Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Activities Allowed and Unallowed, Allowable Costs/Cost Principles, Reporting – Information Technology – Password Configuration Federal Agency: U.S. Department of Housing and Urban Development Federal Program Title: Community Development Block Grants/State’s Program and Non-Entitlement Grants in Hawaii ALN: 14.228 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: Various Various Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: MIP is GLO’s accounting application that serves as the agency’s system of record for budget, payroll, cash transactions, accounts receivable, and accounts payable. During our testing, we noted that Active Directory password configurations and the MIP lockout configurations do not adhere to the password policy defined in GLO’s Identification and Authentication policies or defined best practices. Questioned costs: None. Context: See “Condition.” Cause: GLO did not have processes in place to enforce password policies as outlined in the agency’s Identification and Authentication policies. Effect: Failure to follow GLO’s password policy increases the risk of inappropriate access. Repeat finding: No Recommendation: We recommend GLO update their password settings to align with the agency’s password policy. Views of responsible officials: We concur with the finding and the recommendation. Of note is that MIP is a standalone system and doesn’t provide the same password complexity and lockout capability that Active Directory offers, so we will address these individually. The risk associated with not having this same capability in the MIP system is somewhat mitigated by MIP being a system that is only available on-premises or via VPN with a valid Active Directory account.
Activities Allowed and Unallowed, Allowable Costs/Cost Principles, Reporting – Information
Technology – User Access
Federal Agency: U.S. Department of Housing and Urban Development
Federal Program Title: Community Development Block Grants/State’s Program and Non-Entitlement
Grants in Hawaii
ALN: 14.228
Pass-Through Agency: N/A
Pass-Through Number(s): N/A
Award Number and Period: Various
Various
Statistically Valid Sample: No, and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency in Internal Control over Compliance
Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and
maintain effective internal control over the Federal award that provides reasonable assurance that the non Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and
conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for
Internal Control in the Federal Government” issued by the Comptroller General of the United States or the
“Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway
Commission (COSO).
Condition: The Community Development and Revitalization (CDR) division of GLO uses TIGR as its primary
grant management system of record. It is used to manage and process CDBG-DR and CDBG-MIT grant
transactions.
During our testing, we noted one of 13 terminations selected for testing did not have their Active Directory and
TIGR access revoked upon termination in accordance with GLO’s Account Management policies, which state:
1.8 All access accounts established for contractors, consultants, vendors, and maintenance accounts must be
disabled immediately upon termination or completion of the contract period.
1.9 In the event of involuntary termination of users, access must be removed or disabled prior to or at the same
time the user is notified of the termination.
The employee was terminated on July 5, 2023, however, their access was not removed. Subsequent to audit
procedures, management terminated access to the Active Directory on September 25, 2023, and TIGR on
September 28, 2023. Management was unable to provide evidence to support that neither system had been
accessed between the date of the termination and the date that the system access was removed.
We also noted that while management affirmed that a privileged user access review was completed for Active
Directory accounts, there was no evidence maintained of the completion date, who the review was performed by,
or frequency of review.
Questioned costs: None.
Context: See “Condition.”
Cause: The exception related to the terminated employee was caused by a delay in communication between
multiple departments within GLO. The exception related to user access reviews was caused by GLO not
maintaining adequate documentation.
Effect: Failure to disable and archive accounts for users that have been terminated increases the risk of
inappropriate access and noncompliance. Failure to maintain adequate documentation of user access reviews
may result in omission of steps in the review process.
Repeat finding: No
Recommendation: We recommend GLO enhance the existing process to allow for timely communication of
terminated employees. Additionally, we recommend GLO develop a policy that outlines the documentation of user
access reviews.
Views of responsible officials: We concur with the finding and the recommendation and will take action to
address the concerns.
Reporting – FFATA Subawards
Federal Agency: U.S. Department of Housing and Urban Development
Federal Program Title: Community Development Block Grants/State’s Program and Non-Entitlement
Grants in Hawaii
ALN: 14.228
Pass-Through Agency: N/A
Pass-Through Number(s): N/A
Award Number and Period: B-18-DP-48-0002
January 12, 2021 – January 12, 2033
Statistically Valid Sample: No, and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance
Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and
maintain effective internal control over the Federal award that provides reasonable assurance that the non Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and
conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for
Internal Control in the Federal Government” issued by the Comptroller General of the United States or the
“Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway
Commission (COSO).
Under the requirements of the Federal Funding Accountability and Transparency Act (FFATA) (Pub. L. No. 109-
282), as amended by Section 6202 of Public Law 110-252, recipients (i.e., direct recipients) of grants or
cooperative agreements are required to report first-tier subawards of $30,000 or more to the Federal Funding
Accountability and Transparency Act Subaward Reporting System (FSRS) no later than the last day of the month
following the month in which the subaward/subaward amendment obligation was made or the subcontract
award/subcontract modification was made.
Condition: GLO’s Contract Department determines subawards that are required to be reported in FSRS under
FFATA reporting requirements. These subawards are subsequently provided to GLO’s Federal Finance and
Grants Management to report in FSRS.
During our testing, we noted the following exceptions:
See chart or table in the Schedule of Findings and Questioned Costs.
Questioned costs: None.
Context: See “Condition.”
Cause: Subawards were inadvertently omitted from the information provided to Federal Finance and Grants
Management resulting in untimely submission.
Effect: Failure to submit FFATA subawards timely may lead to noncompliance with federal requirements.
Repeat finding: No
Recommendation: We recommend that management establish standard operating procedures in order to
guarantee accurate support and timely communication between departments to ensure timely submission of
required reports.
Views of responsible officials: We agree that two sub-awards were inadvertently omitted from the information
provided to Federal Finance and Grants Management, resulting in an untimely submission.
Reporting – PR28 Financial Summary Report Federal Agency: U.S. Department of Housing and Urban Development Federal Program Title: Community Development Block Grants/State’s Program and Non-Entitlement Grants in Hawaii ALN: 14.228 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: B-22-DC-48-004 September 1, 2022 – September 1, 2029 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per U.S. Department of Housing and Urban Development (HUD) notice CPD-21-11, when generating the PR28 PER Financial Summary in IDIS, states have the ability to enter various adjustment parameters to data summarized from within IDIS. These adjustments are specific to each individual PR28 PER Financial Summary and are displayed in the report output. For any PR28 PER Financial Summary where the grantee made adjustments, the grantee must attach an explanation to the report. Condition: Texas Department of Agriculture (TDA) is required to submit the PR28 Financial Summary report and record any necessary adjustments to the financial report. During our testing, we noted TDA did not make the necessary adjustments to match supporting documentation from TDA accounting systems. The following adjustments were not reported as follows: Line B13: Adjustment to compute total set aside for State Administration - $421,994 Line B21: Adjustment to compute total redistributed – ($2,630,787) Line B24: Adjustment to compute total not yet distributed - $2,181,312 Line D47: Adjustments to compute total subject to PS cap – ($5,756) Line D56: Adjustments to compute total subject to P/A cap – ($5,756) Questioned costs: None. Context: See "Condition" Cause: While management maintained supporting documentation, they failed to make the appropriate adjustments to PR28 Financial Summary Report. Effect: Failure to report accurate data on the PR28 Financial Summary report could compromise HUD’s ability to monitor CDBG expenditures and compliance with statutory requirements. Repeat finding: No
Recommendation: TDA should enhance internal controls surrounding reporting to ensure accurate data is being
outputted in accordance with the requirements of the respective report.
Views of responsible officials: TDA agrees with the finding. TDA acknowledges that the appropriate
adjustments are not reflected in the PR-28 report originally submitted for Program Year 2022.
Reporting – FFATA Federal Agency: U.S. Department of Agriculture U.S. Department of Housing and Urban Development Federal Program Title: Child Nutrition Cluster (CNC) Community Development Block Grants/State’s Program and Non-Entitlement Grants in Hawaii (CDBG) ALN: 10.553, 10.555, 10.556, 10.559, 10.582 14.228 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: CNC 236TX332N1099, 236TX332N1199, 236TX375L1603 October 1, 2022 – September 30, 2023 CDBG B-21-DC-48-0001, B-22-DC-48-0001 September 1, 2021 – September 1, 2028, September 1, 2021 – September 1, 2028, September 1, 2022 – September 1, 2029 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework,” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Under the requirements of the Federal Funding Accountability and Transparency Act (FFATA) (Pub. L. No. 109- 282), as amended by Section 6202 of Public Law 110-252, recipients (i.e., direct recipients) of grants or cooperative agreements are required to report first-tier subawards of $30,000 or more to the Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS) no later than the last day of the month following the month in which the subaward/subaward amendment obligation was made or the subcontract award/subcontract modification was made. Condition: Texas Department of Agriculture (TDA) is responsible for submitting all required subawards in the
Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS).
During our testing, we noted the following compliance exceptions:
Child Nutrition Cluster- Fresh Fruit and Vegetable Program (ALN 10.582)
See chart or table in the Schedule of Findings and Questioned Costs.
Child Nutrition Cluster- National School Lunch Program (ALN 10.555)
See chart or table in the Schedule of Findings and Questioned Costs.
Community Development Block Grant (ALN 14.228)
See chart or table in the Schedule of Findings and Questioned Costs.
Questioned costs: None.
Context: See "Condition."
Cause: As related to ALN 10.582 and 10.555, TDA reports expenditures at the end of the subaward period rather
than reporting subawards over $30,000 by the last day of the month following the month in which the subaward/
subaward amendment obligation was made or the subcontract award/subcontract modification was made. This
was due to the nature of the subaward agreements, where subaward amounts are not specified in the agreement
and subrecipients are reimbursed based on actual expenditures incurred each month. As related to subawards
not reported for ALN 10.555, TDA did not attempt to report subawards during the fiscal year due to significant
technical difficulties encountered uploading subaward data into the FSRS in previous periods. As related to
14.228, reports were submitted late due to management oversight.
Effect: Failure to report all subawards $30,000 or greater in FSRS will result in noncompliance with terms of the
federal grant guidelines.
Repeat Finding: No
Recommendation: TDA should revise its current policies and procedures to ensure all subaward/ subaward
amendment obligations over $30,000 are identified and submitted in FSRS by the last day of the month following
the month in which the subaward/ subaward amendment obligation was made or the subcontract
award/subcontract modification was made. Additionally, TDA should attempt to submit subaward information as
required. If unsuccessful due to technical matters related to FSRS, TDA should retain documentation of the
resolution efforts and submit subaward information immediately after the matter has been resolved.
Views of responsible officials:
CNC – TDA FND agrees with the CLA’s recommendation.
CDBG – TDA agrees with the finding. TDA acknowledges the FFATA reports were not submitted timely.
Eligibility Federal Agency: U.S. Department of the Treasury Federal Program Title: Emergency Rental Assistance Program ALN: 21.023 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 1505-0266 – 2021, 1505-0270 – 2021. January 6, 2022 – December 29, 2022 and May 5, 2021 – September 30, 2025 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: According to Treasury’s Emergency Rental Assistance (ERA) Frequently Asked Questions (FAQs) Revised August 25, 2021, in ERA1, grantees must make reasonable efforts to obtain the cooperation of landlords and utility providers to accept payments from the ERA program. Outreach will be considered complete if (i) a request for participation is sent in writing, by mail, to the landlord or utility provider, and the addressee does not respond to the request within seven calendar days after mailing; (ii) the grantee has made at least three attempts by phone, text, or e-mail over a five calendar-day period to request the landlord or utility provider’s participation; or (iii) a landlord confirms in writing that the landlord does not wish to participate. The final outreach attempt or notice to the landlord must be documented. According to Treasury’s ERA Frequently Asked Questions (FAQs) Revised August 25, 2021, Grantees must obtain, if available, a current lease, signed by the applicant and the landlord or sublessor, that identifies the unit where the applicant resides and establishes the rental payment amount. If a household does not have a signed lease, documentation of residence may include evidence of paying utilities for the residential unit, an attestation by a landlord who can be identified as the verified owner or management agent of the unit, or other reasonable documentation as determined by the grantee. In the absence of a signed lease, evidence of the amount of a rental payment may include bank statements, check stubs, or other documentation that reasonably establishes a pattern of paying rent, a written attestation by a landlord who can be verified as the legitimate owner or management agent of the unit, or other reasonable documentation as defined by the grantee in its policies and procedures. According to the Texas Rent Relief Program Policies effective June 21, 2021, a household can request and receive rent assistance up to the total amount of monthly contracted rent listed on the lease. In the rare cases in which a tenant is applying without landlord cooperation, AND a lease does not exist, the tenant will be required to provide receipts for their 3 most recent rent payments in order to establish a pattern. Condition: During our testing of 60 individual payments to program participants, we noted the following exceptions: For one sampled payment totaling $1,950, only one outreach to the landlord was attempted by phone instead of the required minimum of three. For one sampled payment totaling $3,277, the landlord confirmed they were not willing to participate, however, it was not obtained in writing. For one sampled payment, the prorated calculation for monthly rent was incorrect, resulting in an overpayment of $203. Questioned costs: $5,430. Context: See "Condition"
Cause: The reviewer did not adhere to procedures related to outreach and obtaining required documentation.
Additionally, the processing vendor miscalculated the rental assistance.
Effect: Failure to accurately calculate and perform outreach for rental assistance under the program may result in
overpayments to tenants or payments to ineligible tenants.
Repeat finding: 2022-022, 2021-012
Recommendation: We recommend management enhance current policies and procedures to ensure all program
requirements are adhered to prior to making benefit payments.
Views of responsible officials: Management agrees with the finding and recommendation
Subrecipient Monitoring Federal Agency: U.S. Department of the Treasury Federal Program Title: Emergency Rental Assistance Program ALN: 21.023 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 1505-0266 – 2021, 1505-0270 – 2021. January 6, 2022 – December 29, 2022 and May 5, 2021 – September 30, 2025 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per 2 CFR sections 200.332 (d) through (f), all pass-through entities must monitor the activities of the subrecipient as necessary to ensure that the subaward is used for authorized purposes, complies with the terms and conditions of the subaward, and achieves performance goals. Condition: TDHCA maintains a Master Planning Summary (MPS) to track all active subrecipient contracts that
have expenditures in the planning phase, which are to be considered for sampling and potential selection for
review. During our testing, we noted one subrecipient contract with expenditures during the fiscal year that was
not included in the MPS for potential selection for a review.
Questioned costs: None.
Context: See “Condition.”
Cause: Management is not adhering to the subrecipient monitoring procedures to ensure all active subrecipient
contracts with expenditures incurred during the fiscal year are at least considered for review by being included in
the MPS.
Effect: Failure to complete proper monitoring over subrecipients may lead to noncompliance with grant terms and
conditions.
Repeat finding: No
Recommendation: We recommend that TDHCA strengthen its internal controls to ensure that all subrecipients
are included in the MPS and subject to review.
Views of responsible officials: The Department’s Compliance Subrecipient Monitoring (CMSM) staff
acknowledges that a subrecipient was erroneously not included in the Master Planning Summary. However, the
Department’s procedures for risk assessment and monitoring activities for this review period remain compliant
with 2 CFR section 200.303(a) as well as 2 CFR section 200.331(6)(b). Risk assessment for non-formula funded
contracts is 100% risk based. Both risk assessment and subsequent monitoring functions represent a snapshot of
the Department’s pass-through activities and 100% review is not required. It is the Department’s stance that this
error does not materially impact the risk assessment process or the scope of this audit.
Special Tests and Provisions – ERA Funds Reallocation Federal Agency: U.S. Department of the Treasury Federal Program Title: Emergency Rental Assistance Program ALN: 21.023 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 1505-0270 – 2021 May 5, 2021 – September 30, 2025 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR §200.302, the non-Federal entity's financial management systems,
including records documenting compliance with Federal statutes, regulations, and the terms and conditions of the
Federal award, must be sufficient to permit the preparation of reports required by general and program-specific
terms and conditions; and the tracing of funds to a level of expenditures adequate to establish that such funds
have been used according to the Federal statutes, regulations, and the terms and conditions of the Federal
award. Further, the financial management system of each non-Federal entity must provide accurate, current, and
complete disclosure of the financial results of each Federal award or program in accordance with the reporting
requirements.
Per 2 CFR §200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the
Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in
compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal
controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government”
issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per Treasury’s ERA2 Reallocation Guidance Updated November 15, 2022, the ERA2 statute requires Treasury to
identify funds for reallocation from amounts allocated to eligible Grantees, but not yet paid out to them.
Specifically, the statute provides that beginning on March 31, 2022, Treasury must “reallocate funds allocated to
eligible grantees … but not yet paid,” according to a procedure established by Treasury.
Condition: Audit procedures included a review of the ERA2 Quarter 3 2022 (July-September) and ERA2 Quarter
4 2022 (October-December) Compliance Reports. We noted that $6,777,186 was double counted on the
‘Cumulative Amount of Award Obligated as of the end of the Reporting Period’ amount in the ERA2 Quarter 4
2022 Compliance Report.
Questioned costs: None.
Context: See "Condition"
Cause: Obligated amounts were duplicated when preparing the supporting worksheets due to management
oversight.
Effect: Inaccurate supporting data when calculating reallocation expenditure ratios may result in an incorrect
amount of excess funds subject to recapture by Treasury.
Repeat finding: 2022-025
Recommendation: We recommend management enhance its internal controls over the review of supporting
reallocation expenditure ratio calculations.
Views of responsible officials: Management agrees with the finding and recommendation
Eligibility Federal Agency: U.S. Department of the Treasury Federal Program Title: Homeowner Assistance Fund Program ALN: 21.026 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 1505-0269 – 2021 May 3, 2021 – September 30, 2026 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR §200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: During our testing of 60 individual payments to program participants, we noted the following exceptions for one sampled payment: The servicer failed to provide an original loan amount. While the deed of trust was used to confirm conforming loan limits, it was not retained. The deed of trust was subsequently provided, however, we were unable to verify that the applicant provided a deed of trust prior to approval. The applicant was enrolled in the Mortgage Reinstatement Program, which states that the debt to-income ratio must be between 31.01% and 55.0% and the applicant states they can afford to make the mortgage payments. We noted that the while the applicant had a 32.01% debt-to-income ratio, they stated they cannot afford to continue mortgage payments. As such, the applicant should have been enrolled in the Reinstatement plus Monthly payment assistance (R+U) program, which provides full monthly payment assistance to homeowners who are past due on their mortgage and unable to make full mortgage payments due to a continuing financial hardship associated with the Coronavirus pandemic. Questioned costs: None. Context: See "Condition" Cause: Management did not retain documentation to support eligibility determinations in the case file. With respect to program placement, the applicant was enrolled in the incorrect program due to changes in program types concurrently taking place. Effect: Ineffective controls over loan eligibility could result in payments on ineligible loans. Additionally, incorrectly placing participants in programs may result in ineligible payments or erroneously denying payments. Repeat finding: No Recommendation: We recommend enhancing current policies and procedures to ensure that the case auditors and supervisors are: (1) not approving applications with incomplete documentation and (2) properly placing participants in the correct program. Views of responsible officials: Management concurs with the control deficiency.
Reporting Federal Agency: U.S. Department of the Treasury Federal Program Title: Homeowner Assistance Fund Program ALN: 21.026 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 1505-0269 – 2021 May 3, 2021 – September 30, 2026 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR §200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per the Department of Treasury’s Homeowner Assistance Fund (HAF) guidance on participant compliance and reporting responsibilities, HAF participants are required to submit quarterly reports (PRA 1505-0269) that include data regarding programs, expenditures, demographic distribution, civil rights compliance, equity indicators, community engagement efforts, and programmatic data. To provide public transparency on whether programs are using practices that promote on-time and on-budget delivery, Treasury will seek information from HAF participants on their workforce plans and practices related to HAF programs. The reports contain key line items with critical information as follows: 1. Administrative Expenses - Quantifiable Objective Criteria: Obligations and expenditures do not exceed 15% for admin expenses. 2. Services, Counseling & Education - Quantifiable Objective Criteria: Obligations and expenditures do not exceed 5% for legal services, counseling, and education. Condition: Audit procedures included a review of the key line items within the quarterly reports for the periods
ending December 31, 2022 and March 31, 2023. While TDHCA did not exceed the percentage maximums for
each key line item, we noted the following variances for Administrative Obligations and Expenses:
December 31, 2022 Report
Obligations – Total cumulative obligations reported was $121,740,816, however the amount per
supporting documentation provided was $95,675,808, resulting in a variance of $26,065,008.
Expenditures – Total cumulative expenditures reported was $32,309,867, however, the amount per
supporting documentation was $31,498,881 resulting in a variance of $810,986.
Specific to contracts with CDCs, Housing Counselors, Affordable Housing Providers for Intake Centers
and Outreach, review of the expenditure detail indicated that the $1,781,278 of cumulative expenditures
reported included other costs not related to this category.
March 31, 2023 Report
Obligations – Total cumulative obligations reported was $104,384,814, however, the amount per
supporting documentation was $96,426,918, resulting in a variance of $7,957,896.
Expenditures – Total cumulative expenditures reported was $41,113,838, however, the amount per
supporting documentation was $45,208,650, resulting in a variance of ($4,094,812).
Specific to contracts with expenditures for CDCs, Housing Counselors, Affordable Housing Providers for
Intake Centers and Outreach, review of the expenditure detail indicated that the $0 of cumulative
expenditures reported is incorrect. We noted cumulative expenditures for 100% intake of $2,324,512.
These are at minimum expenditures as there are subrecipient contracts allocated between intake,
counseling, and legal. which TDHCA did incur expenditures in Q1 2023 and previous quarters.
Management was unable to provide an analysis of these expenditures to allocate the respective portion to
intake.
Questioned costs: None.
Context: See "Condition"
Cause: TDHCA reported budgeted amounts rather than obligated amounts as defined by the U.S. Treasury
Homeowner Assistance Fund Guidance on Participant Compliance and Reporting Responsibilities. Additionally,
TDHCA’s controls over the review of reports were not operating at a precision level that would identify reported
amounts that do not agree to supporting documentation.
Effect: Improperly designed internal controls over reporting may result in a misstatement of amounts reported to
the federal government.
Repeat finding: No
Recommendation: We recommend management enhance its internal controls to ensure obligations reported on
federal reports meet the definition of an obligation per Treasury and that amounts agree to supporting
documentation.
Views of responsible officials: Management concurs with the control deficiency.
Activities Allowed or Unallowed, Allowable Costs/Cost Principles
Federal Agency: U.S. Department of the Treasury
Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds
ALN: 21.027
Pass-Through Agency: N/A
Pass-Through Number(s): N/A
Award Number and Period: SLT – 8809: Project Name: HHSC Section 33; HHSC Section 12: Rural Hospitals,
HHSC Section 22: Sunrise Canyon Hospital
November 8, 2021 – December 31, 2026
Statistically Valid Sample: No, and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance
Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the
federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award.
These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework”
issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per 2 CFR
200.334, financial records, supporting documents, statistical records, and all other non-Federal entity records
pertinent to a Federal award must be retained for a period of three years from the date of submission of the final
expenditure report or, for Federal awards that are renewed quarterly or annually, from the date of the submission
of the quarterly or annual financial report, respectively, as reported to the Federal awarding agency or pass through entity in the case of a subrecipient. Federal awarding agencies and pass-through entities must not
impose any other record retention requirements upon non-Federal entities.
In the 2021 Texas Senate Bill 8, HHSC was appropriated money in various sections of the bill received by Texas
from the Coronavirus State Fiscal Recovery Fund for the following purposes related to costs incurred during the
period beginning October 8, 2021, and ending November 8, 2023, due to the coronavirus pandemic:
Section 11(a) – funding for the construction of a state hospital in Dallas, Texas.
Section 12 – funding for grants to support rural hospitals that have been affected by the COVID-19
pandemic.
Section 13 – funding for the creation of a consolidated internet portal for Medicaid and the Children’s
Health Insurance Program medical services provider data.
Section 14 – funding for technology updates to the Medicaid eligibility computer system.
Section 15 – funding for COVID-19 related expenses incurred by the Texas Civil Commitment Office
related to consumable supplies and travel.
Section 22 – funding for the expansion of capacity of Sunrise Canyon Hospital.
Section 33 – funding to administer one-time grants related to providing critical staffing needs resulting
from frontline healthcare workers affected by COVID-19, including recruitment and retention bonuses for
staff.
Condition: Audit procedures included a selection of 60 sampled expenditures totaling $143,092,786 incurred
during the fiscal year to test allowability with the grant awards. We noted that for 48 out of the 60 samples totaling
$9,600,062, the agency did not obtain supporting documentation from the vendor to verify that the amounts
advanced to the vendor were expended on allowable costs. We were unable to substantiate the amounts
expended by the vendor and allowability of those expenditures in accordance with the relevant Senate Bill 8
section and the Department of the Treasury Final Rule.
Questioned costs: $9,600,062.
Context: See “Condition.”
Cause: HHSC is not fully monitoring the use of program funds through collection, review, and maintenance of
invoices supporting the expenditures.
Effect: Failure to maintain adequate documentation pertinent to a federal award may result in noncompliance with
grant terms and conditions.
Repeat finding: No
Recommendation: HHSC should implement policies and procedures to ensure documentation is maintained for
a period of at least three years from the date of submission of the final expenditure report for the grant in
accordance with 2 CFR 200.334.
Views of responsible officials: HHSC concurs with the finding.
Activities Allowed and Unallowed, Allowable Costs/Cost Principles, Earmarking, Procurement, Suspension and Debarment, Reporting – Information Technology – Change Management Federal Agency: U.S. Department of the Treasury Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds ALN: 21.027 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: SLT – 8809: Project Name: CACT Section 3: Children’s Advocacy; OOG TTIR Section 2; OOG Section 24: Trusted Programs within the Office of the Governor November 8, 2021 – December 31, 2026 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: System changes that were applied to the production Texas Travel Industry Recovery Grant Program (TTIR) environment were not documented in accordance with appropriate change management procedures. We were unable to verify that changes were requested, approved, and segregation of duties existed within the process for five of the five samples selected for testing. Questioned costs: None. Context: See “Condition.” Cause: OOG currently utilizes emails and Microsoft Teams messages to transmit information during the change management process request and approval process. However, documentation from these methods was not retained. Effect: Failure to formally document system changes could result in undocumented or unauthorized changes to the application. Repeat finding: No Recommendation: We recommend formally documenting and retaining the request and approval of all changes related to the TTIR application. Views of responsible officials: The Office of the Governor (OOG) management agrees with the finding that the
documented evidence of Change Management execution is insufficient. While the change management
procedure is in practice cohesive and in continued use, the documentation of such and evidence of the
repeatability thereof, is insufficient for the Texas Travel Industry Recovery Grant Program (TTIR) Portal.
Activities Allowed and Unallowed, Allowable Costs/Cost Principles, Earmarking, Procurement, Suspension and Debarment, Reporting – Information Technology – Logical Access Federal Agency: U.S. Department of the Treasury Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds ALN: 21.027 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: SLT – 8809: Project Name: CACT Section 3: Children’s Advocacy; OOG TTIR Section 2; OOG Section 24: Trusted Programs within the Office of the Governor November 8, 2021 – December 31, 2026 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: OOG did not perform a documented periodic access review of users for the eGrants application, which would include a review of privileged users’ access during the fiscal year. Questioned costs: None. Context: See “Condition.” Cause: Management’s timeline to complete the user access review was delayed. Effect: Failure to perform user access reviews in a timely manner could result in undetected inappropriate access
or inappropriate changes to the application.
Repeat finding: No
Recommendation: We recommend that OOG enforce current policies and procedures in relation to eGrants to
complete timely user access reviews and document the results. The user access review should include a review
of all privileged accounts on a periodic basis to verify that all active accounts are supported by a business
purpose.
Views of responsible officials: The Office of the Governor (OOG) management agrees with the finding that the
OOG did not perform a documented periodic access review of users for the eGrants application, which would
include a review of privileged users’ access during the fiscal year.
Reporting Federal Agency: U.S. Department of the Treasury Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds ALN: 21.027 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: SLT – 8809: Project Name: CACT Section 3: Children’s Advocacy; OOG TTIR Section 2; OOG Section 24: Trusted Programs within the Office of the Governor November 8, 2021 – December 31, 2026 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and NoncomplianceCriteria or specific requirement: Per 2 CFR section 200.303(a), the a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per the Coronavirus State and Local Fiscal Recovery Funds (SLFRF) Compliance and Reporting Guidance Version 5.0, for purposes of reporting in the SLFRF portal, an obligation is an order placed for property and services, contracts and subawards made, and similar transactions that require payment. Condition: OOG is the prime recipient of SLFRF funds for the State of Texas. Per Senate Bill 8, funds are passed through to other state agencies to expend on programs established by the Senate Bill. On a quarterly basis, OOG receives ‘Agency Reconcilers’ from each state agency with reported amounts for each of their respective programs per Senate Bill 8 in order to prepare the state-wide Project and Expenditure Report. Audit procedures included testing of the December 31, 2022 and March 31, 2023 Project and Expenditure Reports, which combined Agency Reconcilers for 33 programs and 41 programs, respectively. We compared the amounts reported on the Project and Expenditure Reports as submitted to Treasury to the amounts noted on the ‘Agency Reconcilers’ submitted by the pass-through state agencies noting the following variances by key line item: December 31, 2022 Project and Expenditure Report OOG was unable to provide the Agency Reconciler for five programs. As such, we were unable to validate all key line items reported for those agencies. Current period obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for nine programs, resulting in a variance of ($61,450,208). Cumulative obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for 12 programs, resulting in a variance of $333,636,497. Current period expenditures – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for five programs, resulting in a variance of ($85,590,747) Cumulative expenditures - Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for one program, resulting in a variance of ($74,511). March 31, 2023 Project and Expenditure Report Current period obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for 15 programs, resulting in a variance of ($115,194,311). Cumulative obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for 22 programs, resulting in a variance of $572,738,964. Current period expenditures – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for eight programs, resulting in a variance of ($20,661,270). Cumulative expenditures - Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for one program, resulting in a variance of ($32,479). Questioned costs: None.
Context: See “Condition.”
Cause: Variances related to cumulative obligations were due to OOG reporting budgeted amounts rather than
obligated amounts as defined by the SLFRF Compliance and Reporting Guidance Version 5.0. The remaining
variances were due to discrepancies between the Agency Reconcilers and amounts reported in OOG’s eGrants
system. OOG reported amounts reported in its eGrants system rather than the amounts reported by the state
agencies.
Effect: Improperly designed internal controls over reporting may result in a misstatement of amounts reported to
the federal government.
Repeat finding: No
Recommendation: We recommend management enhance its internal controls to ensure obligations reported on
federal reports meet the definition of an obligation per SLFRF Compliance and Reporting Guidance Version 5.0
and that amounts reported by the state agencies reconcile to the amounts reported in eGrants and the Project
and Expenditures Reports. Management should reconcile discrepancies between eGrants and the amounts
reported by the state agencies and obtain revised Agency Reconcilers, if appropriate.
Views of responsible officials: The Office of the Governor (OOG) management agrees with the finding that the
variances related to cumulative obligations are due to OOG reporting budgeted amounts rather than obligated
amounts as defined by the SLFRF Compliance and Reporting Guidance Version 5.0. The remaining variances
are due to discrepancies between the Agency Reconcilers and amounts reported in OOG’s eGrants system.
When variances occurred, it was typically the result of data entry errors within the Agency Reconcilers. In these
cases, the OOG deferred to the amounts reported in its eGrants system rather than the amounts reported by the
state agencies in the Agency Reconcilers.
Activities Allowed or Unallowed, Allowable Costs/Cost Principles
Federal Agency: U.S. Department of the Treasury
Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds
ALN: 21.027
Pass-Through Agency: N/A
Pass-Through Number(s): N/A
Award Number and Period: SLT – 8809: Project Name: HHSC Section 33; HHSC Section 12: Rural Hospitals,
HHSC Section 22: Sunrise Canyon Hospital
November 8, 2021 – December 31, 2026
Statistically Valid Sample: No, and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance
Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the
federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award.
These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework”
issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per 2 CFR
200.334, financial records, supporting documents, statistical records, and all other non-Federal entity records
pertinent to a Federal award must be retained for a period of three years from the date of submission of the final
expenditure report or, for Federal awards that are renewed quarterly or annually, from the date of the submission
of the quarterly or annual financial report, respectively, as reported to the Federal awarding agency or pass through entity in the case of a subrecipient. Federal awarding agencies and pass-through entities must not
impose any other record retention requirements upon non-Federal entities.
In the 2021 Texas Senate Bill 8, HHSC was appropriated money in various sections of the bill received by Texas
from the Coronavirus State Fiscal Recovery Fund for the following purposes related to costs incurred during the
period beginning October 8, 2021, and ending November 8, 2023, due to the coronavirus pandemic:
Section 11(a) – funding for the construction of a state hospital in Dallas, Texas.
Section 12 – funding for grants to support rural hospitals that have been affected by the COVID-19
pandemic.
Section 13 – funding for the creation of a consolidated internet portal for Medicaid and the Children’s
Health Insurance Program medical services provider data.
Section 14 – funding for technology updates to the Medicaid eligibility computer system.
Section 15 – funding for COVID-19 related expenses incurred by the Texas Civil Commitment Office
related to consumable supplies and travel.
Section 22 – funding for the expansion of capacity of Sunrise Canyon Hospital.
Section 33 – funding to administer one-time grants related to providing critical staffing needs resulting
from frontline healthcare workers affected by COVID-19, including recruitment and retention bonuses for
staff.
Condition: Audit procedures included a selection of 60 sampled expenditures totaling $143,092,786 incurred
during the fiscal year to test allowability with the grant awards. We noted that for 48 out of the 60 samples totaling
$9,600,062, the agency did not obtain supporting documentation from the vendor to verify that the amounts
advanced to the vendor were expended on allowable costs. We were unable to substantiate the amounts
expended by the vendor and allowability of those expenditures in accordance with the relevant Senate Bill 8
section and the Department of the Treasury Final Rule.
Questioned costs: $9,600,062.
Context: See “Condition.”
Cause: HHSC is not fully monitoring the use of program funds through collection, review, and maintenance of
invoices supporting the expenditures.
Effect: Failure to maintain adequate documentation pertinent to a federal award may result in noncompliance with
grant terms and conditions.
Repeat finding: No
Recommendation: HHSC should implement policies and procedures to ensure documentation is maintained for
a period of at least three years from the date of submission of the final expenditure report for the grant in
accordance with 2 CFR 200.334.
Views of responsible officials: HHSC concurs with the finding.
Activities Allowed and Unallowed, Allowable Costs/Cost Principles, Earmarking, Procurement, Suspension and Debarment, Reporting – Information Technology – Change Management Federal Agency: U.S. Department of the Treasury Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds ALN: 21.027 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: SLT – 8809: Project Name: CACT Section 3: Children’s Advocacy; OOG TTIR Section 2; OOG Section 24: Trusted Programs within the Office of the Governor November 8, 2021 – December 31, 2026 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: System changes that were applied to the production Texas Travel Industry Recovery Grant Program (TTIR) environment were not documented in accordance with appropriate change management procedures. We were unable to verify that changes were requested, approved, and segregation of duties existed within the process for five of the five samples selected for testing. Questioned costs: None. Context: See “Condition.” Cause: OOG currently utilizes emails and Microsoft Teams messages to transmit information during the change management process request and approval process. However, documentation from these methods was not retained. Effect: Failure to formally document system changes could result in undocumented or unauthorized changes to the application. Repeat finding: No Recommendation: We recommend formally documenting and retaining the request and approval of all changes related to the TTIR application. Views of responsible officials: The Office of the Governor (OOG) management agrees with the finding that the
documented evidence of Change Management execution is insufficient. While the change management
procedure is in practice cohesive and in continued use, the documentation of such and evidence of the
repeatability thereof, is insufficient for the Texas Travel Industry Recovery Grant Program (TTIR) Portal.
Activities Allowed and Unallowed, Allowable Costs/Cost Principles, Earmarking, Procurement, Suspension and Debarment, Reporting – Information Technology – Logical Access Federal Agency: U.S. Department of the Treasury Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds ALN: 21.027 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: SLT – 8809: Project Name: CACT Section 3: Children’s Advocacy; OOG TTIR Section 2; OOG Section 24: Trusted Programs within the Office of the Governor November 8, 2021 – December 31, 2026 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: OOG did not perform a documented periodic access review of users for the eGrants application, which would include a review of privileged users’ access during the fiscal year. Questioned costs: None. Context: See “Condition.” Cause: Management’s timeline to complete the user access review was delayed. Effect: Failure to perform user access reviews in a timely manner could result in undetected inappropriate access
or inappropriate changes to the application.
Repeat finding: No
Recommendation: We recommend that OOG enforce current policies and procedures in relation to eGrants to
complete timely user access reviews and document the results. The user access review should include a review
of all privileged accounts on a periodic basis to verify that all active accounts are supported by a business
purpose.
Views of responsible officials: The Office of the Governor (OOG) management agrees with the finding that the
OOG did not perform a documented periodic access review of users for the eGrants application, which would
include a review of privileged users’ access during the fiscal year.
Reporting Federal Agency: U.S. Department of the Treasury Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds ALN: 21.027 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: SLT – 8809: Project Name: CACT Section 3: Children’s Advocacy; OOG TTIR Section 2; OOG Section 24: Trusted Programs within the Office of the Governor November 8, 2021 – December 31, 2026 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and NoncomplianceCriteria or specific requirement: Per 2 CFR section 200.303(a), the a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per the Coronavirus State and Local Fiscal Recovery Funds (SLFRF) Compliance and Reporting Guidance Version 5.0, for purposes of reporting in the SLFRF portal, an obligation is an order placed for property and services, contracts and subawards made, and similar transactions that require payment. Condition: OOG is the prime recipient of SLFRF funds for the State of Texas. Per Senate Bill 8, funds are passed through to other state agencies to expend on programs established by the Senate Bill. On a quarterly basis, OOG receives ‘Agency Reconcilers’ from each state agency with reported amounts for each of their respective programs per Senate Bill 8 in order to prepare the state-wide Project and Expenditure Report. Audit procedures included testing of the December 31, 2022 and March 31, 2023 Project and Expenditure Reports, which combined Agency Reconcilers for 33 programs and 41 programs, respectively. We compared the amounts reported on the Project and Expenditure Reports as submitted to Treasury to the amounts noted on the ‘Agency Reconcilers’ submitted by the pass-through state agencies noting the following variances by key line item: December 31, 2022 Project and Expenditure Report OOG was unable to provide the Agency Reconciler for five programs. As such, we were unable to validate all key line items reported for those agencies. Current period obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for nine programs, resulting in a variance of ($61,450,208). Cumulative obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for 12 programs, resulting in a variance of $333,636,497. Current period expenditures – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for five programs, resulting in a variance of ($85,590,747) Cumulative expenditures - Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for one program, resulting in a variance of ($74,511). March 31, 2023 Project and Expenditure Report Current period obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for 15 programs, resulting in a variance of ($115,194,311). Cumulative obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for 22 programs, resulting in a variance of $572,738,964. Current period expenditures – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for eight programs, resulting in a variance of ($20,661,270). Cumulative expenditures - Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for one program, resulting in a variance of ($32,479). Questioned costs: None.
Context: See “Condition.”
Cause: Variances related to cumulative obligations were due to OOG reporting budgeted amounts rather than
obligated amounts as defined by the SLFRF Compliance and Reporting Guidance Version 5.0. The remaining
variances were due to discrepancies between the Agency Reconcilers and amounts reported in OOG’s eGrants
system. OOG reported amounts reported in its eGrants system rather than the amounts reported by the state
agencies.
Effect: Improperly designed internal controls over reporting may result in a misstatement of amounts reported to
the federal government.
Repeat finding: No
Recommendation: We recommend management enhance its internal controls to ensure obligations reported on
federal reports meet the definition of an obligation per SLFRF Compliance and Reporting Guidance Version 5.0
and that amounts reported by the state agencies reconcile to the amounts reported in eGrants and the Project
and Expenditures Reports. Management should reconcile discrepancies between eGrants and the amounts
reported by the state agencies and obtain revised Agency Reconcilers, if appropriate.
Views of responsible officials: The Office of the Governor (OOG) management agrees with the finding that the
variances related to cumulative obligations are due to OOG reporting budgeted amounts rather than obligated
amounts as defined by the SLFRF Compliance and Reporting Guidance Version 5.0. The remaining variances
are due to discrepancies between the Agency Reconcilers and amounts reported in OOG’s eGrants system.
When variances occurred, it was typically the result of data entry errors within the Agency Reconcilers. In these
cases, the OOG deferred to the amounts reported in its eGrants system rather than the amounts reported by the
state agencies in the Agency Reconcilers.
Activities Allowed or Unallowed, Allowable Costs/Cost Principles
Federal Agency: U.S. Department of the Treasury
Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds
ALN: 21.027
Pass-Through Agency: N/A
Pass-Through Number(s): N/A
Award Number and Period: SLT – 8809: Project Name: HHSC Section 33; HHSC Section 12: Rural Hospitals,
HHSC Section 22: Sunrise Canyon Hospital
November 8, 2021 – December 31, 2026
Statistically Valid Sample: No, and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance
Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the
federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award.
These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework”
issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per 2 CFR
200.334, financial records, supporting documents, statistical records, and all other non-Federal entity records
pertinent to a Federal award must be retained for a period of three years from the date of submission of the final
expenditure report or, for Federal awards that are renewed quarterly or annually, from the date of the submission
of the quarterly or annual financial report, respectively, as reported to the Federal awarding agency or pass through entity in the case of a subrecipient. Federal awarding agencies and pass-through entities must not
impose any other record retention requirements upon non-Federal entities.
In the 2021 Texas Senate Bill 8, HHSC was appropriated money in various sections of the bill received by Texas
from the Coronavirus State Fiscal Recovery Fund for the following purposes related to costs incurred during the
period beginning October 8, 2021, and ending November 8, 2023, due to the coronavirus pandemic:
Section 11(a) – funding for the construction of a state hospital in Dallas, Texas.
Section 12 – funding for grants to support rural hospitals that have been affected by the COVID-19
pandemic.
Section 13 – funding for the creation of a consolidated internet portal for Medicaid and the Children’s
Health Insurance Program medical services provider data.
Section 14 – funding for technology updates to the Medicaid eligibility computer system.
Section 15 – funding for COVID-19 related expenses incurred by the Texas Civil Commitment Office
related to consumable supplies and travel.
Section 22 – funding for the expansion of capacity of Sunrise Canyon Hospital.
Section 33 – funding to administer one-time grants related to providing critical staffing needs resulting
from frontline healthcare workers affected by COVID-19, including recruitment and retention bonuses for
staff.
Condition: Audit procedures included a selection of 60 sampled expenditures totaling $143,092,786 incurred
during the fiscal year to test allowability with the grant awards. We noted that for 48 out of the 60 samples totaling
$9,600,062, the agency did not obtain supporting documentation from the vendor to verify that the amounts
advanced to the vendor were expended on allowable costs. We were unable to substantiate the amounts
expended by the vendor and allowability of those expenditures in accordance with the relevant Senate Bill 8
section and the Department of the Treasury Final Rule.
Questioned costs: $9,600,062.
Context: See “Condition.”
Cause: HHSC is not fully monitoring the use of program funds through collection, review, and maintenance of
invoices supporting the expenditures.
Effect: Failure to maintain adequate documentation pertinent to a federal award may result in noncompliance with
grant terms and conditions.
Repeat finding: No
Recommendation: HHSC should implement policies and procedures to ensure documentation is maintained for
a period of at least three years from the date of submission of the final expenditure report for the grant in
accordance with 2 CFR 200.334.
Views of responsible officials: HHSC concurs with the finding.
Activities Allowed and Unallowed, Allowable Costs/Cost Principles, Earmarking, Procurement, Suspension and Debarment, Reporting – Information Technology – Change Management Federal Agency: U.S. Department of the Treasury Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds ALN: 21.027 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: SLT – 8809: Project Name: CACT Section 3: Children’s Advocacy; OOG TTIR Section 2; OOG Section 24: Trusted Programs within the Office of the Governor November 8, 2021 – December 31, 2026 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: System changes that were applied to the production Texas Travel Industry Recovery Grant Program (TTIR) environment were not documented in accordance with appropriate change management procedures. We were unable to verify that changes were requested, approved, and segregation of duties existed within the process for five of the five samples selected for testing. Questioned costs: None. Context: See “Condition.” Cause: OOG currently utilizes emails and Microsoft Teams messages to transmit information during the change management process request and approval process. However, documentation from these methods was not retained. Effect: Failure to formally document system changes could result in undocumented or unauthorized changes to the application. Repeat finding: No Recommendation: We recommend formally documenting and retaining the request and approval of all changes related to the TTIR application. Views of responsible officials: The Office of the Governor (OOG) management agrees with the finding that the
documented evidence of Change Management execution is insufficient. While the change management
procedure is in practice cohesive and in continued use, the documentation of such and evidence of the
repeatability thereof, is insufficient for the Texas Travel Industry Recovery Grant Program (TTIR) Portal.
Activities Allowed and Unallowed, Allowable Costs/Cost Principles, Earmarking, Procurement, Suspension and Debarment, Reporting – Information Technology – Logical Access Federal Agency: U.S. Department of the Treasury Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds ALN: 21.027 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: SLT – 8809: Project Name: CACT Section 3: Children’s Advocacy; OOG TTIR Section 2; OOG Section 24: Trusted Programs within the Office of the Governor November 8, 2021 – December 31, 2026 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: OOG did not perform a documented periodic access review of users for the eGrants application, which would include a review of privileged users’ access during the fiscal year. Questioned costs: None. Context: See “Condition.” Cause: Management’s timeline to complete the user access review was delayed. Effect: Failure to perform user access reviews in a timely manner could result in undetected inappropriate access
or inappropriate changes to the application.
Repeat finding: No
Recommendation: We recommend that OOG enforce current policies and procedures in relation to eGrants to
complete timely user access reviews and document the results. The user access review should include a review
of all privileged accounts on a periodic basis to verify that all active accounts are supported by a business
purpose.
Views of responsible officials: The Office of the Governor (OOG) management agrees with the finding that the
OOG did not perform a documented periodic access review of users for the eGrants application, which would
include a review of privileged users’ access during the fiscal year.
Reporting Federal Agency: U.S. Department of the Treasury Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds ALN: 21.027 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: SLT – 8809: Project Name: CACT Section 3: Children’s Advocacy; OOG TTIR Section 2; OOG Section 24: Trusted Programs within the Office of the Governor November 8, 2021 – December 31, 2026 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and NoncomplianceCriteria or specific requirement: Per 2 CFR section 200.303(a), the a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per the Coronavirus State and Local Fiscal Recovery Funds (SLFRF) Compliance and Reporting Guidance Version 5.0, for purposes of reporting in the SLFRF portal, an obligation is an order placed for property and services, contracts and subawards made, and similar transactions that require payment. Condition: OOG is the prime recipient of SLFRF funds for the State of Texas. Per Senate Bill 8, funds are passed through to other state agencies to expend on programs established by the Senate Bill. On a quarterly basis, OOG receives ‘Agency Reconcilers’ from each state agency with reported amounts for each of their respective programs per Senate Bill 8 in order to prepare the state-wide Project and Expenditure Report. Audit procedures included testing of the December 31, 2022 and March 31, 2023 Project and Expenditure Reports, which combined Agency Reconcilers for 33 programs and 41 programs, respectively. We compared the amounts reported on the Project and Expenditure Reports as submitted to Treasury to the amounts noted on the ‘Agency Reconcilers’ submitted by the pass-through state agencies noting the following variances by key line item: December 31, 2022 Project and Expenditure Report OOG was unable to provide the Agency Reconciler for five programs. As such, we were unable to validate all key line items reported for those agencies. Current period obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for nine programs, resulting in a variance of ($61,450,208). Cumulative obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for 12 programs, resulting in a variance of $333,636,497. Current period expenditures – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for five programs, resulting in a variance of ($85,590,747) Cumulative expenditures - Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for one program, resulting in a variance of ($74,511). March 31, 2023 Project and Expenditure Report Current period obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for 15 programs, resulting in a variance of ($115,194,311). Cumulative obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for 22 programs, resulting in a variance of $572,738,964. Current period expenditures – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for eight programs, resulting in a variance of ($20,661,270). Cumulative expenditures - Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for one program, resulting in a variance of ($32,479). Questioned costs: None.
Context: See “Condition.”
Cause: Variances related to cumulative obligations were due to OOG reporting budgeted amounts rather than
obligated amounts as defined by the SLFRF Compliance and Reporting Guidance Version 5.0. The remaining
variances were due to discrepancies between the Agency Reconcilers and amounts reported in OOG’s eGrants
system. OOG reported amounts reported in its eGrants system rather than the amounts reported by the state
agencies.
Effect: Improperly designed internal controls over reporting may result in a misstatement of amounts reported to
the federal government.
Repeat finding: No
Recommendation: We recommend management enhance its internal controls to ensure obligations reported on
federal reports meet the definition of an obligation per SLFRF Compliance and Reporting Guidance Version 5.0
and that amounts reported by the state agencies reconcile to the amounts reported in eGrants and the Project
and Expenditures Reports. Management should reconcile discrepancies between eGrants and the amounts
reported by the state agencies and obtain revised Agency Reconcilers, if appropriate.
Views of responsible officials: The Office of the Governor (OOG) management agrees with the finding that the
variances related to cumulative obligations are due to OOG reporting budgeted amounts rather than obligated
amounts as defined by the SLFRF Compliance and Reporting Guidance Version 5.0. The remaining variances
are due to discrepancies between the Agency Reconcilers and amounts reported in OOG’s eGrants system.
When variances occurred, it was typically the result of data entry errors within the Agency Reconcilers. In these
cases, the OOG deferred to the amounts reported in its eGrants system rather than the amounts reported by the
state agencies in the Agency Reconcilers.
Activities Allowed or Unallowed, Allowable Costs/Cost Principles
Federal Agency: U.S. Department of the Treasury
Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds
ALN: 21.027
Pass-Through Agency: N/A
Pass-Through Number(s): N/A
Award Number and Period: SLT – 8809: Project Name: HHSC Section 33; HHSC Section 12: Rural Hospitals,
HHSC Section 22: Sunrise Canyon Hospital
November 8, 2021 – December 31, 2026
Statistically Valid Sample: No, and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance
Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the
federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award.
These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework”
issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per 2 CFR
200.334, financial records, supporting documents, statistical records, and all other non-Federal entity records
pertinent to a Federal award must be retained for a period of three years from the date of submission of the final
expenditure report or, for Federal awards that are renewed quarterly or annually, from the date of the submission
of the quarterly or annual financial report, respectively, as reported to the Federal awarding agency or pass through entity in the case of a subrecipient. Federal awarding agencies and pass-through entities must not
impose any other record retention requirements upon non-Federal entities.
In the 2021 Texas Senate Bill 8, HHSC was appropriated money in various sections of the bill received by Texas
from the Coronavirus State Fiscal Recovery Fund for the following purposes related to costs incurred during the
period beginning October 8, 2021, and ending November 8, 2023, due to the coronavirus pandemic:
Section 11(a) – funding for the construction of a state hospital in Dallas, Texas.
Section 12 – funding for grants to support rural hospitals that have been affected by the COVID-19
pandemic.
Section 13 – funding for the creation of a consolidated internet portal for Medicaid and the Children’s
Health Insurance Program medical services provider data.
Section 14 – funding for technology updates to the Medicaid eligibility computer system.
Section 15 – funding for COVID-19 related expenses incurred by the Texas Civil Commitment Office
related to consumable supplies and travel.
Section 22 – funding for the expansion of capacity of Sunrise Canyon Hospital.
Section 33 – funding to administer one-time grants related to providing critical staffing needs resulting
from frontline healthcare workers affected by COVID-19, including recruitment and retention bonuses for
staff.
Condition: Audit procedures included a selection of 60 sampled expenditures totaling $143,092,786 incurred
during the fiscal year to test allowability with the grant awards. We noted that for 48 out of the 60 samples totaling
$9,600,062, the agency did not obtain supporting documentation from the vendor to verify that the amounts
advanced to the vendor were expended on allowable costs. We were unable to substantiate the amounts
expended by the vendor and allowability of those expenditures in accordance with the relevant Senate Bill 8
section and the Department of the Treasury Final Rule.
Questioned costs: $9,600,062.
Context: See “Condition.”
Cause: HHSC is not fully monitoring the use of program funds through collection, review, and maintenance of
invoices supporting the expenditures.
Effect: Failure to maintain adequate documentation pertinent to a federal award may result in noncompliance with
grant terms and conditions.
Repeat finding: No
Recommendation: HHSC should implement policies and procedures to ensure documentation is maintained for
a period of at least three years from the date of submission of the final expenditure report for the grant in
accordance with 2 CFR 200.334.
Views of responsible officials: HHSC concurs with the finding.
Activities Allowed and Unallowed, Allowable Costs/Cost Principles, Earmarking, Procurement, Suspension and Debarment, Reporting – Information Technology – Change Management Federal Agency: U.S. Department of the Treasury Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds ALN: 21.027 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: SLT – 8809: Project Name: CACT Section 3: Children’s Advocacy; OOG TTIR Section 2; OOG Section 24: Trusted Programs within the Office of the Governor November 8, 2021 – December 31, 2026 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: System changes that were applied to the production Texas Travel Industry Recovery Grant Program (TTIR) environment were not documented in accordance with appropriate change management procedures. We were unable to verify that changes were requested, approved, and segregation of duties existed within the process for five of the five samples selected for testing. Questioned costs: None. Context: See “Condition.” Cause: OOG currently utilizes emails and Microsoft Teams messages to transmit information during the change management process request and approval process. However, documentation from these methods was not retained. Effect: Failure to formally document system changes could result in undocumented or unauthorized changes to the application. Repeat finding: No Recommendation: We recommend formally documenting and retaining the request and approval of all changes related to the TTIR application. Views of responsible officials: The Office of the Governor (OOG) management agrees with the finding that the
documented evidence of Change Management execution is insufficient. While the change management
procedure is in practice cohesive and in continued use, the documentation of such and evidence of the
repeatability thereof, is insufficient for the Texas Travel Industry Recovery Grant Program (TTIR) Portal.
Activities Allowed and Unallowed, Allowable Costs/Cost Principles, Earmarking, Procurement, Suspension and Debarment, Reporting – Information Technology – Logical Access Federal Agency: U.S. Department of the Treasury Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds ALN: 21.027 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: SLT – 8809: Project Name: CACT Section 3: Children’s Advocacy; OOG TTIR Section 2; OOG Section 24: Trusted Programs within the Office of the Governor November 8, 2021 – December 31, 2026 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: OOG did not perform a documented periodic access review of users for the eGrants application, which would include a review of privileged users’ access during the fiscal year. Questioned costs: None. Context: See “Condition.” Cause: Management’s timeline to complete the user access review was delayed. Effect: Failure to perform user access reviews in a timely manner could result in undetected inappropriate access
or inappropriate changes to the application.
Repeat finding: No
Recommendation: We recommend that OOG enforce current policies and procedures in relation to eGrants to
complete timely user access reviews and document the results. The user access review should include a review
of all privileged accounts on a periodic basis to verify that all active accounts are supported by a business
purpose.
Views of responsible officials: The Office of the Governor (OOG) management agrees with the finding that the
OOG did not perform a documented periodic access review of users for the eGrants application, which would
include a review of privileged users’ access during the fiscal year.
Reporting Federal Agency: U.S. Department of the Treasury Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds ALN: 21.027 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: SLT – 8809: Project Name: CACT Section 3: Children’s Advocacy; OOG TTIR Section 2; OOG Section 24: Trusted Programs within the Office of the Governor November 8, 2021 – December 31, 2026 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and NoncomplianceCriteria or specific requirement: Per 2 CFR section 200.303(a), the a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per the Coronavirus State and Local Fiscal Recovery Funds (SLFRF) Compliance and Reporting Guidance Version 5.0, for purposes of reporting in the SLFRF portal, an obligation is an order placed for property and services, contracts and subawards made, and similar transactions that require payment. Condition: OOG is the prime recipient of SLFRF funds for the State of Texas. Per Senate Bill 8, funds are passed through to other state agencies to expend on programs established by the Senate Bill. On a quarterly basis, OOG receives ‘Agency Reconcilers’ from each state agency with reported amounts for each of their respective programs per Senate Bill 8 in order to prepare the state-wide Project and Expenditure Report. Audit procedures included testing of the December 31, 2022 and March 31, 2023 Project and Expenditure Reports, which combined Agency Reconcilers for 33 programs and 41 programs, respectively. We compared the amounts reported on the Project and Expenditure Reports as submitted to Treasury to the amounts noted on the ‘Agency Reconcilers’ submitted by the pass-through state agencies noting the following variances by key line item: December 31, 2022 Project and Expenditure Report OOG was unable to provide the Agency Reconciler for five programs. As such, we were unable to validate all key line items reported for those agencies. Current period obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for nine programs, resulting in a variance of ($61,450,208). Cumulative obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for 12 programs, resulting in a variance of $333,636,497. Current period expenditures – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for five programs, resulting in a variance of ($85,590,747) Cumulative expenditures - Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for one program, resulting in a variance of ($74,511). March 31, 2023 Project and Expenditure Report Current period obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for 15 programs, resulting in a variance of ($115,194,311). Cumulative obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for 22 programs, resulting in a variance of $572,738,964. Current period expenditures – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for eight programs, resulting in a variance of ($20,661,270). Cumulative expenditures - Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for one program, resulting in a variance of ($32,479). Questioned costs: None.
Context: See “Condition.”
Cause: Variances related to cumulative obligations were due to OOG reporting budgeted amounts rather than
obligated amounts as defined by the SLFRF Compliance and Reporting Guidance Version 5.0. The remaining
variances were due to discrepancies between the Agency Reconcilers and amounts reported in OOG’s eGrants
system. OOG reported amounts reported in its eGrants system rather than the amounts reported by the state
agencies.
Effect: Improperly designed internal controls over reporting may result in a misstatement of amounts reported to
the federal government.
Repeat finding: No
Recommendation: We recommend management enhance its internal controls to ensure obligations reported on
federal reports meet the definition of an obligation per SLFRF Compliance and Reporting Guidance Version 5.0
and that amounts reported by the state agencies reconcile to the amounts reported in eGrants and the Project
and Expenditures Reports. Management should reconcile discrepancies between eGrants and the amounts
reported by the state agencies and obtain revised Agency Reconcilers, if appropriate.
Views of responsible officials: The Office of the Governor (OOG) management agrees with the finding that the
variances related to cumulative obligations are due to OOG reporting budgeted amounts rather than obligated
amounts as defined by the SLFRF Compliance and Reporting Guidance Version 5.0. The remaining variances
are due to discrepancies between the Agency Reconcilers and amounts reported in OOG’s eGrants system.
When variances occurred, it was typically the result of data entry errors within the Agency Reconcilers. In these
cases, the OOG deferred to the amounts reported in its eGrants system rather than the amounts reported by the
state agencies in the Agency Reconcilers.
Activities Allowed or Unallowed, Allowable Costs/Cost Principles
Federal Agency: U.S. Department of the Treasury
Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds
ALN: 21.027
Pass-Through Agency: N/A
Pass-Through Number(s): N/A
Award Number and Period: SLT – 8809: Project Name: HHSC Section 33; HHSC Section 12: Rural Hospitals,
HHSC Section 22: Sunrise Canyon Hospital
November 8, 2021 – December 31, 2026
Statistically Valid Sample: No, and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance
Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the
federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award.
These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework”
issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per 2 CFR
200.334, financial records, supporting documents, statistical records, and all other non-Federal entity records
pertinent to a Federal award must be retained for a period of three years from the date of submission of the final
expenditure report or, for Federal awards that are renewed quarterly or annually, from the date of the submission
of the quarterly or annual financial report, respectively, as reported to the Federal awarding agency or pass through entity in the case of a subrecipient. Federal awarding agencies and pass-through entities must not
impose any other record retention requirements upon non-Federal entities.
In the 2021 Texas Senate Bill 8, HHSC was appropriated money in various sections of the bill received by Texas
from the Coronavirus State Fiscal Recovery Fund for the following purposes related to costs incurred during the
period beginning October 8, 2021, and ending November 8, 2023, due to the coronavirus pandemic:
Section 11(a) – funding for the construction of a state hospital in Dallas, Texas.
Section 12 – funding for grants to support rural hospitals that have been affected by the COVID-19
pandemic.
Section 13 – funding for the creation of a consolidated internet portal for Medicaid and the Children’s
Health Insurance Program medical services provider data.
Section 14 – funding for technology updates to the Medicaid eligibility computer system.
Section 15 – funding for COVID-19 related expenses incurred by the Texas Civil Commitment Office
related to consumable supplies and travel.
Section 22 – funding for the expansion of capacity of Sunrise Canyon Hospital.
Section 33 – funding to administer one-time grants related to providing critical staffing needs resulting
from frontline healthcare workers affected by COVID-19, including recruitment and retention bonuses for
staff.
Condition: Audit procedures included a selection of 60 sampled expenditures totaling $143,092,786 incurred
during the fiscal year to test allowability with the grant awards. We noted that for 48 out of the 60 samples totaling
$9,600,062, the agency did not obtain supporting documentation from the vendor to verify that the amounts
advanced to the vendor were expended on allowable costs. We were unable to substantiate the amounts
expended by the vendor and allowability of those expenditures in accordance with the relevant Senate Bill 8
section and the Department of the Treasury Final Rule.
Questioned costs: $9,600,062.
Context: See “Condition.”
Cause: HHSC is not fully monitoring the use of program funds through collection, review, and maintenance of
invoices supporting the expenditures.
Effect: Failure to maintain adequate documentation pertinent to a federal award may result in noncompliance with
grant terms and conditions.
Repeat finding: No
Recommendation: HHSC should implement policies and procedures to ensure documentation is maintained for
a period of at least three years from the date of submission of the final expenditure report for the grant in
accordance with 2 CFR 200.334.
Views of responsible officials: HHSC concurs with the finding.
Activities Allowed and Unallowed, Allowable Costs/Cost Principles, Earmarking, Procurement, Suspension and Debarment, Reporting – Information Technology – Change Management Federal Agency: U.S. Department of the Treasury Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds ALN: 21.027 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: SLT – 8809: Project Name: CACT Section 3: Children’s Advocacy; OOG TTIR Section 2; OOG Section 24: Trusted Programs within the Office of the Governor November 8, 2021 – December 31, 2026 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: System changes that were applied to the production Texas Travel Industry Recovery Grant Program (TTIR) environment were not documented in accordance with appropriate change management procedures. We were unable to verify that changes were requested, approved, and segregation of duties existed within the process for five of the five samples selected for testing. Questioned costs: None. Context: See “Condition.” Cause: OOG currently utilizes emails and Microsoft Teams messages to transmit information during the change management process request and approval process. However, documentation from these methods was not retained. Effect: Failure to formally document system changes could result in undocumented or unauthorized changes to the application. Repeat finding: No Recommendation: We recommend formally documenting and retaining the request and approval of all changes related to the TTIR application. Views of responsible officials: The Office of the Governor (OOG) management agrees with the finding that the
documented evidence of Change Management execution is insufficient. While the change management
procedure is in practice cohesive and in continued use, the documentation of such and evidence of the
repeatability thereof, is insufficient for the Texas Travel Industry Recovery Grant Program (TTIR) Portal.
Activities Allowed and Unallowed, Allowable Costs/Cost Principles, Earmarking, Procurement, Suspension and Debarment, Reporting – Information Technology – Logical Access Federal Agency: U.S. Department of the Treasury Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds ALN: 21.027 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: SLT – 8809: Project Name: CACT Section 3: Children’s Advocacy; OOG TTIR Section 2; OOG Section 24: Trusted Programs within the Office of the Governor November 8, 2021 – December 31, 2026 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: OOG did not perform a documented periodic access review of users for the eGrants application, which would include a review of privileged users’ access during the fiscal year. Questioned costs: None. Context: See “Condition.” Cause: Management’s timeline to complete the user access review was delayed. Effect: Failure to perform user access reviews in a timely manner could result in undetected inappropriate access
or inappropriate changes to the application.
Repeat finding: No
Recommendation: We recommend that OOG enforce current policies and procedures in relation to eGrants to
complete timely user access reviews and document the results. The user access review should include a review
of all privileged accounts on a periodic basis to verify that all active accounts are supported by a business
purpose.
Views of responsible officials: The Office of the Governor (OOG) management agrees with the finding that the
OOG did not perform a documented periodic access review of users for the eGrants application, which would
include a review of privileged users’ access during the fiscal year.
Reporting Federal Agency: U.S. Department of the Treasury Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds ALN: 21.027 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: SLT – 8809: Project Name: CACT Section 3: Children’s Advocacy; OOG TTIR Section 2; OOG Section 24: Trusted Programs within the Office of the Governor November 8, 2021 – December 31, 2026 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and NoncomplianceCriteria or specific requirement: Per 2 CFR section 200.303(a), the a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per the Coronavirus State and Local Fiscal Recovery Funds (SLFRF) Compliance and Reporting Guidance Version 5.0, for purposes of reporting in the SLFRF portal, an obligation is an order placed for property and services, contracts and subawards made, and similar transactions that require payment. Condition: OOG is the prime recipient of SLFRF funds for the State of Texas. Per Senate Bill 8, funds are passed through to other state agencies to expend on programs established by the Senate Bill. On a quarterly basis, OOG receives ‘Agency Reconcilers’ from each state agency with reported amounts for each of their respective programs per Senate Bill 8 in order to prepare the state-wide Project and Expenditure Report. Audit procedures included testing of the December 31, 2022 and March 31, 2023 Project and Expenditure Reports, which combined Agency Reconcilers for 33 programs and 41 programs, respectively. We compared the amounts reported on the Project and Expenditure Reports as submitted to Treasury to the amounts noted on the ‘Agency Reconcilers’ submitted by the pass-through state agencies noting the following variances by key line item: December 31, 2022 Project and Expenditure Report OOG was unable to provide the Agency Reconciler for five programs. As such, we were unable to validate all key line items reported for those agencies. Current period obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for nine programs, resulting in a variance of ($61,450,208). Cumulative obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for 12 programs, resulting in a variance of $333,636,497. Current period expenditures – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for five programs, resulting in a variance of ($85,590,747) Cumulative expenditures - Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for one program, resulting in a variance of ($74,511). March 31, 2023 Project and Expenditure Report Current period obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for 15 programs, resulting in a variance of ($115,194,311). Cumulative obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for 22 programs, resulting in a variance of $572,738,964. Current period expenditures – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for eight programs, resulting in a variance of ($20,661,270). Cumulative expenditures - Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for one program, resulting in a variance of ($32,479). Questioned costs: None.
Context: See “Condition.”
Cause: Variances related to cumulative obligations were due to OOG reporting budgeted amounts rather than
obligated amounts as defined by the SLFRF Compliance and Reporting Guidance Version 5.0. The remaining
variances were due to discrepancies between the Agency Reconcilers and amounts reported in OOG’s eGrants
system. OOG reported amounts reported in its eGrants system rather than the amounts reported by the state
agencies.
Effect: Improperly designed internal controls over reporting may result in a misstatement of amounts reported to
the federal government.
Repeat finding: No
Recommendation: We recommend management enhance its internal controls to ensure obligations reported on
federal reports meet the definition of an obligation per SLFRF Compliance and Reporting Guidance Version 5.0
and that amounts reported by the state agencies reconcile to the amounts reported in eGrants and the Project
and Expenditures Reports. Management should reconcile discrepancies between eGrants and the amounts
reported by the state agencies and obtain revised Agency Reconcilers, if appropriate.
Views of responsible officials: The Office of the Governor (OOG) management agrees with the finding that the
variances related to cumulative obligations are due to OOG reporting budgeted amounts rather than obligated
amounts as defined by the SLFRF Compliance and Reporting Guidance Version 5.0. The remaining variances
are due to discrepancies between the Agency Reconcilers and amounts reported in OOG’s eGrants system.
When variances occurred, it was typically the result of data entry errors within the Agency Reconcilers. In these
cases, the OOG deferred to the amounts reported in its eGrants system rather than the amounts reported by the
state agencies in the Agency Reconcilers.
Activities Allowed or Unallowed, Allowable Costs/Cost Principles
Federal Agency: U.S. Department of the Treasury
Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds
ALN: 21.027
Pass-Through Agency: N/A
Pass-Through Number(s): N/A
Award Number and Period: SLT – 8809: Project Name: HHSC Section 33; HHSC Section 12: Rural Hospitals,
HHSC Section 22: Sunrise Canyon Hospital
November 8, 2021 – December 31, 2026
Statistically Valid Sample: No, and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance
Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the
federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award.
These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework”
issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per 2 CFR
200.334, financial records, supporting documents, statistical records, and all other non-Federal entity records
pertinent to a Federal award must be retained for a period of three years from the date of submission of the final
expenditure report or, for Federal awards that are renewed quarterly or annually, from the date of the submission
of the quarterly or annual financial report, respectively, as reported to the Federal awarding agency or pass through entity in the case of a subrecipient. Federal awarding agencies and pass-through entities must not
impose any other record retention requirements upon non-Federal entities.
In the 2021 Texas Senate Bill 8, HHSC was appropriated money in various sections of the bill received by Texas
from the Coronavirus State Fiscal Recovery Fund for the following purposes related to costs incurred during the
period beginning October 8, 2021, and ending November 8, 2023, due to the coronavirus pandemic:
Section 11(a) – funding for the construction of a state hospital in Dallas, Texas.
Section 12 – funding for grants to support rural hospitals that have been affected by the COVID-19
pandemic.
Section 13 – funding for the creation of a consolidated internet portal for Medicaid and the Children’s
Health Insurance Program medical services provider data.
Section 14 – funding for technology updates to the Medicaid eligibility computer system.
Section 15 – funding for COVID-19 related expenses incurred by the Texas Civil Commitment Office
related to consumable supplies and travel.
Section 22 – funding for the expansion of capacity of Sunrise Canyon Hospital.
Section 33 – funding to administer one-time grants related to providing critical staffing needs resulting
from frontline healthcare workers affected by COVID-19, including recruitment and retention bonuses for
staff.
Condition: Audit procedures included a selection of 60 sampled expenditures totaling $143,092,786 incurred
during the fiscal year to test allowability with the grant awards. We noted that for 48 out of the 60 samples totaling
$9,600,062, the agency did not obtain supporting documentation from the vendor to verify that the amounts
advanced to the vendor were expended on allowable costs. We were unable to substantiate the amounts
expended by the vendor and allowability of those expenditures in accordance with the relevant Senate Bill 8
section and the Department of the Treasury Final Rule.
Questioned costs: $9,600,062.
Context: See “Condition.”
Cause: HHSC is not fully monitoring the use of program funds through collection, review, and maintenance of
invoices supporting the expenditures.
Effect: Failure to maintain adequate documentation pertinent to a federal award may result in noncompliance with
grant terms and conditions.
Repeat finding: No
Recommendation: HHSC should implement policies and procedures to ensure documentation is maintained for
a period of at least three years from the date of submission of the final expenditure report for the grant in
accordance with 2 CFR 200.334.
Views of responsible officials: HHSC concurs with the finding.
Activities Allowed and Unallowed, Allowable Costs/Cost Principles, Earmarking, Procurement, Suspension and Debarment, Reporting – Information Technology – Change Management Federal Agency: U.S. Department of the Treasury Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds ALN: 21.027 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: SLT – 8809: Project Name: CACT Section 3: Children’s Advocacy; OOG TTIR Section 2; OOG Section 24: Trusted Programs within the Office of the Governor November 8, 2021 – December 31, 2026 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: System changes that were applied to the production Texas Travel Industry Recovery Grant Program (TTIR) environment were not documented in accordance with appropriate change management procedures. We were unable to verify that changes were requested, approved, and segregation of duties existed within the process for five of the five samples selected for testing. Questioned costs: None. Context: See “Condition.” Cause: OOG currently utilizes emails and Microsoft Teams messages to transmit information during the change management process request and approval process. However, documentation from these methods was not retained. Effect: Failure to formally document system changes could result in undocumented or unauthorized changes to the application. Repeat finding: No Recommendation: We recommend formally documenting and retaining the request and approval of all changes related to the TTIR application. Views of responsible officials: The Office of the Governor (OOG) management agrees with the finding that the
documented evidence of Change Management execution is insufficient. While the change management
procedure is in practice cohesive and in continued use, the documentation of such and evidence of the
repeatability thereof, is insufficient for the Texas Travel Industry Recovery Grant Program (TTIR) Portal.
Activities Allowed and Unallowed, Allowable Costs/Cost Principles, Earmarking, Procurement, Suspension and Debarment, Reporting – Information Technology – Logical Access Federal Agency: U.S. Department of the Treasury Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds ALN: 21.027 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: SLT – 8809: Project Name: CACT Section 3: Children’s Advocacy; OOG TTIR Section 2; OOG Section 24: Trusted Programs within the Office of the Governor November 8, 2021 – December 31, 2026 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: OOG did not perform a documented periodic access review of users for the eGrants application, which would include a review of privileged users’ access during the fiscal year. Questioned costs: None. Context: See “Condition.” Cause: Management’s timeline to complete the user access review was delayed. Effect: Failure to perform user access reviews in a timely manner could result in undetected inappropriate access
or inappropriate changes to the application.
Repeat finding: No
Recommendation: We recommend that OOG enforce current policies and procedures in relation to eGrants to
complete timely user access reviews and document the results. The user access review should include a review
of all privileged accounts on a periodic basis to verify that all active accounts are supported by a business
purpose.
Views of responsible officials: The Office of the Governor (OOG) management agrees with the finding that the
OOG did not perform a documented periodic access review of users for the eGrants application, which would
include a review of privileged users’ access during the fiscal year.
Reporting Federal Agency: U.S. Department of the Treasury Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds ALN: 21.027 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: SLT – 8809: Project Name: CACT Section 3: Children’s Advocacy; OOG TTIR Section 2; OOG Section 24: Trusted Programs within the Office of the Governor November 8, 2021 – December 31, 2026 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and NoncomplianceCriteria or specific requirement: Per 2 CFR section 200.303(a), the a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per the Coronavirus State and Local Fiscal Recovery Funds (SLFRF) Compliance and Reporting Guidance Version 5.0, for purposes of reporting in the SLFRF portal, an obligation is an order placed for property and services, contracts and subawards made, and similar transactions that require payment. Condition: OOG is the prime recipient of SLFRF funds for the State of Texas. Per Senate Bill 8, funds are passed through to other state agencies to expend on programs established by the Senate Bill. On a quarterly basis, OOG receives ‘Agency Reconcilers’ from each state agency with reported amounts for each of their respective programs per Senate Bill 8 in order to prepare the state-wide Project and Expenditure Report. Audit procedures included testing of the December 31, 2022 and March 31, 2023 Project and Expenditure Reports, which combined Agency Reconcilers for 33 programs and 41 programs, respectively. We compared the amounts reported on the Project and Expenditure Reports as submitted to Treasury to the amounts noted on the ‘Agency Reconcilers’ submitted by the pass-through state agencies noting the following variances by key line item: December 31, 2022 Project and Expenditure Report OOG was unable to provide the Agency Reconciler for five programs. As such, we were unable to validate all key line items reported for those agencies. Current period obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for nine programs, resulting in a variance of ($61,450,208). Cumulative obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for 12 programs, resulting in a variance of $333,636,497. Current period expenditures – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for five programs, resulting in a variance of ($85,590,747) Cumulative expenditures - Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for one program, resulting in a variance of ($74,511). March 31, 2023 Project and Expenditure Report Current period obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for 15 programs, resulting in a variance of ($115,194,311). Cumulative obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for 22 programs, resulting in a variance of $572,738,964. Current period expenditures – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for eight programs, resulting in a variance of ($20,661,270). Cumulative expenditures - Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for one program, resulting in a variance of ($32,479). Questioned costs: None.
Context: See “Condition.”
Cause: Variances related to cumulative obligations were due to OOG reporting budgeted amounts rather than
obligated amounts as defined by the SLFRF Compliance and Reporting Guidance Version 5.0. The remaining
variances were due to discrepancies between the Agency Reconcilers and amounts reported in OOG’s eGrants
system. OOG reported amounts reported in its eGrants system rather than the amounts reported by the state
agencies.
Effect: Improperly designed internal controls over reporting may result in a misstatement of amounts reported to
the federal government.
Repeat finding: No
Recommendation: We recommend management enhance its internal controls to ensure obligations reported on
federal reports meet the definition of an obligation per SLFRF Compliance and Reporting Guidance Version 5.0
and that amounts reported by the state agencies reconcile to the amounts reported in eGrants and the Project
and Expenditures Reports. Management should reconcile discrepancies between eGrants and the amounts
reported by the state agencies and obtain revised Agency Reconcilers, if appropriate.
Views of responsible officials: The Office of the Governor (OOG) management agrees with the finding that the
variances related to cumulative obligations are due to OOG reporting budgeted amounts rather than obligated
amounts as defined by the SLFRF Compliance and Reporting Guidance Version 5.0. The remaining variances
are due to discrepancies between the Agency Reconcilers and amounts reported in OOG’s eGrants system.
When variances occurred, it was typically the result of data entry errors within the Agency Reconcilers. In these
cases, the OOG deferred to the amounts reported in its eGrants system rather than the amounts reported by the
state agencies in the Agency Reconcilers.
Activities Allowed or Unallowed, Allowable Costs/Cost Principles
Federal Agency: U.S. Department of the Treasury
Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds
ALN: 21.027
Pass-Through Agency: N/A
Pass-Through Number(s): N/A
Award Number and Period: SLT – 8809: Project Name: HHSC Section 33; HHSC Section 12: Rural Hospitals,
HHSC Section 22: Sunrise Canyon Hospital
November 8, 2021 – December 31, 2026
Statistically Valid Sample: No, and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance
Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the
federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award.
These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework”
issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per 2 CFR
200.334, financial records, supporting documents, statistical records, and all other non-Federal entity records
pertinent to a Federal award must be retained for a period of three years from the date of submission of the final
expenditure report or, for Federal awards that are renewed quarterly or annually, from the date of the submission
of the quarterly or annual financial report, respectively, as reported to the Federal awarding agency or pass through entity in the case of a subrecipient. Federal awarding agencies and pass-through entities must not
impose any other record retention requirements upon non-Federal entities.
In the 2021 Texas Senate Bill 8, HHSC was appropriated money in various sections of the bill received by Texas
from the Coronavirus State Fiscal Recovery Fund for the following purposes related to costs incurred during the
period beginning October 8, 2021, and ending November 8, 2023, due to the coronavirus pandemic:
Section 11(a) – funding for the construction of a state hospital in Dallas, Texas.
Section 12 – funding for grants to support rural hospitals that have been affected by the COVID-19
pandemic.
Section 13 – funding for the creation of a consolidated internet portal for Medicaid and the Children’s
Health Insurance Program medical services provider data.
Section 14 – funding for technology updates to the Medicaid eligibility computer system.
Section 15 – funding for COVID-19 related expenses incurred by the Texas Civil Commitment Office
related to consumable supplies and travel.
Section 22 – funding for the expansion of capacity of Sunrise Canyon Hospital.
Section 33 – funding to administer one-time grants related to providing critical staffing needs resulting
from frontline healthcare workers affected by COVID-19, including recruitment and retention bonuses for
staff.
Condition: Audit procedures included a selection of 60 sampled expenditures totaling $143,092,786 incurred
during the fiscal year to test allowability with the grant awards. We noted that for 48 out of the 60 samples totaling
$9,600,062, the agency did not obtain supporting documentation from the vendor to verify that the amounts
advanced to the vendor were expended on allowable costs. We were unable to substantiate the amounts
expended by the vendor and allowability of those expenditures in accordance with the relevant Senate Bill 8
section and the Department of the Treasury Final Rule.
Questioned costs: $9,600,062.
Context: See “Condition.”
Cause: HHSC is not fully monitoring the use of program funds through collection, review, and maintenance of
invoices supporting the expenditures.
Effect: Failure to maintain adequate documentation pertinent to a federal award may result in noncompliance with
grant terms and conditions.
Repeat finding: No
Recommendation: HHSC should implement policies and procedures to ensure documentation is maintained for
a period of at least three years from the date of submission of the final expenditure report for the grant in
accordance with 2 CFR 200.334.
Views of responsible officials: HHSC concurs with the finding.
Activities Allowed and Unallowed, Allowable Costs/Cost Principles, Earmarking, Procurement, Suspension and Debarment, Reporting – Information Technology – Change Management Federal Agency: U.S. Department of the Treasury Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds ALN: 21.027 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: SLT – 8809: Project Name: CACT Section 3: Children’s Advocacy; OOG TTIR Section 2; OOG Section 24: Trusted Programs within the Office of the Governor November 8, 2021 – December 31, 2026 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: System changes that were applied to the production Texas Travel Industry Recovery Grant Program (TTIR) environment were not documented in accordance with appropriate change management procedures. We were unable to verify that changes were requested, approved, and segregation of duties existed within the process for five of the five samples selected for testing. Questioned costs: None. Context: See “Condition.” Cause: OOG currently utilizes emails and Microsoft Teams messages to transmit information during the change management process request and approval process. However, documentation from these methods was not retained. Effect: Failure to formally document system changes could result in undocumented or unauthorized changes to the application. Repeat finding: No Recommendation: We recommend formally documenting and retaining the request and approval of all changes related to the TTIR application. Views of responsible officials: The Office of the Governor (OOG) management agrees with the finding that the
documented evidence of Change Management execution is insufficient. While the change management
procedure is in practice cohesive and in continued use, the documentation of such and evidence of the
repeatability thereof, is insufficient for the Texas Travel Industry Recovery Grant Program (TTIR) Portal.
Activities Allowed and Unallowed, Allowable Costs/Cost Principles, Earmarking, Procurement, Suspension and Debarment, Reporting – Information Technology – Logical Access Federal Agency: U.S. Department of the Treasury Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds ALN: 21.027 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: SLT – 8809: Project Name: CACT Section 3: Children’s Advocacy; OOG TTIR Section 2; OOG Section 24: Trusted Programs within the Office of the Governor November 8, 2021 – December 31, 2026 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: OOG did not perform a documented periodic access review of users for the eGrants application, which would include a review of privileged users’ access during the fiscal year. Questioned costs: None. Context: See “Condition.” Cause: Management’s timeline to complete the user access review was delayed. Effect: Failure to perform user access reviews in a timely manner could result in undetected inappropriate access
or inappropriate changes to the application.
Repeat finding: No
Recommendation: We recommend that OOG enforce current policies and procedures in relation to eGrants to
complete timely user access reviews and document the results. The user access review should include a review
of all privileged accounts on a periodic basis to verify that all active accounts are supported by a business
purpose.
Views of responsible officials: The Office of the Governor (OOG) management agrees with the finding that the
OOG did not perform a documented periodic access review of users for the eGrants application, which would
include a review of privileged users’ access during the fiscal year.
Reporting Federal Agency: U.S. Department of the Treasury Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds ALN: 21.027 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: SLT – 8809: Project Name: CACT Section 3: Children’s Advocacy; OOG TTIR Section 2; OOG Section 24: Trusted Programs within the Office of the Governor November 8, 2021 – December 31, 2026 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and NoncomplianceCriteria or specific requirement: Per 2 CFR section 200.303(a), the a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per the Coronavirus State and Local Fiscal Recovery Funds (SLFRF) Compliance and Reporting Guidance Version 5.0, for purposes of reporting in the SLFRF portal, an obligation is an order placed for property and services, contracts and subawards made, and similar transactions that require payment. Condition: OOG is the prime recipient of SLFRF funds for the State of Texas. Per Senate Bill 8, funds are passed through to other state agencies to expend on programs established by the Senate Bill. On a quarterly basis, OOG receives ‘Agency Reconcilers’ from each state agency with reported amounts for each of their respective programs per Senate Bill 8 in order to prepare the state-wide Project and Expenditure Report. Audit procedures included testing of the December 31, 2022 and March 31, 2023 Project and Expenditure Reports, which combined Agency Reconcilers for 33 programs and 41 programs, respectively. We compared the amounts reported on the Project and Expenditure Reports as submitted to Treasury to the amounts noted on the ‘Agency Reconcilers’ submitted by the pass-through state agencies noting the following variances by key line item: December 31, 2022 Project and Expenditure Report OOG was unable to provide the Agency Reconciler for five programs. As such, we were unable to validate all key line items reported for those agencies. Current period obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for nine programs, resulting in a variance of ($61,450,208). Cumulative obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for 12 programs, resulting in a variance of $333,636,497. Current period expenditures – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for five programs, resulting in a variance of ($85,590,747) Cumulative expenditures - Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for one program, resulting in a variance of ($74,511). March 31, 2023 Project and Expenditure Report Current period obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for 15 programs, resulting in a variance of ($115,194,311). Cumulative obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for 22 programs, resulting in a variance of $572,738,964. Current period expenditures – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for eight programs, resulting in a variance of ($20,661,270). Cumulative expenditures - Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for one program, resulting in a variance of ($32,479). Questioned costs: None.
Context: See “Condition.”
Cause: Variances related to cumulative obligations were due to OOG reporting budgeted amounts rather than
obligated amounts as defined by the SLFRF Compliance and Reporting Guidance Version 5.0. The remaining
variances were due to discrepancies between the Agency Reconcilers and amounts reported in OOG’s eGrants
system. OOG reported amounts reported in its eGrants system rather than the amounts reported by the state
agencies.
Effect: Improperly designed internal controls over reporting may result in a misstatement of amounts reported to
the federal government.
Repeat finding: No
Recommendation: We recommend management enhance its internal controls to ensure obligations reported on
federal reports meet the definition of an obligation per SLFRF Compliance and Reporting Guidance Version 5.0
and that amounts reported by the state agencies reconcile to the amounts reported in eGrants and the Project
and Expenditures Reports. Management should reconcile discrepancies between eGrants and the amounts
reported by the state agencies and obtain revised Agency Reconcilers, if appropriate.
Views of responsible officials: The Office of the Governor (OOG) management agrees with the finding that the
variances related to cumulative obligations are due to OOG reporting budgeted amounts rather than obligated
amounts as defined by the SLFRF Compliance and Reporting Guidance Version 5.0. The remaining variances
are due to discrepancies between the Agency Reconcilers and amounts reported in OOG’s eGrants system.
When variances occurred, it was typically the result of data entry errors within the Agency Reconcilers. In these
cases, the OOG deferred to the amounts reported in its eGrants system rather than the amounts reported by the
state agencies in the Agency Reconcilers.
Subrecipient Monitoring Federal Agency: U.S. Department of Education Federal Program Title: Adult Education- Basic Grants to States ALN: 84.002 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: V002A200044, V002A210044, V002A220044, V002A230044 July 1, 2020 – September 30, 2021, July 1, 2021 – September 30, 2022, July 1, 2022 – September 30, 2023, July 1, 2023 – September 30, 2024 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per 2 CFR sections 200.332 (d) through (f), TWC must monitor the activities of the subrecipient as necessary to ensure that the subaward is used for authorized purposes, complies with the terms and conditions of the subaward, and achieves performance goals. Condition: Per review of TWC's Subrecipient Monitoring Department's (SRM) Annual Monitoring Plan, the Adult Education and Literacy (AEL) program is designed to meet the education and training needs of adults. SRM will continue to work closely with the Workforce Development Division to identify the fiscal and program areas that present the highest risk to the Agency. SRM will also conduct data validation reviews of all AEL providers, once during each five-year grant period. During our testing, we noted seven AEL subrecipients were excluded from the SRM Plan and no reviews or data validations were performed within the previous five years. Questioned costs: None. Context: See “Condition.” Cause: Management is not adhering to the subrecipient monitoring procedures to ensure all Adult Education and Literacy subrecipients have a data validation review once during each five-year granting period. Effect: Failure to complete proper monitoring over subrecipients may lead to noncompliance with grant terms and conditions. Repeat Finding: No Recommendation: We recommend that TWC strengthen its internal controls to ensure that monitoring over all
subrecipients is completed.
Views of responsible officials: The Texas Workforce Commission acknowledges and agrees with the finding
with one observation. Follow-up review indicates that only 6 of 7 AEL subrecipients tested were not included in
the risk assessment. ‘Restore Education’ was, in fact, assessed.
It was SRM’s understanding from prior guidance that the types of AEL subrecipients tested as part of this audit
were not applicable to SRM’s risk assessment process. We have confirmed with TWC’s AEL program staff that
they should have been in scope for SRM’s annual and mid-year risk assessments.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Reporting – Special Reporting Federal Agency: U.S. Department of Education Federal Program Title: Education Stabilization Fund ALN: 84.425R Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: S425R210043 February 25, 2021 – September 30, 2022 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per the Office of Elementary and Secondary Education, all grantees are required to report on ESSER funds received under the Coronavirus Aid, Relief, and Economic Security (CARES) Act; the Coronavirus Response and Relief Supplemental Appropriations (CRRSA) Act; and the American Rescue Plan (ARP) Act. Grantees must submit an annual report describing how the State and subrecipients used the awarded funds during the performance period. Condition: Audit procedures included a review of 40 subrecipients/ local education agencies (LEAs) whose data was reported on key line item 3.b10 - Number of specific positions supported with ESSER Fund. Of the 40 subrecipients, the number of paraprofessionals, the number of school counselors, school psychologists and/or social workers, and number of classroom educators, not covered by previous categories for one LEA was reported incorrectly in the Annual Report by TEA compared to the information the LEA submitted. Information was transposed with another LEA, causing that LEA’s information to be incorrect as well. Additionally, one LEA submitted corrected information, which was not subsequently corrected by TEA in the Annual Report. Questioned costs: None. Context: See “Condition.” Cause: Current controls are not at the correct precision level to detect variances in data reported in the Annual Report compared to information submitted by LEAs. Effect: Failure to report accurate information may result in noncompliance with terms of the grant award. Repeat finding: No Recommendation: TEA should enhance and/or modify existing controls to ensure information submitted by the
LEAs is reported completely and accurately on the Annual Report.
Views of responsible officials: TEA agrees an error was made during the upload of the LEA submitted
corrected CROSSACT data. The corrective actions below will be implemented to prevent future occurrence.
Special Tests and Provisions – Control, Accountability, and Safeguarding of Vaccines and Special Tests and Provisions – Record of Immunization – Information Technology – User Access Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Immunization Cooperative Agreements ALN: 93.268 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 6 NH23IP922616 July 1, 2019 – June 30, 2024 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: DSHS utilizes the Child Health Reporting System (CHRS) to track immunizations for childcare, daycares, and colleges. Providers that administer immunizations upload required information into the system for DSHS to meet reporting requirements. During our testing, we noted that the user provisioning process for CHRS does not require formal documentation for requesting and approving system access. Questioned costs: None. Context: See “Condition.” Cause: DSHS does not have established policies and procedures that require a formal request and approval for system access to CHRS. Effect: Failure to complete formal requests and approvals for system access increases the risk of unauthorized users and suspicious activities that may not be identified and investigated. Repeat finding: 2020-027 Recommendation: We recommend that DSHS implement enhanced procedures to ensure that new hire provisioning procedures are approved before access is granted. Views of responsible officials: The remaining portion of this prior year finding addresses only CHRS. CHRS is a
system currently used by public and private schools to enter non-confidential, aggregate data eventually posted to
the internet as part of the Annual Report of Immunizations Status. Within DSHS, internal CHRS users are from
the Infectious Disease Prevention Division and the Vision, Hearing, Spinal Screening (VHSS) program within the
Community Health Improvement Division. Access for these users is provisioned as part of the DSHS new hire
process. Because CHRS does not contain confidential information, Immunization and VHSS staff want to make
the process for schools to enter aggregate data as uncomplicated as possible.
Special Tests and Provisions – Control, Accountability, and Safeguarding of Vaccines Special Tests and Provisions – Record of Immunization Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Immunization Cooperative Agreements ALN: 93.268 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 6 NH23IP922616 July 1, 2019 – June 30, 2024 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: Texas Vaccines for Children (TVFC) staff perform compliance visits to assess, support, and educate the site regarding TVFC policies and procedures. Compliance visits must be directly entered in PEAR while the review is being conducted. At the conclusion of a compliance visit, the DSHS Public Health Region (PHR) or Quality Assurance (QA) contractor reviewer must discuss the visit’s outcomes with the vaccine coordinator. The discussion must include a review of the site visit findings and a formal follow-up plan with a timeline addressing noncompliance issues or opportunities for improvement. Monthly reports are run from PEAR to ensure all provider audits are being conducted within a 24-month timeframe. When pulling the monthly report of issues/deficiencies, TVFC staff also review to see that follow-up activities have been completed on time. During fiscal year 2023, review and verification of follow up activities for site reviews conducted by TVFC staff were not formally documented. Thus, we were unable to verify that the reviews were being conducted. Questioned costs: Unknown. Context: See “Condition.”
Cause: Internal controls surrounding the site visits conducted are not formally documented.
Effect: Lack of formal documentation of reviews may result in missed follow-up actions and potential
noncompliance.
Repeat finding: No
Recommendation: TVFC staff should formally document the review of site visit results, including any relevant
follow-up actions, to retain documentation of compliance.
Views of responsible officials: DSHS agrees formal documentation of TVFC site visits and site-visit reviews
would improve the process.
Special Tests and Provisions – Control, Accountability, and Safeguarding of Vaccines and Special Tests and Provisions – Record of Immunization – Information Technology – User Access Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Immunization Cooperative Agreements ALN: 93.268 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 6 NH23IP922616 July 1, 2019 – June 30, 2024 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: DSHS utilizes the Child Health Reporting System (CHRS) to track immunizations for childcare, daycares, and colleges. Providers that administer immunizations upload required information into the system for DSHS to meet reporting requirements. During our testing, we noted that the user provisioning process for CHRS does not require formal documentation for requesting and approving system access. Questioned costs: None. Context: See “Condition.” Cause: DSHS does not have established policies and procedures that require a formal request and approval for system access to CHRS. Effect: Failure to complete formal requests and approvals for system access increases the risk of unauthorized users and suspicious activities that may not be identified and investigated. Repeat finding: 2020-027 Recommendation: We recommend that DSHS implement enhanced procedures to ensure that new hire provisioning procedures are approved before access is granted. Views of responsible officials: The remaining portion of this prior year finding addresses only CHRS. CHRS is a
system currently used by public and private schools to enter non-confidential, aggregate data eventually posted to
the internet as part of the Annual Report of Immunizations Status. Within DSHS, internal CHRS users are from
the Infectious Disease Prevention Division and the Vision, Hearing, Spinal Screening (VHSS) program within the
Community Health Improvement Division. Access for these users is provisioned as part of the DSHS new hire
process. Because CHRS does not contain confidential information, Immunization and VHSS staff want to make
the process for schools to enter aggregate data as uncomplicated as possible.
Special Tests and Provisions – Control, Accountability, and Safeguarding of Vaccines Special Tests and Provisions – Record of Immunization Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Immunization Cooperative Agreements ALN: 93.268 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 6 NH23IP922616 July 1, 2019 – June 30, 2024 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: Texas Vaccines for Children (TVFC) staff perform compliance visits to assess, support, and educate the site regarding TVFC policies and procedures. Compliance visits must be directly entered in PEAR while the review is being conducted. At the conclusion of a compliance visit, the DSHS Public Health Region (PHR) or Quality Assurance (QA) contractor reviewer must discuss the visit’s outcomes with the vaccine coordinator. The discussion must include a review of the site visit findings and a formal follow-up plan with a timeline addressing noncompliance issues or opportunities for improvement. Monthly reports are run from PEAR to ensure all provider audits are being conducted within a 24-month timeframe. When pulling the monthly report of issues/deficiencies, TVFC staff also review to see that follow-up activities have been completed on time. During fiscal year 2023, review and verification of follow up activities for site reviews conducted by TVFC staff were not formally documented. Thus, we were unable to verify that the reviews were being conducted. Questioned costs: Unknown. Context: See “Condition.”
Cause: Internal controls surrounding the site visits conducted are not formally documented.
Effect: Lack of formal documentation of reviews may result in missed follow-up actions and potential
noncompliance.
Repeat finding: No
Recommendation: TVFC staff should formally document the review of site visit results, including any relevant
follow-up actions, to retain documentation of compliance.
Views of responsible officials: DSHS agrees formal documentation of TVFC site visits and site-visit reviews
would improve the process.
Special Tests and Provisions – Control, Accountability, and Safeguarding of Vaccines and Special Tests and Provisions – Record of Immunization – Information Technology – User Access Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Immunization Cooperative Agreements ALN: 93.268 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 6 NH23IP922616 July 1, 2019 – June 30, 2024 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: DSHS utilizes the Child Health Reporting System (CHRS) to track immunizations for childcare, daycares, and colleges. Providers that administer immunizations upload required information into the system for DSHS to meet reporting requirements. During our testing, we noted that the user provisioning process for CHRS does not require formal documentation for requesting and approving system access. Questioned costs: None. Context: See “Condition.” Cause: DSHS does not have established policies and procedures that require a formal request and approval for system access to CHRS. Effect: Failure to complete formal requests and approvals for system access increases the risk of unauthorized users and suspicious activities that may not be identified and investigated. Repeat finding: 2020-027 Recommendation: We recommend that DSHS implement enhanced procedures to ensure that new hire provisioning procedures are approved before access is granted. Views of responsible officials: The remaining portion of this prior year finding addresses only CHRS. CHRS is a
system currently used by public and private schools to enter non-confidential, aggregate data eventually posted to
the internet as part of the Annual Report of Immunizations Status. Within DSHS, internal CHRS users are from
the Infectious Disease Prevention Division and the Vision, Hearing, Spinal Screening (VHSS) program within the
Community Health Improvement Division. Access for these users is provisioned as part of the DSHS new hire
process. Because CHRS does not contain confidential information, Immunization and VHSS staff want to make
the process for schools to enter aggregate data as uncomplicated as possible.
Special Tests and Provisions – Control, Accountability, and Safeguarding of Vaccines Special Tests and Provisions – Record of Immunization Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Immunization Cooperative Agreements ALN: 93.268 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 6 NH23IP922616 July 1, 2019 – June 30, 2024 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: Texas Vaccines for Children (TVFC) staff perform compliance visits to assess, support, and educate the site regarding TVFC policies and procedures. Compliance visits must be directly entered in PEAR while the review is being conducted. At the conclusion of a compliance visit, the DSHS Public Health Region (PHR) or Quality Assurance (QA) contractor reviewer must discuss the visit’s outcomes with the vaccine coordinator. The discussion must include a review of the site visit findings and a formal follow-up plan with a timeline addressing noncompliance issues or opportunities for improvement. Monthly reports are run from PEAR to ensure all provider audits are being conducted within a 24-month timeframe. When pulling the monthly report of issues/deficiencies, TVFC staff also review to see that follow-up activities have been completed on time. During fiscal year 2023, review and verification of follow up activities for site reviews conducted by TVFC staff were not formally documented. Thus, we were unable to verify that the reviews were being conducted. Questioned costs: Unknown. Context: See “Condition.”
Cause: Internal controls surrounding the site visits conducted are not formally documented.
Effect: Lack of formal documentation of reviews may result in missed follow-up actions and potential
noncompliance.
Repeat finding: No
Recommendation: TVFC staff should formally document the review of site visit results, including any relevant
follow-up actions, to retain documentation of compliance.
Views of responsible officials: DSHS agrees formal documentation of TVFC site visits and site-visit reviews
would improve the process.
Special Tests and Provisions – Control, Accountability, and Safeguarding of Vaccines and Special Tests and Provisions – Record of Immunization – Information Technology – User Access Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Immunization Cooperative Agreements ALN: 93.268 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 6 NH23IP922616 July 1, 2019 – June 30, 2024 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: DSHS utilizes the Child Health Reporting System (CHRS) to track immunizations for childcare, daycares, and colleges. Providers that administer immunizations upload required information into the system for DSHS to meet reporting requirements. During our testing, we noted that the user provisioning process for CHRS does not require formal documentation for requesting and approving system access. Questioned costs: None. Context: See “Condition.” Cause: DSHS does not have established policies and procedures that require a formal request and approval for system access to CHRS. Effect: Failure to complete formal requests and approvals for system access increases the risk of unauthorized users and suspicious activities that may not be identified and investigated. Repeat finding: 2020-027 Recommendation: We recommend that DSHS implement enhanced procedures to ensure that new hire provisioning procedures are approved before access is granted. Views of responsible officials: The remaining portion of this prior year finding addresses only CHRS. CHRS is a
system currently used by public and private schools to enter non-confidential, aggregate data eventually posted to
the internet as part of the Annual Report of Immunizations Status. Within DSHS, internal CHRS users are from
the Infectious Disease Prevention Division and the Vision, Hearing, Spinal Screening (VHSS) program within the
Community Health Improvement Division. Access for these users is provisioned as part of the DSHS new hire
process. Because CHRS does not contain confidential information, Immunization and VHSS staff want to make
the process for schools to enter aggregate data as uncomplicated as possible.
