recommended in September 2019.
       SSA  established a plan and time frame to periodically review the model's design and
       considered potential additional data sources. The agency also documented changes in
       the model's design, and its plans to update the model in the future. These efforts will


1Priority recommendations are those that we believe warrant priority attention from heads of key departments or
agencies. They are highlighted because, upon implementation, they may significantly improve government
operations, for example, by realizing large dollar savings; eliminating mismanagement, fraud, and abuse; or making
progress toward addressing a high-risk or fragmentation, overlap, or duplication issue.
2GAO, Performance and Accountability Report: Fiscal Year 2022, GAO-23-900398 (Washington, D.C.: Nov. 15,
2022).
3GAO, Payment Integrity: Selected Agencies Should Improve Efforts to Evaluate Effectiveness of Corrective Actions
to Reduce Improper Payments, GAO-20-336 (Washington, D.C.: Apr. 1, 2020).


GAO-23-106466  SSA Priority Recommendations


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