Audit 22913

FY End
2022-08-31
Total Expended
$7.12M
Findings
4
Programs
18
Year: 2022 Accepted: 2023-05-24
Auditor: Eide Bailly LLP

Organization Exclusion Status:

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Findings

ID Ref Severity Repeat Requirement
23164 2022-002 Material Weakness - L
23165 2022-002 Material Weakness - L
599606 2022-002 Material Weakness - L
599607 2022-002 Material Weakness - L

Contacts

Name Title Type
XBNKW6YLGNH4 Ryan Adams Auditee
2547523451 Rebekah Scott Auditor
No contacts on file

Notes to SEFA

Title: Basis of Presentation Accounting Policies: Expenditures reported in the schedule are reported on the modified accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance or State of Texas Uniform Grant Management Standards, wherein certain types of expenditures are not allowable or are limited as to reimbursement. State and federal grant funds are considered to be earned to the extent of expenditures made under the provisions of the grant, and, accordingly, when such funds are received, they are recorded as unearned revenues until earned. De Minimis Rate Used: Y Rate Explanation: The auditee used the de minimis cost rate. The Center has elected to use the 10% de minimis cost rate allowed under the Uniform Guidance for its federal awards. The accompanying schedule of expenditures of federal and state awards (the schedule) includes the federal and state award activity of the Heart of Texas Behavioral Health Network (the Center) under programs of the federal and state government for the year August 31, 2022. The information is presented in accordance with the requirements of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, Audit Requirements for Federal Awards (Uniform Guidance) and State of Texas Single Audit Circular (TSAC). Because the schedule presents only a selected portion of the operations of the Center, it is not intended to and does not present the financial position or changes in financial position of the Center.
Title: Relationship to Basic Financial Statements Accounting Policies: Expenditures reported in the schedule are reported on the modified accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance or State of Texas Uniform Grant Management Standards, wherein certain types of expenditures are not allowable or are limited as to reimbursement. State and federal grant funds are considered to be earned to the extent of expenditures made under the provisions of the grant, and, accordingly, when such funds are received, they are recorded as unearned revenues until earned. De Minimis Rate Used: Y Rate Explanation: The auditee used the de minimis cost rate. The Center has elected to use the 10% de minimis cost rate allowed under the Uniform Guidance for its federal awards. Certain state and federal programs have been excluded from the Schedule of Expenditures of State and Federal Awards, including monies received under vendor contract for Title XIX HCS/MR and other Medicaid/Medicare funding earned from providing patient services. The state and federal monies excluded from the Schedule of Expenditures of State and Federal Awards are not considered financial assistance as defined in the Uniform Guidance and are included in total local revenues in the basic financial statements. Texas Correctional Office on Offenders with Medical or Mental Impairments (TCOOMMI) has been excluded from the Schedule of Expenditures of State and Federal Awards as these monies are considered contracts, not state awards. The Center received amounts from the U.S. Department of Health and Human Services (HHS) through the Provider Relief Fund and American Rescue Plan Rural Distribution (PRF) program (Federal Financial Assistance Listing/CFDA #93.498) during the years ended August 31, 2021 and 2022. The Center incurred eligible expenditures and, therefore, recognized revenues totaling $338,565 and $685,121 for the years ended August 31, 2021 and 2022, respectively, on the financial statements. The PRF expenditures recognized on the schedule are based on the reporting to HHS, as required under the PRF program. A reconciliation of the Schedule of Federal and State Awards to the financial statements is as follows: State awards per Schedule of Expenditures of Federal and State Awards $15,538,572 Plus: TCOOMMI-contract, not considered a grant 768,834 Total state revenues on statement of revenues, expenditures and changes in fund balance- governmental funds $16,307,406 Federal awards per Schedule of Expenditures of Federal and State Awards $7,119,837 Less: COVID-19 Provider Relief Fund reported to HHS in Period 2 (338,565) Plus: COVID-19 Provider Relief Fund reported as revenue for Period 4 685,121 Total federal revenues on statement of revenues, expenditures and changes in fund balance-governmental funds $7,466,393
Title: State Award Guidelines Accounting Policies: Expenditures reported in the schedule are reported on the modified accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance or State of Texas Uniform Grant Management Standards, wherein certain types of expenditures are not allowable or are limited as to reimbursement. State and federal grant funds are considered to be earned to the extent of expenditures made under the provisions of the grant, and, accordingly, when such funds are received, they are recorded as unearned revenues until earned. De Minimis Rate Used: Y Rate Explanation: The auditee used the de minimis cost rate. The Center has elected to use the 10% de minimis cost rate allowed under the Uniform Guidance for its federal awards. State awards are subject to HHSCs Guidelines for Annual Financial and Compliance Audits of Community MHMR Centers (21st Revision) as well as the Office of the Governors State of Texas Single Audit Circular. Such guidelines are consistent with those required under the Single Audit Act of 1996, the Uniform Guidance and Government Auditing Standards, issued by the Comptroller General of the United States.
Title: Federal/State Split Funding Accounting Policies: Expenditures reported in the schedule are reported on the modified accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance or State of Texas Uniform Grant Management Standards, wherein certain types of expenditures are not allowable or are limited as to reimbursement. State and federal grant funds are considered to be earned to the extent of expenditures made under the provisions of the grant, and, accordingly, when such funds are received, they are recorded as unearned revenues until earned. De Minimis Rate Used: Y Rate Explanation: The auditee used the de minimis cost rate. The Center has elected to use the 10% de minimis cost rate allowed under the Uniform Guidance for its federal awards. The Early Childhood Intervention Program and certain Substance Abuse programs were administered with both pass-through federal funds and state funds. The Schedule of Expenditures of Federal and State Awards has been prepared reflecting the allocation provided by the pass-through state agencies.
Title: Subrecipients Accounting Policies: Expenditures reported in the schedule are reported on the modified accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance or State of Texas Uniform Grant Management Standards, wherein certain types of expenditures are not allowable or are limited as to reimbursement. State and federal grant funds are considered to be earned to the extent of expenditures made under the provisions of the grant, and, accordingly, when such funds are received, they are recorded as unearned revenues until earned. De Minimis Rate Used: Y Rate Explanation: The auditee used the de minimis cost rate. The Center has elected to use the 10% de minimis cost rate allowed under the Uniform Guidance for its federal awards. The Center does not pass any of their federal or state funding through to subrecipients.

Finding Details

Finding 2022-002: U.S. Department of Health and Human Services Passed through Texas Health and Human Services Commission (HHSC) Medicaid Administrative Claiming (MAC) CFDA 93.778 Reporting Material Weakness in Internal Control Over Compliance and Material Noncompliance Grant Award Number: 529-11-0040-00034A Criteria: Grant agreement requires entities to file quarterly reports for the Medical Assistance Program. Condition: We noted that the Center filed the quarterly reports as required; however, upon reviewing the support for the expenditures for the second quarter, it was noted that reported numbers were inaccurate which resulted in incorrect reporting and the receipt of unearned grant funds. Cause: The Center did not have adequate internal controls to review the reports in detail. Effect: The Reporting requirement for the second quarter was incorrectly reported, and unearned grant funds were received. Questioned Costs: $63,416 Context/Sampling: Sample size was two of the four quarters. Repeat Finding from Prior Year(s): No Recommendation: While the Center has controls in place to review the reports prior to being filed, we recommend for the Center to implement a detail review by line item by someone independent from report preparation responsibilities. Views of Responsible Officials: Management agrees with the finding. Refer to Corrective Action Plan.
Finding 2022-002: U.S. Department of Health and Human Services Passed through Texas Health and Human Services Commission (HHSC) Medicaid Administrative Claiming (MAC) CFDA 93.778 Reporting Material Weakness in Internal Control Over Compliance and Material Noncompliance Grant Award Number: 529-11-0040-00034A Criteria: Grant agreement requires entities to file quarterly reports for the Medical Assistance Program. Condition: We noted that the Center filed the quarterly reports as required; however, upon reviewing the support for the expenditures for the second quarter, it was noted that reported numbers were inaccurate which resulted in incorrect reporting and the receipt of unearned grant funds. Cause: The Center did not have adequate internal controls to review the reports in detail. Effect: The Reporting requirement for the second quarter was incorrectly reported, and unearned grant funds were received. Questioned Costs: $63,416 Context/Sampling: Sample size was two of the four quarters. Repeat Finding from Prior Year(s): No Recommendation: While the Center has controls in place to review the reports prior to being filed, we recommend for the Center to implement a detail review by line item by someone independent from report preparation responsibilities. Views of Responsible Officials: Management agrees with the finding. Refer to Corrective Action Plan.
Finding 2022-002: U.S. Department of Health and Human Services Passed through Texas Health and Human Services Commission (HHSC) Medicaid Administrative Claiming (MAC) CFDA 93.778 Reporting Material Weakness in Internal Control Over Compliance and Material Noncompliance Grant Award Number: 529-11-0040-00034A Criteria: Grant agreement requires entities to file quarterly reports for the Medical Assistance Program. Condition: We noted that the Center filed the quarterly reports as required; however, upon reviewing the support for the expenditures for the second quarter, it was noted that reported numbers were inaccurate which resulted in incorrect reporting and the receipt of unearned grant funds. Cause: The Center did not have adequate internal controls to review the reports in detail. Effect: The Reporting requirement for the second quarter was incorrectly reported, and unearned grant funds were received. Questioned Costs: $63,416 Context/Sampling: Sample size was two of the four quarters. Repeat Finding from Prior Year(s): No Recommendation: While the Center has controls in place to review the reports prior to being filed, we recommend for the Center to implement a detail review by line item by someone independent from report preparation responsibilities. Views of Responsible Officials: Management agrees with the finding. Refer to Corrective Action Plan.
Finding 2022-002: U.S. Department of Health and Human Services Passed through Texas Health and Human Services Commission (HHSC) Medicaid Administrative Claiming (MAC) CFDA 93.778 Reporting Material Weakness in Internal Control Over Compliance and Material Noncompliance Grant Award Number: 529-11-0040-00034A Criteria: Grant agreement requires entities to file quarterly reports for the Medical Assistance Program. Condition: We noted that the Center filed the quarterly reports as required; however, upon reviewing the support for the expenditures for the second quarter, it was noted that reported numbers were inaccurate which resulted in incorrect reporting and the receipt of unearned grant funds. Cause: The Center did not have adequate internal controls to review the reports in detail. Effect: The Reporting requirement for the second quarter was incorrectly reported, and unearned grant funds were received. Questioned Costs: $63,416 Context/Sampling: Sample size was two of the four quarters. Repeat Finding from Prior Year(s): No Recommendation: While the Center has controls in place to review the reports prior to being filed, we recommend for the Center to implement a detail review by line item by someone independent from report preparation responsibilities. Views of Responsible Officials: Management agrees with the finding. Refer to Corrective Action Plan.