Special Tests and Provisions – Control, Accountability, and Safeguarding of Vaccines Special Tests and Provisions – Record of Immunization Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Immunization Cooperative Agreements ALN: 93.268 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 6 NH23IP922616 July 1, 2019 – June 30, 2024 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: Texas Vaccines for Children (TVFC) staff perform compliance visits to assess, support, and educate the site regarding TVFC policies and procedures. Compliance visits must be directly entered in PEAR while the review is being conducted. At the conclusion of a compliance visit, the DSHS Public Health Region (PHR) or Quality Assurance (QA) contractor reviewer must discuss the visit’s outcomes with the vaccine coordinator. The discussion must include a review of the site visit findings and a formal follow-up plan with a timeline addressing noncompliance issues or opportunities for improvement. Monthly reports are run from PEAR to ensure all provider audits are being conducted within a 24-month timeframe. When pulling the monthly report of issues/deficiencies, TVFC staff also review to see that follow-up activities have been completed on time. During fiscal year 2023, review and verification of follow up activities for site reviews conducted by TVFC staff were not formally documented. Thus, we were unable to verify that the reviews were being conducted. Questioned costs: Unknown. Context: See “Condition.”
Cause: Internal controls surrounding the site visits conducted are not formally documented.
Effect: Lack of formal documentation of reviews may result in missed follow-up actions and potential
noncompliance.
Repeat finding: No
Recommendation: TVFC staff should formally document the review of site visit results, including any relevant
follow-up actions, to retain documentation of compliance.
Views of responsible officials: DSHS agrees formal documentation of TVFC site visits and site-visit reviews
would improve the process.
Eligibility
Federal Agency: U.S. Department of Health and Human Services
Federal Program Title: Temporary Assistance for Needy Families
ALN: 93.558
Pass-Through Agency: N/A
Pass-Through Number(s): N/A
Award Number and Period: 2301TXTANF, 2301TXTAN3, 2201TXTANF, 2201TXTAN3, 2101TXTANF,
2101TXTAN3
October 1, 2022 – September 30, 2023, October 1, 2021 – September 30, 2022,
and October 1, 2020 – September 30, 2021
Statistically Valid Sample: No, and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance
Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and
maintain effective internal control over the Federal award that provides reasonable assurance that the non Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and
conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for
Internal Control in the Federal Government” issued by the Comptroller General of the United States or the
“Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway
Commission (COSO).
According to United States Codes, Chapter 8 Aliens and Nationality, Chapter 14 – Restricting Welfare and Public
Benefits of Aliens, §1611 Aliens who are not qualified aliens ineligible for Federal public benefits is as follows: (a)
In general notwithstanding any other provision of law and except as provided in subsection (b), an alien who is not
a qualified alien (as defined in section 1641 of this title) is not eligible for any Federal public benefit (as defined in
subsection (c)).
Condition: According to the DFPS’s Child Protective Services Handbook 2720 Responding to the Eligibility
Statements CPS June 2020, IMPACT automatically makes the Emergency Assistance (EA) Eligibility
Application/Determination section available when the caseworker completes the Risk Assessment tool and the
risk level is ‘high’ or ‘very high.’ The caseworker completes this section, which contains three statements that
each require a response of ‘YES’ in order for the child to be eligible for EA benefits. For one of 40 payments to
program participants, we noted one of the three statements was answered ‘NO’ in IMPACT, which should have
resulted in the determination that the child does not meet the emergency assistance eligibility criteria. However,
the child and family were technically eligible for EA at closure of the investigation stage based on documentation.
DFPS’s sandbox database reflects a conclusion that the child does meet the emergency assistance eligibility
criteria indicating that the three statements had a response of ‘yes ‘at the time of stage closure. However, we
were unable to verify a response of ‘yes’ for all three statements in IMPACT.
Additionally, during our testing of 40 individual payments to program participants, we noted one participant being
eligible based on the EA eligibility criteria in IMPACT. However, the child was not a U.S. citizen, qualified alien, or
permanent resident and was ineligible to receive EA benefits.
Questioned costs: $842.18.
Context: See “Condition.”
Cause: Exception related to statements in IMPACT was caused by system limitations. Exceptions related to
eligibility determinations were due to management oversight.
Effect: Failure to review and maintain accurate information may result in payments made to ineligible participants
or overpayments to eligible participants.
Repeat finding: 2022-002
Recommendation: DFPS should strengthen its internal controls and remedy system limitations to ensure
accurate data is maintained in IMPACT. DFPS should also strengthen its internal controls over eligibility
determinations.
Views of responsible officials: DFPS acknowledges the incorrect EA Eligibility Determination was marked for
question #2 in the EA Eligibility Application/Determination section in IMPACT. The caseworker marked no, but the
answer should have been marked yes. Despite this system-generated discrepancy, interviews with family that
were documented in the investigation report, did confirm the child was genuinely eligible for Emergency
Assistance (EA). Notably, the child did not receive funding during the initial year but was later deemed eligible
upon recertification a year later, without a clear understanding of the root cause for why the child was determined
to be eligible at recertification.
Citizenship: DFPS acknowledges the child was determined to be Emergency Assistance (EA) eligible based on
(EA) eligibility criteria in IMPACT. DFPS also agrees the child was a not a US Citizen and therefore was not
eligible to receive EA Benefits.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Reporting – FFATA Subawards Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Temporary Assistance for Needy Families Social Services Block Grant Block Grants for Community Mental Health Services Block Grants for Prevention and Treatment of Substance Abuse ALN: 93.558 93.667 93.958 93.959 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 MHBG 1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM083999-01M001, 6B09SM083830-01M001 October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01M003 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Material Weakness in Internal Control over Compliance and Material Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Under the requirements of the Federal Funding Accountability and Transparency Act (FFATA) (Pub. L. No. 109- 282), as amended by Section 6202 of Public Law 110-252, recipients (i.e., direct recipients) of grants or cooperative agreements are required to report first-tier subawards of $30,000 or more to the Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS) no later than the last day of the month following the month in which the subaward/subaward amendment obligation was made or the subcontract award/subcontract modification was made. Condition: The HHSC Federal Funds Office (FFO) is responsible for submitting all required subawards in the
Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS). A standard FFATA
Reporting template has been created by the FFO that includes all required elements to be submitted. Program
departments must complete and submit the template to the FFO for all federal subawards with amounts over
$30,000 by the 15th of every month to be included in that month’s submission. Currently, it is the responsibility of
the individual program departments to ensure that each obligating action at or over $30,000 is reported in the
FFATA Reporting Template no later than the end of the next month in which the obligation was made. Due to
system limitations, there is no central tracking of award obligations. Thus, HHSC was unable to provide a
population of first-tier subawards of $30,000 or more that were obligated during the fiscal year and required to be
submitted in FSRS. Accordingly, we were unable to select a sample and test for internal controls over compliance
or compliance.
Questioned costs: None.
Context: See “Condition.”
Cause: CAPPS-FIN, HHSC’s system of record, does not have the capability to track the date of obligation of
federal awards.
Effect: Failure to report all subawards $30,000 or greater in FSRS will result in noncompliance with terms of the
federal grant guidelines.
Repeat finding: 2022-013, 2021-007
Recommendation: HHSC should implement functionality into CAPPS-FIN to track when obligations of federal
awards are made so that the agency is able to retrieve a list of all subawards by obligation date in order to
monitor compliance with the Federal Funding Accountability and Transparency Act.
Views of responsible officials: HHSC agrees with the finding but does not concur with the recommendation
insofar as it makes a specific designation of CAPPS-Financials as the system to ensure compliance.
Subrecipient Monitoring Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Temporary Assistance for Needy Families Social Services Block Grant Block Grants for Community Mental Health Services ALN: 93.558 93.667 93.958 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: TANF
2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3
October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30,
2022
SSBG
2301TXSOSR, 2201TXSOSR and 2101TXSOSR
October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023,
and October 1, 2020 – September 30, 2022
MHBG
1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002,
6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01,
6B09SM085994-01M001, 6B09SM085994-01M002,
6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001,
1B09SM083830-01, 6B09SM083830- 01M001
October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024,
October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024,
March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022
Statistically Valid Sample: No, and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance
Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the
federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award.
These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework”
issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 2 CFR section 200.332(a), all pass-through entities must ensure that every subaward is clearly identified to
the subrecipient as a subaward and includes certain information at the time of the subaward and if any of these
data elements change, include the changes in subsequent subaward modification. When some of this information
is not available, the pass-through entity must provide the best information available to describe the Federal award
and subaward. Required information includes:
Subrecipient’s unique entity identifier (UEI)
Federal award identification number (FAIN)
Federal award date of award to the recipient by the federal agency
Assistance listings number and title
Indirect cost rate for the federal award (including if the de minimis rate is charged)
Condition: Audit procedures included a review of a sample of subrecipient contracts for required information with
the following results noted:
TANF – For a sample of 17, the contracts did not include:
UEI (one sample)
FAIN (four samples)
Federal award date (four samples)
Assistance listings numbers and title (four samples)
Indirect cost rate, including if the de minimis rate is charged (four samples)
SSBG – For 11 of 19 samples, the contract did not include neither the FAIN nor the federal award date of award
to the recipient by the federal agency.
MHBG – For 7 of 8 samples, the contract did not include neither the FAIN nor the federal award date of award to
the recipient by the federal agency.
Questioned costs: None.
Context: See “Condition.”
Cause: Current internal controls in place to ensure a review of subaward agreements is taking place to verify that
all required elements are included per 2 CFR 200 §200.332 are not at the correct precision level.
Effect: Providing incomplete information to subrecipients may result in inaccurate reporting by the subrecipients
and ultimately by HHSC.
Repeat Finding: No
Recommendation: We recommend management enhance existing controls around the review of all subaward
agreements to ensure that all pass-through agreements include each of the required elements by 2 CFR
§200.332.
Views of responsible officials:
Temporary Assistance for Needy Families (TANF) - HHSC concurs with the finding.
Social Services Block Grants (SSBG)/ Mental Health Block Grants (MHBG) - HHSC concurs with the finding.
Special Tests and Provisions – Penalty for Refusal to Work Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Temporary Assistance for Needy Families (TANF) ALN: 93.558 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per 45 CFR 261.14, if an individual refuses to engage in work required under section 407 of the Act, the State must reduce or terminate the amount of assistance payable to the family, subject to any good cause or other exceptions the State may establish. Such a reduction is governed by the provisions of § 261.16. The State must, at a minimum, reduce the amount of assistance otherwise payable to the family pro rata with respect to any period during the month in which the individual refuses to work. The State may impose a greater reduction, including terminating assistance. A State that fails to impose penalties on individuals in accordance with the provisions of section 407(e) of the Act may be subject to the State penalty specified at § 261.54. The State’s policy is to reduce benefits 100% for non_x0002_cooperation. Condition: HHSC works with the Texas Workforce Commission (TWC) to administer the CHOICES program at the Texas Local Workforce Development Boards (Workforce Boards). TWC sends sanctions initiated by the Workforce Boards to HHSC within seven calendar days of the date of non-cooperation. Subsequently, HHSC has five working days to process and apply the sanction as per policy. A sample of 40 beneficiaries who should have had their benefits reduced was selected for review, which resulted in the following: For two cases, the benefits were not reduced timely by one month, resulting in an overpayments of $654. For one case, the benefits were not reduced timely by three months, resulting in an overpayment of $1,179. Questioned costs: $1,833. Context: See “Condition.” Cause: Upon receipt of the sanctions from TWC, HHSC did not apply them within the timeline set by policy. Effect: Non-cooperating beneficiaries received TANF benefit payments they were not entitled to. Repeat finding: No Recommendation: Sanction requests should be applied timely per policy to ensure ineligible beneficiaries do not receive benefits. Views of responsible officials: HHSC concurs with the finding.
Eligibility
Federal Agency: U.S. Department of Health and Human Services
Federal Program Title: Temporary Assistance for Needy Families
ALN: 93.558
Pass-Through Agency: N/A
Pass-Through Number(s): N/A
Award Number and Period: 2301TXTANF, 2301TXTAN3, 2201TXTANF, 2201TXTAN3, 2101TXTANF,
2101TXTAN3
October 1, 2022 – September 30, 2023, October 1, 2021 – September 30, 2022,
and October 1, 2020 – September 30, 2021
Statistically Valid Sample: No, and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance
Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and
maintain effective internal control over the Federal award that provides reasonable assurance that the non Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and
conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for
Internal Control in the Federal Government” issued by the Comptroller General of the United States or the
“Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway
Commission (COSO).
According to United States Codes, Chapter 8 Aliens and Nationality, Chapter 14 – Restricting Welfare and Public
Benefits of Aliens, §1611 Aliens who are not qualified aliens ineligible for Federal public benefits is as follows: (a)
In general notwithstanding any other provision of law and except as provided in subsection (b), an alien who is not
a qualified alien (as defined in section 1641 of this title) is not eligible for any Federal public benefit (as defined in
subsection (c)).
Condition: According to the DFPS’s Child Protective Services Handbook 2720 Responding to the Eligibility
Statements CPS June 2020, IMPACT automatically makes the Emergency Assistance (EA) Eligibility
Application/Determination section available when the caseworker completes the Risk Assessment tool and the
risk level is ‘high’ or ‘very high.’ The caseworker completes this section, which contains three statements that
each require a response of ‘YES’ in order for the child to be eligible for EA benefits. For one of 40 payments to
program participants, we noted one of the three statements was answered ‘NO’ in IMPACT, which should have
resulted in the determination that the child does not meet the emergency assistance eligibility criteria. However,
the child and family were technically eligible for EA at closure of the investigation stage based on documentation.
DFPS’s sandbox database reflects a conclusion that the child does meet the emergency assistance eligibility
criteria indicating that the three statements had a response of ‘yes ‘at the time of stage closure. However, we
were unable to verify a response of ‘yes’ for all three statements in IMPACT.
Additionally, during our testing of 40 individual payments to program participants, we noted one participant being
eligible based on the EA eligibility criteria in IMPACT. However, the child was not a U.S. citizen, qualified alien, or
permanent resident and was ineligible to receive EA benefits.
Questioned costs: $842.18.
Context: See “Condition.”
Cause: Exception related to statements in IMPACT was caused by system limitations. Exceptions related to
eligibility determinations were due to management oversight.
Effect: Failure to review and maintain accurate information may result in payments made to ineligible participants
or overpayments to eligible participants.
Repeat finding: 2022-002
Recommendation: DFPS should strengthen its internal controls and remedy system limitations to ensure
accurate data is maintained in IMPACT. DFPS should also strengthen its internal controls over eligibility
determinations.
Views of responsible officials: DFPS acknowledges the incorrect EA Eligibility Determination was marked for
question #2 in the EA Eligibility Application/Determination section in IMPACT. The caseworker marked no, but the
answer should have been marked yes. Despite this system-generated discrepancy, interviews with family that
were documented in the investigation report, did confirm the child was genuinely eligible for Emergency
Assistance (EA). Notably, the child did not receive funding during the initial year but was later deemed eligible
upon recertification a year later, without a clear understanding of the root cause for why the child was determined
to be eligible at recertification.
Citizenship: DFPS acknowledges the child was determined to be Emergency Assistance (EA) eligible based on
(EA) eligibility criteria in IMPACT. DFPS also agrees the child was a not a US Citizen and therefore was not
eligible to receive EA Benefits.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Reporting – FFATA Subawards Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Temporary Assistance for Needy Families Social Services Block Grant Block Grants for Community Mental Health Services Block Grants for Prevention and Treatment of Substance Abuse ALN: 93.558 93.667 93.958 93.959 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 MHBG 1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM083999-01M001, 6B09SM083830-01M001 October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01M003 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Material Weakness in Internal Control over Compliance and Material Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Under the requirements of the Federal Funding Accountability and Transparency Act (FFATA) (Pub. L. No. 109- 282), as amended by Section 6202 of Public Law 110-252, recipients (i.e., direct recipients) of grants or cooperative agreements are required to report first-tier subawards of $30,000 or more to the Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS) no later than the last day of the month following the month in which the subaward/subaward amendment obligation was made or the subcontract award/subcontract modification was made. Condition: The HHSC Federal Funds Office (FFO) is responsible for submitting all required subawards in the
Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS). A standard FFATA
Reporting template has been created by the FFO that includes all required elements to be submitted. Program
departments must complete and submit the template to the FFO for all federal subawards with amounts over
$30,000 by the 15th of every month to be included in that month’s submission. Currently, it is the responsibility of
the individual program departments to ensure that each obligating action at or over $30,000 is reported in the
FFATA Reporting Template no later than the end of the next month in which the obligation was made. Due to
system limitations, there is no central tracking of award obligations. Thus, HHSC was unable to provide a
population of first-tier subawards of $30,000 or more that were obligated during the fiscal year and required to be
submitted in FSRS. Accordingly, we were unable to select a sample and test for internal controls over compliance
or compliance.
Questioned costs: None.
Context: See “Condition.”
Cause: CAPPS-FIN, HHSC’s system of record, does not have the capability to track the date of obligation of
federal awards.
Effect: Failure to report all subawards $30,000 or greater in FSRS will result in noncompliance with terms of the
federal grant guidelines.
Repeat finding: 2022-013, 2021-007
Recommendation: HHSC should implement functionality into CAPPS-FIN to track when obligations of federal
awards are made so that the agency is able to retrieve a list of all subawards by obligation date in order to
monitor compliance with the Federal Funding Accountability and Transparency Act.
Views of responsible officials: HHSC agrees with the finding but does not concur with the recommendation
insofar as it makes a specific designation of CAPPS-Financials as the system to ensure compliance.
Subrecipient Monitoring Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Temporary Assistance for Needy Families Social Services Block Grant Block Grants for Community Mental Health Services ALN: 93.558 93.667 93.958 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: TANF
2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3
October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30,
2022
SSBG
2301TXSOSR, 2201TXSOSR and 2101TXSOSR
October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023,
and October 1, 2020 – September 30, 2022
MHBG
1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002,
6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01,
6B09SM085994-01M001, 6B09SM085994-01M002,
6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001,
1B09SM083830-01, 6B09SM083830- 01M001
October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024,
October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024,
March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022
Statistically Valid Sample: No, and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance
Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the
federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award.
These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework”
issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 2 CFR section 200.332(a), all pass-through entities must ensure that every subaward is clearly identified to
the subrecipient as a subaward and includes certain information at the time of the subaward and if any of these
data elements change, include the changes in subsequent subaward modification. When some of this information
is not available, the pass-through entity must provide the best information available to describe the Federal award
and subaward. Required information includes:
Subrecipient’s unique entity identifier (UEI)
Federal award identification number (FAIN)
Federal award date of award to the recipient by the federal agency
Assistance listings number and title
Indirect cost rate for the federal award (including if the de minimis rate is charged)
Condition: Audit procedures included a review of a sample of subrecipient contracts for required information with
the following results noted:
TANF – For a sample of 17, the contracts did not include:
UEI (one sample)
FAIN (four samples)
Federal award date (four samples)
Assistance listings numbers and title (four samples)
Indirect cost rate, including if the de minimis rate is charged (four samples)
SSBG – For 11 of 19 samples, the contract did not include neither the FAIN nor the federal award date of award
to the recipient by the federal agency.
MHBG – For 7 of 8 samples, the contract did not include neither the FAIN nor the federal award date of award to
the recipient by the federal agency.
Questioned costs: None.
Context: See “Condition.”
Cause: Current internal controls in place to ensure a review of subaward agreements is taking place to verify that
all required elements are included per 2 CFR 200 §200.332 are not at the correct precision level.
Effect: Providing incomplete information to subrecipients may result in inaccurate reporting by the subrecipients
and ultimately by HHSC.
Repeat Finding: No
Recommendation: We recommend management enhance existing controls around the review of all subaward
agreements to ensure that all pass-through agreements include each of the required elements by 2 CFR
§200.332.
Views of responsible officials:
Temporary Assistance for Needy Families (TANF) - HHSC concurs with the finding.
Social Services Block Grants (SSBG)/ Mental Health Block Grants (MHBG) - HHSC concurs with the finding.
Special Tests and Provisions – Penalty for Refusal to Work Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Temporary Assistance for Needy Families (TANF) ALN: 93.558 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per 45 CFR 261.14, if an individual refuses to engage in work required under section 407 of the Act, the State must reduce or terminate the amount of assistance payable to the family, subject to any good cause or other exceptions the State may establish. Such a reduction is governed by the provisions of § 261.16. The State must, at a minimum, reduce the amount of assistance otherwise payable to the family pro rata with respect to any period during the month in which the individual refuses to work. The State may impose a greater reduction, including terminating assistance. A State that fails to impose penalties on individuals in accordance with the provisions of section 407(e) of the Act may be subject to the State penalty specified at § 261.54. The State’s policy is to reduce benefits 100% for non_x0002_cooperation. Condition: HHSC works with the Texas Workforce Commission (TWC) to administer the CHOICES program at the Texas Local Workforce Development Boards (Workforce Boards). TWC sends sanctions initiated by the Workforce Boards to HHSC within seven calendar days of the date of non-cooperation. Subsequently, HHSC has five working days to process and apply the sanction as per policy. A sample of 40 beneficiaries who should have had their benefits reduced was selected for review, which resulted in the following: For two cases, the benefits were not reduced timely by one month, resulting in an overpayments of $654. For one case, the benefits were not reduced timely by three months, resulting in an overpayment of $1,179. Questioned costs: $1,833. Context: See “Condition.” Cause: Upon receipt of the sanctions from TWC, HHSC did not apply them within the timeline set by policy. Effect: Non-cooperating beneficiaries received TANF benefit payments they were not entitled to. Repeat finding: No Recommendation: Sanction requests should be applied timely per policy to ensure ineligible beneficiaries do not receive benefits. Views of responsible officials: HHSC concurs with the finding.
Eligibility
Federal Agency: U.S. Department of Health and Human Services
Federal Program Title: Temporary Assistance for Needy Families
ALN: 93.558
Pass-Through Agency: N/A
Pass-Through Number(s): N/A
Award Number and Period: 2301TXTANF, 2301TXTAN3, 2201TXTANF, 2201TXTAN3, 2101TXTANF,
2101TXTAN3
October 1, 2022 – September 30, 2023, October 1, 2021 – September 30, 2022,
and October 1, 2020 – September 30, 2021
Statistically Valid Sample: No, and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance
Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and
maintain effective internal control over the Federal award that provides reasonable assurance that the non Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and
conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for
Internal Control in the Federal Government” issued by the Comptroller General of the United States or the
“Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway
Commission (COSO).
According to United States Codes, Chapter 8 Aliens and Nationality, Chapter 14 – Restricting Welfare and Public
Benefits of Aliens, §1611 Aliens who are not qualified aliens ineligible for Federal public benefits is as follows: (a)
In general notwithstanding any other provision of law and except as provided in subsection (b), an alien who is not
a qualified alien (as defined in section 1641 of this title) is not eligible for any Federal public benefit (as defined in
subsection (c)).
Condition: According to the DFPS’s Child Protective Services Handbook 2720 Responding to the Eligibility
Statements CPS June 2020, IMPACT automatically makes the Emergency Assistance (EA) Eligibility
Application/Determination section available when the caseworker completes the Risk Assessment tool and the
risk level is ‘high’ or ‘very high.’ The caseworker completes this section, which contains three statements that
each require a response of ‘YES’ in order for the child to be eligible for EA benefits. For one of 40 payments to
program participants, we noted one of the three statements was answered ‘NO’ in IMPACT, which should have
resulted in the determination that the child does not meet the emergency assistance eligibility criteria. However,
the child and family were technically eligible for EA at closure of the investigation stage based on documentation.
DFPS’s sandbox database reflects a conclusion that the child does meet the emergency assistance eligibility
criteria indicating that the three statements had a response of ‘yes ‘at the time of stage closure. However, we
were unable to verify a response of ‘yes’ for all three statements in IMPACT.
Additionally, during our testing of 40 individual payments to program participants, we noted one participant being
eligible based on the EA eligibility criteria in IMPACT. However, the child was not a U.S. citizen, qualified alien, or
permanent resident and was ineligible to receive EA benefits.
Questioned costs: $842.18.
Context: See “Condition.”
Cause: Exception related to statements in IMPACT was caused by system limitations. Exceptions related to
eligibility determinations were due to management oversight.
Effect: Failure to review and maintain accurate information may result in payments made to ineligible participants
or overpayments to eligible participants.
Repeat finding: 2022-002
Recommendation: DFPS should strengthen its internal controls and remedy system limitations to ensure
accurate data is maintained in IMPACT. DFPS should also strengthen its internal controls over eligibility
determinations.
Views of responsible officials: DFPS acknowledges the incorrect EA Eligibility Determination was marked for
question #2 in the EA Eligibility Application/Determination section in IMPACT. The caseworker marked no, but the
answer should have been marked yes. Despite this system-generated discrepancy, interviews with family that
were documented in the investigation report, did confirm the child was genuinely eligible for Emergency
Assistance (EA). Notably, the child did not receive funding during the initial year but was later deemed eligible
upon recertification a year later, without a clear understanding of the root cause for why the child was determined
to be eligible at recertification.
Citizenship: DFPS acknowledges the child was determined to be Emergency Assistance (EA) eligible based on
(EA) eligibility criteria in IMPACT. DFPS also agrees the child was a not a US Citizen and therefore was not
eligible to receive EA Benefits.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Reporting – FFATA Subawards Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Temporary Assistance for Needy Families Social Services Block Grant Block Grants for Community Mental Health Services Block Grants for Prevention and Treatment of Substance Abuse ALN: 93.558 93.667 93.958 93.959 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 MHBG 1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM083999-01M001, 6B09SM083830-01M001 October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01M003 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Material Weakness in Internal Control over Compliance and Material Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Under the requirements of the Federal Funding Accountability and Transparency Act (FFATA) (Pub. L. No. 109- 282), as amended by Section 6202 of Public Law 110-252, recipients (i.e., direct recipients) of grants or cooperative agreements are required to report first-tier subawards of $30,000 or more to the Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS) no later than the last day of the month following the month in which the subaward/subaward amendment obligation was made or the subcontract award/subcontract modification was made. Condition: The HHSC Federal Funds Office (FFO) is responsible for submitting all required subawards in the
Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS). A standard FFATA
Reporting template has been created by the FFO that includes all required elements to be submitted. Program
departments must complete and submit the template to the FFO for all federal subawards with amounts over
$30,000 by the 15th of every month to be included in that month’s submission. Currently, it is the responsibility of
the individual program departments to ensure that each obligating action at or over $30,000 is reported in the
FFATA Reporting Template no later than the end of the next month in which the obligation was made. Due to
system limitations, there is no central tracking of award obligations. Thus, HHSC was unable to provide a
population of first-tier subawards of $30,000 or more that were obligated during the fiscal year and required to be
submitted in FSRS. Accordingly, we were unable to select a sample and test for internal controls over compliance
or compliance.
Questioned costs: None.
Context: See “Condition.”
Cause: CAPPS-FIN, HHSC’s system of record, does not have the capability to track the date of obligation of
federal awards.
Effect: Failure to report all subawards $30,000 or greater in FSRS will result in noncompliance with terms of the
federal grant guidelines.
Repeat finding: 2022-013, 2021-007
Recommendation: HHSC should implement functionality into CAPPS-FIN to track when obligations of federal
awards are made so that the agency is able to retrieve a list of all subawards by obligation date in order to
monitor compliance with the Federal Funding Accountability and Transparency Act.
Views of responsible officials: HHSC agrees with the finding but does not concur with the recommendation
insofar as it makes a specific designation of CAPPS-Financials as the system to ensure compliance.
Subrecipient Monitoring Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Temporary Assistance for Needy Families Social Services Block Grant Block Grants for Community Mental Health Services ALN: 93.558 93.667 93.958 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: TANF
2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3
October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30,
2022
SSBG
2301TXSOSR, 2201TXSOSR and 2101TXSOSR
October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023,
and October 1, 2020 – September 30, 2022
MHBG
1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002,
6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01,
6B09SM085994-01M001, 6B09SM085994-01M002,
6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001,
1B09SM083830-01, 6B09SM083830- 01M001
October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024,
October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024,
March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022
Statistically Valid Sample: No, and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance
Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the
federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award.
These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework”
issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 2 CFR section 200.332(a), all pass-through entities must ensure that every subaward is clearly identified to
the subrecipient as a subaward and includes certain information at the time of the subaward and if any of these
data elements change, include the changes in subsequent subaward modification. When some of this information
is not available, the pass-through entity must provide the best information available to describe the Federal award
and subaward. Required information includes:
Subrecipient’s unique entity identifier (UEI)
Federal award identification number (FAIN)
Federal award date of award to the recipient by the federal agency
Assistance listings number and title
Indirect cost rate for the federal award (including if the de minimis rate is charged)
Condition: Audit procedures included a review of a sample of subrecipient contracts for required information with
the following results noted:
TANF – For a sample of 17, the contracts did not include:
UEI (one sample)
FAIN (four samples)
Federal award date (four samples)
Assistance listings numbers and title (four samples)
Indirect cost rate, including if the de minimis rate is charged (four samples)
SSBG – For 11 of 19 samples, the contract did not include neither the FAIN nor the federal award date of award
to the recipient by the federal agency.
MHBG – For 7 of 8 samples, the contract did not include neither the FAIN nor the federal award date of award to
the recipient by the federal agency.
Questioned costs: None.
Context: See “Condition.”
Cause: Current internal controls in place to ensure a review of subaward agreements is taking place to verify that
all required elements are included per 2 CFR 200 §200.332 are not at the correct precision level.
Effect: Providing incomplete information to subrecipients may result in inaccurate reporting by the subrecipients
and ultimately by HHSC.
Repeat Finding: No
Recommendation: We recommend management enhance existing controls around the review of all subaward
agreements to ensure that all pass-through agreements include each of the required elements by 2 CFR
§200.332.
Views of responsible officials:
Temporary Assistance for Needy Families (TANF) - HHSC concurs with the finding.
Social Services Block Grants (SSBG)/ Mental Health Block Grants (MHBG) - HHSC concurs with the finding.
Special Tests and Provisions – Penalty for Refusal to Work Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Temporary Assistance for Needy Families (TANF) ALN: 93.558 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per 45 CFR 261.14, if an individual refuses to engage in work required under section 407 of the Act, the State must reduce or terminate the amount of assistance payable to the family, subject to any good cause or other exceptions the State may establish. Such a reduction is governed by the provisions of § 261.16. The State must, at a minimum, reduce the amount of assistance otherwise payable to the family pro rata with respect to any period during the month in which the individual refuses to work. The State may impose a greater reduction, including terminating assistance. A State that fails to impose penalties on individuals in accordance with the provisions of section 407(e) of the Act may be subject to the State penalty specified at § 261.54. The State’s policy is to reduce benefits 100% for non_x0002_cooperation. Condition: HHSC works with the Texas Workforce Commission (TWC) to administer the CHOICES program at the Texas Local Workforce Development Boards (Workforce Boards). TWC sends sanctions initiated by the Workforce Boards to HHSC within seven calendar days of the date of non-cooperation. Subsequently, HHSC has five working days to process and apply the sanction as per policy. A sample of 40 beneficiaries who should have had their benefits reduced was selected for review, which resulted in the following: For two cases, the benefits were not reduced timely by one month, resulting in an overpayments of $654. For one case, the benefits were not reduced timely by three months, resulting in an overpayment of $1,179. Questioned costs: $1,833. Context: See “Condition.” Cause: Upon receipt of the sanctions from TWC, HHSC did not apply them within the timeline set by policy. Effect: Non-cooperating beneficiaries received TANF benefit payments they were not entitled to. Repeat finding: No Recommendation: Sanction requests should be applied timely per policy to ensure ineligible beneficiaries do not receive benefits. Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Reporting – FFATA Subawards Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Temporary Assistance for Needy Families Social Services Block Grant Block Grants for Community Mental Health Services Block Grants for Prevention and Treatment of Substance Abuse ALN: 93.558 93.667 93.958 93.959 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 MHBG 1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM083999-01M001, 6B09SM083830-01M001 October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01M003 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Material Weakness in Internal Control over Compliance and Material Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Under the requirements of the Federal Funding Accountability and Transparency Act (FFATA) (Pub. L. No. 109- 282), as amended by Section 6202 of Public Law 110-252, recipients (i.e., direct recipients) of grants or cooperative agreements are required to report first-tier subawards of $30,000 or more to the Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS) no later than the last day of the month following the month in which the subaward/subaward amendment obligation was made or the subcontract award/subcontract modification was made. Condition: The HHSC Federal Funds Office (FFO) is responsible for submitting all required subawards in the
Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS). A standard FFATA
Reporting template has been created by the FFO that includes all required elements to be submitted. Program
departments must complete and submit the template to the FFO for all federal subawards with amounts over
$30,000 by the 15th of every month to be included in that month’s submission. Currently, it is the responsibility of
the individual program departments to ensure that each obligating action at or over $30,000 is reported in the
FFATA Reporting Template no later than the end of the next month in which the obligation was made. Due to
system limitations, there is no central tracking of award obligations. Thus, HHSC was unable to provide a
population of first-tier subawards of $30,000 or more that were obligated during the fiscal year and required to be
submitted in FSRS. Accordingly, we were unable to select a sample and test for internal controls over compliance
or compliance.
Questioned costs: None.
Context: See “Condition.”
Cause: CAPPS-FIN, HHSC’s system of record, does not have the capability to track the date of obligation of
federal awards.
Effect: Failure to report all subawards $30,000 or greater in FSRS will result in noncompliance with terms of the
federal grant guidelines.
Repeat finding: 2022-013, 2021-007
Recommendation: HHSC should implement functionality into CAPPS-FIN to track when obligations of federal
awards are made so that the agency is able to retrieve a list of all subawards by obligation date in order to
monitor compliance with the Federal Funding Accountability and Transparency Act.
Views of responsible officials: HHSC agrees with the finding but does not concur with the recommendation
insofar as it makes a specific designation of CAPPS-Financials as the system to ensure compliance.
Subrecipient Monitoring Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Temporary Assistance for Needy Families Social Services Block Grant Block Grants for Community Mental Health Services ALN: 93.558 93.667 93.958 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: TANF
2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3
October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30,
2022
SSBG
2301TXSOSR, 2201TXSOSR and 2101TXSOSR
October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023,
and October 1, 2020 – September 30, 2022
MHBG
1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002,
6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01,
6B09SM085994-01M001, 6B09SM085994-01M002,
6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001,
1B09SM083830-01, 6B09SM083830- 01M001
October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024,
October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024,
March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022
Statistically Valid Sample: No, and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance
Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the
federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award.
These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework”
issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 2 CFR section 200.332(a), all pass-through entities must ensure that every subaward is clearly identified to
the subrecipient as a subaward and includes certain information at the time of the subaward and if any of these
data elements change, include the changes in subsequent subaward modification. When some of this information
is not available, the pass-through entity must provide the best information available to describe the Federal award
and subaward. Required information includes:
Subrecipient’s unique entity identifier (UEI)
Federal award identification number (FAIN)
Federal award date of award to the recipient by the federal agency
Assistance listings number and title
Indirect cost rate for the federal award (including if the de minimis rate is charged)
Condition: Audit procedures included a review of a sample of subrecipient contracts for required information with
the following results noted:
TANF – For a sample of 17, the contracts did not include:
UEI (one sample)
FAIN (four samples)
Federal award date (four samples)
Assistance listings numbers and title (four samples)
Indirect cost rate, including if the de minimis rate is charged (four samples)
SSBG – For 11 of 19 samples, the contract did not include neither the FAIN nor the federal award date of award
to the recipient by the federal agency.
MHBG – For 7 of 8 samples, the contract did not include neither the FAIN nor the federal award date of award to
the recipient by the federal agency.
Questioned costs: None.
Context: See “Condition.”
Cause: Current internal controls in place to ensure a review of subaward agreements is taking place to verify that
all required elements are included per 2 CFR 200 §200.332 are not at the correct precision level.
Effect: Providing incomplete information to subrecipients may result in inaccurate reporting by the subrecipients
and ultimately by HHSC.
Repeat Finding: No
Recommendation: We recommend management enhance existing controls around the review of all subaward
agreements to ensure that all pass-through agreements include each of the required elements by 2 CFR
§200.332.
Views of responsible officials:
Temporary Assistance for Needy Families (TANF) - HHSC concurs with the finding.
Social Services Block Grants (SSBG)/ Mental Health Block Grants (MHBG) - HHSC concurs with the finding.
Reporting Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Social Services Block Grant ALN: 93.667 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per 2 CFR 200.334, financial records, supporting documents, statistical records, and all other non-Federal entity records pertinent to a Federal award must be retained for a period of three years from the date of submission of the final expenditure report or, for Federal awards that are renewed quarterly or annually, from the date of the submission of the quarterly or annual financial report, respectively, as reported to the Federal awarding agency or pass_x0002_through entity in the case of a subrecipient. Federal awarding agencies and pass-through entities must not impose any other record retention requirements upon non-Federal entities. Title 42 USC 1397e requires states and territories to submit to the federal administering agency, the Office of Community Services, an annual Post Expenditure Report no later than six months following the close of the fiscal year. The report includes certain critical key line information including: 1. The number of eligible individuals who received services paid for in part or in whole with federal funds under the SSBG. 2. The amount of Social Services Block Grant funds spent in providing each service. Condition: During testing of key line items noted above in the FY2022 Annual Post Expenditure Report submitted in March 2023, we noted the following variances between the amounts reported and supporting documentation: Key Line Item 1
Children
Family Planning Services – variance of 1,796
Prevention and Intervention – variance of 9,866
Protective Services – Children – variance of 13,511
Adults Age 59 Years and Younger
Family Planning Services – variance of 107,476
Prevention and Intervention – variance of 19,398
Protective Services – Adults – variance of 21,973
Other Services – variance of 10,733
Adults Age 60 Years and Older
Family Planning Services – variance of 4,549
Prevention and Intervention – variance of 868
Protective Services – Adults – variance of 71,969
Other Services – variance of 14,408
Adults of Unknown Age
Prevention and Intervention – variance of 151
Key Line Item 2
SSBG Allocation
Foster Care Services – Children – variance of ($77,124)
Information & Referral – variance of $2,116
Protective Services – Adults – variance of ($59,467)
Protective Services – Children – variance of ($114,243)
Funds Transferred into SSBG
Protective Services – Children – variance of ($6,948,063)
Expenditures of All Other Federal, State, and Local Funds
Family Planning Services – variance of $172,504,171
Foster Care Services – Children – variance of $674,230,152
Information & Referral – variance of $35,508,405
Protective Services – Adults – variance of $67,694,139
Protective Services – Children – variance of $1,145,408,512
Other Services – $171,788,478
Questioned costs: None.
Context: See “Condition.”
Cause: Current internal controls are not at the correct precision level to ensure the completeness and accuracy of
the report. Additionally, HHSC did not follow current policies and procedures regarding record retention. More
specifically, all variances listed for key line item 1 were due to lack of supporting documentation except for the
Protective Services – Children variance of 13,511, which was the difference between amounts reported and
supporting documentation provided. All variances for key line item 2 were due to lack of supporting
documentation except the four amounts listed under SSBG Allocation, which are a result difference between
amounts reported and supporting documentation provided.
Effect: Improperly designed internal controls over reporting may result in a misstatement of amounts reported on
federal reports. In addition, failure to maintain adequate documentation pertinent to a federal award may result in
noncompliance with grant terms and conditions.
Repeat Finding: No
Recommendation: We recommend management revise its internal controls to reconcile expenditures reported
on federal reports to federal expenditures in the general ledger. Additionally, HHSC should implement or revise
policies and procedures to ensure documentation is maintained for a period of at least three years from the date
of submission of the final expenditure report for the grant in accordance with 2 CFR 200.334.
Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Eligibility Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Children’s Health Insurance Program (CHIP) ALN: 93.767 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per 42 CFR 435.912(c)(3), the determination of eligibility for any applicant may not exceed (except in unusual circumstances such as an administrative or other emergency beyond the agency’s control): Ninety days for applicants who apply for Medicaid on the basis of disability; and Forty-five days for all other applicants. Condition: Audit procedures included a review of 40 CHIP eligibility applications submitted by fiscal year 2023 for benefit recipients to determine whether the eligibility determination was made within 45 days. Of the 40 applications, we identified eight applications for which the eligibility determination was not made within 45 days. The eligibility determinations of these eight applications were made within 46-75 days of the submission date and did not have an administrative or other emergency circumstance. Questioned costs: None.
Context: See “Condition.”
Cause: Current policies and procedures surrounding the timely processing of benefit applications are not being
properly implemented.
Effect: Failure to process CHIP applications in a timely manner may lead to recipients not receiving benefits
timely and noncompliance with grant award terms and conditions.
Repeat finding: No
Recommendation: HHSC should enforce existing application processing procedures to ensure all applications
are reviewed and an eligibility determination is made within the required timeline.
Views of responsible officials: HHSC concurs with the finding.
Special Tests and Provisions – Provider Eligibility – Lack of Documentation Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Children’s Health Insurance Program ALN: 93.767 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance. Criteria or specific requirement: Per 2 CFR 200.303, a non-Federal entity must: Establish and maintain
effective internal controls over federal awards that provide reasonable assurance they are managing federal
awards in compliance with federal statutes, regulations, and the provisions of contracts or grant agreements that
could have a material effect on each of its federal programs. Per 2 CFR 200.334, financial records, supporting
documents, statistical records, and all other non-Federal entity records pertinent to a Federal award must be
retained for a period of three years from the date of submission of the final expenditure report or, for Federal
awards that are renewed quarterly or annually, from the date of the submission of the quarterly or annual financial
report, respectively, as reported to the Federal awarding agency or pass-through entity in the case of a
subrecipient. Federal awarding agencies and pass-through entities must not impose any other record retention
requirements upon non-Federal entities.
In order to comply with federal provider eligibility requirements, HHSC must adhere to various subsections of 42
CFR Section 455 including but not limited to:
§ 455.104 – HHSC must require that disclosing entities, fiscal agents, and managed care entities provide the
following disclosures:
The name and address of any person (individual or corporation) with an ownership or control interest in
the disclosing entity, fiscal agent, or managed care entity. The address for corporate entities must include
as applicable primary business address, every business location, and P.O. Box address.
Date of birth and Social Security Number (in the case of an individual).
Other tax identification number (in the case of a corporation) with an ownership or control interest in the
disclosing entity (or fiscal agent or managed care entity) or in any subcontractor in which the disclosing
entity (or fiscal agent or managed care entity) has a 5 percent or more interest.
Whether the person (individual or corporation) with an ownership or control interest in the disclosing entity
(or fiscal agent or managed care entity) is related to another person with ownership or control interest in
the disclosing entity as a spouse, parent, child, or sibling; or whether the person (individual or
corporation) with an ownership or control interest in any subcontractor in which the disclosing entity (or
fiscal agent or managed care entity) has a 5 percent or more interest is related to another person with
ownership or control interest in the disclosing entity as a spouse, parent, child, or sibling.
The name of any other disclosing entity (or fiscal agent or managed care entity) in which an owner of the
disclosing entity (or fiscal agent or managed care entity) has an ownership or control interest.
The name, address, date of birth, and Social Security Number of any managing employee of the
disclosing entity (or fiscal agent or managed care entity).
§ 455.105 – HHSC must enter into an agreement with each provider under which the provider agrees to furnish to
it the following information related to business transactions within 35 days of request:
The ownership of any subcontractor with whom the provider has had business transactions totaling more
than $25,000 during the 12-month period ending on the date of the request; and
Any significant business transactions between the provider and any wholly owned supplier, or between
the provider and any subcontractor, during the 5-year period ending on the date of the request.
§ 455.106 – Before HHSC enters into or renews a provider agreement, or at any time upon written request by
HHSC, the provider must disclose to HHSC the identity of any person who:
Has ownership or control interest in the provider, or is an agent or managing employee of the provider;
and
Has been convicted of a criminal offense related to that person's involvement in any program under
Medicare, Medicaid, or the title XX services program since the inception of those programs.
§ 455.410 – HHSC must require all ordering or referring physicians or other professionals providing services
under the State plan or under a waiver of the plan to be enrolled as participating providers.
§ 455.412 – HHSC must:
Have a method for verifying that any provider purporting to be licensed in accordance with the laws of any
State is licensed by such State.
Confirm that the provider's license has not expired and that there are no current limitations on the
provider's license. § 455.414 – HHSC must revalidate the enrollment of all providers regardless of provider type at least every five
years.
§ 455.432 – HHSC must:
Conduct pre-enrollment and post-enrollment site visits of providers who are designated as “moderate” or
“high” categorical risks to the Medicaid program.
Require any enrolled provider to permit CMS, its agents, its designated contractors, or HHSC to conduct
unannounced on-site inspections of any and all provider locations.
§ 455.434 – HHSC must:
Require providers to consent to criminal background checks including fingerprinting when required to do
so under State law or by the level of screening based on risk of fraud, waste or abuse as determined for
that category of provider.
Establish categorical risk levels for providers and provider categories who pose an increased financial risk
of fraud, waste or abuse to the Medicaid program.
o Upon HHSC determining that a provider, or a person with a 5 percent or more direct or indirect
ownership interest in the provider, meets HHSC's criteria hereunder for criminal background
checks as a “high” risk to the Medicaid program, HHSC will require that each such provider or
person submit fingerprints, in a form and manner to be determined by HHSC, within 30 days upon
request from CMS or HHSC.
§ 455.436 – HHSC must confirm the identity and determine the exclusion status of providers and any person with
an ownership or control interest or who is an agent or managing employee of the provider through routine checks
of Federal databases. Upon enrollment and reenrollment, HHSC must check the Social Security Administration's
Death Master File (SSADMF), the National Plan and Provider Enumeration System (NPPES), the List of Excluded
Individuals/Entities (LEIE), the Excluded Parties List System (EPLS), and any such other databases as the
Secretary may prescribe. During the period the provider is enrolled, HHSC must check the LEIE and EPLS no
less frequently than monthly.
§ 455.434 – HHSC must screen all initial applications, including applications for a new practice location, and any
applications received in response to a re-enrollment or revalidation of enrollment request based on a categorical
risk level of “limited,” “moderate,” or “high.” If a provider could fit within more than one risk level described in this
section, the highest level of screening is applicable.
Condition: Various departments within and contractors of HHSC are responsible for ensuring medical providers
are properly licensed, screened, and enrolled in the Medicaid Program including Contract Administration and
Provider Monitoring (CAPM), Access and Eligibility Services (AES), Procurement and Contracting Services, and
the Texas Medicaid and Healthcare Partnership.
Audit procedures included a review of 60 providers for CHIP, which resulted in one exception for the following:
A copy of the completed application was not included in the file.
Enrollment of the provider was not completed within the last 5 years.
Verification of the provider’s license was not included in the file.
Required information on ownership and control was not disclosed.
Supporting documentation was not included in the file indicating the SSADMF database was checked at
the time of the most recent enrollment.
Supporting documentation was not included in the file indicating the NPPES database was checked at the
time of the most recent enrollment.
Supporting documentation was not included in the file indicating the LEIE database was checked at the
time of the most recent enrollment.
Supporting documentation was not included in the file indicating the EPLS database was checked at the
time of the most recent enrollment.
Supporting documentation was not included in the file indicating the provider was categorized during
screening as limited, moderate, or high risk.
A copy of the provider agreement was not included in the files.
Supporting documentation was not included indicating a pre- or post-enrollment site visit was conducted
as required for providers designated as moderate or high risk.
Supporting documentation was not included indicating the provider disclosed the identity of any person
who had been convicted of a criminal offense related to that person's involvement in any program under
Medicare, Medicaid, or the Title XX services program since the inception of those programs.
Questioned costs: None.
Context: See “Condition.”
Cause: HHSC does not have adequate procedures in place to ensure required documentation is obtained and
maintained to comply with federal provider eligibility requirements.
Effect: Failure to obtain and maintain adequate documentation during the provider screening and enrollment
process may result in otherwise ineligible or fraudulent providers receiving CHIP funds.
Repeat Finding: No
Recommendation: HHSC should implement controls to ensure:
Documentation is maintained for at least the length of the providers’ current enrollment period or three
years, whichever is greater in accordance with 2 CFR 200.334.
Provider licenses are verified during enrollment.
Providers are re-enrolled at least once every five years.
Provider agreements are obtained, and the proper disclosures are made.
Providers are categorized according to risk level and pre- and post-enrollment site visits are conducted as
required for those deemed moderate or high risk.
Relevant federal databases are checked during initial enrollment and at least monthly for all providers
currently enrolled in CHIP.
Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Eligibility Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Children’s Health Insurance Program (CHIP) ALN: 93.767 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per 42 CFR 435.912(c)(3), the determination of eligibility for any applicant may not exceed (except in unusual circumstances such as an administrative or other emergency beyond the agency’s control): Ninety days for applicants who apply for Medicaid on the basis of disability; and Forty-five days for all other applicants. Condition: Audit procedures included a review of 40 CHIP eligibility applications submitted by fiscal year 2023 for benefit recipients to determine whether the eligibility determination was made within 45 days. Of the 40 applications, we identified eight applications for which the eligibility determination was not made within 45 days. The eligibility determinations of these eight applications were made within 46-75 days of the submission date and did not have an administrative or other emergency circumstance. Questioned costs: None.
Context: See “Condition.”
Cause: Current policies and procedures surrounding the timely processing of benefit applications are not being
properly implemented.
Effect: Failure to process CHIP applications in a timely manner may lead to recipients not receiving benefits
timely and noncompliance with grant award terms and conditions.
Repeat finding: No
Recommendation: HHSC should enforce existing application processing procedures to ensure all applications
are reviewed and an eligibility determination is made within the required timeline.
Views of responsible officials: HHSC concurs with the finding.
Special Tests and Provisions – Provider Eligibility – Lack of Documentation Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Children’s Health Insurance Program ALN: 93.767 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance. Criteria or specific requirement: Per 2 CFR 200.303, a non-Federal entity must: Establish and maintain
effective internal controls over federal awards that provide reasonable assurance they are managing federal
awards in compliance with federal statutes, regulations, and the provisions of contracts or grant agreements that
could have a material effect on each of its federal programs. Per 2 CFR 200.334, financial records, supporting
documents, statistical records, and all other non-Federal entity records pertinent to a Federal award must be
retained for a period of three years from the date of submission of the final expenditure report or, for Federal
awards that are renewed quarterly or annually, from the date of the submission of the quarterly or annual financial
report, respectively, as reported to the Federal awarding agency or pass-through entity in the case of a
subrecipient. Federal awarding agencies and pass-through entities must not impose any other record retention
requirements upon non-Federal entities.
In order to comply with federal provider eligibility requirements, HHSC must adhere to various subsections of 42
CFR Section 455 including but not limited to:
§ 455.104 – HHSC must require that disclosing entities, fiscal agents, and managed care entities provide the
following disclosures:
The name and address of any person (individual or corporation) with an ownership or control interest in
the disclosing entity, fiscal agent, or managed care entity. The address for corporate entities must include
as applicable primary business address, every business location, and P.O. Box address.
Date of birth and Social Security Number (in the case of an individual).
Other tax identification number (in the case of a corporation) with an ownership or control interest in the
disclosing entity (or fiscal agent or managed care entity) or in any subcontractor in which the disclosing
entity (or fiscal agent or managed care entity) has a 5 percent or more interest.
Whether the person (individual or corporation) with an ownership or control interest in the disclosing entity
(or fiscal agent or managed care entity) is related to another person with ownership or control interest in
the disclosing entity as a spouse, parent, child, or sibling; or whether the person (individual or
corporation) with an ownership or control interest in any subcontractor in which the disclosing entity (or
fiscal agent or managed care entity) has a 5 percent or more interest is related to another person with
ownership or control interest in the disclosing entity as a spouse, parent, child, or sibling.
The name of any other disclosing entity (or fiscal agent or managed care entity) in which an owner of the
disclosing entity (or fiscal agent or managed care entity) has an ownership or control interest.
The name, address, date of birth, and Social Security Number of any managing employee of the
disclosing entity (or fiscal agent or managed care entity).
§ 455.105 – HHSC must enter into an agreement with each provider under which the provider agrees to furnish to
it the following information related to business transactions within 35 days of request:
The ownership of any subcontractor with whom the provider has had business transactions totaling more
than $25,000 during the 12-month period ending on the date of the request; and
Any significant business transactions between the provider and any wholly owned supplier, or between
the provider and any subcontractor, during the 5-year period ending on the date of the request.
§ 455.106 – Before HHSC enters into or renews a provider agreement, or at any time upon written request by
HHSC, the provider must disclose to HHSC the identity of any person who:
Has ownership or control interest in the provider, or is an agent or managing employee of the provider;
and
Has been convicted of a criminal offense related to that person's involvement in any program under
Medicare, Medicaid, or the title XX services program since the inception of those programs.
§ 455.410 – HHSC must require all ordering or referring physicians or other professionals providing services
under the State plan or under a waiver of the plan to be enrolled as participating providers.
§ 455.412 – HHSC must:
Have a method for verifying that any provider purporting to be licensed in accordance with the laws of any
State is licensed by such State.
Confirm that the provider's license has not expired and that there are no current limitations on the
provider's license. § 455.414 – HHSC must revalidate the enrollment of all providers regardless of provider type at least every five
years.
§ 455.432 – HHSC must:
Conduct pre-enrollment and post-enrollment site visits of providers who are designated as “moderate” or
“high” categorical risks to the Medicaid program.
Require any enrolled provider to permit CMS, its agents, its designated contractors, or HHSC to conduct
unannounced on-site inspections of any and all provider locations.
§ 455.434 – HHSC must:
Require providers to consent to criminal background checks including fingerprinting when required to do
so under State law or by the level of screening based on risk of fraud, waste or abuse as determined for
that category of provider.
Establish categorical risk levels for providers and provider categories who pose an increased financial risk
of fraud, waste or abuse to the Medicaid program.
o Upon HHSC determining that a provider, or a person with a 5 percent or more direct or indirect
ownership interest in the provider, meets HHSC's criteria hereunder for criminal background
checks as a “high” risk to the Medicaid program, HHSC will require that each such provider or
person submit fingerprints, in a form and manner to be determined by HHSC, within 30 days upon
request from CMS or HHSC.
§ 455.436 – HHSC must confirm the identity and determine the exclusion status of providers and any person with
an ownership or control interest or who is an agent or managing employee of the provider through routine checks
of Federal databases. Upon enrollment and reenrollment, HHSC must check the Social Security Administration's
Death Master File (SSADMF), the National Plan and Provider Enumeration System (NPPES), the List of Excluded
Individuals/Entities (LEIE), the Excluded Parties List System (EPLS), and any such other databases as the
Secretary may prescribe. During the period the provider is enrolled, HHSC must check the LEIE and EPLS no
less frequently than monthly.
§ 455.434 – HHSC must screen all initial applications, including applications for a new practice location, and any
applications received in response to a re-enrollment or revalidation of enrollment request based on a categorical
risk level of “limited,” “moderate,” or “high.” If a provider could fit within more than one risk level described in this
section, the highest level of screening is applicable.
Condition: Various departments within and contractors of HHSC are responsible for ensuring medical providers
are properly licensed, screened, and enrolled in the Medicaid Program including Contract Administration and
Provider Monitoring (CAPM), Access and Eligibility Services (AES), Procurement and Contracting Services, and
the Texas Medicaid and Healthcare Partnership.
Audit procedures included a review of 60 providers for CHIP, which resulted in one exception for the following:
A copy of the completed application was not included in the file.
Enrollment of the provider was not completed within the last 5 years.
Verification of the provider’s license was not included in the file.
Required information on ownership and control was not disclosed.
Supporting documentation was not included in the file indicating the SSADMF database was checked at
the time of the most recent enrollment.
Supporting documentation was not included in the file indicating the NPPES database was checked at the
time of the most recent enrollment.
Supporting documentation was not included in the file indicating the LEIE database was checked at the
time of the most recent enrollment.
Supporting documentation was not included in the file indicating the EPLS database was checked at the
time of the most recent enrollment.
Supporting documentation was not included in the file indicating the provider was categorized during
screening as limited, moderate, or high risk.
A copy of the provider agreement was not included in the files.
Supporting documentation was not included indicating a pre- or post-enrollment site visit was conducted
as required for providers designated as moderate or high risk.
Supporting documentation was not included indicating the provider disclosed the identity of any person
who had been convicted of a criminal offense related to that person's involvement in any program under
Medicare, Medicaid, or the Title XX services program since the inception of those programs.
Questioned costs: None.
Context: See “Condition.”
Cause: HHSC does not have adequate procedures in place to ensure required documentation is obtained and
maintained to comply with federal provider eligibility requirements.
Effect: Failure to obtain and maintain adequate documentation during the provider screening and enrollment
process may result in otherwise ineligible or fraudulent providers receiving CHIP funds.
Repeat Finding: No
Recommendation: HHSC should implement controls to ensure:
Documentation is maintained for at least the length of the providers’ current enrollment period or three
years, whichever is greater in accordance with 2 CFR 200.334.
Provider licenses are verified during enrollment.
Providers are re-enrolled at least once every five years.
Provider agreements are obtained, and the proper disclosures are made.
Providers are categorized according to risk level and pre- and post-enrollment site visits are conducted as
required for those deemed moderate or high risk.
Relevant federal databases are checked during initial enrollment and at least monthly for all providers
currently enrolled in CHIP.
Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Reporting – FFATA Subawards Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Temporary Assistance for Needy Families Social Services Block Grant Block Grants for Community Mental Health Services Block Grants for Prevention and Treatment of Substance Abuse ALN: 93.558 93.667 93.958 93.959 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 MHBG 1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM083999-01M001, 6B09SM083830-01M001 October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01M003 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Material Weakness in Internal Control over Compliance and Material Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Under the requirements of the Federal Funding Accountability and Transparency Act (FFATA) (Pub. L. No. 109- 282), as amended by Section 6202 of Public Law 110-252, recipients (i.e., direct recipients) of grants or cooperative agreements are required to report first-tier subawards of $30,000 or more to the Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS) no later than the last day of the month following the month in which the subaward/subaward amendment obligation was made or the subcontract award/subcontract modification was made. Condition: The HHSC Federal Funds Office (FFO) is responsible for submitting all required subawards in the
Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS). A standard FFATA
Reporting template has been created by the FFO that includes all required elements to be submitted. Program
departments must complete and submit the template to the FFO for all federal subawards with amounts over
$30,000 by the 15th of every month to be included in that month’s submission. Currently, it is the responsibility of
the individual program departments to ensure that each obligating action at or over $30,000 is reported in the
FFATA Reporting Template no later than the end of the next month in which the obligation was made. Due to
system limitations, there is no central tracking of award obligations. Thus, HHSC was unable to provide a
population of first-tier subawards of $30,000 or more that were obligated during the fiscal year and required to be
submitted in FSRS. Accordingly, we were unable to select a sample and test for internal controls over compliance
or compliance.
Questioned costs: None.
Context: See “Condition.”
Cause: CAPPS-FIN, HHSC’s system of record, does not have the capability to track the date of obligation of
federal awards.
Effect: Failure to report all subawards $30,000 or greater in FSRS will result in noncompliance with terms of the
federal grant guidelines.
Repeat finding: 2022-013, 2021-007
Recommendation: HHSC should implement functionality into CAPPS-FIN to track when obligations of federal
awards are made so that the agency is able to retrieve a list of all subawards by obligation date in order to
monitor compliance with the Federal Funding Accountability and Transparency Act.
Views of responsible officials: HHSC agrees with the finding but does not concur with the recommendation
insofar as it makes a specific designation of CAPPS-Financials as the system to ensure compliance.
Subrecipient Monitoring Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Temporary Assistance for Needy Families Social Services Block Grant Block Grants for Community Mental Health Services ALN: 93.558 93.667 93.958 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: TANF
2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3
October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30,
2022
SSBG
2301TXSOSR, 2201TXSOSR and 2101TXSOSR
October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023,
and October 1, 2020 – September 30, 2022
MHBG
1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002,
6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01,
6B09SM085994-01M001, 6B09SM085994-01M002,
6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001,
1B09SM083830-01, 6B09SM083830- 01M001
October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024,
October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024,
March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022
Statistically Valid Sample: No, and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance
Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the
federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award.
These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework”
issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 2 CFR section 200.332(a), all pass-through entities must ensure that every subaward is clearly identified to
the subrecipient as a subaward and includes certain information at the time of the subaward and if any of these
data elements change, include the changes in subsequent subaward modification. When some of this information
is not available, the pass-through entity must provide the best information available to describe the Federal award
and subaward. Required information includes:
Subrecipient’s unique entity identifier (UEI)
Federal award identification number (FAIN)
Federal award date of award to the recipient by the federal agency
Assistance listings number and title
Indirect cost rate for the federal award (including if the de minimis rate is charged)
Condition: Audit procedures included a review of a sample of subrecipient contracts for required information with
the following results noted:
TANF – For a sample of 17, the contracts did not include:
UEI (one sample)
FAIN (four samples)
Federal award date (four samples)
Assistance listings numbers and title (four samples)
Indirect cost rate, including if the de minimis rate is charged (four samples)
SSBG – For 11 of 19 samples, the contract did not include neither the FAIN nor the federal award date of award
to the recipient by the federal agency.
MHBG – For 7 of 8 samples, the contract did not include neither the FAIN nor the federal award date of award to
the recipient by the federal agency.
Questioned costs: None.
Context: See “Condition.”
Cause: Current internal controls in place to ensure a review of subaward agreements is taking place to verify that
all required elements are included per 2 CFR 200 §200.332 are not at the correct precision level.
Effect: Providing incomplete information to subrecipients may result in inaccurate reporting by the subrecipients
and ultimately by HHSC.
Repeat Finding: No
Recommendation: We recommend management enhance existing controls around the review of all subaward
agreements to ensure that all pass-through agreements include each of the required elements by 2 CFR
§200.332.
Views of responsible officials:
Temporary Assistance for Needy Families (TANF) - HHSC concurs with the finding.
Social Services Block Grants (SSBG)/ Mental Health Block Grants (MHBG) - HHSC concurs with the finding.
Period of Performance Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Block Grants for Community Mental Health Services ALN: 93.958 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 1B09SM087345, 6B09SM087345, 1B09SM087322-01 October 1, 2022 – September 30, 2024, October 17,2022 – October 16, 2024 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per 2 CFR 200.403(h) cost must be incurred during the approved budget period. The Federal awarding agency is authorized, at its discretion, to waive prior written approvals to carry forward unobligated balances to subsequent budget periods pursuant to § 200.308(e)(3). Condition: For projects with period of performance beginning dates during the fiscal year, audit procedures included testing transactions posted to the general ledger during the first month of the award. We noted the following instances of noncompliance: For the two sampled transactions, totaling $56,997, one of the expenditures, totaling $31,254, was related to costs incurred prior to the period of performance begin date. Questioned costs: $31,254. Context: See “Condition.” Cause: Current controls are not at the correct precision level to detect costs charged outside of the period of performance. Effect: Ineffective internal controls may result in questioned costs and noncompliance with the terms of the grant. Repeat finding: No Recommendation: HHSC should enhance and/or modify existing controls to ensure that costs charged to a project have service dates within the period of performance stated in the federal award. Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Reporting – FFATA Subawards Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Temporary Assistance for Needy Families Social Services Block Grant Block Grants for Community Mental Health Services Block Grants for Prevention and Treatment of Substance Abuse ALN: 93.558 93.667 93.958 93.959 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 MHBG 1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM083999-01M001, 6B09SM083830-01M001 October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01M003 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Material Weakness in Internal Control over Compliance and Material Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Under the requirements of the Federal Funding Accountability and Transparency Act (FFATA) (Pub. L. No. 109- 282), as amended by Section 6202 of Public Law 110-252, recipients (i.e., direct recipients) of grants or cooperative agreements are required to report first-tier subawards of $30,000 or more to the Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS) no later than the last day of the month following the month in which the subaward/subaward amendment obligation was made or the subcontract award/subcontract modification was made. Condition: The HHSC Federal Funds Office (FFO) is responsible for submitting all required subawards in the
Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS). A standard FFATA
Reporting template has been created by the FFO that includes all required elements to be submitted. Program
departments must complete and submit the template to the FFO for all federal subawards with amounts over
$30,000 by the 15th of every month to be included in that month’s submission. Currently, it is the responsibility of
the individual program departments to ensure that each obligating action at or over $30,000 is reported in the
FFATA Reporting Template no later than the end of the next month in which the obligation was made. Due to
system limitations, there is no central tracking of award obligations. Thus, HHSC was unable to provide a
population of first-tier subawards of $30,000 or more that were obligated during the fiscal year and required to be
submitted in FSRS. Accordingly, we were unable to select a sample and test for internal controls over compliance
or compliance.
Questioned costs: None.
Context: See “Condition.”
Cause: CAPPS-FIN, HHSC’s system of record, does not have the capability to track the date of obligation of
federal awards.
Effect: Failure to report all subawards $30,000 or greater in FSRS will result in noncompliance with terms of the
federal grant guidelines.
Repeat finding: 2022-013, 2021-007
Recommendation: HHSC should implement functionality into CAPPS-FIN to track when obligations of federal
awards are made so that the agency is able to retrieve a list of all subawards by obligation date in order to
monitor compliance with the Federal Funding Accountability and Transparency Act.
Views of responsible officials: HHSC agrees with the finding but does not concur with the recommendation
insofar as it makes a specific designation of CAPPS-Financials as the system to ensure compliance.
Subrecipient Monitoring Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Temporary Assistance for Needy Families Social Services Block Grant Block Grants for Community Mental Health Services ALN: 93.558 93.667 93.958 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: TANF
2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3
October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30,
2022
SSBG
2301TXSOSR, 2201TXSOSR and 2101TXSOSR
October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023,
and October 1, 2020 – September 30, 2022
MHBG
1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002,
6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01,
6B09SM085994-01M001, 6B09SM085994-01M002,
6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001,
1B09SM083830-01, 6B09SM083830- 01M001
October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024,
October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024,
March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022
Statistically Valid Sample: No, and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance
Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the
federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award.
These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework”
issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 2 CFR section 200.332(a), all pass-through entities must ensure that every subaward is clearly identified to
the subrecipient as a subaward and includes certain information at the time of the subaward and if any of these
data elements change, include the changes in subsequent subaward modification. When some of this information
is not available, the pass-through entity must provide the best information available to describe the Federal award
and subaward. Required information includes:
Subrecipient’s unique entity identifier (UEI)
Federal award identification number (FAIN)
Federal award date of award to the recipient by the federal agency
Assistance listings number and title
Indirect cost rate for the federal award (including if the de minimis rate is charged)
Condition: Audit procedures included a review of a sample of subrecipient contracts for required information with
the following results noted:
TANF – For a sample of 17, the contracts did not include:
UEI (one sample)
FAIN (four samples)
Federal award date (four samples)
Assistance listings numbers and title (four samples)
Indirect cost rate, including if the de minimis rate is charged (four samples)
SSBG – For 11 of 19 samples, the contract did not include neither the FAIN nor the federal award date of award
to the recipient by the federal agency.
MHBG – For 7 of 8 samples, the contract did not include neither the FAIN nor the federal award date of award to
the recipient by the federal agency.
Questioned costs: None.
Context: See “Condition.”
Cause: Current internal controls in place to ensure a review of subaward agreements is taking place to verify that
all required elements are included per 2 CFR 200 §200.332 are not at the correct precision level.
Effect: Providing incomplete information to subrecipients may result in inaccurate reporting by the subrecipients
and ultimately by HHSC.
Repeat Finding: No
Recommendation: We recommend management enhance existing controls around the review of all subaward
agreements to ensure that all pass-through agreements include each of the required elements by 2 CFR
§200.332.
Views of responsible officials:
Temporary Assistance for Needy Families (TANF) - HHSC concurs with the finding.
Social Services Block Grants (SSBG)/ Mental Health Block Grants (MHBG) - HHSC concurs with the finding.
Period of Performance Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Block Grants for Community Mental Health Services ALN: 93.958 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 1B09SM087345, 6B09SM087345, 1B09SM087322-01 October 1, 2022 – September 30, 2024, October 17,2022 – October 16, 2024 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per 2 CFR 200.403(h) cost must be incurred during the approved budget period. The Federal awarding agency is authorized, at its discretion, to waive prior written approvals to carry forward unobligated balances to subsequent budget periods pursuant to § 200.308(e)(3). Condition: For projects with period of performance beginning dates during the fiscal year, audit procedures included testing transactions posted to the general ledger during the first month of the award. We noted the following instances of noncompliance: For the two sampled transactions, totaling $56,997, one of the expenditures, totaling $31,254, was related to costs incurred prior to the period of performance begin date. Questioned costs: $31,254. Context: See “Condition.” Cause: Current controls are not at the correct precision level to detect costs charged outside of the period of performance. Effect: Ineffective internal controls may result in questioned costs and noncompliance with the terms of the grant. Repeat finding: No Recommendation: HHSC should enhance and/or modify existing controls to ensure that costs charged to a project have service dates within the period of performance stated in the federal award. Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Reporting – FFATA Subawards Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Temporary Assistance for Needy Families Social Services Block Grant Block Grants for Community Mental Health Services Block Grants for Prevention and Treatment of Substance Abuse ALN: 93.558 93.667 93.958 93.959 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 MHBG 1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM083999-01M001, 6B09SM083830-01M001 October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01M003 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Material Weakness in Internal Control over Compliance and Material Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Under the requirements of the Federal Funding Accountability and Transparency Act (FFATA) (Pub. L. No. 109- 282), as amended by Section 6202 of Public Law 110-252, recipients (i.e., direct recipients) of grants or cooperative agreements are required to report first-tier subawards of $30,000 or more to the Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS) no later than the last day of the month following the month in which the subaward/subaward amendment obligation was made or the subcontract award/subcontract modification was made. Condition: The HHSC Federal Funds Office (FFO) is responsible for submitting all required subawards in the
Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS). A standard FFATA
Reporting template has been created by the FFO that includes all required elements to be submitted. Program
departments must complete and submit the template to the FFO for all federal subawards with amounts over
$30,000 by the 15th of every month to be included in that month’s submission. Currently, it is the responsibility of
the individual program departments to ensure that each obligating action at or over $30,000 is reported in the
FFATA Reporting Template no later than the end of the next month in which the obligation was made. Due to
system limitations, there is no central tracking of award obligations. Thus, HHSC was unable to provide a
population of first-tier subawards of $30,000 or more that were obligated during the fiscal year and required to be
submitted in FSRS. Accordingly, we were unable to select a sample and test for internal controls over compliance
or compliance.
Questioned costs: None.
Context: See “Condition.”
Cause: CAPPS-FIN, HHSC’s system of record, does not have the capability to track the date of obligation of
federal awards.
Effect: Failure to report all subawards $30,000 or greater in FSRS will result in noncompliance with terms of the
federal grant guidelines.
Repeat finding: 2022-013, 2021-007
Recommendation: HHSC should implement functionality into CAPPS-FIN to track when obligations of federal
awards are made so that the agency is able to retrieve a list of all subawards by obligation date in order to
monitor compliance with the Federal Funding Accountability and Transparency Act.
Views of responsible officials: HHSC agrees with the finding but does not concur with the recommendation
insofar as it makes a specific designation of CAPPS-Financials as the system to ensure compliance.
Subrecipient Monitoring Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Temporary Assistance for Needy Families Social Services Block Grant Block Grants for Community Mental Health Services ALN: 93.558 93.667 93.958 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: TANF
2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3
October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30,
2022
SSBG
2301TXSOSR, 2201TXSOSR and 2101TXSOSR
October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023,
and October 1, 2020 – September 30, 2022
MHBG
1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002,
6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01,
6B09SM085994-01M001, 6B09SM085994-01M002,
6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001,
1B09SM083830-01, 6B09SM083830- 01M001
October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024,
October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024,
March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022
Statistically Valid Sample: No, and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance
Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the
federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award.
These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework”
issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 2 CFR section 200.332(a), all pass-through entities must ensure that every subaward is clearly identified to
the subrecipient as a subaward and includes certain information at the time of the subaward and if any of these
data elements change, include the changes in subsequent subaward modification. When some of this information
is not available, the pass-through entity must provide the best information available to describe the Federal award
and subaward. Required information includes:
Subrecipient’s unique entity identifier (UEI)
Federal award identification number (FAIN)
Federal award date of award to the recipient by the federal agency
Assistance listings number and title
Indirect cost rate for the federal award (including if the de minimis rate is charged)
Condition: Audit procedures included a review of a sample of subrecipient contracts for required information with
the following results noted:
TANF – For a sample of 17, the contracts did not include:
UEI (one sample)
FAIN (four samples)
Federal award date (four samples)
Assistance listings numbers and title (four samples)
Indirect cost rate, including if the de minimis rate is charged (four samples)
SSBG – For 11 of 19 samples, the contract did not include neither the FAIN nor the federal award date of award
to the recipient by the federal agency.
MHBG – For 7 of 8 samples, the contract did not include neither the FAIN nor the federal award date of award to
the recipient by the federal agency.
Questioned costs: None.
Context: See “Condition.”
Cause: Current internal controls in place to ensure a review of subaward agreements is taking place to verify that
all required elements are included per 2 CFR 200 §200.332 are not at the correct precision level.
Effect: Providing incomplete information to subrecipients may result in inaccurate reporting by the subrecipients
and ultimately by HHSC.
Repeat Finding: No
Recommendation: We recommend management enhance existing controls around the review of all subaward
agreements to ensure that all pass-through agreements include each of the required elements by 2 CFR
§200.332.
Views of responsible officials:
Temporary Assistance for Needy Families (TANF) - HHSC concurs with the finding.
Social Services Block Grants (SSBG)/ Mental Health Block Grants (MHBG) - HHSC concurs with the finding.
Period of Performance Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Block Grants for Community Mental Health Services ALN: 93.958 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 1B09SM087345, 6B09SM087345, 1B09SM087322-01 October 1, 2022 – September 30, 2024, October 17,2022 – October 16, 2024 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per 2 CFR 200.403(h) cost must be incurred during the approved budget period. The Federal awarding agency is authorized, at its discretion, to waive prior written approvals to carry forward unobligated balances to subsequent budget periods pursuant to § 200.308(e)(3). Condition: For projects with period of performance beginning dates during the fiscal year, audit procedures included testing transactions posted to the general ledger during the first month of the award. We noted the following instances of noncompliance: For the two sampled transactions, totaling $56,997, one of the expenditures, totaling $31,254, was related to costs incurred prior to the period of performance begin date. Questioned costs: $31,254. Context: See “Condition.” Cause: Current controls are not at the correct precision level to detect costs charged outside of the period of performance. Effect: Ineffective internal controls may result in questioned costs and noncompliance with the terms of the grant. Repeat finding: No Recommendation: HHSC should enhance and/or modify existing controls to ensure that costs charged to a project have service dates within the period of performance stated in the federal award. Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Reporting – FFATA Subawards Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Temporary Assistance for Needy Families Social Services Block Grant Block Grants for Community Mental Health Services Block Grants for Prevention and Treatment of Substance Abuse ALN: 93.558 93.667 93.958 93.959 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 MHBG 1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM083999-01M001, 6B09SM083830-01M001 October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01M003 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Material Weakness in Internal Control over Compliance and Material Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Under the requirements of the Federal Funding Accountability and Transparency Act (FFATA) (Pub. L. No. 109- 282), as amended by Section 6202 of Public Law 110-252, recipients (i.e., direct recipients) of grants or cooperative agreements are required to report first-tier subawards of $30,000 or more to the Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS) no later than the last day of the month following the month in which the subaward/subaward amendment obligation was made or the subcontract award/subcontract modification was made. Condition: The HHSC Federal Funds Office (FFO) is responsible for submitting all required subawards in the
Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS). A standard FFATA
Reporting template has been created by the FFO that includes all required elements to be submitted. Program
departments must complete and submit the template to the FFO for all federal subawards with amounts over
$30,000 by the 15th of every month to be included in that month’s submission. Currently, it is the responsibility of
the individual program departments to ensure that each obligating action at or over $30,000 is reported in the
FFATA Reporting Template no later than the end of the next month in which the obligation was made. Due to
system limitations, there is no central tracking of award obligations. Thus, HHSC was unable to provide a
population of first-tier subawards of $30,000 or more that were obligated during the fiscal year and required to be
submitted in FSRS. Accordingly, we were unable to select a sample and test for internal controls over compliance
or compliance.
Questioned costs: None.
Context: See “Condition.”
Cause: CAPPS-FIN, HHSC’s system of record, does not have the capability to track the date of obligation of
federal awards.
Effect: Failure to report all subawards $30,000 or greater in FSRS will result in noncompliance with terms of the
federal grant guidelines.
Repeat finding: 2022-013, 2021-007
Recommendation: HHSC should implement functionality into CAPPS-FIN to track when obligations of federal
awards are made so that the agency is able to retrieve a list of all subawards by obligation date in order to
monitor compliance with the Federal Funding Accountability and Transparency Act.
Views of responsible officials: HHSC agrees with the finding but does not concur with the recommendation
insofar as it makes a specific designation of CAPPS-Financials as the system to ensure compliance.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Reporting – FFATA Subawards Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Temporary Assistance for Needy Families Social Services Block Grant Block Grants for Community Mental Health Services Block Grants for Prevention and Treatment of Substance Abuse ALN: 93.558 93.667 93.958 93.959 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 MHBG 1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM083999-01M001, 6B09SM083830-01M001 October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01M003 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Material Weakness in Internal Control over Compliance and Material Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Under the requirements of the Federal Funding Accountability and Transparency Act (FFATA) (Pub. L. No. 109- 282), as amended by Section 6202 of Public Law 110-252, recipients (i.e., direct recipients) of grants or cooperative agreements are required to report first-tier subawards of $30,000 or more to the Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS) no later than the last day of the month following the month in which the subaward/subaward amendment obligation was made or the subcontract award/subcontract modification was made. Condition: The HHSC Federal Funds Office (FFO) is responsible for submitting all required subawards in the
Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS). A standard FFATA
Reporting template has been created by the FFO that includes all required elements to be submitted. Program
departments must complete and submit the template to the FFO for all federal subawards with amounts over
$30,000 by the 15th of every month to be included in that month’s submission. Currently, it is the responsibility of
the individual program departments to ensure that each obligating action at or over $30,000 is reported in the
FFATA Reporting Template no later than the end of the next month in which the obligation was made. Due to
system limitations, there is no central tracking of award obligations. Thus, HHSC was unable to provide a
population of first-tier subawards of $30,000 or more that were obligated during the fiscal year and required to be
submitted in FSRS. Accordingly, we were unable to select a sample and test for internal controls over compliance
or compliance.
Questioned costs: None.
Context: See “Condition.”
Cause: CAPPS-FIN, HHSC’s system of record, does not have the capability to track the date of obligation of
federal awards.
Effect: Failure to report all subawards $30,000 or greater in FSRS will result in noncompliance with terms of the
federal grant guidelines.
Repeat finding: 2022-013, 2021-007
Recommendation: HHSC should implement functionality into CAPPS-FIN to track when obligations of federal
awards are made so that the agency is able to retrieve a list of all subawards by obligation date in order to
monitor compliance with the Federal Funding Accountability and Transparency Act.
Views of responsible officials: HHSC agrees with the finding but does not concur with the recommendation
insofar as it makes a specific designation of CAPPS-Financials as the system to ensure compliance.
Activities Allowed or Unallowed, Allowable Costs/Cost Principles Federal Agency: U.S. Department of Homeland Security Federal Program Title: Disaster Grants-Public Assistance (Presidentially Declared Disasters) ALN: 97.036 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: FEMA-4332-DR, FEMA-3540-DR, FEMA-4485-DR, FEMA-4586-DR 2017, 2020, 2020, 2021 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). The Federal Emergency Management Agency (FEMA) evaluates the eligibility of all costs claimed by the applicant. Not all costs incurred as a result of the incident are eligible. Chapter 4 of the Public Assistance Program and Policy Guide states that to be eligible, costs must be: Directly tied to the performance of eligible work. Adequately documented. Reduced by all applicable credits, such as insurance proceeds and salvage values. Authorized and not prohibited under federal, state, territorial, tribal, or local government laws or
regulations.
Consistent with applicant’s internal policies, regulations, and procedures that apply uniformly to both
federal awards and other activities of the applicant; and
Necessary and reasonable to accomplish the work properly and efficiently.
Condition: Audit procedures included a sample of 60 expenditures, totaling $97,118,451, incurred during the
fiscal year to validate allowability with the grant award. DSHS was unable to provide the project worksheets for
seven out of the 60 samples, totaling $1,878,609. Thus, we were unable to verify that the costs were allowable
per the project worksheets. For eight samples, totaling $561,562, the project worksheets associated with the
transactions were not approved.
Questioned costs: $2,440,171.
Context: See “Condition.”
Cause: FEMA project worksheets from the Texas COVID pandemic remain open. DSHS is continually adding
and removing invoices from its claims with FEMA as final expenditures are deemed eligible and ineligible by
FEMA and claims are reimbursed. Five of the invoices reported on the schedule of expenditures of federal awards
and submitted for reimbursement were originally under a project worksheet but later withdrawn by DSHS as
updated FEMA policies deemed certain costs ineligible. As a result, these transactions were no longer associated
with a project worksheet at the time of audit fieldwork. Additionally, two invoices reported on the schedule of
expenditures of federal awards had not been submitted to FEMA for reimbursement and do not have project
worksheets associated with them at the time of audit fieldwork.
Additionally, expenditures reported on the schedule of federal awards are not reconciled to allowable costs after
ineligible expenditures are identified.
Effect: Amounts reported on the schedule of expenditures of federal awards that are not reconciled to underlying
allowable costs may result in disallowed costs.
Repeat finding: No
Recommendation: We recommend DSHS reconcile all program expenditures, whether they have been incurred,
submitted for reimbursement, or reimbursed, to determine the amount to report on the schedule of expenditures
of federal awards. Expenditures deemed to be ineligible subsequent to fiscal year end should be removed from
the reported amount.
Views of responsible officials: During the COVID-19 pandemic, DSHS’ primary focus was getting resources
where they were needed most. The intensity of the pandemic resulted in significantly increased workloads and a
need for rapid response. DSHS previously identified the need to review expenditures and ensure costs are
allowable and align with required parameters. Because of the shifting of FEMA eligibility criteria over time, we
agree that modifications are needed to ensure transactions comply with the most recent guidance.
Reporting – Financial and Special Reporting for FFATA Federal Agency: U.S. Department of Homeland Security Federal Program Title: Disaster Grants - Public Assistance (Presidentially Declared Disasters) ALN: 97.036 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: PA-06-TX-4485, PA-06-TX-4586 March 25, 2020 – March 25, 2028, February 19, 2021 – February 19, 2029 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Under the requirements of the Federal Funding Accountability and Transparency Act (Pub. L. No. 109-282), as amended by Section 6202 of Pub. L. No. 110-252, hereafter referred as the “Transparency Act” that are codified in 2 CFR Part 170, recipients (i.e., direct recipients) of grants or cooperative agreements are required to report first-tier subawards of $30,000 or more to the Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS). The action is to be reported in FSRS no later than the last day of the month following the month in which the subaward/subaward amendment obligation was made or the subcontract award/subcontract modification was made. Condition: For one of the nine financial reports tested during the fiscal year, we noted the Texas Division of Emergency Management (TDEM) incorrectly reported total federal funds authorized amount of $14,451,281,005. TDEM should have reported total federal funds authorized amount of $14,450,861,018, resulting in a reported variance of $419,988. During our testing of special reporting for FFATA, we noted the following instances of noncompliance: See chart or table in the Schedule of Findings and Questioned Costs.
Questioned costs: None.
Context: See "Condition"
Cause: Specific to financial reporting, the variance is due to a manual error in transferring data from the Smartlink
report used to report the total federal funds authorized amount to the financial report. TDEM did not reduce the
total federal funds authorized for the Hazard Mitigation projects included in the Smartlink report. The untimely
submission of the FFATA report was due to the utilization of a new third-party application where gaps were later
identified.
Effect: Reporting inaccurate information on financial reports could impact the federal agency’s ability to
accurately capture key information in order to assess the performance of the program. Failure to report all
subawards $30,000 or greater in FSRS will result in noncompliance with terms of the federal grant guidelines.
Repeat finding: No
Recommendation: TDEM should enhance its internal controls to ensure manual errors on financial reports are
identified and FFATA reports are identified in a timely manner in order to be reported in FSRS within the required
timeline.
Views of responsible officials: Specific to the financial reporting, it appears there was a malfunction with the
federal system adhoc legacy inquiry reporting tool when generating federal financial reports containing the total
federal funds authorized. The federal system’s malfunction produced a comingled program report which caused
an overage in total federal funds authorized. TDEM no longer generates reports from the unreliable federal
system adhoc legacy inquiry module. As of October 2023, we began utilizing the federal system APEX reports.
TDEM has followed up with the Federal Support Center for the Payment Management System multiple times to
determine what is causing the federal system to report inaccuracies, however they have failed to address the
issue at hand, have stated that “soon the legacy adhoc will no longer be available”, and are encouraging grantees
to only use the APEX reports – seemingly due to the inaccuracies, such as the one noted here, that the federal
system generates.
Regarding the FFATA reporting, a new automated report developed by a third-party vendor to streamline the
reporting timeline was being utilized after an internal testing phase had transpired. A gap was later identified
which inadvertently created the timing delay.
Activities Allowed or Unallowed, Allowable Costs/Cost Principles Federal Agency: U.S. Department of Homeland Security Federal Program Title: Disaster Grants-Public Assistance (Presidentially Declared Disasters) ALN: 97.036 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: FEMA-4332-DR, FEMA-3540-DR, FEMA-4485-DR, FEMA-4586-DR 2017, 2020, 2020, 2021 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). The Federal Emergency Management Agency (FEMA) evaluates the eligibility of all costs claimed by the applicant. Not all costs incurred as a result of the incident are eligible. Chapter 4 of the Public Assistance Program and Policy Guide states that to be eligible, costs must be: Directly tied to the performance of eligible work. Adequately documented. Reduced by all applicable credits, such as insurance proceeds and salvage values. Authorized and not prohibited under federal, state, territorial, tribal, or local government laws or
regulations.
Consistent with applicant’s internal policies, regulations, and procedures that apply uniformly to both
federal awards and other activities of the applicant; and
Necessary and reasonable to accomplish the work properly and efficiently.
Condition: Audit procedures included a sample of 60 expenditures, totaling $97,118,451, incurred during the
fiscal year to validate allowability with the grant award. DSHS was unable to provide the project worksheets for
seven out of the 60 samples, totaling $1,878,609. Thus, we were unable to verify that the costs were allowable
per the project worksheets. For eight samples, totaling $561,562, the project worksheets associated with the
transactions were not approved.
Questioned costs: $2,440,171.
Context: See “Condition.”
Cause: FEMA project worksheets from the Texas COVID pandemic remain open. DSHS is continually adding
and removing invoices from its claims with FEMA as final expenditures are deemed eligible and ineligible by
FEMA and claims are reimbursed. Five of the invoices reported on the schedule of expenditures of federal awards
and submitted for reimbursement were originally under a project worksheet but later withdrawn by DSHS as
updated FEMA policies deemed certain costs ineligible. As a result, these transactions were no longer associated
with a project worksheet at the time of audit fieldwork. Additionally, two invoices reported on the schedule of
expenditures of federal awards had not been submitted to FEMA for reimbursement and do not have project
worksheets associated with them at the time of audit fieldwork.
Additionally, expenditures reported on the schedule of federal awards are not reconciled to allowable costs after
ineligible expenditures are identified.
Effect: Amounts reported on the schedule of expenditures of federal awards that are not reconciled to underlying
allowable costs may result in disallowed costs.
Repeat finding: No
Recommendation: We recommend DSHS reconcile all program expenditures, whether they have been incurred,
submitted for reimbursement, or reimbursed, to determine the amount to report on the schedule of expenditures
of federal awards. Expenditures deemed to be ineligible subsequent to fiscal year end should be removed from
the reported amount.
Views of responsible officials: During the COVID-19 pandemic, DSHS’ primary focus was getting resources
where they were needed most. The intensity of the pandemic resulted in significantly increased workloads and a
need for rapid response. DSHS previously identified the need to review expenditures and ensure costs are
allowable and align with required parameters. Because of the shifting of FEMA eligibility criteria over time, we
agree that modifications are needed to ensure transactions comply with the most recent guidance.
Reporting – Financial and Special Reporting for FFATA Federal Agency: U.S. Department of Homeland Security Federal Program Title: Disaster Grants - Public Assistance (Presidentially Declared Disasters) ALN: 97.036 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: PA-06-TX-4485, PA-06-TX-4586 March 25, 2020 – March 25, 2028, February 19, 2021 – February 19, 2029 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Under the requirements of the Federal Funding Accountability and Transparency Act (Pub. L. No. 109-282), as amended by Section 6202 of Pub. L. No. 110-252, hereafter referred as the “Transparency Act” that are codified in 2 CFR Part 170, recipients (i.e., direct recipients) of grants or cooperative agreements are required to report first-tier subawards of $30,000 or more to the Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS). The action is to be reported in FSRS no later than the last day of the month following the month in which the subaward/subaward amendment obligation was made or the subcontract award/subcontract modification was made. Condition: For one of the nine financial reports tested during the fiscal year, we noted the Texas Division of Emergency Management (TDEM) incorrectly reported total federal funds authorized amount of $14,451,281,005. TDEM should have reported total federal funds authorized amount of $14,450,861,018, resulting in a reported variance of $419,988. During our testing of special reporting for FFATA, we noted the following instances of noncompliance: See chart or table in the Schedule of Findings and Questioned Costs.
Questioned costs: None.
Context: See "Condition"
Cause: Specific to financial reporting, the variance is due to a manual error in transferring data from the Smartlink
report used to report the total federal funds authorized amount to the financial report. TDEM did not reduce the
total federal funds authorized for the Hazard Mitigation projects included in the Smartlink report. The untimely
submission of the FFATA report was due to the utilization of a new third-party application where gaps were later
identified.
Effect: Reporting inaccurate information on financial reports could impact the federal agency’s ability to
accurately capture key information in order to assess the performance of the program. Failure to report all
subawards $30,000 or greater in FSRS will result in noncompliance with terms of the federal grant guidelines.
Repeat finding: No
Recommendation: TDEM should enhance its internal controls to ensure manual errors on financial reports are
identified and FFATA reports are identified in a timely manner in order to be reported in FSRS within the required
timeline.
Views of responsible officials: Specific to the financial reporting, it appears there was a malfunction with the
federal system adhoc legacy inquiry reporting tool when generating federal financial reports containing the total
federal funds authorized. The federal system’s malfunction produced a comingled program report which caused
an overage in total federal funds authorized. TDEM no longer generates reports from the unreliable federal
system adhoc legacy inquiry module. As of October 2023, we began utilizing the federal system APEX reports.
TDEM has followed up with the Federal Support Center for the Payment Management System multiple times to
determine what is causing the federal system to report inaccuracies, however they have failed to address the
issue at hand, have stated that “soon the legacy adhoc will no longer be available”, and are encouraging grantees
to only use the APEX reports – seemingly due to the inaccuracies, such as the one noted here, that the federal
system generates.
Regarding the FFATA reporting, a new automated report developed by a third-party vendor to streamline the
reporting timeline was being utilized after an internal testing phase had transpired. A gap was later identified
which inadvertently created the timing delay.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 93.264 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224051; Federal Work-Study Program, P033A224051; Federal Pell Grant Program, P063P222282; Federal Direct Student Loans, P268K232282; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232282; and Nurse Faculty Loan Program (NFLP), 1 E01HP45821-01-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $1,409 Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). Direct Subsidized and Unsubsidized Loans have annual and aggregate limits that are the same for all students at a given grade level and dependency status. In general, a loan may not be more than the amount the borrower requests, the borrower’s unmet financial need, the borrower’s COA, or the borrower’s maximum borrowing limit. (U.S. Department of Education 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 5). Lamar University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate), dependency (dependent or independent), residency (in-state or out-of-state), living status (on-campus, off-campus, or at home with parents), and enrollment level (full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 23 (38 percent) of 61 students tested, the University incorrectly calculated the COA. Specifically, the
University did not adjust the students’ COA to reflect the students’ actual enrollment as of the census date. The
University experienced turnover in the Student Financial Aid department during the 2022–2023 award year, and
could not provide a cause for those errors. The University asserted that it implemented a process to recalculate
students’ COAs based on their actual enrollment at census beginning with the Fall 2023 term; however, the errors
discussed above occurred before that process was in place. As a result, the University overawarded two students.
• One of those students was assigned an overstated COA for the Fall 2022 term based on three-quarter-time
enrollment although the student’s actual enrollment was half-time. The student was awarded $5,294 in
Subsidized Direct Loans, which exceeded the student’s financial need, resulting in $1,113 in questioned costs
associated with ALN 84.268, Federal Direct Student Loans, award number P268K232282.
• The other student was assigned an overstated COA for the Spring 2023 term based on full-time enrollment
although the student did not attend during the term. The student was awarded $10,142 in Unsubsidized Direct
Loans, which exceeded the student’s actual COA, resulting in $296 in questioned costs associated with ALN
84.268, Federal Direct Student Loans, award number P268K232282.
The University did not have adequate controls in place to review budgets used in the calculation of COA and
accurately assign those budgets to students. Incorrectly calculating COA increases the risk of overawarding or
underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets in
accordance with its process and does not overaward financial assistance to students.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; and 84.063 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224051; and Federal Pell Grant Program, P063P222282 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Fiscal Operations Report and Application to Participate (FISAP): An institution participating in campus-based programs is required to annually submit the FISAP to the Secretary of the U.S. Department of Education to receive funds for the campus-based programs. The institution uses the Fiscal Operations Report portion to report its expenditures in the previous award year and the Application to Participate portion to apply for the following year (Title 34, Code of Federal Regulations (CFR), Section 674.19(d); and U.S. Department of Education, Fiscal Operations Report for 2022–23 and Application to Participate for 2024– 25 (FISAP) Instructions). The institution must ensure that the information is accurately reported on the form and at the time specified by the Secretary of the U.S. Department of Education (Title 34, CFR, Section 674.19(d)(2)). Lamar University (University) did not maintain adequate support for its FISAP. Specifically, the University did not have support for the total Federal Pell Grants expenditures for the 2022–2023 award year reported in Part II, Section E. Assessments and Expenditures, Line 23. In addition, the supporting documentation provided by the University for the total Federal Supplemental Educational Opportunity Grants (FSEOG) expenditures for undergraduate independent students with income from $0 to $1,999 for the 2022–2023 award year did not match the amount reported in Part IV, Section A. Distribution of Program Recipients and Expenditures by Type of Student, Line 12(d). The University asserted that those issues were due to human error. As a result, auditors were unable to determine whether the information on the FISAP for those line items was accurate and fairly presented in accordance with requirements. Recommendation: The University should maintain adequate support for information reported on its FISAP to ensure that information is accurate. Views of Responsible Officials: The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Disbursements To or On Behalf of Students Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 93.264 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224051; Federal Work-Study Program, P033A224051; Federal Pell Grant Program, P063P222282; Federal Direct Student Loans, P268K232282; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232282; and Nurse Faculty Loan Program (NFLP), 1 E01HP45821-01-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Award and Disbursement Notifications: Before an institution disburses Title IV, Higher Education Act of 1965 (HEA) program funds for any award year, the institution must notify a student of the amount of funds that the student or his or her parent can expect to receive under each Title IV, HEA program, and how and when those funds will be disbursed. If those funds include Direct Loan program funds, the notice must indicate which funds are from subsidized loans, which are from unsubsidized loans, and which are from PLUS loans (Title 34, Code of Federal Regulations (CFR), Section 668.165(a)(1)). If an institution credits a student’s ledger account with Federal Direct Student Loan (Direct Loan) funds or Teacher Education Assistance for College and Higher Education (TEACH) Grant funds, the institution must notify the student or parent of (1) the anticipated date and amount of the disbursement, (2) the student’s or parent’s right to cancel all or a portion of that loan or grant and have the loan or grant proceeds returned to the U.S. Department of Education, and (3) the procedures and time by which the student or parent must notify the institution that he or she wishes to cancel the loan or grant, or loan or grant disbursement (Title 34, CFR, Section 668.165(a)(2)). The institution must provide the notice in writing no earlier than 30 days before, and no later than 30 days after, crediting the student’s ledger account at the institution (Title 34, CFR, Section 668.165(a)(3)). For 21 (34 percent) of 62 disbursements tested, Lamar University (University) did not send an award or
disbursement notification as required. Specifically:
• For 20 students that received Direct Loan disbursements, the University did not send a disbursement
notification. The University asserted those errors occurred because the University was utilizing a manual
process to send out the disbursement notifications, and on those days when the employee charged with
performing the manual process was not present, the notifications were not sent to students.
• For one student who received Title IV funds, the University did not send an award notification. This error
occurred because the University manually packaged the student’s awards after clearing a verification
requirement, and the University did not have an adequate process in place to ensure that students who are
manually awarded receive an award notification.
Not receiving award and disbursement notifications impairs students’ and parents’ ability to budget for the cost of
attending or exercise the option to cancel their loans or grants.
Promissory Notes:
Institutions must establish a process to make loans consistent with institutional policies and federal laws and
regulations, including the completion of the following during disbursement: (1) signed promissory note, and (2)
disclosure of terms and conditions (Nurse Faculty Loan Program (NFLP) Administrative Guidelines, 42 United
States Code (U.S.C.) 297n-1 (Public Health Service Act Section 846A)).
The University did not have a process in place to require a promissory note for NFLP loans prior to
disbursement. NFLP loans were incorrectly identified in the student information system as a grant instead of a
loan. As a result, the student information system did not place a required hold on disbursements until the
promissory note requirement was completed.
Not requiring a signed promissory note prior to disbursement of loan funds could limit the University’s ability to
enforce repayment of the loan.
Recommendations:
The University should:
• Strengthen its controls to ensure that it identifies all students that require an award or disbursement
notification, and sends those notifications to the students.
• Configure controls in the student information system to require promissory notes for applicable loans.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224051; Federal Pell Grant Program, P063P222282; Federal Direct Student Loans, P268K232282; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232282 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $19,357 Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs, and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). The total number of calendar days in a payment period or period of enrollment includes all days within the payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)). In determining the percentage of the payment period or period of enrollment completed for a student who
withdraws from a program offered in modules, an institution must (1) include all days within the period that the
student was scheduled to complete prior to ceasing attendance and (2) exclude any scheduled breaks of at least
five consecutive days when the student was not scheduled to attend a module or other course offered during that
period of time. Scheduled breaks include both those that take place within and between modules (U.S.
Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 5, Chapter 2).
An institution must offer to disburse directly to a student, or parent in the case of a parent PLUS loan, any amount
of a post-withdrawal disbursement of loan funds that is not credited to the student's account. The institution must
make a direct disbursement of any loan funds that make up the post-withdrawal disbursement only after obtaining
the student's, or parent's in the case of a parent PLUS loan, confirmation that the student or parent still wishes to
have the loan funds disbursed (Title 34, CFR, Section 668.22(a)(6)(ii)(B)).
Lamar University (University) made errors in Title IV return calculations for 25 (41 percent) of 61 students
tested. Specifically, the University did not exclude any break days from the Spring 2023 term or days between
modules as required. Those errors resulted in the University returning a total of $3,481 associated with ALN
84.268, Federal Direct Student Loans, award number P268K232282, and $1,802 associated with ALN 84.063,
Federal Pell Grant Program, award number P063P222282, less Title IV funds than required.
• For 2 of those 25 students, the University also used an inaccurate withdrawal date in the return calculation.
• For 1 of those 25 students, the University also did not identify that the student was eligible to receive a post withdrawal disbursement of loan funds and therefore did not offer to disburse those loan funds to the student
as required.
In addition, for 8 (13 percent) of 61 students tested who did not have a return of Title IV funds made, the
University did not perform a return calculation as required. The University asserted it did not consistently
follow its procedures in identifying students who required a Title IV return calculation due to staff turnover and
newer staff needing additional training. As a result, the University did not return a total of $13,707 associated with
ALN 84.268, Federal Direct Student Loans, award number P268K232282, and $367 associated with ALN 84.063,
Federal Pell Grant Program, award number P063P222282 as required.
The errors discussed above occurred because the University did not configure its information system to
accurately calculate returns and because of manual errors that the University made in performing the return
calculations. In addition, the University did not have an adequate monitoring process to identify those errors. Not
having a process that consistently calculates and returns the correct amount of Title IV funds increases the risk
that the University could return less Title IV funds than it is required to return.
Timeliness of Returns:
An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later
than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section
668.22(j)).
For 5 (8 percent) of 59 students tested who withdrew and required a return of Title IV funds, the University
did not return the funds within the required time frame. The University returned the funds for those students
47 to 143 days after it determined that the students withdrew. For 2 of those students, the University determined
the withdrawal dates and performed the return calculations; however, it did not return the Title IV funds within the
required 45-day time frame due to an oversight in processing the return of those funds. For three of those
students, the University asserted that it determined that the return calculations required corrections, which
resulted in the returns not being performed timely. Not making returns within required time frames reduces the
funds available to the U.S. Department of Education for its program management. Recommendations:
The University should:
• Strengthen its controls to ensure that it accurately calculates returns of Title IV funds when required, including
review of the variables it uses in those calculations.
• Accurately determine the number of days in the payment period and exclude any scheduled breaks as
required.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in return of Title IV calculations
and returns Title IV funds in a timely manner.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). Sam Houston State University (University) did not appropriately restrict access to its student information system. Specifically, the University did not always limit access to the student information system to only users who needed that access based on their job responsibilities. While the University had a process in place to review user access, that process was not adequately designed to ensure that the University granted the appropriate levels of access to all users based on the users’ job duties. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. In addition, the University did not have sufficient controls over its change management process for information systems. Specifically, 1 (14 percent) of 7 changes tested lacked documentation showing that the change was properly tested or validated before it was migrated to production. Not having sufficient controls over the change management process increases the risk of unauthorized programming changes being made to critical information systems that the University uses to administer student financial assistance. Recommendations: The University should: • Ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. • Strengthen its controls over its change management process to ensure adequate validation of changes prior to implementation. Views of Responsible Officials: The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224110; Federal Pell Grant Program, P063P222301; Federal Direct Student Loans, P268K232301; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232301 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No
When a student who received Title IV grant or loan assistance withdraws from an institution during a payment
period or period of enrollment in which the student began attendance, the institution must determine the amount
of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of
Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned
by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date
of the institution’s determination that the student withdrew, the difference must be returned to the Title IV
programs and no additional disbursements may be made to the student for the payment period or period of
enrollment (Title 34, CFR, Section 668.22(a)(4)).
The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV
grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title
IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the
payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their
Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period
or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by
subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was
disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student
withdrew (Title 34, CFR, Section 668.22(e)).
For distance education, documenting that a student has logged into an online class is not sufficient to
demonstrate academic attendance by the student. An institution must demonstrate that a student participated in
class or was otherwise engaged in an academically related activity. Only active participation by a student in an
instructional activity related to the student's course of study that meets the definition of “academic engagement” in
Title 34, CFR, Section 600.2 and takes place during a payment period or period of enrollment qualifies as
attendance in an academically related activity (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 5, Chapter 2).
For 1 (4 percent) of 24 students tested, Sam Houston State University (University) did not have evidence
of academic engagement in the distance education course from which the student’s withdrawal date was
determined. The University relies on the last dates of academic activity provided by instructors to determine the
withdrawal date for Return of Title IV purposes for students who unofficially withdraw. The student’s record did not
reflect evidence of academic activity for the distance education course, and the University asserted that the last
day of attendance provided by the instructor was inaccurate. The University did not have a process in place to
require instructors to provide or maintain evidence of academic engagement in distance education courses. As a
result, the University did not perform a return calculation because it incorrectly determined that the student
completed over 60 percent of the period. After auditors brought the issue to the University’s attention, the
University performed a return calculation and returned Title IV funds as required; therefore, there were no
questioned costs.
Having a process that does not consistently calculate and return the correct amount of Title IV funds increases
the risk that the University could return less Title IV funds than it is required to return.
Recommendation:
The University should ensure that evidence of academic engagement is consistently documented for students in
distance education courses.
Views of Responsible Officials:
The University acknowledges and agrees with the findings of this audit. Management acknowledges the
responsibility to accurately verify the academic engagement and document it for students enrolled in distance
education courses.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224131; Federal Work-Study Program, P033A224131; Federal Pell Grant Program, P063P222320; Federal Direct Student Loans, P268K232320; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232320 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). Tarleton State University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s tuition rate (guaranteed or variable), program, courses, classification (undergraduate or graduate), residency (in-state or out-of-state); living status (on-campus, off-campus, or with parent), and enrollment level (full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 62 (100 percent) of 62 students tested, the University incorrectly calculated the COA. Specifically, the University used the 2021–2022 award year budgets instead of the 2022–2023 award budgets because it did not update the COA budget components in its student information system for the new award year. As a result, the COAs for those students were understated by a total of $148,781. This error would have affected the COA for all students in the Fall 2022 and Spring 2023 terms. However, because the students’ budgets were understated, this error did not result in overawards of financial assistance; therefore, there were no questioned costs. The University did not have adequate controls in place to review budgets used in the calculation of COA and accurately assign those budgets to students. Incorrectly calculating COA increases the risk of overawarding or underawarding financial assistance to students. Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets in
accordance with its process.
Views of Responsible Officials:
The University has carefully reviewed the findings outlined in the recent financial aid audit report, and we
acknowledge and agree with the identified areas for improvement. Your thorough examination has provided
valuable insights into our financial aid processes, and we appreciate the effort invested in ensuring transparency
and accountability.
In response to the findings, we are committed to taking immediate and comprehensive corrective actions to
address the identified issues and enhance the overall effectiveness of our financial aid management. Our team is
already in the process of developing a detailed Corrective Action Plan that will outline the specific steps we will
take to rectify the noted deficiencies. We understand the importance of financial aid in supporting our students'
academic endeavors, and we are dedicated to ensuring that our processes align with the highest standards of
integrity and compliance.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224131; Federal Pell Grant Program, P063P222320; Federal Direct Student Loans, P268K232320; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232320 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $12,259 Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs, and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV
grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title
IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the
payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their
Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period
or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by
subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was
disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student
withdrew (Title 34, CFR, Section 668.22(e)).
The total number of calendar days in a payment period or period of enrollment includes all days within the
payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks
of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the
number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)).
In determining the percentage of the payment period or period of enrollment completed for a student who
withdraws from a program offered in modules, an institution must (1) include all days within the period that the
student was scheduled to complete prior to ceasing attendance and (2) exclude any scheduled breaks of at least
five consecutive days when the student was not scheduled to attend a module or other course offered during that
period of time. Scheduled breaks include both those that take place within and between modules (U.S.
Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 5, Chapter 2).
For a program offered in modules, a student is not considered to have withdrawn if the student successfully
completes any of the following: (1) a module that includes 49 percent or more of the number of days in the
payment period, excluding scheduled breaks of five or more consecutive days and all days between modules; (2)
a combination of modules that together contain 49 percent or more of the number of days in the payment period,
excluding scheduled breaks of five or more consecutive days and all days between modules (Title 34, CFR,
Section 668.22(a)(2)(ii)(A)(2)); or (3) coursework equal to or greater than the coursework required for the
institution’s definition of a half-time student under 34 CFR 668.2(b) for the payment period (U.S. Department of
Education, 2022-2023 Federal Student Aid Handbook, Volume 5, Chapter 1).
An institution must disburse directly to a student any amount of a post-withdrawal disbursement of grant funds
that is not credited to the student's account. The institution must make the disbursement as soon as possible, but
no later than 45 days after the date of the institution's determination that the student withdrew. The institution
must offer to disburse directly to a student, or parent in the case of a parent PLUS loan, any amount of a post withdrawal disbursement of loan funds that is not credited to the student's account. The institution must make a
direct disbursement of any loan funds that make up the post-withdrawal disbursement only after obtaining the
student's, or parent's in the case of a parent PLUS loan, confirmation that the student or parent still wishes to
have the loan funds disbursed (Title 34, CFR, Section 668.22(a)(6)(ii)(B)).
For 58 (97 percent) of 60 students tested, Tarleton State University (University) incorrectly calculated the
amount of Title IV funds to be returned or returned the incorrect amount of funds. Specifically:
• For 56 students, the University did not exclude any break days from the Fall 2022 term as required, and it
incorrectly excluded 5 break days rather than 8 break days from the Spring 2023 term. Those errors occurred
because the University did not load the correct break days into its student information system when setting up
the payment period; therefore, this issue would have affected all students who withdrew from the Fall 2022
and Spring 2023 terms. Additionally:
o For 2 of those 56 students, the University did not identify that the students were eligible to receive
a post-withdrawal disbursement and therefore did not disburse those grant funds or offer to
disburse those loan funds to the students as required.
o For 4 of those 56 students, the University incorrectly determined the number of days in the
payment period or used an incorrect withdrawal date for students enrolled in modules. • For 2 students enrolled in the Summer 2023 term, the University did not follow the return of Title IV
requirements related to modular terms. For one student, the University incorrectly used the number of days in
the full payment period rather than only the days within the period that the student was scheduled to complete
prior to ceasing attendance. For the other student, the University failed to identify that the student successfully
completed coursework equal to or greater than the coursework required for a half-time student and therefore
should not have been considered withdrawn. The University asserted that this error occurred because staff
misinterpreted the half-time withdrawal exemption requirements.
As a result of the errors discussed above, the University returned a total of $1,992 associated with ALN 84.268,
Federal Direct Student Loans, award number P268K232320, and $374 associated with ALN 84.063, Federal Pell
Grant Program, award number P063P222320 less Title IV funds than required for the students tested in the
sample.
In addition, for 10 (17 percent) of 60 students tested who did not have a return of Title IV funds made, the
University did not perform a return calculation as required.
• For 6 students, the University did not exclude break days from its determination of whether the students
completed 60 percent or more of the payment period as required. As a result, the University incorrectly
determined that the students earned their aid and did not return a total of $7,679 associated with ALN 84.268,
Federal Direct Student Loans, award number P268K232320, and $1,053 associated with ALN 84.063,
Federal Pell Grant Program, award number P063P222320 as required.
• For 4 students, the University incorrectly used the number of days in the full payment period in its
determination of whether the students successfully completed 49 percent or more of the number of days in
the payment period. As a result, the University incorrectly determined that the students earned their aid and
did not return a total of $1,161 in questioned costs associated with ALN 84.268, Federal Direct Student
Loans, award number P268K232320 as required.
The errors discussed above occurred because the University did not configure its information system to
accurately calculate returns and because of manual errors that the University made in performing return
calculations. In addition, the University did not have an adequate monitoring process to identify those errors. Not
having a process that consistently calculates and returns the correct amount of Title IV funds increases the risk
that the University could return less Title IV funds than it is required to return.
Recommendations:
The University should:
• Strengthen its controls to ensure that it accurately calculates returns of Title IV funds when required, including
review of the variables it uses in those calculations.
• Accurately determine the number of days in the payment period and configure its student information system
to exclude any scheduled breaks, as required.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in return of Title IV calculations
and returns Title IV funds.
Views of Responsible Officials:
The University has carefully reviewed the findings outlined in the recent financial aid audit report, and we
acknowledge and agree with the identified areas for improvement. Your thorough examination has provided
valuable insights into our financial aid processes, and we appreciate the effort invested in ensuring transparency
and accountability. In response to the findings, we are committed to taking immediate and comprehensive corrective actions to
address the identified issues and enhance the overall effectiveness of our financial aid management. Our team is
already in the process of developing a detailed Corrective Action Plan that will outline the specific steps we will
take to rectify the noted deficiencies. We understand the importance of financial aid in supporting our students'
academic endeavors, and we are dedicated to ensuring that our processes align with the highest standards of
integrity and compliance.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 84.408 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A234136; Federal Work-Study Program, P033A224136; Federal Pell Grant Program, P063P225286; Federal Direct Student Loans, P268K235286; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T235286; and Postsecondary Education Scholarships For Veteran's Dependents (Iraq and Afghanistan Service Grant (IASG)), P408A225286 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: Unknown Repeat Finding: No Satisfactory Academic Progress: A student is eligible to receive Title IV, Higher Education Act of 1965 (HEA) program assistance if the student maintains satisfactory academic progress in his or her course of study according to the institution’s published standards of satisfactory academic progress (SAP) that satisfy the provisions of Title 34, Code of Federal Regulations (CFR), Section 668.34 (Title 34, CFR, Section 668.32(f)). An institution’s SAP policy must include a qualitative component that consists of grades or comparable factors that are measurable against a norm and a quantitative component that consists of the pace at which students must progress through their program to ensure that they will graduate within the maximum time frame required to complete their education (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 1, Chapter 1). For an undergraduate program measured in credit hours, a period that is no longer than 150-percent of the published length of the educational program, as measured in credit hours, should be used to determine the maximum time frame for the quantitative component of SAP (Title 34, CFR, Section 668.34(b)(1)). For 1 (2 percent) of 45 students tested, Texas A&M University (University) did not calculate SAP in accordance with its policy. Specifically, the University did not update the program hours for the Bachelor of Science in Nursing program in its student information system when it changed the program length from 123 hours to 120 hours during the 2017–2018 award year. Therefore, this issue would have affected all students enrolled in the program. As a result, the maximum time frame calculation incorrectly allowed students to exceed the maximum hours without failing SAP. Incorrectly calculating the maximum time frame increases the risk that students could receive financial assistance for which they are not eligible. Recommendation: The University should ensure that the maximum time frame is configured in its student information system with the accurate number of credit hours for each degree program. Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: 2020-113, 2017-119, 2016-109 General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). Texas Southern University (University) did not appropriately restrict user access to its student information system. Specifically, the University did not always ensure that (1) access to modify information and process transactions in the student information system and (2) administrative access at the network level was limited to only current employees and users who needed that access based on their job responsibilities. The University had a process to review user access to its systems; however, it did not always implement changes based on the results of that review. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made to those systems. Recommendation: The University should ensure that user access to its student information system and administrative access to its network is appropriately limited to employees based on current job responsibilities. Views of Responsible Officials: The Office of Technology acknowledges and agrees with the finding.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 93.925 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224145; Federal Work-Study Program, P033A224145; Federal Pell Grant Program, P063P222327; Federal Direct Student Loans, P268K232327; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232327; and Scholarships for Health Professions Students from Disadvantaged Backgrounds – Scholarships for Disadvantaged Students (SDS), 5 T08HP39322-03-00, 5 T08HP39282-03-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: 2020-113, 2017-119, 2016-109 Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). Texas Southern University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate); residency (in-state or out-of-state); living status (on_x0002_campus, off-campus, or with parent); and enrollment level (full-time, three-quarter-time, half-time, or less-than_x0002_half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 7 (11 percent) of 65 students tested, the University incorrectly calculated the COA. Specifically, the University assigned an incorrect amount for books and supplies for these students. Those errors occurred because the University decreased the default amount for the books and supplies budget component but did not update the algorithmic budget table in its student information system to reflect that change. As a result, the COA was overstated by $40 for each of those students. The errors discussed above did not result in overawards of financial assistance; therefore, there were no questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or underawarding financial assistance to students. Federal Pell Grant:
When awarding Federal Pell Grant assistance to students, institutions use the payment and disbursement
schedules provided each year by the U.S. Department of Education for determining award amounts (Title 34,
CFR, Section 690.62(a)). Those schedules provide the maximum annual amount a student would receive for a full
academic year for a given enrollment status, EFC, and COA. There are separate schedules for three-quarter time, half-time, and less-than-half-time students (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 3, Chapter 3; and Title 34, CFR, Section 690.63(b)).
For 2 (3 percent) of 65 students tested who received Federal Pell Grants, the University did not award the
correct amount of Federal Pell Grant assistance. Specifically, the University awarded those students less than
they were eligible to receive. The University did not identify additional credit hours from late registration in the
students’ Federal Pell Grant award determinations. As a result, the students were underawarded a total of $1,544
in Federal Pell Grant assistance.
Federal Direct Student Loans:
A borrower who has reached the aggregate borrowing limit for Direct Subsidized Loans and Direct Unsubsidized
Loans may not receive additional loans. Once the loans are repaid, in full or in part, the borrower may apply for
additional loans. The aggregate unpaid principal amount of all Direct Subsidized Loans made to a student may
not exceed $23,000 for any student who has not successfully completed a program of study at the undergraduate
level (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 5; and Title
34, CFR, Section 685.203(d)(1)).
The University did not always disburse Federal Direct Student Loans in accordance with applicable limits.
Specifically, the University exceeded the aggregate limit for Subsidized Direct Loans. Auditors determined that a
student had been awarded $500 in excess of the aggregate limit of $23,000. The University manually cleared a
hold to enforce the loan limit, without properly reviewing or adjusting the student’s loan. After auditors brought the
overaward issue to the University’s attention, it returned the loan funds; therefore, there were no questioned
costs. However, by not properly reviewing account holds, the University increases the risk of overawarding
financial assistance to students.
Satisfactory Academic Progress:
A student is eligible to receive Title IV, Higher Education Act of 1965 (HEA) program assistance if the student
maintains satisfactory academic progress in his or her course of study according to the institution’s published
standards of satisfactory academic progress (SAP) that satisfy the provisions of Title 34, CFR, Section 668.34
(Title 34, CFR, Section 668.32(f)). An institution’s SAP policy must include a qualitative component that consists
of grades or comparable factors that are measurable against a norm and a quantitative component that consists
of the pace at which students must progress through their program to ensure that they will graduate within the
maximum time frame required to complete their education.
For a graduate program, a period defined by the institution that is based on the length of the educational program
should be used to determine the maximum time frame for the quantitative component of SAP (U.S. Department of
Education, 2022-2023 Federal Student Aid Handbook, Volume 1, Chapter 1; and Title 34, CFR, Section
668.34(b)).
Additionally, an institution’s SAP policy should provide that, if at the time of evaluation, the student has not
achieved the required grade point average, is not successfully completing his or her program of study at the
required pace, or has not completed the program within the maximum time frame, the student is no longer eligible
for Title IV aid. The policy should provide specific procedures for disbursements to students on financial aid
warning or probation status and permit the student to appeal a determination; it should also provide specific
procedures for re-establishing eligibility to receive Title IV aid and the basis on which a student may file an appeal
(Title 34, CFR, Section 668.34(a)). For 1 (2 percent) of 65 students tested, the University did not calculate SAP in accordance with its policy.
The student re-enrolled in the Fall 2022 term after a gap in attendance, and the University did not perform a
manual SAP calculation, which would have shown that the student did not meet the minimum required pace as
defined in the University’s SAP policy. The student would have been required to submit an appeal, and have that
appeal approved, to receive financial assistance. The student was initially overawarded $6,184. Part of the funds
were returned as a result of a Return of Title IV Funds calculation after the student withdrew, and the remaining
funds were returned after auditors brought the issue to the University’s attention. Therefore, there were no
questioned costs.
Not calculating SAP compliance increases the risk that students could receive financial assistance for which they
are not eligible.
Institutional Student Information Records (ISIR):
The U.S. Department of Education automatically distributes (or “pushes”) to institutions certain ISIR transactions
processed by the Central Processing System (CPS); it then requires the institutions to take some sort of action.
An example of a pushed ISIR would be a student-corrected ISIR that causes a change to the EFC. Institutions are
required to review all pushed ISIRs and assess any potential effect on students’ eligibility for assistance
(Technical Reference for Electronic Date Exchange (EDE) 2022-2023).
The University did not have a process to address errors to ensure that all ISIR data was loaded accurately
and completely into its student information system. Specifically, the University did not reconcile records
received from CPS-pushed ISIRs to the University’s student information system records during the Fall 2022 term
and part of the Spring 2023 term. As a result, some eligible students did not receive their financial assistance until
making an inquiry of the University.
Recommendations:
The University should:
• Ensure that it accurately configures COA budget components within its student information system.
• Award students Federal Pell Grant assistance based on actual enrollment.
• Disburse Subsidized Direct Loans within the student’s applicable aggregate limit.
• Ensure that all students are evaluated for Satisfactory Academic Progress prior to disbursing financial
assistance.
• Properly reconcile all records received from CPS-pushed ISIRs.
Views of Responsible Officials:
Cost of Attendance (COA):
The Office of Student Financial Success agrees with the auditor’s findings indicating that 7 of 65 students tested
had an incorrect COA specifically related to the students’ books and supplies portion of the budget.
Views of Responsible Officials:
Federal Pell Grant:
The Office of Student Financial Success agrees with the findings that 2 of 65 students tested were not awarded
the correct amount of Federal Pell grant funds.
Views of Responsible Officials:
Federal Direct Student Loans:
The Office of Student Financial Success agrees with the finding that 1 student did not receive federal student
loans in accordance with applicable limits.
Views of Responsible Officials:
Satisfactory Academic Progress:
The Office of Student Financial Success agrees with the finding that 1 of 65 students did not receive an SAP
calculation in accordance with TSU policy.
Views of Responsible Officials:
Institutional Student Information Records (ISIR):
The Office of Student Financial Success agrees with the finding related to Institutional Student Information
Records.
Special Tests and Provisions – Disbursements To or On Behalf of Students Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224145; Federal Work-Study Program, P033A224145; Federal Pell Grant Program, P063P222327; Federal Direct Student Loans, P268K232327; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232327 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Award and Disbursement Notifications: Before an institution disburses Title IV, Higher Education Act of 1965 (HEA) program funds for any award year, the institution must notify a student of the amount of funds that the student or his or her parent can expect to receive under each Title IV, HEA program, and how and when those funds will be disbursed. If those funds include Direct Loan program funds, the notice must indicate which funds are from subsidized loans, which are from unsubsidized loans, and which are from PLUS loans (Title 34, Code of Federal Regulations (CFR), Section 668.165(a)(1)). If an institution credits a student’s ledger account with Federal Direct Student Loan (Direct Loan) funds or Teacher Education Assistance for College and Higher Education (TEACH) Grant funds, the institution must notify the student or parent of (1) the anticipated date and amount of the disbursement, (2) the student’s or parent’s right to cancel all or a portion of that loan or grant and have the loan or grant proceeds returned to the U.S. Department of Education, and (3) the procedures and time by which the student or parent must notify the institution that he or she wishes to cancel the loan or grant, or loan or grant disbursement (Title 34, CFR, Section 668.165(a)(2)). The institution must provide the notice in writing no earlier than 30 days before, and no later than 30 days after, crediting the student’s ledger account at the institution (Title 34, CFR, Section 668.165(a)(3)). For 61 (100 percent) of 61 disbursements tested, Texas Southern University (University) did not send an award or disbursement notification as required. The University asserted it did not send award notifications to students because it relied on the Common Origination and Disbursement (COD) Disclosure Statements sent by the Department of Education. However, the COD Disclosure Statements did not include all required elements of the award notification. In addition, the University did not consistently send disbursement notifications for the Fall 2022 term, and did not send any disbursement notifications for the Spring 2023 term. The issues with disbursement notifications were attributed to both manual error and disabling of the University’s automated processes. Further, the disbursement notifications that were sent for the Fall 2022 term did not include all required elements. Not receiving award and disbursement notifications impairs students’ and parents’ ability to budget for the cost of attending or exercise the option to cancel their loans or grants. Allowable Charges and Credit Balance Authorizations:
An institution may credit a student's ledger account with Title IV, HEA program funds to pay for allowable charges
associated with the current payment period. Allowable charges are: (1) the amount of tuition, fees, and
institutionally provided room and board assessed the student for the payment period or the prorated amount of
those charges if the institution debits the student's ledger account for more than the charges associated with the
payment period; and (2) the amount incurred by the student for the payment period for purchasing books,
supplies, and other educationally related goods and services provided by the institution for which the institution
obtains the student's or parent's authorization under Section 668.165(b) (Title 34, CFR, Section 668.164(c)(1)).
A Title IV, HEA credit balance occurs whenever the amount of Title IV, HEA program funds credited to a student's
ledger account for a payment period exceeds the amount assessed the student for allowable charges associated
with that payment period. A Title IV, HEA credit balance must be paid directly to the student or parent as soon as
possible, but no later than (1) fourteen days after the balance occurred if the credit balance occurred after the first
day of class within a payment period; or (2) fourteen days after the first day of class of a payment period if the
credit balance occurred on or before the first day of class within that payment period (Title 34, CFR, Section
668.164(h)).
If an institution obtains written authorization from a student or parent, as applicable, the institution may: (1) use
the student’s or parent’s Title IV, HEA program funds to pay for charges that are included in that authorization,
and (2) hold on behalf of the student or parent any Title IV, HEA program funds that would otherwise be paid
directly to the student or parent as a credit balance, unless the Secretary provides funds to the institution under
the reimbursement payment method or the heightened cash monitoring payment method (Title 34, CFR, Section
668.165(b)(1)).
An institution may not use Title IV funds to pay finance charges or fees that are incurred because a student uses
a financing method provided by the school to pay for educational expenses over time. Because students or
families choose to incur these additional expenses rather than paying the balance due at registration, the
additional charges are not considered educational expenses, and may not be included in a student’s cost of
attendance. (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 2).
For 8 (13 percent) of 61 students tested, the University used Title IV funds to pay unallowable charges.
Specifically, the University credited the students’ ledger accounts during the payment period for installment
handling charges and late installment charges. Although the University obtained authorization from the students
to apply Title IV funds to charges other than tuition, fees, or institutionally provided room and board, that
authorization did not extend to those unallowable charges.
For 6 (11 percent) of 57 students tested, the University did not return credit balances to students or
parents within 14 days of the disbursement date or first day of class. Specifically, the University returned
credit balances to those students between 21 and 78 days. The University asserted those errors were caused by
changes to the term allocations, and inadequate tracking of credit balances and associated refunds.
Not receiving all Title IV funds a student is entitled to, or not receiving those funds in a timely manner, impairs
students’ and parents’ ability to budget for the cost of attending.
Recommendations:
The University should strengthen its controls to ensure that:
• It identifies all students that require an award or disbursement notification, and sends those notifications to the
students.
• Award and disbursement notifications include all required elements.
• It does not credit student ledger accounts for unallowable charges.
• Credit balances caused by the awarding of Title IV funds are returned to students in a timely manner.
Views of Responsible Officials:
Award and Disbursement Notifications:
The Office of Student Financial Success agrees with the finding related to award and disbursement notifications.
Views of Responsible Officials:
Allowable Charges and Credit Balance Authorizations:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224145; Federal Pell Grant Program, P063P222327; Federal Direct Student Loans, P268K232327; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232327 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs, and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). For 8 (13 percent) of 61 students tested, Texas Southern University (University) incorrectly calculated the amount of Title IV funds to be returned for unofficially withdrawn students. Specifically, those 8 students were enrolled in the Fall 2022 term, and the University did not use the last date of attendance identified in the University’s automated report process. For return of Title IV funds, the University uses an automated report process to identify students who have unofficially withdrawn from a term; however, that process was inconsistently followed or not completed in determining the students’ withdrawal dates. The incorrect withdrawal dates used by the University were prior to the students’ actual withdrawal dates, which resulted in the University returning more Title IV funds than required for those students; therefore, there were no questioned costs. Those errors occurred because the University did not have an adequate process to determine the withdrawal dates of students who unofficially withdrew from the University. Timeliness of Returns:
For an institution that is not required to take attendance, the institution must determine the withdrawal date for a
student who withdraws without providing notification to the institution no later than 30 days after the earliest end
date of (1) the payment period or period of enrollment, (2) the academic year in which the student withdrew, or (3)
the educational program from which the student withdrew (Title 34, CFR, Section 668.22(j)(2)).
An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later
than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section
668.22(j)).
For 35 (57 percent) of 61 students tested who withdrew and required a return of Title IV funds, the
University did not return the funds within the required time frame. Specifically:
• For 23 students who unofficially withdrew in the Fall 2022 term, the University did not determine the
withdrawal date within the required 30-day time frame, nor did it return the Title IV funds within the required
45-day time frame. The University determined the withdrawal date and returned the Title IV funds at the end
of the Spring 2023 term.
• For 9 students who unofficially withdrew in the Spring 2023 term, the University did not determine the
students’ withdrawal date within the required 30-day time frame. The University determined the withdrawal
date for those students between 31 and 52 days after the end of the period of enrollment.
• For 3 students who withdrew in the Fall 2022 term, the University determined the withdrawal dates and
performed the return calculations; however, it did not return the Title IV funds within the required 45-day time
frame. The University asserted that for two students, this was due to an oversight in processing the return of
those funds. The University returned the funds for those two students 71 and 115 days after it determined that
the students withdrew. For the third student, the University completed a return calculation but did not return
the funds as required. After auditors brought this error to the University’s attention, the University returned the
funds to the U.S. Department of Education; therefore, there were no questioned costs.
Those errors occurred because the University did not have an effective monitoring process to identify those errors
and because of manual errors the University made in performing the return calculations. Not making returns
within the required time frame reduces the funds available to the U.S. Department of Education for its program
management.
Recommendations:
The University should:
• Strengthen its process to ensure that it accurately determines the withdrawal date for students who
unofficially withdraw from the University in a timely manner.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in return of Title IV calculations
and returns Title IV funds in a timely manner.
Views of Responsible Officials:
Return of Title IV Calculations:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Views of Responsible Officials:
Timeliness of Returns:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Gramm-Leach-Bliley Act - Student Information Security Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Gramm-Leach-Bliley Act: Institutions must protect sensitive data, including information obtained in support of the administration of federal student financial assistance programs, as required by the Gramm-Leach-Bliley Act (GLBA) (Public Law 106-102). Under their Program Participation Agreement (PPA) and the GLBA, postsecondary educational institutions must protect student financial aid information, with particular attention to information provided by the Department of Education or otherwise obtained in support of the administration of the Title IV Federal student financial aid programs (Dear Colleague Letter, July 1, 2016 (GEN-16-12)). Institutions are required to develop, implement, and maintain an information security program that includes the minimum elements in Title 16, Code of Federal Regulations (CFR), Section 314.4. In addition, the institution must designate a qualified individual responsible for overseeing, implementing, and enforcing the institution’s information security program (Title 16, CFR, Section 314.4(a)). Texas Southern University (University) did not implement an information security program as required by the GLBA. The University did not have a written information security program (and therefore did not address any of the minimum elements), and it did not designate a Qualified Individual responsible for implementing and monitoring its information security program. The University asserted that this was due to significant staffing issues in its Information Technology Department. Not implementing the required safeguards in an information security program and designating a Qualified Individual to implement and enforce those safeguards increases the University’s risk of data breach or loss. Recommendations: The University should: • Develop and implement an information security program that contains all elements required by the GLBA and the Code of Federal Regulations. • Designate a Qualified Individual responsible to implement and monitor its information security program. Views of Responsible Officials: Gramm-Leach-Bliley Act: The University acknowledges and agrees with the findings.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; 84.408; and 93.925 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224122; Federal Work-Study Program, P033A224122; Federal Pell Grant Program, P063P220387; Federal Direct Student Loans, P268K230387; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T230387; Postsecondary Education Scholarships For Veteran's Dependents (Iraq and Afghanistan Service Grant (IASG)), P408A220387; and Scholarships for Health Professions Students from Disadvantaged Backgrounds - Scholarships for Disadvantaged Students (SDS), 5 T08HP39298-03-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, CFR, Sections 668.2, 673.5, and 685.301). Texas State University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate); residency (in-state or out-of-state); housing status (on_x0002_campus, off-campus, or living with parent); and enrollment status (full-time, three-quarter-time, half-time, or less_x0002_than-half-time). Budgeting rules within the University’s student financial assistance system are established to assign various budget components based on the factors noted above. For 1 (2 percent) of 44 students tested, the University incorrectly calculated the COA. Specifically, the University assigned a less-than-half-time COA when the student was enrolled full-time. As a result, the student’s COA was understated by $9,545. After auditors brought the issue to the University’s attention, it identified a total of 84 total students who were affected, including 56 students who received Title IV financial assistance. Those errors occurred because the University did not recalculate the COA for students in the Pathway program after enrollment was finalized for the Spring 2023 term. The errors discussed above did not result in overawards of financial assistance; therefore, there were no
questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or
underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets for the
Pathway program in accordance with its process.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). Texas Tech University (University) did not appropriately restrict user access to its student information system. Specifically, the University did not always limit access to the student information system to only users who needed that access based on their job responsibilities. While the University had a process in place to review user access, that process was not adequately designed to ensure that the University granted the appropriate level of access to all users based on the users’ job duties. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. Recommendation: The University should ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. Views of Responsible Officials: Texas Tech University acknowledges and agrees with the findings. Texas Tech University has worked to develop and implement corrective action to further improve processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; 84.379; and 84.408 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224151; Federal Pell Grant Program, P063P222328; Federal Direct Student Loans, P268K232328; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232328; and Postsecondary Education Scholarships For Veteran's Dependents (Iraq and Afghanistan Service Grant (IASG)), P408A222328 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: Unknown Repeat Finding: No When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV
grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title
IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the
payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their
Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period
or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by
subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was
disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student
withdrew (Title 34, CFR, Section 668.22(e)).
For distance education, documenting that a student has logged into an online class is not sufficient to
demonstrate academic attendance by the student. An institution must demonstrate that a student participated in
class or was otherwise engaged in an academically related activity. Only active participation by a student in an
instructional activity related to the student’s course of study that meets the definition of “academic engagement” in
Title 34, CFR, Section 600.2 and takes place during a payment period or period of enrollment qualifies as
attendance in an academically related activity (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 5, Chapter 2).
For 1 (5 percent) of 20 students tested, Texas Tech University (University) did not have evidence of
academic engagement in the distance education course from which the student’s withdrawal date was
determined. The University asserted that when an instructor submits a failing grade for a student, the instructor is
required to provide the date of last academic activity. That date is recorded in the University’s student information
system and used by the University to determine the unofficial withdrawal date for Return of Title IV purposes.
However, the University did not have a process in place to require instructors to provide or maintain evidence of
academic engagement in distance education courses. As a result, the University could not demonstrate that the
student participated or otherwise engaged in an academically related activity in that course to support the last
date of attendance used by the University for Return of Title IV purposes.
Having a process that does not consistently calculate and return the correct amount of Title IV funds increases
the risk that the University could return less Title IV funds than it is required to return.
Recommendations:
The University should:
• Ensure that evidence of academic engagement is consistently documented for students in distance education
courses.
• Strengthen its controls to ensure that it accurately calculates returns of Title IV funds when required, including
review of the variables it uses in those calculations.
Views of Responsible Officials:
Texas Tech University acknowledges and agrees with the findings. Texas Tech University has worked to develop
and implement corrective action to further improve processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: 2020-142 General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). The University of Texas at Arlington (University) did not appropriately restrict user access to its student information system. Specifically, a user was granted administrative access in the student information system, which included the ability to modify information and process transactions, such as authorizing and disbursing aid. The University did not remove the administrative access after the user’s specific job responsibilities no longer required that level of access. The University had a process to periodically review user access; however, that review was not sufficient to identify the inappropriate access. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. Recommendation: The University should ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. Views of Responsible Officials: To the point that The University of Texas at Arlington (University) did not appropriately restrict user access to its student information system. OIT and Financial Aid acknowledge that a user was given elevated access that was not removed when the assigned maintenance task was completed.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224172; Federal Pell Grant Program, P063P222335; and Federal Direct Student Loans, P268K232335 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational
expenses; it is computed by the federal central processor and included on the student’s Institutional Student
Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds
the student’s need. Therefore, awards must be coordinated among the various programs and with other federal
and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need
(U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34,
Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301).
The University of Texas at Arlington (University) uses algorithmic budgeting to build COA budgets for each term
based on a student’s classification (undergraduate or graduate), dependency (dependent or independent),
residency (in-state or out-of-state), living status (on-campus, off-campus, or with parents), and enrollment level
(full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student
information system are established to assign various budget components based on the factors noted above.
For 3 (5 percent) of 63 students tested, the University incorrectly calculated the COA. Specifically:
• For two students, the University understated the COA by assigning a books component that did not reflect the
students’ actual enrollment status. Those errors occurred because the University budgeted the students’
books at half-time enrollment instead of full-time enrollment. The University attributed the cause to human
error associated with a manual budget rebuild in the student information system. As a result, the COA was
understated by $200 for each of those students.
• For one student, the University assigned an incorrect budget for the cost of tuition and fees component during
the Summer 2022 term. The University attributed the cause to human error. As a result, the COA was
understated by $198.
The errors discussed above did not result in overawards of financial assistance; therefore, there were no
questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or
underawarding financial assistance to students.
Federal Pell Grant:
A student is eligible to receive a Federal Pell Grant for the period of time required to complete his or her first
undergraduate baccalaureate course of study (Title 34, CFR, Section 690.6(a)).
When awarding Federal Pell Grant assistance to students, institutions use the payment and disbursement
schedules provided each year by the U.S. Department of Education for determining award amounts (Title 34,
CFR, Section 690.62(a)).
Based on a review of the full population of student financial assistance recipients, the University awarded
a total of $1,593 in Federal Pell Grant assistance to 2 post-baccalaureate students who were not eligible
for that assistance. The University asserted queries designed to identify these issues were not run timely due to
staffing issues within the Financial Aid department. After auditors brought those errors to the University’s
attention, the University returned the funds to the U.S. Department of Education; therefore, there were no
questioned costs.
For 1 (2 percent) of 63 students tested, the University did not award Federal Pell Grant assistance to an
eligible student. Specifically, the student was eligible to receive $1,790 in Federal Pell Grant assistance, but did
not receive an award from the University. The University asserted that the error occurred because the student
made a late registration change and was missed on the University’s add report. As a result, the student was
underawarded Federal Pell Grant assistance; therefore, there were no questioned costs. Federal Direct Student Loans:
Direct Subsidized and Unsubsidized Loans have annual and aggregate limits that are the same for all students at
a given grade level and dependency status. In general, a loan may not be more than the amount the borrower
requests, the borrower’s unmet financial need, the borrower’s COA, or the borrower’s maximum borrowing limit.
(U.S. Department of Education 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 5).
For 1 (2 percent) of 63 students tested, the University did not disburse Direct Loans in accordance with
applicable limits. Specifically, the University disbursed a Subsidized Direct Loan in excess of the student’s
aggregate Subsidized Direct Loan and Total Direct Loan limits. After auditors brought the overaward issue to the
University’s attention, it returned the loan funds; therefore, there were no questioned costs. The University
asserted that error occurred because the University did not receive an updated history file in a timely manner due
to issues with the National Student Loan Data System (NSLDS).
Federal Supplemental Educational Opportunity Grants (FSEOG):
The FSEOG program provides grants to eligible undergraduate students. Institutions are required to award
FSEOG first to Federal Pell Grant recipients who have the lowest EFC. If an institution has FSEOG funds
remaining after giving FSEOG awards to all Federal Pell Grant recipients, it can then award the remaining
FSEOG funds to eligible students with the lowest EFCs who did not receive Federal Pell Grants (Title 34, CFR,
Section 676.10).
Based on a review of the full population of student financial assistance recipients, the University awarded
a total of $750 in FSEOG assistance to a student who was working towards a second bachelor’s degree
and thus was not eligible for that assistance. The student was awarded FSEOG in the Spring 2023 term after
earning a first bachelor’s degree in the Fall 2022 term. The University asserted this was a manual error caused by
a counselor canceling the student’s Federal Pell Grant, but failing to cancel the student’s FSEOG award. After
auditors brought the issue to the University’s attention, it removed the grant funds from the student’s account;
therefore, there were no questioned costs.
Recommendations:
The University should:
• Strengthen its controls to ensure that it correctly calculates students’ COA budgets in accordance with its
process.
• Award Federal Pell Grant assistance only to eligible students.
• Ensure that students are awarded Federal Pell Grants for which they are eligible.
• Disburse Subsidized Direct Loans within the student’s applicable aggregate limit.
• Award FSEOG assistance only to eligible students.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). The University of Texas at Austin (University) did not appropriately restrict user access to its student information system. Specifically, an employee retained the ability to modify student financial aid awards after transitioning from the Office of Student Financial Aid to another department within the University. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. In addition, the University did not have sufficient controls over its change management process for information systems. Specifically, one of the University’s departments did not enable the control designed to prevent developers from migrating their own code changes into production. Not having sufficient segregation of duties controls over the change management process increases the risk of unauthorized programming changes being made to critical information systems that the University uses to administer student financial assistance. Recommendations: The University should: • Ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. • Strengthen its controls over its change management process to ensure adequate segregation of duties. Views of Responsible Officials:
The University acknowledges and agrees with the finding. In this case, the employee transitioned from the Office
of Scholarships and Financial Aid (OSFA) to the Student Financial Aid implementation project. It was intended for
this employee to retain his prior access for a time so he could help provide backstop support while his duties were
transitioned to other employees within OSFA. This access should have been removed once his duties were
successfully transitioned.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. However, technical limitations in the current financial
aid management system require that a particular mainframe programming library be exempted from the change
control mechanisms that are used in all other libraries that can update student financial aid information.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224173; Federal Pell Grant Program, P063P222336; and Federal Direct Student Loans, P268K232336 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs, and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). For 1 (2 percent) of 60 students tested, the University of Texas at Austin (University) incorrectly calculated the amount of Title IV funds to be returned. Specifically, the University initially determined that the student officially withdrew on March 10, 2023, and the University incorrectly determined that the student completed more than 60 percent of the term. The University subsequently incorrectly determined that the student unofficially withdrew on February 10, 2023, and processed a return of Title IV funds in the amount of $18,742. After auditors brought the error to the University’s attention, it re-performed the return calculation using the correct date of withdrawal and reinstated the appropriate amount of funds to the student. Not having a process that consistently calculates and returns the correct amount of Title IV funds increases the risk that the University could return less Title IV funds than it is required to return. Coronavirus Aid, Relief, and Economic Security (CARES) Act:
Section 3508 of the CARES Act directs the Secretary to waive the statutory requirement for institutions to return
Title IV funds (R2T4) as the result of student withdrawals related to a qualifying emergency. For any student who
begins attendance in a payment period or period of enrollment that includes March 13, 2020, or begins between
March 13 and the later of December 31 or the last date that the national emergency is in effect, and subsequently
withdraws from the period as a result of COVID-19-related circumstances, an institution is not required to return
Title IV funds. The CARES Act requires an institution to report to the Department information specific to each
student for whom it was not required to return Title IV funds under the waiver exception. An institution must
determine the total amount of grant and loan assistance that otherwise would have been returned, identified in
Step 5 of the R2T4 calculation, had the calculation been performed. Therefore, it will continue to be necessary for
institutions to perform an R2T4 calculation for each student covered by the CARES Act R2T4 waiver (Electronic
Announcement titled UPDATED Guidance for interruptions of study related to Coronavirus (COVID-19), June 16,
2020).
For 1 (50 percent) of 2 students tested who were eligible for relief under the CARES Act, the University
incorrectly processed a return of Title IV funds. The University determined that the student was eligible to
receive an R2T4 waiver under Section 3508 of the CARES Act. However, the University subsequently processed
a return of Title IV funds for the student. The University asserted that error occurred because the student was
listed on a census report showing students who did not enroll in sufficient hours to receive aid, and the student’s
Title IV funds were incorrectly returned because the student’s CARES Act R2T4 waiver was overlooked. After
auditors brought the error to the University’s attention, it reinstated the student's aid and reported to the U.S.
Department of Education that the student qualified for relief under the CARES Act waiver exemption and reported
the amount of relief given. Not accurately identifying students who qualify for a waiver could result in those
students not receiving aid to which they are entitled.
Timeliness of Returns:
An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later
than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section
668.22(j)).
For 1 (2 percent) of 58 students tested who withdrew and required a return of Title IV funds, the University
did not return the funds within the required time frame. The University performed the return calculation and
executed a transaction to return the funds within its student information system; however, the University did not
return the Title IV funds to the U.S. Department of Education within the required 45-day time frame due to an error
in processing the return of those funds. After auditors selected the student for testing, the University returned Title
IV funds as required; therefore, there were no questioned costs. Not returning funds within the required time
frame reduces the information available to the U.S. Department of Education for its program management.
The University had a process to review its calculations for returns of Title IV funds; however, it did not have
adequate controls to ensure that it identified the errors discussed above.
Recommendations:
The University should strengthen its controls to ensure that it:
• Accurately calculates returns of Title IV funds when required, including review of the variables it uses in those
calculations.
• Performs return of Title IV calculations and returns funds within the required time frame.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. For 1 (2 percent) of 58 students tested who withdrew
and required a return of Title IV funds, the University did not return the funds within the required time frame. For 1
(2 percent) of 60 students tested, the University incorrectly calculated the amount of Title IV funds to be returned.
For 1 (50 percent) of 2 students tested eligible for relief under the CARES Act, the University incorrectly
processed a return of Title IV funds. Through analysis of the exceptions identified in the audit, the University will
work to develop and implement corrective action to improve the processes further.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224174; Federal Work-Study Program, P033A224174; Federal Pell Grant Program, P063P223234; Federal Direct Student Loans, P268K233234; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233234 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, CFR, Sections 668.2, 673.5, and 685.301). The University of Texas at Dallas (University) established different COA budgets for each term based on a student’s tuition rate (guaranteed or variable); classification (undergraduate or graduate); residency (in-state and out-of-state); living status (on-campus, off-campus, or at home); and enrollment level (full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting formulas within the University’s student information system are used to assign various budget components based on the factors noted above. The University did not always accurately configure COA budget components in its student information system. Specifically, the University incorrectly set the Summer transportation budget for a certain group of students—undergraduate students with a guaranteed tuition rate who were in-state residents living at home and enrolled half-time—to $640 instead of $928. After auditors brought the issue to the University’s attention, it identified 299 students who were affected. As a result, the COA for those students was understated by a total of $86,112 for the Summer 2023 term. The errors discussed above did not result in overawards of financial assistance; therefore, there were no questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or underawarding financial assistance to students. Recommendation:
The University should ensure that it accurately configures COA budget components within its student information
system.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
While reviewing the population for submission to the auditors, the University determined that the above error had
occurred. Since the timing was still within the summer semester, we corrected the COA component error and
provided institutional grant funding for those students who had increased need due to the update in their summer
transportation budget. There were only 2 students who needed to have their loans repackaged to avoid under
awarding federal aid, which was done.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224169; Federal Pell Grant Program, P063P223294; Federal Direct Student Loans, P268K233294; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233294 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $64,905 Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). The total number of calendar days in a payment period or period of enrollment includes all days within the payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)). The University of Texas at San Antonio (University) made errors in Title IV return calculations for 14 (56 percent) of 25 students tested. Those errors occurred because the University did not exclude break days from its calculations of returns of Title IV funds for the Spring 2023 term as required; therefore, that issue would have affected all students who withdrew from the Spring 2023 term and had a return calculation performed. Although the amount of unearned Title IV assistance calculated for those students was incorrect, there were no questioned costs because the University returned more funds than required. In addition, for 3 (12 percent) of 25 students tested who did not have a return of Title IV funds made, the
University did not perform a return calculation as required. Those errors occurred because the University
incorrectly used 7 break days instead of 8 break days when determining whether students who withdrew from the
Spring 2023 term had completed 60 percent or more of the term. As a result, the University did not perform return
calculations and return funds as required for students who withdrew between March 26 and March 28, 2023,
which resulted in total questioned costs of $50,146 associated with ALN 84.268, Federal Direct Student Loans,
award number P268K233294, and $14,759 associated with ALN 84.063, Federal Pell Grant Program, award
number P063P223294.
The University did not have an adequate monitoring process to identify those errors. Not having a process that
consistently calculates and returns the correct amount of Title IV funds increases the risk that the University could
return less Title IV funds than it is required to return.
Recommendations:
The University should:
• Accurately determine the number of days in the payment period and exclude any scheduled breaks as
required.
• Strengthen its controls to ensure that it detects and corrects errors in return of Title IV calculations and returns
Title IV funds.
Views of Responsible Officials:
The University acknowledges and agrees with the finding that were the result of staff turnover. Through analysis
of the exceptions identified in the audit, the University has worked to develop and implement corrective action.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). The University of Texas Permian Basin (University) did not appropriately restrict user access to its student information system. Specifically, the University did not always limit access to the student information system to only users who needed that access based on their job responsibilities. The University had a process to periodically review user access; however, that review was not sufficient to identify the inappropriate access. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. Recommendation: The University should ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. Views of Responsible Officials: The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the audit, the University has worked to implement further access limitations and enhanced its periodic review of access.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224178; Federal Work-Study Program, P033A224178; Federal Pell Grant Program, P063P223265; Federal Direct Student Loans, P268K233265; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233265 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). The University of Texas Permian Basin (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate), program (in-person or online), residency (in_x0002_state or out-of-state), living status (on-campus, off-campus, or at home with parents), and enrollment level (full_x0002_time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 60 (98 percent) of 61 students tested, the University incorrectly calculated the COA. For some of the students discussed below, there were multiple errors in the COA calculation. Specifically: • For 38 students, the University assigned an incorrect amount for the fees, loan fees, and/or transportation budget components. Those errors occurred because the amounts were incorrectly loaded into the budget tables in the University’s student information system. The University asserted that it discovered these issues in April 2023, and attempted to manually update individual student accounts that were affected. As a result, the COA for those students was overstated, and three students were overawarded a total of $2,871. After auditors brought the overawards to the University’s attention, it returned funds to the U.S. Department of Education; therefore, there were no questioned costs. • For 15 students, the University assigned an in-person budget instead of an online advanced budget. Those
errors occurred because the University failed to consistently communicate which programs were offered
online to the financial aid office, which would have helped ensure that the student information system was
updated appropriately. As a result, the COA for those students was overstated, and one of those students
was overawarded a Subsidized Direct Loan in the amount of $919. After auditors brought the overaward to
the University’s attention, it returned funds to the U.S. Department of Education; therefore, there were no
questioned costs.
• For 12 students, the University incorrectly assigned an additional room and board fee. As a result, the COA
was overstated by $50 per term for each of those students; however, the University did not overaward
financial assistance to those students.
• For eight students, the University did not adjust the students’ COA to reflect the students’ actual enrollment.
The University did not have a process to freeze student enrollment levels in order to recalculate COA after
census. As a result, the COA for those students was overstated; however, the University did not overaward
financial assistance to those students.
The University did not have adequate controls in place to review budgets used in the calculation of COA and
accurately assign those budgets to students. Incorrectly calculating COA increases the risk of overawarding or
underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets in
accordance with its process and does not overaward financial assistance to students.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University has worked to implement additional controls as it relates to calculation of the Cost of
Attendance.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224178; Federal Pell Grant Program, P063P223265; Federal Direct Student Loans, P268K233265; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233265 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs, and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). The total number of calendar days in a payment period or period of enrollment includes all days within the
payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks
of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the
number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)).
For a program offered in modules, a student is not considered to have withdrawn if the student successfully
completes either (1) a module that includes 49 percent or more of the number of days in the payment period,
excluding scheduled breaks of five or more consecutive days and all days between modules; or (2) a combination
of modules that together contain 49 percent or more of the number of days in the payment period, excluding
scheduled breaks of five or more consecutive days and all days between modules (Title 34, CFR, Section
668.22(a)(2)(ii)(A)(2)).
For 3 (6 percent) of 48 students tested who did not have a return of Title IV funds made, the University of
Texas Permian Basin (University) did not perform a return calculation as required. Specifically:
• For two students who were enrolled in module courses, the University did not perform a return calculation
because it incorrectly determined that the students completed 49 percent or more of the number of days in
the payment period. The University asserted that staff misinterpreted the 49 percent withdrawal exemption
requirements.
• For one student, the University did not perform a return calculation and return funds as required due to staff
oversight.
After auditors brought those errors to the University’s attention, the University performed the return calculations
and returned the funds to the U.S. Department of Education; therefore, there were no questioned costs.
In addition, the University made errors in Title IV return calculations for 11 (48 percent) of 23 students
tested. Specifically, the University did not exclude any break days from the students’ return calculations as
required. Those errors occurred because the University did not load the break days into its student information
system when setting up the payment periods for the standard Fall 2022 and Spring 2023 terms; therefore, this
issue would have affected all students who withdrew from those terms. As a result, the University returned a total
of $284 less than it should have for 2 of those 11 students. After auditors brought the issue to the University’s
attention, the University returned those funds to the U.S. Department of Education; therefore, there were no
questioned costs.
• For 3 of those 11 students, the University also incorrectly adjusted the students’ Direct Loans disbursements
prior to performing the return calculation. As a result of those errors, the University returned more funds than
required; therefore, there were no questioned costs.
The University did not have an adequate monitoring process to identify the errors discussed above. Not having a
process that consistently calculates and returns the correct amount of Title IV funds increases the risk that the
University could return less Title IV funds than it is required to return.
Timeliness of Returns:
An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later
than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section
668.22(j)).
For 3 (13 percent) of 23 students tested who withdrew and required a return of Title IV funds, the
University did not return the funds within the required time frame. The University returned the Title IV funds
to the U.S. Department of Education 46 and 203 days after the University determined that the students withdrew.
The University did not have adequate controls in place to ensure that Title IV funds were returned within the
required 45-day time frame. Not making returns within required time frames reduces the funds available to the U.S. Department of Education
for its program management.
Recommendations:
The University should:
• Configure its student information system to exclude any scheduled breaks as required.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in return of Title IV calculations
and returns Title IV funds in a timely manner.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University has worked to ensure procedures and interpretation of the regulations for the Return to Title
IV have been updated to result in correct and timely return of Title IV funds.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; and 84.063 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224166; and Federal Pell Grant Program, P063P222333 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Federal Supplemental Educational Opportunity Grants (FSEOG): The FSEOG program provides grants to eligible undergraduate students. Institutions are required to award FSEOG first to Federal Pell Grant recipients who have the lowest expected family contribution (EFC). If an institution has FSEOG funds remaining after giving FSEOG awards to all Federal Pell Grant recipients, it can then award the remaining FSEOG funds to eligible students with the lowest EFCs who did not receive Federal Pell Grants (Title 34, Code of Federal Regulations (CFR), Section 676.10). If the total amount of calculated Title IV grant or loan assistance, or both, that a student earned is greater than the total amount of Title IV grant or loan assistance, or both, that was disbursed to the student, as of the date that the institution determines that the student has withdrawn, the difference between those amounts must be treated as a post-withdrawal disbursement in accordance with Title 34, CFR, Section 668.22(a)(6) and Section 668.164(i) (Title 34, CFR, Section 668.22(a)(5)). The institution must disburse directly to a student any amount of a post-withdrawal disbursement of grant funds that is not credited to the student’s account. The institution must make the disbursement as soon as possible, but no later than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(a)(6)(ii)(B)(1)). Based on a review of the full population of student financial assistance recipients, the University of Houston (University) awarded a total of $6,500 in FSEOG assistance to 5 students who did not also receive a Federal Pell Grant. Specifically: • For three students, the University did not award Federal Pell Grants to those students because the students reported on their Free Application for Federal Student Aid (FAFSA) that they had earned a bachelor’s degree or were working on a degree beyond a bachelor's degree. After auditors brought these errors to the University’s attention, the University canceled the FSEOG awards to those students; therefore there were no questioned costs. • For one student, the University did not award a Federal Pell Grant to the student for the term in which the student received FSEOG funds. Due to a manual error, the University applied the student’s Federal Pell Grant to the wrong term. After auditors brought the error to the University’s attention, the University corrected the Federal Pell Grant award to the correct term; therefore there were no questioned costs. • For one student, the University did not award a Federal Pell Grant to the student due to a hold that was
placed on the student’s account for an incomplete task. After auditors brought the error to the University’s
attention, the University reviewed the student’s account and determined the hold should be removed. The
University processed a post-withdrawal disbursement of Federal Pell Grant funds 324 days after the date of
the University’s determination that the student withdrew. There were no questioned costs as a result of this
error.
Although the University had monitoring controls in place to ensure accurate awarding of federal funds, it did not
have an adequate process to identify the errors discussed above.
Recommendations:
The University should:
• Award FSEOG funds only to eligible students.
• Complete post-withdrawal disbursements within a timely manner.
Views of Responsible Officials:
The University acknowledges and agrees with the findings. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224166; Federal Pell Grant Program, P063P222333; Federal Direct Student Loans, P268K232333; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232333 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). The institution must return the lesser of the total amount of unearned Title IV assistance calculated above or an amount equal to the total institutional charges incurred by the student for the payment period or period of enrollment multiplied by the percentage of Title IV grant or loan assistance not earned by the student. For purposes of this calculation, “institutional charges” are tuition, fees, room and board (if the student contracts with the institution for the room and board), and other educationally related expenses assessed by the institution (Title 34, CFR, Section 668.22(g)). The institutional charges used in the calculation are usually the charges that were initially assessed to the student for the entire payment period or period of enrollment, as applicable. Initial charges may be adjusted only by those changes the institution made prior to the student’s withdrawal, such as a change in enrollment status unrelated to the withdrawal (U.S. Department of Education, 2022- 2023 Federal Student Aid Handbook, Volume 5, Chapter 1, Section: Institutional Charges). The University of Houston (University) made errors in Title IV return calculations for 18 (30 percent) of 60
students tested. Specifically:
• For 15 students, the University made errors in determining the amount of institutional charges to be used in
the return calculation by including unallowable charges in its calculation for those students.
• For two students, the University returned the incorrect amount of Title IV funds due to manual entry errors.
For one of those students, the University also incorrectly included unallowable charges in the student’s return
calculation as discussed above.
• For one student, the University incorrectly canceled the student’s Federal Pell Grant award before its
calculation. The University asserted that was due to a processing error in its student information system.
There were no questioned costs as a result of those errors because for each student the University returned more
than the required amount or the error did not affect the amount of Title IV grant or loan assistance to be returned.
Distance Education:
For distance education, documenting that a student has logged into an online class is not sufficient to
demonstrate academic attendance by the student. An institution must demonstrate that a student participated in
class or was otherwise engaged in an academically related activity. Only active participation by a student in an
instructional activity related to the student’s course of study that meets the definition of “academic engagement” in
Title 34, CFR, Section 600.2 and takes place during a payment period or period of enrollment qualifies as
attendance in an academically related activity (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 5, Chapter 2).
For 1 (7 percent) of 14 students tested, the University did not have evidence of academic engagement in
the distance education course from which the student’s withdrawal date was determined. The University
relies on the last dates of academic activity provided by instructors to determine the withdrawal date for return of
Title IV purposes for students who unofficially withdraw. However, the University did not have an adequate review
process in place to ensure that it maintained documentation supporting attendance in distance education courses.
As a result, the University could not demonstrate that the student participated or otherwise engaged in an
academically related activity in that course to support the last date of attendance used by the University for return
of Title IV purposes.
The University did not have an adequate monitoring process to identify the errors discussed above. Not having a
process that consistently calculates and returns the correct amount of Title IV funds increases the risk that the
University could return the incorrect amount of Title IV funds.
Recommendations:
The University should:
• Calculate institutional charges in accordance with U.S. Department of Education requirements.
• Ensure that evidence of academic engagement is consistently documented for students in distance education
courses.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in its calculation of Title IV
funds to return. Views of Responsible Officials:
The University acknowledges and agrees with the findings. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions - Gramm-Leach-Bliley Act - Student Information Security Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Gramm-Leach-Bliley Act: Institutions must protect sensitive data, including information obtained in support of the administration of federal student financial assistance programs, as required by the Gramm-Leach-Bliley Act (GLBA) (Public Law 106-102). Under their Program Participation Agreement (PPA) and the GLBA, postsecondary educational institutions must protect student financial aid information, with particular attention to information provided by the Department of Education or otherwise obtained in support of the administration of the Title IV Federal student financial aid programs (Dear Colleague Letter, July 1, 2016 (GEN-16-12)). Institutions are required to develop, implement, and maintain an information security program that includes the minimum elements in Title 16, Code of Federal Regulations (CFR), Section 314.4. Those minimum requirements include conducting a periodic inventory of data, noting where it is collected, stored, or transmitted (Title 16, CFR, Section 314.4(c)(1)). In addition, the institution must designate a qualified individual responsible for overseeing, implementing, and enforcing the institution’s information security program (Title 16, CFR, Section 314.4(a)). The University of Houston’s (University) information security program did not address the implementation of all minimum safeguards as required by the GLBA. Specifically, while the University had designated a Qualified Individual to coordinate its information security program and had a written information security program in place, that program did not meet the requirements for conducting a periodic inventory of data. Not implementing all required safeguards in its information security program increases the University’s risk of data breach or loss. Recommendation:
The University should ensure that all elements required by the GLBA are documented and implemented in its
information security program.
Views of Responsible Officials:
The University acknowledges and agrees with the findings. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Return of Title IV Funds
Federal Agency: U.S. Department of Education
Federal Program Title: Student Financial Assistance Cluster
Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379
Pass-Through Agency: N/A
Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG),
P007A224085; Federal Pell Grant Program, P063P222293; Federal Direct
Student Loans, P268K232293; and Teacher Education Assistance for
College and Higher Education Grants (TEACH), P379T232293
Award Period: July 1, 2022, to June 30, 2023
Statistically Valid Sample: No and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency and Noncompliance
Questioned Costs: None
Repeat Finding: No
Return of Title IV Calculations:
When a student who received Title IV grant or loan assistance withdraws from an institution during a payment
period or period of enrollment in which the student began attendance, the institution must determine the amount
of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of
Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned
by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date
of the institution’s determination that the student withdrew, the difference must be returned to the Title IV
programs and no additional disbursements may be made to the student for the payment period or period of
enrollment (Title 34, CFR, Section 668.22(a)(4)).
The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV
grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title
IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the
payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their
Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period
or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by
subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was
disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student
withdrew (Title 34, CFR, Section 668.22(e)).
The total number of calendar days in a payment period or period of enrollment includes all days within the
payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks
of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the
number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)). The University of North Texas (University) made errors in Title IV return calculations for 32 (52 percent) of
61 students tested. Those errors occurred because the University did not exclude any break days from its Title
IV return calculations for the Fall 2022 term as required; therefore, that issue would have affected all students
who withdrew from the Fall 2022 term and had an automated return calculation performed. Although the amount
of unearned Title IV assistance calculated for those students was incorrect, there were no questioned costs as a
result of those errors because the University returned more funds than required.
• For 1 of those 32 students, the University also did not accurately determine the withdrawal date for the
student who was enrolled in modules. After auditors brought the issue to the University’s attention, the
University re-performed the return calculation and returned the additional Title IV funds as required; therefore,
there were no questioned costs.
• In addition, for 1 of those 32 students, the University incorrectly returned Title IV funds for a student who
completed more than 60 percent of the term and did not require a return.
Distance Education:
For distance education, documenting that a student has logged into an online class is not sufficient to
demonstrate academic attendance by the student. An institution must demonstrate that a student participated in
class or was otherwise engaged in an academically related activity. Only active participation by a student in an
instructional activity related to the student’s course of study that meets the definition of “academic engagement” in
Title 34, CFR, Section 600.2, and takes place during a payment period or period of enrollment qualifies as
attendance in an academically related activity (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 5, Chapter 2).
For 1 (14 percent) of 7 students tested, the University did not have evidence of academic engagement for
the student who attended all distance education courses. The University relies on the last dates of
attendance (LDA) provided by instructors to determine the withdrawal date for Return of Title IV purposes for
students who unofficially withdraw. If no LDAs are provided by the instructors, the University uses the midpoint of
the term as the withdrawal date. The student was enrolled in all distance education courses, and the University
used the midpoint as the withdrawal for the student. However, the University could not provide evidence that the
student participated or otherwise engaged in an academically related activity in any of the distance education
courses. After auditors brought the issue to the University’s attention, the University performed a return
calculation and returned Title IV funds as required; therefore, there were no questioned costs.
Timeliness of Returns:
An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later
than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section
668.22(j)).
For 12 (20 percent) of 61 students tested who withdrew and required a return of Title IV funds, the
University did not return the funds within the required time frame. Specifically, the University returned the
Title IV funds to the U.S. Department of Education between 47 to 183 days after the University determined that
the students withdrew. The University asserted those errors occurred due to staffing issues and problems with the
transmission of the adjustments to the U.S. Department of Education’s Common Origination and Disbursement
(COD) system.
The University did not have an adequate monitoring process to identify those errors or document the review
process. Having a process that does not consistently calculate and return the correct amount of Title IV funds
increases the risk that the University could return incorrect amounts of Title IV funds. In addition, not making
returns within the required time frames reduces the funds available to the U.S. Department of Education for its
program management.
Recommendations:
The University should:
• Accurately determine the number of days in the payment period and exclude any scheduled breaks as
required.
• Ensure that evidence of academic engagement is consistently documented for students in distance education
courses.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in Title IV return calculations
and returns Title IV funds in a timely manner.
Views of Responsible Officials:
The University acknowledges and agrees with the findings regarding the Return of Title IV funds in cases where a
student officially or unofficial withdraws from the institution after the student begins attendance in a given payment
period or period of enrollment. The University acknowledges the importance of accurately calculating the Title IV
funds to be returned and the timely return of those funds.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 93.264 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224051; Federal Work-Study Program, P033A224051; Federal Pell Grant Program, P063P222282; Federal Direct Student Loans, P268K232282; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232282; and Nurse Faculty Loan Program (NFLP), 1 E01HP45821-01-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $1,409 Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). Direct Subsidized and Unsubsidized Loans have annual and aggregate limits that are the same for all students at a given grade level and dependency status. In general, a loan may not be more than the amount the borrower requests, the borrower’s unmet financial need, the borrower’s COA, or the borrower’s maximum borrowing limit. (U.S. Department of Education 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 5). Lamar University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate), dependency (dependent or independent), residency (in-state or out-of-state), living status (on-campus, off-campus, or at home with parents), and enrollment level (full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 23 (38 percent) of 61 students tested, the University incorrectly calculated the COA. Specifically, the
University did not adjust the students’ COA to reflect the students’ actual enrollment as of the census date. The
University experienced turnover in the Student Financial Aid department during the 2022–2023 award year, and
could not provide a cause for those errors. The University asserted that it implemented a process to recalculate
students’ COAs based on their actual enrollment at census beginning with the Fall 2023 term; however, the errors
discussed above occurred before that process was in place. As a result, the University overawarded two students.
• One of those students was assigned an overstated COA for the Fall 2022 term based on three-quarter-time
enrollment although the student’s actual enrollment was half-time. The student was awarded $5,294 in
Subsidized Direct Loans, which exceeded the student’s financial need, resulting in $1,113 in questioned costs
associated with ALN 84.268, Federal Direct Student Loans, award number P268K232282.
• The other student was assigned an overstated COA for the Spring 2023 term based on full-time enrollment
although the student did not attend during the term. The student was awarded $10,142 in Unsubsidized Direct
Loans, which exceeded the student’s actual COA, resulting in $296 in questioned costs associated with ALN
84.268, Federal Direct Student Loans, award number P268K232282.
The University did not have adequate controls in place to review budgets used in the calculation of COA and
accurately assign those budgets to students. Incorrectly calculating COA increases the risk of overawarding or
underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets in
accordance with its process and does not overaward financial assistance to students.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; and 84.063 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224051; and Federal Pell Grant Program, P063P222282 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Fiscal Operations Report and Application to Participate (FISAP): An institution participating in campus-based programs is required to annually submit the FISAP to the Secretary of the U.S. Department of Education to receive funds for the campus-based programs. The institution uses the Fiscal Operations Report portion to report its expenditures in the previous award year and the Application to Participate portion to apply for the following year (Title 34, Code of Federal Regulations (CFR), Section 674.19(d); and U.S. Department of Education, Fiscal Operations Report for 2022–23 and Application to Participate for 2024– 25 (FISAP) Instructions). The institution must ensure that the information is accurately reported on the form and at the time specified by the Secretary of the U.S. Department of Education (Title 34, CFR, Section 674.19(d)(2)). Lamar University (University) did not maintain adequate support for its FISAP. Specifically, the University did not have support for the total Federal Pell Grants expenditures for the 2022–2023 award year reported in Part II, Section E. Assessments and Expenditures, Line 23. In addition, the supporting documentation provided by the University for the total Federal Supplemental Educational Opportunity Grants (FSEOG) expenditures for undergraduate independent students with income from $0 to $1,999 for the 2022–2023 award year did not match the amount reported in Part IV, Section A. Distribution of Program Recipients and Expenditures by Type of Student, Line 12(d). The University asserted that those issues were due to human error. As a result, auditors were unable to determine whether the information on the FISAP for those line items was accurate and fairly presented in accordance with requirements. Recommendation: The University should maintain adequate support for information reported on its FISAP to ensure that information is accurate. Views of Responsible Officials: The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Disbursements To or On Behalf of Students Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 93.264 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224051; Federal Work-Study Program, P033A224051; Federal Pell Grant Program, P063P222282; Federal Direct Student Loans, P268K232282; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232282; and Nurse Faculty Loan Program (NFLP), 1 E01HP45821-01-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Award and Disbursement Notifications: Before an institution disburses Title IV, Higher Education Act of 1965 (HEA) program funds for any award year, the institution must notify a student of the amount of funds that the student or his or her parent can expect to receive under each Title IV, HEA program, and how and when those funds will be disbursed. If those funds include Direct Loan program funds, the notice must indicate which funds are from subsidized loans, which are from unsubsidized loans, and which are from PLUS loans (Title 34, Code of Federal Regulations (CFR), Section 668.165(a)(1)). If an institution credits a student’s ledger account with Federal Direct Student Loan (Direct Loan) funds or Teacher Education Assistance for College and Higher Education (TEACH) Grant funds, the institution must notify the student or parent of (1) the anticipated date and amount of the disbursement, (2) the student’s or parent’s right to cancel all or a portion of that loan or grant and have the loan or grant proceeds returned to the U.S. Department of Education, and (3) the procedures and time by which the student or parent must notify the institution that he or she wishes to cancel the loan or grant, or loan or grant disbursement (Title 34, CFR, Section 668.165(a)(2)). The institution must provide the notice in writing no earlier than 30 days before, and no later than 30 days after, crediting the student’s ledger account at the institution (Title 34, CFR, Section 668.165(a)(3)). For 21 (34 percent) of 62 disbursements tested, Lamar University (University) did not send an award or
disbursement notification as required. Specifically:
• For 20 students that received Direct Loan disbursements, the University did not send a disbursement
notification. The University asserted those errors occurred because the University was utilizing a manual
process to send out the disbursement notifications, and on those days when the employee charged with
performing the manual process was not present, the notifications were not sent to students.
• For one student who received Title IV funds, the University did not send an award notification. This error
occurred because the University manually packaged the student’s awards after clearing a verification
requirement, and the University did not have an adequate process in place to ensure that students who are
manually awarded receive an award notification.
Not receiving award and disbursement notifications impairs students’ and parents’ ability to budget for the cost of
attending or exercise the option to cancel their loans or grants.
Promissory Notes:
Institutions must establish a process to make loans consistent with institutional policies and federal laws and
regulations, including the completion of the following during disbursement: (1) signed promissory note, and (2)
disclosure of terms and conditions (Nurse Faculty Loan Program (NFLP) Administrative Guidelines, 42 United
States Code (U.S.C.) 297n-1 (Public Health Service Act Section 846A)).
The University did not have a process in place to require a promissory note for NFLP loans prior to
disbursement. NFLP loans were incorrectly identified in the student information system as a grant instead of a
loan. As a result, the student information system did not place a required hold on disbursements until the
promissory note requirement was completed.
Not requiring a signed promissory note prior to disbursement of loan funds could limit the University’s ability to
enforce repayment of the loan.
Recommendations:
The University should:
• Strengthen its controls to ensure that it identifies all students that require an award or disbursement
notification, and sends those notifications to the students.
• Configure controls in the student information system to require promissory notes for applicable loans.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224051; Federal Pell Grant Program, P063P222282; Federal Direct Student Loans, P268K232282; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232282 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $19,357 Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs, and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). The total number of calendar days in a payment period or period of enrollment includes all days within the payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)). In determining the percentage of the payment period or period of enrollment completed for a student who
withdraws from a program offered in modules, an institution must (1) include all days within the period that the
student was scheduled to complete prior to ceasing attendance and (2) exclude any scheduled breaks of at least
five consecutive days when the student was not scheduled to attend a module or other course offered during that
period of time. Scheduled breaks include both those that take place within and between modules (U.S.
Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 5, Chapter 2).
An institution must offer to disburse directly to a student, or parent in the case of a parent PLUS loan, any amount
of a post-withdrawal disbursement of loan funds that is not credited to the student's account. The institution must
make a direct disbursement of any loan funds that make up the post-withdrawal disbursement only after obtaining
the student's, or parent's in the case of a parent PLUS loan, confirmation that the student or parent still wishes to
have the loan funds disbursed (Title 34, CFR, Section 668.22(a)(6)(ii)(B)).
Lamar University (University) made errors in Title IV return calculations for 25 (41 percent) of 61 students
tested. Specifically, the University did not exclude any break days from the Spring 2023 term or days between
modules as required. Those errors resulted in the University returning a total of $3,481 associated with ALN
84.268, Federal Direct Student Loans, award number P268K232282, and $1,802 associated with ALN 84.063,
Federal Pell Grant Program, award number P063P222282, less Title IV funds than required.
• For 2 of those 25 students, the University also used an inaccurate withdrawal date in the return calculation.
• For 1 of those 25 students, the University also did not identify that the student was eligible to receive a post withdrawal disbursement of loan funds and therefore did not offer to disburse those loan funds to the student
as required.
In addition, for 8 (13 percent) of 61 students tested who did not have a return of Title IV funds made, the
University did not perform a return calculation as required. The University asserted it did not consistently
follow its procedures in identifying students who required a Title IV return calculation due to staff turnover and
newer staff needing additional training. As a result, the University did not return a total of $13,707 associated with
ALN 84.268, Federal Direct Student Loans, award number P268K232282, and $367 associated with ALN 84.063,
Federal Pell Grant Program, award number P063P222282 as required.
The errors discussed above occurred because the University did not configure its information system to
accurately calculate returns and because of manual errors that the University made in performing the return
calculations. In addition, the University did not have an adequate monitoring process to identify those errors. Not
having a process that consistently calculates and returns the correct amount of Title IV funds increases the risk
that the University could return less Title IV funds than it is required to return.
Timeliness of Returns:
An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later
than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section
668.22(j)).
For 5 (8 percent) of 59 students tested who withdrew and required a return of Title IV funds, the University
did not return the funds within the required time frame. The University returned the funds for those students
47 to 143 days after it determined that the students withdrew. For 2 of those students, the University determined
the withdrawal dates and performed the return calculations; however, it did not return the Title IV funds within the
required 45-day time frame due to an oversight in processing the return of those funds. For three of those
students, the University asserted that it determined that the return calculations required corrections, which
resulted in the returns not being performed timely. Not making returns within required time frames reduces the
funds available to the U.S. Department of Education for its program management. Recommendations:
The University should:
• Strengthen its controls to ensure that it accurately calculates returns of Title IV funds when required, including
review of the variables it uses in those calculations.
• Accurately determine the number of days in the payment period and exclude any scheduled breaks as
required.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in return of Title IV calculations
and returns Title IV funds in a timely manner.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). Sam Houston State University (University) did not appropriately restrict access to its student information system. Specifically, the University did not always limit access to the student information system to only users who needed that access based on their job responsibilities. While the University had a process in place to review user access, that process was not adequately designed to ensure that the University granted the appropriate levels of access to all users based on the users’ job duties. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. In addition, the University did not have sufficient controls over its change management process for information systems. Specifically, 1 (14 percent) of 7 changes tested lacked documentation showing that the change was properly tested or validated before it was migrated to production. Not having sufficient controls over the change management process increases the risk of unauthorized programming changes being made to critical information systems that the University uses to administer student financial assistance. Recommendations: The University should: • Ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. • Strengthen its controls over its change management process to ensure adequate validation of changes prior to implementation. Views of Responsible Officials: The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224110; Federal Pell Grant Program, P063P222301; Federal Direct Student Loans, P268K232301; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232301 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No
When a student who received Title IV grant or loan assistance withdraws from an institution during a payment
period or period of enrollment in which the student began attendance, the institution must determine the amount
of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of
Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned
by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date
of the institution’s determination that the student withdrew, the difference must be returned to the Title IV
programs and no additional disbursements may be made to the student for the payment period or period of
enrollment (Title 34, CFR, Section 668.22(a)(4)).
The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV
grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title
IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the
payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their
Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period
or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by
subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was
disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student
withdrew (Title 34, CFR, Section 668.22(e)).
For distance education, documenting that a student has logged into an online class is not sufficient to
demonstrate academic attendance by the student. An institution must demonstrate that a student participated in
class or was otherwise engaged in an academically related activity. Only active participation by a student in an
instructional activity related to the student's course of study that meets the definition of “academic engagement” in
Title 34, CFR, Section 600.2 and takes place during a payment period or period of enrollment qualifies as
attendance in an academically related activity (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 5, Chapter 2).
For 1 (4 percent) of 24 students tested, Sam Houston State University (University) did not have evidence
of academic engagement in the distance education course from which the student’s withdrawal date was
determined. The University relies on the last dates of academic activity provided by instructors to determine the
withdrawal date for Return of Title IV purposes for students who unofficially withdraw. The student’s record did not
reflect evidence of academic activity for the distance education course, and the University asserted that the last
day of attendance provided by the instructor was inaccurate. The University did not have a process in place to
require instructors to provide or maintain evidence of academic engagement in distance education courses. As a
result, the University did not perform a return calculation because it incorrectly determined that the student
completed over 60 percent of the period. After auditors brought the issue to the University’s attention, the
University performed a return calculation and returned Title IV funds as required; therefore, there were no
questioned costs.
Having a process that does not consistently calculate and return the correct amount of Title IV funds increases
the risk that the University could return less Title IV funds than it is required to return.
Recommendation:
The University should ensure that evidence of academic engagement is consistently documented for students in
distance education courses.
Views of Responsible Officials:
The University acknowledges and agrees with the findings of this audit. Management acknowledges the
responsibility to accurately verify the academic engagement and document it for students enrolled in distance
education courses.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224131; Federal Work-Study Program, P033A224131; Federal Pell Grant Program, P063P222320; Federal Direct Student Loans, P268K232320; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232320 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). Tarleton State University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s tuition rate (guaranteed or variable), program, courses, classification (undergraduate or graduate), residency (in-state or out-of-state); living status (on-campus, off-campus, or with parent), and enrollment level (full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 62 (100 percent) of 62 students tested, the University incorrectly calculated the COA. Specifically, the University used the 2021–2022 award year budgets instead of the 2022–2023 award budgets because it did not update the COA budget components in its student information system for the new award year. As a result, the COAs for those students were understated by a total of $148,781. This error would have affected the COA for all students in the Fall 2022 and Spring 2023 terms. However, because the students’ budgets were understated, this error did not result in overawards of financial assistance; therefore, there were no questioned costs. The University did not have adequate controls in place to review budgets used in the calculation of COA and accurately assign those budgets to students. Incorrectly calculating COA increases the risk of overawarding or underawarding financial assistance to students. Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets in
accordance with its process.
Views of Responsible Officials:
The University has carefully reviewed the findings outlined in the recent financial aid audit report, and we
acknowledge and agree with the identified areas for improvement. Your thorough examination has provided
valuable insights into our financial aid processes, and we appreciate the effort invested in ensuring transparency
and accountability.
In response to the findings, we are committed to taking immediate and comprehensive corrective actions to
address the identified issues and enhance the overall effectiveness of our financial aid management. Our team is
already in the process of developing a detailed Corrective Action Plan that will outline the specific steps we will
take to rectify the noted deficiencies. We understand the importance of financial aid in supporting our students'
academic endeavors, and we are dedicated to ensuring that our processes align with the highest standards of
integrity and compliance.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224131; Federal Pell Grant Program, P063P222320; Federal Direct Student Loans, P268K232320; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232320 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $12,259 Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs, and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV
grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title
IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the
payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their
Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period
or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by
subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was
disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student
withdrew (Title 34, CFR, Section 668.22(e)).
The total number of calendar days in a payment period or period of enrollment includes all days within the
payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks
of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the
number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)).
In determining the percentage of the payment period or period of enrollment completed for a student who
withdraws from a program offered in modules, an institution must (1) include all days within the period that the
student was scheduled to complete prior to ceasing attendance and (2) exclude any scheduled breaks of at least
five consecutive days when the student was not scheduled to attend a module or other course offered during that
period of time. Scheduled breaks include both those that take place within and between modules (U.S.
Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 5, Chapter 2).
For a program offered in modules, a student is not considered to have withdrawn if the student successfully
completes any of the following: (1) a module that includes 49 percent or more of the number of days in the
payment period, excluding scheduled breaks of five or more consecutive days and all days between modules; (2)
a combination of modules that together contain 49 percent or more of the number of days in the payment period,
excluding scheduled breaks of five or more consecutive days and all days between modules (Title 34, CFR,
Section 668.22(a)(2)(ii)(A)(2)); or (3) coursework equal to or greater than the coursework required for the
institution’s definition of a half-time student under 34 CFR 668.2(b) for the payment period (U.S. Department of
Education, 2022-2023 Federal Student Aid Handbook, Volume 5, Chapter 1).
An institution must disburse directly to a student any amount of a post-withdrawal disbursement of grant funds
that is not credited to the student's account. The institution must make the disbursement as soon as possible, but
no later than 45 days after the date of the institution's determination that the student withdrew. The institution
must offer to disburse directly to a student, or parent in the case of a parent PLUS loan, any amount of a post withdrawal disbursement of loan funds that is not credited to the student's account. The institution must make a
direct disbursement of any loan funds that make up the post-withdrawal disbursement only after obtaining the
student's, or parent's in the case of a parent PLUS loan, confirmation that the student or parent still wishes to
have the loan funds disbursed (Title 34, CFR, Section 668.22(a)(6)(ii)(B)).
For 58 (97 percent) of 60 students tested, Tarleton State University (University) incorrectly calculated the
amount of Title IV funds to be returned or returned the incorrect amount of funds. Specifically:
• For 56 students, the University did not exclude any break days from the Fall 2022 term as required, and it
incorrectly excluded 5 break days rather than 8 break days from the Spring 2023 term. Those errors occurred
because the University did not load the correct break days into its student information system when setting up
the payment period; therefore, this issue would have affected all students who withdrew from the Fall 2022
and Spring 2023 terms. Additionally:
o For 2 of those 56 students, the University did not identify that the students were eligible to receive
a post-withdrawal disbursement and therefore did not disburse those grant funds or offer to
disburse those loan funds to the students as required.
o For 4 of those 56 students, the University incorrectly determined the number of days in the
payment period or used an incorrect withdrawal date for students enrolled in modules. • For 2 students enrolled in the Summer 2023 term, the University did not follow the return of Title IV
requirements related to modular terms. For one student, the University incorrectly used the number of days in
the full payment period rather than only the days within the period that the student was scheduled to complete
prior to ceasing attendance. For the other student, the University failed to identify that the student successfully
completed coursework equal to or greater than the coursework required for a half-time student and therefore
should not have been considered withdrawn. The University asserted that this error occurred because staff
misinterpreted the half-time withdrawal exemption requirements.
As a result of the errors discussed above, the University returned a total of $1,992 associated with ALN 84.268,
Federal Direct Student Loans, award number P268K232320, and $374 associated with ALN 84.063, Federal Pell
Grant Program, award number P063P222320 less Title IV funds than required for the students tested in the
sample.
In addition, for 10 (17 percent) of 60 students tested who did not have a return of Title IV funds made, the
University did not perform a return calculation as required.
• For 6 students, the University did not exclude break days from its determination of whether the students
completed 60 percent or more of the payment period as required. As a result, the University incorrectly
determined that the students earned their aid and did not return a total of $7,679 associated with ALN 84.268,
Federal Direct Student Loans, award number P268K232320, and $1,053 associated with ALN 84.063,
Federal Pell Grant Program, award number P063P222320 as required.
• For 4 students, the University incorrectly used the number of days in the full payment period in its
determination of whether the students successfully completed 49 percent or more of the number of days in
the payment period. As a result, the University incorrectly determined that the students earned their aid and
did not return a total of $1,161 in questioned costs associated with ALN 84.268, Federal Direct Student
Loans, award number P268K232320 as required.
The errors discussed above occurred because the University did not configure its information system to
accurately calculate returns and because of manual errors that the University made in performing return
calculations. In addition, the University did not have an adequate monitoring process to identify those errors. Not
having a process that consistently calculates and returns the correct amount of Title IV funds increases the risk
that the University could return less Title IV funds than it is required to return.
Recommendations:
The University should:
• Strengthen its controls to ensure that it accurately calculates returns of Title IV funds when required, including
review of the variables it uses in those calculations.
• Accurately determine the number of days in the payment period and configure its student information system
to exclude any scheduled breaks, as required.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in return of Title IV calculations
and returns Title IV funds.
Views of Responsible Officials:
The University has carefully reviewed the findings outlined in the recent financial aid audit report, and we
acknowledge and agree with the identified areas for improvement. Your thorough examination has provided
valuable insights into our financial aid processes, and we appreciate the effort invested in ensuring transparency
and accountability. In response to the findings, we are committed to taking immediate and comprehensive corrective actions to
address the identified issues and enhance the overall effectiveness of our financial aid management. Our team is
already in the process of developing a detailed Corrective Action Plan that will outline the specific steps we will
take to rectify the noted deficiencies. We understand the importance of financial aid in supporting our students'
academic endeavors, and we are dedicated to ensuring that our processes align with the highest standards of
integrity and compliance.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 84.408 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A234136; Federal Work-Study Program, P033A224136; Federal Pell Grant Program, P063P225286; Federal Direct Student Loans, P268K235286; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T235286; and Postsecondary Education Scholarships For Veteran's Dependents (Iraq and Afghanistan Service Grant (IASG)), P408A225286 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: Unknown Repeat Finding: No Satisfactory Academic Progress: A student is eligible to receive Title IV, Higher Education Act of 1965 (HEA) program assistance if the student maintains satisfactory academic progress in his or her course of study according to the institution’s published standards of satisfactory academic progress (SAP) that satisfy the provisions of Title 34, Code of Federal Regulations (CFR), Section 668.34 (Title 34, CFR, Section 668.32(f)). An institution’s SAP policy must include a qualitative component that consists of grades or comparable factors that are measurable against a norm and a quantitative component that consists of the pace at which students must progress through their program to ensure that they will graduate within the maximum time frame required to complete their education (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 1, Chapter 1). For an undergraduate program measured in credit hours, a period that is no longer than 150-percent of the published length of the educational program, as measured in credit hours, should be used to determine the maximum time frame for the quantitative component of SAP (Title 34, CFR, Section 668.34(b)(1)). For 1 (2 percent) of 45 students tested, Texas A&M University (University) did not calculate SAP in accordance with its policy. Specifically, the University did not update the program hours for the Bachelor of Science in Nursing program in its student information system when it changed the program length from 123 hours to 120 hours during the 2017–2018 award year. Therefore, this issue would have affected all students enrolled in the program. As a result, the maximum time frame calculation incorrectly allowed students to exceed the maximum hours without failing SAP. Incorrectly calculating the maximum time frame increases the risk that students could receive financial assistance for which they are not eligible. Recommendation: The University should ensure that the maximum time frame is configured in its student information system with the accurate number of credit hours for each degree program. Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: 2020-113, 2017-119, 2016-109 General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). Texas Southern University (University) did not appropriately restrict user access to its student information system. Specifically, the University did not always ensure that (1) access to modify information and process transactions in the student information system and (2) administrative access at the network level was limited to only current employees and users who needed that access based on their job responsibilities. The University had a process to review user access to its systems; however, it did not always implement changes based on the results of that review. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made to those systems. Recommendation: The University should ensure that user access to its student information system and administrative access to its network is appropriately limited to employees based on current job responsibilities. Views of Responsible Officials: The Office of Technology acknowledges and agrees with the finding.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 93.925 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224145; Federal Work-Study Program, P033A224145; Federal Pell Grant Program, P063P222327; Federal Direct Student Loans, P268K232327; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232327; and Scholarships for Health Professions Students from Disadvantaged Backgrounds – Scholarships for Disadvantaged Students (SDS), 5 T08HP39322-03-00, 5 T08HP39282-03-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: 2020-113, 2017-119, 2016-109 Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). Texas Southern University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate); residency (in-state or out-of-state); living status (on_x0002_campus, off-campus, or with parent); and enrollment level (full-time, three-quarter-time, half-time, or less-than_x0002_half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 7 (11 percent) of 65 students tested, the University incorrectly calculated the COA. Specifically, the University assigned an incorrect amount for books and supplies for these students. Those errors occurred because the University decreased the default amount for the books and supplies budget component but did not update the algorithmic budget table in its student information system to reflect that change. As a result, the COA was overstated by $40 for each of those students. The errors discussed above did not result in overawards of financial assistance; therefore, there were no questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or underawarding financial assistance to students. Federal Pell Grant:
When awarding Federal Pell Grant assistance to students, institutions use the payment and disbursement
schedules provided each year by the U.S. Department of Education for determining award amounts (Title 34,
CFR, Section 690.62(a)). Those schedules provide the maximum annual amount a student would receive for a full
academic year for a given enrollment status, EFC, and COA. There are separate schedules for three-quarter time, half-time, and less-than-half-time students (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 3, Chapter 3; and Title 34, CFR, Section 690.63(b)).
For 2 (3 percent) of 65 students tested who received Federal Pell Grants, the University did not award the
correct amount of Federal Pell Grant assistance. Specifically, the University awarded those students less than
they were eligible to receive. The University did not identify additional credit hours from late registration in the
students’ Federal Pell Grant award determinations. As a result, the students were underawarded a total of $1,544
in Federal Pell Grant assistance.
Federal Direct Student Loans:
A borrower who has reached the aggregate borrowing limit for Direct Subsidized Loans and Direct Unsubsidized
Loans may not receive additional loans. Once the loans are repaid, in full or in part, the borrower may apply for
additional loans. The aggregate unpaid principal amount of all Direct Subsidized Loans made to a student may
not exceed $23,000 for any student who has not successfully completed a program of study at the undergraduate
level (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 5; and Title
34, CFR, Section 685.203(d)(1)).
The University did not always disburse Federal Direct Student Loans in accordance with applicable limits.
Specifically, the University exceeded the aggregate limit for Subsidized Direct Loans. Auditors determined that a
student had been awarded $500 in excess of the aggregate limit of $23,000. The University manually cleared a
hold to enforce the loan limit, without properly reviewing or adjusting the student’s loan. After auditors brought the
overaward issue to the University’s attention, it returned the loan funds; therefore, there were no questioned
costs. However, by not properly reviewing account holds, the University increases the risk of overawarding
financial assistance to students.
Satisfactory Academic Progress:
A student is eligible to receive Title IV, Higher Education Act of 1965 (HEA) program assistance if the student
maintains satisfactory academic progress in his or her course of study according to the institution’s published
standards of satisfactory academic progress (SAP) that satisfy the provisions of Title 34, CFR, Section 668.34
(Title 34, CFR, Section 668.32(f)). An institution’s SAP policy must include a qualitative component that consists
of grades or comparable factors that are measurable against a norm and a quantitative component that consists
of the pace at which students must progress through their program to ensure that they will graduate within the
maximum time frame required to complete their education.
For a graduate program, a period defined by the institution that is based on the length of the educational program
should be used to determine the maximum time frame for the quantitative component of SAP (U.S. Department of
Education, 2022-2023 Federal Student Aid Handbook, Volume 1, Chapter 1; and Title 34, CFR, Section
668.34(b)).
Additionally, an institution’s SAP policy should provide that, if at the time of evaluation, the student has not
achieved the required grade point average, is not successfully completing his or her program of study at the
required pace, or has not completed the program within the maximum time frame, the student is no longer eligible
for Title IV aid. The policy should provide specific procedures for disbursements to students on financial aid
warning or probation status and permit the student to appeal a determination; it should also provide specific
procedures for re-establishing eligibility to receive Title IV aid and the basis on which a student may file an appeal
(Title 34, CFR, Section 668.34(a)). For 1 (2 percent) of 65 students tested, the University did not calculate SAP in accordance with its policy.
The student re-enrolled in the Fall 2022 term after a gap in attendance, and the University did not perform a
manual SAP calculation, which would have shown that the student did not meet the minimum required pace as
defined in the University’s SAP policy. The student would have been required to submit an appeal, and have that
appeal approved, to receive financial assistance. The student was initially overawarded $6,184. Part of the funds
were returned as a result of a Return of Title IV Funds calculation after the student withdrew, and the remaining
funds were returned after auditors brought the issue to the University’s attention. Therefore, there were no
questioned costs.
Not calculating SAP compliance increases the risk that students could receive financial assistance for which they
are not eligible.
Institutional Student Information Records (ISIR):
The U.S. Department of Education automatically distributes (or “pushes”) to institutions certain ISIR transactions
processed by the Central Processing System (CPS); it then requires the institutions to take some sort of action.
An example of a pushed ISIR would be a student-corrected ISIR that causes a change to the EFC. Institutions are
required to review all pushed ISIRs and assess any potential effect on students’ eligibility for assistance
(Technical Reference for Electronic Date Exchange (EDE) 2022-2023).
The University did not have a process to address errors to ensure that all ISIR data was loaded accurately
and completely into its student information system. Specifically, the University did not reconcile records
received from CPS-pushed ISIRs to the University’s student information system records during the Fall 2022 term
and part of the Spring 2023 term. As a result, some eligible students did not receive their financial assistance until
making an inquiry of the University.
Recommendations:
The University should:
• Ensure that it accurately configures COA budget components within its student information system.
• Award students Federal Pell Grant assistance based on actual enrollment.
• Disburse Subsidized Direct Loans within the student’s applicable aggregate limit.
• Ensure that all students are evaluated for Satisfactory Academic Progress prior to disbursing financial
assistance.
• Properly reconcile all records received from CPS-pushed ISIRs.
Views of Responsible Officials:
Cost of Attendance (COA):
The Office of Student Financial Success agrees with the auditor’s findings indicating that 7 of 65 students tested
had an incorrect COA specifically related to the students’ books and supplies portion of the budget.
Views of Responsible Officials:
Federal Pell Grant:
The Office of Student Financial Success agrees with the findings that 2 of 65 students tested were not awarded
the correct amount of Federal Pell grant funds.
Views of Responsible Officials:
Federal Direct Student Loans:
The Office of Student Financial Success agrees with the finding that 1 student did not receive federal student
loans in accordance with applicable limits.
Views of Responsible Officials:
Satisfactory Academic Progress:
The Office of Student Financial Success agrees with the finding that 1 of 65 students did not receive an SAP
calculation in accordance with TSU policy.
Views of Responsible Officials:
Institutional Student Information Records (ISIR):
The Office of Student Financial Success agrees with the finding related to Institutional Student Information
Records.
Special Tests and Provisions – Disbursements To or On Behalf of Students Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224145; Federal Work-Study Program, P033A224145; Federal Pell Grant Program, P063P222327; Federal Direct Student Loans, P268K232327; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232327 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Award and Disbursement Notifications: Before an institution disburses Title IV, Higher Education Act of 1965 (HEA) program funds for any award year, the institution must notify a student of the amount of funds that the student or his or her parent can expect to receive under each Title IV, HEA program, and how and when those funds will be disbursed. If those funds include Direct Loan program funds, the notice must indicate which funds are from subsidized loans, which are from unsubsidized loans, and which are from PLUS loans (Title 34, Code of Federal Regulations (CFR), Section 668.165(a)(1)). If an institution credits a student’s ledger account with Federal Direct Student Loan (Direct Loan) funds or Teacher Education Assistance for College and Higher Education (TEACH) Grant funds, the institution must notify the student or parent of (1) the anticipated date and amount of the disbursement, (2) the student’s or parent’s right to cancel all or a portion of that loan or grant and have the loan or grant proceeds returned to the U.S. Department of Education, and (3) the procedures and time by which the student or parent must notify the institution that he or she wishes to cancel the loan or grant, or loan or grant disbursement (Title 34, CFR, Section 668.165(a)(2)). The institution must provide the notice in writing no earlier than 30 days before, and no later than 30 days after, crediting the student’s ledger account at the institution (Title 34, CFR, Section 668.165(a)(3)). For 61 (100 percent) of 61 disbursements tested, Texas Southern University (University) did not send an award or disbursement notification as required. The University asserted it did not send award notifications to students because it relied on the Common Origination and Disbursement (COD) Disclosure Statements sent by the Department of Education. However, the COD Disclosure Statements did not include all required elements of the award notification. In addition, the University did not consistently send disbursement notifications for the Fall 2022 term, and did not send any disbursement notifications for the Spring 2023 term. The issues with disbursement notifications were attributed to both manual error and disabling of the University’s automated processes. Further, the disbursement notifications that were sent for the Fall 2022 term did not include all required elements. Not receiving award and disbursement notifications impairs students’ and parents’ ability to budget for the cost of attending or exercise the option to cancel their loans or grants. Allowable Charges and Credit Balance Authorizations:
An institution may credit a student's ledger account with Title IV, HEA program funds to pay for allowable charges
associated with the current payment period. Allowable charges are: (1) the amount of tuition, fees, and
institutionally provided room and board assessed the student for the payment period or the prorated amount of
those charges if the institution debits the student's ledger account for more than the charges associated with the
payment period; and (2) the amount incurred by the student for the payment period for purchasing books,
supplies, and other educationally related goods and services provided by the institution for which the institution
obtains the student's or parent's authorization under Section 668.165(b) (Title 34, CFR, Section 668.164(c)(1)).
A Title IV, HEA credit balance occurs whenever the amount of Title IV, HEA program funds credited to a student's
ledger account for a payment period exceeds the amount assessed the student for allowable charges associated
with that payment period. A Title IV, HEA credit balance must be paid directly to the student or parent as soon as
possible, but no later than (1) fourteen days after the balance occurred if the credit balance occurred after the first
day of class within a payment period; or (2) fourteen days after the first day of class of a payment period if the
credit balance occurred on or before the first day of class within that payment period (Title 34, CFR, Section
668.164(h)).
If an institution obtains written authorization from a student or parent, as applicable, the institution may: (1) use
the student’s or parent’s Title IV, HEA program funds to pay for charges that are included in that authorization,
and (2) hold on behalf of the student or parent any Title IV, HEA program funds that would otherwise be paid
directly to the student or parent as a credit balance, unless the Secretary provides funds to the institution under
the reimbursement payment method or the heightened cash monitoring payment method (Title 34, CFR, Section
668.165(b)(1)).
An institution may not use Title IV funds to pay finance charges or fees that are incurred because a student uses
a financing method provided by the school to pay for educational expenses over time. Because students or
families choose to incur these additional expenses rather than paying the balance due at registration, the
additional charges are not considered educational expenses, and may not be included in a student’s cost of
attendance. (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 2).
For 8 (13 percent) of 61 students tested, the University used Title IV funds to pay unallowable charges.
Specifically, the University credited the students’ ledger accounts during the payment period for installment
handling charges and late installment charges. Although the University obtained authorization from the students
to apply Title IV funds to charges other than tuition, fees, or institutionally provided room and board, that
authorization did not extend to those unallowable charges.
For 6 (11 percent) of 57 students tested, the University did not return credit balances to students or
parents within 14 days of the disbursement date or first day of class. Specifically, the University returned
credit balances to those students between 21 and 78 days. The University asserted those errors were caused by
changes to the term allocations, and inadequate tracking of credit balances and associated refunds.
Not receiving all Title IV funds a student is entitled to, or not receiving those funds in a timely manner, impairs
students’ and parents’ ability to budget for the cost of attending.
Recommendations:
The University should strengthen its controls to ensure that:
• It identifies all students that require an award or disbursement notification, and sends those notifications to the
students.
• Award and disbursement notifications include all required elements.
• It does not credit student ledger accounts for unallowable charges.
• Credit balances caused by the awarding of Title IV funds are returned to students in a timely manner.
Views of Responsible Officials:
Award and Disbursement Notifications:
The Office of Student Financial Success agrees with the finding related to award and disbursement notifications.
Views of Responsible Officials:
Allowable Charges and Credit Balance Authorizations:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224145; Federal Pell Grant Program, P063P222327; Federal Direct Student Loans, P268K232327; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232327 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs, and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). For 8 (13 percent) of 61 students tested, Texas Southern University (University) incorrectly calculated the amount of Title IV funds to be returned for unofficially withdrawn students. Specifically, those 8 students were enrolled in the Fall 2022 term, and the University did not use the last date of attendance identified in the University’s automated report process. For return of Title IV funds, the University uses an automated report process to identify students who have unofficially withdrawn from a term; however, that process was inconsistently followed or not completed in determining the students’ withdrawal dates. The incorrect withdrawal dates used by the University were prior to the students’ actual withdrawal dates, which resulted in the University returning more Title IV funds than required for those students; therefore, there were no questioned costs. Those errors occurred because the University did not have an adequate process to determine the withdrawal dates of students who unofficially withdrew from the University. Timeliness of Returns:
For an institution that is not required to take attendance, the institution must determine the withdrawal date for a
student who withdraws without providing notification to the institution no later than 30 days after the earliest end
date of (1) the payment period or period of enrollment, (2) the academic year in which the student withdrew, or (3)
the educational program from which the student withdrew (Title 34, CFR, Section 668.22(j)(2)).
An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later
than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section
668.22(j)).
For 35 (57 percent) of 61 students tested who withdrew and required a return of Title IV funds, the
University did not return the funds within the required time frame. Specifically:
• For 23 students who unofficially withdrew in the Fall 2022 term, the University did not determine the
withdrawal date within the required 30-day time frame, nor did it return the Title IV funds within the required
45-day time frame. The University determined the withdrawal date and returned the Title IV funds at the end
of the Spring 2023 term.
• For 9 students who unofficially withdrew in the Spring 2023 term, the University did not determine the
students’ withdrawal date within the required 30-day time frame. The University determined the withdrawal
date for those students between 31 and 52 days after the end of the period of enrollment.
• For 3 students who withdrew in the Fall 2022 term, the University determined the withdrawal dates and
performed the return calculations; however, it did not return the Title IV funds within the required 45-day time
frame. The University asserted that for two students, this was due to an oversight in processing the return of
those funds. The University returned the funds for those two students 71 and 115 days after it determined that
the students withdrew. For the third student, the University completed a return calculation but did not return
the funds as required. After auditors brought this error to the University’s attention, the University returned the
funds to the U.S. Department of Education; therefore, there were no questioned costs.
Those errors occurred because the University did not have an effective monitoring process to identify those errors
and because of manual errors the University made in performing the return calculations. Not making returns
within the required time frame reduces the funds available to the U.S. Department of Education for its program
management.
Recommendations:
The University should:
• Strengthen its process to ensure that it accurately determines the withdrawal date for students who
unofficially withdraw from the University in a timely manner.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in return of Title IV calculations
and returns Title IV funds in a timely manner.
Views of Responsible Officials:
Return of Title IV Calculations:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Views of Responsible Officials:
Timeliness of Returns:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Gramm-Leach-Bliley Act - Student Information Security Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Gramm-Leach-Bliley Act: Institutions must protect sensitive data, including information obtained in support of the administration of federal student financial assistance programs, as required by the Gramm-Leach-Bliley Act (GLBA) (Public Law 106-102). Under their Program Participation Agreement (PPA) and the GLBA, postsecondary educational institutions must protect student financial aid information, with particular attention to information provided by the Department of Education or otherwise obtained in support of the administration of the Title IV Federal student financial aid programs (Dear Colleague Letter, July 1, 2016 (GEN-16-12)). Institutions are required to develop, implement, and maintain an information security program that includes the minimum elements in Title 16, Code of Federal Regulations (CFR), Section 314.4. In addition, the institution must designate a qualified individual responsible for overseeing, implementing, and enforcing the institution’s information security program (Title 16, CFR, Section 314.4(a)). Texas Southern University (University) did not implement an information security program as required by the GLBA. The University did not have a written information security program (and therefore did not address any of the minimum elements), and it did not designate a Qualified Individual responsible for implementing and monitoring its information security program. The University asserted that this was due to significant staffing issues in its Information Technology Department. Not implementing the required safeguards in an information security program and designating a Qualified Individual to implement and enforce those safeguards increases the University’s risk of data breach or loss. Recommendations: The University should: • Develop and implement an information security program that contains all elements required by the GLBA and the Code of Federal Regulations. • Designate a Qualified Individual responsible to implement and monitor its information security program. Views of Responsible Officials: Gramm-Leach-Bliley Act: The University acknowledges and agrees with the findings.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; 84.408; and 93.925 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224122; Federal Work-Study Program, P033A224122; Federal Pell Grant Program, P063P220387; Federal Direct Student Loans, P268K230387; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T230387; Postsecondary Education Scholarships For Veteran's Dependents (Iraq and Afghanistan Service Grant (IASG)), P408A220387; and Scholarships for Health Professions Students from Disadvantaged Backgrounds - Scholarships for Disadvantaged Students (SDS), 5 T08HP39298-03-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, CFR, Sections 668.2, 673.5, and 685.301). Texas State University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate); residency (in-state or out-of-state); housing status (on_x0002_campus, off-campus, or living with parent); and enrollment status (full-time, three-quarter-time, half-time, or less_x0002_than-half-time). Budgeting rules within the University’s student financial assistance system are established to assign various budget components based on the factors noted above. For 1 (2 percent) of 44 students tested, the University incorrectly calculated the COA. Specifically, the University assigned a less-than-half-time COA when the student was enrolled full-time. As a result, the student’s COA was understated by $9,545. After auditors brought the issue to the University’s attention, it identified a total of 84 total students who were affected, including 56 students who received Title IV financial assistance. Those errors occurred because the University did not recalculate the COA for students in the Pathway program after enrollment was finalized for the Spring 2023 term. The errors discussed above did not result in overawards of financial assistance; therefore, there were no
questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or
underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets for the
Pathway program in accordance with its process.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). Texas Tech University (University) did not appropriately restrict user access to its student information system. Specifically, the University did not always limit access to the student information system to only users who needed that access based on their job responsibilities. While the University had a process in place to review user access, that process was not adequately designed to ensure that the University granted the appropriate level of access to all users based on the users’ job duties. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. Recommendation: The University should ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. Views of Responsible Officials: Texas Tech University acknowledges and agrees with the findings. Texas Tech University has worked to develop and implement corrective action to further improve processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; 84.379; and 84.408 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224151; Federal Pell Grant Program, P063P222328; Federal Direct Student Loans, P268K232328; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232328; and Postsecondary Education Scholarships For Veteran's Dependents (Iraq and Afghanistan Service Grant (IASG)), P408A222328 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: Unknown Repeat Finding: No When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV
grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title
IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the
payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their
Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period
or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by
subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was
disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student
withdrew (Title 34, CFR, Section 668.22(e)).
For distance education, documenting that a student has logged into an online class is not sufficient to
demonstrate academic attendance by the student. An institution must demonstrate that a student participated in
class or was otherwise engaged in an academically related activity. Only active participation by a student in an
instructional activity related to the student’s course of study that meets the definition of “academic engagement” in
Title 34, CFR, Section 600.2 and takes place during a payment period or period of enrollment qualifies as
attendance in an academically related activity (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 5, Chapter 2).
For 1 (5 percent) of 20 students tested, Texas Tech University (University) did not have evidence of
academic engagement in the distance education course from which the student’s withdrawal date was
determined. The University asserted that when an instructor submits a failing grade for a student, the instructor is
required to provide the date of last academic activity. That date is recorded in the University’s student information
system and used by the University to determine the unofficial withdrawal date for Return of Title IV purposes.
However, the University did not have a process in place to require instructors to provide or maintain evidence of
academic engagement in distance education courses. As a result, the University could not demonstrate that the
student participated or otherwise engaged in an academically related activity in that course to support the last
date of attendance used by the University for Return of Title IV purposes.
Having a process that does not consistently calculate and return the correct amount of Title IV funds increases
the risk that the University could return less Title IV funds than it is required to return.
Recommendations:
The University should:
• Ensure that evidence of academic engagement is consistently documented for students in distance education
courses.
• Strengthen its controls to ensure that it accurately calculates returns of Title IV funds when required, including
review of the variables it uses in those calculations.
Views of Responsible Officials:
Texas Tech University acknowledges and agrees with the findings. Texas Tech University has worked to develop
and implement corrective action to further improve processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: 2020-142 General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). The University of Texas at Arlington (University) did not appropriately restrict user access to its student information system. Specifically, a user was granted administrative access in the student information system, which included the ability to modify information and process transactions, such as authorizing and disbursing aid. The University did not remove the administrative access after the user’s specific job responsibilities no longer required that level of access. The University had a process to periodically review user access; however, that review was not sufficient to identify the inappropriate access. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. Recommendation: The University should ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. Views of Responsible Officials: To the point that The University of Texas at Arlington (University) did not appropriately restrict user access to its student information system. OIT and Financial Aid acknowledge that a user was given elevated access that was not removed when the assigned maintenance task was completed.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224172; Federal Pell Grant Program, P063P222335; and Federal Direct Student Loans, P268K232335 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational
expenses; it is computed by the federal central processor and included on the student’s Institutional Student
Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds
the student’s need. Therefore, awards must be coordinated among the various programs and with other federal
and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need
(U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34,
Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301).
The University of Texas at Arlington (University) uses algorithmic budgeting to build COA budgets for each term
based on a student’s classification (undergraduate or graduate), dependency (dependent or independent),
residency (in-state or out-of-state), living status (on-campus, off-campus, or with parents), and enrollment level
(full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student
information system are established to assign various budget components based on the factors noted above.
For 3 (5 percent) of 63 students tested, the University incorrectly calculated the COA. Specifically:
• For two students, the University understated the COA by assigning a books component that did not reflect the
students’ actual enrollment status. Those errors occurred because the University budgeted the students’
books at half-time enrollment instead of full-time enrollment. The University attributed the cause to human
error associated with a manual budget rebuild in the student information system. As a result, the COA was
understated by $200 for each of those students.
• For one student, the University assigned an incorrect budget for the cost of tuition and fees component during
the Summer 2022 term. The University attributed the cause to human error. As a result, the COA was
understated by $198.
The errors discussed above did not result in overawards of financial assistance; therefore, there were no
questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or
underawarding financial assistance to students.
Federal Pell Grant:
A student is eligible to receive a Federal Pell Grant for the period of time required to complete his or her first
undergraduate baccalaureate course of study (Title 34, CFR, Section 690.6(a)).
When awarding Federal Pell Grant assistance to students, institutions use the payment and disbursement
schedules provided each year by the U.S. Department of Education for determining award amounts (Title 34,
CFR, Section 690.62(a)).
Based on a review of the full population of student financial assistance recipients, the University awarded
a total of $1,593 in Federal Pell Grant assistance to 2 post-baccalaureate students who were not eligible
for that assistance. The University asserted queries designed to identify these issues were not run timely due to
staffing issues within the Financial Aid department. After auditors brought those errors to the University’s
attention, the University returned the funds to the U.S. Department of Education; therefore, there were no
questioned costs.
For 1 (2 percent) of 63 students tested, the University did not award Federal Pell Grant assistance to an
eligible student. Specifically, the student was eligible to receive $1,790 in Federal Pell Grant assistance, but did
not receive an award from the University. The University asserted that the error occurred because the student
made a late registration change and was missed on the University’s add report. As a result, the student was
underawarded Federal Pell Grant assistance; therefore, there were no questioned costs. Federal Direct Student Loans:
Direct Subsidized and Unsubsidized Loans have annual and aggregate limits that are the same for all students at
a given grade level and dependency status. In general, a loan may not be more than the amount the borrower
requests, the borrower’s unmet financial need, the borrower’s COA, or the borrower’s maximum borrowing limit.
(U.S. Department of Education 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 5).
For 1 (2 percent) of 63 students tested, the University did not disburse Direct Loans in accordance with
applicable limits. Specifically, the University disbursed a Subsidized Direct Loan in excess of the student’s
aggregate Subsidized Direct Loan and Total Direct Loan limits. After auditors brought the overaward issue to the
University’s attention, it returned the loan funds; therefore, there were no questioned costs. The University
asserted that error occurred because the University did not receive an updated history file in a timely manner due
to issues with the National Student Loan Data System (NSLDS).
Federal Supplemental Educational Opportunity Grants (FSEOG):
The FSEOG program provides grants to eligible undergraduate students. Institutions are required to award
FSEOG first to Federal Pell Grant recipients who have the lowest EFC. If an institution has FSEOG funds
remaining after giving FSEOG awards to all Federal Pell Grant recipients, it can then award the remaining
FSEOG funds to eligible students with the lowest EFCs who did not receive Federal Pell Grants (Title 34, CFR,
Section 676.10).
Based on a review of the full population of student financial assistance recipients, the University awarded
a total of $750 in FSEOG assistance to a student who was working towards a second bachelor’s degree
and thus was not eligible for that assistance. The student was awarded FSEOG in the Spring 2023 term after
earning a first bachelor’s degree in the Fall 2022 term. The University asserted this was a manual error caused by
a counselor canceling the student’s Federal Pell Grant, but failing to cancel the student’s FSEOG award. After
auditors brought the issue to the University’s attention, it removed the grant funds from the student’s account;
therefore, there were no questioned costs.
Recommendations:
The University should:
• Strengthen its controls to ensure that it correctly calculates students’ COA budgets in accordance with its
process.
• Award Federal Pell Grant assistance only to eligible students.
• Ensure that students are awarded Federal Pell Grants for which they are eligible.
• Disburse Subsidized Direct Loans within the student’s applicable aggregate limit.
• Award FSEOG assistance only to eligible students.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). The University of Texas at Austin (University) did not appropriately restrict user access to its student information system. Specifically, an employee retained the ability to modify student financial aid awards after transitioning from the Office of Student Financial Aid to another department within the University. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. In addition, the University did not have sufficient controls over its change management process for information systems. Specifically, one of the University’s departments did not enable the control designed to prevent developers from migrating their own code changes into production. Not having sufficient segregation of duties controls over the change management process increases the risk of unauthorized programming changes being made to critical information systems that the University uses to administer student financial assistance. Recommendations: The University should: • Ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. • Strengthen its controls over its change management process to ensure adequate segregation of duties. Views of Responsible Officials:
The University acknowledges and agrees with the finding. In this case, the employee transitioned from the Office
of Scholarships and Financial Aid (OSFA) to the Student Financial Aid implementation project. It was intended for
this employee to retain his prior access for a time so he could help provide backstop support while his duties were
transitioned to other employees within OSFA. This access should have been removed once his duties were
successfully transitioned.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. However, technical limitations in the current financial
aid management system require that a particular mainframe programming library be exempted from the change
control mechanisms that are used in all other libraries that can update student financial aid information.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224173; Federal Pell Grant Program, P063P222336; and Federal Direct Student Loans, P268K232336 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs, and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). For 1 (2 percent) of 60 students tested, the University of Texas at Austin (University) incorrectly calculated the amount of Title IV funds to be returned. Specifically, the University initially determined that the student officially withdrew on March 10, 2023, and the University incorrectly determined that the student completed more than 60 percent of the term. The University subsequently incorrectly determined that the student unofficially withdrew on February 10, 2023, and processed a return of Title IV funds in the amount of $18,742. After auditors brought the error to the University’s attention, it re-performed the return calculation using the correct date of withdrawal and reinstated the appropriate amount of funds to the student. Not having a process that consistently calculates and returns the correct amount of Title IV funds increases the risk that the University could return less Title IV funds than it is required to return. Coronavirus Aid, Relief, and Economic Security (CARES) Act:
Section 3508 of the CARES Act directs the Secretary to waive the statutory requirement for institutions to return
Title IV funds (R2T4) as the result of student withdrawals related to a qualifying emergency. For any student who
begins attendance in a payment period or period of enrollment that includes March 13, 2020, or begins between
March 13 and the later of December 31 or the last date that the national emergency is in effect, and subsequently
withdraws from the period as a result of COVID-19-related circumstances, an institution is not required to return
Title IV funds. The CARES Act requires an institution to report to the Department information specific to each
student for whom it was not required to return Title IV funds under the waiver exception. An institution must
determine the total amount of grant and loan assistance that otherwise would have been returned, identified in
Step 5 of the R2T4 calculation, had the calculation been performed. Therefore, it will continue to be necessary for
institutions to perform an R2T4 calculation for each student covered by the CARES Act R2T4 waiver (Electronic
Announcement titled UPDATED Guidance for interruptions of study related to Coronavirus (COVID-19), June 16,
2020).
For 1 (50 percent) of 2 students tested who were eligible for relief under the CARES Act, the University
incorrectly processed a return of Title IV funds. The University determined that the student was eligible to
receive an R2T4 waiver under Section 3508 of the CARES Act. However, the University subsequently processed
a return of Title IV funds for the student. The University asserted that error occurred because the student was
listed on a census report showing students who did not enroll in sufficient hours to receive aid, and the student’s
Title IV funds were incorrectly returned because the student’s CARES Act R2T4 waiver was overlooked. After
auditors brought the error to the University’s attention, it reinstated the student's aid and reported to the U.S.
Department of Education that the student qualified for relief under the CARES Act waiver exemption and reported
the amount of relief given. Not accurately identifying students who qualify for a waiver could result in those
students not receiving aid to which they are entitled.
Timeliness of Returns:
An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later
than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section
668.22(j)).
For 1 (2 percent) of 58 students tested who withdrew and required a return of Title IV funds, the University
did not return the funds within the required time frame. The University performed the return calculation and
executed a transaction to return the funds within its student information system; however, the University did not
return the Title IV funds to the U.S. Department of Education within the required 45-day time frame due to an error
in processing the return of those funds. After auditors selected the student for testing, the University returned Title
IV funds as required; therefore, there were no questioned costs. Not returning funds within the required time
frame reduces the information available to the U.S. Department of Education for its program management.
The University had a process to review its calculations for returns of Title IV funds; however, it did not have
adequate controls to ensure that it identified the errors discussed above.
Recommendations:
The University should strengthen its controls to ensure that it:
• Accurately calculates returns of Title IV funds when required, including review of the variables it uses in those
calculations.
• Performs return of Title IV calculations and returns funds within the required time frame.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. For 1 (2 percent) of 58 students tested who withdrew
and required a return of Title IV funds, the University did not return the funds within the required time frame. For 1
(2 percent) of 60 students tested, the University incorrectly calculated the amount of Title IV funds to be returned.
For 1 (50 percent) of 2 students tested eligible for relief under the CARES Act, the University incorrectly
processed a return of Title IV funds. Through analysis of the exceptions identified in the audit, the University will
work to develop and implement corrective action to improve the processes further.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224174; Federal Work-Study Program, P033A224174; Federal Pell Grant Program, P063P223234; Federal Direct Student Loans, P268K233234; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233234 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, CFR, Sections 668.2, 673.5, and 685.301). The University of Texas at Dallas (University) established different COA budgets for each term based on a student’s tuition rate (guaranteed or variable); classification (undergraduate or graduate); residency (in-state and out-of-state); living status (on-campus, off-campus, or at home); and enrollment level (full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting formulas within the University’s student information system are used to assign various budget components based on the factors noted above. The University did not always accurately configure COA budget components in its student information system. Specifically, the University incorrectly set the Summer transportation budget for a certain group of students—undergraduate students with a guaranteed tuition rate who were in-state residents living at home and enrolled half-time—to $640 instead of $928. After auditors brought the issue to the University’s attention, it identified 299 students who were affected. As a result, the COA for those students was understated by a total of $86,112 for the Summer 2023 term. The errors discussed above did not result in overawards of financial assistance; therefore, there were no questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or underawarding financial assistance to students. Recommendation:
The University should ensure that it accurately configures COA budget components within its student information
system.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
While reviewing the population for submission to the auditors, the University determined that the above error had
occurred. Since the timing was still within the summer semester, we corrected the COA component error and
provided institutional grant funding for those students who had increased need due to the update in their summer
transportation budget. There were only 2 students who needed to have their loans repackaged to avoid under
awarding federal aid, which was done.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224169; Federal Pell Grant Program, P063P223294; Federal Direct Student Loans, P268K233294; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233294 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $64,905 Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). The total number of calendar days in a payment period or period of enrollment includes all days within the payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)). The University of Texas at San Antonio (University) made errors in Title IV return calculations for 14 (56 percent) of 25 students tested. Those errors occurred because the University did not exclude break days from its calculations of returns of Title IV funds for the Spring 2023 term as required; therefore, that issue would have affected all students who withdrew from the Spring 2023 term and had a return calculation performed. Although the amount of unearned Title IV assistance calculated for those students was incorrect, there were no questioned costs because the University returned more funds than required. In addition, for 3 (12 percent) of 25 students tested who did not have a return of Title IV funds made, the
University did not perform a return calculation as required. Those errors occurred because the University
incorrectly used 7 break days instead of 8 break days when determining whether students who withdrew from the
Spring 2023 term had completed 60 percent or more of the term. As a result, the University did not perform return
calculations and return funds as required for students who withdrew between March 26 and March 28, 2023,
which resulted in total questioned costs of $50,146 associated with ALN 84.268, Federal Direct Student Loans,
award number P268K233294, and $14,759 associated with ALN 84.063, Federal Pell Grant Program, award
number P063P223294.
The University did not have an adequate monitoring process to identify those errors. Not having a process that
consistently calculates and returns the correct amount of Title IV funds increases the risk that the University could
return less Title IV funds than it is required to return.
Recommendations:
The University should:
• Accurately determine the number of days in the payment period and exclude any scheduled breaks as
required.
• Strengthen its controls to ensure that it detects and corrects errors in return of Title IV calculations and returns
Title IV funds.
Views of Responsible Officials:
The University acknowledges and agrees with the finding that were the result of staff turnover. Through analysis
of the exceptions identified in the audit, the University has worked to develop and implement corrective action.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). The University of Texas Permian Basin (University) did not appropriately restrict user access to its student information system. Specifically, the University did not always limit access to the student information system to only users who needed that access based on their job responsibilities. The University had a process to periodically review user access; however, that review was not sufficient to identify the inappropriate access. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. Recommendation: The University should ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. Views of Responsible Officials: The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the audit, the University has worked to implement further access limitations and enhanced its periodic review of access.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224178; Federal Work-Study Program, P033A224178; Federal Pell Grant Program, P063P223265; Federal Direct Student Loans, P268K233265; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233265 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). The University of Texas Permian Basin (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate), program (in-person or online), residency (in_x0002_state or out-of-state), living status (on-campus, off-campus, or at home with parents), and enrollment level (full_x0002_time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 60 (98 percent) of 61 students tested, the University incorrectly calculated the COA. For some of the students discussed below, there were multiple errors in the COA calculation. Specifically: • For 38 students, the University assigned an incorrect amount for the fees, loan fees, and/or transportation budget components. Those errors occurred because the amounts were incorrectly loaded into the budget tables in the University’s student information system. The University asserted that it discovered these issues in April 2023, and attempted to manually update individual student accounts that were affected. As a result, the COA for those students was overstated, and three students were overawarded a total of $2,871. After auditors brought the overawards to the University’s attention, it returned funds to the U.S. Department of Education; therefore, there were no questioned costs. • For 15 students, the University assigned an in-person budget instead of an online advanced budget. Those
errors occurred because the University failed to consistently communicate which programs were offered
online to the financial aid office, which would have helped ensure that the student information system was
updated appropriately. As a result, the COA for those students was overstated, and one of those students
was overawarded a Subsidized Direct Loan in the amount of $919. After auditors brought the overaward to
the University’s attention, it returned funds to the U.S. Department of Education; therefore, there were no
questioned costs.
• For 12 students, the University incorrectly assigned an additional room and board fee. As a result, the COA
was overstated by $50 per term for each of those students; however, the University did not overaward
financial assistance to those students.
• For eight students, the University did not adjust the students’ COA to reflect the students’ actual enrollment.
The University did not have a process to freeze student enrollment levels in order to recalculate COA after
census. As a result, the COA for those students was overstated; however, the University did not overaward
financial assistance to those students.
The University did not have adequate controls in place to review budgets used in the calculation of COA and
accurately assign those budgets to students. Incorrectly calculating COA increases the risk of overawarding or
underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets in
accordance with its process and does not overaward financial assistance to students.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University has worked to implement additional controls as it relates to calculation of the Cost of
Attendance.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224178; Federal Pell Grant Program, P063P223265; Federal Direct Student Loans, P268K233265; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233265 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs, and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). The total number of calendar days in a payment period or period of enrollment includes all days within the
payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks
of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the
number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)).
For a program offered in modules, a student is not considered to have withdrawn if the student successfully
completes either (1) a module that includes 49 percent or more of the number of days in the payment period,
excluding scheduled breaks of five or more consecutive days and all days between modules; or (2) a combination
of modules that together contain 49 percent or more of the number of days in the payment period, excluding
scheduled breaks of five or more consecutive days and all days between modules (Title 34, CFR, Section
668.22(a)(2)(ii)(A)(2)).
For 3 (6 percent) of 48 students tested who did not have a return of Title IV funds made, the University of
Texas Permian Basin (University) did not perform a return calculation as required. Specifically:
• For two students who were enrolled in module courses, the University did not perform a return calculation
because it incorrectly determined that the students completed 49 percent or more of the number of days in
the payment period. The University asserted that staff misinterpreted the 49 percent withdrawal exemption
requirements.
• For one student, the University did not perform a return calculation and return funds as required due to staff
oversight.
After auditors brought those errors to the University’s attention, the University performed the return calculations
and returned the funds to the U.S. Department of Education; therefore, there were no questioned costs.
In addition, the University made errors in Title IV return calculations for 11 (48 percent) of 23 students
tested. Specifically, the University did not exclude any break days from the students’ return calculations as
required. Those errors occurred because the University did not load the break days into its student information
system when setting up the payment periods for the standard Fall 2022 and Spring 2023 terms; therefore, this
issue would have affected all students who withdrew from those terms. As a result, the University returned a total
of $284 less than it should have for 2 of those 11 students. After auditors brought the issue to the University’s
attention, the University returned those funds to the U.S. Department of Education; therefore, there were no
questioned costs.
• For 3 of those 11 students, the University also incorrectly adjusted the students’ Direct Loans disbursements
prior to performing the return calculation. As a result of those errors, the University returned more funds than
required; therefore, there were no questioned costs.
The University did not have an adequate monitoring process to identify the errors discussed above. Not having a
process that consistently calculates and returns the correct amount of Title IV funds increases the risk that the
University could return less Title IV funds than it is required to return.
Timeliness of Returns:
An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later
than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section
668.22(j)).
For 3 (13 percent) of 23 students tested who withdrew and required a return of Title IV funds, the
University did not return the funds within the required time frame. The University returned the Title IV funds
to the U.S. Department of Education 46 and 203 days after the University determined that the students withdrew.
The University did not have adequate controls in place to ensure that Title IV funds were returned within the
required 45-day time frame. Not making returns within required time frames reduces the funds available to the U.S. Department of Education
for its program management.
Recommendations:
The University should:
• Configure its student information system to exclude any scheduled breaks as required.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in return of Title IV calculations
and returns Title IV funds in a timely manner.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University has worked to ensure procedures and interpretation of the regulations for the Return to Title
IV have been updated to result in correct and timely return of Title IV funds.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; and 84.063 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224166; and Federal Pell Grant Program, P063P222333 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Federal Supplemental Educational Opportunity Grants (FSEOG): The FSEOG program provides grants to eligible undergraduate students. Institutions are required to award FSEOG first to Federal Pell Grant recipients who have the lowest expected family contribution (EFC). If an institution has FSEOG funds remaining after giving FSEOG awards to all Federal Pell Grant recipients, it can then award the remaining FSEOG funds to eligible students with the lowest EFCs who did not receive Federal Pell Grants (Title 34, Code of Federal Regulations (CFR), Section 676.10). If the total amount of calculated Title IV grant or loan assistance, or both, that a student earned is greater than the total amount of Title IV grant or loan assistance, or both, that was disbursed to the student, as of the date that the institution determines that the student has withdrawn, the difference between those amounts must be treated as a post-withdrawal disbursement in accordance with Title 34, CFR, Section 668.22(a)(6) and Section 668.164(i) (Title 34, CFR, Section 668.22(a)(5)). The institution must disburse directly to a student any amount of a post-withdrawal disbursement of grant funds that is not credited to the student’s account. The institution must make the disbursement as soon as possible, but no later than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(a)(6)(ii)(B)(1)). Based on a review of the full population of student financial assistance recipients, the University of Houston (University) awarded a total of $6,500 in FSEOG assistance to 5 students who did not also receive a Federal Pell Grant. Specifically: • For three students, the University did not award Federal Pell Grants to those students because the students reported on their Free Application for Federal Student Aid (FAFSA) that they had earned a bachelor’s degree or were working on a degree beyond a bachelor's degree. After auditors brought these errors to the University’s attention, the University canceled the FSEOG awards to those students; therefore there were no questioned costs. • For one student, the University did not award a Federal Pell Grant to the student for the term in which the student received FSEOG funds. Due to a manual error, the University applied the student’s Federal Pell Grant to the wrong term. After auditors brought the error to the University’s attention, the University corrected the Federal Pell Grant award to the correct term; therefore there were no questioned costs. • For one student, the University did not award a Federal Pell Grant to the student due to a hold that was
placed on the student’s account for an incomplete task. After auditors brought the error to the University’s
attention, the University reviewed the student’s account and determined the hold should be removed. The
University processed a post-withdrawal disbursement of Federal Pell Grant funds 324 days after the date of
the University’s determination that the student withdrew. There were no questioned costs as a result of this
error.
Although the University had monitoring controls in place to ensure accurate awarding of federal funds, it did not
have an adequate process to identify the errors discussed above.
Recommendations:
The University should:
• Award FSEOG funds only to eligible students.
• Complete post-withdrawal disbursements within a timely manner.
Views of Responsible Officials:
The University acknowledges and agrees with the findings. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224166; Federal Pell Grant Program, P063P222333; Federal Direct Student Loans, P268K232333; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232333 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). The institution must return the lesser of the total amount of unearned Title IV assistance calculated above or an amount equal to the total institutional charges incurred by the student for the payment period or period of enrollment multiplied by the percentage of Title IV grant or loan assistance not earned by the student. For purposes of this calculation, “institutional charges” are tuition, fees, room and board (if the student contracts with the institution for the room and board), and other educationally related expenses assessed by the institution (Title 34, CFR, Section 668.22(g)). The institutional charges used in the calculation are usually the charges that were initially assessed to the student for the entire payment period or period of enrollment, as applicable. Initial charges may be adjusted only by those changes the institution made prior to the student’s withdrawal, such as a change in enrollment status unrelated to the withdrawal (U.S. Department of Education, 2022- 2023 Federal Student Aid Handbook, Volume 5, Chapter 1, Section: Institutional Charges). The University of Houston (University) made errors in Title IV return calculations for 18 (30 percent) of 60
students tested. Specifically:
• For 15 students, the University made errors in determining the amount of institutional charges to be used in
the return calculation by including unallowable charges in its calculation for those students.
• For two students, the University returned the incorrect amount of Title IV funds due to manual entry errors.
For one of those students, the University also incorrectly included unallowable charges in the student’s return
calculation as discussed above.
• For one student, the University incorrectly canceled the student’s Federal Pell Grant award before its
calculation. The University asserted that was due to a processing error in its student information system.
There were no questioned costs as a result of those errors because for each student the University returned more
than the required amount or the error did not affect the amount of Title IV grant or loan assistance to be returned.
Distance Education:
For distance education, documenting that a student has logged into an online class is not sufficient to
demonstrate academic attendance by the student. An institution must demonstrate that a student participated in
class or was otherwise engaged in an academically related activity. Only active participation by a student in an
instructional activity related to the student’s course of study that meets the definition of “academic engagement” in
Title 34, CFR, Section 600.2 and takes place during a payment period or period of enrollment qualifies as
attendance in an academically related activity (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 5, Chapter 2).
For 1 (7 percent) of 14 students tested, the University did not have evidence of academic engagement in
the distance education course from which the student’s withdrawal date was determined. The University
relies on the last dates of academic activity provided by instructors to determine the withdrawal date for return of
Title IV purposes for students who unofficially withdraw. However, the University did not have an adequate review
process in place to ensure that it maintained documentation supporting attendance in distance education courses.
As a result, the University could not demonstrate that the student participated or otherwise engaged in an
academically related activity in that course to support the last date of attendance used by the University for return
of Title IV purposes.
The University did not have an adequate monitoring process to identify the errors discussed above. Not having a
process that consistently calculates and returns the correct amount of Title IV funds increases the risk that the
University could return the incorrect amount of Title IV funds.
Recommendations:
The University should:
• Calculate institutional charges in accordance with U.S. Department of Education requirements.
• Ensure that evidence of academic engagement is consistently documented for students in distance education
courses.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in its calculation of Title IV
funds to return. Views of Responsible Officials:
The University acknowledges and agrees with the findings. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions - Gramm-Leach-Bliley Act - Student Information Security Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Gramm-Leach-Bliley Act: Institutions must protect sensitive data, including information obtained in support of the administration of federal student financial assistance programs, as required by the Gramm-Leach-Bliley Act (GLBA) (Public Law 106-102). Under their Program Participation Agreement (PPA) and the GLBA, postsecondary educational institutions must protect student financial aid information, with particular attention to information provided by the Department of Education or otherwise obtained in support of the administration of the Title IV Federal student financial aid programs (Dear Colleague Letter, July 1, 2016 (GEN-16-12)). Institutions are required to develop, implement, and maintain an information security program that includes the minimum elements in Title 16, Code of Federal Regulations (CFR), Section 314.4. Those minimum requirements include conducting a periodic inventory of data, noting where it is collected, stored, or transmitted (Title 16, CFR, Section 314.4(c)(1)). In addition, the institution must designate a qualified individual responsible for overseeing, implementing, and enforcing the institution’s information security program (Title 16, CFR, Section 314.4(a)). The University of Houston’s (University) information security program did not address the implementation of all minimum safeguards as required by the GLBA. Specifically, while the University had designated a Qualified Individual to coordinate its information security program and had a written information security program in place, that program did not meet the requirements for conducting a periodic inventory of data. Not implementing all required safeguards in its information security program increases the University’s risk of data breach or loss. Recommendation:
The University should ensure that all elements required by the GLBA are documented and implemented in its
information security program.
Views of Responsible Officials:
The University acknowledges and agrees with the findings. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Return of Title IV Funds
Federal Agency: U.S. Department of Education
Federal Program Title: Student Financial Assistance Cluster
Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379
Pass-Through Agency: N/A
Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG),
P007A224085; Federal Pell Grant Program, P063P222293; Federal Direct
Student Loans, P268K232293; and Teacher Education Assistance for
College and Higher Education Grants (TEACH), P379T232293
Award Period: July 1, 2022, to June 30, 2023
Statistically Valid Sample: No and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency and Noncompliance
Questioned Costs: None
Repeat Finding: No
Return of Title IV Calculations:
When a student who received Title IV grant or loan assistance withdraws from an institution during a payment
period or period of enrollment in which the student began attendance, the institution must determine the amount
of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of
Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned
by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date
of the institution’s determination that the student withdrew, the difference must be returned to the Title IV
programs and no additional disbursements may be made to the student for the payment period or period of
enrollment (Title 34, CFR, Section 668.22(a)(4)).
The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV
grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title
IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the
payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their
Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period
or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by
subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was
disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student
withdrew (Title 34, CFR, Section 668.22(e)).
The total number of calendar days in a payment period or period of enrollment includes all days within the
payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks
of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the
number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)). The University of North Texas (University) made errors in Title IV return calculations for 32 (52 percent) of
61 students tested. Those errors occurred because the University did not exclude any break days from its Title
IV return calculations for the Fall 2022 term as required; therefore, that issue would have affected all students
who withdrew from the Fall 2022 term and had an automated return calculation performed. Although the amount
of unearned Title IV assistance calculated for those students was incorrect, there were no questioned costs as a
result of those errors because the University returned more funds than required.
• For 1 of those 32 students, the University also did not accurately determine the withdrawal date for the
student who was enrolled in modules. After auditors brought the issue to the University’s attention, the
University re-performed the return calculation and returned the additional Title IV funds as required; therefore,
there were no questioned costs.
• In addition, for 1 of those 32 students, the University incorrectly returned Title IV funds for a student who
completed more than 60 percent of the term and did not require a return.
Distance Education:
For distance education, documenting that a student has logged into an online class is not sufficient to
demonstrate academic attendance by the student. An institution must demonstrate that a student participated in
class or was otherwise engaged in an academically related activity. Only active participation by a student in an
instructional activity related to the student’s course of study that meets the definition of “academic engagement” in
Title 34, CFR, Section 600.2, and takes place during a payment period or period of enrollment qualifies as
attendance in an academically related activity (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 5, Chapter 2).
For 1 (14 percent) of 7 students tested, the University did not have evidence of academic engagement for
the student who attended all distance education courses. The University relies on the last dates of
attendance (LDA) provided by instructors to determine the withdrawal date for Return of Title IV purposes for
students who unofficially withdraw. If no LDAs are provided by the instructors, the University uses the midpoint of
the term as the withdrawal date. The student was enrolled in all distance education courses, and the University
used the midpoint as the withdrawal for the student. However, the University could not provide evidence that the
student participated or otherwise engaged in an academically related activity in any of the distance education
courses. After auditors brought the issue to the University’s attention, the University performed a return
calculation and returned Title IV funds as required; therefore, there were no questioned costs.
Timeliness of Returns:
An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later
than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section
668.22(j)).
For 12 (20 percent) of 61 students tested who withdrew and required a return of Title IV funds, the
University did not return the funds within the required time frame. Specifically, the University returned the
Title IV funds to the U.S. Department of Education between 47 to 183 days after the University determined that
the students withdrew. The University asserted those errors occurred due to staffing issues and problems with the
transmission of the adjustments to the U.S. Department of Education’s Common Origination and Disbursement
(COD) system.
The University did not have an adequate monitoring process to identify those errors or document the review
process. Having a process that does not consistently calculate and return the correct amount of Title IV funds
increases the risk that the University could return incorrect amounts of Title IV funds. In addition, not making
returns within the required time frames reduces the funds available to the U.S. Department of Education for its
program management.
Recommendations:
The University should:
• Accurately determine the number of days in the payment period and exclude any scheduled breaks as
required.
• Ensure that evidence of academic engagement is consistently documented for students in distance education
courses.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in Title IV return calculations
and returns Title IV funds in a timely manner.
Views of Responsible Officials:
The University acknowledges and agrees with the findings regarding the Return of Title IV funds in cases where a
student officially or unofficial withdraws from the institution after the student begins attendance in a given payment
period or period of enrollment. The University acknowledges the importance of accurately calculating the Title IV
funds to be returned and the timely return of those funds.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 93.264 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224051; Federal Work-Study Program, P033A224051; Federal Pell Grant Program, P063P222282; Federal Direct Student Loans, P268K232282; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232282; and Nurse Faculty Loan Program (NFLP), 1 E01HP45821-01-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $1,409 Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). Direct Subsidized and Unsubsidized Loans have annual and aggregate limits that are the same for all students at a given grade level and dependency status. In general, a loan may not be more than the amount the borrower requests, the borrower’s unmet financial need, the borrower’s COA, or the borrower’s maximum borrowing limit. (U.S. Department of Education 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 5). Lamar University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate), dependency (dependent or independent), residency (in-state or out-of-state), living status (on-campus, off-campus, or at home with parents), and enrollment level (full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 23 (38 percent) of 61 students tested, the University incorrectly calculated the COA. Specifically, the
University did not adjust the students’ COA to reflect the students’ actual enrollment as of the census date. The
University experienced turnover in the Student Financial Aid department during the 2022–2023 award year, and
could not provide a cause for those errors. The University asserted that it implemented a process to recalculate
students’ COAs based on their actual enrollment at census beginning with the Fall 2023 term; however, the errors
discussed above occurred before that process was in place. As a result, the University overawarded two students.
• One of those students was assigned an overstated COA for the Fall 2022 term based on three-quarter-time
enrollment although the student’s actual enrollment was half-time. The student was awarded $5,294 in
Subsidized Direct Loans, which exceeded the student’s financial need, resulting in $1,113 in questioned costs
associated with ALN 84.268, Federal Direct Student Loans, award number P268K232282.
• The other student was assigned an overstated COA for the Spring 2023 term based on full-time enrollment
although the student did not attend during the term. The student was awarded $10,142 in Unsubsidized Direct
Loans, which exceeded the student’s actual COA, resulting in $296 in questioned costs associated with ALN
84.268, Federal Direct Student Loans, award number P268K232282.
The University did not have adequate controls in place to review budgets used in the calculation of COA and
accurately assign those budgets to students. Incorrectly calculating COA increases the risk of overawarding or
underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets in
accordance with its process and does not overaward financial assistance to students.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Disbursements To or On Behalf of Students Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 93.264 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224051; Federal Work-Study Program, P033A224051; Federal Pell Grant Program, P063P222282; Federal Direct Student Loans, P268K232282; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232282; and Nurse Faculty Loan Program (NFLP), 1 E01HP45821-01-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Award and Disbursement Notifications: Before an institution disburses Title IV, Higher Education Act of 1965 (HEA) program funds for any award year, the institution must notify a student of the amount of funds that the student or his or her parent can expect to receive under each Title IV, HEA program, and how and when those funds will be disbursed. If those funds include Direct Loan program funds, the notice must indicate which funds are from subsidized loans, which are from unsubsidized loans, and which are from PLUS loans (Title 34, Code of Federal Regulations (CFR), Section 668.165(a)(1)). If an institution credits a student’s ledger account with Federal Direct Student Loan (Direct Loan) funds or Teacher Education Assistance for College and Higher Education (TEACH) Grant funds, the institution must notify the student or parent of (1) the anticipated date and amount of the disbursement, (2) the student’s or parent’s right to cancel all or a portion of that loan or grant and have the loan or grant proceeds returned to the U.S. Department of Education, and (3) the procedures and time by which the student or parent must notify the institution that he or she wishes to cancel the loan or grant, or loan or grant disbursement (Title 34, CFR, Section 668.165(a)(2)). The institution must provide the notice in writing no earlier than 30 days before, and no later than 30 days after, crediting the student’s ledger account at the institution (Title 34, CFR, Section 668.165(a)(3)). For 21 (34 percent) of 62 disbursements tested, Lamar University (University) did not send an award or
disbursement notification as required. Specifically:
• For 20 students that received Direct Loan disbursements, the University did not send a disbursement
notification. The University asserted those errors occurred because the University was utilizing a manual
process to send out the disbursement notifications, and on those days when the employee charged with
performing the manual process was not present, the notifications were not sent to students.
• For one student who received Title IV funds, the University did not send an award notification. This error
occurred because the University manually packaged the student’s awards after clearing a verification
requirement, and the University did not have an adequate process in place to ensure that students who are
manually awarded receive an award notification.
Not receiving award and disbursement notifications impairs students’ and parents’ ability to budget for the cost of
attending or exercise the option to cancel their loans or grants.
Promissory Notes:
Institutions must establish a process to make loans consistent with institutional policies and federal laws and
regulations, including the completion of the following during disbursement: (1) signed promissory note, and (2)
disclosure of terms and conditions (Nurse Faculty Loan Program (NFLP) Administrative Guidelines, 42 United
States Code (U.S.C.) 297n-1 (Public Health Service Act Section 846A)).
The University did not have a process in place to require a promissory note for NFLP loans prior to
disbursement. NFLP loans were incorrectly identified in the student information system as a grant instead of a
loan. As a result, the student information system did not place a required hold on disbursements until the
promissory note requirement was completed.
Not requiring a signed promissory note prior to disbursement of loan funds could limit the University’s ability to
enforce repayment of the loan.
Recommendations:
The University should:
• Strengthen its controls to ensure that it identifies all students that require an award or disbursement
notification, and sends those notifications to the students.
• Configure controls in the student information system to require promissory notes for applicable loans.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). Sam Houston State University (University) did not appropriately restrict access to its student information system. Specifically, the University did not always limit access to the student information system to only users who needed that access based on their job responsibilities. While the University had a process in place to review user access, that process was not adequately designed to ensure that the University granted the appropriate levels of access to all users based on the users’ job duties. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. In addition, the University did not have sufficient controls over its change management process for information systems. Specifically, 1 (14 percent) of 7 changes tested lacked documentation showing that the change was properly tested or validated before it was migrated to production. Not having sufficient controls over the change management process increases the risk of unauthorized programming changes being made to critical information systems that the University uses to administer student financial assistance. Recommendations: The University should: • Ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. • Strengthen its controls over its change management process to ensure adequate validation of changes prior to implementation. Views of Responsible Officials: The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the audit, the University will work to develop and implement corrective action to further improve the processes.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224131; Federal Work-Study Program, P033A224131; Federal Pell Grant Program, P063P222320; Federal Direct Student Loans, P268K232320; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232320 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). Tarleton State University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s tuition rate (guaranteed or variable), program, courses, classification (undergraduate or graduate), residency (in-state or out-of-state); living status (on-campus, off-campus, or with parent), and enrollment level (full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 62 (100 percent) of 62 students tested, the University incorrectly calculated the COA. Specifically, the University used the 2021–2022 award year budgets instead of the 2022–2023 award budgets because it did not update the COA budget components in its student information system for the new award year. As a result, the COAs for those students were understated by a total of $148,781. This error would have affected the COA for all students in the Fall 2022 and Spring 2023 terms. However, because the students’ budgets were understated, this error did not result in overawards of financial assistance; therefore, there were no questioned costs. The University did not have adequate controls in place to review budgets used in the calculation of COA and accurately assign those budgets to students. Incorrectly calculating COA increases the risk of overawarding or underawarding financial assistance to students. Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets in
accordance with its process.
Views of Responsible Officials:
The University has carefully reviewed the findings outlined in the recent financial aid audit report, and we
acknowledge and agree with the identified areas for improvement. Your thorough examination has provided
valuable insights into our financial aid processes, and we appreciate the effort invested in ensuring transparency
and accountability.
In response to the findings, we are committed to taking immediate and comprehensive corrective actions to
address the identified issues and enhance the overall effectiveness of our financial aid management. Our team is
already in the process of developing a detailed Corrective Action Plan that will outline the specific steps we will
take to rectify the noted deficiencies. We understand the importance of financial aid in supporting our students'
academic endeavors, and we are dedicated to ensuring that our processes align with the highest standards of
integrity and compliance.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 84.408 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A234136; Federal Work-Study Program, P033A224136; Federal Pell Grant Program, P063P225286; Federal Direct Student Loans, P268K235286; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T235286; and Postsecondary Education Scholarships For Veteran's Dependents (Iraq and Afghanistan Service Grant (IASG)), P408A225286 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: Unknown Repeat Finding: No Satisfactory Academic Progress: A student is eligible to receive Title IV, Higher Education Act of 1965 (HEA) program assistance if the student maintains satisfactory academic progress in his or her course of study according to the institution’s published standards of satisfactory academic progress (SAP) that satisfy the provisions of Title 34, Code of Federal Regulations (CFR), Section 668.34 (Title 34, CFR, Section 668.32(f)). An institution’s SAP policy must include a qualitative component that consists of grades or comparable factors that are measurable against a norm and a quantitative component that consists of the pace at which students must progress through their program to ensure that they will graduate within the maximum time frame required to complete their education (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 1, Chapter 1). For an undergraduate program measured in credit hours, a period that is no longer than 150-percent of the published length of the educational program, as measured in credit hours, should be used to determine the maximum time frame for the quantitative component of SAP (Title 34, CFR, Section 668.34(b)(1)). For 1 (2 percent) of 45 students tested, Texas A&M University (University) did not calculate SAP in accordance with its policy. Specifically, the University did not update the program hours for the Bachelor of Science in Nursing program in its student information system when it changed the program length from 123 hours to 120 hours during the 2017–2018 award year. Therefore, this issue would have affected all students enrolled in the program. As a result, the maximum time frame calculation incorrectly allowed students to exceed the maximum hours without failing SAP. Incorrectly calculating the maximum time frame increases the risk that students could receive financial assistance for which they are not eligible. Recommendation: The University should ensure that the maximum time frame is configured in its student information system with the accurate number of credit hours for each degree program. Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: 2020-113, 2017-119, 2016-109 General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). Texas Southern University (University) did not appropriately restrict user access to its student information system. Specifically, the University did not always ensure that (1) access to modify information and process transactions in the student information system and (2) administrative access at the network level was limited to only current employees and users who needed that access based on their job responsibilities. The University had a process to review user access to its systems; however, it did not always implement changes based on the results of that review. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made to those systems. Recommendation: The University should ensure that user access to its student information system and administrative access to its network is appropriately limited to employees based on current job responsibilities. Views of Responsible Officials: The Office of Technology acknowledges and agrees with the finding.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 93.925 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224145; Federal Work-Study Program, P033A224145; Federal Pell Grant Program, P063P222327; Federal Direct Student Loans, P268K232327; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232327; and Scholarships for Health Professions Students from Disadvantaged Backgrounds – Scholarships for Disadvantaged Students (SDS), 5 T08HP39322-03-00, 5 T08HP39282-03-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: 2020-113, 2017-119, 2016-109 Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). Texas Southern University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate); residency (in-state or out-of-state); living status (on_x0002_campus, off-campus, or with parent); and enrollment level (full-time, three-quarter-time, half-time, or less-than_x0002_half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 7 (11 percent) of 65 students tested, the University incorrectly calculated the COA. Specifically, the University assigned an incorrect amount for books and supplies for these students. Those errors occurred because the University decreased the default amount for the books and supplies budget component but did not update the algorithmic budget table in its student information system to reflect that change. As a result, the COA was overstated by $40 for each of those students. The errors discussed above did not result in overawards of financial assistance; therefore, there were no questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or underawarding financial assistance to students. Federal Pell Grant:
When awarding Federal Pell Grant assistance to students, institutions use the payment and disbursement
schedules provided each year by the U.S. Department of Education for determining award amounts (Title 34,
CFR, Section 690.62(a)). Those schedules provide the maximum annual amount a student would receive for a full
academic year for a given enrollment status, EFC, and COA. There are separate schedules for three-quarter time, half-time, and less-than-half-time students (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 3, Chapter 3; and Title 34, CFR, Section 690.63(b)).
For 2 (3 percent) of 65 students tested who received Federal Pell Grants, the University did not award the
correct amount of Federal Pell Grant assistance. Specifically, the University awarded those students less than
they were eligible to receive. The University did not identify additional credit hours from late registration in the
students’ Federal Pell Grant award determinations. As a result, the students were underawarded a total of $1,544
in Federal Pell Grant assistance.
Federal Direct Student Loans:
A borrower who has reached the aggregate borrowing limit for Direct Subsidized Loans and Direct Unsubsidized
Loans may not receive additional loans. Once the loans are repaid, in full or in part, the borrower may apply for
additional loans. The aggregate unpaid principal amount of all Direct Subsidized Loans made to a student may
not exceed $23,000 for any student who has not successfully completed a program of study at the undergraduate
level (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 5; and Title
34, CFR, Section 685.203(d)(1)).
The University did not always disburse Federal Direct Student Loans in accordance with applicable limits.
Specifically, the University exceeded the aggregate limit for Subsidized Direct Loans. Auditors determined that a
student had been awarded $500 in excess of the aggregate limit of $23,000. The University manually cleared a
hold to enforce the loan limit, without properly reviewing or adjusting the student’s loan. After auditors brought the
overaward issue to the University’s attention, it returned the loan funds; therefore, there were no questioned
costs. However, by not properly reviewing account holds, the University increases the risk of overawarding
financial assistance to students.
Satisfactory Academic Progress:
A student is eligible to receive Title IV, Higher Education Act of 1965 (HEA) program assistance if the student
maintains satisfactory academic progress in his or her course of study according to the institution’s published
standards of satisfactory academic progress (SAP) that satisfy the provisions of Title 34, CFR, Section 668.34
(Title 34, CFR, Section 668.32(f)). An institution’s SAP policy must include a qualitative component that consists
of grades or comparable factors that are measurable against a norm and a quantitative component that consists
of the pace at which students must progress through their program to ensure that they will graduate within the
maximum time frame required to complete their education.
For a graduate program, a period defined by the institution that is based on the length of the educational program
should be used to determine the maximum time frame for the quantitative component of SAP (U.S. Department of
Education, 2022-2023 Federal Student Aid Handbook, Volume 1, Chapter 1; and Title 34, CFR, Section
668.34(b)).
Additionally, an institution’s SAP policy should provide that, if at the time of evaluation, the student has not
achieved the required grade point average, is not successfully completing his or her program of study at the
required pace, or has not completed the program within the maximum time frame, the student is no longer eligible
for Title IV aid. The policy should provide specific procedures for disbursements to students on financial aid
warning or probation status and permit the student to appeal a determination; it should also provide specific
procedures for re-establishing eligibility to receive Title IV aid and the basis on which a student may file an appeal
(Title 34, CFR, Section 668.34(a)). For 1 (2 percent) of 65 students tested, the University did not calculate SAP in accordance with its policy.
The student re-enrolled in the Fall 2022 term after a gap in attendance, and the University did not perform a
manual SAP calculation, which would have shown that the student did not meet the minimum required pace as
defined in the University’s SAP policy. The student would have been required to submit an appeal, and have that
appeal approved, to receive financial assistance. The student was initially overawarded $6,184. Part of the funds
were returned as a result of a Return of Title IV Funds calculation after the student withdrew, and the remaining
funds were returned after auditors brought the issue to the University’s attention. Therefore, there were no
questioned costs.
Not calculating SAP compliance increases the risk that students could receive financial assistance for which they
are not eligible.
Institutional Student Information Records (ISIR):
The U.S. Department of Education automatically distributes (or “pushes”) to institutions certain ISIR transactions
processed by the Central Processing System (CPS); it then requires the institutions to take some sort of action.
An example of a pushed ISIR would be a student-corrected ISIR that causes a change to the EFC. Institutions are
required to review all pushed ISIRs and assess any potential effect on students’ eligibility for assistance
(Technical Reference for Electronic Date Exchange (EDE) 2022-2023).
The University did not have a process to address errors to ensure that all ISIR data was loaded accurately
and completely into its student information system. Specifically, the University did not reconcile records
received from CPS-pushed ISIRs to the University’s student information system records during the Fall 2022 term
and part of the Spring 2023 term. As a result, some eligible students did not receive their financial assistance until
making an inquiry of the University.
Recommendations:
The University should:
• Ensure that it accurately configures COA budget components within its student information system.
• Award students Federal Pell Grant assistance based on actual enrollment.
• Disburse Subsidized Direct Loans within the student’s applicable aggregate limit.
• Ensure that all students are evaluated for Satisfactory Academic Progress prior to disbursing financial
assistance.
• Properly reconcile all records received from CPS-pushed ISIRs.
Views of Responsible Officials:
Cost of Attendance (COA):
The Office of Student Financial Success agrees with the auditor’s findings indicating that 7 of 65 students tested
had an incorrect COA specifically related to the students’ books and supplies portion of the budget.
Views of Responsible Officials:
Federal Pell Grant:
The Office of Student Financial Success agrees with the findings that 2 of 65 students tested were not awarded
the correct amount of Federal Pell grant funds.
Views of Responsible Officials:
Federal Direct Student Loans:
The Office of Student Financial Success agrees with the finding that 1 student did not receive federal student
loans in accordance with applicable limits.
Views of Responsible Officials:
Satisfactory Academic Progress:
The Office of Student Financial Success agrees with the finding that 1 of 65 students did not receive an SAP
calculation in accordance with TSU policy.
Views of Responsible Officials:
Institutional Student Information Records (ISIR):
The Office of Student Financial Success agrees with the finding related to Institutional Student Information
Records.
Special Tests and Provisions – Disbursements To or On Behalf of Students Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224145; Federal Work-Study Program, P033A224145; Federal Pell Grant Program, P063P222327; Federal Direct Student Loans, P268K232327; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232327 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Award and Disbursement Notifications: Before an institution disburses Title IV, Higher Education Act of 1965 (HEA) program funds for any award year, the institution must notify a student of the amount of funds that the student or his or her parent can expect to receive under each Title IV, HEA program, and how and when those funds will be disbursed. If those funds include Direct Loan program funds, the notice must indicate which funds are from subsidized loans, which are from unsubsidized loans, and which are from PLUS loans (Title 34, Code of Federal Regulations (CFR), Section 668.165(a)(1)). If an institution credits a student’s ledger account with Federal Direct Student Loan (Direct Loan) funds or Teacher Education Assistance for College and Higher Education (TEACH) Grant funds, the institution must notify the student or parent of (1) the anticipated date and amount of the disbursement, (2) the student’s or parent’s right to cancel all or a portion of that loan or grant and have the loan or grant proceeds returned to the U.S. Department of Education, and (3) the procedures and time by which the student or parent must notify the institution that he or she wishes to cancel the loan or grant, or loan or grant disbursement (Title 34, CFR, Section 668.165(a)(2)). The institution must provide the notice in writing no earlier than 30 days before, and no later than 30 days after, crediting the student’s ledger account at the institution (Title 34, CFR, Section 668.165(a)(3)). For 61 (100 percent) of 61 disbursements tested, Texas Southern University (University) did not send an award or disbursement notification as required. The University asserted it did not send award notifications to students because it relied on the Common Origination and Disbursement (COD) Disclosure Statements sent by the Department of Education. However, the COD Disclosure Statements did not include all required elements of the award notification. In addition, the University did not consistently send disbursement notifications for the Fall 2022 term, and did not send any disbursement notifications for the Spring 2023 term. The issues with disbursement notifications were attributed to both manual error and disabling of the University’s automated processes. Further, the disbursement notifications that were sent for the Fall 2022 term did not include all required elements. Not receiving award and disbursement notifications impairs students’ and parents’ ability to budget for the cost of attending or exercise the option to cancel their loans or grants. Allowable Charges and Credit Balance Authorizations:
An institution may credit a student's ledger account with Title IV, HEA program funds to pay for allowable charges
associated with the current payment period. Allowable charges are: (1) the amount of tuition, fees, and
institutionally provided room and board assessed the student for the payment period or the prorated amount of
those charges if the institution debits the student's ledger account for more than the charges associated with the
payment period; and (2) the amount incurred by the student for the payment period for purchasing books,
supplies, and other educationally related goods and services provided by the institution for which the institution
obtains the student's or parent's authorization under Section 668.165(b) (Title 34, CFR, Section 668.164(c)(1)).
A Title IV, HEA credit balance occurs whenever the amount of Title IV, HEA program funds credited to a student's
ledger account for a payment period exceeds the amount assessed the student for allowable charges associated
with that payment period. A Title IV, HEA credit balance must be paid directly to the student or parent as soon as
possible, but no later than (1) fourteen days after the balance occurred if the credit balance occurred after the first
day of class within a payment period; or (2) fourteen days after the first day of class of a payment period if the
credit balance occurred on or before the first day of class within that payment period (Title 34, CFR, Section
668.164(h)).
If an institution obtains written authorization from a student or parent, as applicable, the institution may: (1) use
the student’s or parent’s Title IV, HEA program funds to pay for charges that are included in that authorization,
and (2) hold on behalf of the student or parent any Title IV, HEA program funds that would otherwise be paid
directly to the student or parent as a credit balance, unless the Secretary provides funds to the institution under
the reimbursement payment method or the heightened cash monitoring payment method (Title 34, CFR, Section
668.165(b)(1)).
An institution may not use Title IV funds to pay finance charges or fees that are incurred because a student uses
a financing method provided by the school to pay for educational expenses over time. Because students or
families choose to incur these additional expenses rather than paying the balance due at registration, the
additional charges are not considered educational expenses, and may not be included in a student’s cost of
attendance. (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 2).
For 8 (13 percent) of 61 students tested, the University used Title IV funds to pay unallowable charges.
Specifically, the University credited the students’ ledger accounts during the payment period for installment
handling charges and late installment charges. Although the University obtained authorization from the students
to apply Title IV funds to charges other than tuition, fees, or institutionally provided room and board, that
authorization did not extend to those unallowable charges.
For 6 (11 percent) of 57 students tested, the University did not return credit balances to students or
parents within 14 days of the disbursement date or first day of class. Specifically, the University returned
credit balances to those students between 21 and 78 days. The University asserted those errors were caused by
changes to the term allocations, and inadequate tracking of credit balances and associated refunds.
Not receiving all Title IV funds a student is entitled to, or not receiving those funds in a timely manner, impairs
students’ and parents’ ability to budget for the cost of attending.
Recommendations:
The University should strengthen its controls to ensure that:
• It identifies all students that require an award or disbursement notification, and sends those notifications to the
students.
• Award and disbursement notifications include all required elements.
• It does not credit student ledger accounts for unallowable charges.
• Credit balances caused by the awarding of Title IV funds are returned to students in a timely manner.
Views of Responsible Officials:
Award and Disbursement Notifications:
The Office of Student Financial Success agrees with the finding related to award and disbursement notifications.
Views of Responsible Officials:
Allowable Charges and Credit Balance Authorizations:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Gramm-Leach-Bliley Act - Student Information Security Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Gramm-Leach-Bliley Act: Institutions must protect sensitive data, including information obtained in support of the administration of federal student financial assistance programs, as required by the Gramm-Leach-Bliley Act (GLBA) (Public Law 106-102). Under their Program Participation Agreement (PPA) and the GLBA, postsecondary educational institutions must protect student financial aid information, with particular attention to information provided by the Department of Education or otherwise obtained in support of the administration of the Title IV Federal student financial aid programs (Dear Colleague Letter, July 1, 2016 (GEN-16-12)). Institutions are required to develop, implement, and maintain an information security program that includes the minimum elements in Title 16, Code of Federal Regulations (CFR), Section 314.4. In addition, the institution must designate a qualified individual responsible for overseeing, implementing, and enforcing the institution’s information security program (Title 16, CFR, Section 314.4(a)). Texas Southern University (University) did not implement an information security program as required by the GLBA. The University did not have a written information security program (and therefore did not address any of the minimum elements), and it did not designate a Qualified Individual responsible for implementing and monitoring its information security program. The University asserted that this was due to significant staffing issues in its Information Technology Department. Not implementing the required safeguards in an information security program and designating a Qualified Individual to implement and enforce those safeguards increases the University’s risk of data breach or loss. Recommendations: The University should: • Develop and implement an information security program that contains all elements required by the GLBA and the Code of Federal Regulations. • Designate a Qualified Individual responsible to implement and monitor its information security program. Views of Responsible Officials: Gramm-Leach-Bliley Act: The University acknowledges and agrees with the findings.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; 84.408; and 93.925 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224122; Federal Work-Study Program, P033A224122; Federal Pell Grant Program, P063P220387; Federal Direct Student Loans, P268K230387; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T230387; Postsecondary Education Scholarships For Veteran's Dependents (Iraq and Afghanistan Service Grant (IASG)), P408A220387; and Scholarships for Health Professions Students from Disadvantaged Backgrounds - Scholarships for Disadvantaged Students (SDS), 5 T08HP39298-03-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, CFR, Sections 668.2, 673.5, and 685.301). Texas State University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate); residency (in-state or out-of-state); housing status (on_x0002_campus, off-campus, or living with parent); and enrollment status (full-time, three-quarter-time, half-time, or less_x0002_than-half-time). Budgeting rules within the University’s student financial assistance system are established to assign various budget components based on the factors noted above. For 1 (2 percent) of 44 students tested, the University incorrectly calculated the COA. Specifically, the University assigned a less-than-half-time COA when the student was enrolled full-time. As a result, the student’s COA was understated by $9,545. After auditors brought the issue to the University’s attention, it identified a total of 84 total students who were affected, including 56 students who received Title IV financial assistance. Those errors occurred because the University did not recalculate the COA for students in the Pathway program after enrollment was finalized for the Spring 2023 term. The errors discussed above did not result in overawards of financial assistance; therefore, there were no
questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or
underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets for the
Pathway program in accordance with its process.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). Texas Tech University (University) did not appropriately restrict user access to its student information system. Specifically, the University did not always limit access to the student information system to only users who needed that access based on their job responsibilities. While the University had a process in place to review user access, that process was not adequately designed to ensure that the University granted the appropriate level of access to all users based on the users’ job duties. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. Recommendation: The University should ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. Views of Responsible Officials: Texas Tech University acknowledges and agrees with the findings. Texas Tech University has worked to develop and implement corrective action to further improve processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: 2020-142 General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). The University of Texas at Arlington (University) did not appropriately restrict user access to its student information system. Specifically, a user was granted administrative access in the student information system, which included the ability to modify information and process transactions, such as authorizing and disbursing aid. The University did not remove the administrative access after the user’s specific job responsibilities no longer required that level of access. The University had a process to periodically review user access; however, that review was not sufficient to identify the inappropriate access. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. Recommendation: The University should ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. Views of Responsible Officials: To the point that The University of Texas at Arlington (University) did not appropriately restrict user access to its student information system. OIT and Financial Aid acknowledge that a user was given elevated access that was not removed when the assigned maintenance task was completed.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). The University of Texas at Austin (University) did not appropriately restrict user access to its student information system. Specifically, an employee retained the ability to modify student financial aid awards after transitioning from the Office of Student Financial Aid to another department within the University. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. In addition, the University did not have sufficient controls over its change management process for information systems. Specifically, one of the University’s departments did not enable the control designed to prevent developers from migrating their own code changes into production. Not having sufficient segregation of duties controls over the change management process increases the risk of unauthorized programming changes being made to critical information systems that the University uses to administer student financial assistance. Recommendations: The University should: • Ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. • Strengthen its controls over its change management process to ensure adequate segregation of duties. Views of Responsible Officials:
The University acknowledges and agrees with the finding. In this case, the employee transitioned from the Office
of Scholarships and Financial Aid (OSFA) to the Student Financial Aid implementation project. It was intended for
this employee to retain his prior access for a time so he could help provide backstop support while his duties were
transitioned to other employees within OSFA. This access should have been removed once his duties were
successfully transitioned.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. However, technical limitations in the current financial
aid management system require that a particular mainframe programming library be exempted from the change
control mechanisms that are used in all other libraries that can update student financial aid information.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224174; Federal Work-Study Program, P033A224174; Federal Pell Grant Program, P063P223234; Federal Direct Student Loans, P268K233234; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233234 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, CFR, Sections 668.2, 673.5, and 685.301). The University of Texas at Dallas (University) established different COA budgets for each term based on a student’s tuition rate (guaranteed or variable); classification (undergraduate or graduate); residency (in-state and out-of-state); living status (on-campus, off-campus, or at home); and enrollment level (full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting formulas within the University’s student information system are used to assign various budget components based on the factors noted above. The University did not always accurately configure COA budget components in its student information system. Specifically, the University incorrectly set the Summer transportation budget for a certain group of students—undergraduate students with a guaranteed tuition rate who were in-state residents living at home and enrolled half-time—to $640 instead of $928. After auditors brought the issue to the University’s attention, it identified 299 students who were affected. As a result, the COA for those students was understated by a total of $86,112 for the Summer 2023 term. The errors discussed above did not result in overawards of financial assistance; therefore, there were no questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or underawarding financial assistance to students. Recommendation:
The University should ensure that it accurately configures COA budget components within its student information
system.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
While reviewing the population for submission to the auditors, the University determined that the above error had
occurred. Since the timing was still within the summer semester, we corrected the COA component error and
provided institutional grant funding for those students who had increased need due to the update in their summer
transportation budget. There were only 2 students who needed to have their loans repackaged to avoid under
awarding federal aid, which was done.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). The University of Texas Permian Basin (University) did not appropriately restrict user access to its student information system. Specifically, the University did not always limit access to the student information system to only users who needed that access based on their job responsibilities. The University had a process to periodically review user access; however, that review was not sufficient to identify the inappropriate access. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. Recommendation: The University should ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. Views of Responsible Officials: The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the audit, the University has worked to implement further access limitations and enhanced its periodic review of access.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224178; Federal Work-Study Program, P033A224178; Federal Pell Grant Program, P063P223265; Federal Direct Student Loans, P268K233265; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233265 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). The University of Texas Permian Basin (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate), program (in-person or online), residency (in_x0002_state or out-of-state), living status (on-campus, off-campus, or at home with parents), and enrollment level (full_x0002_time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 60 (98 percent) of 61 students tested, the University incorrectly calculated the COA. For some of the students discussed below, there were multiple errors in the COA calculation. Specifically: • For 38 students, the University assigned an incorrect amount for the fees, loan fees, and/or transportation budget components. Those errors occurred because the amounts were incorrectly loaded into the budget tables in the University’s student information system. The University asserted that it discovered these issues in April 2023, and attempted to manually update individual student accounts that were affected. As a result, the COA for those students was overstated, and three students were overawarded a total of $2,871. After auditors brought the overawards to the University’s attention, it returned funds to the U.S. Department of Education; therefore, there were no questioned costs. • For 15 students, the University assigned an in-person budget instead of an online advanced budget. Those
errors occurred because the University failed to consistently communicate which programs were offered
online to the financial aid office, which would have helped ensure that the student information system was
updated appropriately. As a result, the COA for those students was overstated, and one of those students
was overawarded a Subsidized Direct Loan in the amount of $919. After auditors brought the overaward to
the University’s attention, it returned funds to the U.S. Department of Education; therefore, there were no
questioned costs.
• For 12 students, the University incorrectly assigned an additional room and board fee. As a result, the COA
was overstated by $50 per term for each of those students; however, the University did not overaward
financial assistance to those students.
• For eight students, the University did not adjust the students’ COA to reflect the students’ actual enrollment.
The University did not have a process to freeze student enrollment levels in order to recalculate COA after
census. As a result, the COA for those students was overstated; however, the University did not overaward
financial assistance to those students.
The University did not have adequate controls in place to review budgets used in the calculation of COA and
accurately assign those budgets to students. Incorrectly calculating COA increases the risk of overawarding or
underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets in
accordance with its process and does not overaward financial assistance to students.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University has worked to implement additional controls as it relates to calculation of the Cost of
Attendance.
Special Tests and Provisions - Gramm-Leach-Bliley Act - Student Information Security Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Gramm-Leach-Bliley Act: Institutions must protect sensitive data, including information obtained in support of the administration of federal student financial assistance programs, as required by the Gramm-Leach-Bliley Act (GLBA) (Public Law 106-102). Under their Program Participation Agreement (PPA) and the GLBA, postsecondary educational institutions must protect student financial aid information, with particular attention to information provided by the Department of Education or otherwise obtained in support of the administration of the Title IV Federal student financial aid programs (Dear Colleague Letter, July 1, 2016 (GEN-16-12)). Institutions are required to develop, implement, and maintain an information security program that includes the minimum elements in Title 16, Code of Federal Regulations (CFR), Section 314.4. Those minimum requirements include conducting a periodic inventory of data, noting where it is collected, stored, or transmitted (Title 16, CFR, Section 314.4(c)(1)). In addition, the institution must designate a qualified individual responsible for overseeing, implementing, and enforcing the institution’s information security program (Title 16, CFR, Section 314.4(a)). The University of Houston’s (University) information security program did not address the implementation of all minimum safeguards as required by the GLBA. Specifically, while the University had designated a Qualified Individual to coordinate its information security program and had a written information security program in place, that program did not meet the requirements for conducting a periodic inventory of data. Not implementing all required safeguards in its information security program increases the University’s risk of data breach or loss. Recommendation:
The University should ensure that all elements required by the GLBA are documented and implemented in its
information security program.
Views of Responsible Officials:
The University acknowledges and agrees with the findings. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 93.264 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224051; Federal Work-Study Program, P033A224051; Federal Pell Grant Program, P063P222282; Federal Direct Student Loans, P268K232282; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232282; and Nurse Faculty Loan Program (NFLP), 1 E01HP45821-01-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $1,409 Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). Direct Subsidized and Unsubsidized Loans have annual and aggregate limits that are the same for all students at a given grade level and dependency status. In general, a loan may not be more than the amount the borrower requests, the borrower’s unmet financial need, the borrower’s COA, or the borrower’s maximum borrowing limit. (U.S. Department of Education 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 5). Lamar University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate), dependency (dependent or independent), residency (in-state or out-of-state), living status (on-campus, off-campus, or at home with parents), and enrollment level (full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 23 (38 percent) of 61 students tested, the University incorrectly calculated the COA. Specifically, the
University did not adjust the students’ COA to reflect the students’ actual enrollment as of the census date. The
University experienced turnover in the Student Financial Aid department during the 2022–2023 award year, and
could not provide a cause for those errors. The University asserted that it implemented a process to recalculate
students’ COAs based on their actual enrollment at census beginning with the Fall 2023 term; however, the errors
discussed above occurred before that process was in place. As a result, the University overawarded two students.
• One of those students was assigned an overstated COA for the Fall 2022 term based on three-quarter-time
enrollment although the student’s actual enrollment was half-time. The student was awarded $5,294 in
Subsidized Direct Loans, which exceeded the student’s financial need, resulting in $1,113 in questioned costs
associated with ALN 84.268, Federal Direct Student Loans, award number P268K232282.
• The other student was assigned an overstated COA for the Spring 2023 term based on full-time enrollment
although the student did not attend during the term. The student was awarded $10,142 in Unsubsidized Direct
Loans, which exceeded the student’s actual COA, resulting in $296 in questioned costs associated with ALN
84.268, Federal Direct Student Loans, award number P268K232282.
The University did not have adequate controls in place to review budgets used in the calculation of COA and
accurately assign those budgets to students. Incorrectly calculating COA increases the risk of overawarding or
underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets in
accordance with its process and does not overaward financial assistance to students.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Disbursements To or On Behalf of Students Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 93.264 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224051; Federal Work-Study Program, P033A224051; Federal Pell Grant Program, P063P222282; Federal Direct Student Loans, P268K232282; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232282; and Nurse Faculty Loan Program (NFLP), 1 E01HP45821-01-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Award and Disbursement Notifications: Before an institution disburses Title IV, Higher Education Act of 1965 (HEA) program funds for any award year, the institution must notify a student of the amount of funds that the student or his or her parent can expect to receive under each Title IV, HEA program, and how and when those funds will be disbursed. If those funds include Direct Loan program funds, the notice must indicate which funds are from subsidized loans, which are from unsubsidized loans, and which are from PLUS loans (Title 34, Code of Federal Regulations (CFR), Section 668.165(a)(1)). If an institution credits a student’s ledger account with Federal Direct Student Loan (Direct Loan) funds or Teacher Education Assistance for College and Higher Education (TEACH) Grant funds, the institution must notify the student or parent of (1) the anticipated date and amount of the disbursement, (2) the student’s or parent’s right to cancel all or a portion of that loan or grant and have the loan or grant proceeds returned to the U.S. Department of Education, and (3) the procedures and time by which the student or parent must notify the institution that he or she wishes to cancel the loan or grant, or loan or grant disbursement (Title 34, CFR, Section 668.165(a)(2)). The institution must provide the notice in writing no earlier than 30 days before, and no later than 30 days after, crediting the student’s ledger account at the institution (Title 34, CFR, Section 668.165(a)(3)). For 21 (34 percent) of 62 disbursements tested, Lamar University (University) did not send an award or
disbursement notification as required. Specifically:
• For 20 students that received Direct Loan disbursements, the University did not send a disbursement
notification. The University asserted those errors occurred because the University was utilizing a manual
process to send out the disbursement notifications, and on those days when the employee charged with
performing the manual process was not present, the notifications were not sent to students.
• For one student who received Title IV funds, the University did not send an award notification. This error
occurred because the University manually packaged the student’s awards after clearing a verification
requirement, and the University did not have an adequate process in place to ensure that students who are
manually awarded receive an award notification.
Not receiving award and disbursement notifications impairs students’ and parents’ ability to budget for the cost of
attending or exercise the option to cancel their loans or grants.
Promissory Notes:
Institutions must establish a process to make loans consistent with institutional policies and federal laws and
regulations, including the completion of the following during disbursement: (1) signed promissory note, and (2)
disclosure of terms and conditions (Nurse Faculty Loan Program (NFLP) Administrative Guidelines, 42 United
States Code (U.S.C.) 297n-1 (Public Health Service Act Section 846A)).
The University did not have a process in place to require a promissory note for NFLP loans prior to
disbursement. NFLP loans were incorrectly identified in the student information system as a grant instead of a
loan. As a result, the student information system did not place a required hold on disbursements until the
promissory note requirement was completed.
Not requiring a signed promissory note prior to disbursement of loan funds could limit the University’s ability to
enforce repayment of the loan.
Recommendations:
The University should:
• Strengthen its controls to ensure that it identifies all students that require an award or disbursement
notification, and sends those notifications to the students.
• Configure controls in the student information system to require promissory notes for applicable loans.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). Sam Houston State University (University) did not appropriately restrict access to its student information system. Specifically, the University did not always limit access to the student information system to only users who needed that access based on their job responsibilities. While the University had a process in place to review user access, that process was not adequately designed to ensure that the University granted the appropriate levels of access to all users based on the users’ job duties. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. In addition, the University did not have sufficient controls over its change management process for information systems. Specifically, 1 (14 percent) of 7 changes tested lacked documentation showing that the change was properly tested or validated before it was migrated to production. Not having sufficient controls over the change management process increases the risk of unauthorized programming changes being made to critical information systems that the University uses to administer student financial assistance. Recommendations: The University should: • Ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. • Strengthen its controls over its change management process to ensure adequate validation of changes prior to implementation. Views of Responsible Officials: The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the audit, the University will work to develop and implement corrective action to further improve the processes.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224131; Federal Work-Study Program, P033A224131; Federal Pell Grant Program, P063P222320; Federal Direct Student Loans, P268K232320; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232320 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). Tarleton State University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s tuition rate (guaranteed or variable), program, courses, classification (undergraduate or graduate), residency (in-state or out-of-state); living status (on-campus, off-campus, or with parent), and enrollment level (full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 62 (100 percent) of 62 students tested, the University incorrectly calculated the COA. Specifically, the University used the 2021–2022 award year budgets instead of the 2022–2023 award budgets because it did not update the COA budget components in its student information system for the new award year. As a result, the COAs for those students were understated by a total of $148,781. This error would have affected the COA for all students in the Fall 2022 and Spring 2023 terms. However, because the students’ budgets were understated, this error did not result in overawards of financial assistance; therefore, there were no questioned costs. The University did not have adequate controls in place to review budgets used in the calculation of COA and accurately assign those budgets to students. Incorrectly calculating COA increases the risk of overawarding or underawarding financial assistance to students. Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets in
accordance with its process.
Views of Responsible Officials:
The University has carefully reviewed the findings outlined in the recent financial aid audit report, and we
acknowledge and agree with the identified areas for improvement. Your thorough examination has provided
valuable insights into our financial aid processes, and we appreciate the effort invested in ensuring transparency
and accountability.
In response to the findings, we are committed to taking immediate and comprehensive corrective actions to
address the identified issues and enhance the overall effectiveness of our financial aid management. Our team is
already in the process of developing a detailed Corrective Action Plan that will outline the specific steps we will
take to rectify the noted deficiencies. We understand the importance of financial aid in supporting our students'
academic endeavors, and we are dedicated to ensuring that our processes align with the highest standards of
integrity and compliance.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 84.408 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A234136; Federal Work-Study Program, P033A224136; Federal Pell Grant Program, P063P225286; Federal Direct Student Loans, P268K235286; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T235286; and Postsecondary Education Scholarships For Veteran's Dependents (Iraq and Afghanistan Service Grant (IASG)), P408A225286 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: Unknown Repeat Finding: No Satisfactory Academic Progress: A student is eligible to receive Title IV, Higher Education Act of 1965 (HEA) program assistance if the student maintains satisfactory academic progress in his or her course of study according to the institution’s published standards of satisfactory academic progress (SAP) that satisfy the provisions of Title 34, Code of Federal Regulations (CFR), Section 668.34 (Title 34, CFR, Section 668.32(f)). An institution’s SAP policy must include a qualitative component that consists of grades or comparable factors that are measurable against a norm and a quantitative component that consists of the pace at which students must progress through their program to ensure that they will graduate within the maximum time frame required to complete their education (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 1, Chapter 1). For an undergraduate program measured in credit hours, a period that is no longer than 150-percent of the published length of the educational program, as measured in credit hours, should be used to determine the maximum time frame for the quantitative component of SAP (Title 34, CFR, Section 668.34(b)(1)). For 1 (2 percent) of 45 students tested, Texas A&M University (University) did not calculate SAP in accordance with its policy. Specifically, the University did not update the program hours for the Bachelor of Science in Nursing program in its student information system when it changed the program length from 123 hours to 120 hours during the 2017–2018 award year. Therefore, this issue would have affected all students enrolled in the program. As a result, the maximum time frame calculation incorrectly allowed students to exceed the maximum hours without failing SAP. Incorrectly calculating the maximum time frame increases the risk that students could receive financial assistance for which they are not eligible. Recommendation: The University should ensure that the maximum time frame is configured in its student information system with the accurate number of credit hours for each degree program. Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: 2020-113, 2017-119, 2016-109 General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). Texas Southern University (University) did not appropriately restrict user access to its student information system. Specifically, the University did not always ensure that (1) access to modify information and process transactions in the student information system and (2) administrative access at the network level was limited to only current employees and users who needed that access based on their job responsibilities. The University had a process to review user access to its systems; however, it did not always implement changes based on the results of that review. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made to those systems. Recommendation: The University should ensure that user access to its student information system and administrative access to its network is appropriately limited to employees based on current job responsibilities. Views of Responsible Officials: The Office of Technology acknowledges and agrees with the finding.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 93.925 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224145; Federal Work-Study Program, P033A224145; Federal Pell Grant Program, P063P222327; Federal Direct Student Loans, P268K232327; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232327; and Scholarships for Health Professions Students from Disadvantaged Backgrounds – Scholarships for Disadvantaged Students (SDS), 5 T08HP39322-03-00, 5 T08HP39282-03-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: 2020-113, 2017-119, 2016-109 Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). Texas Southern University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate); residency (in-state or out-of-state); living status (on_x0002_campus, off-campus, or with parent); and enrollment level (full-time, three-quarter-time, half-time, or less-than_x0002_half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 7 (11 percent) of 65 students tested, the University incorrectly calculated the COA. Specifically, the University assigned an incorrect amount for books and supplies for these students. Those errors occurred because the University decreased the default amount for the books and supplies budget component but did not update the algorithmic budget table in its student information system to reflect that change. As a result, the COA was overstated by $40 for each of those students. The errors discussed above did not result in overawards of financial assistance; therefore, there were no questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or underawarding financial assistance to students. Federal Pell Grant:
When awarding Federal Pell Grant assistance to students, institutions use the payment and disbursement
schedules provided each year by the U.S. Department of Education for determining award amounts (Title 34,
CFR, Section 690.62(a)). Those schedules provide the maximum annual amount a student would receive for a full
academic year for a given enrollment status, EFC, and COA. There are separate schedules for three-quarter time, half-time, and less-than-half-time students (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 3, Chapter 3; and Title 34, CFR, Section 690.63(b)).
For 2 (3 percent) of 65 students tested who received Federal Pell Grants, the University did not award the
correct amount of Federal Pell Grant assistance. Specifically, the University awarded those students less than
they were eligible to receive. The University did not identify additional credit hours from late registration in the
students’ Federal Pell Grant award determinations. As a result, the students were underawarded a total of $1,544
in Federal Pell Grant assistance.
Federal Direct Student Loans:
A borrower who has reached the aggregate borrowing limit for Direct Subsidized Loans and Direct Unsubsidized
Loans may not receive additional loans. Once the loans are repaid, in full or in part, the borrower may apply for
additional loans. The aggregate unpaid principal amount of all Direct Subsidized Loans made to a student may
not exceed $23,000 for any student who has not successfully completed a program of study at the undergraduate
level (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 5; and Title
34, CFR, Section 685.203(d)(1)).
The University did not always disburse Federal Direct Student Loans in accordance with applicable limits.
Specifically, the University exceeded the aggregate limit for Subsidized Direct Loans. Auditors determined that a
student had been awarded $500 in excess of the aggregate limit of $23,000. The University manually cleared a
hold to enforce the loan limit, without properly reviewing or adjusting the student’s loan. After auditors brought the
overaward issue to the University’s attention, it returned the loan funds; therefore, there were no questioned
costs. However, by not properly reviewing account holds, the University increases the risk of overawarding
financial assistance to students.
Satisfactory Academic Progress:
A student is eligible to receive Title IV, Higher Education Act of 1965 (HEA) program assistance if the student
maintains satisfactory academic progress in his or her course of study according to the institution’s published
standards of satisfactory academic progress (SAP) that satisfy the provisions of Title 34, CFR, Section 668.34
(Title 34, CFR, Section 668.32(f)). An institution’s SAP policy must include a qualitative component that consists
of grades or comparable factors that are measurable against a norm and a quantitative component that consists
of the pace at which students must progress through their program to ensure that they will graduate within the
maximum time frame required to complete their education.
For a graduate program, a period defined by the institution that is based on the length of the educational program
should be used to determine the maximum time frame for the quantitative component of SAP (U.S. Department of
Education, 2022-2023 Federal Student Aid Handbook, Volume 1, Chapter 1; and Title 34, CFR, Section
668.34(b)).
Additionally, an institution’s SAP policy should provide that, if at the time of evaluation, the student has not
achieved the required grade point average, is not successfully completing his or her program of study at the
required pace, or has not completed the program within the maximum time frame, the student is no longer eligible
for Title IV aid. The policy should provide specific procedures for disbursements to students on financial aid
warning or probation status and permit the student to appeal a determination; it should also provide specific
procedures for re-establishing eligibility to receive Title IV aid and the basis on which a student may file an appeal
(Title 34, CFR, Section 668.34(a)). For 1 (2 percent) of 65 students tested, the University did not calculate SAP in accordance with its policy.
The student re-enrolled in the Fall 2022 term after a gap in attendance, and the University did not perform a
manual SAP calculation, which would have shown that the student did not meet the minimum required pace as
defined in the University’s SAP policy. The student would have been required to submit an appeal, and have that
appeal approved, to receive financial assistance. The student was initially overawarded $6,184. Part of the funds
were returned as a result of a Return of Title IV Funds calculation after the student withdrew, and the remaining
funds were returned after auditors brought the issue to the University’s attention. Therefore, there were no
questioned costs.
Not calculating SAP compliance increases the risk that students could receive financial assistance for which they
are not eligible.
Institutional Student Information Records (ISIR):
The U.S. Department of Education automatically distributes (or “pushes”) to institutions certain ISIR transactions
processed by the Central Processing System (CPS); it then requires the institutions to take some sort of action.
An example of a pushed ISIR would be a student-corrected ISIR that causes a change to the EFC. Institutions are
required to review all pushed ISIRs and assess any potential effect on students’ eligibility for assistance
(Technical Reference for Electronic Date Exchange (EDE) 2022-2023).
The University did not have a process to address errors to ensure that all ISIR data was loaded accurately
and completely into its student information system. Specifically, the University did not reconcile records
received from CPS-pushed ISIRs to the University’s student information system records during the Fall 2022 term
and part of the Spring 2023 term. As a result, some eligible students did not receive their financial assistance until
making an inquiry of the University.
Recommendations:
The University should:
• Ensure that it accurately configures COA budget components within its student information system.
• Award students Federal Pell Grant assistance based on actual enrollment.
• Disburse Subsidized Direct Loans within the student’s applicable aggregate limit.
• Ensure that all students are evaluated for Satisfactory Academic Progress prior to disbursing financial
assistance.
• Properly reconcile all records received from CPS-pushed ISIRs.
Views of Responsible Officials:
Cost of Attendance (COA):
The Office of Student Financial Success agrees with the auditor’s findings indicating that 7 of 65 students tested
had an incorrect COA specifically related to the students’ books and supplies portion of the budget.
Views of Responsible Officials:
Federal Pell Grant:
The Office of Student Financial Success agrees with the findings that 2 of 65 students tested were not awarded
the correct amount of Federal Pell grant funds.
Views of Responsible Officials:
Federal Direct Student Loans:
The Office of Student Financial Success agrees with the finding that 1 student did not receive federal student
loans in accordance with applicable limits.
Views of Responsible Officials:
Satisfactory Academic Progress:
The Office of Student Financial Success agrees with the finding that 1 of 65 students did not receive an SAP
calculation in accordance with TSU policy.
Views of Responsible Officials:
Institutional Student Information Records (ISIR):
The Office of Student Financial Success agrees with the finding related to Institutional Student Information
Records.
Special Tests and Provisions – Disbursements To or On Behalf of Students Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224145; Federal Work-Study Program, P033A224145; Federal Pell Grant Program, P063P222327; Federal Direct Student Loans, P268K232327; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232327 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Award and Disbursement Notifications: Before an institution disburses Title IV, Higher Education Act of 1965 (HEA) program funds for any award year, the institution must notify a student of the amount of funds that the student or his or her parent can expect to receive under each Title IV, HEA program, and how and when those funds will be disbursed. If those funds include Direct Loan program funds, the notice must indicate which funds are from subsidized loans, which are from unsubsidized loans, and which are from PLUS loans (Title 34, Code of Federal Regulations (CFR), Section 668.165(a)(1)). If an institution credits a student’s ledger account with Federal Direct Student Loan (Direct Loan) funds or Teacher Education Assistance for College and Higher Education (TEACH) Grant funds, the institution must notify the student or parent of (1) the anticipated date and amount of the disbursement, (2) the student’s or parent’s right to cancel all or a portion of that loan or grant and have the loan or grant proceeds returned to the U.S. Department of Education, and (3) the procedures and time by which the student or parent must notify the institution that he or she wishes to cancel the loan or grant, or loan or grant disbursement (Title 34, CFR, Section 668.165(a)(2)). The institution must provide the notice in writing no earlier than 30 days before, and no later than 30 days after, crediting the student’s ledger account at the institution (Title 34, CFR, Section 668.165(a)(3)). For 61 (100 percent) of 61 disbursements tested, Texas Southern University (University) did not send an award or disbursement notification as required. The University asserted it did not send award notifications to students because it relied on the Common Origination and Disbursement (COD) Disclosure Statements sent by the Department of Education. However, the COD Disclosure Statements did not include all required elements of the award notification. In addition, the University did not consistently send disbursement notifications for the Fall 2022 term, and did not send any disbursement notifications for the Spring 2023 term. The issues with disbursement notifications were attributed to both manual error and disabling of the University’s automated processes. Further, the disbursement notifications that were sent for the Fall 2022 term did not include all required elements. Not receiving award and disbursement notifications impairs students’ and parents’ ability to budget for the cost of attending or exercise the option to cancel their loans or grants. Allowable Charges and Credit Balance Authorizations:
An institution may credit a student's ledger account with Title IV, HEA program funds to pay for allowable charges
associated with the current payment period. Allowable charges are: (1) the amount of tuition, fees, and
institutionally provided room and board assessed the student for the payment period or the prorated amount of
those charges if the institution debits the student's ledger account for more than the charges associated with the
payment period; and (2) the amount incurred by the student for the payment period for purchasing books,
supplies, and other educationally related goods and services provided by the institution for which the institution
obtains the student's or parent's authorization under Section 668.165(b) (Title 34, CFR, Section 668.164(c)(1)).
A Title IV, HEA credit balance occurs whenever the amount of Title IV, HEA program funds credited to a student's
ledger account for a payment period exceeds the amount assessed the student for allowable charges associated
with that payment period. A Title IV, HEA credit balance must be paid directly to the student or parent as soon as
possible, but no later than (1) fourteen days after the balance occurred if the credit balance occurred after the first
day of class within a payment period; or (2) fourteen days after the first day of class of a payment period if the
credit balance occurred on or before the first day of class within that payment period (Title 34, CFR, Section
668.164(h)).
If an institution obtains written authorization from a student or parent, as applicable, the institution may: (1) use
the student’s or parent’s Title IV, HEA program funds to pay for charges that are included in that authorization,
and (2) hold on behalf of the student or parent any Title IV, HEA program funds that would otherwise be paid
directly to the student or parent as a credit balance, unless the Secretary provides funds to the institution under
the reimbursement payment method or the heightened cash monitoring payment method (Title 34, CFR, Section
668.165(b)(1)).
An institution may not use Title IV funds to pay finance charges or fees that are incurred because a student uses
a financing method provided by the school to pay for educational expenses over time. Because students or
families choose to incur these additional expenses rather than paying the balance due at registration, the
additional charges are not considered educational expenses, and may not be included in a student’s cost of
attendance. (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 2).
For 8 (13 percent) of 61 students tested, the University used Title IV funds to pay unallowable charges.
Specifically, the University credited the students’ ledger accounts during the payment period for installment
handling charges and late installment charges. Although the University obtained authorization from the students
to apply Title IV funds to charges other than tuition, fees, or institutionally provided room and board, that
authorization did not extend to those unallowable charges.
For 6 (11 percent) of 57 students tested, the University did not return credit balances to students or
parents within 14 days of the disbursement date or first day of class. Specifically, the University returned
credit balances to those students between 21 and 78 days. The University asserted those errors were caused by
changes to the term allocations, and inadequate tracking of credit balances and associated refunds.
Not receiving all Title IV funds a student is entitled to, or not receiving those funds in a timely manner, impairs
students’ and parents’ ability to budget for the cost of attending.
Recommendations:
The University should strengthen its controls to ensure that:
• It identifies all students that require an award or disbursement notification, and sends those notifications to the
students.
• Award and disbursement notifications include all required elements.
• It does not credit student ledger accounts for unallowable charges.
• Credit balances caused by the awarding of Title IV funds are returned to students in a timely manner.
Views of Responsible Officials:
Award and Disbursement Notifications:
The Office of Student Financial Success agrees with the finding related to award and disbursement notifications.
Views of Responsible Officials:
Allowable Charges and Credit Balance Authorizations:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Gramm-Leach-Bliley Act - Student Information Security Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Gramm-Leach-Bliley Act: Institutions must protect sensitive data, including information obtained in support of the administration of federal student financial assistance programs, as required by the Gramm-Leach-Bliley Act (GLBA) (Public Law 106-102). Under their Program Participation Agreement (PPA) and the GLBA, postsecondary educational institutions must protect student financial aid information, with particular attention to information provided by the Department of Education or otherwise obtained in support of the administration of the Title IV Federal student financial aid programs (Dear Colleague Letter, July 1, 2016 (GEN-16-12)). Institutions are required to develop, implement, and maintain an information security program that includes the minimum elements in Title 16, Code of Federal Regulations (CFR), Section 314.4. In addition, the institution must designate a qualified individual responsible for overseeing, implementing, and enforcing the institution’s information security program (Title 16, CFR, Section 314.4(a)). Texas Southern University (University) did not implement an information security program as required by the GLBA. The University did not have a written information security program (and therefore did not address any of the minimum elements), and it did not designate a Qualified Individual responsible for implementing and monitoring its information security program. The University asserted that this was due to significant staffing issues in its Information Technology Department. Not implementing the required safeguards in an information security program and designating a Qualified Individual to implement and enforce those safeguards increases the University’s risk of data breach or loss. Recommendations: The University should: • Develop and implement an information security program that contains all elements required by the GLBA and the Code of Federal Regulations. • Designate a Qualified Individual responsible to implement and monitor its information security program. Views of Responsible Officials: Gramm-Leach-Bliley Act: The University acknowledges and agrees with the findings.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; 84.408; and 93.925 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224122; Federal Work-Study Program, P033A224122; Federal Pell Grant Program, P063P220387; Federal Direct Student Loans, P268K230387; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T230387; Postsecondary Education Scholarships For Veteran's Dependents (Iraq and Afghanistan Service Grant (IASG)), P408A220387; and Scholarships for Health Professions Students from Disadvantaged Backgrounds - Scholarships for Disadvantaged Students (SDS), 5 T08HP39298-03-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, CFR, Sections 668.2, 673.5, and 685.301). Texas State University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate); residency (in-state or out-of-state); housing status (on_x0002_campus, off-campus, or living with parent); and enrollment status (full-time, three-quarter-time, half-time, or less_x0002_than-half-time). Budgeting rules within the University’s student financial assistance system are established to assign various budget components based on the factors noted above. For 1 (2 percent) of 44 students tested, the University incorrectly calculated the COA. Specifically, the University assigned a less-than-half-time COA when the student was enrolled full-time. As a result, the student’s COA was understated by $9,545. After auditors brought the issue to the University’s attention, it identified a total of 84 total students who were affected, including 56 students who received Title IV financial assistance. Those errors occurred because the University did not recalculate the COA for students in the Pathway program after enrollment was finalized for the Spring 2023 term. The errors discussed above did not result in overawards of financial assistance; therefore, there were no
questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or
underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets for the
Pathway program in accordance with its process.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). Texas Tech University (University) did not appropriately restrict user access to its student information system. Specifically, the University did not always limit access to the student information system to only users who needed that access based on their job responsibilities. While the University had a process in place to review user access, that process was not adequately designed to ensure that the University granted the appropriate level of access to all users based on the users’ job duties. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. Recommendation: The University should ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. Views of Responsible Officials: Texas Tech University acknowledges and agrees with the findings. Texas Tech University has worked to develop and implement corrective action to further improve processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: 2020-142 General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). The University of Texas at Arlington (University) did not appropriately restrict user access to its student information system. Specifically, a user was granted administrative access in the student information system, which included the ability to modify information and process transactions, such as authorizing and disbursing aid. The University did not remove the administrative access after the user’s specific job responsibilities no longer required that level of access. The University had a process to periodically review user access; however, that review was not sufficient to identify the inappropriate access. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. Recommendation: The University should ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. Views of Responsible Officials: To the point that The University of Texas at Arlington (University) did not appropriately restrict user access to its student information system. OIT and Financial Aid acknowledge that a user was given elevated access that was not removed when the assigned maintenance task was completed.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). The University of Texas at Austin (University) did not appropriately restrict user access to its student information system. Specifically, an employee retained the ability to modify student financial aid awards after transitioning from the Office of Student Financial Aid to another department within the University. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. In addition, the University did not have sufficient controls over its change management process for information systems. Specifically, one of the University’s departments did not enable the control designed to prevent developers from migrating their own code changes into production. Not having sufficient segregation of duties controls over the change management process increases the risk of unauthorized programming changes being made to critical information systems that the University uses to administer student financial assistance. Recommendations: The University should: • Ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. • Strengthen its controls over its change management process to ensure adequate segregation of duties. Views of Responsible Officials:
The University acknowledges and agrees with the finding. In this case, the employee transitioned from the Office
of Scholarships and Financial Aid (OSFA) to the Student Financial Aid implementation project. It was intended for
this employee to retain his prior access for a time so he could help provide backstop support while his duties were
transitioned to other employees within OSFA. This access should have been removed once his duties were
successfully transitioned.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. However, technical limitations in the current financial
aid management system require that a particular mainframe programming library be exempted from the change
control mechanisms that are used in all other libraries that can update student financial aid information.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224174; Federal Work-Study Program, P033A224174; Federal Pell Grant Program, P063P223234; Federal Direct Student Loans, P268K233234; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233234 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, CFR, Sections 668.2, 673.5, and 685.301). The University of Texas at Dallas (University) established different COA budgets for each term based on a student’s tuition rate (guaranteed or variable); classification (undergraduate or graduate); residency (in-state and out-of-state); living status (on-campus, off-campus, or at home); and enrollment level (full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting formulas within the University’s student information system are used to assign various budget components based on the factors noted above. The University did not always accurately configure COA budget components in its student information system. Specifically, the University incorrectly set the Summer transportation budget for a certain group of students—undergraduate students with a guaranteed tuition rate who were in-state residents living at home and enrolled half-time—to $640 instead of $928. After auditors brought the issue to the University’s attention, it identified 299 students who were affected. As a result, the COA for those students was understated by a total of $86,112 for the Summer 2023 term. The errors discussed above did not result in overawards of financial assistance; therefore, there were no questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or underawarding financial assistance to students. Recommendation:
The University should ensure that it accurately configures COA budget components within its student information
system.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
While reviewing the population for submission to the auditors, the University determined that the above error had
occurred. Since the timing was still within the summer semester, we corrected the COA component error and
provided institutional grant funding for those students who had increased need due to the update in their summer
transportation budget. There were only 2 students who needed to have their loans repackaged to avoid under
awarding federal aid, which was done.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). The University of Texas Permian Basin (University) did not appropriately restrict user access to its student information system. Specifically, the University did not always limit access to the student information system to only users who needed that access based on their job responsibilities. The University had a process to periodically review user access; however, that review was not sufficient to identify the inappropriate access. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. Recommendation: The University should ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. Views of Responsible Officials: The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the audit, the University has worked to implement further access limitations and enhanced its periodic review of access.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224178; Federal Work-Study Program, P033A224178; Federal Pell Grant Program, P063P223265; Federal Direct Student Loans, P268K233265; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233265 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). The University of Texas Permian Basin (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate), program (in-person or online), residency (in_x0002_state or out-of-state), living status (on-campus, off-campus, or at home with parents), and enrollment level (full_x0002_time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 60 (98 percent) of 61 students tested, the University incorrectly calculated the COA. For some of the students discussed below, there were multiple errors in the COA calculation. Specifically: • For 38 students, the University assigned an incorrect amount for the fees, loan fees, and/or transportation budget components. Those errors occurred because the amounts were incorrectly loaded into the budget tables in the University’s student information system. The University asserted that it discovered these issues in April 2023, and attempted to manually update individual student accounts that were affected. As a result, the COA for those students was overstated, and three students were overawarded a total of $2,871. After auditors brought the overawards to the University’s attention, it returned funds to the U.S. Department of Education; therefore, there were no questioned costs. • For 15 students, the University assigned an in-person budget instead of an online advanced budget. Those
errors occurred because the University failed to consistently communicate which programs were offered
online to the financial aid office, which would have helped ensure that the student information system was
updated appropriately. As a result, the COA for those students was overstated, and one of those students
was overawarded a Subsidized Direct Loan in the amount of $919. After auditors brought the overaward to
the University’s attention, it returned funds to the U.S. Department of Education; therefore, there were no
questioned costs.
• For 12 students, the University incorrectly assigned an additional room and board fee. As a result, the COA
was overstated by $50 per term for each of those students; however, the University did not overaward
financial assistance to those students.
• For eight students, the University did not adjust the students’ COA to reflect the students’ actual enrollment.
The University did not have a process to freeze student enrollment levels in order to recalculate COA after
census. As a result, the COA for those students was overstated; however, the University did not overaward
financial assistance to those students.
The University did not have adequate controls in place to review budgets used in the calculation of COA and
accurately assign those budgets to students. Incorrectly calculating COA increases the risk of overawarding or
underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets in
accordance with its process and does not overaward financial assistance to students.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University has worked to implement additional controls as it relates to calculation of the Cost of
Attendance.
Special Tests and Provisions - Gramm-Leach-Bliley Act - Student Information Security Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Gramm-Leach-Bliley Act: Institutions must protect sensitive data, including information obtained in support of the administration of federal student financial assistance programs, as required by the Gramm-Leach-Bliley Act (GLBA) (Public Law 106-102). Under their Program Participation Agreement (PPA) and the GLBA, postsecondary educational institutions must protect student financial aid information, with particular attention to information provided by the Department of Education or otherwise obtained in support of the administration of the Title IV Federal student financial aid programs (Dear Colleague Letter, July 1, 2016 (GEN-16-12)). Institutions are required to develop, implement, and maintain an information security program that includes the minimum elements in Title 16, Code of Federal Regulations (CFR), Section 314.4. Those minimum requirements include conducting a periodic inventory of data, noting where it is collected, stored, or transmitted (Title 16, CFR, Section 314.4(c)(1)). In addition, the institution must designate a qualified individual responsible for overseeing, implementing, and enforcing the institution’s information security program (Title 16, CFR, Section 314.4(a)). The University of Houston’s (University) information security program did not address the implementation of all minimum safeguards as required by the GLBA. Specifically, while the University had designated a Qualified Individual to coordinate its information security program and had a written information security program in place, that program did not meet the requirements for conducting a periodic inventory of data. Not implementing all required safeguards in its information security program increases the University’s risk of data breach or loss. Recommendation:
The University should ensure that all elements required by the GLBA are documented and implemented in its
information security program.
Views of Responsible Officials:
The University acknowledges and agrees with the findings. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). The University of Texas at Austin (University) did not appropriately restrict user access to its student information system. Specifically, an employee retained the ability to modify student financial aid awards after transitioning from the Office of Student Financial Aid to another department within the University. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. In addition, the University did not have sufficient controls over its change management process for information systems. Specifically, one of the University’s departments did not enable the control designed to prevent developers from migrating their own code changes into production. Not having sufficient segregation of duties controls over the change management process increases the risk of unauthorized programming changes being made to critical information systems that the University uses to administer student financial assistance. Recommendations: The University should: • Ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. • Strengthen its controls over its change management process to ensure adequate segregation of duties. Views of Responsible Officials:
The University acknowledges and agrees with the finding. In this case, the employee transitioned from the Office
of Scholarships and Financial Aid (OSFA) to the Student Financial Aid implementation project. It was intended for
this employee to retain his prior access for a time so he could help provide backstop support while his duties were
transitioned to other employees within OSFA. This access should have been removed once his duties were
successfully transitioned.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. However, technical limitations in the current financial
aid management system require that a particular mainframe programming library be exempted from the change
control mechanisms that are used in all other libraries that can update student financial aid information.
Special Tests and Provisions – Perkins Loan Recordkeeping and Record Retention Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.038 Pass-Through Agency: N/A Award Number: Federal Perkins Loan Program, award number N/A Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Institutions must retain promissory and master promissory notes (MPNs) and repayment records for each Perkins Loan program loan made. Institutions are required to keep original paper promissory notes or original paper MPNs and repayment schedules in a locked, fireproof container. The original promissory notes and repayment schedules must be kept until the loans are satisfied (Title 34, Code of Federal Regulations (CFR), Section 674.19(e)(4)). An institution shall retain disbursement and electronic authentication and signature records for each loan made using an MPN for at least three years from the date the loan is canceled, repaid, or otherwise satisfied. (Title 34, CFR, Section 674.19(e)(3)(i)). The University of Texas at Austin (University) did not consistently maintain paper Perkins Loan records in a locked, fire-proof container, as required. Paper records for open Perkins Loans were properly maintained; however, paper records for retired Perkins Loans were stored in paper boxes in the basement storage room of the Student Accounts Receivable Office. The University asserted that only staff in the Student Accounts Receivables Office have access to the storage room with electronic key cards, and that the records were stored in boxes because the University did not have sufficient filing cabinet storage available. Not appropriately storing paper records results in noncompliance with the Federal Perkins loan program record retention requirements and increases the risk of data loss or breach. Recommendation: The University should ensure that retired Perkins Loan original paper promissory notes or original paper MPNs and repayment schedules are stored in a locked, fireproof container for the prescribed period. Views of Responsible Officials:
The University acknowledges and agrees with the finding. The University will work to develop and implement
corrective action to further improve the processes.
Special Tests and Provisions – Perkins Loan Recordkeeping and Record Retention Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.038 Pass-Through Agency: N/A Award Number: Federal Perkins Loan Program, award number N/A Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Institutions must retain promissory and master promissory notes (MPNs) and repayment records for each Perkins Loan program loan made. Institutions are required to keep original paper promissory notes or original paper MPNs and repayment schedules in a locked, fireproof container. The original promissory notes and repayment schedules must be kept until the loans are satisfied. If required to release original documents in order to enforce the loan, the institution must retain certified true copies of those documents. After the loan obligation is satisfied, the institution shall return the original or a true and exact copy of the note marked “paid in full” to the borrower, or otherwise notify the borrower in writing that the loan is paid in full and retain a copy for the prescribed period (Title 34, Code of Federal Regulations (CFR), Section 674.19(e)(4)). For 9 (100 percent) of 9 retired loans tested, the University of Texas at Dallas (University) did not send
paid-in-full notifications to those borrowers, as required. As a result, the University did not maintain the
required documentation of the paid-in-full notifications to those borrowers after their loan obligations were
satisfied. Those errors occurred because the University’s third-party Perkins Loan servicer erroneously excluded
the paid-in-full letter service from its contract renewal with the University, and the University failed to identify the
discrepancy. The University provided auditors with correspondence from the servicer in which the servicer
accepted responsibility for the oversight. The servicer stated that it would send the paid-in-full letters to borrowers
retroactively.
Not maintaining adequate documentation results in noncompliance with the Federal Perkins loan program record
retention requirements. Additionally, not notifying borrowers of their loans’ paid-in-full status increases the risk of
borrowers making overpayments on their loans.
Recommendation:
The University should ensure that paid-in-full notifications are sent to all borrowers who satisfy their Perkins Loan
obligations, and retain a copy of each notification for the prescribed period.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
For many years, the University's Perkins Loan portfolio was being serviced by Campus Partners. Shortly after
Heartland ECSI acquired Campus Partners, the University made the decision to fully transfer their Perkins Loan
services to ECSI. This transition was intended to not only continue receiving the services provided by our current
servicer, but also to enhance services in other areas. During the early stages of this transition our team was very
involved in determining which services would be included in the contract. It was determined that there were
services considered standard with Campus Partners that were not included with ECSI; the paid-in-full letter was
one of these services. The Bursar management team noticed this discrepancy and mentioned this to our ECSI
Client Relationship Coordinator dated April 27, 2017. Based on the information provided, it was our understanding
that the paid-in-full letter service would be an active service with ECSI. Since ECSI does not retain copies of
these letters, we had no reason to question whether this service was being done.
During this audit, it was brought to our attention that the most recent contract renewal with ECSI did not indicate
that they were providing the paid- in-full letters on our behalf. As the Bursar Office began to research this process,
we were told by an ECSI representative that they did not see this service being provided to our borrowers. After
further communication with our Client Relationship Coordinator, it was determined that ECSI did not "turn on" this
service after the order request was submitted to their implementation team, as determined via email on
October 12, 2023.
The University understands it's our responsibility to ensure processes are being completed by all servicing
organizations. In response, ECSI has submitted an order for this service to be activated for all future accounts.
They have also agreed to send paid in full notices to all borrowers dating back to the beginning of our contract, as
well as revising the contract to ensure this service is included moving forward.
Special Tests and Provisions – Perkins Loan Recordkeeping and Record Retention Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.038 Pass-Through Agency: N/A Award Number: Federal Perkins Loan Program, award number N/A Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Institutions must retain promissory and master promissory notes (MPNs) and repayment records for each Perkins Loan program loan made. Institutions are required to keep original paper promissory notes or original paper MPNs and repayment schedules in a locked, fireproof container. The original promissory notes and repayment schedules must be kept until the loans are satisfied. If required to release original documents in order to enforce the loan, the institution must retain certified true copies of those documents. After the loan obligation is satisfied, the institution shall return the original or a true and exact copy of the note marked “paid in full” to the borrower, or otherwise notify the borrower in writing that the loan is paid in full and retain a copy for the prescribed period (Title 34, Code of Federal Regulations (CFR), Section 674.19(e)(4)). For 25 (100 percent) of 25 retired loans tested, the University of Texas at San Antonio (University) did not send paid-in-full notifications to those borrowers, as required. As a result, the University did not maintain the required documentation of the paid-in-full notifications being sent to those borrowers after their loan obligations were satisfied. Not maintaining adequate documentation results in noncompliance with the Federal Perkins loan program record retention requirements. Additionally, not notifying borrowers of their loans’ paid-in-full status increases the risk of borrowers making overpayments on their loans. The University asserted the errors discussed above occurred because it believed the University’s third-party
Perkins Loan servicer was responsible for sending the paid-in-full notifications. The University was unable to
provide its contract with the third-party Perkins Loan servicer. However, the University obtained a list of services
rendered from the servicer, which showed the paid-in-full letter service was not a service included in the contract.
Recommendation:
The University should ensure that paid-in-full notifications are sent to all borrowers who satisfy their Perkins Loan
obligations, and retain a copy of each notification for the prescribed period.
Views of Responsible Officials:
UTSA acknowledges and agrees with the finding. Through analysis of the exceptions identified in the audit, UTSA
will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Perkins Loan Recordkeeping and Record Retention Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.038 Pass-Through Agency: N/A Award Number: Federal Perkins Loan Program, award number N/A Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Institutions must retain promissory and master promissory notes (MPNs) and repayment records for each Perkins Loan program loan made. Institutions are required to keep original paper promissory notes or original paper MPNs and repayment schedules in a locked, fireproof container. The original promissory notes and repayment schedules must be kept until the loans are satisfied. If required to release original documents in order to enforce the loan, the institution must retain certified true copies of those documents. After the loan obligation is satisfied, the institution shall return the original or a true and exact copy of the note marked “paid in full” to the borrower, or otherwise notify the borrower in writing that the loan is paid in full and retain a copy for the prescribed period (Title 34, Code of Federal Regulations (CFR), Section 674.19(e)(4)). For 17 (100 percent) of 17 retired loans tested, the University of Texas Health Science Center at San
Antonio (Health Science Center) did not send paid-in-full notifications to those borrowers, as required. As
a result, the Health Science Center did not maintain the required documentation of the paid-in-full notifications to
those borrowers after their loan obligations were satisfied. The Health Science Center asserted that it was
unaware of this requirement and that it only provided paid-in-full confirmations when requested by the borrower.
Not maintaining adequate documentation results in noncompliance with the Federal Perkins loan program record
retention requirements. Additionally, not notifying borrowers of their loans’ paid-in-full status increases the risk of
borrowers making overpayments on their loans.
Recommendation:
The Health Science Center should ensure that paid-in-full notifications are sent to all borrowers who satisfy their
Perkins Loan obligations and retain a copy of each notification for the prescribed period.
Views of Responsible Officials:
The University acknowledges non-compliance with Perkins loan recordkeeping and will implement corrective
action to improve processes.
Special Tests and Provisions – Perkins Loan Recordkeeping and Record Retention Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.038 Pass-Through Agency: N/A Award Number: Federal Perkins Loan Program, award number N/A Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Institutions must retain promissory and master promissory notes (MPNs) and repayment records for each Perkins Loan program loan made. Institutions are required to keep original paper promissory notes or original paper MPNs and repayment schedules in a locked, fireproof container. The original promissory notes and repayment schedules must be kept until the loans are satisfied. If required to release original documents in order to enforce the loan, the institution must retain certified true copies of those documents. After the loan obligation is satisfied, the institution shall return the original or a true and exact copy of the note marked “paid in full” to the borrower, or otherwise notify the borrower in writing that the loan is paid in full and retain a copy for the prescribed period (Title 34, Code of Federal Regulations (CFR), Section 674.19(e)(4)). For 4 (100 percent) of 4 retired loans tested, the University of North Texas (University) did not send paid in-full notifications to those borrowers, as required. As a result, the University did not maintain the required
documentation of the paid-in-full notifications to those borrowers after their loan obligations were satisfied. The
University asserted that the notifications were not sent due to staff turnover and the assumption that the
University’s third-party Perkins Loan servicer was responsible for sending the notifications.
Not maintaining adequate documentation results in noncompliance with the Federal Perkins loan program record
retention requirements. Additionally, not notifying borrowers of their loans’ paid-in-full status increases the risk of
borrowers making overpayments on their loans.
Recommendation:
The University should ensure that paid-in-full notifications are sent to all borrowers who satisfy their Perkins Loan
obligations, and retain a copy of each notification for the prescribed period.
Views of Responsible Officials:
The University acknowledges and agrees with the finding related to sending paid-in-full notifications to all
borrowers who satisfy their Perkins Loan obligations.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 93.264 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224051; Federal Work-Study Program, P033A224051; Federal Pell Grant Program, P063P222282; Federal Direct Student Loans, P268K232282; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232282; and Nurse Faculty Loan Program (NFLP), 1 E01HP45821-01-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $1,409 Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). Direct Subsidized and Unsubsidized Loans have annual and aggregate limits that are the same for all students at a given grade level and dependency status. In general, a loan may not be more than the amount the borrower requests, the borrower’s unmet financial need, the borrower’s COA, or the borrower’s maximum borrowing limit. (U.S. Department of Education 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 5). Lamar University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate), dependency (dependent or independent), residency (in-state or out-of-state), living status (on-campus, off-campus, or at home with parents), and enrollment level (full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 23 (38 percent) of 61 students tested, the University incorrectly calculated the COA. Specifically, the
University did not adjust the students’ COA to reflect the students’ actual enrollment as of the census date. The
University experienced turnover in the Student Financial Aid department during the 2022–2023 award year, and
could not provide a cause for those errors. The University asserted that it implemented a process to recalculate
students’ COAs based on their actual enrollment at census beginning with the Fall 2023 term; however, the errors
discussed above occurred before that process was in place. As a result, the University overawarded two students.
• One of those students was assigned an overstated COA for the Fall 2022 term based on three-quarter-time
enrollment although the student’s actual enrollment was half-time. The student was awarded $5,294 in
Subsidized Direct Loans, which exceeded the student’s financial need, resulting in $1,113 in questioned costs
associated with ALN 84.268, Federal Direct Student Loans, award number P268K232282.
• The other student was assigned an overstated COA for the Spring 2023 term based on full-time enrollment
although the student did not attend during the term. The student was awarded $10,142 in Unsubsidized Direct
Loans, which exceeded the student’s actual COA, resulting in $296 in questioned costs associated with ALN
84.268, Federal Direct Student Loans, award number P268K232282.
The University did not have adequate controls in place to review budgets used in the calculation of COA and
accurately assign those budgets to students. Incorrectly calculating COA increases the risk of overawarding or
underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets in
accordance with its process and does not overaward financial assistance to students.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; and 84.063 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224051; and Federal Pell Grant Program, P063P222282 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Fiscal Operations Report and Application to Participate (FISAP): An institution participating in campus-based programs is required to annually submit the FISAP to the Secretary of the U.S. Department of Education to receive funds for the campus-based programs. The institution uses the Fiscal Operations Report portion to report its expenditures in the previous award year and the Application to Participate portion to apply for the following year (Title 34, Code of Federal Regulations (CFR), Section 674.19(d); and U.S. Department of Education, Fiscal Operations Report for 2022–23 and Application to Participate for 2024– 25 (FISAP) Instructions). The institution must ensure that the information is accurately reported on the form and at the time specified by the Secretary of the U.S. Department of Education (Title 34, CFR, Section 674.19(d)(2)). Lamar University (University) did not maintain adequate support for its FISAP. Specifically, the University did not have support for the total Federal Pell Grants expenditures for the 2022–2023 award year reported in Part II, Section E. Assessments and Expenditures, Line 23. In addition, the supporting documentation provided by the University for the total Federal Supplemental Educational Opportunity Grants (FSEOG) expenditures for undergraduate independent students with income from $0 to $1,999 for the 2022–2023 award year did not match the amount reported in Part IV, Section A. Distribution of Program Recipients and Expenditures by Type of Student, Line 12(d). The University asserted that those issues were due to human error. As a result, auditors were unable to determine whether the information on the FISAP for those line items was accurate and fairly presented in accordance with requirements. Recommendation: The University should maintain adequate support for information reported on its FISAP to ensure that information is accurate. Views of Responsible Officials: The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Disbursements To or On Behalf of Students Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 93.264 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224051; Federal Work-Study Program, P033A224051; Federal Pell Grant Program, P063P222282; Federal Direct Student Loans, P268K232282; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232282; and Nurse Faculty Loan Program (NFLP), 1 E01HP45821-01-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Award and Disbursement Notifications: Before an institution disburses Title IV, Higher Education Act of 1965 (HEA) program funds for any award year, the institution must notify a student of the amount of funds that the student or his or her parent can expect to receive under each Title IV, HEA program, and how and when those funds will be disbursed. If those funds include Direct Loan program funds, the notice must indicate which funds are from subsidized loans, which are from unsubsidized loans, and which are from PLUS loans (Title 34, Code of Federal Regulations (CFR), Section 668.165(a)(1)). If an institution credits a student’s ledger account with Federal Direct Student Loan (Direct Loan) funds or Teacher Education Assistance for College and Higher Education (TEACH) Grant funds, the institution must notify the student or parent of (1) the anticipated date and amount of the disbursement, (2) the student’s or parent’s right to cancel all or a portion of that loan or grant and have the loan or grant proceeds returned to the U.S. Department of Education, and (3) the procedures and time by which the student or parent must notify the institution that he or she wishes to cancel the loan or grant, or loan or grant disbursement (Title 34, CFR, Section 668.165(a)(2)). The institution must provide the notice in writing no earlier than 30 days before, and no later than 30 days after, crediting the student’s ledger account at the institution (Title 34, CFR, Section 668.165(a)(3)). For 21 (34 percent) of 62 disbursements tested, Lamar University (University) did not send an award or
disbursement notification as required. Specifically:
• For 20 students that received Direct Loan disbursements, the University did not send a disbursement
notification. The University asserted those errors occurred because the University was utilizing a manual
process to send out the disbursement notifications, and on those days when the employee charged with
performing the manual process was not present, the notifications were not sent to students.
• For one student who received Title IV funds, the University did not send an award notification. This error
occurred because the University manually packaged the student’s awards after clearing a verification
requirement, and the University did not have an adequate process in place to ensure that students who are
manually awarded receive an award notification.
Not receiving award and disbursement notifications impairs students’ and parents’ ability to budget for the cost of
attending or exercise the option to cancel their loans or grants.
Promissory Notes:
Institutions must establish a process to make loans consistent with institutional policies and federal laws and
regulations, including the completion of the following during disbursement: (1) signed promissory note, and (2)
disclosure of terms and conditions (Nurse Faculty Loan Program (NFLP) Administrative Guidelines, 42 United
States Code (U.S.C.) 297n-1 (Public Health Service Act Section 846A)).
The University did not have a process in place to require a promissory note for NFLP loans prior to
disbursement. NFLP loans were incorrectly identified in the student information system as a grant instead of a
loan. As a result, the student information system did not place a required hold on disbursements until the
promissory note requirement was completed.
Not requiring a signed promissory note prior to disbursement of loan funds could limit the University’s ability to
enforce repayment of the loan.
Recommendations:
The University should:
• Strengthen its controls to ensure that it identifies all students that require an award or disbursement
notification, and sends those notifications to the students.
• Configure controls in the student information system to require promissory notes for applicable loans.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224051; Federal Pell Grant Program, P063P222282; Federal Direct Student Loans, P268K232282; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232282 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $19,357 Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs, and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). The total number of calendar days in a payment period or period of enrollment includes all days within the payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)). In determining the percentage of the payment period or period of enrollment completed for a student who
withdraws from a program offered in modules, an institution must (1) include all days within the period that the
student was scheduled to complete prior to ceasing attendance and (2) exclude any scheduled breaks of at least
five consecutive days when the student was not scheduled to attend a module or other course offered during that
period of time. Scheduled breaks include both those that take place within and between modules (U.S.
Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 5, Chapter 2).
An institution must offer to disburse directly to a student, or parent in the case of a parent PLUS loan, any amount
of a post-withdrawal disbursement of loan funds that is not credited to the student's account. The institution must
make a direct disbursement of any loan funds that make up the post-withdrawal disbursement only after obtaining
the student's, or parent's in the case of a parent PLUS loan, confirmation that the student or parent still wishes to
have the loan funds disbursed (Title 34, CFR, Section 668.22(a)(6)(ii)(B)).
Lamar University (University) made errors in Title IV return calculations for 25 (41 percent) of 61 students
tested. Specifically, the University did not exclude any break days from the Spring 2023 term or days between
modules as required. Those errors resulted in the University returning a total of $3,481 associated with ALN
84.268, Federal Direct Student Loans, award number P268K232282, and $1,802 associated with ALN 84.063,
Federal Pell Grant Program, award number P063P222282, less Title IV funds than required.
• For 2 of those 25 students, the University also used an inaccurate withdrawal date in the return calculation.
• For 1 of those 25 students, the University also did not identify that the student was eligible to receive a post withdrawal disbursement of loan funds and therefore did not offer to disburse those loan funds to the student
as required.
In addition, for 8 (13 percent) of 61 students tested who did not have a return of Title IV funds made, the
University did not perform a return calculation as required. The University asserted it did not consistently
follow its procedures in identifying students who required a Title IV return calculation due to staff turnover and
newer staff needing additional training. As a result, the University did not return a total of $13,707 associated with
ALN 84.268, Federal Direct Student Loans, award number P268K232282, and $367 associated with ALN 84.063,
Federal Pell Grant Program, award number P063P222282 as required.
The errors discussed above occurred because the University did not configure its information system to
accurately calculate returns and because of manual errors that the University made in performing the return
calculations. In addition, the University did not have an adequate monitoring process to identify those errors. Not
having a process that consistently calculates and returns the correct amount of Title IV funds increases the risk
that the University could return less Title IV funds than it is required to return.
Timeliness of Returns:
An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later
than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section
668.22(j)).
For 5 (8 percent) of 59 students tested who withdrew and required a return of Title IV funds, the University
did not return the funds within the required time frame. The University returned the funds for those students
47 to 143 days after it determined that the students withdrew. For 2 of those students, the University determined
the withdrawal dates and performed the return calculations; however, it did not return the Title IV funds within the
required 45-day time frame due to an oversight in processing the return of those funds. For three of those
students, the University asserted that it determined that the return calculations required corrections, which
resulted in the returns not being performed timely. Not making returns within required time frames reduces the
funds available to the U.S. Department of Education for its program management. Recommendations:
The University should:
• Strengthen its controls to ensure that it accurately calculates returns of Title IV funds when required, including
review of the variables it uses in those calculations.
• Accurately determine the number of days in the payment period and exclude any scheduled breaks as
required.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in return of Title IV calculations
and returns Title IV funds in a timely manner.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222282; and Federal Direct Student Loans, P268K232282 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Federal regulations and related guidance governing Title IV student aid programs require schools to report the enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next 60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan) has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half_x0002_time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title 34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30, 2012 (GEN-12-06)). Institutions are required to report the campus-level enrollment for the student, including enrollment status and the effective date of that enrollment status. For enrollment status changes to three-quarter-time, half-time, and less_x0002_than-half-time status, the institution must use the effective date that the student dropped to those particular statuses (NSLDS Enrollment Reporting Guide, November 2022, Chapter 1, 4, 7, and Appendix C). Institutions also are required to report the program(s) of attendance for the student, including classification of instructional programs (CIP) code, program credential level, program length, program enrollment status, and other data about the program. The program enrollment effective date is the date that the current enrollment status reported for a student was first effective and the program begin date is the date the student began attending the program being reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4). For a student who has graduated, institutions that initially report a withdrawn status must subsequently report the student as having graduated by certifying a “G” status at the campus level and/or program level as appropriate (NSLDS Enrollment Reporting Guide, November 2022, Chapter 4, Section 4.4.3). Lamar University (University) uses the services of the National Student Clearinghouse (NSC) to report status changes to NSLDS. Under this arrangement, the University reports all students enrolled and their status to NSC. NSC then identifies any changes in status and reports those changes to NSLDS when required. Although the University uses the services of NSC, the University still has the primary responsibility to report any changes in student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide, November 2022, Chapter 3, Section 3.3). For 7 (12 percent) of 60 students tested, the University did not accurately report campus- and program level data elements or did not report enrollment status changes to NSLDS. Specifically:
• For two students, the University incorrectly reported the students’ enrollment status as withdrawn, rather than
graduated. The incorrect enrollment status was reported at both the campus and program levels to NSLDS. In
addition, those statuses were not received by NSLDS until 130 and 134 days after the students graduated.
• For two students, the University did not report the withdrawn status at the campus and program levels to
NSLDS as required.
• For two students, the University incorrectly reported the students’ graduated status effective date at the
campus level. However, the graduated effective date for both students was correctly reported at the program
level. The effective date reported at the campus level should be the same date reported at the program level
because those dates reflect the same enrollment status change.
• For one student, the University incorrectly reported the student’s enrollment status at the campus and
program levels. The University initially reported the correct enrollment status; however, subsequent
submissions to NSLDS overwrote that enrollment status with an incorrect enrollment status.
The errors discussed above occurred because the University (1) did not ensure that all graduated students were
included on the graduation transmission file to NSC, (2) did not fully address error reports provided by NSC, and
(3) did not have a formally documented policy or review to ensure consistent and accurate enrollment reporting.
Not reporting student status changes accurately and in a timely manner could affect determinations that
guarantors, lenders, and servicers of student loans make related to in-school status, deferments, grace periods,
and repayment schedules.
Recommendation:
The University should strengthen its controls to ensure that all status changes are reported accurately and in a
timely manner to NSLDS.
Views of Responsible Officials:
The University accepts and confirms the findings. Through assessing and identifying the exceptions in the audit
the University will work to develop and enforce the beneficial measures needed to refine our procedures.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). Sam Houston State University (University) did not appropriately restrict access to its student information system. Specifically, the University did not always limit access to the student information system to only users who needed that access based on their job responsibilities. While the University had a process in place to review user access, that process was not adequately designed to ensure that the University granted the appropriate levels of access to all users based on the users’ job duties. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. In addition, the University did not have sufficient controls over its change management process for information systems. Specifically, 1 (14 percent) of 7 changes tested lacked documentation showing that the change was properly tested or validated before it was migrated to production. Not having sufficient controls over the change management process increases the risk of unauthorized programming changes being made to critical information systems that the University uses to administer student financial assistance. Recommendations: The University should: • Ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. • Strengthen its controls over its change management process to ensure adequate validation of changes prior to implementation. Views of Responsible Officials: The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the audit, the University will work to develop and implement corrective action to further improve the processes.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.268 Pass-Through Agency: N/A Award Number: Federal Direct Student Loans, P268K232301 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Federal Direct Student Loans: Direct Unsubsidized Loans have higher annual limits for certain graduate and professional health professions students. Schools may award the increased unsubsidized amounts to students who are enrolled at least half-time in certain health professions programs. The increased unsubsidized amounts that an eligible health professions student may receive are in addition to the regular $20,500 Direct Unsubsidized Loan annual loan limit for graduate and professional students. For programs with an academic year covering 10 or 11 months, the annual additional unsubsidized loan limit must be prorated. The prorated annual loan limit is determined by dividing the applicable loan limit for a nine-month academic year by nine, and then multiplying the result by 10 or 11. (U.S. Department of Education 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 5). Based on a review of the full population of student financial assistance recipients, Sam Houston State
University (University) overawarded a total of $239,932 in Unsubsidized Direct Loans to 133 students. Due
to an incorrect proration methodology, the University awarded first- and second-year students in the Doctor of
Osteopathic Medicine program in excess of their Unsubsidized Direct Loan annual limit. Specifically, the
University prorated the sum of the annual and increased additional annual limits, instead of prorating only the
increased additional annual limit. After auditors brought the errors to the University’s attention, it returned the
excess Unsubsidized Direct Loan funds; therefore, there were no questioned costs.
Recommendation:
The University should use the appropriate methodology when prorating Unsubsidized Direct Loans for eligible
health professions students to ensure that loans are disbursed within the student’s applicable annual limit.
Views of Responsible Officials:
The University acknowledges and agrees with the findings of this audit. Management recognizes that increased
unsubsidized amounts for eligible health professions are to be calculated by prorating the additional months then
dividing the applicable loan limit for a nine-month academic year by nine, and then multiplying the result by 10 or
11, depending on the months of the program.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224110; Federal Pell Grant Program, P063P222301; Federal Direct Student Loans, P268K232301; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232301 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No
When a student who received Title IV grant or loan assistance withdraws from an institution during a payment
period or period of enrollment in which the student began attendance, the institution must determine the amount
of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of
Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned
by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date
of the institution’s determination that the student withdrew, the difference must be returned to the Title IV
programs and no additional disbursements may be made to the student for the payment period or period of
enrollment (Title 34, CFR, Section 668.22(a)(4)).
The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV
grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title
IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the
payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their
Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period
or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by
subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was
disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student
withdrew (Title 34, CFR, Section 668.22(e)).
For distance education, documenting that a student has logged into an online class is not sufficient to
demonstrate academic attendance by the student. An institution must demonstrate that a student participated in
class or was otherwise engaged in an academically related activity. Only active participation by a student in an
instructional activity related to the student's course of study that meets the definition of “academic engagement” in
Title 34, CFR, Section 600.2 and takes place during a payment period or period of enrollment qualifies as
attendance in an academically related activity (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 5, Chapter 2).
For 1 (4 percent) of 24 students tested, Sam Houston State University (University) did not have evidence
of academic engagement in the distance education course from which the student’s withdrawal date was
determined. The University relies on the last dates of academic activity provided by instructors to determine the
withdrawal date for Return of Title IV purposes for students who unofficially withdraw. The student’s record did not
reflect evidence of academic activity for the distance education course, and the University asserted that the last
day of attendance provided by the instructor was inaccurate. The University did not have a process in place to
require instructors to provide or maintain evidence of academic engagement in distance education courses. As a
result, the University did not perform a return calculation because it incorrectly determined that the student
completed over 60 percent of the period. After auditors brought the issue to the University’s attention, the
University performed a return calculation and returned Title IV funds as required; therefore, there were no
questioned costs.
Having a process that does not consistently calculate and return the correct amount of Title IV funds increases
the risk that the University could return less Title IV funds than it is required to return.
Recommendation:
The University should ensure that evidence of academic engagement is consistently documented for students in
distance education courses.
Views of Responsible Officials:
The University acknowledges and agrees with the findings of this audit. Management acknowledges the
responsibility to accurately verify the academic engagement and document it for students enrolled in distance
education courses.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224131; Federal Work-Study Program, P033A224131; Federal Pell Grant Program, P063P222320; Federal Direct Student Loans, P268K232320; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232320 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). Tarleton State University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s tuition rate (guaranteed or variable), program, courses, classification (undergraduate or graduate), residency (in-state or out-of-state); living status (on-campus, off-campus, or with parent), and enrollment level (full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 62 (100 percent) of 62 students tested, the University incorrectly calculated the COA. Specifically, the University used the 2021–2022 award year budgets instead of the 2022–2023 award budgets because it did not update the COA budget components in its student information system for the new award year. As a result, the COAs for those students were understated by a total of $148,781. This error would have affected the COA for all students in the Fall 2022 and Spring 2023 terms. However, because the students’ budgets were understated, this error did not result in overawards of financial assistance; therefore, there were no questioned costs. The University did not have adequate controls in place to review budgets used in the calculation of COA and accurately assign those budgets to students. Incorrectly calculating COA increases the risk of overawarding or underawarding financial assistance to students. Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets in
accordance with its process.
Views of Responsible Officials:
The University has carefully reviewed the findings outlined in the recent financial aid audit report, and we
acknowledge and agree with the identified areas for improvement. Your thorough examination has provided
valuable insights into our financial aid processes, and we appreciate the effort invested in ensuring transparency
and accountability.
In response to the findings, we are committed to taking immediate and comprehensive corrective actions to
address the identified issues and enhance the overall effectiveness of our financial aid management. Our team is
already in the process of developing a detailed Corrective Action Plan that will outline the specific steps we will
take to rectify the noted deficiencies. We understand the importance of financial aid in supporting our students'
academic endeavors, and we are dedicated to ensuring that our processes align with the highest standards of
integrity and compliance.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224131; Federal Pell Grant Program, P063P222320; Federal Direct Student Loans, P268K232320; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232320 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $12,259 Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs, and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV
grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title
IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the
payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their
Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period
or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by
subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was
disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student
withdrew (Title 34, CFR, Section 668.22(e)).
The total number of calendar days in a payment period or period of enrollment includes all days within the
payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks
of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the
number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)).
In determining the percentage of the payment period or period of enrollment completed for a student who
withdraws from a program offered in modules, an institution must (1) include all days within the period that the
student was scheduled to complete prior to ceasing attendance and (2) exclude any scheduled breaks of at least
five consecutive days when the student was not scheduled to attend a module or other course offered during that
period of time. Scheduled breaks include both those that take place within and between modules (U.S.
Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 5, Chapter 2).
For a program offered in modules, a student is not considered to have withdrawn if the student successfully
completes any of the following: (1) a module that includes 49 percent or more of the number of days in the
payment period, excluding scheduled breaks of five or more consecutive days and all days between modules; (2)
a combination of modules that together contain 49 percent or more of the number of days in the payment period,
excluding scheduled breaks of five or more consecutive days and all days between modules (Title 34, CFR,
Section 668.22(a)(2)(ii)(A)(2)); or (3) coursework equal to or greater than the coursework required for the
institution’s definition of a half-time student under 34 CFR 668.2(b) for the payment period (U.S. Department of
Education, 2022-2023 Federal Student Aid Handbook, Volume 5, Chapter 1).
An institution must disburse directly to a student any amount of a post-withdrawal disbursement of grant funds
that is not credited to the student's account. The institution must make the disbursement as soon as possible, but
no later than 45 days after the date of the institution's determination that the student withdrew. The institution
must offer to disburse directly to a student, or parent in the case of a parent PLUS loan, any amount of a post withdrawal disbursement of loan funds that is not credited to the student's account. The institution must make a
direct disbursement of any loan funds that make up the post-withdrawal disbursement only after obtaining the
student's, or parent's in the case of a parent PLUS loan, confirmation that the student or parent still wishes to
have the loan funds disbursed (Title 34, CFR, Section 668.22(a)(6)(ii)(B)).
For 58 (97 percent) of 60 students tested, Tarleton State University (University) incorrectly calculated the
amount of Title IV funds to be returned or returned the incorrect amount of funds. Specifically:
• For 56 students, the University did not exclude any break days from the Fall 2022 term as required, and it
incorrectly excluded 5 break days rather than 8 break days from the Spring 2023 term. Those errors occurred
because the University did not load the correct break days into its student information system when setting up
the payment period; therefore, this issue would have affected all students who withdrew from the Fall 2022
and Spring 2023 terms. Additionally:
o For 2 of those 56 students, the University did not identify that the students were eligible to receive
a post-withdrawal disbursement and therefore did not disburse those grant funds or offer to
disburse those loan funds to the students as required.
o For 4 of those 56 students, the University incorrectly determined the number of days in the
payment period or used an incorrect withdrawal date for students enrolled in modules. • For 2 students enrolled in the Summer 2023 term, the University did not follow the return of Title IV
requirements related to modular terms. For one student, the University incorrectly used the number of days in
the full payment period rather than only the days within the period that the student was scheduled to complete
prior to ceasing attendance. For the other student, the University failed to identify that the student successfully
completed coursework equal to or greater than the coursework required for a half-time student and therefore
should not have been considered withdrawn. The University asserted that this error occurred because staff
misinterpreted the half-time withdrawal exemption requirements.
As a result of the errors discussed above, the University returned a total of $1,992 associated with ALN 84.268,
Federal Direct Student Loans, award number P268K232320, and $374 associated with ALN 84.063, Federal Pell
Grant Program, award number P063P222320 less Title IV funds than required for the students tested in the
sample.
In addition, for 10 (17 percent) of 60 students tested who did not have a return of Title IV funds made, the
University did not perform a return calculation as required.
• For 6 students, the University did not exclude break days from its determination of whether the students
completed 60 percent or more of the payment period as required. As a result, the University incorrectly
determined that the students earned their aid and did not return a total of $7,679 associated with ALN 84.268,
Federal Direct Student Loans, award number P268K232320, and $1,053 associated with ALN 84.063,
Federal Pell Grant Program, award number P063P222320 as required.
• For 4 students, the University incorrectly used the number of days in the full payment period in its
determination of whether the students successfully completed 49 percent or more of the number of days in
the payment period. As a result, the University incorrectly determined that the students earned their aid and
did not return a total of $1,161 in questioned costs associated with ALN 84.268, Federal Direct Student
Loans, award number P268K232320 as required.
The errors discussed above occurred because the University did not configure its information system to
accurately calculate returns and because of manual errors that the University made in performing return
calculations. In addition, the University did not have an adequate monitoring process to identify those errors. Not
having a process that consistently calculates and returns the correct amount of Title IV funds increases the risk
that the University could return less Title IV funds than it is required to return.
Recommendations:
The University should:
• Strengthen its controls to ensure that it accurately calculates returns of Title IV funds when required, including
review of the variables it uses in those calculations.
• Accurately determine the number of days in the payment period and configure its student information system
to exclude any scheduled breaks, as required.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in return of Title IV calculations
and returns Title IV funds.
Views of Responsible Officials:
The University has carefully reviewed the findings outlined in the recent financial aid audit report, and we
acknowledge and agree with the identified areas for improvement. Your thorough examination has provided
valuable insights into our financial aid processes, and we appreciate the effort invested in ensuring transparency
and accountability. In response to the findings, we are committed to taking immediate and comprehensive corrective actions to
address the identified issues and enhance the overall effectiveness of our financial aid management. Our team is
already in the process of developing a detailed Corrective Action Plan that will outline the specific steps we will
take to rectify the noted deficiencies. We understand the importance of financial aid in supporting our students'
academic endeavors, and we are dedicated to ensuring that our processes align with the highest standards of
integrity and compliance.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222320; and Federal Direct Student Loans, P268K232320 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No
Federal regulations and related guidance governing Title IV student aid programs require schools to report the enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next 60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan) has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title 34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30, 2012 (GEN-12-06)). Institutions are required to report the campus-level enrollment for the student, including enrollment status and the effective date of that enrollment status. For enrollment status changes to three-quarter-time, half-time, and less than-half-time status, the institution must use the effective date that the student dropped to those particular statuses (NSLDS Enrollment Reporting Guide, November 2022, Chapter 1, 4, 7, and Appendix C). Institutions also are required to report the program(s) of attendance for the student, including classification of instructional programs (CIP) code, program credential level, program length, program enrollment status, and other data about the program. The program enrollment effective date is the date that the current enrollment status reported for a student was first effective, and the program begin date is the date the student began attending the program being reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4). Enrollment is reported for a specific location of each campus; that is, the eight-digit Office of Postsecondary Education Identification (OPEID) number. Most students are enrolled in coursework at only one location. However, for students who are taking coursework at multiple locations of the same school, the school must determine which location is the student’s “primary location” and report the combined enrollment for the student using that location to NSLDS. A student’s “primary location” is the location where the student is taking more coursework than at any other location. Reporting a student’s enrollment at the main campus does not satisfy the enrollment reporting requirement if aid was disbursed or the student was physically attending school at a different location (NSLDS Enrollment Reporting Guide, November 2022, Chapters 4 and 6). For a student who has graduated, institutions that initially report a withdrawn status must subsequently report the student as having graduated by certifying a “G” status at the campus level and/or program level as appropriate (NSLDS Enrollment Reporting Guide, November 2022, Chapter 4, Section 4.4.3). Tarleton State University (University) uses the services of the National Student Clearinghouse (NSC) to report status changes to NSLDS. Under this arrangement, the University reports all students enrolled and their status to NSC. NSC then identifies any changes in status and reports those changes to NSLDS when required. Although the University uses the services of NSC, the University still has the primary responsibility to report any changes in student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide, November 2022, Chapter 3, Section 3.3). For 20 (33 percent) of 61 students tested, the University did not report or did not accurately report campus- or program-level data elements to NSLDS. Specifically: • For 19 students, the University incorrectly reported the OPEID number of the main campus instead of the OPEID number of the location where the students were taking the majority of their coursework. The University asserted that it reports the main campus OPEID number for all students to NSLDS, which would result in errors affecting all students who did not take the majority of their coursework at the main campus location. Additionally: o For 1 of those 19 students, the University did not report an enrollment status to NSLDS at the campus or program level. The University asserted that it reported the student’s enrollment and graduated statuses to NSC; however, those statuses were not reported to NSLDS. o For 1 of those 19 students, the program begin date was reported incorrectly. The University reported the program begin date for a program from which the student had withdrawn, instead of the first day of the term in which the student began attendance in a new program. • For one student, the University did not accurately report the student’s graduated status at the campus level to
NSLDS. The student’s status was reported as graduated at the program level but was reported as withdrawn
at the campus level. In addition, the withdrawn status was not received by NSLDS until 132 days after the
student graduated.
The University had a process to monitor enrollment information reported to NSC; however, that process was not
sufficient to identify the errors discussed above. Not reporting student information accurately and in a timely
manner could affect determinations that guarantors, lenders, and servicers of student loans make related to in school status, deferments, grace periods, and repayment schedules.
Recommendation:
The University should strengthen its controls to ensure that campus- and program-level data elements are
reported accurately and in a timely manner to NSLDS.
Views of Responsible Officials:
The Office of the Registrar has thoroughly reviewed the findings related to enrollment reporting, specifically
concerning instances highlighted in the recent financial aid audit report. We acknowledge and agree with the
identified discrepancies and are committed to addressing these issues promptly. For the student in question
where the program begin date was reported incorrectly, we recognize the significance of accurately reporting
program begin dates and maintaining accurate and consistent reporting across relevant systems. Regarding the
case where the graduated status was inaccurately reported at the campus level, we understand the impact of
such discrepancies and the delay in reporting.
We recognize the importance of precise and timely enrollment reporting, and we are committed to enhancing our
processes to prevent similar issues in the future. Our team is actively working on these corrective measures, and
we aim to demonstrate significant improvements in the accuracy and timeliness of our reporting.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 84.408 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A234136; Federal Work-Study Program, P033A224136; Federal Pell Grant Program, P063P225286; Federal Direct Student Loans, P268K235286; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T235286; and Postsecondary Education Scholarships For Veteran's Dependents (Iraq and Afghanistan Service Grant (IASG)), P408A225286 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: Unknown Repeat Finding: No Satisfactory Academic Progress: A student is eligible to receive Title IV, Higher Education Act of 1965 (HEA) program assistance if the student maintains satisfactory academic progress in his or her course of study according to the institution’s published standards of satisfactory academic progress (SAP) that satisfy the provisions of Title 34, Code of Federal Regulations (CFR), Section 668.34 (Title 34, CFR, Section 668.32(f)). An institution’s SAP policy must include a qualitative component that consists of grades or comparable factors that are measurable against a norm and a quantitative component that consists of the pace at which students must progress through their program to ensure that they will graduate within the maximum time frame required to complete their education (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 1, Chapter 1). For an undergraduate program measured in credit hours, a period that is no longer than 150-percent of the published length of the educational program, as measured in credit hours, should be used to determine the maximum time frame for the quantitative component of SAP (Title 34, CFR, Section 668.34(b)(1)). For 1 (2 percent) of 45 students tested, Texas A&M University (University) did not calculate SAP in accordance with its policy. Specifically, the University did not update the program hours for the Bachelor of Science in Nursing program in its student information system when it changed the program length from 123 hours to 120 hours during the 2017–2018 award year. Therefore, this issue would have affected all students enrolled in the program. As a result, the maximum time frame calculation incorrectly allowed students to exceed the maximum hours without failing SAP. Incorrectly calculating the maximum time frame increases the risk that students could receive financial assistance for which they are not eligible. Recommendation: The University should ensure that the maximum time frame is configured in its student information system with the accurate number of credit hours for each degree program. Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P225286; and Federal Direct Student Loans, P268K235286 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Federal regulations and related guidance governing Title IV student aid programs require schools to report the enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next 60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan) has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half_x0002_time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title 34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30, 2012 (GEN-12-06)). To protect a student’s interest subsidy, institutions are required to report a graduated status for students who have completed their course of study (NSLDS Enrollment Reporting Guide, November 2022, Chapter 4 and Appendix C). For instances in which a student completes one academic program and then enrolls in another academic program at the same school, the school must report two separate enrollment transactions: one showing the completion of the first program and its effective date and credential level, and the other showing the enrollment in the second program and its effective date (Dear Colleague Letter, March 30, 2012 (GEN-12-06)). Texas A&M University (University) uses the services of the National Student Clearinghouse (NSC) to report status
changes to NSLDS. Under this arrangement, the University reports all students enrolled and their status to NSC.
NSC then identifies any changes in status and reports those changes when required to NSLDS. Additionally, NSC
completes the roster file on the University’s behalf and communicates status changes to NSLDS, as applicable.
Although the University uses the services of NSC, it is still ultimately the University’s responsibility to report any
changes in student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide,
November 2022, Chapter 3, Section 3.3).
For 2 (3 percent) of 61 students tested, the University did not accurately report graduated status changes
to NSLDS. Both students graduated from the Doctor of Veterinary Medicine program, but were reported to NSLDS
as withdrawn. After auditors brought this to the University’s attention, the University determined that the issue was
caused by the students being on two separate reports sent to NSC. NSC included the students on a warning file
provided to the University to review and correct. However, the University did not complete a review of the warning
file or make updates to those students’ enrollment status. As a result, NSC subsequently submitted a withdrawn
status for those students. The University asserted the issue affected 158 additional Doctor of Veterinary Medicine
program graduates, and indicated it was in the process of updating NSLDS with the correct enrollment status.
Not reporting student status changes accurately could affect determinations that guarantors, lenders, and
servicers of student loans make related to in-school status, deferments, grace periods, and repayment schedules.
Recommendation:
The University should strengthen its process of reporting graduated students and ensure that warning files related
to graduated students are addressed and corrected.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: 2020-113, 2017-119, 2016-109 General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). Texas Southern University (University) did not appropriately restrict user access to its student information system. Specifically, the University did not always ensure that (1) access to modify information and process transactions in the student information system and (2) administrative access at the network level was limited to only current employees and users who needed that access based on their job responsibilities. The University had a process to review user access to its systems; however, it did not always implement changes based on the results of that review. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made to those systems. Recommendation: The University should ensure that user access to its student information system and administrative access to its network is appropriately limited to employees based on current job responsibilities. Views of Responsible Officials: The Office of Technology acknowledges and agrees with the finding.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 93.925 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224145; Federal Work-Study Program, P033A224145; Federal Pell Grant Program, P063P222327; Federal Direct Student Loans, P268K232327; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232327; and Scholarships for Health Professions Students from Disadvantaged Backgrounds – Scholarships for Disadvantaged Students (SDS), 5 T08HP39322-03-00, 5 T08HP39282-03-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: 2020-113, 2017-119, 2016-109 Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). Texas Southern University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate); residency (in-state or out-of-state); living status (on_x0002_campus, off-campus, or with parent); and enrollment level (full-time, three-quarter-time, half-time, or less-than_x0002_half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 7 (11 percent) of 65 students tested, the University incorrectly calculated the COA. Specifically, the University assigned an incorrect amount for books and supplies for these students. Those errors occurred because the University decreased the default amount for the books and supplies budget component but did not update the algorithmic budget table in its student information system to reflect that change. As a result, the COA was overstated by $40 for each of those students. The errors discussed above did not result in overawards of financial assistance; therefore, there were no questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or underawarding financial assistance to students. Federal Pell Grant:
When awarding Federal Pell Grant assistance to students, institutions use the payment and disbursement
schedules provided each year by the U.S. Department of Education for determining award amounts (Title 34,
CFR, Section 690.62(a)). Those schedules provide the maximum annual amount a student would receive for a full
academic year for a given enrollment status, EFC, and COA. There are separate schedules for three-quarter time, half-time, and less-than-half-time students (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 3, Chapter 3; and Title 34, CFR, Section 690.63(b)).
For 2 (3 percent) of 65 students tested who received Federal Pell Grants, the University did not award the
correct amount of Federal Pell Grant assistance. Specifically, the University awarded those students less than
they were eligible to receive. The University did not identify additional credit hours from late registration in the
students’ Federal Pell Grant award determinations. As a result, the students were underawarded a total of $1,544
in Federal Pell Grant assistance.
Federal Direct Student Loans:
A borrower who has reached the aggregate borrowing limit for Direct Subsidized Loans and Direct Unsubsidized
Loans may not receive additional loans. Once the loans are repaid, in full or in part, the borrower may apply for
additional loans. The aggregate unpaid principal amount of all Direct Subsidized Loans made to a student may
not exceed $23,000 for any student who has not successfully completed a program of study at the undergraduate
level (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 5; and Title
34, CFR, Section 685.203(d)(1)).
The University did not always disburse Federal Direct Student Loans in accordance with applicable limits.
Specifically, the University exceeded the aggregate limit for Subsidized Direct Loans. Auditors determined that a
student had been awarded $500 in excess of the aggregate limit of $23,000. The University manually cleared a
hold to enforce the loan limit, without properly reviewing or adjusting the student’s loan. After auditors brought the
overaward issue to the University’s attention, it returned the loan funds; therefore, there were no questioned
costs. However, by not properly reviewing account holds, the University increases the risk of overawarding
financial assistance to students.
Satisfactory Academic Progress:
A student is eligible to receive Title IV, Higher Education Act of 1965 (HEA) program assistance if the student
maintains satisfactory academic progress in his or her course of study according to the institution’s published
standards of satisfactory academic progress (SAP) that satisfy the provisions of Title 34, CFR, Section 668.34
(Title 34, CFR, Section 668.32(f)). An institution’s SAP policy must include a qualitative component that consists
of grades or comparable factors that are measurable against a norm and a quantitative component that consists
of the pace at which students must progress through their program to ensure that they will graduate within the
maximum time frame required to complete their education.
For a graduate program, a period defined by the institution that is based on the length of the educational program
should be used to determine the maximum time frame for the quantitative component of SAP (U.S. Department of
Education, 2022-2023 Federal Student Aid Handbook, Volume 1, Chapter 1; and Title 34, CFR, Section
668.34(b)).
Additionally, an institution’s SAP policy should provide that, if at the time of evaluation, the student has not
achieved the required grade point average, is not successfully completing his or her program of study at the
required pace, or has not completed the program within the maximum time frame, the student is no longer eligible
for Title IV aid. The policy should provide specific procedures for disbursements to students on financial aid
warning or probation status and permit the student to appeal a determination; it should also provide specific
procedures for re-establishing eligibility to receive Title IV aid and the basis on which a student may file an appeal
(Title 34, CFR, Section 668.34(a)). For 1 (2 percent) of 65 students tested, the University did not calculate SAP in accordance with its policy.
The student re-enrolled in the Fall 2022 term after a gap in attendance, and the University did not perform a
manual SAP calculation, which would have shown that the student did not meet the minimum required pace as
defined in the University’s SAP policy. The student would have been required to submit an appeal, and have that
appeal approved, to receive financial assistance. The student was initially overawarded $6,184. Part of the funds
were returned as a result of a Return of Title IV Funds calculation after the student withdrew, and the remaining
funds were returned after auditors brought the issue to the University’s attention. Therefore, there were no
questioned costs.
Not calculating SAP compliance increases the risk that students could receive financial assistance for which they
are not eligible.
Institutional Student Information Records (ISIR):
The U.S. Department of Education automatically distributes (or “pushes”) to institutions certain ISIR transactions
processed by the Central Processing System (CPS); it then requires the institutions to take some sort of action.
An example of a pushed ISIR would be a student-corrected ISIR that causes a change to the EFC. Institutions are
required to review all pushed ISIRs and assess any potential effect on students’ eligibility for assistance
(Technical Reference for Electronic Date Exchange (EDE) 2022-2023).
The University did not have a process to address errors to ensure that all ISIR data was loaded accurately
and completely into its student information system. Specifically, the University did not reconcile records
received from CPS-pushed ISIRs to the University’s student information system records during the Fall 2022 term
and part of the Spring 2023 term. As a result, some eligible students did not receive their financial assistance until
making an inquiry of the University.
Recommendations:
The University should:
• Ensure that it accurately configures COA budget components within its student information system.
• Award students Federal Pell Grant assistance based on actual enrollment.
• Disburse Subsidized Direct Loans within the student’s applicable aggregate limit.
• Ensure that all students are evaluated for Satisfactory Academic Progress prior to disbursing financial
assistance.
• Properly reconcile all records received from CPS-pushed ISIRs.
Views of Responsible Officials:
Cost of Attendance (COA):
The Office of Student Financial Success agrees with the auditor’s findings indicating that 7 of 65 students tested
had an incorrect COA specifically related to the students’ books and supplies portion of the budget.
Views of Responsible Officials:
Federal Pell Grant:
The Office of Student Financial Success agrees with the findings that 2 of 65 students tested were not awarded
the correct amount of Federal Pell grant funds.
Views of Responsible Officials:
Federal Direct Student Loans:
The Office of Student Financial Success agrees with the finding that 1 student did not receive federal student
loans in accordance with applicable limits.
Views of Responsible Officials:
Satisfactory Academic Progress:
The Office of Student Financial Success agrees with the finding that 1 of 65 students did not receive an SAP
calculation in accordance with TSU policy.
Views of Responsible Officials:
Institutional Student Information Records (ISIR):
The Office of Student Financial Success agrees with the finding related to Institutional Student Information
Records.
Special Tests and Provisions – Disbursements To or On Behalf of Students Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224145; Federal Work-Study Program, P033A224145; Federal Pell Grant Program, P063P222327; Federal Direct Student Loans, P268K232327; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232327 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Award and Disbursement Notifications: Before an institution disburses Title IV, Higher Education Act of 1965 (HEA) program funds for any award year, the institution must notify a student of the amount of funds that the student or his or her parent can expect to receive under each Title IV, HEA program, and how and when those funds will be disbursed. If those funds include Direct Loan program funds, the notice must indicate which funds are from subsidized loans, which are from unsubsidized loans, and which are from PLUS loans (Title 34, Code of Federal Regulations (CFR), Section 668.165(a)(1)). If an institution credits a student’s ledger account with Federal Direct Student Loan (Direct Loan) funds or Teacher Education Assistance for College and Higher Education (TEACH) Grant funds, the institution must notify the student or parent of (1) the anticipated date and amount of the disbursement, (2) the student’s or parent’s right to cancel all or a portion of that loan or grant and have the loan or grant proceeds returned to the U.S. Department of Education, and (3) the procedures and time by which the student or parent must notify the institution that he or she wishes to cancel the loan or grant, or loan or grant disbursement (Title 34, CFR, Section 668.165(a)(2)). The institution must provide the notice in writing no earlier than 30 days before, and no later than 30 days after, crediting the student’s ledger account at the institution (Title 34, CFR, Section 668.165(a)(3)). For 61 (100 percent) of 61 disbursements tested, Texas Southern University (University) did not send an award or disbursement notification as required. The University asserted it did not send award notifications to students because it relied on the Common Origination and Disbursement (COD) Disclosure Statements sent by the Department of Education. However, the COD Disclosure Statements did not include all required elements of the award notification. In addition, the University did not consistently send disbursement notifications for the Fall 2022 term, and did not send any disbursement notifications for the Spring 2023 term. The issues with disbursement notifications were attributed to both manual error and disabling of the University’s automated processes. Further, the disbursement notifications that were sent for the Fall 2022 term did not include all required elements. Not receiving award and disbursement notifications impairs students’ and parents’ ability to budget for the cost of attending or exercise the option to cancel their loans or grants. Allowable Charges and Credit Balance Authorizations:
An institution may credit a student's ledger account with Title IV, HEA program funds to pay for allowable charges
associated with the current payment period. Allowable charges are: (1) the amount of tuition, fees, and
institutionally provided room and board assessed the student for the payment period or the prorated amount of
those charges if the institution debits the student's ledger account for more than the charges associated with the
payment period; and (2) the amount incurred by the student for the payment period for purchasing books,
supplies, and other educationally related goods and services provided by the institution for which the institution
obtains the student's or parent's authorization under Section 668.165(b) (Title 34, CFR, Section 668.164(c)(1)).
A Title IV, HEA credit balance occurs whenever the amount of Title IV, HEA program funds credited to a student's
ledger account for a payment period exceeds the amount assessed the student for allowable charges associated
with that payment period. A Title IV, HEA credit balance must be paid directly to the student or parent as soon as
possible, but no later than (1) fourteen days after the balance occurred if the credit balance occurred after the first
day of class within a payment period; or (2) fourteen days after the first day of class of a payment period if the
credit balance occurred on or before the first day of class within that payment period (Title 34, CFR, Section
668.164(h)).
If an institution obtains written authorization from a student or parent, as applicable, the institution may: (1) use
the student’s or parent’s Title IV, HEA program funds to pay for charges that are included in that authorization,
and (2) hold on behalf of the student or parent any Title IV, HEA program funds that would otherwise be paid
directly to the student or parent as a credit balance, unless the Secretary provides funds to the institution under
the reimbursement payment method or the heightened cash monitoring payment method (Title 34, CFR, Section
668.165(b)(1)).
An institution may not use Title IV funds to pay finance charges or fees that are incurred because a student uses
a financing method provided by the school to pay for educational expenses over time. Because students or
families choose to incur these additional expenses rather than paying the balance due at registration, the
additional charges are not considered educational expenses, and may not be included in a student’s cost of
attendance. (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 2).
For 8 (13 percent) of 61 students tested, the University used Title IV funds to pay unallowable charges.
Specifically, the University credited the students’ ledger accounts during the payment period for installment
handling charges and late installment charges. Although the University obtained authorization from the students
to apply Title IV funds to charges other than tuition, fees, or institutionally provided room and board, that
authorization did not extend to those unallowable charges.
For 6 (11 percent) of 57 students tested, the University did not return credit balances to students or
parents within 14 days of the disbursement date or first day of class. Specifically, the University returned
credit balances to those students between 21 and 78 days. The University asserted those errors were caused by
changes to the term allocations, and inadequate tracking of credit balances and associated refunds.
Not receiving all Title IV funds a student is entitled to, or not receiving those funds in a timely manner, impairs
students’ and parents’ ability to budget for the cost of attending.
Recommendations:
The University should strengthen its controls to ensure that:
• It identifies all students that require an award or disbursement notification, and sends those notifications to the
students.
• Award and disbursement notifications include all required elements.
• It does not credit student ledger accounts for unallowable charges.
• Credit balances caused by the awarding of Title IV funds are returned to students in a timely manner.
Views of Responsible Officials:
Award and Disbursement Notifications:
The Office of Student Financial Success agrees with the finding related to award and disbursement notifications.
Views of Responsible Officials:
Allowable Charges and Credit Balance Authorizations:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224145; Federal Pell Grant Program, P063P222327; Federal Direct Student Loans, P268K232327; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232327 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs, and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). For 8 (13 percent) of 61 students tested, Texas Southern University (University) incorrectly calculated the amount of Title IV funds to be returned for unofficially withdrawn students. Specifically, those 8 students were enrolled in the Fall 2022 term, and the University did not use the last date of attendance identified in the University’s automated report process. For return of Title IV funds, the University uses an automated report process to identify students who have unofficially withdrawn from a term; however, that process was inconsistently followed or not completed in determining the students’ withdrawal dates. The incorrect withdrawal dates used by the University were prior to the students’ actual withdrawal dates, which resulted in the University returning more Title IV funds than required for those students; therefore, there were no questioned costs. Those errors occurred because the University did not have an adequate process to determine the withdrawal dates of students who unofficially withdrew from the University. Timeliness of Returns:
For an institution that is not required to take attendance, the institution must determine the withdrawal date for a
student who withdraws without providing notification to the institution no later than 30 days after the earliest end
date of (1) the payment period or period of enrollment, (2) the academic year in which the student withdrew, or (3)
the educational program from which the student withdrew (Title 34, CFR, Section 668.22(j)(2)).
An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later
than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section
668.22(j)).
For 35 (57 percent) of 61 students tested who withdrew and required a return of Title IV funds, the
University did not return the funds within the required time frame. Specifically:
• For 23 students who unofficially withdrew in the Fall 2022 term, the University did not determine the
withdrawal date within the required 30-day time frame, nor did it return the Title IV funds within the required
45-day time frame. The University determined the withdrawal date and returned the Title IV funds at the end
of the Spring 2023 term.
• For 9 students who unofficially withdrew in the Spring 2023 term, the University did not determine the
students’ withdrawal date within the required 30-day time frame. The University determined the withdrawal
date for those students between 31 and 52 days after the end of the period of enrollment.
• For 3 students who withdrew in the Fall 2022 term, the University determined the withdrawal dates and
performed the return calculations; however, it did not return the Title IV funds within the required 45-day time
frame. The University asserted that for two students, this was due to an oversight in processing the return of
those funds. The University returned the funds for those two students 71 and 115 days after it determined that
the students withdrew. For the third student, the University completed a return calculation but did not return
the funds as required. After auditors brought this error to the University’s attention, the University returned the
funds to the U.S. Department of Education; therefore, there were no questioned costs.
Those errors occurred because the University did not have an effective monitoring process to identify those errors
and because of manual errors the University made in performing the return calculations. Not making returns
within the required time frame reduces the funds available to the U.S. Department of Education for its program
management.
Recommendations:
The University should:
• Strengthen its process to ensure that it accurately determines the withdrawal date for students who
unofficially withdraw from the University in a timely manner.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in return of Title IV calculations
and returns Title IV funds in a timely manner.
Views of Responsible Officials:
Return of Title IV Calculations:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Views of Responsible Officials:
Timeliness of Returns:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222327; and Federal Direct Student Loans, P268K232327 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: 2020-115
Federal regulations and related guidance governing Title IV student aid programs require schools to report the
enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan
Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to
submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next
60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan)
has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at
least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title
34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include
Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30,
2012 (GEN-12-06)).
Institutions are required to report the campus-level enrollment for the student, including enrollment status and the
effective date of that enrollment status. For enrollment status changes to three-quarter-time, half-time, and less than-half-time status, the institution must use the effective date that the student dropped to those particular
statuses (NSLDS Enrollment Reporting Guide, November 2022, Chapter 1, 4, 7, and Appendix C). Institutions
also are required to report the program(s) of attendance for the student, including classification of instructional
programs (CIP) code, program credential level, program length, program enrollment status, and other data about
the program. The program enrollment effective date is the date that the current enrollment status reported for a
student was first effective, and the program begin date is the date the student began attending the program being
reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4). For a student who has
graduated, institutions that initially report a withdrawn status must subsequently report the student as having
graduated by certifying a “G” status at the campus level and/or program level as appropriate (NSLDS Enrollment
Reporting Guide, November 2022, Chapter 4, Section 4.4.3).
Texas Southern University (University) uses the services of the National Student Clearinghouse (NSC) to report
status changes to NSLDS. Under this arrangement, the University reports all students enrolled and their status to
NSC. NSC then identifies any changes in status and reports those changes when required to NSLDS. Although
the University uses the services of NSC, the University still has the primary responsibility to report any changes in
student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide, November
2022, Chapter 3).
For 10 (17 percent) of 60 students tested, the University did not accurately report campus- or program level data elements to NSLDS. Specifically, the program length was reported incorrectly for the students’
master’s degree or doctoral degree programs. Additionally, for 1 of those 10 students, the University inaccurately
reported the effective date of the student’s graduated status at the campus and program levels. The date reported
was eight days before the actual date of graduation for the student.
For 17 (45 percent) of 38 students tested who received a Direct Loan and ceased to be enrolled on at least
a half-time basis or changed their permanent address, the students’ enrollment status was not reported to
NSLDS in a timely manner. Specifically:
• For 13 students, the University reported the students’ graduated status to NSLDS between 73 and 100 days
after the students graduated.
• For 2 students, the University reported the students’ enrollment level change to NSLDS 89 and 95 days after
the effective date of the status change.
• For 2 students, the University reported the students’ withdrawal status to NSLDS 68 and 70 days after the
students’ withdrawal date.
The errors discussed above occurred because the University (1) did not configure its information system to
accurately report student enrollment information to NSLDS, (2) does not have a process to monitor student
enrollment and program information reported to NSLDS, and (3) does not have a reporting process that allows it
to make corrections to ensure that it certifies and submits graduated statuses in a timely manner.
Not reporting student status changes accurately and in a timely manner could affect determinations that
guarantors, lenders, and servicers of student loans make related to in-school status, deferments, grace periods,
and repayments schedules.
Recommendation:
The University should develop and implement controls to ensure that campus- and program-level data elements
are reported to NSLDS accurately and in a timely manner.
Views of Responsible Officials:
Campus and Program Level Data:
Texas Southern University agrees with the finding related to not accurately reporting campus or program level
data elements to NSLDS.
Views of Responsible Officials:
Enrollment Status Updates:
Texas Southern University agrees with the finding related to not accurately reporting enrollment status updates to
NSLDS in a timely manner.
Views of Responsible Officials:
Accurate Attendance Reporting:
Texas Southern University agrees with the finding related to not accurately reporting enrollment status updates to
NSLDS in a timely manner.
Special Tests and Provisions – Gramm-Leach-Bliley Act - Student Information Security Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Gramm-Leach-Bliley Act: Institutions must protect sensitive data, including information obtained in support of the administration of federal student financial assistance programs, as required by the Gramm-Leach-Bliley Act (GLBA) (Public Law 106-102). Under their Program Participation Agreement (PPA) and the GLBA, postsecondary educational institutions must protect student financial aid information, with particular attention to information provided by the Department of Education or otherwise obtained in support of the administration of the Title IV Federal student financial aid programs (Dear Colleague Letter, July 1, 2016 (GEN-16-12)). Institutions are required to develop, implement, and maintain an information security program that includes the minimum elements in Title 16, Code of Federal Regulations (CFR), Section 314.4. In addition, the institution must designate a qualified individual responsible for overseeing, implementing, and enforcing the institution’s information security program (Title 16, CFR, Section 314.4(a)). Texas Southern University (University) did not implement an information security program as required by the GLBA. The University did not have a written information security program (and therefore did not address any of the minimum elements), and it did not designate a Qualified Individual responsible for implementing and monitoring its information security program. The University asserted that this was due to significant staffing issues in its Information Technology Department. Not implementing the required safeguards in an information security program and designating a Qualified Individual to implement and enforce those safeguards increases the University’s risk of data breach or loss. Recommendations: The University should: • Develop and implement an information security program that contains all elements required by the GLBA and the Code of Federal Regulations. • Designate a Qualified Individual responsible to implement and monitor its information security program. Views of Responsible Officials: Gramm-Leach-Bliley Act: The University acknowledges and agrees with the findings.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; 84.408; and 93.925 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224122; Federal Work-Study Program, P033A224122; Federal Pell Grant Program, P063P220387; Federal Direct Student Loans, P268K230387; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T230387; Postsecondary Education Scholarships For Veteran's Dependents (Iraq and Afghanistan Service Grant (IASG)), P408A220387; and Scholarships for Health Professions Students from Disadvantaged Backgrounds - Scholarships for Disadvantaged Students (SDS), 5 T08HP39298-03-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, CFR, Sections 668.2, 673.5, and 685.301). Texas State University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate); residency (in-state or out-of-state); housing status (on_x0002_campus, off-campus, or living with parent); and enrollment status (full-time, three-quarter-time, half-time, or less_x0002_than-half-time). Budgeting rules within the University’s student financial assistance system are established to assign various budget components based on the factors noted above. For 1 (2 percent) of 44 students tested, the University incorrectly calculated the COA. Specifically, the University assigned a less-than-half-time COA when the student was enrolled full-time. As a result, the student’s COA was understated by $9,545. After auditors brought the issue to the University’s attention, it identified a total of 84 total students who were affected, including 56 students who received Title IV financial assistance. Those errors occurred because the University did not recalculate the COA for students in the Pathway program after enrollment was finalized for the Spring 2023 term. The errors discussed above did not result in overawards of financial assistance; therefore, there were no
questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or
underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets for the
Pathway program in accordance with its process.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). Texas Tech University (University) did not appropriately restrict user access to its student information system. Specifically, the University did not always limit access to the student information system to only users who needed that access based on their job responsibilities. While the University had a process in place to review user access, that process was not adequately designed to ensure that the University granted the appropriate level of access to all users based on the users’ job duties. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. Recommendation: The University should ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. Views of Responsible Officials: Texas Tech University acknowledges and agrees with the findings. Texas Tech University has worked to develop and implement corrective action to further improve processes.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222328; and Federal Direct Student Loans, P268K232328 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $562 Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations, Sections 668.2, 673.5, and 685.301). Texas Tech University (University) uses algorithmic budgeting to build COA budgets based on student classification (undergraduate or graduate), academic program (for example, certain programs have increased tuition costs), enrollment level (full-time, three-quarter-time, half-time, or less-than-half-time), living status (on_x0002_campus, off-campus, or living with parents), and residency (in-state or out-of-state). Budgeting rules within the University’s student information system are established to assign various budget components based on the student’s reported expected enrollment. For 3 (5 percent) of 65 students tested, the University incorrectly calculated the COA. Specifically: • For one student, the University assigned an incorrect loan fee to the COA. The University manually canceled the student’s loan, but asserted that it did not remove the fee because the student was still eligible to receive the loan. As a result, the student’s COA was overstated by $60. • For one student, the University did not adjust the student’s COA budget to reflect the student’s actual
enrollment. The University manually assigned a three-quarter-time budget to the student. Due to the manual
update, the COA was not subject to an automated update process to adjust the COA to less-than-half-time
status at census. In addition, the student was not included in the University’s process for reviewing manually
updated budgets. As a result, the student’s COA was overstated by $4,157, and the student was
overawarded $562 associated with ALN 84.063, Federal Pell Grant Program, award number P063P222328.
• For one student, the University did not adjust the student’s tuition and fees budget component to reflect a
change in the student’s academic program. The student’s major changed after the initial budget had been
assigned. As a result, the student’s COA was overstated by $903; however, the University did not overaward
financial assistance to that student.
Incorrectly calculating COA increases the risk of overawarding or underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets in
accordance with its process and does not overaward financial assistance to students.
Views of Responsible Officials:
Texas Tech University acknowledges and agrees with the findings. Texas Tech University has worked to develop
and implement corrective action to further improve processes.
Special Tests and Provisions – Disbursements To or On Behalf of Students Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222328; and Federal Direct Student Loans, P268K232328 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Award Notifications: Before an institution disburses Title IV, Higher Education Act of 1965 (HEA) program funds for any award year, the institution must notify a student of the amount of funds that the student or his or her parent can expect to receive under each Title IV, HEA program, and how and when those funds will be disbursed. If those funds include Direct Loan program funds, the notice must indicate which funds are from subsidized loans, which are from unsubsidized loans, and which are from PLUS loans (Title 34, Code of Federal Regulations (CFR), 668.165(a)(1)). For 7 (16 percent) of 43 disbursements tested, Texas Tech University (University) did not send an award notification or sent an award notification that did not include all required information. Specifically: • For four students who enrolled in the Fall 2022 term after August 1, 2022, the University did not send an award notification. The University sent award notifications to all students enrolled for the Fall 2022 term prior to that date. However, it did not have a process in place to identify and send award notifications to students who enrolled after that date. Therefore, this issue would have affected all students who enrolled in the Fall 2022 term after August 1, 2022. • For three students who enrolled in the Spring 2023 term, the award notifications did not contain the type or amount of funds that the student or his or her parent could expect to receive. The University notified students of expected financial assistance through email, and the award notification emails for the Fall 2022 term contained a hyperlink for students to access their account in the student information system to review the expected loan types and amounts. However, the award notification emails for the Spring 2023 term did not contain that hyperlink. This issue would have affected all students who enrolled after August 1, 2022, and only for the Spring 2023 term. The University did not have adequate controls in place to ensure that all students received award notifications and that the notifications contained all required elements. Not receiving award notifications, or receiving incomplete award notifications, impairs students’ and parents’ ability to budget for the cost of attending. Recommendations: The University should: • Strengthen its controls to ensure that it identifies all students that require an award notification, and sends those notifications to the students. • Ensure that award notifications contain all required elements. Views of Responsible Officials:
Texas Tech University acknowledges and agrees with the findings. Texas Tech University has worked to develop
and implement corrective action to further improve processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; 84.379; and 84.408 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224151; Federal Pell Grant Program, P063P222328; Federal Direct Student Loans, P268K232328; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232328; and Postsecondary Education Scholarships For Veteran's Dependents (Iraq and Afghanistan Service Grant (IASG)), P408A222328 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: Unknown Repeat Finding: No When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV
grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title
IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the
payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their
Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period
or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by
subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was
disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student
withdrew (Title 34, CFR, Section 668.22(e)).
For distance education, documenting that a student has logged into an online class is not sufficient to
demonstrate academic attendance by the student. An institution must demonstrate that a student participated in
class or was otherwise engaged in an academically related activity. Only active participation by a student in an
instructional activity related to the student’s course of study that meets the definition of “academic engagement” in
Title 34, CFR, Section 600.2 and takes place during a payment period or period of enrollment qualifies as
attendance in an academically related activity (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 5, Chapter 2).
For 1 (5 percent) of 20 students tested, Texas Tech University (University) did not have evidence of
academic engagement in the distance education course from which the student’s withdrawal date was
determined. The University asserted that when an instructor submits a failing grade for a student, the instructor is
required to provide the date of last academic activity. That date is recorded in the University’s student information
system and used by the University to determine the unofficial withdrawal date for Return of Title IV purposes.
However, the University did not have a process in place to require instructors to provide or maintain evidence of
academic engagement in distance education courses. As a result, the University could not demonstrate that the
student participated or otherwise engaged in an academically related activity in that course to support the last
date of attendance used by the University for Return of Title IV purposes.
Having a process that does not consistently calculate and return the correct amount of Title IV funds increases
the risk that the University could return less Title IV funds than it is required to return.
Recommendations:
The University should:
• Ensure that evidence of academic engagement is consistently documented for students in distance education
courses.
• Strengthen its controls to ensure that it accurately calculates returns of Title IV funds when required, including
review of the variables it uses in those calculations.
Views of Responsible Officials:
Texas Tech University acknowledges and agrees with the findings. Texas Tech University has worked to develop
and implement corrective action to further improve processes.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222328; and Federal Direct Student Loans, P268K232328 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: 2020-117 Federal regulations and related guidance governing Title IV student aid programs require schools to report the enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next 60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan) has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half_x0002_time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title 34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30, 2012 (GEN-12-06)). Institutions are required to report the campus-level enrollment for the student, including enrollment status and the effective date of that enrollment status. For enrollment status changes to three-quarter-time, half-time, and less_x0002_than-half-time status, the institution must use the effective date that the student dropped to those particular statuses (NSLDS Enrollment Reporting Guide, November 2022, Chapter 1, 4, 7, and Appendix C). Institutions also are required to report the program(s) of attendance for the student, including classification of instructional programs (CIP) code, program credential level, program length, program enrollment status, and other data about the program. The program enrollment effective date is the date that the current enrollment status reported for a student was first effective and the program begin date is the date the student first began attending the program being reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4). For instances in which a student completes one academic program and then enrolls in another academic program at the same school, the school must report two separate enrollment transactions: one showing the completion of the first program and its effective date and credential level, and the other showing the enrollment in the second program and its effective date (Dear Colleague Letter, March 30, 2012 (GEN-12-06)). For a student who has graduated, institutions that initially report a withdrawn status must subsequently report the student as having graduated by certifying a “G” status at the campus level and/or program level as appropriate (NSLDS Enrollment Reporting Guide, November 2022, Chapter 4, Section 4.4.3). Texas Tech University (University) uses the services of the National Student Clearinghouse (NSC) to report status changes to NSLDS. Under this arrangement, the University reports all students enrolled and their status to NSC. NSC then identifies any changes in status and reports those changes when required to NSLDS. Although the University uses the services of NSC, the University still has the primary responsibility to report any changes in student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide, November 2022, Chapter 3, Section 3.3). For 5 (8 percent) of 60 students tested, the University did not report campus- or program-level data
elements accurately or in a timely manner to NSLDS. Specifically:
• For three students, the enrollment effective date was correctly reported as the first day of the Summer 2023
term to NSLDS at the program level; however, the enrollment effective date was incorrectly reported as the
day after the last day of the Spring 2023 term at the campus level because it did not align with the date
reported at the program level. The effective date reported at the campus level should be the same date
reported at the program level because those dates reflect the same enrollment status change.
• For one student, the University incorrectly reported the student’s program-level enrollment status and the
student’s program begin date as the day after the last day of the Spring 2023 term. The enrollment status
should have been reported at the program level as full-time effective the first day of the Fall 2023 term.
• For one student, the campus-level enrollment status change should have been reported as graduated, but it
was incorrectly reported as withdrawn. Additionally, the student was pursuing dual majors, and the program level enrollment status was correctly reported as graduated for one program in a timely manner but incorrectly
reported as withdrawn for the second program. The incorrect campus-level enrollment change and program level enrollment change were reported to NSLDS 135 days after the effective date of the graduation.
The errors discussed above were caused by issues related to the configuration of the enrollment reporting
processes in the University’s student information system.
Not reporting student status changes accurately and in a timely manner could affect determinations that
guarantors, lenders, and servicers of student loans make related to in-school status, deferments, grace periods,
and repayments schedules.
Recommendations:
The University should:
• Strengthen its controls to ensure that campus-level and program-level data elements are reported to NSLDS
accurately and in a timely manner.
• Ensure that dual-major graduated statuses are reported to NSLDS accurately and timely for all programs.
Views of Responsible Officials:
Texas Tech University acknowledges and agrees with the findings. Texas Tech University has worked to develop
and implement corrective action to further improve processes.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P223367; and Federal Direct Student Loans, P268K233367 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: 2016-122 Federal regulations and related guidance governing Title IV student aid programs require schools to report the enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next 60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan) has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half_x0002_time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title 34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30, 2012 (GEN-12-06)). Institutions are required to report the campus-level enrollment for the student, including enrollment status and the effective date of that enrollment status. For enrollment status changes to three-quarter-time, half-time, and less_x0002_than-half-time status, the institution must use the effective date that the student dropped to those particular statuses (NSLDS Enrollment Reporting Guide, November 2022, Chapter 1, 4, 7, and Appendix C). Institutions also are required to report the program(s) of attendance for the student, including classification of instructional programs (CIP) code, program credential level, program length, program enrollment status, and other data about the program. The program enrollment effective date is the date that the current enrollment status reported for a student was first effective, and the program begin date is the date the student began attending the program being reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4). For a student who has graduated, institutions that initially report a withdrawn status must subsequently report the student as having graduated by certifying a “G” status at the campus level and/or program level as appropriate(NSLDS Enrollment Reporting Guide, November 2022, Chapter 4, Section 4.4.3). Texas Tech University Health Sciences Center (Health Sciences Center) uses the services of the National Student Clearinghouse (NSC) to report status changes to NSLDS. Under this arrangement, the Health Sciences Center reports all students enrolled and their status to NSC. NSC then identifies any changes in status and reports those changes to NSLDS when required. Although the Health Sciences Center uses the services of NSC, the Health Sciences Center still has the primary responsibility to report any changes in student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide, November 2022, Chapter 3.3). For 6 (10 percent) of 62 students tested, the Health Sciences Center did not accurately report campus level enrollment effective dates or did not report enrollment status changes to NSLDS. Specifically:
• For one student, the enrollment status effective date was reported incorrectly at the campus-level. The
student’s enrollment status for the Spring 2023 term decreased from full-time to less-than-half-time in April
2023; however, the effective date was reported as January 2023.
• For five students, the Health Sciences Center did not report the students’ enrollment status changes to
NSLDS. Two of those students withdrew, two students graduated, and one student received an approved
leave of absence.
The Health Sciences Center asserted that the errors discussed above were caused by issues related to the
configuration of the enrollment reporting processes in the Health Sciences Center’s student information system,
manual reporting errors, and not having adequate controls to ensure that student enrollment information reported
to NSC was accurately reported to NSLDS.
Not reporting student status changes accurately and in a timely manner could affect determinations that
guarantors, lenders, and servicers of student loans make related to in-school status, deferments, grace periods,
and repayment schedules.
Recommendation:
The Health Sciences Center should strengthen its controls to ensure that campus-level enrollment statuses and
effective dates are reported accurately and in a timely manner to NSLDS.
Views of Responsible Officials:
The University acknowledges and agrees with the findings. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: 2020-142 General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). The University of Texas at Arlington (University) did not appropriately restrict user access to its student information system. Specifically, a user was granted administrative access in the student information system, which included the ability to modify information and process transactions, such as authorizing and disbursing aid. The University did not remove the administrative access after the user’s specific job responsibilities no longer required that level of access. The University had a process to periodically review user access; however, that review was not sufficient to identify the inappropriate access. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. Recommendation: The University should ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. Views of Responsible Officials: To the point that The University of Texas at Arlington (University) did not appropriately restrict user access to its student information system. OIT and Financial Aid acknowledge that a user was given elevated access that was not removed when the assigned maintenance task was completed.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224172; Federal Pell Grant Program, P063P222335; and Federal Direct Student Loans, P268K232335 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational
expenses; it is computed by the federal central processor and included on the student’s Institutional Student
Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds
the student’s need. Therefore, awards must be coordinated among the various programs and with other federal
and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need
(U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34,
Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301).
The University of Texas at Arlington (University) uses algorithmic budgeting to build COA budgets for each term
based on a student’s classification (undergraduate or graduate), dependency (dependent or independent),
residency (in-state or out-of-state), living status (on-campus, off-campus, or with parents), and enrollment level
(full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student
information system are established to assign various budget components based on the factors noted above.
For 3 (5 percent) of 63 students tested, the University incorrectly calculated the COA. Specifically:
• For two students, the University understated the COA by assigning a books component that did not reflect the
students’ actual enrollment status. Those errors occurred because the University budgeted the students’
books at half-time enrollment instead of full-time enrollment. The University attributed the cause to human
error associated with a manual budget rebuild in the student information system. As a result, the COA was
understated by $200 for each of those students.
• For one student, the University assigned an incorrect budget for the cost of tuition and fees component during
the Summer 2022 term. The University attributed the cause to human error. As a result, the COA was
understated by $198.
The errors discussed above did not result in overawards of financial assistance; therefore, there were no
questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or
underawarding financial assistance to students.
Federal Pell Grant:
A student is eligible to receive a Federal Pell Grant for the period of time required to complete his or her first
undergraduate baccalaureate course of study (Title 34, CFR, Section 690.6(a)).
When awarding Federal Pell Grant assistance to students, institutions use the payment and disbursement
schedules provided each year by the U.S. Department of Education for determining award amounts (Title 34,
CFR, Section 690.62(a)).
Based on a review of the full population of student financial assistance recipients, the University awarded
a total of $1,593 in Federal Pell Grant assistance to 2 post-baccalaureate students who were not eligible
for that assistance. The University asserted queries designed to identify these issues were not run timely due to
staffing issues within the Financial Aid department. After auditors brought those errors to the University’s
attention, the University returned the funds to the U.S. Department of Education; therefore, there were no
questioned costs.
For 1 (2 percent) of 63 students tested, the University did not award Federal Pell Grant assistance to an
eligible student. Specifically, the student was eligible to receive $1,790 in Federal Pell Grant assistance, but did
not receive an award from the University. The University asserted that the error occurred because the student
made a late registration change and was missed on the University’s add report. As a result, the student was
underawarded Federal Pell Grant assistance; therefore, there were no questioned costs. Federal Direct Student Loans:
Direct Subsidized and Unsubsidized Loans have annual and aggregate limits that are the same for all students at
a given grade level and dependency status. In general, a loan may not be more than the amount the borrower
requests, the borrower’s unmet financial need, the borrower’s COA, or the borrower’s maximum borrowing limit.
(U.S. Department of Education 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 5).
For 1 (2 percent) of 63 students tested, the University did not disburse Direct Loans in accordance with
applicable limits. Specifically, the University disbursed a Subsidized Direct Loan in excess of the student’s
aggregate Subsidized Direct Loan and Total Direct Loan limits. After auditors brought the overaward issue to the
University’s attention, it returned the loan funds; therefore, there were no questioned costs. The University
asserted that error occurred because the University did not receive an updated history file in a timely manner due
to issues with the National Student Loan Data System (NSLDS).
Federal Supplemental Educational Opportunity Grants (FSEOG):
The FSEOG program provides grants to eligible undergraduate students. Institutions are required to award
FSEOG first to Federal Pell Grant recipients who have the lowest EFC. If an institution has FSEOG funds
remaining after giving FSEOG awards to all Federal Pell Grant recipients, it can then award the remaining
FSEOG funds to eligible students with the lowest EFCs who did not receive Federal Pell Grants (Title 34, CFR,
Section 676.10).
Based on a review of the full population of student financial assistance recipients, the University awarded
a total of $750 in FSEOG assistance to a student who was working towards a second bachelor’s degree
and thus was not eligible for that assistance. The student was awarded FSEOG in the Spring 2023 term after
earning a first bachelor’s degree in the Fall 2022 term. The University asserted this was a manual error caused by
a counselor canceling the student’s Federal Pell Grant, but failing to cancel the student’s FSEOG award. After
auditors brought the issue to the University’s attention, it removed the grant funds from the student’s account;
therefore, there were no questioned costs.
Recommendations:
The University should:
• Strengthen its controls to ensure that it correctly calculates students’ COA budgets in accordance with its
process.
• Award Federal Pell Grant assistance only to eligible students.
• Ensure that students are awarded Federal Pell Grants for which they are eligible.
• Disburse Subsidized Direct Loans within the student’s applicable aggregate limit.
• Award FSEOG assistance only to eligible students.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222335; Federal Direct Student Loans, P268K232335; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232335 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No COD Reporting: Institutions must submit Federal Pell Grant, Iraq and Afghanistan Service Grant, Direct Loan, and Teacher Education Assistance for College and Higher Education (TEACH) Grant disbursement records to the Common Origination and Disbursement (COD) system no later than 15 days after making the disbursement or becoming aware of the need to adjust a previously reported disbursement. Reporting this information helps ensure that institutions have the most accurate information available about students’ federal awards and helps prevent an institution from overawarding students (Title 34, Code of Federal Regulations (CFR), Section 690.83(b); U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 1; and Federal Register, Volume 88, Number 120). Certain data elements are required to be reported as part of a student’s origination and disbursement record, including the student’s Social Security number, Central Processing System (CPS) transaction number, enrollment date, cost of attendance, the start and end dates for the academic term, disbursement amount, and disbursement date (2022-2023 COD Technical Reference, Volume II). For 5 (8 percent) of 61 students tested, the University of Texas at Arlington (University) did not accurately
report all origination record data elements to the COD system. Two of those students had both errors
discussed below. Specifically,
• For four students, the University reported an incorrect academic end date for one or more Direct Loan
originations made on behalf of the students during the award year.
• For three students, the University reported an incorrect cost of attendance for one or more Federal Pell Grant
and/or Direct Loan originations made on behalf of the students during the award year.
The University asserted that its developer was unable to identify the specific cause of these errors, but
determined that the errors were related to an automated process rather than a manual change. In addition, the
University did not have a sufficient monitoring process in place to identify those discrepancies. Not accurately
reporting information to the COD system could result in the institution overawarding federal funds.
Recommendation:
The University should strengthen its controls to ensure that academic end dates and cost of attendance are
reported to the COD system accurately.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222335; and Federal Direct Student Loans, P268K232335 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(j)). For 5 (8 percent) of 61 students tested who withdrew and required a return of Title IV funds, the University of Texas at Arlington (University) did not return the funds within the required time frame. Specifically, the University returned the Title IV funds to the U.S. Department of Education between 101 to 390 days after the University determined the students withdrew. For four of those students, the updates to the students’ returns occurred after auditors selected those students for review. The error for the other student was identified by the University, but the funds were not returned in a timely manner. After the University became aware of the errors, it returned those funds to the U.S. Department of Education; therefore, there were no questioned costs. The University did not have an adequate monitoring process to ensure that Title IV funds were returned within the required time frame. Not making returns within the required time frames reduces the funds available to the U.S. Department of Education for its program management. Recommendation: The University should ensure that it returns Title IV funds within required time frames. Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222335; and Federal Direct Student Loans, P268K232335 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: 2020-143 Federal regulations and related guidance governing Title IV student aid programs require schools to report the enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next 60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan) has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half_x0002_time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title 34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30, 2012 (GEN-12-06)). Institutions are required to report the campus-level enrollment for the student, including enrollment status and the
effective date of that enrollment status. For enrollment status changes to three-quarter-time, half-time, and less than-half-time status, the institution must use the effective date that the student dropped to those particular
statuses (NSLDS Enrollment Reporting Guide, November 2022, Chapter 1, 4, 7, and Appendix C). Institutions
also are required to report the program(s) of attendance for the student, including classification of instructional
programs (CIP) code, program credential level, program length, program enrollment status, and other data about
the program. The program enrollment effective date is the date that the current enrollment status reported for a
student was first effective and the program begin date is the date the student began attending the program being
reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4). For a student who has
graduated, institutions that initially report a withdrawn status must subsequently report the student as having
graduated by certifying a “G” status at the campus level and/or program level as appropriate (NSLDS Enrollment
Reporting Guide, November 2022, Chapter 4, Section 4.4.3).
The University of Texas at Arlington (University) uses the services of the National Student Clearinghouse (NSC)
to report status changes to NSLDS. Under this arrangement, the University reports all students enrolled and their
status to NSC. NSC then identifies any changes in status and reports those changes to NSLDS when required.
Although the University uses the services of NSC, the University still has the primary responsibility to report any
changes in student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide,
November 2022, Chapter 3, Section 3.3).
For 18 (30 percent) of 61 students tested, the University did not accurately report campus- and program level data elements to NSLDS. One of those students was affected by two of the errors discussed below.
Specifically:
• For 13 students, the University incorrectly reported the students’ enrollment status at the program level to
NSLDS. Six students were reported as less-than-half-time instead of half-time, and seven students were
reported as half-time instead of full-time. Those errors occurred because the enrollment reporting processes
in the University’s student information system were not configured appropriately for the Graduate Nursing
program.
• For four students, the enrollment effective date was reported correctly to NSLDS at the program level;
however, the University incorrectly reported the first day of the Spring 2023 term as the enrollment effective
date at the campus level. The effective date reported at the program level should have been the same date
reported at the campus level because those dates reflect the same enrollment status change. As noted
above, those errors were caused by issues with the configuration of the enrollment reporting processes for
the Graduate Nursing Program.
• For two students, the University did not report the students’ graduated status or did not accurately report the
graduated status at the campus and program levels to NSLDS. One student’s graduated status was
accurately reported at the campus level, but was reported as withdrawn at the program level. The other
student was inaccurately reported as withdrawn at both the campus- and program-levels. Those errors
occurred because the students’ statuses required manual reporting and were overlooked.
Not reporting student enrollment and program information accurately could affect determinations that guarantors,
lenders, and servicers of student loans make related to in-school status, deferments, grace periods, and
repayment schedules.
Recommendation:
The University should strengthen its controls to ensure that all status changes are reported accurately to NSLDS. Views of Responsible Officials:
The University acknowledges and agrees with the finding. The University will work to develop and implement
corrective action to improve and update the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). The University of Texas at Austin (University) did not appropriately restrict user access to its student information system. Specifically, an employee retained the ability to modify student financial aid awards after transitioning from the Office of Student Financial Aid to another department within the University. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. In addition, the University did not have sufficient controls over its change management process for information systems. Specifically, one of the University’s departments did not enable the control designed to prevent developers from migrating their own code changes into production. Not having sufficient segregation of duties controls over the change management process increases the risk of unauthorized programming changes being made to critical information systems that the University uses to administer student financial assistance. Recommendations: The University should: • Ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. • Strengthen its controls over its change management process to ensure adequate segregation of duties. Views of Responsible Officials:
The University acknowledges and agrees with the finding. In this case, the employee transitioned from the Office
of Scholarships and Financial Aid (OSFA) to the Student Financial Aid implementation project. It was intended for
this employee to retain his prior access for a time so he could help provide backstop support while his duties were
transitioned to other employees within OSFA. This access should have been removed once his duties were
successfully transitioned.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. However, technical limitations in the current financial
aid management system require that a particular mainframe programming library be exempted from the change
control mechanisms that are used in all other libraries that can update student financial aid information.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224173; Federal Pell Grant Program, P063P222336; and Federal Direct Student Loans, P268K232336 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs, and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). For 1 (2 percent) of 60 students tested, the University of Texas at Austin (University) incorrectly calculated the amount of Title IV funds to be returned. Specifically, the University initially determined that the student officially withdrew on March 10, 2023, and the University incorrectly determined that the student completed more than 60 percent of the term. The University subsequently incorrectly determined that the student unofficially withdrew on February 10, 2023, and processed a return of Title IV funds in the amount of $18,742. After auditors brought the error to the University’s attention, it re-performed the return calculation using the correct date of withdrawal and reinstated the appropriate amount of funds to the student. Not having a process that consistently calculates and returns the correct amount of Title IV funds increases the risk that the University could return less Title IV funds than it is required to return. Coronavirus Aid, Relief, and Economic Security (CARES) Act:
Section 3508 of the CARES Act directs the Secretary to waive the statutory requirement for institutions to return
Title IV funds (R2T4) as the result of student withdrawals related to a qualifying emergency. For any student who
begins attendance in a payment period or period of enrollment that includes March 13, 2020, or begins between
March 13 and the later of December 31 or the last date that the national emergency is in effect, and subsequently
withdraws from the period as a result of COVID-19-related circumstances, an institution is not required to return
Title IV funds. The CARES Act requires an institution to report to the Department information specific to each
student for whom it was not required to return Title IV funds under the waiver exception. An institution must
determine the total amount of grant and loan assistance that otherwise would have been returned, identified in
Step 5 of the R2T4 calculation, had the calculation been performed. Therefore, it will continue to be necessary for
institutions to perform an R2T4 calculation for each student covered by the CARES Act R2T4 waiver (Electronic
Announcement titled UPDATED Guidance for interruptions of study related to Coronavirus (COVID-19), June 16,
2020).
For 1 (50 percent) of 2 students tested who were eligible for relief under the CARES Act, the University
incorrectly processed a return of Title IV funds. The University determined that the student was eligible to
receive an R2T4 waiver under Section 3508 of the CARES Act. However, the University subsequently processed
a return of Title IV funds for the student. The University asserted that error occurred because the student was
listed on a census report showing students who did not enroll in sufficient hours to receive aid, and the student’s
Title IV funds were incorrectly returned because the student’s CARES Act R2T4 waiver was overlooked. After
auditors brought the error to the University’s attention, it reinstated the student's aid and reported to the U.S.
Department of Education that the student qualified for relief under the CARES Act waiver exemption and reported
the amount of relief given. Not accurately identifying students who qualify for a waiver could result in those
students not receiving aid to which they are entitled.
Timeliness of Returns:
An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later
than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section
668.22(j)).
For 1 (2 percent) of 58 students tested who withdrew and required a return of Title IV funds, the University
did not return the funds within the required time frame. The University performed the return calculation and
executed a transaction to return the funds within its student information system; however, the University did not
return the Title IV funds to the U.S. Department of Education within the required 45-day time frame due to an error
in processing the return of those funds. After auditors selected the student for testing, the University returned Title
IV funds as required; therefore, there were no questioned costs. Not returning funds within the required time
frame reduces the information available to the U.S. Department of Education for its program management.
The University had a process to review its calculations for returns of Title IV funds; however, it did not have
adequate controls to ensure that it identified the errors discussed above.
Recommendations:
The University should strengthen its controls to ensure that it:
• Accurately calculates returns of Title IV funds when required, including review of the variables it uses in those
calculations.
• Performs return of Title IV calculations and returns funds within the required time frame.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. For 1 (2 percent) of 58 students tested who withdrew
and required a return of Title IV funds, the University did not return the funds within the required time frame. For 1
(2 percent) of 60 students tested, the University incorrectly calculated the amount of Title IV funds to be returned.
For 1 (50 percent) of 2 students tested eligible for relief under the CARES Act, the University incorrectly
processed a return of Title IV funds. Through analysis of the exceptions identified in the audit, the University will
work to develop and implement corrective action to improve the processes further.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222336; and Federal Direct Student Loans, P268K232336 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No
Federal regulations and related guidance governing Title IV student aid programs require schools to report the
enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan
Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to
submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next
60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan)
has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at
least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title
34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include
Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30,
2012 (GEN-12-06)).
Institutions are required to report the program(s) of attendance for the student, including classification of
instructional programs (CIP) code, program credential level, program length, program enrollment status, and other
data about the program. The program enrollment effective date is the date that the current enrollment status
reported for a student was first effective and the program begin date is the date the student first began attending
the program being reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4).
Institutions may not be immediately aware of a student’s enrollment status change when it happens. When the
institution does become aware of such a change, it must report the status change using the actual enrollment
status effective date, not the date when the institution became aware of the change (NSLDS Enrollment Reporting
Guide, November 2022, Chapter 4; and U.S. Department of Education Electronic Announcement, NSLDS
Enrollment Reporting - Submission Dates, Effective Dates and Certification Dates, April 20, 2017).
The University of Texas at Austin (University) uses the services of the National Student Clearinghouse (NSC) to
report status changes to NSLDS. Under this arrangement, the University reports all students enrolled and their
status to NSC. NSC then identifies any changes in status and reports those changes when required to NSLDS.
Although the University uses the services of NSC, the University still has the primary responsibility to report any
changes in student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide,
November 2022, Chapter 3, Section 3.3).
For 4 (7 percent) of 61 students tested, the University did not accurately report program-level data
elements to NSLDS. Specifically, the University incorrectly reported the program enrollment effective date as the
first date of the term, rather than the actual effective date of the students’ enrollment status change. The
University asserted those errors were caused by changes implemented in its automated enrollment reporting
process to reflect the new 2023 academic calendar.
Not reporting student status changes accurately could affect determinations that guarantors, lenders, and
servicers of student loans make related to in-school status, deferments, grace periods, and repayment schedules.
Recommendation:
The University should strengthen its controls to ensure that program enrollment effective dates are reported to
NSLDS accurately.
Views of Responsible Officials:
The University acknowledges and agrees with the Program Enrollment Effective Date finding. Program Enrollment
Effective Date is defined as the date a student’s enrollment status changes during a semester of enrollment (i.e.
student’s enrollment status changes from full-time to half-time status). For 4 (7 percent) of 61 students tested, the
University did not accurately report program-level data elements to NSLDS. Specifically, the University incorrectly
reported the program enrollment effective date as the first date of the term, rather than the date the students’
enrollment status actually changed. The University asserted those errors were caused by required changes to its
automated enrollment reporting process to accommodate the newly implemented structure of its academic
calendar. Through analysis of the exceptions identified in the audit, the University has developed and
implemented corrective action to further improve the processes.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224174; Federal Work-Study Program, P033A224174; Federal Pell Grant Program, P063P223234; Federal Direct Student Loans, P268K233234; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233234 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, CFR, Sections 668.2, 673.5, and 685.301). The University of Texas at Dallas (University) established different COA budgets for each term based on a student’s tuition rate (guaranteed or variable); classification (undergraduate or graduate); residency (in-state and out-of-state); living status (on-campus, off-campus, or at home); and enrollment level (full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting formulas within the University’s student information system are used to assign various budget components based on the factors noted above. The University did not always accurately configure COA budget components in its student information system. Specifically, the University incorrectly set the Summer transportation budget for a certain group of students—undergraduate students with a guaranteed tuition rate who were in-state residents living at home and enrolled half-time—to $640 instead of $928. After auditors brought the issue to the University’s attention, it identified 299 students who were affected. As a result, the COA for those students was understated by a total of $86,112 for the Summer 2023 term. The errors discussed above did not result in overawards of financial assistance; therefore, there were no questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or underawarding financial assistance to students. Recommendation:
The University should ensure that it accurately configures COA budget components within its student information
system.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
While reviewing the population for submission to the auditors, the University determined that the above error had
occurred. Since the timing was still within the summer semester, we corrected the COA component error and
provided institutional grant funding for those students who had increased need due to the update in their summer
transportation budget. There were only 2 students who needed to have their loans repackaged to avoid under
awarding federal aid, which was done.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222338; and Federal Direct Student Loans, P268K232338 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Federal regulations and related guidance governing Title IV student aid programs require schools to report the enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next 60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan) has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half_x0002_time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title 34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30, 2012 (GEN-12-06)). Institutions are required to report the campus-level enrollment for the student, including enrollment status and the effective date of that enrollment status. For enrollment status changes to three-quarter-time, half-time, and less_x0002_than-half-time status, the institution must use the effective date that the student changed to those particular statuses (NSLDS Enrollment Reporting Guide, November 2022, Chapter 1 and Appendix C). Institutions also are required to report the program(s) of attendance for the student, including classification of instructional programs (CIP) code, program credential level, program length, program enrollment status, and other data about the program. The program enrollment effective date is the date that the current enrollment status reported for a student was first effective and the program begin date is the date the student first began attending the program being reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4). To protect a student’s interest subsidy, institutions are required to report a graduated status for students who have completed their course of study (NSLDS Enrollment Reporting Guide, November 2022, Chapter 4 and Appendix C). Institutions may not be immediately aware of a student’s enrollment status change when it happens. When the institution does become aware of such a change, it must report the status change using the actual enrollment status effective date, not the date when the institution became aware of the change (NSLDS Enrollment Reporting Guide, November 2022, Chapter 4; and U.S. Department of Education Electronic Announcement, NSLDS Enrollment Reporting - Submission Dates, Effective Dates and Certification Dates, April 20, 2017). The University of Texas at El Paso (University) uses the services of the National Student Clearinghouse (NSC) to report status changes to NSLDS. Under this arrangement, the University reports all students enrolled and their status to NSC. NSC then identifies any changes in status and reports those changes when required to NSLDS. Although the University uses the services of NSC, the University still has the primary responsibility to report any changes in student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide, November 2022, Chapter 3, Section 3.3). For 3 (5 percent) of 62 students tested, the University did not accurately report campus- and program level enrollment effective dates or did not report enrollment status changes to NSLDS. Specifically:
• For two students, the effective date of the students’ withdrawn status was reported incorrectly at both the
campus and program levels. The University reported one student’s withdrawal effective date as the end of the
payment period, instead of the actual date of withdrawal. The University determined the second student never
attended the Summer 2023 term and reported an incorrect withdrawal date instead of the student’s actual last
date of attendance, which was the last day of the Fall 2022 term.
• For one student, the University did not report an enrollment status change to NSLDS. The student’s
enrollment status decreased from three-quarter-time to less-than-half-time after the University approved a
medical withdrawal for certain courses after the term had ended, and the University did not report that
change.
For 2 (12 percent) of 17 students tested who received a Direct Loan and ceased to be enrolled on at least
a half-time basis or changed their permanent address, the students’ enrollment status was not reported to
NSLDS in a timely manner. Specifically, both students’ graduated status was received by NSLDS 73 days after
the students graduated.
The University had a process to monitor enrollment information reported to NSC and NSLDS; however, that
process was not sufficient to identify the errors discussed above. Not reporting student status changes accurately
and in a timely manner could affect determinations that guarantors, lenders, and servicers of student loans make
related to in-school status, deferments, grace periods, and repayment schedules.
Recommendations:
The University should:
• Strengthen its controls to ensure that campus- and program-level enrollment statuses and effective dates are
reported to NSLDS accurately.
• Ensure that all graduated statuses are reported to NSLDS in a timely manner.
Views of Responsible Officials:
The University acknowledges the findings and recommendations. Staff members have begun working on the
corrective action plan to improve the processes and implement any necessary changes by the end of the spring
2024 semester.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224169; Federal Pell Grant Program, P063P223294; Federal Direct Student Loans, P268K233294; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233294 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $64,905 Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). The total number of calendar days in a payment period or period of enrollment includes all days within the payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)). The University of Texas at San Antonio (University) made errors in Title IV return calculations for 14 (56 percent) of 25 students tested. Those errors occurred because the University did not exclude break days from its calculations of returns of Title IV funds for the Spring 2023 term as required; therefore, that issue would have affected all students who withdrew from the Spring 2023 term and had a return calculation performed. Although the amount of unearned Title IV assistance calculated for those students was incorrect, there were no questioned costs because the University returned more funds than required. In addition, for 3 (12 percent) of 25 students tested who did not have a return of Title IV funds made, the
University did not perform a return calculation as required. Those errors occurred because the University
incorrectly used 7 break days instead of 8 break days when determining whether students who withdrew from the
Spring 2023 term had completed 60 percent or more of the term. As a result, the University did not perform return
calculations and return funds as required for students who withdrew between March 26 and March 28, 2023,
which resulted in total questioned costs of $50,146 associated with ALN 84.268, Federal Direct Student Loans,
award number P268K233294, and $14,759 associated with ALN 84.063, Federal Pell Grant Program, award
number P063P223294.
The University did not have an adequate monitoring process to identify those errors. Not having a process that
consistently calculates and returns the correct amount of Title IV funds increases the risk that the University could
return less Title IV funds than it is required to return.
Recommendations:
The University should:
• Accurately determine the number of days in the payment period and exclude any scheduled breaks as
required.
• Strengthen its controls to ensure that it detects and corrects errors in return of Title IV calculations and returns
Title IV funds.
Views of Responsible Officials:
The University acknowledges and agrees with the finding that were the result of staff turnover. Through analysis
of the exceptions identified in the audit, the University has worked to develop and implement corrective action.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P223294; and Federal Direct Student Loans, P268K233294 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Federal regulations and related guidance governing Title IV student aid programs require schools to report the enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next 60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan) has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half_x0002_time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title 34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30, 2012 (GEN-12-06)). Enrollment is reported for a specific location of each campus; that is, the eight-digit Office of Postsecondary Education Identification (OPEID) number. Most students are enrolled in coursework at only one location. However, for students who are taking coursework at multiple locations of the same school, the school must determine which location is the student’s “primary location” and report the combined enrollment for the student using that location to NSLDS. A student’s “primary location” is the location where the student is taking more coursework than at any other location. Reporting a student’s enrollment at the main campus does not satisfy the enrollment reporting requirement if aid was disbursed or the student was physically attending school at a different location (NSLDS Enrollment Reporting Guide, November 2022, Chapters 4 and 6). The University of Texas at San Antonio (University) uses the services of the National Student Clearinghouse (NSC) to report status changes to NSLDS. Under this arrangement, the University reports all students enrolled and their status to NSC. NSC then identifies any changes in status and reports those changes to NSLDS when required. Although the University uses the services of NSC, the University still has the primary responsibility to report any changes in student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide, November 2022, Chapter 3, Section 3.3). For 2 (8 percent) of 26 students tested, the University inaccurately reported the OPEID number to NSLDS. Specifically for those students, the University incorrectly reported the OPEID number of the main campus, instead of the OPEID number of the location where the students were taking the majority of their coursework. The University asserted that it reports the main campus OPEID number for all students to NSLDS; therefore, the errors discussed above would have affected all students who did not take the majority of their coursework at the main campus location. Not reporting student information accurately could affect determinations that guarantors, lenders, and servicers of student loans make related to in-school status, deferments, grace periods, and repayment schedules. Recommendation:
The University should implement a process to ensure that it accurately reports the OPEID number to NSLDS for
students who take the majority of their coursework at a location other than the main campus.
Views of Responsible Officials:
The University acknowledges and agrees with the finding, which has had no impact on accurately reporting the
enrollment levels of our students to NSLDS.
Special Tests and Provisions – Enrollment Reporting
Federal Agency: U.S. Department of Education
Federal Program Title: Student Financial Assistance Cluster
Assistance Listing Number: 84.063; and 84.268
Pass-Through Agency: N/A
Award Number: Federal Pell Grant Program, P063P222337; and Federal Direct Student
Loans, P268K232337
Award Period: July 1, 2022, to June 30, 2023
Statistically Valid Sample: No and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency and Noncompliance
Questioned Costs: None
Repeat Finding: No
Federal regulations and related guidance governing Title IV student aid programs require schools to report the
enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan
Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to
submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next
60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan)
has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at
least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title
34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include
Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30,
2012 (GEN-12-06)).
Institutions are required to report the program(s) of attendance for the student, including classification of
instructional programs (CIP) code, program credential level, program length, program enrollment status, and other
data about the program. The program enrollment effective date is the date that the current enrollment status
reported for a student was first effective and the program begin date is the date the student first began attending
the program being reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4).
To protect a student’s interest subsidy, institutions are required to report a graduated status for students who have
completed their course of study (NSLDS Enrollment Reporting Guide, November 2022, Chapter 4 and Appendix
C). Institutions may not be immediately aware of a student’s enrollment status change when it happens. When the
institution does become aware of such a change, it must report the status change using the actual enrollment
status effective date, not the date when the institution became aware of the change (NSLDS Enrollment Reporting
Guide, November 2022, Chapter 4; and U.S. Department of Education Electronic Announcement, NSLDS
Enrollment Reporting - Submission Dates, Effective Dates and Certification Dates, April 20, 2017).
For 6 (10 percent) of 61 students tested, the University of Texas Health Science Center at San Antonio
(Health Science Center) did not accurately report the program begin date to NSLDS. Specifically, those
students began attendance in the program on July 29, 2019; however, the Health Science Center reported a
program begin date of either January 6, 2020, or May 18, 2020. The Health Science Center asserted those errors
were caused by the CIP code year conversion from 2010 to 2020 within the Health Science Center Registrar’s
Office. After auditors brought those errors to the Health Science Center’s attention, the Health Science Center
corrected the program begin date for all six students.
Not reporting student program information accurately could affect determinations that guarantors, lenders, and
servicers of student loans make related to in-school status, deferments, grace periods, and repayment schedules.
Recommendation:
The Health Science Center should strengthen its controls to ensure that program begin dates are reported to
NSLDS accurately.
Views of Responsible Officials:
The University acknowledges noncompliance of validating program start dates aligned to Classification of
Instructional Program (CIP codes) and graduated student status. Through analysis of the exceptions identified in
the audit, the University will work to develop and implement corrective action to improve processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). The University of Texas Permian Basin (University) did not appropriately restrict user access to its student information system. Specifically, the University did not always limit access to the student information system to only users who needed that access based on their job responsibilities. The University had a process to periodically review user access; however, that review was not sufficient to identify the inappropriate access. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. Recommendation: The University should ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. Views of Responsible Officials: The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the audit, the University has worked to implement further access limitations and enhanced its periodic review of access.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224178; Federal Work-Study Program, P033A224178; Federal Pell Grant Program, P063P223265; Federal Direct Student Loans, P268K233265; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233265 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). The University of Texas Permian Basin (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate), program (in-person or online), residency (in_x0002_state or out-of-state), living status (on-campus, off-campus, or at home with parents), and enrollment level (full_x0002_time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 60 (98 percent) of 61 students tested, the University incorrectly calculated the COA. For some of the students discussed below, there were multiple errors in the COA calculation. Specifically: • For 38 students, the University assigned an incorrect amount for the fees, loan fees, and/or transportation budget components. Those errors occurred because the amounts were incorrectly loaded into the budget tables in the University’s student information system. The University asserted that it discovered these issues in April 2023, and attempted to manually update individual student accounts that were affected. As a result, the COA for those students was overstated, and three students were overawarded a total of $2,871. After auditors brought the overawards to the University’s attention, it returned funds to the U.S. Department of Education; therefore, there were no questioned costs. • For 15 students, the University assigned an in-person budget instead of an online advanced budget. Those
errors occurred because the University failed to consistently communicate which programs were offered
online to the financial aid office, which would have helped ensure that the student information system was
updated appropriately. As a result, the COA for those students was overstated, and one of those students
was overawarded a Subsidized Direct Loan in the amount of $919. After auditors brought the overaward to
the University’s attention, it returned funds to the U.S. Department of Education; therefore, there were no
questioned costs.
• For 12 students, the University incorrectly assigned an additional room and board fee. As a result, the COA
was overstated by $50 per term for each of those students; however, the University did not overaward
financial assistance to those students.
• For eight students, the University did not adjust the students’ COA to reflect the students’ actual enrollment.
The University did not have a process to freeze student enrollment levels in order to recalculate COA after
census. As a result, the COA for those students was overstated; however, the University did not overaward
financial assistance to those students.
The University did not have adequate controls in place to review budgets used in the calculation of COA and
accurately assign those budgets to students. Incorrectly calculating COA increases the risk of overawarding or
underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets in
accordance with its process and does not overaward financial assistance to students.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University has worked to implement additional controls as it relates to calculation of the Cost of
Attendance.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224178; Federal Pell Grant Program, P063P223265; Federal Direct Student Loans, P268K233265; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233265 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs, and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). The total number of calendar days in a payment period or period of enrollment includes all days within the
payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks
of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the
number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)).
For a program offered in modules, a student is not considered to have withdrawn if the student successfully
completes either (1) a module that includes 49 percent or more of the number of days in the payment period,
excluding scheduled breaks of five or more consecutive days and all days between modules; or (2) a combination
of modules that together contain 49 percent or more of the number of days in the payment period, excluding
scheduled breaks of five or more consecutive days and all days between modules (Title 34, CFR, Section
668.22(a)(2)(ii)(A)(2)).
For 3 (6 percent) of 48 students tested who did not have a return of Title IV funds made, the University of
Texas Permian Basin (University) did not perform a return calculation as required. Specifically:
• For two students who were enrolled in module courses, the University did not perform a return calculation
because it incorrectly determined that the students completed 49 percent or more of the number of days in
the payment period. The University asserted that staff misinterpreted the 49 percent withdrawal exemption
requirements.
• For one student, the University did not perform a return calculation and return funds as required due to staff
oversight.
After auditors brought those errors to the University’s attention, the University performed the return calculations
and returned the funds to the U.S. Department of Education; therefore, there were no questioned costs.
In addition, the University made errors in Title IV return calculations for 11 (48 percent) of 23 students
tested. Specifically, the University did not exclude any break days from the students’ return calculations as
required. Those errors occurred because the University did not load the break days into its student information
system when setting up the payment periods for the standard Fall 2022 and Spring 2023 terms; therefore, this
issue would have affected all students who withdrew from those terms. As a result, the University returned a total
of $284 less than it should have for 2 of those 11 students. After auditors brought the issue to the University’s
attention, the University returned those funds to the U.S. Department of Education; therefore, there were no
questioned costs.
• For 3 of those 11 students, the University also incorrectly adjusted the students’ Direct Loans disbursements
prior to performing the return calculation. As a result of those errors, the University returned more funds than
required; therefore, there were no questioned costs.
The University did not have an adequate monitoring process to identify the errors discussed above. Not having a
process that consistently calculates and returns the correct amount of Title IV funds increases the risk that the
University could return less Title IV funds than it is required to return.
Timeliness of Returns:
An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later
than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section
668.22(j)).
For 3 (13 percent) of 23 students tested who withdrew and required a return of Title IV funds, the
University did not return the funds within the required time frame. The University returned the Title IV funds
to the U.S. Department of Education 46 and 203 days after the University determined that the students withdrew.
The University did not have adequate controls in place to ensure that Title IV funds were returned within the
required 45-day time frame. Not making returns within required time frames reduces the funds available to the U.S. Department of Education
for its program management.
Recommendations:
The University should:
• Configure its student information system to exclude any scheduled breaks as required.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in return of Title IV calculations
and returns Title IV funds in a timely manner.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University has worked to ensure procedures and interpretation of the regulations for the Return to Title
IV have been updated to result in correct and timely return of Title IV funds.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P223265; and Federal Direct Student Loans, P268K233265 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No
Federal regulations and related guidance governing Title IV student aid programs require schools to report the
enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan
Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to
submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next
60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan)
has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at
least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title
34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include
Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30,
2012 (GEN-12-06)).
Institutions are required to report the campus-level enrollment for the student, including enrollment status and the
effective date of that enrollment status. For enrollment status changes to three-quarter-time, half-time, and less than-half-time status, the institution must use the effective date that the student dropped to those particular
statuses (NSLDS Enrollment Reporting Guide, November 2022, Chapter 1, 4, 7, and Appendix C). Institutions
also are required to report the program(s) of attendance for the student, including classification of instructional
programs (CIP) code, program credential level, program length, program enrollment status, and other data about
the program. The program enrollment effective date is the date that the current enrollment status reported for a
student was first effective, and the program begin date is the date the student began attending the program being
reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4).
Institutions may not be immediately aware of a student’s enrollment status change when it happens. When the
institution does become aware of such a change, it must report the status change using the actual enrollment
status effective date, not the date when the institution became aware of the change (NSLDS Enrollment Reporting
Guide, November 2022, Chapter 4; and U.S. Department of Education Electronic Announcement, NSLDS
Enrollment Reporting - Submission Dates, Effective Dates and Certification Dates, April 20, 2017). For instances
in which a student completes one academic program and then enrolls in another academic program at the same
school, the school must report two separate enrollment transactions: one showing the completion of the first
program and its effective date and credential level, and the other showing the enrollment in the second program
and its effective date (Dear Colleague Letter, March 30, 2012 (GEN-12-06)). For a student who has graduated,
institutions that initially report a withdrawn status must subsequently report the student as having graduated by
certifying a “G” status at the campus level and/or program level as appropriate (NSLDS Enrollment Reporting
Guide, November 2022, Chapter 4, Section 4.4.3).
The University of Texas Permian Basin (University) uses the services of the National Student Clearinghouse
(NSC) to report status changes to NSLDS. Under this arrangement, the University reports all students enrolled
and their status to NSC. NSC then identifies any changes in status and reports those changes to NSLDS when
required. Although the University uses the services of NSC, the University still has the primary responsibility to
report any changes in student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting
Guide, November 2022, Chapter 3, Section 3.3).
For 8 (13 percent) of 61 students tested, the University did not report enrollment status changes or did
not accurately report campus- and program-level data elements to NSLDS. Specifically:
• For three students, the effective date for the students’ withdrawn status was reported incorrectly. Those
students were determined to have never attended the Spring 2023 term. The University incorrectly reported
the last day of the Spring 2023 term as the effective date at the campus and program level, rather than the
students’ actual last date of attendance.
• For two students, enrollment status changes were inaccurately reported at the campus and program levels.
Both students were enrolled full-time in the Spring 2023 term and had enrollment changes to half-time;
however, the University incorrectly reported to NSLDS a less-than-half-time status for one student and a
withdrawn status for the other student.
• For two students, the University incorrectly reported the effective date of enrollment status changes at the
campus and program levels.
• For one student, the enrollment status for the Spring 2023 term was reported incorrectly at the campus and
program levels because the University used graduate-level enrollment rather than undergraduate-level
enrollment. The University asserted that the student was enrolled as an undergraduate in the Spring 2023
term and as an undergraduate and graduate in the Summer 2023 term. This error was caused by the
University not submitting the student’s undergraduate program information to NSLDS.
For 3 (9 percent) of 33 students tested who received a Direct Loan and ceased to be enrolled on at least a
half-time basis or changed their permanent address, the students’ enrollment status was not reported to
NSLDS in a timely manner. Specifically, the University reported the 3 students’ withdrawn status 118 days after
it became aware that the students either never attended or unofficially withdrew from the Spring 2023 term.
The issues discussed above occurred because the University (1) did not configure its student information system
to accurately report student enrollment and program information to NSLDS, (2) did not establish formal and
documented policies over student enrollment reporting until policies were requested by auditors, and (3) did not
have an adequate process to monitor student enrollment and program information reported to NSLDS. Not
reporting student status changes accurately and in a timely manner could affect determinations that guarantors,
lenders, and servicers of student loans make related to in-school status, deferments, grace periods, and
repayments schedules.
Recommendation:
The University should strengthen its controls to ensure that campus- and program-level data elements are
reported accurately and in a timely manner to NSLDS.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University is working to ensure that procedures and queries used for exporting enrollment information to
the National Student Clearinghouse are updated so that reporting is accurate and timely.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222296; and Federal Direct Student Loans, P268K232296 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Federal regulations and related guidance governing Title IV student aid programs require schools to report the enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next 60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan) has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half_x0002_time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title 34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30, 2012 (GEN-12-06)). Institutions are required to report the campus-level enrollment for the student, including enrollment status and the effective date of that enrollment status. For enrollment status changes to three-quarter-time, half-time, and less_x0002_than-half-time status, the institution must use the effective date that the student dropped to those particular statuses (NSLDS Enrollment Reporting Guide, November 2022, Chapter 1, 4, 7, and Appendix C). Institutions also are required to report the program(s) of attendance for the student, including classification of instructional programs (CIP) code, program credential level, program length, program enrollment status, and other data about the program. The program enrollment effective date is the date that the current enrollment status reported for a student was first effective and the program begin date is the date the student began attending the program being reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4). For a student who has graduated, institutions that initially report a withdrawn status must subsequently report the student as having graduated by certifying a “G” status at the campus level and/or program level as appropriate (NSLDS Enrollment Reporting Guide, November 2022, Chapter 4, Section 4.4.3). The University of Texas Rio Grande Valley (University) uses the services of the National Student Clearinghouse (NSC) to report status changes to NSLDS. Under this arrangement, the University reports all students enrolled and their status to NSC. NSC then identifies any changes in status and reports those changes to NSLDS when required. Although the University uses the services of NSC, the University still has the primary responsibility to report any changes in student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide, November 2022, Chapter 3, Section 3.3). For 2 (3 percent) of 62 students tested, the University inaccurately reported the students’ program-level
graduated status effective date to NSLDS. For those students, the graduated status effective date was
reported correctly to NSLDS at the campus level; however, a different effective date was incorrectly reported at
the program level for the students’ graduated status. The effective date reported at the program level should be
the same date reported at the campus level because those dates reflect the same graduated status change. The
University identified and corrected the program-level effective date for one of those students after auditors
selected the student for testing.
Not reporting student status changes accurately and in a timely manner could affect determinations that
guarantors, lenders, and servicers of student loans make related to in-school status, deferments, grace periods,
and repayment schedules.
Recommendation:
The University should strengthen its controls to ensure that program-level data elements are reported to NSLDS
accurately.
Views of Responsible Officials:
UTRGV acknowledges and concurs with the audit finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the process.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; and 84.063 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224166; and Federal Pell Grant Program, P063P222333 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Federal Supplemental Educational Opportunity Grants (FSEOG): The FSEOG program provides grants to eligible undergraduate students. Institutions are required to award FSEOG first to Federal Pell Grant recipients who have the lowest expected family contribution (EFC). If an institution has FSEOG funds remaining after giving FSEOG awards to all Federal Pell Grant recipients, it can then award the remaining FSEOG funds to eligible students with the lowest EFCs who did not receive Federal Pell Grants (Title 34, Code of Federal Regulations (CFR), Section 676.10). If the total amount of calculated Title IV grant or loan assistance, or both, that a student earned is greater than the total amount of Title IV grant or loan assistance, or both, that was disbursed to the student, as of the date that the institution determines that the student has withdrawn, the difference between those amounts must be treated as a post-withdrawal disbursement in accordance with Title 34, CFR, Section 668.22(a)(6) and Section 668.164(i) (Title 34, CFR, Section 668.22(a)(5)). The institution must disburse directly to a student any amount of a post-withdrawal disbursement of grant funds that is not credited to the student’s account. The institution must make the disbursement as soon as possible, but no later than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(a)(6)(ii)(B)(1)). Based on a review of the full population of student financial assistance recipients, the University of Houston (University) awarded a total of $6,500 in FSEOG assistance to 5 students who did not also receive a Federal Pell Grant. Specifically: • For three students, the University did not award Federal Pell Grants to those students because the students reported on their Free Application for Federal Student Aid (FAFSA) that they had earned a bachelor’s degree or were working on a degree beyond a bachelor's degree. After auditors brought these errors to the University’s attention, the University canceled the FSEOG awards to those students; therefore there were no questioned costs. • For one student, the University did not award a Federal Pell Grant to the student for the term in which the student received FSEOG funds. Due to a manual error, the University applied the student’s Federal Pell Grant to the wrong term. After auditors brought the error to the University’s attention, the University corrected the Federal Pell Grant award to the correct term; therefore there were no questioned costs. • For one student, the University did not award a Federal Pell Grant to the student due to a hold that was
placed on the student’s account for an incomplete task. After auditors brought the error to the University’s
attention, the University reviewed the student’s account and determined the hold should be removed. The
University processed a post-withdrawal disbursement of Federal Pell Grant funds 324 days after the date of
the University’s determination that the student withdrew. There were no questioned costs as a result of this
error.
Although the University had monitoring controls in place to ensure accurate awarding of federal funds, it did not
have an adequate process to identify the errors discussed above.
Recommendations:
The University should:
• Award FSEOG funds only to eligible students.
• Complete post-withdrawal disbursements within a timely manner.
Views of Responsible Officials:
The University acknowledges and agrees with the findings. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Disbursement To or On Behalf of Students Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222333; Federal Direct Student Loans, P268K232333; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232333 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Allowable Charges: An institution may credit a student's ledger account with Title IV, Higher Education Act of 1965 (HEA) program funds to pay for allowable charges associated with the current payment period. Allowable charges are: (1) the amount of tuition, fees, and institutionally provided room and board assessed the student for the payment period or the prorated amount of those charges if the institution debits the student's ledger account for more than the charges associated with the payment period; and (2) the amount incurred by the student for the payment period for purchasing books, supplies, and other educationally related goods and services provided by the institution for which the institution obtains the student’s or parent’s authorization under Section 668.165(b) (Title 34, Code of Federal Regulations (CFR), Section 668.164(c)(1)). If an institution obtains written authorization from a student or parent, as applicable, the institution may: (1) use the student’s or parent’s Title IV, HEA program funds to pay for charges that are included in that authorization, and (2) hold on behalf of the student or parent any Title IV, HEA program funds that would otherwise be paid directly to the student or parent as a credit balance, unless the Secretary provides funds to the institution under the reimbursement payment method or the heightened cash monitoring payment method (Title 34, CFR, Section 668.165(b)(1)). An institution may not use Title IV funds to pay finance charges or fees that are incurred because a student uses a financing method provided by the school to pay for educational expenses over time. Because students or families choose to incur these additional expenses rather than paying the balance due at registration, the additional charges are not considered educational expenses, and may not be included in a student’s cost of attendance. (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 2). For 13 (21 percent) of 62 students tested, the University of Houston (University) used Title IV funds to pay unallowable charges. Some of those students were affected by both errors discussed below. Specifically: • For eight students, the University credited student ledger accounts during the payment period for unallowable charges unrelated to tuition, fees, or institutionally provided room and board. The unallowable finance charges paid with Title IV funds included various fees (credit card processing, severance of service, installment origination, and late fees), and various loan charges. Those charges are unallowable whether the University obtains student or parent authorization or not. The University asserted it is conducting a comprehensive review of all charges to determine allowability for Title IV funds. • For eight students, the University credited student ledger accounts during the payment period for charges other than tuition, fees, or institutionally provided room and board without obtaining the authorization of the student or parent. The unallowable charges paid with Title IV funds included various parking and garage related fees, meal plan tax charges, and book loan university fund charges. Those errors occurred because the University did not have a process to obtain written authorization from a student or parent to apply Title IV funds to charges other than tuition, fees, and institutionally provided room and board. Not receiving all Title IV funds a student is entitled to impairs students’ and parents’ ability to budget for the cost
of attending.
Recommendations:
The University should strengthen its controls to ensure that:
• It does not credit student ledger accounts for unallowable charges.
• It obtains written authorization from students or parents prior to crediting student ledger accounts for certain
charges.
Views of Responsible Officials:
The University acknowledges and agrees with the findings. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224166; Federal Pell Grant Program, P063P222333; Federal Direct Student Loans, P268K232333; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232333 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). The institution must return the lesser of the total amount of unearned Title IV assistance calculated above or an amount equal to the total institutional charges incurred by the student for the payment period or period of enrollment multiplied by the percentage of Title IV grant or loan assistance not earned by the student. For purposes of this calculation, “institutional charges” are tuition, fees, room and board (if the student contracts with the institution for the room and board), and other educationally related expenses assessed by the institution (Title 34, CFR, Section 668.22(g)). The institutional charges used in the calculation are usually the charges that were initially assessed to the student for the entire payment period or period of enrollment, as applicable. Initial charges may be adjusted only by those changes the institution made prior to the student’s withdrawal, such as a change in enrollment status unrelated to the withdrawal (U.S. Department of Education, 2022- 2023 Federal Student Aid Handbook, Volume 5, Chapter 1, Section: Institutional Charges). The University of Houston (University) made errors in Title IV return calculations for 18 (30 percent) of 60
students tested. Specifically:
• For 15 students, the University made errors in determining the amount of institutional charges to be used in
the return calculation by including unallowable charges in its calculation for those students.
• For two students, the University returned the incorrect amount of Title IV funds due to manual entry errors.
For one of those students, the University also incorrectly included unallowable charges in the student’s return
calculation as discussed above.
• For one student, the University incorrectly canceled the student’s Federal Pell Grant award before its
calculation. The University asserted that was due to a processing error in its student information system.
There were no questioned costs as a result of those errors because for each student the University returned more
than the required amount or the error did not affect the amount of Title IV grant or loan assistance to be returned.
Distance Education:
For distance education, documenting that a student has logged into an online class is not sufficient to
demonstrate academic attendance by the student. An institution must demonstrate that a student participated in
class or was otherwise engaged in an academically related activity. Only active participation by a student in an
instructional activity related to the student’s course of study that meets the definition of “academic engagement” in
Title 34, CFR, Section 600.2 and takes place during a payment period or period of enrollment qualifies as
attendance in an academically related activity (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 5, Chapter 2).
For 1 (7 percent) of 14 students tested, the University did not have evidence of academic engagement in
the distance education course from which the student’s withdrawal date was determined. The University
relies on the last dates of academic activity provided by instructors to determine the withdrawal date for return of
Title IV purposes for students who unofficially withdraw. However, the University did not have an adequate review
process in place to ensure that it maintained documentation supporting attendance in distance education courses.
As a result, the University could not demonstrate that the student participated or otherwise engaged in an
academically related activity in that course to support the last date of attendance used by the University for return
of Title IV purposes.
The University did not have an adequate monitoring process to identify the errors discussed above. Not having a
process that consistently calculates and returns the correct amount of Title IV funds increases the risk that the
University could return the incorrect amount of Title IV funds.
Recommendations:
The University should:
• Calculate institutional charges in accordance with U.S. Department of Education requirements.
• Ensure that evidence of academic engagement is consistently documented for students in distance education
courses.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in its calculation of Title IV
funds to return. Views of Responsible Officials:
The University acknowledges and agrees with the findings. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Enrollment Reporting
Federal Agency: U.S. Department of Education
Federal Program Title: Student Financial Assistance Cluster
Assistance Listing Number: 84.063; and 84.268
Pass-Through Agency: N/A
Award Number: Federal Pell Grant Program, P063P222333; and Federal Direct Student
Loans, P268K232333
Award Period: July 1, 2022, to June 30, 2023
Statistically Valid Sample: No and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency and Noncompliance
Questioned Costs: None
Repeat Finding: No
Federal regulations and related guidance governing Title IV student aid programs require schools to report the
enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan
Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to
submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next
60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan)
has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at
least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title
34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include
Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30,
2012 (GEN-12-06)). Institutions are required to report the campus-level enrollment for the student, including enrollment status and the
effective date of that enrollment status. For enrollment status changes to three-quarter-time, half-time, and less than-half-time status, the institution must use the effective date that the student dropped to those particular
statuses (NSLDS Enrollment Reporting Guide, November 2022, Chapter 1, 4, 7, and Appendix C). Institutions
also are required to report the program(s) of attendance for the student, including classification of instructional
programs (CIP) code, program credential level, program length, program enrollment status, and other data about
the program. The program enrollment effective date is the date that the current enrollment status reported for a
student was first effective and the program begin date is the date the student first began attending the program
being reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4). For a student who has
graduated, institutions that initially report a withdrawn status must subsequently report the student as having
graduated by certifying a “G” status at the campus level and/or program level as appropriate (NSLDS Enrollment
Reporting Guide, November 2022, Chapter 4, Section 4.4.3).
The University of Houston (University) uses the services of the National Student Clearinghouse (NSC) to report
status changes to NSLDS. Under this arrangement, the University reports all students enrolled and their status to
NSC. NSC then identifies any changes in status and reports those changes to NSLDS when required. Although
the University uses the services of NSC, the University still has the primary responsibility to report any changes in
student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide, November
2022, Chapter 3, Section 3.3).
For 3 (5 percent) of 61 students tested, the University did not report graduated status changes or did not
accurately report graduated status changes at the campus and program levels to NSLDS. Specifically:
• For two students, the University did not report a graduated status at the program level. However, the
graduated status for both students was correctly reported at the campus level. The University asserted that it
reported the graduated statuses to NSC; however, NSLDS had no record found reported for the program
level.
• For one student, a graduated status was not reported at the campus level, and the effective date of the
graduated status was incorrectly reported at the program level. The University asserted that it reported the
graduated status accurately to NSC.
For 24 (75 percent) of 32 students tested who received a Direct Loan and ceased to be enrolled on at least
a half-time basis or changed their permanent address, the student’s enrollment status was not reported to
NSLDS in a timely manner. Specifically:
• For 23 students, the students’ graduated status for the Spring 2023 term was not received by NSLDS until 85
days after that status became effective on May 11, 2023. The University certified and submitted the
graduation file to NSC on June 22, 2023; however, the statuses were not received by NSLDS until August 4,
2023.
• For one student, the University reported the status change 146 days after the student’s graduated status
became effective.
The errors discussed above occurred because the University did not have a process to ensure that student
enrollment and program information reported to NSC was accurately reported to NSLDS in a timely manner. Not
reporting student status changes accurately and in a timely manner could affect determinations that guarantors,
lenders, and servicers of student loans make related to in-school status, deferments, grace periods, and
repayment schedules.
Recommendation:
The University should develop and implement controls to ensure that campus-level and program-level data
elements are reported to NSLDS accurately and in a timely manner.
Views of Responsible Officials:
The University acknowledges and agrees with the findings. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions - Gramm-Leach-Bliley Act - Student Information Security Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Gramm-Leach-Bliley Act: Institutions must protect sensitive data, including information obtained in support of the administration of federal student financial assistance programs, as required by the Gramm-Leach-Bliley Act (GLBA) (Public Law 106-102). Under their Program Participation Agreement (PPA) and the GLBA, postsecondary educational institutions must protect student financial aid information, with particular attention to information provided by the Department of Education or otherwise obtained in support of the administration of the Title IV Federal student financial aid programs (Dear Colleague Letter, July 1, 2016 (GEN-16-12)). Institutions are required to develop, implement, and maintain an information security program that includes the minimum elements in Title 16, Code of Federal Regulations (CFR), Section 314.4. Those minimum requirements include conducting a periodic inventory of data, noting where it is collected, stored, or transmitted (Title 16, CFR, Section 314.4(c)(1)). In addition, the institution must designate a qualified individual responsible for overseeing, implementing, and enforcing the institution’s information security program (Title 16, CFR, Section 314.4(a)). The University of Houston’s (University) information security program did not address the implementation of all minimum safeguards as required by the GLBA. Specifically, while the University had designated a Qualified Individual to coordinate its information security program and had a written information security program in place, that program did not meet the requirements for conducting a periodic inventory of data. Not implementing all required safeguards in its information security program increases the University’s risk of data breach or loss. Recommendation:
The University should ensure that all elements required by the GLBA are documented and implemented in its
information security program.
Views of Responsible Officials:
The University acknowledges and agrees with the findings. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Reporting
Federal Agency: U.S. Department of Education
Federal Program Title: Student Financial Assistance Cluster
Assistance Listing Number: 84.063; and 84.379
Pass-Through Agency: N/A
Award Number: Federal Pell Grant Program, P063P222293; and Teacher Education
Assistance for College and Higher Education Grants (TEACH),
P379T232293
Award Period: July 1, 2022, to June 30, 2023
Statistically Valid Sample: No and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency and Noncompliance
Questioned Costs: None
Repeat Finding: No
COD Reporting:
Institutions must submit Federal Pell Grant, Iraq and Afghanistan Service Grant, Direct Loan, and Teacher
Education Assistance for College and Higher Education (TEACH) Grant disbursement records to the Common
Origination and Disbursement (COD) system no later than 15 days after making the disbursement or becoming
aware of the need to adjust a previously reported disbursement. Reporting this information helps ensure that
institutions have the most accurate information available about students’ federal awards and helps prevent an
institution from overawarding students (Title 34, Code of Federal Regulations (CFR), Section 690.83(b); U.S.
Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 1; and Federal Register,
Volume 88, Number 120). Certain data elements are required to be reported as part of a student’s origination and
disbursement record, including the student’s Social Security number, Central Processing System (CPS)
transaction number, enrollment date, disbursement amount, and disbursement date (2022-2023 COD Technical
Reference, Volume II).
For 2 (3 percent) of 63 students tested, the University North Texas (University) did not accurately report
all disbursement record data elements to the COD system. Specifically:
• For one student, the University reported an incorrect disbursement date for two TEACH disbursements made
to the student during the award year. The University’s process is to manually report TEACH Grant awards on
COD’s website; the incorrect disbursement dates reported were a result of manual entry errors made during
that process.
• For one student, the University reported an incorrect disbursement date for one Federal Pell Grant
disbursement made to the student during the award year. The University asserted that error occurred
because the student’s record had to be manually updated after being rejected by the COD system for a
missing value.
The incorrect disbursement dates ranged from 78 days prior to 74 days after the actual funds were disbursed to
the students. The University did not have a sufficient process to review the manual data entries for accuracy. Not
accurately reporting information to the COD system could result in the institution overawarding federal funds.
Recommendation:
The University should strengthen its controls to ensure that disbursement dates are reported to the COD system
accurately.
Views of Responsible Officials:
The University acknowledges and agrees with the findings regarding the accuracy of reporting disbursements in
the Common Origination and Disbursement (COD) system. The University recognizes the importance of
accurately reporting disbursements in the COD system and will work accordingly to ensure manual entries are
entered with accurate information.
Special Tests and Provisions – Disbursements To or On Behalf of Students Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222293; and Federal Direct Student Loans, P268K232293 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Allowable Charges and Credit Balance Authorizations: An institution may credit a student’s ledger account with Title IV, Higher Education Act of 1965 (HEA) program funds to pay for allowable charges associated with the current payment period. Allowable charges are: (1) the amount of tuition, fees, and institutionally provided room and board assessed the student for the payment period or the prorated amount of those charges if the institution debits the student’s ledger account for more than the charges associated with the payment period; and (2) the amount incurred by the student for the payment period for purchasing books, supplies, and other educationally related goods and services provided by the institution for which the institution obtains the student’s or parent’s authorization under Section 668.165(b) (Title 34, Code of Federal Regulations (CFR), Section 668.164(c)(1)). A Title IV, HEA credit balance occurs whenever the amount of Title IV, HEA program funds credited to a student’s ledger account for a payment period exceeds the amount assessed the student for allowable charges associated with that payment period. A Title IV, HEA credit balance must be paid directly to the student or parent as soon as possible, but no later than (1) fourteen days after the balance occurred if the credit balance occurred after the first day of class within a payment period; or (2) fourteen days after the first day of class within a payment period if the credit balance occurred on or before the first day of class within that payment period (Title 34, CFR, Section 668.164(h)). If an institution obtains written authorization from a student or parent, as applicable, the institution may: (1) use
the student’s or parent’s Title IV, HEA program funds to pay for charges that are included in that authorization,
and (2) hold on behalf of the student or parent any Title IV, HEA program funds that would otherwise be paid
directly to the student or parent as a credit balance, unless the Secretary provides funds to the institution under
the reimbursement payment method or the heightened cash monitoring payment method (Title 34, CFR, Section
668.165(b)(1)).
For 5 (8 percent) of 62 students tested, the University of North Texas (University) used Title IV funds to
pay unallowable charges. Specifically, the University credited student ledger accounts during the payment
period for charges other than tuition, fees, or institutionally provided room and board without obtaining the
authorization of the student or parent. The unallowable charges paid with Title IV funds included various fees (late
registration, replacement identification card, and parking), as well as the balance of institutional loans. Those
errors occurred because a statement designed to obtain the student’s authorization to apply the Title IV funds to
those types of charges was not included in the student self-service portal in the student information system as
intended.
For 1 (3 percent) of 36 students tested, the University did not obtain written authorization from the
student or parent to hold Title IV funds as a credit balance. Specifically, the University held $1,861 of Direct
Loans in excess of the student’s institutional charges, which should have been paid directly to the student or
parent.
Not receiving all Title IV funds a student is entitled to impairs students’ and parents’ ability to budget for the cost
of attending.
Recommendation:
The University should strengthen its controls to ensure that it obtains written authorization from students or
parents prior to crediting student ledger accounts for certain charges, or holding credit balances.
Views of Responsible Officials:
The University acknowledges and agrees with the findings regarding the payment of unallowable charges using
Title IV funds for 5 students and the lack of written authorization to hold a Title IV fund as a credit balance for 1
student. The University recognizes the importance of ensuring Title IV funds are used only toward allowable
charges and are not held as a credit balance without written authorization from the student or parent.
Special Tests and Provisions – Return of Title IV Funds
Federal Agency: U.S. Department of Education
Federal Program Title: Student Financial Assistance Cluster
Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379
Pass-Through Agency: N/A
Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG),
P007A224085; Federal Pell Grant Program, P063P222293; Federal Direct
Student Loans, P268K232293; and Teacher Education Assistance for
College and Higher Education Grants (TEACH), P379T232293
Award Period: July 1, 2022, to June 30, 2023
Statistically Valid Sample: No and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency and Noncompliance
Questioned Costs: None
Repeat Finding: No
Return of Title IV Calculations:
When a student who received Title IV grant or loan assistance withdraws from an institution during a payment
period or period of enrollment in which the student began attendance, the institution must determine the amount
of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of
Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned
by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date
of the institution’s determination that the student withdrew, the difference must be returned to the Title IV
programs and no additional disbursements may be made to the student for the payment period or period of
enrollment (Title 34, CFR, Section 668.22(a)(4)).
The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV
grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title
IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the
payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their
Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period
or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by
subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was
disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student
withdrew (Title 34, CFR, Section 668.22(e)).
The total number of calendar days in a payment period or period of enrollment includes all days within the
payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks
of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the
number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)). The University of North Texas (University) made errors in Title IV return calculations for 32 (52 percent) of
61 students tested. Those errors occurred because the University did not exclude any break days from its Title
IV return calculations for the Fall 2022 term as required; therefore, that issue would have affected all students
who withdrew from the Fall 2022 term and had an automated return calculation performed. Although the amount
of unearned Title IV assistance calculated for those students was incorrect, there were no questioned costs as a
result of those errors because the University returned more funds than required.
• For 1 of those 32 students, the University also did not accurately determine the withdrawal date for the
student who was enrolled in modules. After auditors brought the issue to the University’s attention, the
University re-performed the return calculation and returned the additional Title IV funds as required; therefore,
there were no questioned costs.
• In addition, for 1 of those 32 students, the University incorrectly returned Title IV funds for a student who
completed more than 60 percent of the term and did not require a return.
Distance Education:
For distance education, documenting that a student has logged into an online class is not sufficient to
demonstrate academic attendance by the student. An institution must demonstrate that a student participated in
class or was otherwise engaged in an academically related activity. Only active participation by a student in an
instructional activity related to the student’s course of study that meets the definition of “academic engagement” in
Title 34, CFR, Section 600.2, and takes place during a payment period or period of enrollment qualifies as
attendance in an academically related activity (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 5, Chapter 2).
For 1 (14 percent) of 7 students tested, the University did not have evidence of academic engagement for
the student who attended all distance education courses. The University relies on the last dates of
attendance (LDA) provided by instructors to determine the withdrawal date for Return of Title IV purposes for
students who unofficially withdraw. If no LDAs are provided by the instructors, the University uses the midpoint of
the term as the withdrawal date. The student was enrolled in all distance education courses, and the University
used the midpoint as the withdrawal for the student. However, the University could not provide evidence that the
student participated or otherwise engaged in an academically related activity in any of the distance education
courses. After auditors brought the issue to the University’s attention, the University performed a return
calculation and returned Title IV funds as required; therefore, there were no questioned costs.
Timeliness of Returns:
An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later
than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section
668.22(j)).
For 12 (20 percent) of 61 students tested who withdrew and required a return of Title IV funds, the
University did not return the funds within the required time frame. Specifically, the University returned the
Title IV funds to the U.S. Department of Education between 47 to 183 days after the University determined that
the students withdrew. The University asserted those errors occurred due to staffing issues and problems with the
transmission of the adjustments to the U.S. Department of Education’s Common Origination and Disbursement
(COD) system.
The University did not have an adequate monitoring process to identify those errors or document the review
process. Having a process that does not consistently calculate and return the correct amount of Title IV funds
increases the risk that the University could return incorrect amounts of Title IV funds. In addition, not making
returns within the required time frames reduces the funds available to the U.S. Department of Education for its
program management.
Recommendations:
The University should:
• Accurately determine the number of days in the payment period and exclude any scheduled breaks as
required.
• Ensure that evidence of academic engagement is consistently documented for students in distance education
courses.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in Title IV return calculations
and returns Title IV funds in a timely manner.
Views of Responsible Officials:
The University acknowledges and agrees with the findings regarding the Return of Title IV funds in cases where a
student officially or unofficial withdraws from the institution after the student begins attendance in a given payment
period or period of enrollment. The University acknowledges the importance of accurately calculating the Title IV
funds to be returned and the timely return of those funds.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222293; and Federal Direct Student Loans, P268K232293 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: 2020-136 Federal regulations and related guidance governing Title IV student aid programs require schools to report the enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next 60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan) has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half_x0002_time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title 34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30, 2012 (GEN-12-06)). Institutions are required to report the program(s) of attendance for the student, including classification of instructional programs (CIP) code, program credential level, program length, program enrollment status, and other data about the program. The program enrollment effective date is the date that the current enrollment status reported for a student was first effective, and the program begin date is the date the student began attending the program being reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4). For instances in which a student completes one academic program and then enrolls in another academic program at the same institution, the institution must report two separate enrollment transactions: one showing the completion of the first program and its effective date and credential level, and the other showing the enrollment in the second program and its effective date (Dear Colleague Letter, March 30, 2012 (GEN-12-06)). The University of North Texas (University) uses the services of the National Student Clearinghouse (NSC) to report status changes to NSLDS. Under this arrangement, the University reports all students enrolled and their status to NSC. NSC then identifies any changes in status and reports those changes when required to NSLDS. Although the University uses the services of NSC, the University still has the primary responsibility to report any changes in student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide, November 2022, Chapter 3). For 9 (36 percent) of 25 students tested, the University did not accurately report the program begin date to NSLDS. Specifically, the University reported the program begin date as the first day of the term after the students declared their major or were otherwise approved to enroll in the program, instead of the first day of the term in which the students actually began attendance in the program. The University asserted that the errors were caused by issues related to the configuration of the enrollment reporting processes in the University’s student information system. Not reporting student program information accurately could affect determinations that guarantors, lenders, and servicers of student loans make related to in-school status, deferments, grace periods, and repayments schedules. Recommendation:
The University should strengthen its controls to ensure that program begin dates are reported to NSLDS
accurately.
Views of Responsible Officials:
The University acknowledges and agrees with the findings regarding the accuracy of the program begin dates
reported for some students identified in the testing. The University acknowledges the importance of accurately
reporting program information for students receiving Title IV aid to ensure that guarantors, lenders, and servicers
of student loans are able to make accurate determinations related to in-school status, deferments, grace periods,
and repayment schedules.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 93.264 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224051; Federal Work-Study Program, P033A224051; Federal Pell Grant Program, P063P222282; Federal Direct Student Loans, P268K232282; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232282; and Nurse Faculty Loan Program (NFLP), 1 E01HP45821-01-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $1,409 Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). Direct Subsidized and Unsubsidized Loans have annual and aggregate limits that are the same for all students at a given grade level and dependency status. In general, a loan may not be more than the amount the borrower requests, the borrower’s unmet financial need, the borrower’s COA, or the borrower’s maximum borrowing limit. (U.S. Department of Education 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 5). Lamar University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate), dependency (dependent or independent), residency (in-state or out-of-state), living status (on-campus, off-campus, or at home with parents), and enrollment level (full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 23 (38 percent) of 61 students tested, the University incorrectly calculated the COA. Specifically, the
University did not adjust the students’ COA to reflect the students’ actual enrollment as of the census date. The
University experienced turnover in the Student Financial Aid department during the 2022–2023 award year, and
could not provide a cause for those errors. The University asserted that it implemented a process to recalculate
students’ COAs based on their actual enrollment at census beginning with the Fall 2023 term; however, the errors
discussed above occurred before that process was in place. As a result, the University overawarded two students.
• One of those students was assigned an overstated COA for the Fall 2022 term based on three-quarter-time
enrollment although the student’s actual enrollment was half-time. The student was awarded $5,294 in
Subsidized Direct Loans, which exceeded the student’s financial need, resulting in $1,113 in questioned costs
associated with ALN 84.268, Federal Direct Student Loans, award number P268K232282.
• The other student was assigned an overstated COA for the Spring 2023 term based on full-time enrollment
although the student did not attend during the term. The student was awarded $10,142 in Unsubsidized Direct
Loans, which exceeded the student’s actual COA, resulting in $296 in questioned costs associated with ALN
84.268, Federal Direct Student Loans, award number P268K232282.
The University did not have adequate controls in place to review budgets used in the calculation of COA and
accurately assign those budgets to students. Incorrectly calculating COA increases the risk of overawarding or
underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets in
accordance with its process and does not overaward financial assistance to students.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Disbursements To or On Behalf of Students Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 93.264 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224051; Federal Work-Study Program, P033A224051; Federal Pell Grant Program, P063P222282; Federal Direct Student Loans, P268K232282; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232282; and Nurse Faculty Loan Program (NFLP), 1 E01HP45821-01-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Award and Disbursement Notifications: Before an institution disburses Title IV, Higher Education Act of 1965 (HEA) program funds for any award year, the institution must notify a student of the amount of funds that the student or his or her parent can expect to receive under each Title IV, HEA program, and how and when those funds will be disbursed. If those funds include Direct Loan program funds, the notice must indicate which funds are from subsidized loans, which are from unsubsidized loans, and which are from PLUS loans (Title 34, Code of Federal Regulations (CFR), Section 668.165(a)(1)). If an institution credits a student’s ledger account with Federal Direct Student Loan (Direct Loan) funds or Teacher Education Assistance for College and Higher Education (TEACH) Grant funds, the institution must notify the student or parent of (1) the anticipated date and amount of the disbursement, (2) the student’s or parent’s right to cancel all or a portion of that loan or grant and have the loan or grant proceeds returned to the U.S. Department of Education, and (3) the procedures and time by which the student or parent must notify the institution that he or she wishes to cancel the loan or grant, or loan or grant disbursement (Title 34, CFR, Section 668.165(a)(2)). The institution must provide the notice in writing no earlier than 30 days before, and no later than 30 days after, crediting the student’s ledger account at the institution (Title 34, CFR, Section 668.165(a)(3)). For 21 (34 percent) of 62 disbursements tested, Lamar University (University) did not send an award or
disbursement notification as required. Specifically:
• For 20 students that received Direct Loan disbursements, the University did not send a disbursement
notification. The University asserted those errors occurred because the University was utilizing a manual
process to send out the disbursement notifications, and on those days when the employee charged with
performing the manual process was not present, the notifications were not sent to students.
• For one student who received Title IV funds, the University did not send an award notification. This error
occurred because the University manually packaged the student’s awards after clearing a verification
requirement, and the University did not have an adequate process in place to ensure that students who are
manually awarded receive an award notification.
Not receiving award and disbursement notifications impairs students’ and parents’ ability to budget for the cost of
attending or exercise the option to cancel their loans or grants.
Promissory Notes:
Institutions must establish a process to make loans consistent with institutional policies and federal laws and
regulations, including the completion of the following during disbursement: (1) signed promissory note, and (2)
disclosure of terms and conditions (Nurse Faculty Loan Program (NFLP) Administrative Guidelines, 42 United
States Code (U.S.C.) 297n-1 (Public Health Service Act Section 846A)).
The University did not have a process in place to require a promissory note for NFLP loans prior to
disbursement. NFLP loans were incorrectly identified in the student information system as a grant instead of a
loan. As a result, the student information system did not place a required hold on disbursements until the
promissory note requirement was completed.
Not requiring a signed promissory note prior to disbursement of loan funds could limit the University’s ability to
enforce repayment of the loan.
Recommendations:
The University should:
• Strengthen its controls to ensure that it identifies all students that require an award or disbursement
notification, and sends those notifications to the students.
• Configure controls in the student information system to require promissory notes for applicable loans.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224051; Federal Pell Grant Program, P063P222282; Federal Direct Student Loans, P268K232282; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232282 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $19,357 Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs, and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). The total number of calendar days in a payment period or period of enrollment includes all days within the payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)). In determining the percentage of the payment period or period of enrollment completed for a student who
withdraws from a program offered in modules, an institution must (1) include all days within the period that the
student was scheduled to complete prior to ceasing attendance and (2) exclude any scheduled breaks of at least
five consecutive days when the student was not scheduled to attend a module or other course offered during that
period of time. Scheduled breaks include both those that take place within and between modules (U.S.
Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 5, Chapter 2).
An institution must offer to disburse directly to a student, or parent in the case of a parent PLUS loan, any amount
of a post-withdrawal disbursement of loan funds that is not credited to the student's account. The institution must
make a direct disbursement of any loan funds that make up the post-withdrawal disbursement only after obtaining
the student's, or parent's in the case of a parent PLUS loan, confirmation that the student or parent still wishes to
have the loan funds disbursed (Title 34, CFR, Section 668.22(a)(6)(ii)(B)).
Lamar University (University) made errors in Title IV return calculations for 25 (41 percent) of 61 students
tested. Specifically, the University did not exclude any break days from the Spring 2023 term or days between
modules as required. Those errors resulted in the University returning a total of $3,481 associated with ALN
84.268, Federal Direct Student Loans, award number P268K232282, and $1,802 associated with ALN 84.063,
Federal Pell Grant Program, award number P063P222282, less Title IV funds than required.
• For 2 of those 25 students, the University also used an inaccurate withdrawal date in the return calculation.
• For 1 of those 25 students, the University also did not identify that the student was eligible to receive a post withdrawal disbursement of loan funds and therefore did not offer to disburse those loan funds to the student
as required.
In addition, for 8 (13 percent) of 61 students tested who did not have a return of Title IV funds made, the
University did not perform a return calculation as required. The University asserted it did not consistently
follow its procedures in identifying students who required a Title IV return calculation due to staff turnover and
newer staff needing additional training. As a result, the University did not return a total of $13,707 associated with
ALN 84.268, Federal Direct Student Loans, award number P268K232282, and $367 associated with ALN 84.063,
Federal Pell Grant Program, award number P063P222282 as required.
The errors discussed above occurred because the University did not configure its information system to
accurately calculate returns and because of manual errors that the University made in performing the return
calculations. In addition, the University did not have an adequate monitoring process to identify those errors. Not
having a process that consistently calculates and returns the correct amount of Title IV funds increases the risk
that the University could return less Title IV funds than it is required to return.
Timeliness of Returns:
An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later
than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section
668.22(j)).
For 5 (8 percent) of 59 students tested who withdrew and required a return of Title IV funds, the University
did not return the funds within the required time frame. The University returned the funds for those students
47 to 143 days after it determined that the students withdrew. For 2 of those students, the University determined
the withdrawal dates and performed the return calculations; however, it did not return the Title IV funds within the
required 45-day time frame due to an oversight in processing the return of those funds. For three of those
students, the University asserted that it determined that the return calculations required corrections, which
resulted in the returns not being performed timely. Not making returns within required time frames reduces the
funds available to the U.S. Department of Education for its program management. Recommendations:
The University should:
• Strengthen its controls to ensure that it accurately calculates returns of Title IV funds when required, including
review of the variables it uses in those calculations.
• Accurately determine the number of days in the payment period and exclude any scheduled breaks as
required.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in return of Title IV calculations
and returns Title IV funds in a timely manner.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222282; and Federal Direct Student Loans, P268K232282 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Federal regulations and related guidance governing Title IV student aid programs require schools to report the enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next 60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan) has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half_x0002_time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title 34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30, 2012 (GEN-12-06)). Institutions are required to report the campus-level enrollment for the student, including enrollment status and the effective date of that enrollment status. For enrollment status changes to three-quarter-time, half-time, and less_x0002_than-half-time status, the institution must use the effective date that the student dropped to those particular statuses (NSLDS Enrollment Reporting Guide, November 2022, Chapter 1, 4, 7, and Appendix C). Institutions also are required to report the program(s) of attendance for the student, including classification of instructional programs (CIP) code, program credential level, program length, program enrollment status, and other data about the program. The program enrollment effective date is the date that the current enrollment status reported for a student was first effective and the program begin date is the date the student began attending the program being reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4). For a student who has graduated, institutions that initially report a withdrawn status must subsequently report the student as having graduated by certifying a “G” status at the campus level and/or program level as appropriate (NSLDS Enrollment Reporting Guide, November 2022, Chapter 4, Section 4.4.3). Lamar University (University) uses the services of the National Student Clearinghouse (NSC) to report status changes to NSLDS. Under this arrangement, the University reports all students enrolled and their status to NSC. NSC then identifies any changes in status and reports those changes to NSLDS when required. Although the University uses the services of NSC, the University still has the primary responsibility to report any changes in student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide, November 2022, Chapter 3, Section 3.3). For 7 (12 percent) of 60 students tested, the University did not accurately report campus- and program level data elements or did not report enrollment status changes to NSLDS. Specifically:
• For two students, the University incorrectly reported the students’ enrollment status as withdrawn, rather than
graduated. The incorrect enrollment status was reported at both the campus and program levels to NSLDS. In
addition, those statuses were not received by NSLDS until 130 and 134 days after the students graduated.
• For two students, the University did not report the withdrawn status at the campus and program levels to
NSLDS as required.
• For two students, the University incorrectly reported the students’ graduated status effective date at the
campus level. However, the graduated effective date for both students was correctly reported at the program
level. The effective date reported at the campus level should be the same date reported at the program level
because those dates reflect the same enrollment status change.
• For one student, the University incorrectly reported the student’s enrollment status at the campus and
program levels. The University initially reported the correct enrollment status; however, subsequent
submissions to NSLDS overwrote that enrollment status with an incorrect enrollment status.
The errors discussed above occurred because the University (1) did not ensure that all graduated students were
included on the graduation transmission file to NSC, (2) did not fully address error reports provided by NSC, and
(3) did not have a formally documented policy or review to ensure consistent and accurate enrollment reporting.
Not reporting student status changes accurately and in a timely manner could affect determinations that
guarantors, lenders, and servicers of student loans make related to in-school status, deferments, grace periods,
and repayment schedules.
Recommendation:
The University should strengthen its controls to ensure that all status changes are reported accurately and in a
timely manner to NSLDS.
Views of Responsible Officials:
The University accepts and confirms the findings. Through assessing and identifying the exceptions in the audit
the University will work to develop and enforce the beneficial measures needed to refine our procedures.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). Sam Houston State University (University) did not appropriately restrict access to its student information system. Specifically, the University did not always limit access to the student information system to only users who needed that access based on their job responsibilities. While the University had a process in place to review user access, that process was not adequately designed to ensure that the University granted the appropriate levels of access to all users based on the users’ job duties. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. In addition, the University did not have sufficient controls over its change management process for information systems. Specifically, 1 (14 percent) of 7 changes tested lacked documentation showing that the change was properly tested or validated before it was migrated to production. Not having sufficient controls over the change management process increases the risk of unauthorized programming changes being made to critical information systems that the University uses to administer student financial assistance. Recommendations: The University should: • Ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. • Strengthen its controls over its change management process to ensure adequate validation of changes prior to implementation. Views of Responsible Officials: The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224110; Federal Pell Grant Program, P063P222301; Federal Direct Student Loans, P268K232301; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232301 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No
When a student who received Title IV grant or loan assistance withdraws from an institution during a payment
period or period of enrollment in which the student began attendance, the institution must determine the amount
of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of
Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned
by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date
of the institution’s determination that the student withdrew, the difference must be returned to the Title IV
programs and no additional disbursements may be made to the student for the payment period or period of
enrollment (Title 34, CFR, Section 668.22(a)(4)).
The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV
grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title
IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the
payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their
Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period
or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by
subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was
disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student
withdrew (Title 34, CFR, Section 668.22(e)).
For distance education, documenting that a student has logged into an online class is not sufficient to
demonstrate academic attendance by the student. An institution must demonstrate that a student participated in
class or was otherwise engaged in an academically related activity. Only active participation by a student in an
instructional activity related to the student's course of study that meets the definition of “academic engagement” in
Title 34, CFR, Section 600.2 and takes place during a payment period or period of enrollment qualifies as
attendance in an academically related activity (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 5, Chapter 2).
For 1 (4 percent) of 24 students tested, Sam Houston State University (University) did not have evidence
of academic engagement in the distance education course from which the student’s withdrawal date was
determined. The University relies on the last dates of academic activity provided by instructors to determine the
withdrawal date for Return of Title IV purposes for students who unofficially withdraw. The student’s record did not
reflect evidence of academic activity for the distance education course, and the University asserted that the last
day of attendance provided by the instructor was inaccurate. The University did not have a process in place to
require instructors to provide or maintain evidence of academic engagement in distance education courses. As a
result, the University did not perform a return calculation because it incorrectly determined that the student
completed over 60 percent of the period. After auditors brought the issue to the University’s attention, the
University performed a return calculation and returned Title IV funds as required; therefore, there were no
questioned costs.
Having a process that does not consistently calculate and return the correct amount of Title IV funds increases
the risk that the University could return less Title IV funds than it is required to return.
Recommendation:
The University should ensure that evidence of academic engagement is consistently documented for students in
distance education courses.
Views of Responsible Officials:
The University acknowledges and agrees with the findings of this audit. Management acknowledges the
responsibility to accurately verify the academic engagement and document it for students enrolled in distance
education courses.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224131; Federal Work-Study Program, P033A224131; Federal Pell Grant Program, P063P222320; Federal Direct Student Loans, P268K232320; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232320 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). Tarleton State University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s tuition rate (guaranteed or variable), program, courses, classification (undergraduate or graduate), residency (in-state or out-of-state); living status (on-campus, off-campus, or with parent), and enrollment level (full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 62 (100 percent) of 62 students tested, the University incorrectly calculated the COA. Specifically, the University used the 2021–2022 award year budgets instead of the 2022–2023 award budgets because it did not update the COA budget components in its student information system for the new award year. As a result, the COAs for those students were understated by a total of $148,781. This error would have affected the COA for all students in the Fall 2022 and Spring 2023 terms. However, because the students’ budgets were understated, this error did not result in overawards of financial assistance; therefore, there were no questioned costs. The University did not have adequate controls in place to review budgets used in the calculation of COA and accurately assign those budgets to students. Incorrectly calculating COA increases the risk of overawarding or underawarding financial assistance to students. Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets in
accordance with its process.
Views of Responsible Officials:
The University has carefully reviewed the findings outlined in the recent financial aid audit report, and we
acknowledge and agree with the identified areas for improvement. Your thorough examination has provided
valuable insights into our financial aid processes, and we appreciate the effort invested in ensuring transparency
and accountability.
In response to the findings, we are committed to taking immediate and comprehensive corrective actions to
address the identified issues and enhance the overall effectiveness of our financial aid management. Our team is
already in the process of developing a detailed Corrective Action Plan that will outline the specific steps we will
take to rectify the noted deficiencies. We understand the importance of financial aid in supporting our students'
academic endeavors, and we are dedicated to ensuring that our processes align with the highest standards of
integrity and compliance.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224131; Federal Pell Grant Program, P063P222320; Federal Direct Student Loans, P268K232320; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232320 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $12,259 Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs, and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV
grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title
IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the
payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their
Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period
or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by
subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was
disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student
withdrew (Title 34, CFR, Section 668.22(e)).
The total number of calendar days in a payment period or period of enrollment includes all days within the
payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks
of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the
number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)).
In determining the percentage of the payment period or period of enrollment completed for a student who
withdraws from a program offered in modules, an institution must (1) include all days within the period that the
student was scheduled to complete prior to ceasing attendance and (2) exclude any scheduled breaks of at least
five consecutive days when the student was not scheduled to attend a module or other course offered during that
period of time. Scheduled breaks include both those that take place within and between modules (U.S.
Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 5, Chapter 2).
For a program offered in modules, a student is not considered to have withdrawn if the student successfully
completes any of the following: (1) a module that includes 49 percent or more of the number of days in the
payment period, excluding scheduled breaks of five or more consecutive days and all days between modules; (2)
a combination of modules that together contain 49 percent or more of the number of days in the payment period,
excluding scheduled breaks of five or more consecutive days and all days between modules (Title 34, CFR,
Section 668.22(a)(2)(ii)(A)(2)); or (3) coursework equal to or greater than the coursework required for the
institution’s definition of a half-time student under 34 CFR 668.2(b) for the payment period (U.S. Department of
Education, 2022-2023 Federal Student Aid Handbook, Volume 5, Chapter 1).
An institution must disburse directly to a student any amount of a post-withdrawal disbursement of grant funds
that is not credited to the student's account. The institution must make the disbursement as soon as possible, but
no later than 45 days after the date of the institution's determination that the student withdrew. The institution
must offer to disburse directly to a student, or parent in the case of a parent PLUS loan, any amount of a post withdrawal disbursement of loan funds that is not credited to the student's account. The institution must make a
direct disbursement of any loan funds that make up the post-withdrawal disbursement only after obtaining the
student's, or parent's in the case of a parent PLUS loan, confirmation that the student or parent still wishes to
have the loan funds disbursed (Title 34, CFR, Section 668.22(a)(6)(ii)(B)).
For 58 (97 percent) of 60 students tested, Tarleton State University (University) incorrectly calculated the
amount of Title IV funds to be returned or returned the incorrect amount of funds. Specifically:
• For 56 students, the University did not exclude any break days from the Fall 2022 term as required, and it
incorrectly excluded 5 break days rather than 8 break days from the Spring 2023 term. Those errors occurred
because the University did not load the correct break days into its student information system when setting up
the payment period; therefore, this issue would have affected all students who withdrew from the Fall 2022
and Spring 2023 terms. Additionally:
o For 2 of those 56 students, the University did not identify that the students were eligible to receive
a post-withdrawal disbursement and therefore did not disburse those grant funds or offer to
disburse those loan funds to the students as required.
o For 4 of those 56 students, the University incorrectly determined the number of days in the
payment period or used an incorrect withdrawal date for students enrolled in modules. • For 2 students enrolled in the Summer 2023 term, the University did not follow the return of Title IV
requirements related to modular terms. For one student, the University incorrectly used the number of days in
the full payment period rather than only the days within the period that the student was scheduled to complete
prior to ceasing attendance. For the other student, the University failed to identify that the student successfully
completed coursework equal to or greater than the coursework required for a half-time student and therefore
should not have been considered withdrawn. The University asserted that this error occurred because staff
misinterpreted the half-time withdrawal exemption requirements.
As a result of the errors discussed above, the University returned a total of $1,992 associated with ALN 84.268,
Federal Direct Student Loans, award number P268K232320, and $374 associated with ALN 84.063, Federal Pell
Grant Program, award number P063P222320 less Title IV funds than required for the students tested in the
sample.
In addition, for 10 (17 percent) of 60 students tested who did not have a return of Title IV funds made, the
University did not perform a return calculation as required.
• For 6 students, the University did not exclude break days from its determination of whether the students
completed 60 percent or more of the payment period as required. As a result, the University incorrectly
determined that the students earned their aid and did not return a total of $7,679 associated with ALN 84.268,
Federal Direct Student Loans, award number P268K232320, and $1,053 associated with ALN 84.063,
Federal Pell Grant Program, award number P063P222320 as required.
• For 4 students, the University incorrectly used the number of days in the full payment period in its
determination of whether the students successfully completed 49 percent or more of the number of days in
the payment period. As a result, the University incorrectly determined that the students earned their aid and
did not return a total of $1,161 in questioned costs associated with ALN 84.268, Federal Direct Student
Loans, award number P268K232320 as required.
The errors discussed above occurred because the University did not configure its information system to
accurately calculate returns and because of manual errors that the University made in performing return
calculations. In addition, the University did not have an adequate monitoring process to identify those errors. Not
having a process that consistently calculates and returns the correct amount of Title IV funds increases the risk
that the University could return less Title IV funds than it is required to return.
Recommendations:
The University should:
• Strengthen its controls to ensure that it accurately calculates returns of Title IV funds when required, including
review of the variables it uses in those calculations.
• Accurately determine the number of days in the payment period and configure its student information system
to exclude any scheduled breaks, as required.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in return of Title IV calculations
and returns Title IV funds.
Views of Responsible Officials:
The University has carefully reviewed the findings outlined in the recent financial aid audit report, and we
acknowledge and agree with the identified areas for improvement. Your thorough examination has provided
valuable insights into our financial aid processes, and we appreciate the effort invested in ensuring transparency
and accountability. In response to the findings, we are committed to taking immediate and comprehensive corrective actions to
address the identified issues and enhance the overall effectiveness of our financial aid management. Our team is
already in the process of developing a detailed Corrective Action Plan that will outline the specific steps we will
take to rectify the noted deficiencies. We understand the importance of financial aid in supporting our students'
academic endeavors, and we are dedicated to ensuring that our processes align with the highest standards of
integrity and compliance.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222320; and Federal Direct Student Loans, P268K232320 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No
Federal regulations and related guidance governing Title IV student aid programs require schools to report the enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next 60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan) has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title 34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30, 2012 (GEN-12-06)). Institutions are required to report the campus-level enrollment for the student, including enrollment status and the effective date of that enrollment status. For enrollment status changes to three-quarter-time, half-time, and less than-half-time status, the institution must use the effective date that the student dropped to those particular statuses (NSLDS Enrollment Reporting Guide, November 2022, Chapter 1, 4, 7, and Appendix C). Institutions also are required to report the program(s) of attendance for the student, including classification of instructional programs (CIP) code, program credential level, program length, program enrollment status, and other data about the program. The program enrollment effective date is the date that the current enrollment status reported for a student was first effective, and the program begin date is the date the student began attending the program being reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4). Enrollment is reported for a specific location of each campus; that is, the eight-digit Office of Postsecondary Education Identification (OPEID) number. Most students are enrolled in coursework at only one location. However, for students who are taking coursework at multiple locations of the same school, the school must determine which location is the student’s “primary location” and report the combined enrollment for the student using that location to NSLDS. A student’s “primary location” is the location where the student is taking more coursework than at any other location. Reporting a student’s enrollment at the main campus does not satisfy the enrollment reporting requirement if aid was disbursed or the student was physically attending school at a different location (NSLDS Enrollment Reporting Guide, November 2022, Chapters 4 and 6). For a student who has graduated, institutions that initially report a withdrawn status must subsequently report the student as having graduated by certifying a “G” status at the campus level and/or program level as appropriate (NSLDS Enrollment Reporting Guide, November 2022, Chapter 4, Section 4.4.3). Tarleton State University (University) uses the services of the National Student Clearinghouse (NSC) to report status changes to NSLDS. Under this arrangement, the University reports all students enrolled and their status to NSC. NSC then identifies any changes in status and reports those changes to NSLDS when required. Although the University uses the services of NSC, the University still has the primary responsibility to report any changes in student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide, November 2022, Chapter 3, Section 3.3). For 20 (33 percent) of 61 students tested, the University did not report or did not accurately report campus- or program-level data elements to NSLDS. Specifically: • For 19 students, the University incorrectly reported the OPEID number of the main campus instead of the OPEID number of the location where the students were taking the majority of their coursework. The University asserted that it reports the main campus OPEID number for all students to NSLDS, which would result in errors affecting all students who did not take the majority of their coursework at the main campus location. Additionally: o For 1 of those 19 students, the University did not report an enrollment status to NSLDS at the campus or program level. The University asserted that it reported the student’s enrollment and graduated statuses to NSC; however, those statuses were not reported to NSLDS. o For 1 of those 19 students, the program begin date was reported incorrectly. The University reported the program begin date for a program from which the student had withdrawn, instead of the first day of the term in which the student began attendance in a new program. • For one student, the University did not accurately report the student’s graduated status at the campus level to
NSLDS. The student’s status was reported as graduated at the program level but was reported as withdrawn
at the campus level. In addition, the withdrawn status was not received by NSLDS until 132 days after the
student graduated.
The University had a process to monitor enrollment information reported to NSC; however, that process was not
sufficient to identify the errors discussed above. Not reporting student information accurately and in a timely
manner could affect determinations that guarantors, lenders, and servicers of student loans make related to in school status, deferments, grace periods, and repayment schedules.
Recommendation:
The University should strengthen its controls to ensure that campus- and program-level data elements are
reported accurately and in a timely manner to NSLDS.
Views of Responsible Officials:
The Office of the Registrar has thoroughly reviewed the findings related to enrollment reporting, specifically
concerning instances highlighted in the recent financial aid audit report. We acknowledge and agree with the
identified discrepancies and are committed to addressing these issues promptly. For the student in question
where the program begin date was reported incorrectly, we recognize the significance of accurately reporting
program begin dates and maintaining accurate and consistent reporting across relevant systems. Regarding the
case where the graduated status was inaccurately reported at the campus level, we understand the impact of
such discrepancies and the delay in reporting.
We recognize the importance of precise and timely enrollment reporting, and we are committed to enhancing our
processes to prevent similar issues in the future. Our team is actively working on these corrective measures, and
we aim to demonstrate significant improvements in the accuracy and timeliness of our reporting.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 84.408 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A234136; Federal Work-Study Program, P033A224136; Federal Pell Grant Program, P063P225286; Federal Direct Student Loans, P268K235286; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T235286; and Postsecondary Education Scholarships For Veteran's Dependents (Iraq and Afghanistan Service Grant (IASG)), P408A225286 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: Unknown Repeat Finding: No Satisfactory Academic Progress: A student is eligible to receive Title IV, Higher Education Act of 1965 (HEA) program assistance if the student maintains satisfactory academic progress in his or her course of study according to the institution’s published standards of satisfactory academic progress (SAP) that satisfy the provisions of Title 34, Code of Federal Regulations (CFR), Section 668.34 (Title 34, CFR, Section 668.32(f)). An institution’s SAP policy must include a qualitative component that consists of grades or comparable factors that are measurable against a norm and a quantitative component that consists of the pace at which students must progress through their program to ensure that they will graduate within the maximum time frame required to complete their education (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 1, Chapter 1). For an undergraduate program measured in credit hours, a period that is no longer than 150-percent of the published length of the educational program, as measured in credit hours, should be used to determine the maximum time frame for the quantitative component of SAP (Title 34, CFR, Section 668.34(b)(1)). For 1 (2 percent) of 45 students tested, Texas A&M University (University) did not calculate SAP in accordance with its policy. Specifically, the University did not update the program hours for the Bachelor of Science in Nursing program in its student information system when it changed the program length from 123 hours to 120 hours during the 2017–2018 award year. Therefore, this issue would have affected all students enrolled in the program. As a result, the maximum time frame calculation incorrectly allowed students to exceed the maximum hours without failing SAP. Incorrectly calculating the maximum time frame increases the risk that students could receive financial assistance for which they are not eligible. Recommendation: The University should ensure that the maximum time frame is configured in its student information system with the accurate number of credit hours for each degree program. Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P225286; and Federal Direct Student Loans, P268K235286 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Federal regulations and related guidance governing Title IV student aid programs require schools to report the enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next 60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan) has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half_x0002_time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title 34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30, 2012 (GEN-12-06)). To protect a student’s interest subsidy, institutions are required to report a graduated status for students who have completed their course of study (NSLDS Enrollment Reporting Guide, November 2022, Chapter 4 and Appendix C). For instances in which a student completes one academic program and then enrolls in another academic program at the same school, the school must report two separate enrollment transactions: one showing the completion of the first program and its effective date and credential level, and the other showing the enrollment in the second program and its effective date (Dear Colleague Letter, March 30, 2012 (GEN-12-06)). Texas A&M University (University) uses the services of the National Student Clearinghouse (NSC) to report status
changes to NSLDS. Under this arrangement, the University reports all students enrolled and their status to NSC.
NSC then identifies any changes in status and reports those changes when required to NSLDS. Additionally, NSC
completes the roster file on the University’s behalf and communicates status changes to NSLDS, as applicable.
Although the University uses the services of NSC, it is still ultimately the University’s responsibility to report any
changes in student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide,
November 2022, Chapter 3, Section 3.3).
For 2 (3 percent) of 61 students tested, the University did not accurately report graduated status changes
to NSLDS. Both students graduated from the Doctor of Veterinary Medicine program, but were reported to NSLDS
as withdrawn. After auditors brought this to the University’s attention, the University determined that the issue was
caused by the students being on two separate reports sent to NSC. NSC included the students on a warning file
provided to the University to review and correct. However, the University did not complete a review of the warning
file or make updates to those students’ enrollment status. As a result, NSC subsequently submitted a withdrawn
status for those students. The University asserted the issue affected 158 additional Doctor of Veterinary Medicine
program graduates, and indicated it was in the process of updating NSLDS with the correct enrollment status.
Not reporting student status changes accurately could affect determinations that guarantors, lenders, and
servicers of student loans make related to in-school status, deferments, grace periods, and repayment schedules.
Recommendation:
The University should strengthen its process of reporting graduated students and ensure that warning files related
to graduated students are addressed and corrected.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: 2020-113, 2017-119, 2016-109 General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). Texas Southern University (University) did not appropriately restrict user access to its student information system. Specifically, the University did not always ensure that (1) access to modify information and process transactions in the student information system and (2) administrative access at the network level was limited to only current employees and users who needed that access based on their job responsibilities. The University had a process to review user access to its systems; however, it did not always implement changes based on the results of that review. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made to those systems. Recommendation: The University should ensure that user access to its student information system and administrative access to its network is appropriately limited to employees based on current job responsibilities. Views of Responsible Officials: The Office of Technology acknowledges and agrees with the finding.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 93.925 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224145; Federal Work-Study Program, P033A224145; Federal Pell Grant Program, P063P222327; Federal Direct Student Loans, P268K232327; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232327; and Scholarships for Health Professions Students from Disadvantaged Backgrounds – Scholarships for Disadvantaged Students (SDS), 5 T08HP39322-03-00, 5 T08HP39282-03-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: 2020-113, 2017-119, 2016-109 Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). Texas Southern University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate); residency (in-state or out-of-state); living status (on_x0002_campus, off-campus, or with parent); and enrollment level (full-time, three-quarter-time, half-time, or less-than_x0002_half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 7 (11 percent) of 65 students tested, the University incorrectly calculated the COA. Specifically, the University assigned an incorrect amount for books and supplies for these students. Those errors occurred because the University decreased the default amount for the books and supplies budget component but did not update the algorithmic budget table in its student information system to reflect that change. As a result, the COA was overstated by $40 for each of those students. The errors discussed above did not result in overawards of financial assistance; therefore, there were no questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or underawarding financial assistance to students. Federal Pell Grant:
When awarding Federal Pell Grant assistance to students, institutions use the payment and disbursement
schedules provided each year by the U.S. Department of Education for determining award amounts (Title 34,
CFR, Section 690.62(a)). Those schedules provide the maximum annual amount a student would receive for a full
academic year for a given enrollment status, EFC, and COA. There are separate schedules for three-quarter time, half-time, and less-than-half-time students (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 3, Chapter 3; and Title 34, CFR, Section 690.63(b)).
For 2 (3 percent) of 65 students tested who received Federal Pell Grants, the University did not award the
correct amount of Federal Pell Grant assistance. Specifically, the University awarded those students less than
they were eligible to receive. The University did not identify additional credit hours from late registration in the
students’ Federal Pell Grant award determinations. As a result, the students were underawarded a total of $1,544
in Federal Pell Grant assistance.
Federal Direct Student Loans:
A borrower who has reached the aggregate borrowing limit for Direct Subsidized Loans and Direct Unsubsidized
Loans may not receive additional loans. Once the loans are repaid, in full or in part, the borrower may apply for
additional loans. The aggregate unpaid principal amount of all Direct Subsidized Loans made to a student may
not exceed $23,000 for any student who has not successfully completed a program of study at the undergraduate
level (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 5; and Title
34, CFR, Section 685.203(d)(1)).
The University did not always disburse Federal Direct Student Loans in accordance with applicable limits.
Specifically, the University exceeded the aggregate limit for Subsidized Direct Loans. Auditors determined that a
student had been awarded $500 in excess of the aggregate limit of $23,000. The University manually cleared a
hold to enforce the loan limit, without properly reviewing or adjusting the student’s loan. After auditors brought the
overaward issue to the University’s attention, it returned the loan funds; therefore, there were no questioned
costs. However, by not properly reviewing account holds, the University increases the risk of overawarding
financial assistance to students.
Satisfactory Academic Progress:
A student is eligible to receive Title IV, Higher Education Act of 1965 (HEA) program assistance if the student
maintains satisfactory academic progress in his or her course of study according to the institution’s published
standards of satisfactory academic progress (SAP) that satisfy the provisions of Title 34, CFR, Section 668.34
(Title 34, CFR, Section 668.32(f)). An institution’s SAP policy must include a qualitative component that consists
of grades or comparable factors that are measurable against a norm and a quantitative component that consists
of the pace at which students must progress through their program to ensure that they will graduate within the
maximum time frame required to complete their education.
For a graduate program, a period defined by the institution that is based on the length of the educational program
should be used to determine the maximum time frame for the quantitative component of SAP (U.S. Department of
Education, 2022-2023 Federal Student Aid Handbook, Volume 1, Chapter 1; and Title 34, CFR, Section
668.34(b)).
Additionally, an institution’s SAP policy should provide that, if at the time of evaluation, the student has not
achieved the required grade point average, is not successfully completing his or her program of study at the
required pace, or has not completed the program within the maximum time frame, the student is no longer eligible
for Title IV aid. The policy should provide specific procedures for disbursements to students on financial aid
warning or probation status and permit the student to appeal a determination; it should also provide specific
procedures for re-establishing eligibility to receive Title IV aid and the basis on which a student may file an appeal
(Title 34, CFR, Section 668.34(a)). For 1 (2 percent) of 65 students tested, the University did not calculate SAP in accordance with its policy.
The student re-enrolled in the Fall 2022 term after a gap in attendance, and the University did not perform a
manual SAP calculation, which would have shown that the student did not meet the minimum required pace as
defined in the University’s SAP policy. The student would have been required to submit an appeal, and have that
appeal approved, to receive financial assistance. The student was initially overawarded $6,184. Part of the funds
were returned as a result of a Return of Title IV Funds calculation after the student withdrew, and the remaining
funds were returned after auditors brought the issue to the University’s attention. Therefore, there were no
questioned costs.
Not calculating SAP compliance increases the risk that students could receive financial assistance for which they
are not eligible.
Institutional Student Information Records (ISIR):
The U.S. Department of Education automatically distributes (or “pushes”) to institutions certain ISIR transactions
processed by the Central Processing System (CPS); it then requires the institutions to take some sort of action.
An example of a pushed ISIR would be a student-corrected ISIR that causes a change to the EFC. Institutions are
required to review all pushed ISIRs and assess any potential effect on students’ eligibility for assistance
(Technical Reference for Electronic Date Exchange (EDE) 2022-2023).
The University did not have a process to address errors to ensure that all ISIR data was loaded accurately
and completely into its student information system. Specifically, the University did not reconcile records
received from CPS-pushed ISIRs to the University’s student information system records during the Fall 2022 term
and part of the Spring 2023 term. As a result, some eligible students did not receive their financial assistance until
making an inquiry of the University.
Recommendations:
The University should:
• Ensure that it accurately configures COA budget components within its student information system.
• Award students Federal Pell Grant assistance based on actual enrollment.
• Disburse Subsidized Direct Loans within the student’s applicable aggregate limit.
• Ensure that all students are evaluated for Satisfactory Academic Progress prior to disbursing financial
assistance.
• Properly reconcile all records received from CPS-pushed ISIRs.
Views of Responsible Officials:
Cost of Attendance (COA):
The Office of Student Financial Success agrees with the auditor’s findings indicating that 7 of 65 students tested
had an incorrect COA specifically related to the students’ books and supplies portion of the budget.
Views of Responsible Officials:
Federal Pell Grant:
The Office of Student Financial Success agrees with the findings that 2 of 65 students tested were not awarded
the correct amount of Federal Pell grant funds.
Views of Responsible Officials:
Federal Direct Student Loans:
The Office of Student Financial Success agrees with the finding that 1 student did not receive federal student
loans in accordance with applicable limits.
Views of Responsible Officials:
Satisfactory Academic Progress:
The Office of Student Financial Success agrees with the finding that 1 of 65 students did not receive an SAP
calculation in accordance with TSU policy.
Views of Responsible Officials:
Institutional Student Information Records (ISIR):
The Office of Student Financial Success agrees with the finding related to Institutional Student Information
Records.
Special Tests and Provisions – Disbursements To or On Behalf of Students Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224145; Federal Work-Study Program, P033A224145; Federal Pell Grant Program, P063P222327; Federal Direct Student Loans, P268K232327; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232327 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Award and Disbursement Notifications: Before an institution disburses Title IV, Higher Education Act of 1965 (HEA) program funds for any award year, the institution must notify a student of the amount of funds that the student or his or her parent can expect to receive under each Title IV, HEA program, and how and when those funds will be disbursed. If those funds include Direct Loan program funds, the notice must indicate which funds are from subsidized loans, which are from unsubsidized loans, and which are from PLUS loans (Title 34, Code of Federal Regulations (CFR), Section 668.165(a)(1)). If an institution credits a student’s ledger account with Federal Direct Student Loan (Direct Loan) funds or Teacher Education Assistance for College and Higher Education (TEACH) Grant funds, the institution must notify the student or parent of (1) the anticipated date and amount of the disbursement, (2) the student’s or parent’s right to cancel all or a portion of that loan or grant and have the loan or grant proceeds returned to the U.S. Department of Education, and (3) the procedures and time by which the student or parent must notify the institution that he or she wishes to cancel the loan or grant, or loan or grant disbursement (Title 34, CFR, Section 668.165(a)(2)). The institution must provide the notice in writing no earlier than 30 days before, and no later than 30 days after, crediting the student’s ledger account at the institution (Title 34, CFR, Section 668.165(a)(3)). For 61 (100 percent) of 61 disbursements tested, Texas Southern University (University) did not send an award or disbursement notification as required. The University asserted it did not send award notifications to students because it relied on the Common Origination and Disbursement (COD) Disclosure Statements sent by the Department of Education. However, the COD Disclosure Statements did not include all required elements of the award notification. In addition, the University did not consistently send disbursement notifications for the Fall 2022 term, and did not send any disbursement notifications for the Spring 2023 term. The issues with disbursement notifications were attributed to both manual error and disabling of the University’s automated processes. Further, the disbursement notifications that were sent for the Fall 2022 term did not include all required elements. Not receiving award and disbursement notifications impairs students’ and parents’ ability to budget for the cost of attending or exercise the option to cancel their loans or grants. Allowable Charges and Credit Balance Authorizations:
An institution may credit a student's ledger account with Title IV, HEA program funds to pay for allowable charges
associated with the current payment period. Allowable charges are: (1) the amount of tuition, fees, and
institutionally provided room and board assessed the student for the payment period or the prorated amount of
those charges if the institution debits the student's ledger account for more than the charges associated with the
payment period; and (2) the amount incurred by the student for the payment period for purchasing books,
supplies, and other educationally related goods and services provided by the institution for which the institution
obtains the student's or parent's authorization under Section 668.165(b) (Title 34, CFR, Section 668.164(c)(1)).
A Title IV, HEA credit balance occurs whenever the amount of Title IV, HEA program funds credited to a student's
ledger account for a payment period exceeds the amount assessed the student for allowable charges associated
with that payment period. A Title IV, HEA credit balance must be paid directly to the student or parent as soon as
possible, but no later than (1) fourteen days after the balance occurred if the credit balance occurred after the first
day of class within a payment period; or (2) fourteen days after the first day of class of a payment period if the
credit balance occurred on or before the first day of class within that payment period (Title 34, CFR, Section
668.164(h)).
If an institution obtains written authorization from a student or parent, as applicable, the institution may: (1) use
the student’s or parent’s Title IV, HEA program funds to pay for charges that are included in that authorization,
and (2) hold on behalf of the student or parent any Title IV, HEA program funds that would otherwise be paid
directly to the student or parent as a credit balance, unless the Secretary provides funds to the institution under
the reimbursement payment method or the heightened cash monitoring payment method (Title 34, CFR, Section
668.165(b)(1)).
An institution may not use Title IV funds to pay finance charges or fees that are incurred because a student uses
a financing method provided by the school to pay for educational expenses over time. Because students or
families choose to incur these additional expenses rather than paying the balance due at registration, the
additional charges are not considered educational expenses, and may not be included in a student’s cost of
attendance. (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 2).
For 8 (13 percent) of 61 students tested, the University used Title IV funds to pay unallowable charges.
Specifically, the University credited the students’ ledger accounts during the payment period for installment
handling charges and late installment charges. Although the University obtained authorization from the students
to apply Title IV funds to charges other than tuition, fees, or institutionally provided room and board, that
authorization did not extend to those unallowable charges.
For 6 (11 percent) of 57 students tested, the University did not return credit balances to students or
parents within 14 days of the disbursement date or first day of class. Specifically, the University returned
credit balances to those students between 21 and 78 days. The University asserted those errors were caused by
changes to the term allocations, and inadequate tracking of credit balances and associated refunds.
Not receiving all Title IV funds a student is entitled to, or not receiving those funds in a timely manner, impairs
students’ and parents’ ability to budget for the cost of attending.
Recommendations:
The University should strengthen its controls to ensure that:
• It identifies all students that require an award or disbursement notification, and sends those notifications to the
students.
• Award and disbursement notifications include all required elements.
• It does not credit student ledger accounts for unallowable charges.
• Credit balances caused by the awarding of Title IV funds are returned to students in a timely manner.
Views of Responsible Officials:
Award and Disbursement Notifications:
The Office of Student Financial Success agrees with the finding related to award and disbursement notifications.
Views of Responsible Officials:
Allowable Charges and Credit Balance Authorizations:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224145; Federal Pell Grant Program, P063P222327; Federal Direct Student Loans, P268K232327; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232327 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs, and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). For 8 (13 percent) of 61 students tested, Texas Southern University (University) incorrectly calculated the amount of Title IV funds to be returned for unofficially withdrawn students. Specifically, those 8 students were enrolled in the Fall 2022 term, and the University did not use the last date of attendance identified in the University’s automated report process. For return of Title IV funds, the University uses an automated report process to identify students who have unofficially withdrawn from a term; however, that process was inconsistently followed or not completed in determining the students’ withdrawal dates. The incorrect withdrawal dates used by the University were prior to the students’ actual withdrawal dates, which resulted in the University returning more Title IV funds than required for those students; therefore, there were no questioned costs. Those errors occurred because the University did not have an adequate process to determine the withdrawal dates of students who unofficially withdrew from the University. Timeliness of Returns:
For an institution that is not required to take attendance, the institution must determine the withdrawal date for a
student who withdraws without providing notification to the institution no later than 30 days after the earliest end
date of (1) the payment period or period of enrollment, (2) the academic year in which the student withdrew, or (3)
the educational program from which the student withdrew (Title 34, CFR, Section 668.22(j)(2)).
An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later
than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section
668.22(j)).
For 35 (57 percent) of 61 students tested who withdrew and required a return of Title IV funds, the
University did not return the funds within the required time frame. Specifically:
• For 23 students who unofficially withdrew in the Fall 2022 term, the University did not determine the
withdrawal date within the required 30-day time frame, nor did it return the Title IV funds within the required
45-day time frame. The University determined the withdrawal date and returned the Title IV funds at the end
of the Spring 2023 term.
• For 9 students who unofficially withdrew in the Spring 2023 term, the University did not determine the
students’ withdrawal date within the required 30-day time frame. The University determined the withdrawal
date for those students between 31 and 52 days after the end of the period of enrollment.
• For 3 students who withdrew in the Fall 2022 term, the University determined the withdrawal dates and
performed the return calculations; however, it did not return the Title IV funds within the required 45-day time
frame. The University asserted that for two students, this was due to an oversight in processing the return of
those funds. The University returned the funds for those two students 71 and 115 days after it determined that
the students withdrew. For the third student, the University completed a return calculation but did not return
the funds as required. After auditors brought this error to the University’s attention, the University returned the
funds to the U.S. Department of Education; therefore, there were no questioned costs.
Those errors occurred because the University did not have an effective monitoring process to identify those errors
and because of manual errors the University made in performing the return calculations. Not making returns
within the required time frame reduces the funds available to the U.S. Department of Education for its program
management.
Recommendations:
The University should:
• Strengthen its process to ensure that it accurately determines the withdrawal date for students who
unofficially withdraw from the University in a timely manner.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in return of Title IV calculations
and returns Title IV funds in a timely manner.
Views of Responsible Officials:
Return of Title IV Calculations:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Views of Responsible Officials:
Timeliness of Returns:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222327; and Federal Direct Student Loans, P268K232327 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: 2020-115
Federal regulations and related guidance governing Title IV student aid programs require schools to report the
enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan
Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to
submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next
60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan)
has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at
least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title
34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include
Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30,
2012 (GEN-12-06)).
Institutions are required to report the campus-level enrollment for the student, including enrollment status and the
effective date of that enrollment status. For enrollment status changes to three-quarter-time, half-time, and less than-half-time status, the institution must use the effective date that the student dropped to those particular
statuses (NSLDS Enrollment Reporting Guide, November 2022, Chapter 1, 4, 7, and Appendix C). Institutions
also are required to report the program(s) of attendance for the student, including classification of instructional
programs (CIP) code, program credential level, program length, program enrollment status, and other data about
the program. The program enrollment effective date is the date that the current enrollment status reported for a
student was first effective, and the program begin date is the date the student began attending the program being
reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4). For a student who has
graduated, institutions that initially report a withdrawn status must subsequently report the student as having
graduated by certifying a “G” status at the campus level and/or program level as appropriate (NSLDS Enrollment
Reporting Guide, November 2022, Chapter 4, Section 4.4.3).
Texas Southern University (University) uses the services of the National Student Clearinghouse (NSC) to report
status changes to NSLDS. Under this arrangement, the University reports all students enrolled and their status to
NSC. NSC then identifies any changes in status and reports those changes when required to NSLDS. Although
the University uses the services of NSC, the University still has the primary responsibility to report any changes in
student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide, November
2022, Chapter 3).
For 10 (17 percent) of 60 students tested, the University did not accurately report campus- or program level data elements to NSLDS. Specifically, the program length was reported incorrectly for the students’
master’s degree or doctoral degree programs. Additionally, for 1 of those 10 students, the University inaccurately
reported the effective date of the student’s graduated status at the campus and program levels. The date reported
was eight days before the actual date of graduation for the student.
For 17 (45 percent) of 38 students tested who received a Direct Loan and ceased to be enrolled on at least
a half-time basis or changed their permanent address, the students’ enrollment status was not reported to
NSLDS in a timely manner. Specifically:
• For 13 students, the University reported the students’ graduated status to NSLDS between 73 and 100 days
after the students graduated.
• For 2 students, the University reported the students’ enrollment level change to NSLDS 89 and 95 days after
the effective date of the status change.
• For 2 students, the University reported the students’ withdrawal status to NSLDS 68 and 70 days after the
students’ withdrawal date.
The errors discussed above occurred because the University (1) did not configure its information system to
accurately report student enrollment information to NSLDS, (2) does not have a process to monitor student
enrollment and program information reported to NSLDS, and (3) does not have a reporting process that allows it
to make corrections to ensure that it certifies and submits graduated statuses in a timely manner.
Not reporting student status changes accurately and in a timely manner could affect determinations that
guarantors, lenders, and servicers of student loans make related to in-school status, deferments, grace periods,
and repayments schedules.
Recommendation:
The University should develop and implement controls to ensure that campus- and program-level data elements
are reported to NSLDS accurately and in a timely manner.
Views of Responsible Officials:
Campus and Program Level Data:
Texas Southern University agrees with the finding related to not accurately reporting campus or program level
data elements to NSLDS.
Views of Responsible Officials:
Enrollment Status Updates:
Texas Southern University agrees with the finding related to not accurately reporting enrollment status updates to
NSLDS in a timely manner.
Views of Responsible Officials:
Accurate Attendance Reporting:
Texas Southern University agrees with the finding related to not accurately reporting enrollment status updates to
NSLDS in a timely manner.
Special Tests and Provisions – Gramm-Leach-Bliley Act - Student Information Security Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Gramm-Leach-Bliley Act: Institutions must protect sensitive data, including information obtained in support of the administration of federal student financial assistance programs, as required by the Gramm-Leach-Bliley Act (GLBA) (Public Law 106-102). Under their Program Participation Agreement (PPA) and the GLBA, postsecondary educational institutions must protect student financial aid information, with particular attention to information provided by the Department of Education or otherwise obtained in support of the administration of the Title IV Federal student financial aid programs (Dear Colleague Letter, July 1, 2016 (GEN-16-12)). Institutions are required to develop, implement, and maintain an information security program that includes the minimum elements in Title 16, Code of Federal Regulations (CFR), Section 314.4. In addition, the institution must designate a qualified individual responsible for overseeing, implementing, and enforcing the institution’s information security program (Title 16, CFR, Section 314.4(a)). Texas Southern University (University) did not implement an information security program as required by the GLBA. The University did not have a written information security program (and therefore did not address any of the minimum elements), and it did not designate a Qualified Individual responsible for implementing and monitoring its information security program. The University asserted that this was due to significant staffing issues in its Information Technology Department. Not implementing the required safeguards in an information security program and designating a Qualified Individual to implement and enforce those safeguards increases the University’s risk of data breach or loss. Recommendations: The University should: • Develop and implement an information security program that contains all elements required by the GLBA and the Code of Federal Regulations. • Designate a Qualified Individual responsible to implement and monitor its information security program. Views of Responsible Officials: Gramm-Leach-Bliley Act: The University acknowledges and agrees with the findings.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; 84.408; and 93.925 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224122; Federal Work-Study Program, P033A224122; Federal Pell Grant Program, P063P220387; Federal Direct Student Loans, P268K230387; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T230387; Postsecondary Education Scholarships For Veteran's Dependents (Iraq and Afghanistan Service Grant (IASG)), P408A220387; and Scholarships for Health Professions Students from Disadvantaged Backgrounds - Scholarships for Disadvantaged Students (SDS), 5 T08HP39298-03-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, CFR, Sections 668.2, 673.5, and 685.301). Texas State University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate); residency (in-state or out-of-state); housing status (on_x0002_campus, off-campus, or living with parent); and enrollment status (full-time, three-quarter-time, half-time, or less_x0002_than-half-time). Budgeting rules within the University’s student financial assistance system are established to assign various budget components based on the factors noted above. For 1 (2 percent) of 44 students tested, the University incorrectly calculated the COA. Specifically, the University assigned a less-than-half-time COA when the student was enrolled full-time. As a result, the student’s COA was understated by $9,545. After auditors brought the issue to the University’s attention, it identified a total of 84 total students who were affected, including 56 students who received Title IV financial assistance. Those errors occurred because the University did not recalculate the COA for students in the Pathway program after enrollment was finalized for the Spring 2023 term. The errors discussed above did not result in overawards of financial assistance; therefore, there were no
questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or
underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets for the
Pathway program in accordance with its process.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). Texas Tech University (University) did not appropriately restrict user access to its student information system. Specifically, the University did not always limit access to the student information system to only users who needed that access based on their job responsibilities. While the University had a process in place to review user access, that process was not adequately designed to ensure that the University granted the appropriate level of access to all users based on the users’ job duties. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. Recommendation: The University should ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. Views of Responsible Officials: Texas Tech University acknowledges and agrees with the findings. Texas Tech University has worked to develop and implement corrective action to further improve processes.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222328; and Federal Direct Student Loans, P268K232328 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $562 Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations, Sections 668.2, 673.5, and 685.301). Texas Tech University (University) uses algorithmic budgeting to build COA budgets based on student classification (undergraduate or graduate), academic program (for example, certain programs have increased tuition costs), enrollment level (full-time, three-quarter-time, half-time, or less-than-half-time), living status (on_x0002_campus, off-campus, or living with parents), and residency (in-state or out-of-state). Budgeting rules within the University’s student information system are established to assign various budget components based on the student’s reported expected enrollment. For 3 (5 percent) of 65 students tested, the University incorrectly calculated the COA. Specifically: • For one student, the University assigned an incorrect loan fee to the COA. The University manually canceled the student’s loan, but asserted that it did not remove the fee because the student was still eligible to receive the loan. As a result, the student’s COA was overstated by $60. • For one student, the University did not adjust the student’s COA budget to reflect the student’s actual
enrollment. The University manually assigned a three-quarter-time budget to the student. Due to the manual
update, the COA was not subject to an automated update process to adjust the COA to less-than-half-time
status at census. In addition, the student was not included in the University’s process for reviewing manually
updated budgets. As a result, the student’s COA was overstated by $4,157, and the student was
overawarded $562 associated with ALN 84.063, Federal Pell Grant Program, award number P063P222328.
• For one student, the University did not adjust the student’s tuition and fees budget component to reflect a
change in the student’s academic program. The student’s major changed after the initial budget had been
assigned. As a result, the student’s COA was overstated by $903; however, the University did not overaward
financial assistance to that student.
Incorrectly calculating COA increases the risk of overawarding or underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets in
accordance with its process and does not overaward financial assistance to students.
Views of Responsible Officials:
Texas Tech University acknowledges and agrees with the findings. Texas Tech University has worked to develop
and implement corrective action to further improve processes.
Special Tests and Provisions – Disbursements To or On Behalf of Students Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222328; and Federal Direct Student Loans, P268K232328 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Award Notifications: Before an institution disburses Title IV, Higher Education Act of 1965 (HEA) program funds for any award year, the institution must notify a student of the amount of funds that the student or his or her parent can expect to receive under each Title IV, HEA program, and how and when those funds will be disbursed. If those funds include Direct Loan program funds, the notice must indicate which funds are from subsidized loans, which are from unsubsidized loans, and which are from PLUS loans (Title 34, Code of Federal Regulations (CFR), 668.165(a)(1)). For 7 (16 percent) of 43 disbursements tested, Texas Tech University (University) did not send an award notification or sent an award notification that did not include all required information. Specifically: • For four students who enrolled in the Fall 2022 term after August 1, 2022, the University did not send an award notification. The University sent award notifications to all students enrolled for the Fall 2022 term prior to that date. However, it did not have a process in place to identify and send award notifications to students who enrolled after that date. Therefore, this issue would have affected all students who enrolled in the Fall 2022 term after August 1, 2022. • For three students who enrolled in the Spring 2023 term, the award notifications did not contain the type or amount of funds that the student or his or her parent could expect to receive. The University notified students of expected financial assistance through email, and the award notification emails for the Fall 2022 term contained a hyperlink for students to access their account in the student information system to review the expected loan types and amounts. However, the award notification emails for the Spring 2023 term did not contain that hyperlink. This issue would have affected all students who enrolled after August 1, 2022, and only for the Spring 2023 term. The University did not have adequate controls in place to ensure that all students received award notifications and that the notifications contained all required elements. Not receiving award notifications, or receiving incomplete award notifications, impairs students’ and parents’ ability to budget for the cost of attending. Recommendations: The University should: • Strengthen its controls to ensure that it identifies all students that require an award notification, and sends those notifications to the students. • Ensure that award notifications contain all required elements. Views of Responsible Officials:
Texas Tech University acknowledges and agrees with the findings. Texas Tech University has worked to develop
and implement corrective action to further improve processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; 84.379; and 84.408 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224151; Federal Pell Grant Program, P063P222328; Federal Direct Student Loans, P268K232328; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232328; and Postsecondary Education Scholarships For Veteran's Dependents (Iraq and Afghanistan Service Grant (IASG)), P408A222328 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: Unknown Repeat Finding: No When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV
grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title
IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the
payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their
Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period
or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by
subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was
disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student
withdrew (Title 34, CFR, Section 668.22(e)).
For distance education, documenting that a student has logged into an online class is not sufficient to
demonstrate academic attendance by the student. An institution must demonstrate that a student participated in
class or was otherwise engaged in an academically related activity. Only active participation by a student in an
instructional activity related to the student’s course of study that meets the definition of “academic engagement” in
Title 34, CFR, Section 600.2 and takes place during a payment period or period of enrollment qualifies as
attendance in an academically related activity (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 5, Chapter 2).
For 1 (5 percent) of 20 students tested, Texas Tech University (University) did not have evidence of
academic engagement in the distance education course from which the student’s withdrawal date was
determined. The University asserted that when an instructor submits a failing grade for a student, the instructor is
required to provide the date of last academic activity. That date is recorded in the University’s student information
system and used by the University to determine the unofficial withdrawal date for Return of Title IV purposes.
However, the University did not have a process in place to require instructors to provide or maintain evidence of
academic engagement in distance education courses. As a result, the University could not demonstrate that the
student participated or otherwise engaged in an academically related activity in that course to support the last
date of attendance used by the University for Return of Title IV purposes.
Having a process that does not consistently calculate and return the correct amount of Title IV funds increases
the risk that the University could return less Title IV funds than it is required to return.
Recommendations:
The University should:
• Ensure that evidence of academic engagement is consistently documented for students in distance education
courses.
• Strengthen its controls to ensure that it accurately calculates returns of Title IV funds when required, including
review of the variables it uses in those calculations.
Views of Responsible Officials:
Texas Tech University acknowledges and agrees with the findings. Texas Tech University has worked to develop
and implement corrective action to further improve processes.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222328; and Federal Direct Student Loans, P268K232328 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: 2020-117 Federal regulations and related guidance governing Title IV student aid programs require schools to report the enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next 60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan) has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half_x0002_time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title 34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30, 2012 (GEN-12-06)). Institutions are required to report the campus-level enrollment for the student, including enrollment status and the effective date of that enrollment status. For enrollment status changes to three-quarter-time, half-time, and less_x0002_than-half-time status, the institution must use the effective date that the student dropped to those particular statuses (NSLDS Enrollment Reporting Guide, November 2022, Chapter 1, 4, 7, and Appendix C). Institutions also are required to report the program(s) of attendance for the student, including classification of instructional programs (CIP) code, program credential level, program length, program enrollment status, and other data about the program. The program enrollment effective date is the date that the current enrollment status reported for a student was first effective and the program begin date is the date the student first began attending the program being reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4). For instances in which a student completes one academic program and then enrolls in another academic program at the same school, the school must report two separate enrollment transactions: one showing the completion of the first program and its effective date and credential level, and the other showing the enrollment in the second program and its effective date (Dear Colleague Letter, March 30, 2012 (GEN-12-06)). For a student who has graduated, institutions that initially report a withdrawn status must subsequently report the student as having graduated by certifying a “G” status at the campus level and/or program level as appropriate (NSLDS Enrollment Reporting Guide, November 2022, Chapter 4, Section 4.4.3). Texas Tech University (University) uses the services of the National Student Clearinghouse (NSC) to report status changes to NSLDS. Under this arrangement, the University reports all students enrolled and their status to NSC. NSC then identifies any changes in status and reports those changes when required to NSLDS. Although the University uses the services of NSC, the University still has the primary responsibility to report any changes in student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide, November 2022, Chapter 3, Section 3.3). For 5 (8 percent) of 60 students tested, the University did not report campus- or program-level data
elements accurately or in a timely manner to NSLDS. Specifically:
• For three students, the enrollment effective date was correctly reported as the first day of the Summer 2023
term to NSLDS at the program level; however, the enrollment effective date was incorrectly reported as the
day after the last day of the Spring 2023 term at the campus level because it did not align with the date
reported at the program level. The effective date reported at the campus level should be the same date
reported at the program level because those dates reflect the same enrollment status change.
• For one student, the University incorrectly reported the student’s program-level enrollment status and the
student’s program begin date as the day after the last day of the Spring 2023 term. The enrollment status
should have been reported at the program level as full-time effective the first day of the Fall 2023 term.
• For one student, the campus-level enrollment status change should have been reported as graduated, but it
was incorrectly reported as withdrawn. Additionally, the student was pursuing dual majors, and the program level enrollment status was correctly reported as graduated for one program in a timely manner but incorrectly
reported as withdrawn for the second program. The incorrect campus-level enrollment change and program level enrollment change were reported to NSLDS 135 days after the effective date of the graduation.
The errors discussed above were caused by issues related to the configuration of the enrollment reporting
processes in the University’s student information system.
Not reporting student status changes accurately and in a timely manner could affect determinations that
guarantors, lenders, and servicers of student loans make related to in-school status, deferments, grace periods,
and repayments schedules.
Recommendations:
The University should:
• Strengthen its controls to ensure that campus-level and program-level data elements are reported to NSLDS
accurately and in a timely manner.
• Ensure that dual-major graduated statuses are reported to NSLDS accurately and timely for all programs.
Views of Responsible Officials:
Texas Tech University acknowledges and agrees with the findings. Texas Tech University has worked to develop
and implement corrective action to further improve processes.
Special Tests and Provisions – Additional Locations Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.268 Pass-Through Agency: N/A Award Number: Federal Direct Student Loans, P268K232328 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $3,452,367 Repeat Finding: No Eligibility and Certification Approval Report: Each institution’s most recent Eligibility and Certification Approval Report (ECAR) lists the institution’s main campus and any additional approved locations. For any other locations at which an institution offers 50 percent or more of an eligible program, the institution must notify the U.S. Department of Education of that location if the institution plans to disburse Title IV funds to students enrolled at that location (Title 34, Code of Federal Regulations (CFR), Section 600.21(a)(3)). An institution may not disburse Title IV funds to students at that location before it reports to the U.S. Department of Education about that location (Title 34, CFR, Section 600.21(d)). Texas Tech University’s (University) most recent ECAR did not include all additional locations. Specifically, the University offered more than 50 percent of an eligible program at the School of Veterinary Medicine at Amarillo; however, the University did not include the location on its most recent ECAR nor did it submit notice or an application for approval of additional location as required. The University asserted that the error occurred due to turnover of the Primary Designee responsible for requesting approval of the new location, which resulted in the University failing to adequately review its ECAR to ensure that it reported all locations at which it offered more than 50 percent of an eligible program. The University disbursed $3,452,367 in federal student financial assistance to 108 students at the unreported location during the 2022–2023 award year. Those disbursements were associated with ALN 84.268, Federal Direct Student Loans, award number P268K232328, and were considered questioned costs. After auditors brought the issue to the University’s attention, the University added the location to its ECAR and the School of Veterinary Medicine at Amarillo was approved on July 26, 2023. Recommendation: The University should update its ECAR as required, and ensure that it does not disburse federal financial assistance to students at locations that are not approved by the U.S. Department of Education. Views of Responsible Officials: Texas Tech University acknowledges and agrees with the findings. Texas Tech University has worked to develop and implement corrective action to further improve processes.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P223367; and Federal Direct Student Loans, P268K233367 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: 2016-122 Federal regulations and related guidance governing Title IV student aid programs require schools to report the enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next 60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan) has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half_x0002_time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title 34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30, 2012 (GEN-12-06)). Institutions are required to report the campus-level enrollment for the student, including enrollment status and the effective date of that enrollment status. For enrollment status changes to three-quarter-time, half-time, and less_x0002_than-half-time status, the institution must use the effective date that the student dropped to those particular statuses (NSLDS Enrollment Reporting Guide, November 2022, Chapter 1, 4, 7, and Appendix C). Institutions also are required to report the program(s) of attendance for the student, including classification of instructional programs (CIP) code, program credential level, program length, program enrollment status, and other data about the program. The program enrollment effective date is the date that the current enrollment status reported for a student was first effective, and the program begin date is the date the student began attending the program being reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4). For a student who has graduated, institutions that initially report a withdrawn status must subsequently report the student as having graduated by certifying a “G” status at the campus level and/or program level as appropriate(NSLDS Enrollment Reporting Guide, November 2022, Chapter 4, Section 4.4.3). Texas Tech University Health Sciences Center (Health Sciences Center) uses the services of the National Student Clearinghouse (NSC) to report status changes to NSLDS. Under this arrangement, the Health Sciences Center reports all students enrolled and their status to NSC. NSC then identifies any changes in status and reports those changes to NSLDS when required. Although the Health Sciences Center uses the services of NSC, the Health Sciences Center still has the primary responsibility to report any changes in student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide, November 2022, Chapter 3.3). For 6 (10 percent) of 62 students tested, the Health Sciences Center did not accurately report campus level enrollment effective dates or did not report enrollment status changes to NSLDS. Specifically:
• For one student, the enrollment status effective date was reported incorrectly at the campus-level. The
student’s enrollment status for the Spring 2023 term decreased from full-time to less-than-half-time in April
2023; however, the effective date was reported as January 2023.
• For five students, the Health Sciences Center did not report the students’ enrollment status changes to
NSLDS. Two of those students withdrew, two students graduated, and one student received an approved
leave of absence.
The Health Sciences Center asserted that the errors discussed above were caused by issues related to the
configuration of the enrollment reporting processes in the Health Sciences Center’s student information system,
manual reporting errors, and not having adequate controls to ensure that student enrollment information reported
to NSC was accurately reported to NSLDS.
Not reporting student status changes accurately and in a timely manner could affect determinations that
guarantors, lenders, and servicers of student loans make related to in-school status, deferments, grace periods,
and repayment schedules.
Recommendation:
The Health Sciences Center should strengthen its controls to ensure that campus-level enrollment statuses and
effective dates are reported accurately and in a timely manner to NSLDS.
Views of Responsible Officials:
The University acknowledges and agrees with the findings. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: 2020-142 General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). The University of Texas at Arlington (University) did not appropriately restrict user access to its student information system. Specifically, a user was granted administrative access in the student information system, which included the ability to modify information and process transactions, such as authorizing and disbursing aid. The University did not remove the administrative access after the user’s specific job responsibilities no longer required that level of access. The University had a process to periodically review user access; however, that review was not sufficient to identify the inappropriate access. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. Recommendation: The University should ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. Views of Responsible Officials: To the point that The University of Texas at Arlington (University) did not appropriately restrict user access to its student information system. OIT and Financial Aid acknowledge that a user was given elevated access that was not removed when the assigned maintenance task was completed.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224172; Federal Pell Grant Program, P063P222335; and Federal Direct Student Loans, P268K232335 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational
expenses; it is computed by the federal central processor and included on the student’s Institutional Student
Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds
the student’s need. Therefore, awards must be coordinated among the various programs and with other federal
and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need
(U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34,
Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301).
The University of Texas at Arlington (University) uses algorithmic budgeting to build COA budgets for each term
based on a student’s classification (undergraduate or graduate), dependency (dependent or independent),
residency (in-state or out-of-state), living status (on-campus, off-campus, or with parents), and enrollment level
(full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student
information system are established to assign various budget components based on the factors noted above.
For 3 (5 percent) of 63 students tested, the University incorrectly calculated the COA. Specifically:
• For two students, the University understated the COA by assigning a books component that did not reflect the
students’ actual enrollment status. Those errors occurred because the University budgeted the students’
books at half-time enrollment instead of full-time enrollment. The University attributed the cause to human
error associated with a manual budget rebuild in the student information system. As a result, the COA was
understated by $200 for each of those students.
• For one student, the University assigned an incorrect budget for the cost of tuition and fees component during
the Summer 2022 term. The University attributed the cause to human error. As a result, the COA was
understated by $198.
The errors discussed above did not result in overawards of financial assistance; therefore, there were no
questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or
underawarding financial assistance to students.
Federal Pell Grant:
A student is eligible to receive a Federal Pell Grant for the period of time required to complete his or her first
undergraduate baccalaureate course of study (Title 34, CFR, Section 690.6(a)).
When awarding Federal Pell Grant assistance to students, institutions use the payment and disbursement
schedules provided each year by the U.S. Department of Education for determining award amounts (Title 34,
CFR, Section 690.62(a)).
Based on a review of the full population of student financial assistance recipients, the University awarded
a total of $1,593 in Federal Pell Grant assistance to 2 post-baccalaureate students who were not eligible
for that assistance. The University asserted queries designed to identify these issues were not run timely due to
staffing issues within the Financial Aid department. After auditors brought those errors to the University’s
attention, the University returned the funds to the U.S. Department of Education; therefore, there were no
questioned costs.
For 1 (2 percent) of 63 students tested, the University did not award Federal Pell Grant assistance to an
eligible student. Specifically, the student was eligible to receive $1,790 in Federal Pell Grant assistance, but did
not receive an award from the University. The University asserted that the error occurred because the student
made a late registration change and was missed on the University’s add report. As a result, the student was
underawarded Federal Pell Grant assistance; therefore, there were no questioned costs. Federal Direct Student Loans:
Direct Subsidized and Unsubsidized Loans have annual and aggregate limits that are the same for all students at
a given grade level and dependency status. In general, a loan may not be more than the amount the borrower
requests, the borrower’s unmet financial need, the borrower’s COA, or the borrower’s maximum borrowing limit.
(U.S. Department of Education 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 5).
For 1 (2 percent) of 63 students tested, the University did not disburse Direct Loans in accordance with
applicable limits. Specifically, the University disbursed a Subsidized Direct Loan in excess of the student’s
aggregate Subsidized Direct Loan and Total Direct Loan limits. After auditors brought the overaward issue to the
University’s attention, it returned the loan funds; therefore, there were no questioned costs. The University
asserted that error occurred because the University did not receive an updated history file in a timely manner due
to issues with the National Student Loan Data System (NSLDS).
Federal Supplemental Educational Opportunity Grants (FSEOG):
The FSEOG program provides grants to eligible undergraduate students. Institutions are required to award
FSEOG first to Federal Pell Grant recipients who have the lowest EFC. If an institution has FSEOG funds
remaining after giving FSEOG awards to all Federal Pell Grant recipients, it can then award the remaining
FSEOG funds to eligible students with the lowest EFCs who did not receive Federal Pell Grants (Title 34, CFR,
Section 676.10).
Based on a review of the full population of student financial assistance recipients, the University awarded
a total of $750 in FSEOG assistance to a student who was working towards a second bachelor’s degree
and thus was not eligible for that assistance. The student was awarded FSEOG in the Spring 2023 term after
earning a first bachelor’s degree in the Fall 2022 term. The University asserted this was a manual error caused by
a counselor canceling the student’s Federal Pell Grant, but failing to cancel the student’s FSEOG award. After
auditors brought the issue to the University’s attention, it removed the grant funds from the student’s account;
therefore, there were no questioned costs.
Recommendations:
The University should:
• Strengthen its controls to ensure that it correctly calculates students’ COA budgets in accordance with its
process.
• Award Federal Pell Grant assistance only to eligible students.
• Ensure that students are awarded Federal Pell Grants for which they are eligible.
• Disburse Subsidized Direct Loans within the student’s applicable aggregate limit.
• Award FSEOG assistance only to eligible students.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222335; Federal Direct Student Loans, P268K232335; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232335 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No COD Reporting: Institutions must submit Federal Pell Grant, Iraq and Afghanistan Service Grant, Direct Loan, and Teacher Education Assistance for College and Higher Education (TEACH) Grant disbursement records to the Common Origination and Disbursement (COD) system no later than 15 days after making the disbursement or becoming aware of the need to adjust a previously reported disbursement. Reporting this information helps ensure that institutions have the most accurate information available about students’ federal awards and helps prevent an institution from overawarding students (Title 34, Code of Federal Regulations (CFR), Section 690.83(b); U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 1; and Federal Register, Volume 88, Number 120). Certain data elements are required to be reported as part of a student’s origination and disbursement record, including the student’s Social Security number, Central Processing System (CPS) transaction number, enrollment date, cost of attendance, the start and end dates for the academic term, disbursement amount, and disbursement date (2022-2023 COD Technical Reference, Volume II). For 5 (8 percent) of 61 students tested, the University of Texas at Arlington (University) did not accurately
report all origination record data elements to the COD system. Two of those students had both errors
discussed below. Specifically,
• For four students, the University reported an incorrect academic end date for one or more Direct Loan
originations made on behalf of the students during the award year.
• For three students, the University reported an incorrect cost of attendance for one or more Federal Pell Grant
and/or Direct Loan originations made on behalf of the students during the award year.
The University asserted that its developer was unable to identify the specific cause of these errors, but
determined that the errors were related to an automated process rather than a manual change. In addition, the
University did not have a sufficient monitoring process in place to identify those discrepancies. Not accurately
reporting information to the COD system could result in the institution overawarding federal funds.
Recommendation:
The University should strengthen its controls to ensure that academic end dates and cost of attendance are
reported to the COD system accurately.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222335; and Federal Direct Student Loans, P268K232335 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(j)). For 5 (8 percent) of 61 students tested who withdrew and required a return of Title IV funds, the University of Texas at Arlington (University) did not return the funds within the required time frame. Specifically, the University returned the Title IV funds to the U.S. Department of Education between 101 to 390 days after the University determined the students withdrew. For four of those students, the updates to the students’ returns occurred after auditors selected those students for review. The error for the other student was identified by the University, but the funds were not returned in a timely manner. After the University became aware of the errors, it returned those funds to the U.S. Department of Education; therefore, there were no questioned costs. The University did not have an adequate monitoring process to ensure that Title IV funds were returned within the required time frame. Not making returns within the required time frames reduces the funds available to the U.S. Department of Education for its program management. Recommendation: The University should ensure that it returns Title IV funds within required time frames. Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222335; and Federal Direct Student Loans, P268K232335 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: 2020-143 Federal regulations and related guidance governing Title IV student aid programs require schools to report the enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next 60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan) has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half_x0002_time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title 34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30, 2012 (GEN-12-06)). Institutions are required to report the campus-level enrollment for the student, including enrollment status and the
effective date of that enrollment status. For enrollment status changes to three-quarter-time, half-time, and less than-half-time status, the institution must use the effective date that the student dropped to those particular
statuses (NSLDS Enrollment Reporting Guide, November 2022, Chapter 1, 4, 7, and Appendix C). Institutions
also are required to report the program(s) of attendance for the student, including classification of instructional
programs (CIP) code, program credential level, program length, program enrollment status, and other data about
the program. The program enrollment effective date is the date that the current enrollment status reported for a
student was first effective and the program begin date is the date the student began attending the program being
reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4). For a student who has
graduated, institutions that initially report a withdrawn status must subsequently report the student as having
graduated by certifying a “G” status at the campus level and/or program level as appropriate (NSLDS Enrollment
Reporting Guide, November 2022, Chapter 4, Section 4.4.3).
The University of Texas at Arlington (University) uses the services of the National Student Clearinghouse (NSC)
to report status changes to NSLDS. Under this arrangement, the University reports all students enrolled and their
status to NSC. NSC then identifies any changes in status and reports those changes to NSLDS when required.
Although the University uses the services of NSC, the University still has the primary responsibility to report any
changes in student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide,
November 2022, Chapter 3, Section 3.3).
For 18 (30 percent) of 61 students tested, the University did not accurately report campus- and program level data elements to NSLDS. One of those students was affected by two of the errors discussed below.
Specifically:
• For 13 students, the University incorrectly reported the students’ enrollment status at the program level to
NSLDS. Six students were reported as less-than-half-time instead of half-time, and seven students were
reported as half-time instead of full-time. Those errors occurred because the enrollment reporting processes
in the University’s student information system were not configured appropriately for the Graduate Nursing
program.
• For four students, the enrollment effective date was reported correctly to NSLDS at the program level;
however, the University incorrectly reported the first day of the Spring 2023 term as the enrollment effective
date at the campus level. The effective date reported at the program level should have been the same date
reported at the campus level because those dates reflect the same enrollment status change. As noted
above, those errors were caused by issues with the configuration of the enrollment reporting processes for
the Graduate Nursing Program.
• For two students, the University did not report the students’ graduated status or did not accurately report the
graduated status at the campus and program levels to NSLDS. One student’s graduated status was
accurately reported at the campus level, but was reported as withdrawn at the program level. The other
student was inaccurately reported as withdrawn at both the campus- and program-levels. Those errors
occurred because the students’ statuses required manual reporting and were overlooked.
Not reporting student enrollment and program information accurately could affect determinations that guarantors,
lenders, and servicers of student loans make related to in-school status, deferments, grace periods, and
repayment schedules.
Recommendation:
The University should strengthen its controls to ensure that all status changes are reported accurately to NSLDS. Views of Responsible Officials:
The University acknowledges and agrees with the finding. The University will work to develop and implement
corrective action to improve and update the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). The University of Texas at Austin (University) did not appropriately restrict user access to its student information system. Specifically, an employee retained the ability to modify student financial aid awards after transitioning from the Office of Student Financial Aid to another department within the University. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. In addition, the University did not have sufficient controls over its change management process for information systems. Specifically, one of the University’s departments did not enable the control designed to prevent developers from migrating their own code changes into production. Not having sufficient segregation of duties controls over the change management process increases the risk of unauthorized programming changes being made to critical information systems that the University uses to administer student financial assistance. Recommendations: The University should: • Ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. • Strengthen its controls over its change management process to ensure adequate segregation of duties. Views of Responsible Officials:
The University acknowledges and agrees with the finding. In this case, the employee transitioned from the Office
of Scholarships and Financial Aid (OSFA) to the Student Financial Aid implementation project. It was intended for
this employee to retain his prior access for a time so he could help provide backstop support while his duties were
transitioned to other employees within OSFA. This access should have been removed once his duties were
successfully transitioned.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. However, technical limitations in the current financial
aid management system require that a particular mainframe programming library be exempted from the change
control mechanisms that are used in all other libraries that can update student financial aid information.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224173; Federal Pell Grant Program, P063P222336; and Federal Direct Student Loans, P268K232336 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs, and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). For 1 (2 percent) of 60 students tested, the University of Texas at Austin (University) incorrectly calculated the amount of Title IV funds to be returned. Specifically, the University initially determined that the student officially withdrew on March 10, 2023, and the University incorrectly determined that the student completed more than 60 percent of the term. The University subsequently incorrectly determined that the student unofficially withdrew on February 10, 2023, and processed a return of Title IV funds in the amount of $18,742. After auditors brought the error to the University’s attention, it re-performed the return calculation using the correct date of withdrawal and reinstated the appropriate amount of funds to the student. Not having a process that consistently calculates and returns the correct amount of Title IV funds increases the risk that the University could return less Title IV funds than it is required to return. Coronavirus Aid, Relief, and Economic Security (CARES) Act:
Section 3508 of the CARES Act directs the Secretary to waive the statutory requirement for institutions to return
Title IV funds (R2T4) as the result of student withdrawals related to a qualifying emergency. For any student who
begins attendance in a payment period or period of enrollment that includes March 13, 2020, or begins between
March 13 and the later of December 31 or the last date that the national emergency is in effect, and subsequently
withdraws from the period as a result of COVID-19-related circumstances, an institution is not required to return
Title IV funds. The CARES Act requires an institution to report to the Department information specific to each
student for whom it was not required to return Title IV funds under the waiver exception. An institution must
determine the total amount of grant and loan assistance that otherwise would have been returned, identified in
Step 5 of the R2T4 calculation, had the calculation been performed. Therefore, it will continue to be necessary for
institutions to perform an R2T4 calculation for each student covered by the CARES Act R2T4 waiver (Electronic
Announcement titled UPDATED Guidance for interruptions of study related to Coronavirus (COVID-19), June 16,
2020).
For 1 (50 percent) of 2 students tested who were eligible for relief under the CARES Act, the University
incorrectly processed a return of Title IV funds. The University determined that the student was eligible to
receive an R2T4 waiver under Section 3508 of the CARES Act. However, the University subsequently processed
a return of Title IV funds for the student. The University asserted that error occurred because the student was
listed on a census report showing students who did not enroll in sufficient hours to receive aid, and the student’s
Title IV funds were incorrectly returned because the student’s CARES Act R2T4 waiver was overlooked. After
auditors brought the error to the University’s attention, it reinstated the student's aid and reported to the U.S.
Department of Education that the student qualified for relief under the CARES Act waiver exemption and reported
the amount of relief given. Not accurately identifying students who qualify for a waiver could result in those
students not receiving aid to which they are entitled.
Timeliness of Returns:
An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later
than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section
668.22(j)).
For 1 (2 percent) of 58 students tested who withdrew and required a return of Title IV funds, the University
did not return the funds within the required time frame. The University performed the return calculation and
executed a transaction to return the funds within its student information system; however, the University did not
return the Title IV funds to the U.S. Department of Education within the required 45-day time frame due to an error
in processing the return of those funds. After auditors selected the student for testing, the University returned Title
IV funds as required; therefore, there were no questioned costs. Not returning funds within the required time
frame reduces the information available to the U.S. Department of Education for its program management.
The University had a process to review its calculations for returns of Title IV funds; however, it did not have
adequate controls to ensure that it identified the errors discussed above.
Recommendations:
The University should strengthen its controls to ensure that it:
• Accurately calculates returns of Title IV funds when required, including review of the variables it uses in those
calculations.
• Performs return of Title IV calculations and returns funds within the required time frame.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. For 1 (2 percent) of 58 students tested who withdrew
and required a return of Title IV funds, the University did not return the funds within the required time frame. For 1
(2 percent) of 60 students tested, the University incorrectly calculated the amount of Title IV funds to be returned.
For 1 (50 percent) of 2 students tested eligible for relief under the CARES Act, the University incorrectly
processed a return of Title IV funds. Through analysis of the exceptions identified in the audit, the University will
work to develop and implement corrective action to improve the processes further.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222336; and Federal Direct Student Loans, P268K232336 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No
Federal regulations and related guidance governing Title IV student aid programs require schools to report the
enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan
Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to
submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next
60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan)
has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at
least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title
34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include
Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30,
2012 (GEN-12-06)).
Institutions are required to report the program(s) of attendance for the student, including classification of
instructional programs (CIP) code, program credential level, program length, program enrollment status, and other
data about the program. The program enrollment effective date is the date that the current enrollment status
reported for a student was first effective and the program begin date is the date the student first began attending
the program being reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4).
Institutions may not be immediately aware of a student’s enrollment status change when it happens. When the
institution does become aware of such a change, it must report the status change using the actual enrollment
status effective date, not the date when the institution became aware of the change (NSLDS Enrollment Reporting
Guide, November 2022, Chapter 4; and U.S. Department of Education Electronic Announcement, NSLDS
Enrollment Reporting - Submission Dates, Effective Dates and Certification Dates, April 20, 2017).
The University of Texas at Austin (University) uses the services of the National Student Clearinghouse (NSC) to
report status changes to NSLDS. Under this arrangement, the University reports all students enrolled and their
status to NSC. NSC then identifies any changes in status and reports those changes when required to NSLDS.
Although the University uses the services of NSC, the University still has the primary responsibility to report any
changes in student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide,
November 2022, Chapter 3, Section 3.3).
For 4 (7 percent) of 61 students tested, the University did not accurately report program-level data
elements to NSLDS. Specifically, the University incorrectly reported the program enrollment effective date as the
first date of the term, rather than the actual effective date of the students’ enrollment status change. The
University asserted those errors were caused by changes implemented in its automated enrollment reporting
process to reflect the new 2023 academic calendar.
Not reporting student status changes accurately could affect determinations that guarantors, lenders, and
servicers of student loans make related to in-school status, deferments, grace periods, and repayment schedules.
Recommendation:
The University should strengthen its controls to ensure that program enrollment effective dates are reported to
NSLDS accurately.
Views of Responsible Officials:
The University acknowledges and agrees with the Program Enrollment Effective Date finding. Program Enrollment
Effective Date is defined as the date a student’s enrollment status changes during a semester of enrollment (i.e.
student’s enrollment status changes from full-time to half-time status). For 4 (7 percent) of 61 students tested, the
University did not accurately report program-level data elements to NSLDS. Specifically, the University incorrectly
reported the program enrollment effective date as the first date of the term, rather than the date the students’
enrollment status actually changed. The University asserted those errors were caused by required changes to its
automated enrollment reporting process to accommodate the newly implemented structure of its academic
calendar. Through analysis of the exceptions identified in the audit, the University has developed and
implemented corrective action to further improve the processes.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224174; Federal Work-Study Program, P033A224174; Federal Pell Grant Program, P063P223234; Federal Direct Student Loans, P268K233234; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233234 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, CFR, Sections 668.2, 673.5, and 685.301). The University of Texas at Dallas (University) established different COA budgets for each term based on a student’s tuition rate (guaranteed or variable); classification (undergraduate or graduate); residency (in-state and out-of-state); living status (on-campus, off-campus, or at home); and enrollment level (full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting formulas within the University’s student information system are used to assign various budget components based on the factors noted above. The University did not always accurately configure COA budget components in its student information system. Specifically, the University incorrectly set the Summer transportation budget for a certain group of students—undergraduate students with a guaranteed tuition rate who were in-state residents living at home and enrolled half-time—to $640 instead of $928. After auditors brought the issue to the University’s attention, it identified 299 students who were affected. As a result, the COA for those students was understated by a total of $86,112 for the Summer 2023 term. The errors discussed above did not result in overawards of financial assistance; therefore, there were no questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or underawarding financial assistance to students. Recommendation:
The University should ensure that it accurately configures COA budget components within its student information
system.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
While reviewing the population for submission to the auditors, the University determined that the above error had
occurred. Since the timing was still within the summer semester, we corrected the COA component error and
provided institutional grant funding for those students who had increased need due to the update in their summer
transportation budget. There were only 2 students who needed to have their loans repackaged to avoid under
awarding federal aid, which was done.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222338; and Federal Direct Student Loans, P268K232338 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Federal regulations and related guidance governing Title IV student aid programs require schools to report the enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next 60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan) has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half_x0002_time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title 34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30, 2012 (GEN-12-06)). Institutions are required to report the campus-level enrollment for the student, including enrollment status and the effective date of that enrollment status. For enrollment status changes to three-quarter-time, half-time, and less_x0002_than-half-time status, the institution must use the effective date that the student changed to those particular statuses (NSLDS Enrollment Reporting Guide, November 2022, Chapter 1 and Appendix C). Institutions also are required to report the program(s) of attendance for the student, including classification of instructional programs (CIP) code, program credential level, program length, program enrollment status, and other data about the program. The program enrollment effective date is the date that the current enrollment status reported for a student was first effective and the program begin date is the date the student first began attending the program being reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4). To protect a student’s interest subsidy, institutions are required to report a graduated status for students who have completed their course of study (NSLDS Enrollment Reporting Guide, November 2022, Chapter 4 and Appendix C). Institutions may not be immediately aware of a student’s enrollment status change when it happens. When the institution does become aware of such a change, it must report the status change using the actual enrollment status effective date, not the date when the institution became aware of the change (NSLDS Enrollment Reporting Guide, November 2022, Chapter 4; and U.S. Department of Education Electronic Announcement, NSLDS Enrollment Reporting - Submission Dates, Effective Dates and Certification Dates, April 20, 2017). The University of Texas at El Paso (University) uses the services of the National Student Clearinghouse (NSC) to report status changes to NSLDS. Under this arrangement, the University reports all students enrolled and their status to NSC. NSC then identifies any changes in status and reports those changes when required to NSLDS. Although the University uses the services of NSC, the University still has the primary responsibility to report any changes in student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide, November 2022, Chapter 3, Section 3.3). For 3 (5 percent) of 62 students tested, the University did not accurately report campus- and program level enrollment effective dates or did not report enrollment status changes to NSLDS. Specifically:
• For two students, the effective date of the students’ withdrawn status was reported incorrectly at both the
campus and program levels. The University reported one student’s withdrawal effective date as the end of the
payment period, instead of the actual date of withdrawal. The University determined the second student never
attended the Summer 2023 term and reported an incorrect withdrawal date instead of the student’s actual last
date of attendance, which was the last day of the Fall 2022 term.
• For one student, the University did not report an enrollment status change to NSLDS. The student’s
enrollment status decreased from three-quarter-time to less-than-half-time after the University approved a
medical withdrawal for certain courses after the term had ended, and the University did not report that
change.
For 2 (12 percent) of 17 students tested who received a Direct Loan and ceased to be enrolled on at least
a half-time basis or changed their permanent address, the students’ enrollment status was not reported to
NSLDS in a timely manner. Specifically, both students’ graduated status was received by NSLDS 73 days after
the students graduated.
The University had a process to monitor enrollment information reported to NSC and NSLDS; however, that
process was not sufficient to identify the errors discussed above. Not reporting student status changes accurately
and in a timely manner could affect determinations that guarantors, lenders, and servicers of student loans make
related to in-school status, deferments, grace periods, and repayment schedules.
Recommendations:
The University should:
• Strengthen its controls to ensure that campus- and program-level enrollment statuses and effective dates are
reported to NSLDS accurately.
• Ensure that all graduated statuses are reported to NSLDS in a timely manner.
Views of Responsible Officials:
The University acknowledges the findings and recommendations. Staff members have begun working on the
corrective action plan to improve the processes and implement any necessary changes by the end of the spring
2024 semester.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224169; Federal Pell Grant Program, P063P223294; Federal Direct Student Loans, P268K233294; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233294 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $64,905 Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). The total number of calendar days in a payment period or period of enrollment includes all days within the payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)). The University of Texas at San Antonio (University) made errors in Title IV return calculations for 14 (56 percent) of 25 students tested. Those errors occurred because the University did not exclude break days from its calculations of returns of Title IV funds for the Spring 2023 term as required; therefore, that issue would have affected all students who withdrew from the Spring 2023 term and had a return calculation performed. Although the amount of unearned Title IV assistance calculated for those students was incorrect, there were no questioned costs because the University returned more funds than required. In addition, for 3 (12 percent) of 25 students tested who did not have a return of Title IV funds made, the
University did not perform a return calculation as required. Those errors occurred because the University
incorrectly used 7 break days instead of 8 break days when determining whether students who withdrew from the
Spring 2023 term had completed 60 percent or more of the term. As a result, the University did not perform return
calculations and return funds as required for students who withdrew between March 26 and March 28, 2023,
which resulted in total questioned costs of $50,146 associated with ALN 84.268, Federal Direct Student Loans,
award number P268K233294, and $14,759 associated with ALN 84.063, Federal Pell Grant Program, award
number P063P223294.
The University did not have an adequate monitoring process to identify those errors. Not having a process that
consistently calculates and returns the correct amount of Title IV funds increases the risk that the University could
return less Title IV funds than it is required to return.
Recommendations:
The University should:
• Accurately determine the number of days in the payment period and exclude any scheduled breaks as
required.
• Strengthen its controls to ensure that it detects and corrects errors in return of Title IV calculations and returns
Title IV funds.
Views of Responsible Officials:
The University acknowledges and agrees with the finding that were the result of staff turnover. Through analysis
of the exceptions identified in the audit, the University has worked to develop and implement corrective action.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P223294; and Federal Direct Student Loans, P268K233294 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Federal regulations and related guidance governing Title IV student aid programs require schools to report the enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next 60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan) has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half_x0002_time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title 34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30, 2012 (GEN-12-06)). Enrollment is reported for a specific location of each campus; that is, the eight-digit Office of Postsecondary Education Identification (OPEID) number. Most students are enrolled in coursework at only one location. However, for students who are taking coursework at multiple locations of the same school, the school must determine which location is the student’s “primary location” and report the combined enrollment for the student using that location to NSLDS. A student’s “primary location” is the location where the student is taking more coursework than at any other location. Reporting a student’s enrollment at the main campus does not satisfy the enrollment reporting requirement if aid was disbursed or the student was physically attending school at a different location (NSLDS Enrollment Reporting Guide, November 2022, Chapters 4 and 6). The University of Texas at San Antonio (University) uses the services of the National Student Clearinghouse (NSC) to report status changes to NSLDS. Under this arrangement, the University reports all students enrolled and their status to NSC. NSC then identifies any changes in status and reports those changes to NSLDS when required. Although the University uses the services of NSC, the University still has the primary responsibility to report any changes in student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide, November 2022, Chapter 3, Section 3.3). For 2 (8 percent) of 26 students tested, the University inaccurately reported the OPEID number to NSLDS. Specifically for those students, the University incorrectly reported the OPEID number of the main campus, instead of the OPEID number of the location where the students were taking the majority of their coursework. The University asserted that it reports the main campus OPEID number for all students to NSLDS; therefore, the errors discussed above would have affected all students who did not take the majority of their coursework at the main campus location. Not reporting student information accurately could affect determinations that guarantors, lenders, and servicers of student loans make related to in-school status, deferments, grace periods, and repayment schedules. Recommendation:
The University should implement a process to ensure that it accurately reports the OPEID number to NSLDS for
students who take the majority of their coursework at a location other than the main campus.
Views of Responsible Officials:
The University acknowledges and agrees with the finding, which has had no impact on accurately reporting the
enrollment levels of our students to NSLDS.
Special Tests and Provisions – Enrollment Reporting
Federal Agency: U.S. Department of Education
Federal Program Title: Student Financial Assistance Cluster
Assistance Listing Number: 84.063; and 84.268
Pass-Through Agency: N/A
Award Number: Federal Pell Grant Program, P063P222337; and Federal Direct Student
Loans, P268K232337
Award Period: July 1, 2022, to June 30, 2023
Statistically Valid Sample: No and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency and Noncompliance
Questioned Costs: None
Repeat Finding: No
Federal regulations and related guidance governing Title IV student aid programs require schools to report the
enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan
Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to
submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next
60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan)
has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at
least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title
34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include
Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30,
2012 (GEN-12-06)).
Institutions are required to report the program(s) of attendance for the student, including classification of
instructional programs (CIP) code, program credential level, program length, program enrollment status, and other
data about the program. The program enrollment effective date is the date that the current enrollment status
reported for a student was first effective and the program begin date is the date the student first began attending
the program being reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4).
To protect a student’s interest subsidy, institutions are required to report a graduated status for students who have
completed their course of study (NSLDS Enrollment Reporting Guide, November 2022, Chapter 4 and Appendix
C). Institutions may not be immediately aware of a student’s enrollment status change when it happens. When the
institution does become aware of such a change, it must report the status change using the actual enrollment
status effective date, not the date when the institution became aware of the change (NSLDS Enrollment Reporting
Guide, November 2022, Chapter 4; and U.S. Department of Education Electronic Announcement, NSLDS
Enrollment Reporting - Submission Dates, Effective Dates and Certification Dates, April 20, 2017).
For 6 (10 percent) of 61 students tested, the University of Texas Health Science Center at San Antonio
(Health Science Center) did not accurately report the program begin date to NSLDS. Specifically, those
students began attendance in the program on July 29, 2019; however, the Health Science Center reported a
program begin date of either January 6, 2020, or May 18, 2020. The Health Science Center asserted those errors
were caused by the CIP code year conversion from 2010 to 2020 within the Health Science Center Registrar’s
Office. After auditors brought those errors to the Health Science Center’s attention, the Health Science Center
corrected the program begin date for all six students.
Not reporting student program information accurately could affect determinations that guarantors, lenders, and
servicers of student loans make related to in-school status, deferments, grace periods, and repayment schedules.
Recommendation:
The Health Science Center should strengthen its controls to ensure that program begin dates are reported to
NSLDS accurately.
Views of Responsible Officials:
The University acknowledges noncompliance of validating program start dates aligned to Classification of
Instructional Program (CIP codes) and graduated student status. Through analysis of the exceptions identified in
the audit, the University will work to develop and implement corrective action to improve processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). The University of Texas Permian Basin (University) did not appropriately restrict user access to its student information system. Specifically, the University did not always limit access to the student information system to only users who needed that access based on their job responsibilities. The University had a process to periodically review user access; however, that review was not sufficient to identify the inappropriate access. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. Recommendation: The University should ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. Views of Responsible Officials: The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the audit, the University has worked to implement further access limitations and enhanced its periodic review of access.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224178; Federal Work-Study Program, P033A224178; Federal Pell Grant Program, P063P223265; Federal Direct Student Loans, P268K233265; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233265 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). The University of Texas Permian Basin (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate), program (in-person or online), residency (in_x0002_state or out-of-state), living status (on-campus, off-campus, or at home with parents), and enrollment level (full_x0002_time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 60 (98 percent) of 61 students tested, the University incorrectly calculated the COA. For some of the students discussed below, there were multiple errors in the COA calculation. Specifically: • For 38 students, the University assigned an incorrect amount for the fees, loan fees, and/or transportation budget components. Those errors occurred because the amounts were incorrectly loaded into the budget tables in the University’s student information system. The University asserted that it discovered these issues in April 2023, and attempted to manually update individual student accounts that were affected. As a result, the COA for those students was overstated, and three students were overawarded a total of $2,871. After auditors brought the overawards to the University’s attention, it returned funds to the U.S. Department of Education; therefore, there were no questioned costs. • For 15 students, the University assigned an in-person budget instead of an online advanced budget. Those
errors occurred because the University failed to consistently communicate which programs were offered
online to the financial aid office, which would have helped ensure that the student information system was
updated appropriately. As a result, the COA for those students was overstated, and one of those students
was overawarded a Subsidized Direct Loan in the amount of $919. After auditors brought the overaward to
the University’s attention, it returned funds to the U.S. Department of Education; therefore, there were no
questioned costs.
• For 12 students, the University incorrectly assigned an additional room and board fee. As a result, the COA
was overstated by $50 per term for each of those students; however, the University did not overaward
financial assistance to those students.
• For eight students, the University did not adjust the students’ COA to reflect the students’ actual enrollment.
The University did not have a process to freeze student enrollment levels in order to recalculate COA after
census. As a result, the COA for those students was overstated; however, the University did not overaward
financial assistance to those students.
The University did not have adequate controls in place to review budgets used in the calculation of COA and
accurately assign those budgets to students. Incorrectly calculating COA increases the risk of overawarding or
underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets in
accordance with its process and does not overaward financial assistance to students.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University has worked to implement additional controls as it relates to calculation of the Cost of
Attendance.
Special Tests and Provisions – Disbursements To or On Behalf of Students Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Direct Student Loans, P268K233265; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233265 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Award and Disbursement Notifications: Before an institution disburses Title IV, Higher Education Act of 1965 (HEA) program funds for any award year, the institution must notify a student of the amount of funds that the student or his or her parent can expect to receive under each Title IV, HEA program, and how and when those funds will be disbursed. If those funds include Direct Loan program funds, the notice must indicate which funds are from subsidized loans, which are from unsubsidized loans, and which are from PLUS loans (Title 34, Code of Federal Regulations (CFR), Section 668.165(a)(1)). If an institution credits a student’s ledger account with Federal Direct Student Loan (Direct Loan) funds or Teacher Education Assistance for College and Higher Education (TEACH) Grant funds, the institution must notify the student or parent of (1) the anticipated date and amount of the disbursement, (2) the student’s or parent’s right to cancel all or a portion of that loan or grant and have the loan or grant proceeds returned to the U.S. Department of Education, and (3) the procedures and time by which the student or parent must notify the institution that he or she wishes to cancel the loan or grant, or loan or grant disbursement (Title 34, CFR, Section 668.165(a)(2)). The institution must provide the notice in writing no earlier than 30 days before, and no later than 30 days after, crediting the student’s ledger account at the institution (Title 34, CFR, Section 668.165(a)(3)). For 9 (15 percent) of 61 disbursements tested, the University of Texas Permian Basin (University) did not send a disbursement notification as required. Specifically, those nine students received Direct Loan disbursements, and the University did not send disbursement notifications because the University’s automated process used to identify and send disbursement notifications to students was not configured to include students whose disbursements were made manually within the student information system. The University asserted that it identified this issue in May 2023 and corrected the process in its student information system, but did not retroactively send the missing disbursement notifications for the Fall 2022 or Spring 2023 term. In addition, the University did not have a process in place to send award or disbursement notifications to TEACH Grant recipients. This error occurred because the University’s automated processes used to identify and send award and disbursement notifications to students was not configured to include TEACH Grants. The University asserted that it identified this issue in May 2023 and corrected the processes in its student information system, but it did not retroactively send missing disbursement notifications for the Fall 2022 or Spring 2023 term. Not receiving award and disbursement notifications impairs students’ and parents’ ability to budget for the cost of attending or exercise the option to cancel their loans or grants. Recommendation: The University should strengthen its controls to ensure that it identifies all students that require an award or disbursement notification, and sends those notifications to the students. Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University has worked to ensure that disbursement notifications for Federal Direct Loans and TEACH
grants go out to all applicable students.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224178; Federal Pell Grant Program, P063P223265; Federal Direct Student Loans, P268K233265; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233265 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs, and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). The total number of calendar days in a payment period or period of enrollment includes all days within the
payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks
of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the
number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)).
For a program offered in modules, a student is not considered to have withdrawn if the student successfully
completes either (1) a module that includes 49 percent or more of the number of days in the payment period,
excluding scheduled breaks of five or more consecutive days and all days between modules; or (2) a combination
of modules that together contain 49 percent or more of the number of days in the payment period, excluding
scheduled breaks of five or more consecutive days and all days between modules (Title 34, CFR, Section
668.22(a)(2)(ii)(A)(2)).
For 3 (6 percent) of 48 students tested who did not have a return of Title IV funds made, the University of
Texas Permian Basin (University) did not perform a return calculation as required. Specifically:
• For two students who were enrolled in module courses, the University did not perform a return calculation
because it incorrectly determined that the students completed 49 percent or more of the number of days in
the payment period. The University asserted that staff misinterpreted the 49 percent withdrawal exemption
requirements.
• For one student, the University did not perform a return calculation and return funds as required due to staff
oversight.
After auditors brought those errors to the University’s attention, the University performed the return calculations
and returned the funds to the U.S. Department of Education; therefore, there were no questioned costs.
In addition, the University made errors in Title IV return calculations for 11 (48 percent) of 23 students
tested. Specifically, the University did not exclude any break days from the students’ return calculations as
required. Those errors occurred because the University did not load the break days into its student information
system when setting up the payment periods for the standard Fall 2022 and Spring 2023 terms; therefore, this
issue would have affected all students who withdrew from those terms. As a result, the University returned a total
of $284 less than it should have for 2 of those 11 students. After auditors brought the issue to the University’s
attention, the University returned those funds to the U.S. Department of Education; therefore, there were no
questioned costs.
• For 3 of those 11 students, the University also incorrectly adjusted the students’ Direct Loans disbursements
prior to performing the return calculation. As a result of those errors, the University returned more funds than
required; therefore, there were no questioned costs.
The University did not have an adequate monitoring process to identify the errors discussed above. Not having a
process that consistently calculates and returns the correct amount of Title IV funds increases the risk that the
University could return less Title IV funds than it is required to return.
Timeliness of Returns:
An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later
than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section
668.22(j)).
For 3 (13 percent) of 23 students tested who withdrew and required a return of Title IV funds, the
University did not return the funds within the required time frame. The University returned the Title IV funds
to the U.S. Department of Education 46 and 203 days after the University determined that the students withdrew.
The University did not have adequate controls in place to ensure that Title IV funds were returned within the
required 45-day time frame. Not making returns within required time frames reduces the funds available to the U.S. Department of Education
for its program management.
Recommendations:
The University should:
• Configure its student information system to exclude any scheduled breaks as required.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in return of Title IV calculations
and returns Title IV funds in a timely manner.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University has worked to ensure procedures and interpretation of the regulations for the Return to Title
IV have been updated to result in correct and timely return of Title IV funds.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P223265; and Federal Direct Student Loans, P268K233265 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No
Federal regulations and related guidance governing Title IV student aid programs require schools to report the
enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan
Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to
submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next
60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan)
has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at
least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title
34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include
Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30,
2012 (GEN-12-06)).
Institutions are required to report the campus-level enrollment for the student, including enrollment status and the
effective date of that enrollment status. For enrollment status changes to three-quarter-time, half-time, and less than-half-time status, the institution must use the effective date that the student dropped to those particular
statuses (NSLDS Enrollment Reporting Guide, November 2022, Chapter 1, 4, 7, and Appendix C). Institutions
also are required to report the program(s) of attendance for the student, including classification of instructional
programs (CIP) code, program credential level, program length, program enrollment status, and other data about
the program. The program enrollment effective date is the date that the current enrollment status reported for a
student was first effective, and the program begin date is the date the student began attending the program being
reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4).
Institutions may not be immediately aware of a student’s enrollment status change when it happens. When the
institution does become aware of such a change, it must report the status change using the actual enrollment
status effective date, not the date when the institution became aware of the change (NSLDS Enrollment Reporting
Guide, November 2022, Chapter 4; and U.S. Department of Education Electronic Announcement, NSLDS
Enrollment Reporting - Submission Dates, Effective Dates and Certification Dates, April 20, 2017). For instances
in which a student completes one academic program and then enrolls in another academic program at the same
school, the school must report two separate enrollment transactions: one showing the completion of the first
program and its effective date and credential level, and the other showing the enrollment in the second program
and its effective date (Dear Colleague Letter, March 30, 2012 (GEN-12-06)). For a student who has graduated,
institutions that initially report a withdrawn status must subsequently report the student as having graduated by
certifying a “G” status at the campus level and/or program level as appropriate (NSLDS Enrollment Reporting
Guide, November 2022, Chapter 4, Section 4.4.3).
The University of Texas Permian Basin (University) uses the services of the National Student Clearinghouse
(NSC) to report status changes to NSLDS. Under this arrangement, the University reports all students enrolled
and their status to NSC. NSC then identifies any changes in status and reports those changes to NSLDS when
required. Although the University uses the services of NSC, the University still has the primary responsibility to
report any changes in student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting
Guide, November 2022, Chapter 3, Section 3.3).
For 8 (13 percent) of 61 students tested, the University did not report enrollment status changes or did
not accurately report campus- and program-level data elements to NSLDS. Specifically:
• For three students, the effective date for the students’ withdrawn status was reported incorrectly. Those
students were determined to have never attended the Spring 2023 term. The University incorrectly reported
the last day of the Spring 2023 term as the effective date at the campus and program level, rather than the
students’ actual last date of attendance.
• For two students, enrollment status changes were inaccurately reported at the campus and program levels.
Both students were enrolled full-time in the Spring 2023 term and had enrollment changes to half-time;
however, the University incorrectly reported to NSLDS a less-than-half-time status for one student and a
withdrawn status for the other student.
• For two students, the University incorrectly reported the effective date of enrollment status changes at the
campus and program levels.
• For one student, the enrollment status for the Spring 2023 term was reported incorrectly at the campus and
program levels because the University used graduate-level enrollment rather than undergraduate-level
enrollment. The University asserted that the student was enrolled as an undergraduate in the Spring 2023
term and as an undergraduate and graduate in the Summer 2023 term. This error was caused by the
University not submitting the student’s undergraduate program information to NSLDS.
For 3 (9 percent) of 33 students tested who received a Direct Loan and ceased to be enrolled on at least a
half-time basis or changed their permanent address, the students’ enrollment status was not reported to
NSLDS in a timely manner. Specifically, the University reported the 3 students’ withdrawn status 118 days after
it became aware that the students either never attended or unofficially withdrew from the Spring 2023 term.
The issues discussed above occurred because the University (1) did not configure its student information system
to accurately report student enrollment and program information to NSLDS, (2) did not establish formal and
documented policies over student enrollment reporting until policies were requested by auditors, and (3) did not
have an adequate process to monitor student enrollment and program information reported to NSLDS. Not
reporting student status changes accurately and in a timely manner could affect determinations that guarantors,
lenders, and servicers of student loans make related to in-school status, deferments, grace periods, and
repayments schedules.
Recommendation:
The University should strengthen its controls to ensure that campus- and program-level data elements are
reported accurately and in a timely manner to NSLDS.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University is working to ensure that procedures and queries used for exporting enrollment information to
the National Student Clearinghouse are updated so that reporting is accurate and timely.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222296; and Federal Direct Student Loans, P268K232296 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Federal regulations and related guidance governing Title IV student aid programs require schools to report the enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next 60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan) has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half_x0002_time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title 34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30, 2012 (GEN-12-06)). Institutions are required to report the campus-level enrollment for the student, including enrollment status and the effective date of that enrollment status. For enrollment status changes to three-quarter-time, half-time, and less_x0002_than-half-time status, the institution must use the effective date that the student dropped to those particular statuses (NSLDS Enrollment Reporting Guide, November 2022, Chapter 1, 4, 7, and Appendix C). Institutions also are required to report the program(s) of attendance for the student, including classification of instructional programs (CIP) code, program credential level, program length, program enrollment status, and other data about the program. The program enrollment effective date is the date that the current enrollment status reported for a student was first effective and the program begin date is the date the student began attending the program being reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4). For a student who has graduated, institutions that initially report a withdrawn status must subsequently report the student as having graduated by certifying a “G” status at the campus level and/or program level as appropriate (NSLDS Enrollment Reporting Guide, November 2022, Chapter 4, Section 4.4.3). The University of Texas Rio Grande Valley (University) uses the services of the National Student Clearinghouse (NSC) to report status changes to NSLDS. Under this arrangement, the University reports all students enrolled and their status to NSC. NSC then identifies any changes in status and reports those changes to NSLDS when required. Although the University uses the services of NSC, the University still has the primary responsibility to report any changes in student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide, November 2022, Chapter 3, Section 3.3). For 2 (3 percent) of 62 students tested, the University inaccurately reported the students’ program-level
graduated status effective date to NSLDS. For those students, the graduated status effective date was
reported correctly to NSLDS at the campus level; however, a different effective date was incorrectly reported at
the program level for the students’ graduated status. The effective date reported at the program level should be
the same date reported at the campus level because those dates reflect the same graduated status change. The
University identified and corrected the program-level effective date for one of those students after auditors
selected the student for testing.
Not reporting student status changes accurately and in a timely manner could affect determinations that
guarantors, lenders, and servicers of student loans make related to in-school status, deferments, grace periods,
and repayment schedules.
Recommendation:
The University should strengthen its controls to ensure that program-level data elements are reported to NSLDS
accurately.
Views of Responsible Officials:
UTRGV acknowledges and concurs with the audit finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the process.
Special Tests and Provisions – Disbursement To or On Behalf of Students Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222333; Federal Direct Student Loans, P268K232333; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232333 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Allowable Charges: An institution may credit a student's ledger account with Title IV, Higher Education Act of 1965 (HEA) program funds to pay for allowable charges associated with the current payment period. Allowable charges are: (1) the amount of tuition, fees, and institutionally provided room and board assessed the student for the payment period or the prorated amount of those charges if the institution debits the student's ledger account for more than the charges associated with the payment period; and (2) the amount incurred by the student for the payment period for purchasing books, supplies, and other educationally related goods and services provided by the institution for which the institution obtains the student’s or parent’s authorization under Section 668.165(b) (Title 34, Code of Federal Regulations (CFR), Section 668.164(c)(1)). If an institution obtains written authorization from a student or parent, as applicable, the institution may: (1) use the student’s or parent’s Title IV, HEA program funds to pay for charges that are included in that authorization, and (2) hold on behalf of the student or parent any Title IV, HEA program funds that would otherwise be paid directly to the student or parent as a credit balance, unless the Secretary provides funds to the institution under the reimbursement payment method or the heightened cash monitoring payment method (Title 34, CFR, Section 668.165(b)(1)). An institution may not use Title IV funds to pay finance charges or fees that are incurred because a student uses a financing method provided by the school to pay for educational expenses over time. Because students or families choose to incur these additional expenses rather than paying the balance due at registration, the additional charges are not considered educational expenses, and may not be included in a student’s cost of attendance. (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 2). For 13 (21 percent) of 62 students tested, the University of Houston (University) used Title IV funds to pay unallowable charges. Some of those students were affected by both errors discussed below. Specifically: • For eight students, the University credited student ledger accounts during the payment period for unallowable charges unrelated to tuition, fees, or institutionally provided room and board. The unallowable finance charges paid with Title IV funds included various fees (credit card processing, severance of service, installment origination, and late fees), and various loan charges. Those charges are unallowable whether the University obtains student or parent authorization or not. The University asserted it is conducting a comprehensive review of all charges to determine allowability for Title IV funds. • For eight students, the University credited student ledger accounts during the payment period for charges other than tuition, fees, or institutionally provided room and board without obtaining the authorization of the student or parent. The unallowable charges paid with Title IV funds included various parking and garage related fees, meal plan tax charges, and book loan university fund charges. Those errors occurred because the University did not have a process to obtain written authorization from a student or parent to apply Title IV funds to charges other than tuition, fees, and institutionally provided room and board. Not receiving all Title IV funds a student is entitled to impairs students’ and parents’ ability to budget for the cost
of attending.
Recommendations:
The University should strengthen its controls to ensure that:
• It does not credit student ledger accounts for unallowable charges.
• It obtains written authorization from students or parents prior to crediting student ledger accounts for certain
charges.
Views of Responsible Officials:
The University acknowledges and agrees with the findings. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224166; Federal Pell Grant Program, P063P222333; Federal Direct Student Loans, P268K232333; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232333 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). The institution must return the lesser of the total amount of unearned Title IV assistance calculated above or an amount equal to the total institutional charges incurred by the student for the payment period or period of enrollment multiplied by the percentage of Title IV grant or loan assistance not earned by the student. For purposes of this calculation, “institutional charges” are tuition, fees, room and board (if the student contracts with the institution for the room and board), and other educationally related expenses assessed by the institution (Title 34, CFR, Section 668.22(g)). The institutional charges used in the calculation are usually the charges that were initially assessed to the student for the entire payment period or period of enrollment, as applicable. Initial charges may be adjusted only by those changes the institution made prior to the student’s withdrawal, such as a change in enrollment status unrelated to the withdrawal (U.S. Department of Education, 2022- 2023 Federal Student Aid Handbook, Volume 5, Chapter 1, Section: Institutional Charges). The University of Houston (University) made errors in Title IV return calculations for 18 (30 percent) of 60
students tested. Specifically:
• For 15 students, the University made errors in determining the amount of institutional charges to be used in
the return calculation by including unallowable charges in its calculation for those students.
• For two students, the University returned the incorrect amount of Title IV funds due to manual entry errors.
For one of those students, the University also incorrectly included unallowable charges in the student’s return
calculation as discussed above.
• For one student, the University incorrectly canceled the student’s Federal Pell Grant award before its
calculation. The University asserted that was due to a processing error in its student information system.
There were no questioned costs as a result of those errors because for each student the University returned more
than the required amount or the error did not affect the amount of Title IV grant or loan assistance to be returned.
Distance Education:
For distance education, documenting that a student has logged into an online class is not sufficient to
demonstrate academic attendance by the student. An institution must demonstrate that a student participated in
class or was otherwise engaged in an academically related activity. Only active participation by a student in an
instructional activity related to the student’s course of study that meets the definition of “academic engagement” in
Title 34, CFR, Section 600.2 and takes place during a payment period or period of enrollment qualifies as
attendance in an academically related activity (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 5, Chapter 2).
For 1 (7 percent) of 14 students tested, the University did not have evidence of academic engagement in
the distance education course from which the student’s withdrawal date was determined. The University
relies on the last dates of academic activity provided by instructors to determine the withdrawal date for return of
Title IV purposes for students who unofficially withdraw. However, the University did not have an adequate review
process in place to ensure that it maintained documentation supporting attendance in distance education courses.
As a result, the University could not demonstrate that the student participated or otherwise engaged in an
academically related activity in that course to support the last date of attendance used by the University for return
of Title IV purposes.
The University did not have an adequate monitoring process to identify the errors discussed above. Not having a
process that consistently calculates and returns the correct amount of Title IV funds increases the risk that the
University could return the incorrect amount of Title IV funds.
Recommendations:
The University should:
• Calculate institutional charges in accordance with U.S. Department of Education requirements.
• Ensure that evidence of academic engagement is consistently documented for students in distance education
courses.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in its calculation of Title IV
funds to return. Views of Responsible Officials:
The University acknowledges and agrees with the findings. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Enrollment Reporting
Federal Agency: U.S. Department of Education
Federal Program Title: Student Financial Assistance Cluster
Assistance Listing Number: 84.063; and 84.268
Pass-Through Agency: N/A
Award Number: Federal Pell Grant Program, P063P222333; and Federal Direct Student
Loans, P268K232333
Award Period: July 1, 2022, to June 30, 2023
Statistically Valid Sample: No and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency and Noncompliance
Questioned Costs: None
Repeat Finding: No
Federal regulations and related guidance governing Title IV student aid programs require schools to report the
enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan
Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to
submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next
60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan)
has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at
least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title
34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include
Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30,
2012 (GEN-12-06)). Institutions are required to report the campus-level enrollment for the student, including enrollment status and the
effective date of that enrollment status. For enrollment status changes to three-quarter-time, half-time, and less than-half-time status, the institution must use the effective date that the student dropped to those particular
statuses (NSLDS Enrollment Reporting Guide, November 2022, Chapter 1, 4, 7, and Appendix C). Institutions
also are required to report the program(s) of attendance for the student, including classification of instructional
programs (CIP) code, program credential level, program length, program enrollment status, and other data about
the program. The program enrollment effective date is the date that the current enrollment status reported for a
student was first effective and the program begin date is the date the student first began attending the program
being reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4). For a student who has
graduated, institutions that initially report a withdrawn status must subsequently report the student as having
graduated by certifying a “G” status at the campus level and/or program level as appropriate (NSLDS Enrollment
Reporting Guide, November 2022, Chapter 4, Section 4.4.3).
The University of Houston (University) uses the services of the National Student Clearinghouse (NSC) to report
status changes to NSLDS. Under this arrangement, the University reports all students enrolled and their status to
NSC. NSC then identifies any changes in status and reports those changes to NSLDS when required. Although
the University uses the services of NSC, the University still has the primary responsibility to report any changes in
student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide, November
2022, Chapter 3, Section 3.3).
For 3 (5 percent) of 61 students tested, the University did not report graduated status changes or did not
accurately report graduated status changes at the campus and program levels to NSLDS. Specifically:
• For two students, the University did not report a graduated status at the program level. However, the
graduated status for both students was correctly reported at the campus level. The University asserted that it
reported the graduated statuses to NSC; however, NSLDS had no record found reported for the program
level.
• For one student, a graduated status was not reported at the campus level, and the effective date of the
graduated status was incorrectly reported at the program level. The University asserted that it reported the
graduated status accurately to NSC.
For 24 (75 percent) of 32 students tested who received a Direct Loan and ceased to be enrolled on at least
a half-time basis or changed their permanent address, the student’s enrollment status was not reported to
NSLDS in a timely manner. Specifically:
• For 23 students, the students’ graduated status for the Spring 2023 term was not received by NSLDS until 85
days after that status became effective on May 11, 2023. The University certified and submitted the
graduation file to NSC on June 22, 2023; however, the statuses were not received by NSLDS until August 4,
2023.
• For one student, the University reported the status change 146 days after the student’s graduated status
became effective.
The errors discussed above occurred because the University did not have a process to ensure that student
enrollment and program information reported to NSC was accurately reported to NSLDS in a timely manner. Not
reporting student status changes accurately and in a timely manner could affect determinations that guarantors,
lenders, and servicers of student loans make related to in-school status, deferments, grace periods, and
repayment schedules.
Recommendation:
The University should develop and implement controls to ensure that campus-level and program-level data
elements are reported to NSLDS accurately and in a timely manner.
Views of Responsible Officials:
The University acknowledges and agrees with the findings. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions - Gramm-Leach-Bliley Act - Student Information Security Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Gramm-Leach-Bliley Act: Institutions must protect sensitive data, including information obtained in support of the administration of federal student financial assistance programs, as required by the Gramm-Leach-Bliley Act (GLBA) (Public Law 106-102). Under their Program Participation Agreement (PPA) and the GLBA, postsecondary educational institutions must protect student financial aid information, with particular attention to information provided by the Department of Education or otherwise obtained in support of the administration of the Title IV Federal student financial aid programs (Dear Colleague Letter, July 1, 2016 (GEN-16-12)). Institutions are required to develop, implement, and maintain an information security program that includes the minimum elements in Title 16, Code of Federal Regulations (CFR), Section 314.4. Those minimum requirements include conducting a periodic inventory of data, noting where it is collected, stored, or transmitted (Title 16, CFR, Section 314.4(c)(1)). In addition, the institution must designate a qualified individual responsible for overseeing, implementing, and enforcing the institution’s information security program (Title 16, CFR, Section 314.4(a)). The University of Houston’s (University) information security program did not address the implementation of all minimum safeguards as required by the GLBA. Specifically, while the University had designated a Qualified Individual to coordinate its information security program and had a written information security program in place, that program did not meet the requirements for conducting a periodic inventory of data. Not implementing all required safeguards in its information security program increases the University’s risk of data breach or loss. Recommendation:
The University should ensure that all elements required by the GLBA are documented and implemented in its
information security program.
Views of Responsible Officials:
The University acknowledges and agrees with the findings. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Disbursements To or On Behalf of Students Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222293; and Federal Direct Student Loans, P268K232293 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Allowable Charges and Credit Balance Authorizations: An institution may credit a student’s ledger account with Title IV, Higher Education Act of 1965 (HEA) program funds to pay for allowable charges associated with the current payment period. Allowable charges are: (1) the amount of tuition, fees, and institutionally provided room and board assessed the student for the payment period or the prorated amount of those charges if the institution debits the student’s ledger account for more than the charges associated with the payment period; and (2) the amount incurred by the student for the payment period for purchasing books, supplies, and other educationally related goods and services provided by the institution for which the institution obtains the student’s or parent’s authorization under Section 668.165(b) (Title 34, Code of Federal Regulations (CFR), Section 668.164(c)(1)). A Title IV, HEA credit balance occurs whenever the amount of Title IV, HEA program funds credited to a student’s ledger account for a payment period exceeds the amount assessed the student for allowable charges associated with that payment period. A Title IV, HEA credit balance must be paid directly to the student or parent as soon as possible, but no later than (1) fourteen days after the balance occurred if the credit balance occurred after the first day of class within a payment period; or (2) fourteen days after the first day of class within a payment period if the credit balance occurred on or before the first day of class within that payment period (Title 34, CFR, Section 668.164(h)). If an institution obtains written authorization from a student or parent, as applicable, the institution may: (1) use
the student’s or parent’s Title IV, HEA program funds to pay for charges that are included in that authorization,
and (2) hold on behalf of the student or parent any Title IV, HEA program funds that would otherwise be paid
directly to the student or parent as a credit balance, unless the Secretary provides funds to the institution under
the reimbursement payment method or the heightened cash monitoring payment method (Title 34, CFR, Section
668.165(b)(1)).
For 5 (8 percent) of 62 students tested, the University of North Texas (University) used Title IV funds to
pay unallowable charges. Specifically, the University credited student ledger accounts during the payment
period for charges other than tuition, fees, or institutionally provided room and board without obtaining the
authorization of the student or parent. The unallowable charges paid with Title IV funds included various fees (late
registration, replacement identification card, and parking), as well as the balance of institutional loans. Those
errors occurred because a statement designed to obtain the student’s authorization to apply the Title IV funds to
those types of charges was not included in the student self-service portal in the student information system as
intended.
For 1 (3 percent) of 36 students tested, the University did not obtain written authorization from the
student or parent to hold Title IV funds as a credit balance. Specifically, the University held $1,861 of Direct
Loans in excess of the student’s institutional charges, which should have been paid directly to the student or
parent.
Not receiving all Title IV funds a student is entitled to impairs students’ and parents’ ability to budget for the cost
of attending.
Recommendation:
The University should strengthen its controls to ensure that it obtains written authorization from students or
parents prior to crediting student ledger accounts for certain charges, or holding credit balances.
Views of Responsible Officials:
The University acknowledges and agrees with the findings regarding the payment of unallowable charges using
Title IV funds for 5 students and the lack of written authorization to hold a Title IV fund as a credit balance for 1
student. The University recognizes the importance of ensuring Title IV funds are used only toward allowable
charges and are not held as a credit balance without written authorization from the student or parent.
Special Tests and Provisions – Return of Title IV Funds
Federal Agency: U.S. Department of Education
Federal Program Title: Student Financial Assistance Cluster
Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379
Pass-Through Agency: N/A
Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG),
P007A224085; Federal Pell Grant Program, P063P222293; Federal Direct
Student Loans, P268K232293; and Teacher Education Assistance for
College and Higher Education Grants (TEACH), P379T232293
Award Period: July 1, 2022, to June 30, 2023
Statistically Valid Sample: No and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency and Noncompliance
Questioned Costs: None
Repeat Finding: No
Return of Title IV Calculations:
When a student who received Title IV grant or loan assistance withdraws from an institution during a payment
period or period of enrollment in which the student began attendance, the institution must determine the amount
of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of
Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned
by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date
of the institution’s determination that the student withdrew, the difference must be returned to the Title IV
programs and no additional disbursements may be made to the student for the payment period or period of
enrollment (Title 34, CFR, Section 668.22(a)(4)).
The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV
grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title
IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the
payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their
Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period
or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by
subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was
disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student
withdrew (Title 34, CFR, Section 668.22(e)).
The total number of calendar days in a payment period or period of enrollment includes all days within the
payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks
of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the
number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)). The University of North Texas (University) made errors in Title IV return calculations for 32 (52 percent) of
61 students tested. Those errors occurred because the University did not exclude any break days from its Title
IV return calculations for the Fall 2022 term as required; therefore, that issue would have affected all students
who withdrew from the Fall 2022 term and had an automated return calculation performed. Although the amount
of unearned Title IV assistance calculated for those students was incorrect, there were no questioned costs as a
result of those errors because the University returned more funds than required.
• For 1 of those 32 students, the University also did not accurately determine the withdrawal date for the
student who was enrolled in modules. After auditors brought the issue to the University’s attention, the
University re-performed the return calculation and returned the additional Title IV funds as required; therefore,
there were no questioned costs.
• In addition, for 1 of those 32 students, the University incorrectly returned Title IV funds for a student who
completed more than 60 percent of the term and did not require a return.
Distance Education:
For distance education, documenting that a student has logged into an online class is not sufficient to
demonstrate academic attendance by the student. An institution must demonstrate that a student participated in
class or was otherwise engaged in an academically related activity. Only active participation by a student in an
instructional activity related to the student’s course of study that meets the definition of “academic engagement” in
Title 34, CFR, Section 600.2, and takes place during a payment period or period of enrollment qualifies as
attendance in an academically related activity (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 5, Chapter 2).
For 1 (14 percent) of 7 students tested, the University did not have evidence of academic engagement for
the student who attended all distance education courses. The University relies on the last dates of
attendance (LDA) provided by instructors to determine the withdrawal date for Return of Title IV purposes for
students who unofficially withdraw. If no LDAs are provided by the instructors, the University uses the midpoint of
the term as the withdrawal date. The student was enrolled in all distance education courses, and the University
used the midpoint as the withdrawal for the student. However, the University could not provide evidence that the
student participated or otherwise engaged in an academically related activity in any of the distance education
courses. After auditors brought the issue to the University’s attention, the University performed a return
calculation and returned Title IV funds as required; therefore, there were no questioned costs.
Timeliness of Returns:
An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later
than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section
668.22(j)).
For 12 (20 percent) of 61 students tested who withdrew and required a return of Title IV funds, the
University did not return the funds within the required time frame. Specifically, the University returned the
Title IV funds to the U.S. Department of Education between 47 to 183 days after the University determined that
the students withdrew. The University asserted those errors occurred due to staffing issues and problems with the
transmission of the adjustments to the U.S. Department of Education’s Common Origination and Disbursement
(COD) system.
The University did not have an adequate monitoring process to identify those errors or document the review
process. Having a process that does not consistently calculate and return the correct amount of Title IV funds
increases the risk that the University could return incorrect amounts of Title IV funds. In addition, not making
returns within the required time frames reduces the funds available to the U.S. Department of Education for its
program management.
Recommendations:
The University should:
• Accurately determine the number of days in the payment period and exclude any scheduled breaks as
required.
• Ensure that evidence of academic engagement is consistently documented for students in distance education
courses.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in Title IV return calculations
and returns Title IV funds in a timely manner.
Views of Responsible Officials:
The University acknowledges and agrees with the findings regarding the Return of Title IV funds in cases where a
student officially or unofficial withdraws from the institution after the student begins attendance in a given payment
period or period of enrollment. The University acknowledges the importance of accurately calculating the Title IV
funds to be returned and the timely return of those funds.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222293; and Federal Direct Student Loans, P268K232293 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: 2020-136 Federal regulations and related guidance governing Title IV student aid programs require schools to report the enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next 60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan) has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half_x0002_time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title 34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30, 2012 (GEN-12-06)). Institutions are required to report the program(s) of attendance for the student, including classification of instructional programs (CIP) code, program credential level, program length, program enrollment status, and other data about the program. The program enrollment effective date is the date that the current enrollment status reported for a student was first effective, and the program begin date is the date the student began attending the program being reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4). For instances in which a student completes one academic program and then enrolls in another academic program at the same institution, the institution must report two separate enrollment transactions: one showing the completion of the first program and its effective date and credential level, and the other showing the enrollment in the second program and its effective date (Dear Colleague Letter, March 30, 2012 (GEN-12-06)). The University of North Texas (University) uses the services of the National Student Clearinghouse (NSC) to report status changes to NSLDS. Under this arrangement, the University reports all students enrolled and their status to NSC. NSC then identifies any changes in status and reports those changes when required to NSLDS. Although the University uses the services of NSC, the University still has the primary responsibility to report any changes in student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide, November 2022, Chapter 3). For 9 (36 percent) of 25 students tested, the University did not accurately report the program begin date to NSLDS. Specifically, the University reported the program begin date as the first day of the term after the students declared their major or were otherwise approved to enroll in the program, instead of the first day of the term in which the students actually began attendance in the program. The University asserted that the errors were caused by issues related to the configuration of the enrollment reporting processes in the University’s student information system. Not reporting student program information accurately could affect determinations that guarantors, lenders, and servicers of student loans make related to in-school status, deferments, grace periods, and repayments schedules. Recommendation:
The University should strengthen its controls to ensure that program begin dates are reported to NSLDS
accurately.
Views of Responsible Officials:
The University acknowledges and agrees with the findings regarding the accuracy of the program begin dates
reported for some students identified in the testing. The University acknowledges the importance of accurately
reporting program information for students receiving Title IV aid to ensure that guarantors, lenders, and servicers
of student loans are able to make accurate determinations related to in-school status, deferments, grace periods,
and repayment schedules.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 93.264 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224051; Federal Work-Study Program, P033A224051; Federal Pell Grant Program, P063P222282; Federal Direct Student Loans, P268K232282; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232282; and Nurse Faculty Loan Program (NFLP), 1 E01HP45821-01-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $1,409 Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). Direct Subsidized and Unsubsidized Loans have annual and aggregate limits that are the same for all students at a given grade level and dependency status. In general, a loan may not be more than the amount the borrower requests, the borrower’s unmet financial need, the borrower’s COA, or the borrower’s maximum borrowing limit. (U.S. Department of Education 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 5). Lamar University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate), dependency (dependent or independent), residency (in-state or out-of-state), living status (on-campus, off-campus, or at home with parents), and enrollment level (full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 23 (38 percent) of 61 students tested, the University incorrectly calculated the COA. Specifically, the
University did not adjust the students’ COA to reflect the students’ actual enrollment as of the census date. The
University experienced turnover in the Student Financial Aid department during the 2022–2023 award year, and
could not provide a cause for those errors. The University asserted that it implemented a process to recalculate
students’ COAs based on their actual enrollment at census beginning with the Fall 2023 term; however, the errors
discussed above occurred before that process was in place. As a result, the University overawarded two students.
• One of those students was assigned an overstated COA for the Fall 2022 term based on three-quarter-time
enrollment although the student’s actual enrollment was half-time. The student was awarded $5,294 in
Subsidized Direct Loans, which exceeded the student’s financial need, resulting in $1,113 in questioned costs
associated with ALN 84.268, Federal Direct Student Loans, award number P268K232282.
• The other student was assigned an overstated COA for the Spring 2023 term based on full-time enrollment
although the student did not attend during the term. The student was awarded $10,142 in Unsubsidized Direct
Loans, which exceeded the student’s actual COA, resulting in $296 in questioned costs associated with ALN
84.268, Federal Direct Student Loans, award number P268K232282.
The University did not have adequate controls in place to review budgets used in the calculation of COA and
accurately assign those budgets to students. Incorrectly calculating COA increases the risk of overawarding or
underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets in
accordance with its process and does not overaward financial assistance to students.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Disbursements To or On Behalf of Students Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 93.264 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224051; Federal Work-Study Program, P033A224051; Federal Pell Grant Program, P063P222282; Federal Direct Student Loans, P268K232282; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232282; and Nurse Faculty Loan Program (NFLP), 1 E01HP45821-01-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Award and Disbursement Notifications: Before an institution disburses Title IV, Higher Education Act of 1965 (HEA) program funds for any award year, the institution must notify a student of the amount of funds that the student or his or her parent can expect to receive under each Title IV, HEA program, and how and when those funds will be disbursed. If those funds include Direct Loan program funds, the notice must indicate which funds are from subsidized loans, which are from unsubsidized loans, and which are from PLUS loans (Title 34, Code of Federal Regulations (CFR), Section 668.165(a)(1)). If an institution credits a student’s ledger account with Federal Direct Student Loan (Direct Loan) funds or Teacher Education Assistance for College and Higher Education (TEACH) Grant funds, the institution must notify the student or parent of (1) the anticipated date and amount of the disbursement, (2) the student’s or parent’s right to cancel all or a portion of that loan or grant and have the loan or grant proceeds returned to the U.S. Department of Education, and (3) the procedures and time by which the student or parent must notify the institution that he or she wishes to cancel the loan or grant, or loan or grant disbursement (Title 34, CFR, Section 668.165(a)(2)). The institution must provide the notice in writing no earlier than 30 days before, and no later than 30 days after, crediting the student’s ledger account at the institution (Title 34, CFR, Section 668.165(a)(3)). For 21 (34 percent) of 62 disbursements tested, Lamar University (University) did not send an award or
disbursement notification as required. Specifically:
• For 20 students that received Direct Loan disbursements, the University did not send a disbursement
notification. The University asserted those errors occurred because the University was utilizing a manual
process to send out the disbursement notifications, and on those days when the employee charged with
performing the manual process was not present, the notifications were not sent to students.
• For one student who received Title IV funds, the University did not send an award notification. This error
occurred because the University manually packaged the student’s awards after clearing a verification
requirement, and the University did not have an adequate process in place to ensure that students who are
manually awarded receive an award notification.
Not receiving award and disbursement notifications impairs students’ and parents’ ability to budget for the cost of
attending or exercise the option to cancel their loans or grants.
Promissory Notes:
Institutions must establish a process to make loans consistent with institutional policies and federal laws and
regulations, including the completion of the following during disbursement: (1) signed promissory note, and (2)
disclosure of terms and conditions (Nurse Faculty Loan Program (NFLP) Administrative Guidelines, 42 United
States Code (U.S.C.) 297n-1 (Public Health Service Act Section 846A)).
The University did not have a process in place to require a promissory note for NFLP loans prior to
disbursement. NFLP loans were incorrectly identified in the student information system as a grant instead of a
loan. As a result, the student information system did not place a required hold on disbursements until the
promissory note requirement was completed.
Not requiring a signed promissory note prior to disbursement of loan funds could limit the University’s ability to
enforce repayment of the loan.
Recommendations:
The University should:
• Strengthen its controls to ensure that it identifies all students that require an award or disbursement
notification, and sends those notifications to the students.
• Configure controls in the student information system to require promissory notes for applicable loans.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224051; Federal Pell Grant Program, P063P222282; Federal Direct Student Loans, P268K232282; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232282 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $19,357 Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs, and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). The total number of calendar days in a payment period or period of enrollment includes all days within the payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)). In determining the percentage of the payment period or period of enrollment completed for a student who
withdraws from a program offered in modules, an institution must (1) include all days within the period that the
student was scheduled to complete prior to ceasing attendance and (2) exclude any scheduled breaks of at least
five consecutive days when the student was not scheduled to attend a module or other course offered during that
period of time. Scheduled breaks include both those that take place within and between modules (U.S.
Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 5, Chapter 2).
An institution must offer to disburse directly to a student, or parent in the case of a parent PLUS loan, any amount
of a post-withdrawal disbursement of loan funds that is not credited to the student's account. The institution must
make a direct disbursement of any loan funds that make up the post-withdrawal disbursement only after obtaining
the student's, or parent's in the case of a parent PLUS loan, confirmation that the student or parent still wishes to
have the loan funds disbursed (Title 34, CFR, Section 668.22(a)(6)(ii)(B)).
Lamar University (University) made errors in Title IV return calculations for 25 (41 percent) of 61 students
tested. Specifically, the University did not exclude any break days from the Spring 2023 term or days between
modules as required. Those errors resulted in the University returning a total of $3,481 associated with ALN
84.268, Federal Direct Student Loans, award number P268K232282, and $1,802 associated with ALN 84.063,
Federal Pell Grant Program, award number P063P222282, less Title IV funds than required.
• For 2 of those 25 students, the University also used an inaccurate withdrawal date in the return calculation.
• For 1 of those 25 students, the University also did not identify that the student was eligible to receive a post withdrawal disbursement of loan funds and therefore did not offer to disburse those loan funds to the student
as required.
In addition, for 8 (13 percent) of 61 students tested who did not have a return of Title IV funds made, the
University did not perform a return calculation as required. The University asserted it did not consistently
follow its procedures in identifying students who required a Title IV return calculation due to staff turnover and
newer staff needing additional training. As a result, the University did not return a total of $13,707 associated with
ALN 84.268, Federal Direct Student Loans, award number P268K232282, and $367 associated with ALN 84.063,
Federal Pell Grant Program, award number P063P222282 as required.
The errors discussed above occurred because the University did not configure its information system to
accurately calculate returns and because of manual errors that the University made in performing the return
calculations. In addition, the University did not have an adequate monitoring process to identify those errors. Not
having a process that consistently calculates and returns the correct amount of Title IV funds increases the risk
that the University could return less Title IV funds than it is required to return.
Timeliness of Returns:
An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later
than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section
668.22(j)).
For 5 (8 percent) of 59 students tested who withdrew and required a return of Title IV funds, the University
did not return the funds within the required time frame. The University returned the funds for those students
47 to 143 days after it determined that the students withdrew. For 2 of those students, the University determined
the withdrawal dates and performed the return calculations; however, it did not return the Title IV funds within the
required 45-day time frame due to an oversight in processing the return of those funds. For three of those
students, the University asserted that it determined that the return calculations required corrections, which
resulted in the returns not being performed timely. Not making returns within required time frames reduces the
funds available to the U.S. Department of Education for its program management. Recommendations:
The University should:
• Strengthen its controls to ensure that it accurately calculates returns of Title IV funds when required, including
review of the variables it uses in those calculations.
• Accurately determine the number of days in the payment period and exclude any scheduled breaks as
required.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in return of Title IV calculations
and returns Title IV funds in a timely manner.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). Sam Houston State University (University) did not appropriately restrict access to its student information system. Specifically, the University did not always limit access to the student information system to only users who needed that access based on their job responsibilities. While the University had a process in place to review user access, that process was not adequately designed to ensure that the University granted the appropriate levels of access to all users based on the users’ job duties. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. In addition, the University did not have sufficient controls over its change management process for information systems. Specifically, 1 (14 percent) of 7 changes tested lacked documentation showing that the change was properly tested or validated before it was migrated to production. Not having sufficient controls over the change management process increases the risk of unauthorized programming changes being made to critical information systems that the University uses to administer student financial assistance. Recommendations: The University should: • Ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. • Strengthen its controls over its change management process to ensure adequate validation of changes prior to implementation. Views of Responsible Officials: The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224110; Federal Pell Grant Program, P063P222301; Federal Direct Student Loans, P268K232301; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232301 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No
When a student who received Title IV grant or loan assistance withdraws from an institution during a payment
period or period of enrollment in which the student began attendance, the institution must determine the amount
of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of
Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned
by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date
of the institution’s determination that the student withdrew, the difference must be returned to the Title IV
programs and no additional disbursements may be made to the student for the payment period or period of
enrollment (Title 34, CFR, Section 668.22(a)(4)).
The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV
grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title
IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the
payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their
Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period
or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by
subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was
disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student
withdrew (Title 34, CFR, Section 668.22(e)).
For distance education, documenting that a student has logged into an online class is not sufficient to
demonstrate academic attendance by the student. An institution must demonstrate that a student participated in
class or was otherwise engaged in an academically related activity. Only active participation by a student in an
instructional activity related to the student's course of study that meets the definition of “academic engagement” in
Title 34, CFR, Section 600.2 and takes place during a payment period or period of enrollment qualifies as
attendance in an academically related activity (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 5, Chapter 2).
For 1 (4 percent) of 24 students tested, Sam Houston State University (University) did not have evidence
of academic engagement in the distance education course from which the student’s withdrawal date was
determined. The University relies on the last dates of academic activity provided by instructors to determine the
withdrawal date for Return of Title IV purposes for students who unofficially withdraw. The student’s record did not
reflect evidence of academic activity for the distance education course, and the University asserted that the last
day of attendance provided by the instructor was inaccurate. The University did not have a process in place to
require instructors to provide or maintain evidence of academic engagement in distance education courses. As a
result, the University did not perform a return calculation because it incorrectly determined that the student
completed over 60 percent of the period. After auditors brought the issue to the University’s attention, the
University performed a return calculation and returned Title IV funds as required; therefore, there were no
questioned costs.
Having a process that does not consistently calculate and return the correct amount of Title IV funds increases
the risk that the University could return less Title IV funds than it is required to return.
Recommendation:
The University should ensure that evidence of academic engagement is consistently documented for students in
distance education courses.
Views of Responsible Officials:
The University acknowledges and agrees with the findings of this audit. Management acknowledges the
responsibility to accurately verify the academic engagement and document it for students enrolled in distance
education courses.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224131; Federal Work-Study Program, P033A224131; Federal Pell Grant Program, P063P222320; Federal Direct Student Loans, P268K232320; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232320 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). Tarleton State University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s tuition rate (guaranteed or variable), program, courses, classification (undergraduate or graduate), residency (in-state or out-of-state); living status (on-campus, off-campus, or with parent), and enrollment level (full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 62 (100 percent) of 62 students tested, the University incorrectly calculated the COA. Specifically, the University used the 2021–2022 award year budgets instead of the 2022–2023 award budgets because it did not update the COA budget components in its student information system for the new award year. As a result, the COAs for those students were understated by a total of $148,781. This error would have affected the COA for all students in the Fall 2022 and Spring 2023 terms. However, because the students’ budgets were understated, this error did not result in overawards of financial assistance; therefore, there were no questioned costs. The University did not have adequate controls in place to review budgets used in the calculation of COA and accurately assign those budgets to students. Incorrectly calculating COA increases the risk of overawarding or underawarding financial assistance to students. Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets in
accordance with its process.
Views of Responsible Officials:
The University has carefully reviewed the findings outlined in the recent financial aid audit report, and we
acknowledge and agree with the identified areas for improvement. Your thorough examination has provided
valuable insights into our financial aid processes, and we appreciate the effort invested in ensuring transparency
and accountability.
In response to the findings, we are committed to taking immediate and comprehensive corrective actions to
address the identified issues and enhance the overall effectiveness of our financial aid management. Our team is
already in the process of developing a detailed Corrective Action Plan that will outline the specific steps we will
take to rectify the noted deficiencies. We understand the importance of financial aid in supporting our students'
academic endeavors, and we are dedicated to ensuring that our processes align with the highest standards of
integrity and compliance.
Special Tests and Provisions – Disbursements To or On Behalf of Students Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.379 Pass-Through Agency: N/A Award Number: Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232320 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Award and Disbursement Notifications: Before an institution disburses Title IV, Higher Education Act of 1965 (HEA) program funds for any award year, the institution must notify a student of the amount of funds that the student or his or her parent can expect to receive under each Title IV, HEA program, and how and when those funds will be disbursed. If those funds include Direct Loan program funds, the notice must indicate which funds are from subsidized loans, which are from unsubsidized loans, and which are from PLUS loans (Title 34, Code of Federal Regulations (CFR), Section 668.165(a)(1)). If an institution credits a student’s ledger account with Federal Direct Student Loan (Direct Loan) funds or Teacher Education Assistance for College and Higher Education (TEACH) Grant funds, the institution must notify the student or parent of (1) the anticipated date and amount of the disbursement, (2) the student’s or parent’s right to cancel all or a portion of that loan or grant and have the loan or grant proceeds returned to the U.S. Department of Education, and (3) the procedures and time by which the student or parent must notify the institution that he or she wishes to cancel the loan or grant, or loan or grant disbursement (Title 34, CFR, Section 668.165(a)(2)). The institution must provide the notice in writing no earlier than 30 days before, and no later than 30 days after, crediting the student’s ledger account at the institution (Title 34, CFR, Section 668.165(a)(3)). Tarleton State University (University) did not send appropriate award and disbursement notifications to TEACH Grant recipients. Specifically, the University’s TEACH award notification did not describe how and when funds would be disbursed, while the TEACH disbursement notification did not include the date of disbursement, student’s right to cancel all or part of the loan, and guidance for the procedures and time for canceling the loan. Not providing sufficient award and disbursement notifications impairs students’ and parents’ ability to budget for the cost of attending or exercise the option to cancel their loans or grants. Recommendation: The University should ensure that award and disbursement notifications for TEACH recipients contain all required elements. Views of Responsible Officials: The University has carefully reviewed the findings outlined in the recent financial aid audit report, and we acknowledge and agree with the identified areas for improvement. Your thorough examination has provided valuable insights into our financial aid processes, and we appreciate the effort invested in ensuring transparency and accountability. In response to the findings, we are committed to taking immediate and comprehensive corrective actions to
address the identified issues and enhance the overall effectiveness of our financial aid management. Our team is
already in the process of developing a detailed Corrective Action Plan that will outline the specific steps we will
take to rectify the noted deficiencies. We understand the importance of financial aid in supporting our students'
academic endeavors, and we are dedicated to ensuring that our processes align with the highest standards of
integrity and compliance.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224131; Federal Pell Grant Program, P063P222320; Federal Direct Student Loans, P268K232320; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232320 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $12,259 Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs, and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV
grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title
IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the
payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their
Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period
or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by
subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was
disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student
withdrew (Title 34, CFR, Section 668.22(e)).
The total number of calendar days in a payment period or period of enrollment includes all days within the
payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks
of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the
number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)).
In determining the percentage of the payment period or period of enrollment completed for a student who
withdraws from a program offered in modules, an institution must (1) include all days within the period that the
student was scheduled to complete prior to ceasing attendance and (2) exclude any scheduled breaks of at least
five consecutive days when the student was not scheduled to attend a module or other course offered during that
period of time. Scheduled breaks include both those that take place within and between modules (U.S.
Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 5, Chapter 2).
For a program offered in modules, a student is not considered to have withdrawn if the student successfully
completes any of the following: (1) a module that includes 49 percent or more of the number of days in the
payment period, excluding scheduled breaks of five or more consecutive days and all days between modules; (2)
a combination of modules that together contain 49 percent or more of the number of days in the payment period,
excluding scheduled breaks of five or more consecutive days and all days between modules (Title 34, CFR,
Section 668.22(a)(2)(ii)(A)(2)); or (3) coursework equal to or greater than the coursework required for the
institution’s definition of a half-time student under 34 CFR 668.2(b) for the payment period (U.S. Department of
Education, 2022-2023 Federal Student Aid Handbook, Volume 5, Chapter 1).
An institution must disburse directly to a student any amount of a post-withdrawal disbursement of grant funds
that is not credited to the student's account. The institution must make the disbursement as soon as possible, but
no later than 45 days after the date of the institution's determination that the student withdrew. The institution
must offer to disburse directly to a student, or parent in the case of a parent PLUS loan, any amount of a post withdrawal disbursement of loan funds that is not credited to the student's account. The institution must make a
direct disbursement of any loan funds that make up the post-withdrawal disbursement only after obtaining the
student's, or parent's in the case of a parent PLUS loan, confirmation that the student or parent still wishes to
have the loan funds disbursed (Title 34, CFR, Section 668.22(a)(6)(ii)(B)).
For 58 (97 percent) of 60 students tested, Tarleton State University (University) incorrectly calculated the
amount of Title IV funds to be returned or returned the incorrect amount of funds. Specifically:
• For 56 students, the University did not exclude any break days from the Fall 2022 term as required, and it
incorrectly excluded 5 break days rather than 8 break days from the Spring 2023 term. Those errors occurred
because the University did not load the correct break days into its student information system when setting up
the payment period; therefore, this issue would have affected all students who withdrew from the Fall 2022
and Spring 2023 terms. Additionally:
o For 2 of those 56 students, the University did not identify that the students were eligible to receive
a post-withdrawal disbursement and therefore did not disburse those grant funds or offer to
disburse those loan funds to the students as required.
o For 4 of those 56 students, the University incorrectly determined the number of days in the
payment period or used an incorrect withdrawal date for students enrolled in modules. • For 2 students enrolled in the Summer 2023 term, the University did not follow the return of Title IV
requirements related to modular terms. For one student, the University incorrectly used the number of days in
the full payment period rather than only the days within the period that the student was scheduled to complete
prior to ceasing attendance. For the other student, the University failed to identify that the student successfully
completed coursework equal to or greater than the coursework required for a half-time student and therefore
should not have been considered withdrawn. The University asserted that this error occurred because staff
misinterpreted the half-time withdrawal exemption requirements.
As a result of the errors discussed above, the University returned a total of $1,992 associated with ALN 84.268,
Federal Direct Student Loans, award number P268K232320, and $374 associated with ALN 84.063, Federal Pell
Grant Program, award number P063P222320 less Title IV funds than required for the students tested in the
sample.
In addition, for 10 (17 percent) of 60 students tested who did not have a return of Title IV funds made, the
University did not perform a return calculation as required.
• For 6 students, the University did not exclude break days from its determination of whether the students
completed 60 percent or more of the payment period as required. As a result, the University incorrectly
determined that the students earned their aid and did not return a total of $7,679 associated with ALN 84.268,
Federal Direct Student Loans, award number P268K232320, and $1,053 associated with ALN 84.063,
Federal Pell Grant Program, award number P063P222320 as required.
• For 4 students, the University incorrectly used the number of days in the full payment period in its
determination of whether the students successfully completed 49 percent or more of the number of days in
the payment period. As a result, the University incorrectly determined that the students earned their aid and
did not return a total of $1,161 in questioned costs associated with ALN 84.268, Federal Direct Student
Loans, award number P268K232320 as required.
The errors discussed above occurred because the University did not configure its information system to
accurately calculate returns and because of manual errors that the University made in performing return
calculations. In addition, the University did not have an adequate monitoring process to identify those errors. Not
having a process that consistently calculates and returns the correct amount of Title IV funds increases the risk
that the University could return less Title IV funds than it is required to return.
Recommendations:
The University should:
• Strengthen its controls to ensure that it accurately calculates returns of Title IV funds when required, including
review of the variables it uses in those calculations.
• Accurately determine the number of days in the payment period and configure its student information system
to exclude any scheduled breaks, as required.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in return of Title IV calculations
and returns Title IV funds.
Views of Responsible Officials:
The University has carefully reviewed the findings outlined in the recent financial aid audit report, and we
acknowledge and agree with the identified areas for improvement. Your thorough examination has provided
valuable insights into our financial aid processes, and we appreciate the effort invested in ensuring transparency
and accountability. In response to the findings, we are committed to taking immediate and comprehensive corrective actions to
address the identified issues and enhance the overall effectiveness of our financial aid management. Our team is
already in the process of developing a detailed Corrective Action Plan that will outline the specific steps we will
take to rectify the noted deficiencies. We understand the importance of financial aid in supporting our students'
academic endeavors, and we are dedicated to ensuring that our processes align with the highest standards of
integrity and compliance.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 84.408 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A234136; Federal Work-Study Program, P033A224136; Federal Pell Grant Program, P063P225286; Federal Direct Student Loans, P268K235286; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T235286; and Postsecondary Education Scholarships For Veteran's Dependents (Iraq and Afghanistan Service Grant (IASG)), P408A225286 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: Unknown Repeat Finding: No Satisfactory Academic Progress: A student is eligible to receive Title IV, Higher Education Act of 1965 (HEA) program assistance if the student maintains satisfactory academic progress in his or her course of study according to the institution’s published standards of satisfactory academic progress (SAP) that satisfy the provisions of Title 34, Code of Federal Regulations (CFR), Section 668.34 (Title 34, CFR, Section 668.32(f)). An institution’s SAP policy must include a qualitative component that consists of grades or comparable factors that are measurable against a norm and a quantitative component that consists of the pace at which students must progress through their program to ensure that they will graduate within the maximum time frame required to complete their education (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 1, Chapter 1). For an undergraduate program measured in credit hours, a period that is no longer than 150-percent of the published length of the educational program, as measured in credit hours, should be used to determine the maximum time frame for the quantitative component of SAP (Title 34, CFR, Section 668.34(b)(1)). For 1 (2 percent) of 45 students tested, Texas A&M University (University) did not calculate SAP in accordance with its policy. Specifically, the University did not update the program hours for the Bachelor of Science in Nursing program in its student information system when it changed the program length from 123 hours to 120 hours during the 2017–2018 award year. Therefore, this issue would have affected all students enrolled in the program. As a result, the maximum time frame calculation incorrectly allowed students to exceed the maximum hours without failing SAP. Incorrectly calculating the maximum time frame increases the risk that students could receive financial assistance for which they are not eligible. Recommendation: The University should ensure that the maximum time frame is configured in its student information system with the accurate number of credit hours for each degree program. Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: 2020-113, 2017-119, 2016-109 General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). Texas Southern University (University) did not appropriately restrict user access to its student information system. Specifically, the University did not always ensure that (1) access to modify information and process transactions in the student information system and (2) administrative access at the network level was limited to only current employees and users who needed that access based on their job responsibilities. The University had a process to review user access to its systems; however, it did not always implement changes based on the results of that review. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made to those systems. Recommendation: The University should ensure that user access to its student information system and administrative access to its network is appropriately limited to employees based on current job responsibilities. Views of Responsible Officials: The Office of Technology acknowledges and agrees with the finding.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 93.925 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224145; Federal Work-Study Program, P033A224145; Federal Pell Grant Program, P063P222327; Federal Direct Student Loans, P268K232327; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232327; and Scholarships for Health Professions Students from Disadvantaged Backgrounds – Scholarships for Disadvantaged Students (SDS), 5 T08HP39322-03-00, 5 T08HP39282-03-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: 2020-113, 2017-119, 2016-109 Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). Texas Southern University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate); residency (in-state or out-of-state); living status (on_x0002_campus, off-campus, or with parent); and enrollment level (full-time, three-quarter-time, half-time, or less-than_x0002_half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 7 (11 percent) of 65 students tested, the University incorrectly calculated the COA. Specifically, the University assigned an incorrect amount for books and supplies for these students. Those errors occurred because the University decreased the default amount for the books and supplies budget component but did not update the algorithmic budget table in its student information system to reflect that change. As a result, the COA was overstated by $40 for each of those students. The errors discussed above did not result in overawards of financial assistance; therefore, there were no questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or underawarding financial assistance to students. Federal Pell Grant:
When awarding Federal Pell Grant assistance to students, institutions use the payment and disbursement
schedules provided each year by the U.S. Department of Education for determining award amounts (Title 34,
CFR, Section 690.62(a)). Those schedules provide the maximum annual amount a student would receive for a full
academic year for a given enrollment status, EFC, and COA. There are separate schedules for three-quarter time, half-time, and less-than-half-time students (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 3, Chapter 3; and Title 34, CFR, Section 690.63(b)).
For 2 (3 percent) of 65 students tested who received Federal Pell Grants, the University did not award the
correct amount of Federal Pell Grant assistance. Specifically, the University awarded those students less than
they were eligible to receive. The University did not identify additional credit hours from late registration in the
students’ Federal Pell Grant award determinations. As a result, the students were underawarded a total of $1,544
in Federal Pell Grant assistance.
Federal Direct Student Loans:
A borrower who has reached the aggregate borrowing limit for Direct Subsidized Loans and Direct Unsubsidized
Loans may not receive additional loans. Once the loans are repaid, in full or in part, the borrower may apply for
additional loans. The aggregate unpaid principal amount of all Direct Subsidized Loans made to a student may
not exceed $23,000 for any student who has not successfully completed a program of study at the undergraduate
level (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 5; and Title
34, CFR, Section 685.203(d)(1)).
The University did not always disburse Federal Direct Student Loans in accordance with applicable limits.
Specifically, the University exceeded the aggregate limit for Subsidized Direct Loans. Auditors determined that a
student had been awarded $500 in excess of the aggregate limit of $23,000. The University manually cleared a
hold to enforce the loan limit, without properly reviewing or adjusting the student’s loan. After auditors brought the
overaward issue to the University’s attention, it returned the loan funds; therefore, there were no questioned
costs. However, by not properly reviewing account holds, the University increases the risk of overawarding
financial assistance to students.
Satisfactory Academic Progress:
A student is eligible to receive Title IV, Higher Education Act of 1965 (HEA) program assistance if the student
maintains satisfactory academic progress in his or her course of study according to the institution’s published
standards of satisfactory academic progress (SAP) that satisfy the provisions of Title 34, CFR, Section 668.34
(Title 34, CFR, Section 668.32(f)). An institution’s SAP policy must include a qualitative component that consists
of grades or comparable factors that are measurable against a norm and a quantitative component that consists
of the pace at which students must progress through their program to ensure that they will graduate within the
maximum time frame required to complete their education.
For a graduate program, a period defined by the institution that is based on the length of the educational program
should be used to determine the maximum time frame for the quantitative component of SAP (U.S. Department of
Education, 2022-2023 Federal Student Aid Handbook, Volume 1, Chapter 1; and Title 34, CFR, Section
668.34(b)).
Additionally, an institution’s SAP policy should provide that, if at the time of evaluation, the student has not
achieved the required grade point average, is not successfully completing his or her program of study at the
required pace, or has not completed the program within the maximum time frame, the student is no longer eligible
for Title IV aid. The policy should provide specific procedures for disbursements to students on financial aid
warning or probation status and permit the student to appeal a determination; it should also provide specific
procedures for re-establishing eligibility to receive Title IV aid and the basis on which a student may file an appeal
(Title 34, CFR, Section 668.34(a)). For 1 (2 percent) of 65 students tested, the University did not calculate SAP in accordance with its policy.
The student re-enrolled in the Fall 2022 term after a gap in attendance, and the University did not perform a
manual SAP calculation, which would have shown that the student did not meet the minimum required pace as
defined in the University’s SAP policy. The student would have been required to submit an appeal, and have that
appeal approved, to receive financial assistance. The student was initially overawarded $6,184. Part of the funds
were returned as a result of a Return of Title IV Funds calculation after the student withdrew, and the remaining
funds were returned after auditors brought the issue to the University’s attention. Therefore, there were no
questioned costs.
Not calculating SAP compliance increases the risk that students could receive financial assistance for which they
are not eligible.
Institutional Student Information Records (ISIR):
The U.S. Department of Education automatically distributes (or “pushes”) to institutions certain ISIR transactions
processed by the Central Processing System (CPS); it then requires the institutions to take some sort of action.
An example of a pushed ISIR would be a student-corrected ISIR that causes a change to the EFC. Institutions are
required to review all pushed ISIRs and assess any potential effect on students’ eligibility for assistance
(Technical Reference for Electronic Date Exchange (EDE) 2022-2023).
The University did not have a process to address errors to ensure that all ISIR data was loaded accurately
and completely into its student information system. Specifically, the University did not reconcile records
received from CPS-pushed ISIRs to the University’s student information system records during the Fall 2022 term
and part of the Spring 2023 term. As a result, some eligible students did not receive their financial assistance until
making an inquiry of the University.
Recommendations:
The University should:
• Ensure that it accurately configures COA budget components within its student information system.
• Award students Federal Pell Grant assistance based on actual enrollment.
• Disburse Subsidized Direct Loans within the student’s applicable aggregate limit.
• Ensure that all students are evaluated for Satisfactory Academic Progress prior to disbursing financial
assistance.
• Properly reconcile all records received from CPS-pushed ISIRs.
Views of Responsible Officials:
Cost of Attendance (COA):
The Office of Student Financial Success agrees with the auditor’s findings indicating that 7 of 65 students tested
had an incorrect COA specifically related to the students’ books and supplies portion of the budget.
Views of Responsible Officials:
Federal Pell Grant:
The Office of Student Financial Success agrees with the findings that 2 of 65 students tested were not awarded
the correct amount of Federal Pell grant funds.
Views of Responsible Officials:
Federal Direct Student Loans:
The Office of Student Financial Success agrees with the finding that 1 student did not receive federal student
loans in accordance with applicable limits.
Views of Responsible Officials:
Satisfactory Academic Progress:
The Office of Student Financial Success agrees with the finding that 1 of 65 students did not receive an SAP
calculation in accordance with TSU policy.
Views of Responsible Officials:
Institutional Student Information Records (ISIR):
The Office of Student Financial Success agrees with the finding related to Institutional Student Information
Records.
Special Tests and Provisions – Disbursements To or On Behalf of Students Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224145; Federal Work-Study Program, P033A224145; Federal Pell Grant Program, P063P222327; Federal Direct Student Loans, P268K232327; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232327 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Award and Disbursement Notifications: Before an institution disburses Title IV, Higher Education Act of 1965 (HEA) program funds for any award year, the institution must notify a student of the amount of funds that the student or his or her parent can expect to receive under each Title IV, HEA program, and how and when those funds will be disbursed. If those funds include Direct Loan program funds, the notice must indicate which funds are from subsidized loans, which are from unsubsidized loans, and which are from PLUS loans (Title 34, Code of Federal Regulations (CFR), Section 668.165(a)(1)). If an institution credits a student’s ledger account with Federal Direct Student Loan (Direct Loan) funds or Teacher Education Assistance for College and Higher Education (TEACH) Grant funds, the institution must notify the student or parent of (1) the anticipated date and amount of the disbursement, (2) the student’s or parent’s right to cancel all or a portion of that loan or grant and have the loan or grant proceeds returned to the U.S. Department of Education, and (3) the procedures and time by which the student or parent must notify the institution that he or she wishes to cancel the loan or grant, or loan or grant disbursement (Title 34, CFR, Section 668.165(a)(2)). The institution must provide the notice in writing no earlier than 30 days before, and no later than 30 days after, crediting the student’s ledger account at the institution (Title 34, CFR, Section 668.165(a)(3)). For 61 (100 percent) of 61 disbursements tested, Texas Southern University (University) did not send an award or disbursement notification as required. The University asserted it did not send award notifications to students because it relied on the Common Origination and Disbursement (COD) Disclosure Statements sent by the Department of Education. However, the COD Disclosure Statements did not include all required elements of the award notification. In addition, the University did not consistently send disbursement notifications for the Fall 2022 term, and did not send any disbursement notifications for the Spring 2023 term. The issues with disbursement notifications were attributed to both manual error and disabling of the University’s automated processes. Further, the disbursement notifications that were sent for the Fall 2022 term did not include all required elements. Not receiving award and disbursement notifications impairs students’ and parents’ ability to budget for the cost of attending or exercise the option to cancel their loans or grants. Allowable Charges and Credit Balance Authorizations:
An institution may credit a student's ledger account with Title IV, HEA program funds to pay for allowable charges
associated with the current payment period. Allowable charges are: (1) the amount of tuition, fees, and
institutionally provided room and board assessed the student for the payment period or the prorated amount of
those charges if the institution debits the student's ledger account for more than the charges associated with the
payment period; and (2) the amount incurred by the student for the payment period for purchasing books,
supplies, and other educationally related goods and services provided by the institution for which the institution
obtains the student's or parent's authorization under Section 668.165(b) (Title 34, CFR, Section 668.164(c)(1)).
A Title IV, HEA credit balance occurs whenever the amount of Title IV, HEA program funds credited to a student's
ledger account for a payment period exceeds the amount assessed the student for allowable charges associated
with that payment period. A Title IV, HEA credit balance must be paid directly to the student or parent as soon as
possible, but no later than (1) fourteen days after the balance occurred if the credit balance occurred after the first
day of class within a payment period; or (2) fourteen days after the first day of class of a payment period if the
credit balance occurred on or before the first day of class within that payment period (Title 34, CFR, Section
668.164(h)).
If an institution obtains written authorization from a student or parent, as applicable, the institution may: (1) use
the student’s or parent’s Title IV, HEA program funds to pay for charges that are included in that authorization,
and (2) hold on behalf of the student or parent any Title IV, HEA program funds that would otherwise be paid
directly to the student or parent as a credit balance, unless the Secretary provides funds to the institution under
the reimbursement payment method or the heightened cash monitoring payment method (Title 34, CFR, Section
668.165(b)(1)).
An institution may not use Title IV funds to pay finance charges or fees that are incurred because a student uses
a financing method provided by the school to pay for educational expenses over time. Because students or
families choose to incur these additional expenses rather than paying the balance due at registration, the
additional charges are not considered educational expenses, and may not be included in a student’s cost of
attendance. (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 2).
For 8 (13 percent) of 61 students tested, the University used Title IV funds to pay unallowable charges.
Specifically, the University credited the students’ ledger accounts during the payment period for installment
handling charges and late installment charges. Although the University obtained authorization from the students
to apply Title IV funds to charges other than tuition, fees, or institutionally provided room and board, that
authorization did not extend to those unallowable charges.
For 6 (11 percent) of 57 students tested, the University did not return credit balances to students or
parents within 14 days of the disbursement date or first day of class. Specifically, the University returned
credit balances to those students between 21 and 78 days. The University asserted those errors were caused by
changes to the term allocations, and inadequate tracking of credit balances and associated refunds.
Not receiving all Title IV funds a student is entitled to, or not receiving those funds in a timely manner, impairs
students’ and parents’ ability to budget for the cost of attending.
Recommendations:
The University should strengthen its controls to ensure that:
• It identifies all students that require an award or disbursement notification, and sends those notifications to the
students.
• Award and disbursement notifications include all required elements.
• It does not credit student ledger accounts for unallowable charges.
• Credit balances caused by the awarding of Title IV funds are returned to students in a timely manner.
Views of Responsible Officials:
Award and Disbursement Notifications:
The Office of Student Financial Success agrees with the finding related to award and disbursement notifications.
Views of Responsible Officials:
Allowable Charges and Credit Balance Authorizations:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224145; Federal Pell Grant Program, P063P222327; Federal Direct Student Loans, P268K232327; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232327 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs, and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). For 8 (13 percent) of 61 students tested, Texas Southern University (University) incorrectly calculated the amount of Title IV funds to be returned for unofficially withdrawn students. Specifically, those 8 students were enrolled in the Fall 2022 term, and the University did not use the last date of attendance identified in the University’s automated report process. For return of Title IV funds, the University uses an automated report process to identify students who have unofficially withdrawn from a term; however, that process was inconsistently followed or not completed in determining the students’ withdrawal dates. The incorrect withdrawal dates used by the University were prior to the students’ actual withdrawal dates, which resulted in the University returning more Title IV funds than required for those students; therefore, there were no questioned costs. Those errors occurred because the University did not have an adequate process to determine the withdrawal dates of students who unofficially withdrew from the University. Timeliness of Returns:
For an institution that is not required to take attendance, the institution must determine the withdrawal date for a
student who withdraws without providing notification to the institution no later than 30 days after the earliest end
date of (1) the payment period or period of enrollment, (2) the academic year in which the student withdrew, or (3)
the educational program from which the student withdrew (Title 34, CFR, Section 668.22(j)(2)).
An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later
than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section
668.22(j)).
For 35 (57 percent) of 61 students tested who withdrew and required a return of Title IV funds, the
University did not return the funds within the required time frame. Specifically:
• For 23 students who unofficially withdrew in the Fall 2022 term, the University did not determine the
withdrawal date within the required 30-day time frame, nor did it return the Title IV funds within the required
45-day time frame. The University determined the withdrawal date and returned the Title IV funds at the end
of the Spring 2023 term.
• For 9 students who unofficially withdrew in the Spring 2023 term, the University did not determine the
students’ withdrawal date within the required 30-day time frame. The University determined the withdrawal
date for those students between 31 and 52 days after the end of the period of enrollment.
• For 3 students who withdrew in the Fall 2022 term, the University determined the withdrawal dates and
performed the return calculations; however, it did not return the Title IV funds within the required 45-day time
frame. The University asserted that for two students, this was due to an oversight in processing the return of
those funds. The University returned the funds for those two students 71 and 115 days after it determined that
the students withdrew. For the third student, the University completed a return calculation but did not return
the funds as required. After auditors brought this error to the University’s attention, the University returned the
funds to the U.S. Department of Education; therefore, there were no questioned costs.
Those errors occurred because the University did not have an effective monitoring process to identify those errors
and because of manual errors the University made in performing the return calculations. Not making returns
within the required time frame reduces the funds available to the U.S. Department of Education for its program
management.
Recommendations:
The University should:
• Strengthen its process to ensure that it accurately determines the withdrawal date for students who
unofficially withdraw from the University in a timely manner.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in return of Title IV calculations
and returns Title IV funds in a timely manner.
Views of Responsible Officials:
Return of Title IV Calculations:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Views of Responsible Officials:
Timeliness of Returns:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Gramm-Leach-Bliley Act - Student Information Security Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Gramm-Leach-Bliley Act: Institutions must protect sensitive data, including information obtained in support of the administration of federal student financial assistance programs, as required by the Gramm-Leach-Bliley Act (GLBA) (Public Law 106-102). Under their Program Participation Agreement (PPA) and the GLBA, postsecondary educational institutions must protect student financial aid information, with particular attention to information provided by the Department of Education or otherwise obtained in support of the administration of the Title IV Federal student financial aid programs (Dear Colleague Letter, July 1, 2016 (GEN-16-12)). Institutions are required to develop, implement, and maintain an information security program that includes the minimum elements in Title 16, Code of Federal Regulations (CFR), Section 314.4. In addition, the institution must designate a qualified individual responsible for overseeing, implementing, and enforcing the institution’s information security program (Title 16, CFR, Section 314.4(a)). Texas Southern University (University) did not implement an information security program as required by the GLBA. The University did not have a written information security program (and therefore did not address any of the minimum elements), and it did not designate a Qualified Individual responsible for implementing and monitoring its information security program. The University asserted that this was due to significant staffing issues in its Information Technology Department. Not implementing the required safeguards in an information security program and designating a Qualified Individual to implement and enforce those safeguards increases the University’s risk of data breach or loss. Recommendations: The University should: • Develop and implement an information security program that contains all elements required by the GLBA and the Code of Federal Regulations. • Designate a Qualified Individual responsible to implement and monitor its information security program. Views of Responsible Officials: Gramm-Leach-Bliley Act: The University acknowledges and agrees with the findings.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; 84.408; and 93.925 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224122; Federal Work-Study Program, P033A224122; Federal Pell Grant Program, P063P220387; Federal Direct Student Loans, P268K230387; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T230387; Postsecondary Education Scholarships For Veteran's Dependents (Iraq and Afghanistan Service Grant (IASG)), P408A220387; and Scholarships for Health Professions Students from Disadvantaged Backgrounds - Scholarships for Disadvantaged Students (SDS), 5 T08HP39298-03-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, CFR, Sections 668.2, 673.5, and 685.301). Texas State University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate); residency (in-state or out-of-state); housing status (on_x0002_campus, off-campus, or living with parent); and enrollment status (full-time, three-quarter-time, half-time, or less_x0002_than-half-time). Budgeting rules within the University’s student financial assistance system are established to assign various budget components based on the factors noted above. For 1 (2 percent) of 44 students tested, the University incorrectly calculated the COA. Specifically, the University assigned a less-than-half-time COA when the student was enrolled full-time. As a result, the student’s COA was understated by $9,545. After auditors brought the issue to the University’s attention, it identified a total of 84 total students who were affected, including 56 students who received Title IV financial assistance. Those errors occurred because the University did not recalculate the COA for students in the Pathway program after enrollment was finalized for the Spring 2023 term. The errors discussed above did not result in overawards of financial assistance; therefore, there were no
questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or
underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets for the
Pathway program in accordance with its process.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). Texas Tech University (University) did not appropriately restrict user access to its student information system. Specifically, the University did not always limit access to the student information system to only users who needed that access based on their job responsibilities. While the University had a process in place to review user access, that process was not adequately designed to ensure that the University granted the appropriate level of access to all users based on the users’ job duties. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. Recommendation: The University should ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. Views of Responsible Officials: Texas Tech University acknowledges and agrees with the findings. Texas Tech University has worked to develop and implement corrective action to further improve processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; 84.379; and 84.408 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224151; Federal Pell Grant Program, P063P222328; Federal Direct Student Loans, P268K232328; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232328; and Postsecondary Education Scholarships For Veteran's Dependents (Iraq and Afghanistan Service Grant (IASG)), P408A222328 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: Unknown Repeat Finding: No When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV
grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title
IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the
payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their
Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period
or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by
subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was
disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student
withdrew (Title 34, CFR, Section 668.22(e)).
For distance education, documenting that a student has logged into an online class is not sufficient to
demonstrate academic attendance by the student. An institution must demonstrate that a student participated in
class or was otherwise engaged in an academically related activity. Only active participation by a student in an
instructional activity related to the student’s course of study that meets the definition of “academic engagement” in
Title 34, CFR, Section 600.2 and takes place during a payment period or period of enrollment qualifies as
attendance in an academically related activity (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 5, Chapter 2).
For 1 (5 percent) of 20 students tested, Texas Tech University (University) did not have evidence of
academic engagement in the distance education course from which the student’s withdrawal date was
determined. The University asserted that when an instructor submits a failing grade for a student, the instructor is
required to provide the date of last academic activity. That date is recorded in the University’s student information
system and used by the University to determine the unofficial withdrawal date for Return of Title IV purposes.
However, the University did not have a process in place to require instructors to provide or maintain evidence of
academic engagement in distance education courses. As a result, the University could not demonstrate that the
student participated or otherwise engaged in an academically related activity in that course to support the last
date of attendance used by the University for Return of Title IV purposes.
Having a process that does not consistently calculate and return the correct amount of Title IV funds increases
the risk that the University could return less Title IV funds than it is required to return.
Recommendations:
The University should:
• Ensure that evidence of academic engagement is consistently documented for students in distance education
courses.
• Strengthen its controls to ensure that it accurately calculates returns of Title IV funds when required, including
review of the variables it uses in those calculations.
Views of Responsible Officials:
Texas Tech University acknowledges and agrees with the findings. Texas Tech University has worked to develop
and implement corrective action to further improve processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: 2020-142 General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). The University of Texas at Arlington (University) did not appropriately restrict user access to its student information system. Specifically, a user was granted administrative access in the student information system, which included the ability to modify information and process transactions, such as authorizing and disbursing aid. The University did not remove the administrative access after the user’s specific job responsibilities no longer required that level of access. The University had a process to periodically review user access; however, that review was not sufficient to identify the inappropriate access. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. Recommendation: The University should ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. Views of Responsible Officials: To the point that The University of Texas at Arlington (University) did not appropriately restrict user access to its student information system. OIT and Financial Aid acknowledge that a user was given elevated access that was not removed when the assigned maintenance task was completed.
Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222335; Federal Direct Student Loans, P268K232335; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232335 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No COD Reporting: Institutions must submit Federal Pell Grant, Iraq and Afghanistan Service Grant, Direct Loan, and Teacher Education Assistance for College and Higher Education (TEACH) Grant disbursement records to the Common Origination and Disbursement (COD) system no later than 15 days after making the disbursement or becoming aware of the need to adjust a previously reported disbursement. Reporting this information helps ensure that institutions have the most accurate information available about students’ federal awards and helps prevent an institution from overawarding students (Title 34, Code of Federal Regulations (CFR), Section 690.83(b); U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 1; and Federal Register, Volume 88, Number 120). Certain data elements are required to be reported as part of a student’s origination and disbursement record, including the student’s Social Security number, Central Processing System (CPS) transaction number, enrollment date, cost of attendance, the start and end dates for the academic term, disbursement amount, and disbursement date (2022-2023 COD Technical Reference, Volume II). For 5 (8 percent) of 61 students tested, the University of Texas at Arlington (University) did not accurately
report all origination record data elements to the COD system. Two of those students had both errors
discussed below. Specifically,
• For four students, the University reported an incorrect academic end date for one or more Direct Loan
originations made on behalf of the students during the award year.
• For three students, the University reported an incorrect cost of attendance for one or more Federal Pell Grant
and/or Direct Loan originations made on behalf of the students during the award year.
The University asserted that its developer was unable to identify the specific cause of these errors, but
determined that the errors were related to an automated process rather than a manual change. In addition, the
University did not have a sufficient monitoring process in place to identify those discrepancies. Not accurately
reporting information to the COD system could result in the institution overawarding federal funds.
Recommendation:
The University should strengthen its controls to ensure that academic end dates and cost of attendance are
reported to the COD system accurately.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224174; Federal Work-Study Program, P033A224174; Federal Pell Grant Program, P063P223234; Federal Direct Student Loans, P268K233234; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233234 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, CFR, Sections 668.2, 673.5, and 685.301). The University of Texas at Dallas (University) established different COA budgets for each term based on a student’s tuition rate (guaranteed or variable); classification (undergraduate or graduate); residency (in-state and out-of-state); living status (on-campus, off-campus, or at home); and enrollment level (full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting formulas within the University’s student information system are used to assign various budget components based on the factors noted above. The University did not always accurately configure COA budget components in its student information system. Specifically, the University incorrectly set the Summer transportation budget for a certain group of students—undergraduate students with a guaranteed tuition rate who were in-state residents living at home and enrolled half-time—to $640 instead of $928. After auditors brought the issue to the University’s attention, it identified 299 students who were affected. As a result, the COA for those students was understated by a total of $86,112 for the Summer 2023 term. The errors discussed above did not result in overawards of financial assistance; therefore, there were no questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or underawarding financial assistance to students. Recommendation:
The University should ensure that it accurately configures COA budget components within its student information
system.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
While reviewing the population for submission to the auditors, the University determined that the above error had
occurred. Since the timing was still within the summer semester, we corrected the COA component error and
provided institutional grant funding for those students who had increased need due to the update in their summer
transportation budget. There were only 2 students who needed to have their loans repackaged to avoid under
awarding federal aid, which was done.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224169; Federal Pell Grant Program, P063P223294; Federal Direct Student Loans, P268K233294; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233294 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $64,905 Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). The total number of calendar days in a payment period or period of enrollment includes all days within the payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)). The University of Texas at San Antonio (University) made errors in Title IV return calculations for 14 (56 percent) of 25 students tested. Those errors occurred because the University did not exclude break days from its calculations of returns of Title IV funds for the Spring 2023 term as required; therefore, that issue would have affected all students who withdrew from the Spring 2023 term and had a return calculation performed. Although the amount of unearned Title IV assistance calculated for those students was incorrect, there were no questioned costs because the University returned more funds than required. In addition, for 3 (12 percent) of 25 students tested who did not have a return of Title IV funds made, the
University did not perform a return calculation as required. Those errors occurred because the University
incorrectly used 7 break days instead of 8 break days when determining whether students who withdrew from the
Spring 2023 term had completed 60 percent or more of the term. As a result, the University did not perform return
calculations and return funds as required for students who withdrew between March 26 and March 28, 2023,
which resulted in total questioned costs of $50,146 associated with ALN 84.268, Federal Direct Student Loans,
award number P268K233294, and $14,759 associated with ALN 84.063, Federal Pell Grant Program, award
number P063P223294.
The University did not have an adequate monitoring process to identify those errors. Not having a process that
consistently calculates and returns the correct amount of Title IV funds increases the risk that the University could
return less Title IV funds than it is required to return.
Recommendations:
The University should:
• Accurately determine the number of days in the payment period and exclude any scheduled breaks as
required.
• Strengthen its controls to ensure that it detects and corrects errors in return of Title IV calculations and returns
Title IV funds.
Views of Responsible Officials:
The University acknowledges and agrees with the finding that were the result of staff turnover. Through analysis
of the exceptions identified in the audit, the University has worked to develop and implement corrective action.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). The University of Texas Permian Basin (University) did not appropriately restrict user access to its student information system. Specifically, the University did not always limit access to the student information system to only users who needed that access based on their job responsibilities. The University had a process to periodically review user access; however, that review was not sufficient to identify the inappropriate access. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. Recommendation: The University should ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. Views of Responsible Officials: The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the audit, the University has worked to implement further access limitations and enhanced its periodic review of access.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224178; Federal Work-Study Program, P033A224178; Federal Pell Grant Program, P063P223265; Federal Direct Student Loans, P268K233265; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233265 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). The University of Texas Permian Basin (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate), program (in-person or online), residency (in_x0002_state or out-of-state), living status (on-campus, off-campus, or at home with parents), and enrollment level (full_x0002_time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 60 (98 percent) of 61 students tested, the University incorrectly calculated the COA. For some of the students discussed below, there were multiple errors in the COA calculation. Specifically: • For 38 students, the University assigned an incorrect amount for the fees, loan fees, and/or transportation budget components. Those errors occurred because the amounts were incorrectly loaded into the budget tables in the University’s student information system. The University asserted that it discovered these issues in April 2023, and attempted to manually update individual student accounts that were affected. As a result, the COA for those students was overstated, and three students were overawarded a total of $2,871. After auditors brought the overawards to the University’s attention, it returned funds to the U.S. Department of Education; therefore, there were no questioned costs. • For 15 students, the University assigned an in-person budget instead of an online advanced budget. Those
errors occurred because the University failed to consistently communicate which programs were offered
online to the financial aid office, which would have helped ensure that the student information system was
updated appropriately. As a result, the COA for those students was overstated, and one of those students
was overawarded a Subsidized Direct Loan in the amount of $919. After auditors brought the overaward to
the University’s attention, it returned funds to the U.S. Department of Education; therefore, there were no
questioned costs.
• For 12 students, the University incorrectly assigned an additional room and board fee. As a result, the COA
was overstated by $50 per term for each of those students; however, the University did not overaward
financial assistance to those students.
• For eight students, the University did not adjust the students’ COA to reflect the students’ actual enrollment.
The University did not have a process to freeze student enrollment levels in order to recalculate COA after
census. As a result, the COA for those students was overstated; however, the University did not overaward
financial assistance to those students.
The University did not have adequate controls in place to review budgets used in the calculation of COA and
accurately assign those budgets to students. Incorrectly calculating COA increases the risk of overawarding or
underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets in
accordance with its process and does not overaward financial assistance to students.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University has worked to implement additional controls as it relates to calculation of the Cost of
Attendance.
Special Tests and Provisions – Disbursements To or On Behalf of Students Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Direct Student Loans, P268K233265; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233265 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Award and Disbursement Notifications: Before an institution disburses Title IV, Higher Education Act of 1965 (HEA) program funds for any award year, the institution must notify a student of the amount of funds that the student or his or her parent can expect to receive under each Title IV, HEA program, and how and when those funds will be disbursed. If those funds include Direct Loan program funds, the notice must indicate which funds are from subsidized loans, which are from unsubsidized loans, and which are from PLUS loans (Title 34, Code of Federal Regulations (CFR), Section 668.165(a)(1)). If an institution credits a student’s ledger account with Federal Direct Student Loan (Direct Loan) funds or Teacher Education Assistance for College and Higher Education (TEACH) Grant funds, the institution must notify the student or parent of (1) the anticipated date and amount of the disbursement, (2) the student’s or parent’s right to cancel all or a portion of that loan or grant and have the loan or grant proceeds returned to the U.S. Department of Education, and (3) the procedures and time by which the student or parent must notify the institution that he or she wishes to cancel the loan or grant, or loan or grant disbursement (Title 34, CFR, Section 668.165(a)(2)). The institution must provide the notice in writing no earlier than 30 days before, and no later than 30 days after, crediting the student’s ledger account at the institution (Title 34, CFR, Section 668.165(a)(3)). For 9 (15 percent) of 61 disbursements tested, the University of Texas Permian Basin (University) did not send a disbursement notification as required. Specifically, those nine students received Direct Loan disbursements, and the University did not send disbursement notifications because the University’s automated process used to identify and send disbursement notifications to students was not configured to include students whose disbursements were made manually within the student information system. The University asserted that it identified this issue in May 2023 and corrected the process in its student information system, but did not retroactively send the missing disbursement notifications for the Fall 2022 or Spring 2023 term. In addition, the University did not have a process in place to send award or disbursement notifications to TEACH Grant recipients. This error occurred because the University’s automated processes used to identify and send award and disbursement notifications to students was not configured to include TEACH Grants. The University asserted that it identified this issue in May 2023 and corrected the processes in its student information system, but it did not retroactively send missing disbursement notifications for the Fall 2022 or Spring 2023 term. Not receiving award and disbursement notifications impairs students’ and parents’ ability to budget for the cost of attending or exercise the option to cancel their loans or grants. Recommendation: The University should strengthen its controls to ensure that it identifies all students that require an award or disbursement notification, and sends those notifications to the students. Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University has worked to ensure that disbursement notifications for Federal Direct Loans and TEACH
grants go out to all applicable students.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224178; Federal Pell Grant Program, P063P223265; Federal Direct Student Loans, P268K233265; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233265 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs, and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). The total number of calendar days in a payment period or period of enrollment includes all days within the
payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks
of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the
number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)).
For a program offered in modules, a student is not considered to have withdrawn if the student successfully
completes either (1) a module that includes 49 percent or more of the number of days in the payment period,
excluding scheduled breaks of five or more consecutive days and all days between modules; or (2) a combination
of modules that together contain 49 percent or more of the number of days in the payment period, excluding
scheduled breaks of five or more consecutive days and all days between modules (Title 34, CFR, Section
668.22(a)(2)(ii)(A)(2)).
For 3 (6 percent) of 48 students tested who did not have a return of Title IV funds made, the University of
Texas Permian Basin (University) did not perform a return calculation as required. Specifically:
• For two students who were enrolled in module courses, the University did not perform a return calculation
because it incorrectly determined that the students completed 49 percent or more of the number of days in
the payment period. The University asserted that staff misinterpreted the 49 percent withdrawal exemption
requirements.
• For one student, the University did not perform a return calculation and return funds as required due to staff
oversight.
After auditors brought those errors to the University’s attention, the University performed the return calculations
and returned the funds to the U.S. Department of Education; therefore, there were no questioned costs.
In addition, the University made errors in Title IV return calculations for 11 (48 percent) of 23 students
tested. Specifically, the University did not exclude any break days from the students’ return calculations as
required. Those errors occurred because the University did not load the break days into its student information
system when setting up the payment periods for the standard Fall 2022 and Spring 2023 terms; therefore, this
issue would have affected all students who withdrew from those terms. As a result, the University returned a total
of $284 less than it should have for 2 of those 11 students. After auditors brought the issue to the University’s
attention, the University returned those funds to the U.S. Department of Education; therefore, there were no
questioned costs.
• For 3 of those 11 students, the University also incorrectly adjusted the students’ Direct Loans disbursements
prior to performing the return calculation. As a result of those errors, the University returned more funds than
required; therefore, there were no questioned costs.
The University did not have an adequate monitoring process to identify the errors discussed above. Not having a
process that consistently calculates and returns the correct amount of Title IV funds increases the risk that the
University could return less Title IV funds than it is required to return.
Timeliness of Returns:
An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later
than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section
668.22(j)).
For 3 (13 percent) of 23 students tested who withdrew and required a return of Title IV funds, the
University did not return the funds within the required time frame. The University returned the Title IV funds
to the U.S. Department of Education 46 and 203 days after the University determined that the students withdrew.
The University did not have adequate controls in place to ensure that Title IV funds were returned within the
required 45-day time frame. Not making returns within required time frames reduces the funds available to the U.S. Department of Education
for its program management.
Recommendations:
The University should:
• Configure its student information system to exclude any scheduled breaks as required.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in return of Title IV calculations
and returns Title IV funds in a timely manner.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University has worked to ensure procedures and interpretation of the regulations for the Return to Title
IV have been updated to result in correct and timely return of Title IV funds.
Special Tests and Provisions – Disbursement To or On Behalf of Students Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222333; Federal Direct Student Loans, P268K232333; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232333 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Allowable Charges: An institution may credit a student's ledger account with Title IV, Higher Education Act of 1965 (HEA) program funds to pay for allowable charges associated with the current payment period. Allowable charges are: (1) the amount of tuition, fees, and institutionally provided room and board assessed the student for the payment period or the prorated amount of those charges if the institution debits the student's ledger account for more than the charges associated with the payment period; and (2) the amount incurred by the student for the payment period for purchasing books, supplies, and other educationally related goods and services provided by the institution for which the institution obtains the student’s or parent’s authorization under Section 668.165(b) (Title 34, Code of Federal Regulations (CFR), Section 668.164(c)(1)). If an institution obtains written authorization from a student or parent, as applicable, the institution may: (1) use the student’s or parent’s Title IV, HEA program funds to pay for charges that are included in that authorization, and (2) hold on behalf of the student or parent any Title IV, HEA program funds that would otherwise be paid directly to the student or parent as a credit balance, unless the Secretary provides funds to the institution under the reimbursement payment method or the heightened cash monitoring payment method (Title 34, CFR, Section 668.165(b)(1)). An institution may not use Title IV funds to pay finance charges or fees that are incurred because a student uses a financing method provided by the school to pay for educational expenses over time. Because students or families choose to incur these additional expenses rather than paying the balance due at registration, the additional charges are not considered educational expenses, and may not be included in a student’s cost of attendance. (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 2). For 13 (21 percent) of 62 students tested, the University of Houston (University) used Title IV funds to pay unallowable charges. Some of those students were affected by both errors discussed below. Specifically: • For eight students, the University credited student ledger accounts during the payment period for unallowable charges unrelated to tuition, fees, or institutionally provided room and board. The unallowable finance charges paid with Title IV funds included various fees (credit card processing, severance of service, installment origination, and late fees), and various loan charges. Those charges are unallowable whether the University obtains student or parent authorization or not. The University asserted it is conducting a comprehensive review of all charges to determine allowability for Title IV funds. • For eight students, the University credited student ledger accounts during the payment period for charges other than tuition, fees, or institutionally provided room and board without obtaining the authorization of the student or parent. The unallowable charges paid with Title IV funds included various parking and garage related fees, meal plan tax charges, and book loan university fund charges. Those errors occurred because the University did not have a process to obtain written authorization from a student or parent to apply Title IV funds to charges other than tuition, fees, and institutionally provided room and board. Not receiving all Title IV funds a student is entitled to impairs students’ and parents’ ability to budget for the cost
of attending.
Recommendations:
The University should strengthen its controls to ensure that:
• It does not credit student ledger accounts for unallowable charges.
• It obtains written authorization from students or parents prior to crediting student ledger accounts for certain
charges.
Views of Responsible Officials:
The University acknowledges and agrees with the findings. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224166; Federal Pell Grant Program, P063P222333; Federal Direct Student Loans, P268K232333; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232333 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). The institution must return the lesser of the total amount of unearned Title IV assistance calculated above or an amount equal to the total institutional charges incurred by the student for the payment period or period of enrollment multiplied by the percentage of Title IV grant or loan assistance not earned by the student. For purposes of this calculation, “institutional charges” are tuition, fees, room and board (if the student contracts with the institution for the room and board), and other educationally related expenses assessed by the institution (Title 34, CFR, Section 668.22(g)). The institutional charges used in the calculation are usually the charges that were initially assessed to the student for the entire payment period or period of enrollment, as applicable. Initial charges may be adjusted only by those changes the institution made prior to the student’s withdrawal, such as a change in enrollment status unrelated to the withdrawal (U.S. Department of Education, 2022- 2023 Federal Student Aid Handbook, Volume 5, Chapter 1, Section: Institutional Charges). The University of Houston (University) made errors in Title IV return calculations for 18 (30 percent) of 60
students tested. Specifically:
• For 15 students, the University made errors in determining the amount of institutional charges to be used in
the return calculation by including unallowable charges in its calculation for those students.
• For two students, the University returned the incorrect amount of Title IV funds due to manual entry errors.
For one of those students, the University also incorrectly included unallowable charges in the student’s return
calculation as discussed above.
• For one student, the University incorrectly canceled the student’s Federal Pell Grant award before its
calculation. The University asserted that was due to a processing error in its student information system.
There were no questioned costs as a result of those errors because for each student the University returned more
than the required amount or the error did not affect the amount of Title IV grant or loan assistance to be returned.
Distance Education:
For distance education, documenting that a student has logged into an online class is not sufficient to
demonstrate academic attendance by the student. An institution must demonstrate that a student participated in
class or was otherwise engaged in an academically related activity. Only active participation by a student in an
instructional activity related to the student’s course of study that meets the definition of “academic engagement” in
Title 34, CFR, Section 600.2 and takes place during a payment period or period of enrollment qualifies as
attendance in an academically related activity (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 5, Chapter 2).
For 1 (7 percent) of 14 students tested, the University did not have evidence of academic engagement in
the distance education course from which the student’s withdrawal date was determined. The University
relies on the last dates of academic activity provided by instructors to determine the withdrawal date for return of
Title IV purposes for students who unofficially withdraw. However, the University did not have an adequate review
process in place to ensure that it maintained documentation supporting attendance in distance education courses.
As a result, the University could not demonstrate that the student participated or otherwise engaged in an
academically related activity in that course to support the last date of attendance used by the University for return
of Title IV purposes.
The University did not have an adequate monitoring process to identify the errors discussed above. Not having a
process that consistently calculates and returns the correct amount of Title IV funds increases the risk that the
University could return the incorrect amount of Title IV funds.
Recommendations:
The University should:
• Calculate institutional charges in accordance with U.S. Department of Education requirements.
• Ensure that evidence of academic engagement is consistently documented for students in distance education
courses.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in its calculation of Title IV
funds to return. Views of Responsible Officials:
The University acknowledges and agrees with the findings. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions - Gramm-Leach-Bliley Act - Student Information Security Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Gramm-Leach-Bliley Act: Institutions must protect sensitive data, including information obtained in support of the administration of federal student financial assistance programs, as required by the Gramm-Leach-Bliley Act (GLBA) (Public Law 106-102). Under their Program Participation Agreement (PPA) and the GLBA, postsecondary educational institutions must protect student financial aid information, with particular attention to information provided by the Department of Education or otherwise obtained in support of the administration of the Title IV Federal student financial aid programs (Dear Colleague Letter, July 1, 2016 (GEN-16-12)). Institutions are required to develop, implement, and maintain an information security program that includes the minimum elements in Title 16, Code of Federal Regulations (CFR), Section 314.4. Those minimum requirements include conducting a periodic inventory of data, noting where it is collected, stored, or transmitted (Title 16, CFR, Section 314.4(c)(1)). In addition, the institution must designate a qualified individual responsible for overseeing, implementing, and enforcing the institution’s information security program (Title 16, CFR, Section 314.4(a)). The University of Houston’s (University) information security program did not address the implementation of all minimum safeguards as required by the GLBA. Specifically, while the University had designated a Qualified Individual to coordinate its information security program and had a written information security program in place, that program did not meet the requirements for conducting a periodic inventory of data. Not implementing all required safeguards in its information security program increases the University’s risk of data breach or loss. Recommendation:
The University should ensure that all elements required by the GLBA are documented and implemented in its
information security program.
Views of Responsible Officials:
The University acknowledges and agrees with the findings. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Reporting
Federal Agency: U.S. Department of Education
Federal Program Title: Student Financial Assistance Cluster
Assistance Listing Number: 84.063; and 84.379
Pass-Through Agency: N/A
Award Number: Federal Pell Grant Program, P063P222293; and Teacher Education
Assistance for College and Higher Education Grants (TEACH),
P379T232293
Award Period: July 1, 2022, to June 30, 2023
Statistically Valid Sample: No and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency and Noncompliance
Questioned Costs: None
Repeat Finding: No
COD Reporting:
Institutions must submit Federal Pell Grant, Iraq and Afghanistan Service Grant, Direct Loan, and Teacher
Education Assistance for College and Higher Education (TEACH) Grant disbursement records to the Common
Origination and Disbursement (COD) system no later than 15 days after making the disbursement or becoming
aware of the need to adjust a previously reported disbursement. Reporting this information helps ensure that
institutions have the most accurate information available about students’ federal awards and helps prevent an
institution from overawarding students (Title 34, Code of Federal Regulations (CFR), Section 690.83(b); U.S.
Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 1; and Federal Register,
Volume 88, Number 120). Certain data elements are required to be reported as part of a student’s origination and
disbursement record, including the student’s Social Security number, Central Processing System (CPS)
transaction number, enrollment date, disbursement amount, and disbursement date (2022-2023 COD Technical
Reference, Volume II).
For 2 (3 percent) of 63 students tested, the University North Texas (University) did not accurately report
all disbursement record data elements to the COD system. Specifically:
• For one student, the University reported an incorrect disbursement date for two TEACH disbursements made
to the student during the award year. The University’s process is to manually report TEACH Grant awards on
COD’s website; the incorrect disbursement dates reported were a result of manual entry errors made during
that process.
• For one student, the University reported an incorrect disbursement date for one Federal Pell Grant
disbursement made to the student during the award year. The University asserted that error occurred
because the student’s record had to be manually updated after being rejected by the COD system for a
missing value.
The incorrect disbursement dates ranged from 78 days prior to 74 days after the actual funds were disbursed to
the students. The University did not have a sufficient process to review the manual data entries for accuracy. Not
accurately reporting information to the COD system could result in the institution overawarding federal funds.
Recommendation:
The University should strengthen its controls to ensure that disbursement dates are reported to the COD system
accurately.
Views of Responsible Officials:
The University acknowledges and agrees with the findings regarding the accuracy of reporting disbursements in
the Common Origination and Disbursement (COD) system. The University recognizes the importance of
accurately reporting disbursements in the COD system and will work accordingly to ensure manual entries are
entered with accurate information.
Special Tests and Provisions – Return of Title IV Funds
Federal Agency: U.S. Department of Education
Federal Program Title: Student Financial Assistance Cluster
Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379
Pass-Through Agency: N/A
Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG),
P007A224085; Federal Pell Grant Program, P063P222293; Federal Direct
Student Loans, P268K232293; and Teacher Education Assistance for
College and Higher Education Grants (TEACH), P379T232293
Award Period: July 1, 2022, to June 30, 2023
Statistically Valid Sample: No and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency and Noncompliance
Questioned Costs: None
Repeat Finding: No
Return of Title IV Calculations:
When a student who received Title IV grant or loan assistance withdraws from an institution during a payment
period or period of enrollment in which the student began attendance, the institution must determine the amount
of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of
Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned
by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date
of the institution’s determination that the student withdrew, the difference must be returned to the Title IV
programs and no additional disbursements may be made to the student for the payment period or period of
enrollment (Title 34, CFR, Section 668.22(a)(4)).
The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV
grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title
IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the
payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their
Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period
or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by
subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was
disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student
withdrew (Title 34, CFR, Section 668.22(e)).
The total number of calendar days in a payment period or period of enrollment includes all days within the
payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks
of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the
number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)). The University of North Texas (University) made errors in Title IV return calculations for 32 (52 percent) of
61 students tested. Those errors occurred because the University did not exclude any break days from its Title
IV return calculations for the Fall 2022 term as required; therefore, that issue would have affected all students
who withdrew from the Fall 2022 term and had an automated return calculation performed. Although the amount
of unearned Title IV assistance calculated for those students was incorrect, there were no questioned costs as a
result of those errors because the University returned more funds than required.
• For 1 of those 32 students, the University also did not accurately determine the withdrawal date for the
student who was enrolled in modules. After auditors brought the issue to the University’s attention, the
University re-performed the return calculation and returned the additional Title IV funds as required; therefore,
there were no questioned costs.
• In addition, for 1 of those 32 students, the University incorrectly returned Title IV funds for a student who
completed more than 60 percent of the term and did not require a return.
Distance Education:
For distance education, documenting that a student has logged into an online class is not sufficient to
demonstrate academic attendance by the student. An institution must demonstrate that a student participated in
class or was otherwise engaged in an academically related activity. Only active participation by a student in an
instructional activity related to the student’s course of study that meets the definition of “academic engagement” in
Title 34, CFR, Section 600.2, and takes place during a payment period or period of enrollment qualifies as
attendance in an academically related activity (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 5, Chapter 2).
For 1 (14 percent) of 7 students tested, the University did not have evidence of academic engagement for
the student who attended all distance education courses. The University relies on the last dates of
attendance (LDA) provided by instructors to determine the withdrawal date for Return of Title IV purposes for
students who unofficially withdraw. If no LDAs are provided by the instructors, the University uses the midpoint of
the term as the withdrawal date. The student was enrolled in all distance education courses, and the University
used the midpoint as the withdrawal for the student. However, the University could not provide evidence that the
student participated or otherwise engaged in an academically related activity in any of the distance education
courses. After auditors brought the issue to the University’s attention, the University performed a return
calculation and returned Title IV funds as required; therefore, there were no questioned costs.
Timeliness of Returns:
An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later
than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section
668.22(j)).
For 12 (20 percent) of 61 students tested who withdrew and required a return of Title IV funds, the
University did not return the funds within the required time frame. Specifically, the University returned the
Title IV funds to the U.S. Department of Education between 47 to 183 days after the University determined that
the students withdrew. The University asserted those errors occurred due to staffing issues and problems with the
transmission of the adjustments to the U.S. Department of Education’s Common Origination and Disbursement
(COD) system.
The University did not have an adequate monitoring process to identify those errors or document the review
process. Having a process that does not consistently calculate and return the correct amount of Title IV funds
increases the risk that the University could return incorrect amounts of Title IV funds. In addition, not making
returns within the required time frames reduces the funds available to the U.S. Department of Education for its
program management.
Recommendations:
The University should:
• Accurately determine the number of days in the payment period and exclude any scheduled breaks as
required.
• Ensure that evidence of academic engagement is consistently documented for students in distance education
courses.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in Title IV return calculations
and returns Title IV funds in a timely manner.
Views of Responsible Officials:
The University acknowledges and agrees with the findings regarding the Return of Title IV funds in cases where a
student officially or unofficial withdraws from the institution after the student begins attendance in a given payment
period or period of enrollment. The University acknowledges the importance of accurately calculating the Title IV
funds to be returned and the timely return of those funds.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 84.408 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A234136; Federal Work-Study Program, P033A224136; Federal Pell Grant Program, P063P225286; Federal Direct Student Loans, P268K235286; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T235286; and Postsecondary Education Scholarships For Veteran's Dependents (Iraq and Afghanistan Service Grant (IASG)), P408A225286 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: Unknown Repeat Finding: No Satisfactory Academic Progress: A student is eligible to receive Title IV, Higher Education Act of 1965 (HEA) program assistance if the student maintains satisfactory academic progress in his or her course of study according to the institution’s published standards of satisfactory academic progress (SAP) that satisfy the provisions of Title 34, Code of Federal Regulations (CFR), Section 668.34 (Title 34, CFR, Section 668.32(f)). An institution’s SAP policy must include a qualitative component that consists of grades or comparable factors that are measurable against a norm and a quantitative component that consists of the pace at which students must progress through their program to ensure that they will graduate within the maximum time frame required to complete their education (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 1, Chapter 1). For an undergraduate program measured in credit hours, a period that is no longer than 150-percent of the published length of the educational program, as measured in credit hours, should be used to determine the maximum time frame for the quantitative component of SAP (Title 34, CFR, Section 668.34(b)(1)). For 1 (2 percent) of 45 students tested, Texas A&M University (University) did not calculate SAP in accordance with its policy. Specifically, the University did not update the program hours for the Bachelor of Science in Nursing program in its student information system when it changed the program length from 123 hours to 120 hours during the 2017–2018 award year. Therefore, this issue would have affected all students enrolled in the program. As a result, the maximum time frame calculation incorrectly allowed students to exceed the maximum hours without failing SAP. Incorrectly calculating the maximum time frame increases the risk that students could receive financial assistance for which they are not eligible. Recommendation: The University should ensure that the maximum time frame is configured in its student information system with the accurate number of credit hours for each degree program. Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; 84.408; and 93.925 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224122; Federal Work-Study Program, P033A224122; Federal Pell Grant Program, P063P220387; Federal Direct Student Loans, P268K230387; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T230387; Postsecondary Education Scholarships For Veteran's Dependents (Iraq and Afghanistan Service Grant (IASG)), P408A220387; and Scholarships for Health Professions Students from Disadvantaged Backgrounds - Scholarships for Disadvantaged Students (SDS), 5 T08HP39298-03-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, CFR, Sections 668.2, 673.5, and 685.301). Texas State University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate); residency (in-state or out-of-state); housing status (on_x0002_campus, off-campus, or living with parent); and enrollment status (full-time, three-quarter-time, half-time, or less_x0002_than-half-time). Budgeting rules within the University’s student financial assistance system are established to assign various budget components based on the factors noted above. For 1 (2 percent) of 44 students tested, the University incorrectly calculated the COA. Specifically, the University assigned a less-than-half-time COA when the student was enrolled full-time. As a result, the student’s COA was understated by $9,545. After auditors brought the issue to the University’s attention, it identified a total of 84 total students who were affected, including 56 students who received Title IV financial assistance. Those errors occurred because the University did not recalculate the COA for students in the Pathway program after enrollment was finalized for the Spring 2023 term. The errors discussed above did not result in overawards of financial assistance; therefore, there were no
questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or
underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets for the
Pathway program in accordance with its process.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). Texas Tech University (University) did not appropriately restrict user access to its student information system. Specifically, the University did not always limit access to the student information system to only users who needed that access based on their job responsibilities. While the University had a process in place to review user access, that process was not adequately designed to ensure that the University granted the appropriate level of access to all users based on the users’ job duties. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. Recommendation: The University should ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. Views of Responsible Officials: Texas Tech University acknowledges and agrees with the findings. Texas Tech University has worked to develop and implement corrective action to further improve processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; 84.379; and 84.408 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224151; Federal Pell Grant Program, P063P222328; Federal Direct Student Loans, P268K232328; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232328; and Postsecondary Education Scholarships For Veteran's Dependents (Iraq and Afghanistan Service Grant (IASG)), P408A222328 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: Unknown Repeat Finding: No When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV
grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title
IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the
payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their
Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period
or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by
subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was
disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student
withdrew (Title 34, CFR, Section 668.22(e)).
For distance education, documenting that a student has logged into an online class is not sufficient to
demonstrate academic attendance by the student. An institution must demonstrate that a student participated in
class or was otherwise engaged in an academically related activity. Only active participation by a student in an
instructional activity related to the student’s course of study that meets the definition of “academic engagement” in
Title 34, CFR, Section 600.2 and takes place during a payment period or period of enrollment qualifies as
attendance in an academically related activity (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 5, Chapter 2).
For 1 (5 percent) of 20 students tested, Texas Tech University (University) did not have evidence of
academic engagement in the distance education course from which the student’s withdrawal date was
determined. The University asserted that when an instructor submits a failing grade for a student, the instructor is
required to provide the date of last academic activity. That date is recorded in the University’s student information
system and used by the University to determine the unofficial withdrawal date for Return of Title IV purposes.
However, the University did not have a process in place to require instructors to provide or maintain evidence of
academic engagement in distance education courses. As a result, the University could not demonstrate that the
student participated or otherwise engaged in an academically related activity in that course to support the last
date of attendance used by the University for Return of Title IV purposes.
Having a process that does not consistently calculate and return the correct amount of Title IV funds increases
the risk that the University could return less Title IV funds than it is required to return.
Recommendations:
The University should:
• Ensure that evidence of academic engagement is consistently documented for students in distance education
courses.
• Strengthen its controls to ensure that it accurately calculates returns of Title IV funds when required, including
review of the variables it uses in those calculations.
Views of Responsible Officials:
Texas Tech University acknowledges and agrees with the findings. Texas Tech University has worked to develop
and implement corrective action to further improve processes.
Special Tests and Provisions - Gramm-Leach-Bliley Act - Student Information Security Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Gramm-Leach-Bliley Act: Institutions must protect sensitive data, including information obtained in support of the administration of federal student financial assistance programs, as required by the Gramm-Leach-Bliley Act (GLBA) (Public Law 106-102). Under their Program Participation Agreement (PPA) and the GLBA, postsecondary educational institutions must protect student financial aid information, with particular attention to information provided by the Department of Education or otherwise obtained in support of the administration of the Title IV Federal student financial aid programs (Dear Colleague Letter, July 1, 2016 (GEN-16-12)). Institutions are required to develop, implement, and maintain an information security program that includes the minimum elements in Title 16, Code of Federal Regulations (CFR), Section 314.4. Those minimum requirements include conducting a periodic inventory of data, noting where it is collected, stored, or transmitted (Title 16, CFR, Section 314.4(c)(1)). In addition, the institution must designate a qualified individual responsible for overseeing, implementing, and enforcing the institution’s information security program (Title 16, CFR, Section 314.4(a)). The University of Houston’s (University) information security program did not address the implementation of all minimum safeguards as required by the GLBA. Specifically, while the University had designated a Qualified Individual to coordinate its information security program and had a written information security program in place, that program did not meet the requirements for conducting a periodic inventory of data. Not implementing all required safeguards in its information security program increases the University’s risk of data breach or loss. Recommendation:
The University should ensure that all elements required by the GLBA are documented and implemented in its
information security program.
Views of Responsible Officials:
The University acknowledges and agrees with the findings. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 93.264 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224051; Federal Work-Study Program, P033A224051; Federal Pell Grant Program, P063P222282; Federal Direct Student Loans, P268K232282; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232282; and Nurse Faculty Loan Program (NFLP), 1 E01HP45821-01-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $1,409 Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). Direct Subsidized and Unsubsidized Loans have annual and aggregate limits that are the same for all students at a given grade level and dependency status. In general, a loan may not be more than the amount the borrower requests, the borrower’s unmet financial need, the borrower’s COA, or the borrower’s maximum borrowing limit. (U.S. Department of Education 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 5). Lamar University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate), dependency (dependent or independent), residency (in-state or out-of-state), living status (on-campus, off-campus, or at home with parents), and enrollment level (full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 23 (38 percent) of 61 students tested, the University incorrectly calculated the COA. Specifically, the
University did not adjust the students’ COA to reflect the students’ actual enrollment as of the census date. The
University experienced turnover in the Student Financial Aid department during the 2022–2023 award year, and
could not provide a cause for those errors. The University asserted that it implemented a process to recalculate
students’ COAs based on their actual enrollment at census beginning with the Fall 2023 term; however, the errors
discussed above occurred before that process was in place. As a result, the University overawarded two students.
• One of those students was assigned an overstated COA for the Fall 2022 term based on three-quarter-time
enrollment although the student’s actual enrollment was half-time. The student was awarded $5,294 in
Subsidized Direct Loans, which exceeded the student’s financial need, resulting in $1,113 in questioned costs
associated with ALN 84.268, Federal Direct Student Loans, award number P268K232282.
• The other student was assigned an overstated COA for the Spring 2023 term based on full-time enrollment
although the student did not attend during the term. The student was awarded $10,142 in Unsubsidized Direct
Loans, which exceeded the student’s actual COA, resulting in $296 in questioned costs associated with ALN
84.268, Federal Direct Student Loans, award number P268K232282.
The University did not have adequate controls in place to review budgets used in the calculation of COA and
accurately assign those budgets to students. Incorrectly calculating COA increases the risk of overawarding or
underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets in
accordance with its process and does not overaward financial assistance to students.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Disbursements To or On Behalf of Students Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 93.264 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224051; Federal Work-Study Program, P033A224051; Federal Pell Grant Program, P063P222282; Federal Direct Student Loans, P268K232282; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232282; and Nurse Faculty Loan Program (NFLP), 1 E01HP45821-01-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Award and Disbursement Notifications: Before an institution disburses Title IV, Higher Education Act of 1965 (HEA) program funds for any award year, the institution must notify a student of the amount of funds that the student or his or her parent can expect to receive under each Title IV, HEA program, and how and when those funds will be disbursed. If those funds include Direct Loan program funds, the notice must indicate which funds are from subsidized loans, which are from unsubsidized loans, and which are from PLUS loans (Title 34, Code of Federal Regulations (CFR), Section 668.165(a)(1)). If an institution credits a student’s ledger account with Federal Direct Student Loan (Direct Loan) funds or Teacher Education Assistance for College and Higher Education (TEACH) Grant funds, the institution must notify the student or parent of (1) the anticipated date and amount of the disbursement, (2) the student’s or parent’s right to cancel all or a portion of that loan or grant and have the loan or grant proceeds returned to the U.S. Department of Education, and (3) the procedures and time by which the student or parent must notify the institution that he or she wishes to cancel the loan or grant, or loan or grant disbursement (Title 34, CFR, Section 668.165(a)(2)). The institution must provide the notice in writing no earlier than 30 days before, and no later than 30 days after, crediting the student’s ledger account at the institution (Title 34, CFR, Section 668.165(a)(3)). For 21 (34 percent) of 62 disbursements tested, Lamar University (University) did not send an award or
disbursement notification as required. Specifically:
• For 20 students that received Direct Loan disbursements, the University did not send a disbursement
notification. The University asserted those errors occurred because the University was utilizing a manual
process to send out the disbursement notifications, and on those days when the employee charged with
performing the manual process was not present, the notifications were not sent to students.
• For one student who received Title IV funds, the University did not send an award notification. This error
occurred because the University manually packaged the student’s awards after clearing a verification
requirement, and the University did not have an adequate process in place to ensure that students who are
manually awarded receive an award notification.
Not receiving award and disbursement notifications impairs students’ and parents’ ability to budget for the cost of
attending or exercise the option to cancel their loans or grants.
Promissory Notes:
Institutions must establish a process to make loans consistent with institutional policies and federal laws and
regulations, including the completion of the following during disbursement: (1) signed promissory note, and (2)
disclosure of terms and conditions (Nurse Faculty Loan Program (NFLP) Administrative Guidelines, 42 United
States Code (U.S.C.) 297n-1 (Public Health Service Act Section 846A)).
The University did not have a process in place to require a promissory note for NFLP loans prior to
disbursement. NFLP loans were incorrectly identified in the student information system as a grant instead of a
loan. As a result, the student information system did not place a required hold on disbursements until the
promissory note requirement was completed.
Not requiring a signed promissory note prior to disbursement of loan funds could limit the University’s ability to
enforce repayment of the loan.
Recommendations:
The University should:
• Strengthen its controls to ensure that it identifies all students that require an award or disbursement
notification, and sends those notifications to the students.
• Configure controls in the student information system to require promissory notes for applicable loans.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: 2020-142 General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). The University of Texas at Arlington (University) did not appropriately restrict user access to its student information system. Specifically, a user was granted administrative access in the student information system, which included the ability to modify information and process transactions, such as authorizing and disbursing aid. The University did not remove the administrative access after the user’s specific job responsibilities no longer required that level of access. The University had a process to periodically review user access; however, that review was not sufficient to identify the inappropriate access. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. Recommendation: The University should ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. Views of Responsible Officials: To the point that The University of Texas at Arlington (University) did not appropriately restrict user access to its student information system. OIT and Financial Aid acknowledge that a user was given elevated access that was not removed when the assigned maintenance task was completed.
Cash Management Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 93.264; and 93.364 Pass-Through Agency: N/A Award Number: Nurse Faculty Loan Program (NFLP), 2 E01HP28792-04-00; and Nursing Student Loans (NSL), 1 E4CHP46343-01-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $19,593 Repeat Finding: No Institutions must maintain advance payments of federal awards in interest-bearing accounts (Title 2, Code of Federal Regulations (CFR), Section 200.305(b)(8)). Interest earned amounts up to $500 per year may be retained by the non-federal entity for administrative expense. Any additional interest earned on federal advance payments deposited in interest-bearing accounts must be remitted annually to the Department of Health and Human Services Payment Management System (PMS) through an electronic medium using either the Automated Clearing House (ACH) network or a Fedwire Funds Service payment (Title 2, CFR, Section 200.305(b)(9)). The University of Texas at Arlington (University) did not remit interest to the Department of Health and Human Services’ PMS as required. Specifically, the University: • Maintained advance payments of Nurse Faculty Loan Program (NFLP) funds in an interest-bearing account, which earned $17,803 in interest in fiscal year 2023. • Maintained advance payments of Nursing Student Loan (NSL) funds in an interest-bearing account, which earned $2,290 in interest in fiscal year 2023. The University asserted it was not aware of the requirement to remit interest for NFLP and NLS, and believed the earnings on interest could be retained as a source of additional funds for lending to students. After the $500 allowance for administrative expenses, the University would be required to remit interest totaling $17,553 associated with ALN 93.264, Nurse Faculty Loan Program, award number 2 E01HP28792-04-00 and $2,040 associated with ALN 93.364, Nursing Student Loans, award number 1 E4CHP46343-01-00, which are considered questioned costs. Recommendation:
The University should ensure that interest in excess of $500 per year earned on federal cash draws is remitted
annually to the Department of Health and Human Services.
Views of Responsible Officials:
The University has been adhering to the guidance found in the Nursing Faculty and Student Loan award
documentation as well as the guidance found in the HRSA EHB Guidance Document regarding interest earned on
the advanced payments. The guidance found in these documents states that interest earned in these loan funds
should be maintained in an interest-bearing account and deposited in the loan fund. It further states that the
interest earned can be retained as an important source of additional funds for lending to students.
However, as a result of the finding from this audit, the University acknowledges that interest in excess of $500
must be remitted annually to the Department of Health and Human Services.
Corrective Action Plan:
The University will remit annually any interest earned in excess of $500 to the Department of Health and Human
Services.
Implementation Date: 2/2024
Responsible Person: Andrea Wright, Executive Director of Accounting Service
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). The University of Texas at Austin (University) did not appropriately restrict user access to its student information system. Specifically, an employee retained the ability to modify student financial aid awards after transitioning from the Office of Student Financial Aid to another department within the University. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. In addition, the University did not have sufficient controls over its change management process for information systems. Specifically, one of the University’s departments did not enable the control designed to prevent developers from migrating their own code changes into production. Not having sufficient segregation of duties controls over the change management process increases the risk of unauthorized programming changes being made to critical information systems that the University uses to administer student financial assistance. Recommendations: The University should: • Ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. • Strengthen its controls over its change management process to ensure adequate segregation of duties. Views of Responsible Officials:
The University acknowledges and agrees with the finding. In this case, the employee transitioned from the Office
of Scholarships and Financial Aid (OSFA) to the Student Financial Aid implementation project. It was intended for
this employee to retain his prior access for a time so he could help provide backstop support while his duties were
transitioned to other employees within OSFA. This access should have been removed once his duties were
successfully transitioned.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. However, technical limitations in the current financial
aid management system require that a particular mainframe programming library be exempted from the change
control mechanisms that are used in all other libraries that can update student financial aid information.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: 2020-142 General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). The University of Texas at Arlington (University) did not appropriately restrict user access to its student information system. Specifically, a user was granted administrative access in the student information system, which included the ability to modify information and process transactions, such as authorizing and disbursing aid. The University did not remove the administrative access after the user’s specific job responsibilities no longer required that level of access. The University had a process to periodically review user access; however, that review was not sufficient to identify the inappropriate access. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. Recommendation: The University should ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. Views of Responsible Officials: To the point that The University of Texas at Arlington (University) did not appropriately restrict user access to its student information system. OIT and Financial Aid acknowledge that a user was given elevated access that was not removed when the assigned maintenance task was completed.
Cash Management Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 93.264; and 93.364 Pass-Through Agency: N/A Award Number: Nurse Faculty Loan Program (NFLP), 2 E01HP28792-04-00; and Nursing Student Loans (NSL), 1 E4CHP46343-01-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $19,593 Repeat Finding: No Institutions must maintain advance payments of federal awards in interest-bearing accounts (Title 2, Code of Federal Regulations (CFR), Section 200.305(b)(8)). Interest earned amounts up to $500 per year may be retained by the non-federal entity for administrative expense. Any additional interest earned on federal advance payments deposited in interest-bearing accounts must be remitted annually to the Department of Health and Human Services Payment Management System (PMS) through an electronic medium using either the Automated Clearing House (ACH) network or a Fedwire Funds Service payment (Title 2, CFR, Section 200.305(b)(9)). The University of Texas at Arlington (University) did not remit interest to the Department of Health and Human Services’ PMS as required. Specifically, the University: • Maintained advance payments of Nurse Faculty Loan Program (NFLP) funds in an interest-bearing account, which earned $17,803 in interest in fiscal year 2023. • Maintained advance payments of Nursing Student Loan (NSL) funds in an interest-bearing account, which earned $2,290 in interest in fiscal year 2023. The University asserted it was not aware of the requirement to remit interest for NFLP and NLS, and believed the earnings on interest could be retained as a source of additional funds for lending to students. After the $500 allowance for administrative expenses, the University would be required to remit interest totaling $17,553 associated with ALN 93.264, Nurse Faculty Loan Program, award number 2 E01HP28792-04-00 and $2,040 associated with ALN 93.364, Nursing Student Loans, award number 1 E4CHP46343-01-00, which are considered questioned costs. Recommendation:
The University should ensure that interest in excess of $500 per year earned on federal cash draws is remitted
annually to the Department of Health and Human Services.
Views of Responsible Officials:
The University has been adhering to the guidance found in the Nursing Faculty and Student Loan award
documentation as well as the guidance found in the HRSA EHB Guidance Document regarding interest earned on
the advanced payments. The guidance found in these documents states that interest earned in these loan funds
should be maintained in an interest-bearing account and deposited in the loan fund. It further states that the
interest earned can be retained as an important source of additional funds for lending to students.
However, as a result of the finding from this audit, the University acknowledges that interest in excess of $500
must be remitted annually to the Department of Health and Human Services.
Corrective Action Plan:
The University will remit annually any interest earned in excess of $500 to the Department of Health and Human
Services.
Implementation Date: 2/2024
Responsible Person: Andrea Wright, Executive Director of Accounting Service
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: 2020-113, 2017-119, 2016-109 General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). Texas Southern University (University) did not appropriately restrict user access to its student information system. Specifically, the University did not always ensure that (1) access to modify information and process transactions in the student information system and (2) administrative access at the network level was limited to only current employees and users who needed that access based on their job responsibilities. The University had a process to review user access to its systems; however, it did not always implement changes based on the results of that review. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made to those systems. Recommendation: The University should ensure that user access to its student information system and administrative access to its network is appropriately limited to employees based on current job responsibilities. Views of Responsible Officials: The Office of Technology acknowledges and agrees with the finding.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 93.925 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224145; Federal Work-Study Program, P033A224145; Federal Pell Grant Program, P063P222327; Federal Direct Student Loans, P268K232327; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232327; and Scholarships for Health Professions Students from Disadvantaged Backgrounds – Scholarships for Disadvantaged Students (SDS), 5 T08HP39322-03-00, 5 T08HP39282-03-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: 2020-113, 2017-119, 2016-109 Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). Texas Southern University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate); residency (in-state or out-of-state); living status (on_x0002_campus, off-campus, or with parent); and enrollment level (full-time, three-quarter-time, half-time, or less-than_x0002_half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 7 (11 percent) of 65 students tested, the University incorrectly calculated the COA. Specifically, the University assigned an incorrect amount for books and supplies for these students. Those errors occurred because the University decreased the default amount for the books and supplies budget component but did not update the algorithmic budget table in its student information system to reflect that change. As a result, the COA was overstated by $40 for each of those students. The errors discussed above did not result in overawards of financial assistance; therefore, there were no questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or underawarding financial assistance to students. Federal Pell Grant:
When awarding Federal Pell Grant assistance to students, institutions use the payment and disbursement
schedules provided each year by the U.S. Department of Education for determining award amounts (Title 34,
CFR, Section 690.62(a)). Those schedules provide the maximum annual amount a student would receive for a full
academic year for a given enrollment status, EFC, and COA. There are separate schedules for three-quarter time, half-time, and less-than-half-time students (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 3, Chapter 3; and Title 34, CFR, Section 690.63(b)).
For 2 (3 percent) of 65 students tested who received Federal Pell Grants, the University did not award the
correct amount of Federal Pell Grant assistance. Specifically, the University awarded those students less than
they were eligible to receive. The University did not identify additional credit hours from late registration in the
students’ Federal Pell Grant award determinations. As a result, the students were underawarded a total of $1,544
in Federal Pell Grant assistance.
Federal Direct Student Loans:
A borrower who has reached the aggregate borrowing limit for Direct Subsidized Loans and Direct Unsubsidized
Loans may not receive additional loans. Once the loans are repaid, in full or in part, the borrower may apply for
additional loans. The aggregate unpaid principal amount of all Direct Subsidized Loans made to a student may
not exceed $23,000 for any student who has not successfully completed a program of study at the undergraduate
level (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 5; and Title
34, CFR, Section 685.203(d)(1)).
The University did not always disburse Federal Direct Student Loans in accordance with applicable limits.
Specifically, the University exceeded the aggregate limit for Subsidized Direct Loans. Auditors determined that a
student had been awarded $500 in excess of the aggregate limit of $23,000. The University manually cleared a
hold to enforce the loan limit, without properly reviewing or adjusting the student’s loan. After auditors brought the
overaward issue to the University’s attention, it returned the loan funds; therefore, there were no questioned
costs. However, by not properly reviewing account holds, the University increases the risk of overawarding
financial assistance to students.
Satisfactory Academic Progress:
A student is eligible to receive Title IV, Higher Education Act of 1965 (HEA) program assistance if the student
maintains satisfactory academic progress in his or her course of study according to the institution’s published
standards of satisfactory academic progress (SAP) that satisfy the provisions of Title 34, CFR, Section 668.34
(Title 34, CFR, Section 668.32(f)). An institution’s SAP policy must include a qualitative component that consists
of grades or comparable factors that are measurable against a norm and a quantitative component that consists
of the pace at which students must progress through their program to ensure that they will graduate within the
maximum time frame required to complete their education.
For a graduate program, a period defined by the institution that is based on the length of the educational program
should be used to determine the maximum time frame for the quantitative component of SAP (U.S. Department of
Education, 2022-2023 Federal Student Aid Handbook, Volume 1, Chapter 1; and Title 34, CFR, Section
668.34(b)).
Additionally, an institution’s SAP policy should provide that, if at the time of evaluation, the student has not
achieved the required grade point average, is not successfully completing his or her program of study at the
required pace, or has not completed the program within the maximum time frame, the student is no longer eligible
for Title IV aid. The policy should provide specific procedures for disbursements to students on financial aid
warning or probation status and permit the student to appeal a determination; it should also provide specific
procedures for re-establishing eligibility to receive Title IV aid and the basis on which a student may file an appeal
(Title 34, CFR, Section 668.34(a)). For 1 (2 percent) of 65 students tested, the University did not calculate SAP in accordance with its policy.
The student re-enrolled in the Fall 2022 term after a gap in attendance, and the University did not perform a
manual SAP calculation, which would have shown that the student did not meet the minimum required pace as
defined in the University’s SAP policy. The student would have been required to submit an appeal, and have that
appeal approved, to receive financial assistance. The student was initially overawarded $6,184. Part of the funds
were returned as a result of a Return of Title IV Funds calculation after the student withdrew, and the remaining
funds were returned after auditors brought the issue to the University’s attention. Therefore, there were no
questioned costs.
Not calculating SAP compliance increases the risk that students could receive financial assistance for which they
are not eligible.
Institutional Student Information Records (ISIR):
The U.S. Department of Education automatically distributes (or “pushes”) to institutions certain ISIR transactions
processed by the Central Processing System (CPS); it then requires the institutions to take some sort of action.
An example of a pushed ISIR would be a student-corrected ISIR that causes a change to the EFC. Institutions are
required to review all pushed ISIRs and assess any potential effect on students’ eligibility for assistance
(Technical Reference for Electronic Date Exchange (EDE) 2022-2023).
The University did not have a process to address errors to ensure that all ISIR data was loaded accurately
and completely into its student information system. Specifically, the University did not reconcile records
received from CPS-pushed ISIRs to the University’s student information system records during the Fall 2022 term
and part of the Spring 2023 term. As a result, some eligible students did not receive their financial assistance until
making an inquiry of the University.
Recommendations:
The University should:
• Ensure that it accurately configures COA budget components within its student information system.
• Award students Federal Pell Grant assistance based on actual enrollment.
• Disburse Subsidized Direct Loans within the student’s applicable aggregate limit.
• Ensure that all students are evaluated for Satisfactory Academic Progress prior to disbursing financial
assistance.
• Properly reconcile all records received from CPS-pushed ISIRs.
Views of Responsible Officials:
Cost of Attendance (COA):
The Office of Student Financial Success agrees with the auditor’s findings indicating that 7 of 65 students tested
had an incorrect COA specifically related to the students’ books and supplies portion of the budget.
Views of Responsible Officials:
Federal Pell Grant:
The Office of Student Financial Success agrees with the findings that 2 of 65 students tested were not awarded
the correct amount of Federal Pell grant funds.
Views of Responsible Officials:
Federal Direct Student Loans:
The Office of Student Financial Success agrees with the finding that 1 student did not receive federal student
loans in accordance with applicable limits.
Views of Responsible Officials:
Satisfactory Academic Progress:
The Office of Student Financial Success agrees with the finding that 1 of 65 students did not receive an SAP
calculation in accordance with TSU policy.
Views of Responsible Officials:
Institutional Student Information Records (ISIR):
The Office of Student Financial Success agrees with the finding related to Institutional Student Information
Records.
Special Tests and Provisions – Gramm-Leach-Bliley Act - Student Information Security Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Gramm-Leach-Bliley Act: Institutions must protect sensitive data, including information obtained in support of the administration of federal student financial assistance programs, as required by the Gramm-Leach-Bliley Act (GLBA) (Public Law 106-102). Under their Program Participation Agreement (PPA) and the GLBA, postsecondary educational institutions must protect student financial aid information, with particular attention to information provided by the Department of Education or otherwise obtained in support of the administration of the Title IV Federal student financial aid programs (Dear Colleague Letter, July 1, 2016 (GEN-16-12)). Institutions are required to develop, implement, and maintain an information security program that includes the minimum elements in Title 16, Code of Federal Regulations (CFR), Section 314.4. In addition, the institution must designate a qualified individual responsible for overseeing, implementing, and enforcing the institution’s information security program (Title 16, CFR, Section 314.4(a)). Texas Southern University (University) did not implement an information security program as required by the GLBA. The University did not have a written information security program (and therefore did not address any of the minimum elements), and it did not designate a Qualified Individual responsible for implementing and monitoring its information security program. The University asserted that this was due to significant staffing issues in its Information Technology Department. Not implementing the required safeguards in an information security program and designating a Qualified Individual to implement and enforce those safeguards increases the University’s risk of data breach or loss. Recommendations: The University should: • Develop and implement an information security program that contains all elements required by the GLBA and the Code of Federal Regulations. • Designate a Qualified Individual responsible to implement and monitor its information security program. Views of Responsible Officials: Gramm-Leach-Bliley Act: The University acknowledges and agrees with the findings.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; 84.408; and 93.925 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224122; Federal Work-Study Program, P033A224122; Federal Pell Grant Program, P063P220387; Federal Direct Student Loans, P268K230387; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T230387; Postsecondary Education Scholarships For Veteran's Dependents (Iraq and Afghanistan Service Grant (IASG)), P408A220387; and Scholarships for Health Professions Students from Disadvantaged Backgrounds - Scholarships for Disadvantaged Students (SDS), 5 T08HP39298-03-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, CFR, Sections 668.2, 673.5, and 685.301). Texas State University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate); residency (in-state or out-of-state); housing status (on_x0002_campus, off-campus, or living with parent); and enrollment status (full-time, three-quarter-time, half-time, or less_x0002_than-half-time). Budgeting rules within the University’s student financial assistance system are established to assign various budget components based on the factors noted above. For 1 (2 percent) of 44 students tested, the University incorrectly calculated the COA. Specifically, the University assigned a less-than-half-time COA when the student was enrolled full-time. As a result, the student’s COA was understated by $9,545. After auditors brought the issue to the University’s attention, it identified a total of 84 total students who were affected, including 56 students who received Title IV financial assistance. Those errors occurred because the University did not recalculate the COA for students in the Pathway program after enrollment was finalized for the Spring 2023 term. The errors discussed above did not result in overawards of financial assistance; therefore, there were no
questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or
underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets for the
Pathway program in accordance with its process.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Reporting – FFATA Federal Agency: U.S. Department of Agriculture U.S. Department of Housing and Urban Development Federal Program Title: Child Nutrition Cluster (CNC) Community Development Block Grants/State’s Program and Non-Entitlement Grants in Hawaii (CDBG) ALN: 10.553, 10.555, 10.556, 10.559, 10.582 14.228 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: CNC 236TX332N1099, 236TX332N1199, 236TX375L1603 October 1, 2022 – September 30, 2023 CDBG B-21-DC-48-0001, B-22-DC-48-0001 September 1, 2021 – September 1, 2028, September 1, 2021 – September 1, 2028, September 1, 2022 – September 1, 2029 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework,” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Under the requirements of the Federal Funding Accountability and Transparency Act (FFATA) (Pub. L. No. 109- 282), as amended by Section 6202 of Public Law 110-252, recipients (i.e., direct recipients) of grants or cooperative agreements are required to report first-tier subawards of $30,000 or more to the Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS) no later than the last day of the month following the month in which the subaward/subaward amendment obligation was made or the subcontract award/subcontract modification was made. Condition: Texas Department of Agriculture (TDA) is responsible for submitting all required subawards in the
Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS).
During our testing, we noted the following compliance exceptions:
Child Nutrition Cluster- Fresh Fruit and Vegetable Program (ALN 10.582)
See chart or table in the Schedule of Findings and Questioned Costs.
Child Nutrition Cluster- National School Lunch Program (ALN 10.555)
See chart or table in the Schedule of Findings and Questioned Costs.
Community Development Block Grant (ALN 14.228)
See chart or table in the Schedule of Findings and Questioned Costs.
Questioned costs: None.
Context: See "Condition."
Cause: As related to ALN 10.582 and 10.555, TDA reports expenditures at the end of the subaward period rather
than reporting subawards over $30,000 by the last day of the month following the month in which the subaward/
subaward amendment obligation was made or the subcontract award/subcontract modification was made. This
was due to the nature of the subaward agreements, where subaward amounts are not specified in the agreement
and subrecipients are reimbursed based on actual expenditures incurred each month. As related to subawards
not reported for ALN 10.555, TDA did not attempt to report subawards during the fiscal year due to significant
technical difficulties encountered uploading subaward data into the FSRS in previous periods. As related to
14.228, reports were submitted late due to management oversight.
Effect: Failure to report all subawards $30,000 or greater in FSRS will result in noncompliance with terms of the
federal grant guidelines.
Repeat Finding: No
Recommendation: TDA should revise its current policies and procedures to ensure all subaward/ subaward
amendment obligations over $30,000 are identified and submitted in FSRS by the last day of the month following
the month in which the subaward/ subaward amendment obligation was made or the subcontract
award/subcontract modification was made. Additionally, TDA should attempt to submit subaward information as
required. If unsuccessful due to technical matters related to FSRS, TDA should retain documentation of the
resolution efforts and submit subaward information immediately after the matter has been resolved.
Views of responsible officials:
CNC – TDA FND agrees with the CLA’s recommendation.
CDBG – TDA agrees with the finding. TDA acknowledges the FFATA reports were not submitted timely.
Reporting – FFATA Federal Agency: U.S. Department of Agriculture U.S. Department of Housing and Urban Development Federal Program Title: Child Nutrition Cluster (CNC) Community Development Block Grants/State’s Program and Non-Entitlement Grants in Hawaii (CDBG) ALN: 10.553, 10.555, 10.556, 10.559, 10.582 14.228 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: CNC 236TX332N1099, 236TX332N1199, 236TX375L1603 October 1, 2022 – September 30, 2023 CDBG B-21-DC-48-0001, B-22-DC-48-0001 September 1, 2021 – September 1, 2028, September 1, 2021 – September 1, 2028, September 1, 2022 – September 1, 2029 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework,” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Under the requirements of the Federal Funding Accountability and Transparency Act (FFATA) (Pub. L. No. 109- 282), as amended by Section 6202 of Public Law 110-252, recipients (i.e., direct recipients) of grants or cooperative agreements are required to report first-tier subawards of $30,000 or more to the Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS) no later than the last day of the month following the month in which the subaward/subaward amendment obligation was made or the subcontract award/subcontract modification was made. Condition: Texas Department of Agriculture (TDA) is responsible for submitting all required subawards in the
Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS).
During our testing, we noted the following compliance exceptions:
Child Nutrition Cluster- Fresh Fruit and Vegetable Program (ALN 10.582)
See chart or table in the Schedule of Findings and Questioned Costs.
Child Nutrition Cluster- National School Lunch Program (ALN 10.555)
See chart or table in the Schedule of Findings and Questioned Costs.
Community Development Block Grant (ALN 14.228)
See chart or table in the Schedule of Findings and Questioned Costs.
Questioned costs: None.
Context: See "Condition."
Cause: As related to ALN 10.582 and 10.555, TDA reports expenditures at the end of the subaward period rather
than reporting subawards over $30,000 by the last day of the month following the month in which the subaward/
subaward amendment obligation was made or the subcontract award/subcontract modification was made. This
was due to the nature of the subaward agreements, where subaward amounts are not specified in the agreement
and subrecipients are reimbursed based on actual expenditures incurred each month. As related to subawards
not reported for ALN 10.555, TDA did not attempt to report subawards during the fiscal year due to significant
technical difficulties encountered uploading subaward data into the FSRS in previous periods. As related to
14.228, reports were submitted late due to management oversight.
Effect: Failure to report all subawards $30,000 or greater in FSRS will result in noncompliance with terms of the
federal grant guidelines.
Repeat Finding: No
Recommendation: TDA should revise its current policies and procedures to ensure all subaward/ subaward
amendment obligations over $30,000 are identified and submitted in FSRS by the last day of the month following
the month in which the subaward/ subaward amendment obligation was made or the subcontract
award/subcontract modification was made. Additionally, TDA should attempt to submit subaward information as
required. If unsuccessful due to technical matters related to FSRS, TDA should retain documentation of the
resolution efforts and submit subaward information immediately after the matter has been resolved.
Views of responsible officials:
CNC – TDA FND agrees with the CLA’s recommendation.
CDBG – TDA agrees with the finding. TDA acknowledges the FFATA reports were not submitted timely.
Reporting – FFATA Federal Agency: U.S. Department of Agriculture U.S. Department of Housing and Urban Development Federal Program Title: Child Nutrition Cluster (CNC) Community Development Block Grants/State’s Program and Non-Entitlement Grants in Hawaii (CDBG) ALN: 10.553, 10.555, 10.556, 10.559, 10.582 14.228 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: CNC 236TX332N1099, 236TX332N1199, 236TX375L1603 October 1, 2022 – September 30, 2023 CDBG B-21-DC-48-0001, B-22-DC-48-0001 September 1, 2021 – September 1, 2028, September 1, 2021 – September 1, 2028, September 1, 2022 – September 1, 2029 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework,” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Under the requirements of the Federal Funding Accountability and Transparency Act (FFATA) (Pub. L. No. 109- 282), as amended by Section 6202 of Public Law 110-252, recipients (i.e., direct recipients) of grants or cooperative agreements are required to report first-tier subawards of $30,000 or more to the Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS) no later than the last day of the month following the month in which the subaward/subaward amendment obligation was made or the subcontract award/subcontract modification was made. Condition: Texas Department of Agriculture (TDA) is responsible for submitting all required subawards in the
Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS).
During our testing, we noted the following compliance exceptions:
Child Nutrition Cluster- Fresh Fruit and Vegetable Program (ALN 10.582)
See chart or table in the Schedule of Findings and Questioned Costs.
Child Nutrition Cluster- National School Lunch Program (ALN 10.555)
See chart or table in the Schedule of Findings and Questioned Costs.
Community Development Block Grant (ALN 14.228)
See chart or table in the Schedule of Findings and Questioned Costs.
Questioned costs: None.
Context: See "Condition."
Cause: As related to ALN 10.582 and 10.555, TDA reports expenditures at the end of the subaward period rather
than reporting subawards over $30,000 by the last day of the month following the month in which the subaward/
subaward amendment obligation was made or the subcontract award/subcontract modification was made. This
was due to the nature of the subaward agreements, where subaward amounts are not specified in the agreement
and subrecipients are reimbursed based on actual expenditures incurred each month. As related to subawards
not reported for ALN 10.555, TDA did not attempt to report subawards during the fiscal year due to significant
technical difficulties encountered uploading subaward data into the FSRS in previous periods. As related to
14.228, reports were submitted late due to management oversight.
Effect: Failure to report all subawards $30,000 or greater in FSRS will result in noncompliance with terms of the
federal grant guidelines.
Repeat Finding: No
Recommendation: TDA should revise its current policies and procedures to ensure all subaward/ subaward
amendment obligations over $30,000 are identified and submitted in FSRS by the last day of the month following
the month in which the subaward/ subaward amendment obligation was made or the subcontract
award/subcontract modification was made. Additionally, TDA should attempt to submit subaward information as
required. If unsuccessful due to technical matters related to FSRS, TDA should retain documentation of the
resolution efforts and submit subaward information immediately after the matter has been resolved.
Views of responsible officials:
CNC – TDA FND agrees with the CLA’s recommendation.
CDBG – TDA agrees with the finding. TDA acknowledges the FFATA reports were not submitted timely.
Reporting – FFATA Federal Agency: U.S. Department of Agriculture U.S. Department of Housing and Urban Development Federal Program Title: Child Nutrition Cluster (CNC) Community Development Block Grants/State’s Program and Non-Entitlement Grants in Hawaii (CDBG) ALN: 10.553, 10.555, 10.556, 10.559, 10.582 14.228 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: CNC 236TX332N1099, 236TX332N1199, 236TX375L1603 October 1, 2022 – September 30, 2023 CDBG B-21-DC-48-0001, B-22-DC-48-0001 September 1, 2021 – September 1, 2028, September 1, 2021 – September 1, 2028, September 1, 2022 – September 1, 2029 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework,” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Under the requirements of the Federal Funding Accountability and Transparency Act (FFATA) (Pub. L. No. 109- 282), as amended by Section 6202 of Public Law 110-252, recipients (i.e., direct recipients) of grants or cooperative agreements are required to report first-tier subawards of $30,000 or more to the Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS) no later than the last day of the month following the month in which the subaward/subaward amendment obligation was made or the subcontract award/subcontract modification was made. Condition: Texas Department of Agriculture (TDA) is responsible for submitting all required subawards in the
Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS).
During our testing, we noted the following compliance exceptions:
Child Nutrition Cluster- Fresh Fruit and Vegetable Program (ALN 10.582)
See chart or table in the Schedule of Findings and Questioned Costs.
Child Nutrition Cluster- National School Lunch Program (ALN 10.555)
See chart or table in the Schedule of Findings and Questioned Costs.
Community Development Block Grant (ALN 14.228)
See chart or table in the Schedule of Findings and Questioned Costs.
Questioned costs: None.
Context: See "Condition."
Cause: As related to ALN 10.582 and 10.555, TDA reports expenditures at the end of the subaward period rather
than reporting subawards over $30,000 by the last day of the month following the month in which the subaward/
subaward amendment obligation was made or the subcontract award/subcontract modification was made. This
was due to the nature of the subaward agreements, where subaward amounts are not specified in the agreement
and subrecipients are reimbursed based on actual expenditures incurred each month. As related to subawards
not reported for ALN 10.555, TDA did not attempt to report subawards during the fiscal year due to significant
technical difficulties encountered uploading subaward data into the FSRS in previous periods. As related to
14.228, reports were submitted late due to management oversight.
Effect: Failure to report all subawards $30,000 or greater in FSRS will result in noncompliance with terms of the
federal grant guidelines.
Repeat Finding: No
Recommendation: TDA should revise its current policies and procedures to ensure all subaward/ subaward
amendment obligations over $30,000 are identified and submitted in FSRS by the last day of the month following
the month in which the subaward/ subaward amendment obligation was made or the subcontract
award/subcontract modification was made. Additionally, TDA should attempt to submit subaward information as
required. If unsuccessful due to technical matters related to FSRS, TDA should retain documentation of the
resolution efforts and submit subaward information immediately after the matter has been resolved.
Views of responsible officials:
CNC – TDA FND agrees with the CLA’s recommendation.
CDBG – TDA agrees with the finding. TDA acknowledges the FFATA reports were not submitted timely.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Special Tests and Provisions – ADP Risk Analysis and System Security Review – Information Technology – Lack of Risk Assessments Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Medicaid Cluster CFDA Number: 93.775, 93.777, 93.778 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). State agencies must establish and maintain a program for conducting periodic risk analyses to ensure that appropriate, cost-effective safeguards are incorporated into new and existing systems. State agencies must perform risk analyses whenever significant system changes occur. State agencies shall review the ADP system security installations involved in the administration of Health and Human Services (HHS) programs on a biennial basis. At a minimum, the reviews shall include an evaluation of physical and data security operating procedures and personnel practices. The State agency shall maintain reports on its biennial ADP system security reviews, together with pertinent supporting documentation, for HHS on-site reviews (45 CFR section 95.621). Condition: HHSC has a total of 62 in-house and third-party systems that are used in the administration of Medicaid, which are required to be reviewed each biennial period. During the fiscal year 2022-2023 biennial, only five risk assessments were executed based on internal methodology or third-party assessments. HHSC did not perform risk assessments over the remaining 57 systems during the two-year period. Questioned costs: None. Context: See “Condition.” Cause: HHSC is not adhering to its’ current policies and procedures regarding completion of the biennial ADP system security reviews. Effect: Failure to perform risk analyses increases the risk that safeguards will not be in place over physical and data security. Repeat finding: No Recommendation: HHSC should ensure all systems are reviewed in a two-year period. HHSC should also
implement oversight controls to ensure progress toward the plan is executed during the two-year period, including
resolution of remediation items.
Views of responsible officials: HHSC concurs with the finding.
Special Tests and Provisions – Provider Eligibility – Lack of Documentation Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Medicaid Cluster ALN: 93.775, 93.777, 93.778 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Material Weakness in Internal Control over Compliance and Material Noncompliance Criteria or specific requirement: Per 2 CFR 200.303, a non-Federal entity must: Establish and maintain effective internal controls over federal awards that provide reasonable assurance they are managing federal awards in compliance with federal statutes, regulations, and the provisions of contracts or grant agreements that could have a material effect on each of its federal programs. Per 2 CFR 200.334, financial records, supporting documents, statistical records, and all other non-Federal entity records pertinent to a Federal award must be retained for a period of three years from the date of submission of the final expenditure report or, for Federal awards that are renewed quarterly or annually, from the date of the submission of the quarterly or annual financial report, respectively, as reported to the Federal awarding agency or pass-through entity in the case of a subrecipient. Federal awarding agencies and pass-through entities must not impose any other record retention requirements upon non-Federal entities. In order to comply with federal provider eligibility requirements, HHSC must adhere to various subsections of 42
CFR Section 455 including but not limited to:
§ 455.104 – HHSC must require that disclosing entities, fiscal agents, and managed care entities provide the
following disclosures:
The name and address of any person (individual or corporation) with an ownership or control interest in
the disclosing entity, fiscal agent, or managed care entity. The address for corporate entities must include
as applicable primary business address, every business location, and P.O. Box address.
Date of birth and Social Security Number (in the case of an individual)
Other tax identification number (in the case of a corporation) with an ownership or control interest in the
disclosing entity (or fiscal agent or managed care entity) or in any subcontractor in which the disclosing
entity (or fiscal agent or managed care entity) has a 5 percent or more interest.
Whether the person (individual or corporation) with an ownership or control interest in the disclosing entity
(or fiscal agent or managed care entity) is related to another person with ownership or control interest in
the disclosing entity as a spouse, parent, child, or sibling; or whether the person (individual or
corporation) with an ownership or control interest in any subcontractor in which the disclosing entity (or
fiscal agent or managed care entity) has a 5 percent or more interest is related to another person with
ownership or control interest in the disclosing entity as a spouse, parent, child, or sibling.
The name of any other disclosing entity (or fiscal agent or managed care entity) in which an owner of the
disclosing entity (or fiscal agent or managed care entity) has an ownership or control interest.
The name, address, date of birth, and Social Security Number of any managing employee of the
disclosing entity (or fiscal agent or managed care entity).
§ 455.105 – HHSC must enter into an agreement with each provider under which the provider agrees to furnish to
it the following information related to business transactions within 35 days of request:
The ownership of any subcontractor with whom the provider has had business transactions totaling more
than $25,000 during the 12-month period ending on the date of the request; and
Any significant business transactions between the provider and any wholly owned supplier, or between
the provider and any subcontractor, during the 5-year period ending on the date of the request.
§ 455.106 – Before HHSC enters into or renews a provider agreement, or at any time upon written request by
HHSC, the provider must disclose to HHSC the identity of any person who:
Has ownership or control interest in the provider, or is an agent or managing employee of the provider;
and
Has been convicted of a criminal offense related to that person's involvement in any program under
Medicare, Medicaid, or the title XX services program since the inception of those programs.
§ 455.410 – HHSC must require all ordering or referring physicians or other professionals providing services
under the State plan or under a waiver of the plan to be enrolled as participating providers.
§ 455.412 – HHSC must:
Have a method for verifying that any provider purporting to be licensed in accordance with the laws of any
State is licensed by such State.
Confirm that the provider's license has not expired and that there are no current limitations on the
provider's license.
§ 455.414 – HHSC must revalidate the enrollment of all providers regardless of provider type at least every five
years.
§ 455.432 – HHSC must:
Conduct pre-enrollment and post-enrollment site visits of providers who are designated as “moderate” or
“high” categorical risks to the Medicaid program.
Require any enrolled provider to permit CMS, its agents, its designated contractors, or HHSC to conduct
unannounced on-site inspections of any and all provider locations.
§ 455.434 – HHSC must:
Require providers to consent to criminal background checks including fingerprinting when required to do
so under State law or by the level of screening based on risk of fraud, waste or abuse as determined for
that category of provider.
Establish categorical risk levels for providers and provider categories who pose an increased financial risk
of fraud, waste or abuse to the Medicaid program.
o Upon HHSC determining that a provider, or a person with a 5 percent or more direct or indirect
ownership interest in the provider, meets HHSC's criteria hereunder for criminal background
checks as a “high” risk to the Medicaid program, HHSC will require that each such provider or
person submit fingerprints, in a form and manner to be determined by HHSC, within 30 days upon
request from CMS or HHSC.
§ 455.436 – HHSC must confirm the identity and determine the exclusion status of providers and any person with
an ownership or control interest or who is an agent or managing employee of the provider through routine checks
of Federal databases. Upon enrollment and reenrollment, HHSC must check the Social Security Administration's
Death Master File (SSADMF), the National Plan and Provider Enumeration System (NPPES), the List of Excluded
Individuals/Entities (LEIE), the Excluded Parties List System (EPLS), and any such other databases as the
Secretary may prescribe. During the period the provider is enrolled, HHSC must check the LEIE and EPLS no
less frequently than monthly.
§ 455.434 – HHSC must screen all initial applications, including applications for a new practice location, and any
applications received in response to a re-enrollment or revalidation of enrollment request based on a categorical
risk level of “limited,” “moderate,” or “high.” If a provider could fit within more than one risk level described in this
section, the highest level of screening is applicable.
Condition: Various departments within and contractors of HHSC are responsible for ensuring medical providers
are properly licensed, screened, and enrolled in the Medicaid Program including Contract Administration and
Provider Monitoring (CAPM), