2023-001 Significant Deficiency in Internal Control over Compliance and non-compliance – Eligibility
Identification of federal program: 93.210 Tribal Self-Governance Program: IHS Compact/Funding Agreement
Criteria or specific requirement: Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) 136.12(a)(1)(2) Subject to the requirements of this subpart, the Indian Health Service will provide direct services at its facilities, and contract health services, as medically indicated, and to the extent that funds and resources allocated to the particular Health Service Delivery Area Permit, to persons of Indian or Alaska Native decent who: (1) Are members of a federally recognized Indian tribe; and (2) Reside within a Health Service Delivery Area designated under section 36a.15 Condition: It was noted during the audit that four of the forty samples tested did not have proof that individuals that received IHS benefits were eligible for these benefits based on Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) Cause: The controls in place were not operating effectively to ensure eligibility requirements were met.
Effect or potential effect: The Association is out of compliance with Uniform Guidance eligibility requirements.
Questioned Costs: None
Context: For this program, a sample of forty individuals that received IHS benefits were tested for eligibility requirements. Of the forty individuals tested, four did not have documentation supporting the eligibility requirements were met.
Identification of Repeat Finding: Not applicable.
Recommendations: We recommend that as a part of the Association’s internal control structure over compliance with Uniform Guidance, additional criteria be added to the patient’s intake form and reviewed to ensure eligibility requirements are met prior to the patient receiving benefits.
Views of Responsible Officials: Management agrees with the finding and has set up a corrective action plan. Refer to Corrective Action Plan.
2023-001 Significant Deficiency in Internal Control over Compliance and non-compliance – Eligibility
Identification of federal program: 93.210 Tribal Self-Governance Program: IHS Compact/Funding Agreement
Criteria or specific requirement: Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) 136.12(a)(1)(2) Subject to the requirements of this subpart, the Indian Health Service will provide direct services at its facilities, and contract health services, as medically indicated, and to the extent that funds and resources allocated to the particular Health Service Delivery Area Permit, to persons of Indian or Alaska Native decent who: (1) Are members of a federally recognized Indian tribe; and (2) Reside within a Health Service Delivery Area designated under section 36a.15 Condition: It was noted during the audit that four of the forty samples tested did not have proof that individuals that received IHS benefits were eligible for these benefits based on Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) Cause: The controls in place were not operating effectively to ensure eligibility requirements were met.
Effect or potential effect: The Association is out of compliance with Uniform Guidance eligibility requirements.
Questioned Costs: None
Context: For this program, a sample of forty individuals that received IHS benefits were tested for eligibility requirements. Of the forty individuals tested, four did not have documentation supporting the eligibility requirements were met.
Identification of Repeat Finding: Not applicable.
Recommendations: We recommend that as a part of the Association’s internal control structure over compliance with Uniform Guidance, additional criteria be added to the patient’s intake form and reviewed to ensure eligibility requirements are met prior to the patient receiving benefits.
Views of Responsible Officials: Management agrees with the finding and has set up a corrective action plan. Refer to Corrective Action Plan.
2023-001 Significant Deficiency in Internal Control over Compliance and non-compliance – Eligibility
Identification of federal program: 93.210 Tribal Self-Governance Program: IHS Compact/Funding Agreement
Criteria or specific requirement: Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) 136.12(a)(1)(2) Subject to the requirements of this subpart, the Indian Health Service will provide direct services at its facilities, and contract health services, as medically indicated, and to the extent that funds and resources allocated to the particular Health Service Delivery Area Permit, to persons of Indian or Alaska Native decent who: (1) Are members of a federally recognized Indian tribe; and (2) Reside within a Health Service Delivery Area designated under section 36a.15 Condition: It was noted during the audit that four of the forty samples tested did not have proof that individuals that received IHS benefits were eligible for these benefits based on Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) Cause: The controls in place were not operating effectively to ensure eligibility requirements were met.
Effect or potential effect: The Association is out of compliance with Uniform Guidance eligibility requirements.
Questioned Costs: None
Context: For this program, a sample of forty individuals that received IHS benefits were tested for eligibility requirements. Of the forty individuals tested, four did not have documentation supporting the eligibility requirements were met.
Identification of Repeat Finding: Not applicable.
Recommendations: We recommend that as a part of the Association’s internal control structure over compliance with Uniform Guidance, additional criteria be added to the patient’s intake form and reviewed to ensure eligibility requirements are met prior to the patient receiving benefits.
Views of Responsible Officials: Management agrees with the finding and has set up a corrective action plan. Refer to Corrective Action Plan.
2023-001 Significant Deficiency in Internal Control over Compliance and non-compliance – Eligibility
Identification of federal program: 93.210 Tribal Self-Governance Program: IHS Compact/Funding Agreement
Criteria or specific requirement: Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) 136.12(a)(1)(2) Subject to the requirements of this subpart, the Indian Health Service will provide direct services at its facilities, and contract health services, as medically indicated, and to the extent that funds and resources allocated to the particular Health Service Delivery Area Permit, to persons of Indian or Alaska Native decent who: (1) Are members of a federally recognized Indian tribe; and (2) Reside within a Health Service Delivery Area designated under section 36a.15 Condition: It was noted during the audit that four of the forty samples tested did not have proof that individuals that received IHS benefits were eligible for these benefits based on Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) Cause: The controls in place were not operating effectively to ensure eligibility requirements were met.
Effect or potential effect: The Association is out of compliance with Uniform Guidance eligibility requirements.
Questioned Costs: None
Context: For this program, a sample of forty individuals that received IHS benefits were tested for eligibility requirements. Of the forty individuals tested, four did not have documentation supporting the eligibility requirements were met.
Identification of Repeat Finding: Not applicable.
Recommendations: We recommend that as a part of the Association’s internal control structure over compliance with Uniform Guidance, additional criteria be added to the patient’s intake form and reviewed to ensure eligibility requirements are met prior to the patient receiving benefits.
Views of Responsible Officials: Management agrees with the finding and has set up a corrective action plan. Refer to Corrective Action Plan.
2023-001 Significant Deficiency in Internal Control over Compliance and non-compliance – Eligibility
Identification of federal program: 93.210 Tribal Self-Governance Program: IHS Compact/Funding Agreement
Criteria or specific requirement: Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) 136.12(a)(1)(2) Subject to the requirements of this subpart, the Indian Health Service will provide direct services at its facilities, and contract health services, as medically indicated, and to the extent that funds and resources allocated to the particular Health Service Delivery Area Permit, to persons of Indian or Alaska Native decent who: (1) Are members of a federally recognized Indian tribe; and (2) Reside within a Health Service Delivery Area designated under section 36a.15 Condition: It was noted during the audit that four of the forty samples tested did not have proof that individuals that received IHS benefits were eligible for these benefits based on Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) Cause: The controls in place were not operating effectively to ensure eligibility requirements were met.
Effect or potential effect: The Association is out of compliance with Uniform Guidance eligibility requirements.
Questioned Costs: None
Context: For this program, a sample of forty individuals that received IHS benefits were tested for eligibility requirements. Of the forty individuals tested, four did not have documentation supporting the eligibility requirements were met.
Identification of Repeat Finding: Not applicable.
Recommendations: We recommend that as a part of the Association’s internal control structure over compliance with Uniform Guidance, additional criteria be added to the patient’s intake form and reviewed to ensure eligibility requirements are met prior to the patient receiving benefits.
Views of Responsible Officials: Management agrees with the finding and has set up a corrective action plan. Refer to Corrective Action Plan.
2023-001 Significant Deficiency in Internal Control over Compliance and non-compliance – Eligibility
Identification of federal program: 93.210 Tribal Self-Governance Program: IHS Compact/Funding Agreement
Criteria or specific requirement: Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) 136.12(a)(1)(2) Subject to the requirements of this subpart, the Indian Health Service will provide direct services at its facilities, and contract health services, as medically indicated, and to the extent that funds and resources allocated to the particular Health Service Delivery Area Permit, to persons of Indian or Alaska Native decent who: (1) Are members of a federally recognized Indian tribe; and (2) Reside within a Health Service Delivery Area designated under section 36a.15 Condition: It was noted during the audit that four of the forty samples tested did not have proof that individuals that received IHS benefits were eligible for these benefits based on Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) Cause: The controls in place were not operating effectively to ensure eligibility requirements were met.
Effect or potential effect: The Association is out of compliance with Uniform Guidance eligibility requirements.
Questioned Costs: None
Context: For this program, a sample of forty individuals that received IHS benefits were tested for eligibility requirements. Of the forty individuals tested, four did not have documentation supporting the eligibility requirements were met.
Identification of Repeat Finding: Not applicable.
Recommendations: We recommend that as a part of the Association’s internal control structure over compliance with Uniform Guidance, additional criteria be added to the patient’s intake form and reviewed to ensure eligibility requirements are met prior to the patient receiving benefits.
Views of Responsible Officials: Management agrees with the finding and has set up a corrective action plan. Refer to Corrective Action Plan.
2023-001 Significant Deficiency in Internal Control over Compliance and non-compliance – Eligibility
Identification of federal program: 93.210 Tribal Self-Governance Program: IHS Compact/Funding Agreement
Criteria or specific requirement: Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) 136.12(a)(1)(2) Subject to the requirements of this subpart, the Indian Health Service will provide direct services at its facilities, and contract health services, as medically indicated, and to the extent that funds and resources allocated to the particular Health Service Delivery Area Permit, to persons of Indian or Alaska Native decent who: (1) Are members of a federally recognized Indian tribe; and (2) Reside within a Health Service Delivery Area designated under section 36a.15 Condition: It was noted during the audit that four of the forty samples tested did not have proof that individuals that received IHS benefits were eligible for these benefits based on Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) Cause: The controls in place were not operating effectively to ensure eligibility requirements were met.
Effect or potential effect: The Association is out of compliance with Uniform Guidance eligibility requirements.
Questioned Costs: None
Context: For this program, a sample of forty individuals that received IHS benefits were tested for eligibility requirements. Of the forty individuals tested, four did not have documentation supporting the eligibility requirements were met.
Identification of Repeat Finding: Not applicable.
Recommendations: We recommend that as a part of the Association’s internal control structure over compliance with Uniform Guidance, additional criteria be added to the patient’s intake form and reviewed to ensure eligibility requirements are met prior to the patient receiving benefits.
Views of Responsible Officials: Management agrees with the finding and has set up a corrective action plan. Refer to Corrective Action Plan.
2023-001 Significant Deficiency in Internal Control over Compliance and non-compliance – Eligibility
Identification of federal program: 93.210 Tribal Self-Governance Program: IHS Compact/Funding Agreement
Criteria or specific requirement: Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) 136.12(a)(1)(2) Subject to the requirements of this subpart, the Indian Health Service will provide direct services at its facilities, and contract health services, as medically indicated, and to the extent that funds and resources allocated to the particular Health Service Delivery Area Permit, to persons of Indian or Alaska Native decent who: (1) Are members of a federally recognized Indian tribe; and (2) Reside within a Health Service Delivery Area designated under section 36a.15 Condition: It was noted during the audit that four of the forty samples tested did not have proof that individuals that received IHS benefits were eligible for these benefits based on Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) Cause: The controls in place were not operating effectively to ensure eligibility requirements were met.
Effect or potential effect: The Association is out of compliance with Uniform Guidance eligibility requirements.
Questioned Costs: None
Context: For this program, a sample of forty individuals that received IHS benefits were tested for eligibility requirements. Of the forty individuals tested, four did not have documentation supporting the eligibility requirements were met.
Identification of Repeat Finding: Not applicable.
Recommendations: We recommend that as a part of the Association’s internal control structure over compliance with Uniform Guidance, additional criteria be added to the patient’s intake form and reviewed to ensure eligibility requirements are met prior to the patient receiving benefits.
Views of Responsible Officials: Management agrees with the finding and has set up a corrective action plan. Refer to Corrective Action Plan.
2023-001 Significant Deficiency in Internal Control over Compliance and non-compliance – Eligibility
Identification of federal program: 93.210 Tribal Self-Governance Program: IHS Compact/Funding Agreement
Criteria or specific requirement: Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) 136.12(a)(1)(2) Subject to the requirements of this subpart, the Indian Health Service will provide direct services at its facilities, and contract health services, as medically indicated, and to the extent that funds and resources allocated to the particular Health Service Delivery Area Permit, to persons of Indian or Alaska Native decent who: (1) Are members of a federally recognized Indian tribe; and (2) Reside within a Health Service Delivery Area designated under section 36a.15 Condition: It was noted during the audit that four of the forty samples tested did not have proof that individuals that received IHS benefits were eligible for these benefits based on Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) Cause: The controls in place were not operating effectively to ensure eligibility requirements were met.
Effect or potential effect: The Association is out of compliance with Uniform Guidance eligibility requirements.
Questioned Costs: None
Context: For this program, a sample of forty individuals that received IHS benefits were tested for eligibility requirements. Of the forty individuals tested, four did not have documentation supporting the eligibility requirements were met.
Identification of Repeat Finding: Not applicable.
Recommendations: We recommend that as a part of the Association’s internal control structure over compliance with Uniform Guidance, additional criteria be added to the patient’s intake form and reviewed to ensure eligibility requirements are met prior to the patient receiving benefits.
Views of Responsible Officials: Management agrees with the finding and has set up a corrective action plan. Refer to Corrective Action Plan.
2023-001 Significant Deficiency in Internal Control over Compliance and non-compliance – Eligibility
Identification of federal program: 93.210 Tribal Self-Governance Program: IHS Compact/Funding Agreement
Criteria or specific requirement: Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) 136.12(a)(1)(2) Subject to the requirements of this subpart, the Indian Health Service will provide direct services at its facilities, and contract health services, as medically indicated, and to the extent that funds and resources allocated to the particular Health Service Delivery Area Permit, to persons of Indian or Alaska Native decent who: (1) Are members of a federally recognized Indian tribe; and (2) Reside within a Health Service Delivery Area designated under section 36a.15 Condition: It was noted during the audit that four of the forty samples tested did not have proof that individuals that received IHS benefits were eligible for these benefits based on Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) Cause: The controls in place were not operating effectively to ensure eligibility requirements were met.
Effect or potential effect: The Association is out of compliance with Uniform Guidance eligibility requirements.
Questioned Costs: None
Context: For this program, a sample of forty individuals that received IHS benefits were tested for eligibility requirements. Of the forty individuals tested, four did not have documentation supporting the eligibility requirements were met.
Identification of Repeat Finding: Not applicable.
Recommendations: We recommend that as a part of the Association’s internal control structure over compliance with Uniform Guidance, additional criteria be added to the patient’s intake form and reviewed to ensure eligibility requirements are met prior to the patient receiving benefits.
Views of Responsible Officials: Management agrees with the finding and has set up a corrective action plan. Refer to Corrective Action Plan.
2023-001 Significant Deficiency in Internal Control over Compliance and non-compliance – Eligibility
Identification of federal program: 93.210 Tribal Self-Governance Program: IHS Compact/Funding Agreement
Criteria or specific requirement: Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) 136.12(a)(1)(2) Subject to the requirements of this subpart, the Indian Health Service will provide direct services at its facilities, and contract health services, as medically indicated, and to the extent that funds and resources allocated to the particular Health Service Delivery Area Permit, to persons of Indian or Alaska Native decent who: (1) Are members of a federally recognized Indian tribe; and (2) Reside within a Health Service Delivery Area designated under section 36a.15 Condition: It was noted during the audit that four of the forty samples tested did not have proof that individuals that received IHS benefits were eligible for these benefits based on Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) Cause: The controls in place were not operating effectively to ensure eligibility requirements were met.
Effect or potential effect: The Association is out of compliance with Uniform Guidance eligibility requirements.
Questioned Costs: None
Context: For this program, a sample of forty individuals that received IHS benefits were tested for eligibility requirements. Of the forty individuals tested, four did not have documentation supporting the eligibility requirements were met.
Identification of Repeat Finding: Not applicable.
Recommendations: We recommend that as a part of the Association’s internal control structure over compliance with Uniform Guidance, additional criteria be added to the patient’s intake form and reviewed to ensure eligibility requirements are met prior to the patient receiving benefits.
Views of Responsible Officials: Management agrees with the finding and has set up a corrective action plan. Refer to Corrective Action Plan.
2023-001 Significant Deficiency in Internal Control over Compliance and non-compliance – Eligibility
Identification of federal program: 93.210 Tribal Self-Governance Program: IHS Compact/Funding Agreement
Criteria or specific requirement: Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) 136.12(a)(1)(2) Subject to the requirements of this subpart, the Indian Health Service will provide direct services at its facilities, and contract health services, as medically indicated, and to the extent that funds and resources allocated to the particular Health Service Delivery Area Permit, to persons of Indian or Alaska Native decent who: (1) Are members of a federally recognized Indian tribe; and (2) Reside within a Health Service Delivery Area designated under section 36a.15 Condition: It was noted during the audit that four of the forty samples tested did not have proof that individuals that received IHS benefits were eligible for these benefits based on Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) Cause: The controls in place were not operating effectively to ensure eligibility requirements were met.
Effect or potential effect: The Association is out of compliance with Uniform Guidance eligibility requirements.
Questioned Costs: None
Context: For this program, a sample of forty individuals that received IHS benefits were tested for eligibility requirements. Of the forty individuals tested, four did not have documentation supporting the eligibility requirements were met.
Identification of Repeat Finding: Not applicable.
Recommendations: We recommend that as a part of the Association’s internal control structure over compliance with Uniform Guidance, additional criteria be added to the patient’s intake form and reviewed to ensure eligibility requirements are met prior to the patient receiving benefits.
Views of Responsible Officials: Management agrees with the finding and has set up a corrective action plan. Refer to Corrective Action Plan.
2023-001 Significant Deficiency in Internal Control over Compliance and non-compliance – Eligibility
Identification of federal program: 93.210 Tribal Self-Governance Program: IHS Compact/Funding Agreement
Criteria or specific requirement: Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) 136.12(a)(1)(2) Subject to the requirements of this subpart, the Indian Health Service will provide direct services at its facilities, and contract health services, as medically indicated, and to the extent that funds and resources allocated to the particular Health Service Delivery Area Permit, to persons of Indian or Alaska Native decent who: (1) Are members of a federally recognized Indian tribe; and (2) Reside within a Health Service Delivery Area designated under section 36a.15 Condition: It was noted during the audit that four of the forty samples tested did not have proof that individuals that received IHS benefits were eligible for these benefits based on Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) Cause: The controls in place were not operating effectively to ensure eligibility requirements were met.
Effect or potential effect: The Association is out of compliance with Uniform Guidance eligibility requirements.
Questioned Costs: None
Context: For this program, a sample of forty individuals that received IHS benefits were tested for eligibility requirements. Of the forty individuals tested, four did not have documentation supporting the eligibility requirements were met.
Identification of Repeat Finding: Not applicable.
Recommendations: We recommend that as a part of the Association’s internal control structure over compliance with Uniform Guidance, additional criteria be added to the patient’s intake form and reviewed to ensure eligibility requirements are met prior to the patient receiving benefits.
Views of Responsible Officials: Management agrees with the finding and has set up a corrective action plan. Refer to Corrective Action Plan.
2023-001 Significant Deficiency in Internal Control over Compliance and non-compliance – Eligibility
Identification of federal program: 93.210 Tribal Self-Governance Program: IHS Compact/Funding Agreement
Criteria or specific requirement: Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) 136.12(a)(1)(2) Subject to the requirements of this subpart, the Indian Health Service will provide direct services at its facilities, and contract health services, as medically indicated, and to the extent that funds and resources allocated to the particular Health Service Delivery Area Permit, to persons of Indian or Alaska Native decent who: (1) Are members of a federally recognized Indian tribe; and (2) Reside within a Health Service Delivery Area designated under section 36a.15 Condition: It was noted during the audit that four of the forty samples tested did not have proof that individuals that received IHS benefits were eligible for these benefits based on Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) Cause: The controls in place were not operating effectively to ensure eligibility requirements were met.
Effect or potential effect: The Association is out of compliance with Uniform Guidance eligibility requirements.
Questioned Costs: None
Context: For this program, a sample of forty individuals that received IHS benefits were tested for eligibility requirements. Of the forty individuals tested, four did not have documentation supporting the eligibility requirements were met.
Identification of Repeat Finding: Not applicable.
Recommendations: We recommend that as a part of the Association’s internal control structure over compliance with Uniform Guidance, additional criteria be added to the patient’s intake form and reviewed to ensure eligibility requirements are met prior to the patient receiving benefits.
Views of Responsible Officials: Management agrees with the finding and has set up a corrective action plan. Refer to Corrective Action Plan.
2023-001 Significant Deficiency in Internal Control over Compliance and non-compliance – Eligibility
Identification of federal program: 93.210 Tribal Self-Governance Program: IHS Compact/Funding Agreement
Criteria or specific requirement: Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) 136.12(a)(1)(2) Subject to the requirements of this subpart, the Indian Health Service will provide direct services at its facilities, and contract health services, as medically indicated, and to the extent that funds and resources allocated to the particular Health Service Delivery Area Permit, to persons of Indian or Alaska Native decent who: (1) Are members of a federally recognized Indian tribe; and (2) Reside within a Health Service Delivery Area designated under section 36a.15 Condition: It was noted during the audit that four of the forty samples tested did not have proof that individuals that received IHS benefits were eligible for these benefits based on Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) Cause: The controls in place were not operating effectively to ensure eligibility requirements were met.
Effect or potential effect: The Association is out of compliance with Uniform Guidance eligibility requirements.
Questioned Costs: None
Context: For this program, a sample of forty individuals that received IHS benefits were tested for eligibility requirements. Of the forty individuals tested, four did not have documentation supporting the eligibility requirements were met.
Identification of Repeat Finding: Not applicable.
Recommendations: We recommend that as a part of the Association’s internal control structure over compliance with Uniform Guidance, additional criteria be added to the patient’s intake form and reviewed to ensure eligibility requirements are met prior to the patient receiving benefits.
Views of Responsible Officials: Management agrees with the finding and has set up a corrective action plan. Refer to Corrective Action Plan.
2023-001 Significant Deficiency in Internal Control over Compliance and non-compliance – Eligibility
Identification of federal program: 93.210 Tribal Self-Governance Program: IHS Compact/Funding Agreement
Criteria or specific requirement: Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) 136.12(a)(1)(2) Subject to the requirements of this subpart, the Indian Health Service will provide direct services at its facilities, and contract health services, as medically indicated, and to the extent that funds and resources allocated to the particular Health Service Delivery Area Permit, to persons of Indian or Alaska Native decent who: (1) Are members of a federally recognized Indian tribe; and (2) Reside within a Health Service Delivery Area designated under section 36a.15 Condition: It was noted during the audit that four of the forty samples tested did not have proof that individuals that received IHS benefits were eligible for these benefits based on Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) Cause: The controls in place were not operating effectively to ensure eligibility requirements were met.
Effect or potential effect: The Association is out of compliance with Uniform Guidance eligibility requirements.
Questioned Costs: None
Context: For this program, a sample of forty individuals that received IHS benefits were tested for eligibility requirements. Of the forty individuals tested, four did not have documentation supporting the eligibility requirements were met.
Identification of Repeat Finding: Not applicable.
Recommendations: We recommend that as a part of the Association’s internal control structure over compliance with Uniform Guidance, additional criteria be added to the patient’s intake form and reviewed to ensure eligibility requirements are met prior to the patient receiving benefits.
Views of Responsible Officials: Management agrees with the finding and has set up a corrective action plan. Refer to Corrective Action Plan.
2023-001 Significant Deficiency in Internal Control over Compliance and non-compliance – Eligibility
Identification of federal program: 93.210 Tribal Self-Governance Program: IHS Compact/Funding Agreement
Criteria or specific requirement: Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) 136.12(a)(1)(2) Subject to the requirements of this subpart, the Indian Health Service will provide direct services at its facilities, and contract health services, as medically indicated, and to the extent that funds and resources allocated to the particular Health Service Delivery Area Permit, to persons of Indian or Alaska Native decent who: (1) Are members of a federally recognized Indian tribe; and (2) Reside within a Health Service Delivery Area designated under section 36a.15 Condition: It was noted during the audit that four of the forty samples tested did not have proof that individuals that received IHS benefits were eligible for these benefits based on Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) Cause: The controls in place were not operating effectively to ensure eligibility requirements were met.
Effect or potential effect: The Association is out of compliance with Uniform Guidance eligibility requirements.
Questioned Costs: None
Context: For this program, a sample of forty individuals that received IHS benefits were tested for eligibility requirements. Of the forty individuals tested, four did not have documentation supporting the eligibility requirements were met.
Identification of Repeat Finding: Not applicable.
Recommendations: We recommend that as a part of the Association’s internal control structure over compliance with Uniform Guidance, additional criteria be added to the patient’s intake form and reviewed to ensure eligibility requirements are met prior to the patient receiving benefits.
Views of Responsible Officials: Management agrees with the finding and has set up a corrective action plan. Refer to Corrective Action Plan.
2023-001 Significant Deficiency in Internal Control over Compliance and non-compliance – Eligibility
Identification of federal program: 93.210 Tribal Self-Governance Program: IHS Compact/Funding Agreement
Criteria or specific requirement: Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) 136.12(a)(1)(2) Subject to the requirements of this subpart, the Indian Health Service will provide direct services at its facilities, and contract health services, as medically indicated, and to the extent that funds and resources allocated to the particular Health Service Delivery Area Permit, to persons of Indian or Alaska Native decent who: (1) Are members of a federally recognized Indian tribe; and (2) Reside within a Health Service Delivery Area designated under section 36a.15 Condition: It was noted during the audit that four of the forty samples tested did not have proof that individuals that received IHS benefits were eligible for these benefits based on Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) Cause: The controls in place were not operating effectively to ensure eligibility requirements were met.
Effect or potential effect: The Association is out of compliance with Uniform Guidance eligibility requirements.
Questioned Costs: None
Context: For this program, a sample of forty individuals that received IHS benefits were tested for eligibility requirements. Of the forty individuals tested, four did not have documentation supporting the eligibility requirements were met.
Identification of Repeat Finding: Not applicable.
Recommendations: We recommend that as a part of the Association’s internal control structure over compliance with Uniform Guidance, additional criteria be added to the patient’s intake form and reviewed to ensure eligibility requirements are met prior to the patient receiving benefits.
Views of Responsible Officials: Management agrees with the finding and has set up a corrective action plan. Refer to Corrective Action Plan.
2023-001 Significant Deficiency in Internal Control over Compliance and non-compliance – Eligibility
Identification of federal program: 93.210 Tribal Self-Governance Program: IHS Compact/Funding Agreement
Criteria or specific requirement: Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) 136.12(a)(1)(2) Subject to the requirements of this subpart, the Indian Health Service will provide direct services at its facilities, and contract health services, as medically indicated, and to the extent that funds and resources allocated to the particular Health Service Delivery Area Permit, to persons of Indian or Alaska Native decent who: (1) Are members of a federally recognized Indian tribe; and (2) Reside within a Health Service Delivery Area designated under section 36a.15 Condition: It was noted during the audit that four of the forty samples tested did not have proof that individuals that received IHS benefits were eligible for these benefits based on Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) Cause: The controls in place were not operating effectively to ensure eligibility requirements were met.
Effect or potential effect: The Association is out of compliance with Uniform Guidance eligibility requirements.
Questioned Costs: None
Context: For this program, a sample of forty individuals that received IHS benefits were tested for eligibility requirements. Of the forty individuals tested, four did not have documentation supporting the eligibility requirements were met.
Identification of Repeat Finding: Not applicable.
Recommendations: We recommend that as a part of the Association’s internal control structure over compliance with Uniform Guidance, additional criteria be added to the patient’s intake form and reviewed to ensure eligibility requirements are met prior to the patient receiving benefits.
Views of Responsible Officials: Management agrees with the finding and has set up a corrective action plan. Refer to Corrective Action Plan.
2023-001 Significant Deficiency in Internal Control over Compliance and non-compliance – Eligibility
Identification of federal program: 93.210 Tribal Self-Governance Program: IHS Compact/Funding Agreement
Criteria or specific requirement: Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) 136.12(a)(1)(2) Subject to the requirements of this subpart, the Indian Health Service will provide direct services at its facilities, and contract health services, as medically indicated, and to the extent that funds and resources allocated to the particular Health Service Delivery Area Permit, to persons of Indian or Alaska Native decent who: (1) Are members of a federally recognized Indian tribe; and (2) Reside within a Health Service Delivery Area designated under section 36a.15 Condition: It was noted during the audit that four of the forty samples tested did not have proof that individuals that received IHS benefits were eligible for these benefits based on Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) Cause: The controls in place were not operating effectively to ensure eligibility requirements were met.
Effect or potential effect: The Association is out of compliance with Uniform Guidance eligibility requirements.
Questioned Costs: None
Context: For this program, a sample of forty individuals that received IHS benefits were tested for eligibility requirements. Of the forty individuals tested, four did not have documentation supporting the eligibility requirements were met.
Identification of Repeat Finding: Not applicable.
Recommendations: We recommend that as a part of the Association’s internal control structure over compliance with Uniform Guidance, additional criteria be added to the patient’s intake form and reviewed to ensure eligibility requirements are met prior to the patient receiving benefits.
Views of Responsible Officials: Management agrees with the finding and has set up a corrective action plan. Refer to Corrective Action Plan.
2023-001 Significant Deficiency in Internal Control over Compliance and non-compliance – Eligibility
Identification of federal program: 93.210 Tribal Self-Governance Program: IHS Compact/Funding Agreement
Criteria or specific requirement: Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) 136.12(a)(1)(2) Subject to the requirements of this subpart, the Indian Health Service will provide direct services at its facilities, and contract health services, as medically indicated, and to the extent that funds and resources allocated to the particular Health Service Delivery Area Permit, to persons of Indian or Alaska Native decent who: (1) Are members of a federally recognized Indian tribe; and (2) Reside within a Health Service Delivery Area designated under section 36a.15 Condition: It was noted during the audit that four of the forty samples tested did not have proof that individuals that received IHS benefits were eligible for these benefits based on Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) Cause: The controls in place were not operating effectively to ensure eligibility requirements were met.
Effect or potential effect: The Association is out of compliance with Uniform Guidance eligibility requirements.
Questioned Costs: None
Context: For this program, a sample of forty individuals that received IHS benefits were tested for eligibility requirements. Of the forty individuals tested, four did not have documentation supporting the eligibility requirements were met.
Identification of Repeat Finding: Not applicable.
Recommendations: We recommend that as a part of the Association’s internal control structure over compliance with Uniform Guidance, additional criteria be added to the patient’s intake form and reviewed to ensure eligibility requirements are met prior to the patient receiving benefits.
Views of Responsible Officials: Management agrees with the finding and has set up a corrective action plan. Refer to Corrective Action Plan.
2023-001 Significant Deficiency in Internal Control over Compliance and non-compliance – Eligibility
Identification of federal program: 93.210 Tribal Self-Governance Program: IHS Compact/Funding Agreement
Criteria or specific requirement: Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) 136.12(a)(1)(2) Subject to the requirements of this subpart, the Indian Health Service will provide direct services at its facilities, and contract health services, as medically indicated, and to the extent that funds and resources allocated to the particular Health Service Delivery Area Permit, to persons of Indian or Alaska Native decent who: (1) Are members of a federally recognized Indian tribe; and (2) Reside within a Health Service Delivery Area designated under section 36a.15 Condition: It was noted during the audit that four of the forty samples tested did not have proof that individuals that received IHS benefits were eligible for these benefits based on Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) Cause: The controls in place were not operating effectively to ensure eligibility requirements were met.
Effect or potential effect: The Association is out of compliance with Uniform Guidance eligibility requirements.
Questioned Costs: None
Context: For this program, a sample of forty individuals that received IHS benefits were tested for eligibility requirements. Of the forty individuals tested, four did not have documentation supporting the eligibility requirements were met.
Identification of Repeat Finding: Not applicable.
Recommendations: We recommend that as a part of the Association’s internal control structure over compliance with Uniform Guidance, additional criteria be added to the patient’s intake form and reviewed to ensure eligibility requirements are met prior to the patient receiving benefits.
Views of Responsible Officials: Management agrees with the finding and has set up a corrective action plan. Refer to Corrective Action Plan.
2023-001 Significant Deficiency in Internal Control over Compliance and non-compliance – Eligibility
Identification of federal program: 93.210 Tribal Self-Governance Program: IHS Compact/Funding Agreement
Criteria or specific requirement: Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) 136.12(a)(1)(2) Subject to the requirements of this subpart, the Indian Health Service will provide direct services at its facilities, and contract health services, as medically indicated, and to the extent that funds and resources allocated to the particular Health Service Delivery Area Permit, to persons of Indian or Alaska Native decent who: (1) Are members of a federally recognized Indian tribe; and (2) Reside within a Health Service Delivery Area designated under section 36a.15 Condition: It was noted during the audit that four of the forty samples tested did not have proof that individuals that received IHS benefits were eligible for these benefits based on Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) Cause: The controls in place were not operating effectively to ensure eligibility requirements were met.
Effect or potential effect: The Association is out of compliance with Uniform Guidance eligibility requirements.
Questioned Costs: None
Context: For this program, a sample of forty individuals that received IHS benefits were tested for eligibility requirements. Of the forty individuals tested, four did not have documentation supporting the eligibility requirements were met.
Identification of Repeat Finding: Not applicable.
Recommendations: We recommend that as a part of the Association’s internal control structure over compliance with Uniform Guidance, additional criteria be added to the patient’s intake form and reviewed to ensure eligibility requirements are met prior to the patient receiving benefits.
Views of Responsible Officials: Management agrees with the finding and has set up a corrective action plan. Refer to Corrective Action Plan.
2023-001 Significant Deficiency in Internal Control over Compliance and non-compliance – Eligibility
Identification of federal program: 93.210 Tribal Self-Governance Program: IHS Compact/Funding Agreement
Criteria or specific requirement: Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) 136.12(a)(1)(2) Subject to the requirements of this subpart, the Indian Health Service will provide direct services at its facilities, and contract health services, as medically indicated, and to the extent that funds and resources allocated to the particular Health Service Delivery Area Permit, to persons of Indian or Alaska Native decent who: (1) Are members of a federally recognized Indian tribe; and (2) Reside within a Health Service Delivery Area designated under section 36a.15 Condition: It was noted during the audit that four of the forty samples tested did not have proof that individuals that received IHS benefits were eligible for these benefits based on Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) Cause: The controls in place were not operating effectively to ensure eligibility requirements were met.
Effect or potential effect: The Association is out of compliance with Uniform Guidance eligibility requirements.
Questioned Costs: None
Context: For this program, a sample of forty individuals that received IHS benefits were tested for eligibility requirements. Of the forty individuals tested, four did not have documentation supporting the eligibility requirements were met.
Identification of Repeat Finding: Not applicable.
Recommendations: We recommend that as a part of the Association’s internal control structure over compliance with Uniform Guidance, additional criteria be added to the patient’s intake form and reviewed to ensure eligibility requirements are met prior to the patient receiving benefits.
Views of Responsible Officials: Management agrees with the finding and has set up a corrective action plan. Refer to Corrective Action Plan.
2023-001 Significant Deficiency in Internal Control over Compliance and non-compliance – Eligibility
Identification of federal program: 93.210 Tribal Self-Governance Program: IHS Compact/Funding Agreement
Criteria or specific requirement: Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) 136.12(a)(1)(2) Subject to the requirements of this subpart, the Indian Health Service will provide direct services at its facilities, and contract health services, as medically indicated, and to the extent that funds and resources allocated to the particular Health Service Delivery Area Permit, to persons of Indian or Alaska Native decent who: (1) Are members of a federally recognized Indian tribe; and (2) Reside within a Health Service Delivery Area designated under section 36a.15 Condition: It was noted during the audit that four of the forty samples tested did not have proof that individuals that received IHS benefits were eligible for these benefits based on Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) Cause: The controls in place were not operating effectively to ensure eligibility requirements were met.
Effect or potential effect: The Association is out of compliance with Uniform Guidance eligibility requirements.
Questioned Costs: None
Context: For this program, a sample of forty individuals that received IHS benefits were tested for eligibility requirements. Of the forty individuals tested, four did not have documentation supporting the eligibility requirements were met.
Identification of Repeat Finding: Not applicable.
Recommendations: We recommend that as a part of the Association’s internal control structure over compliance with Uniform Guidance, additional criteria be added to the patient’s intake form and reviewed to ensure eligibility requirements are met prior to the patient receiving benefits.
Views of Responsible Officials: Management agrees with the finding and has set up a corrective action plan. Refer to Corrective Action Plan.
2023-001 Significant Deficiency in Internal Control over Compliance and non-compliance – Eligibility
Identification of federal program: 93.210 Tribal Self-Governance Program: IHS Compact/Funding Agreement
Criteria or specific requirement: Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) 136.12(a)(1)(2) Subject to the requirements of this subpart, the Indian Health Service will provide direct services at its facilities, and contract health services, as medically indicated, and to the extent that funds and resources allocated to the particular Health Service Delivery Area Permit, to persons of Indian or Alaska Native decent who: (1) Are members of a federally recognized Indian tribe; and (2) Reside within a Health Service Delivery Area designated under section 36a.15 Condition: It was noted during the audit that four of the forty samples tested did not have proof that individuals that received IHS benefits were eligible for these benefits based on Uniform Guidance 42 C.F.R section 136.12(a)(1)(2) Cause: The controls in place were not operating effectively to ensure eligibility requirements were met.
Effect or potential effect: The Association is out of compliance with Uniform Guidance eligibility requirements.
Questioned Costs: None
Context: For this program, a sample of forty individuals that received IHS benefits were tested for eligibility requirements. Of the forty individuals tested, four did not have documentation supporting the eligibility requirements were met.
Identification of Repeat Finding: Not applicable.
Recommendations: We recommend that as a part of the Association’s internal control structure over compliance with Uniform Guidance, additional criteria be added to the patient’s intake form and reviewed to ensure eligibility requirements are met prior to the patient receiving benefits.
Views of Responsible Officials: Management agrees with the finding and has set up a corrective action plan. Refer to Corrective Action Plan.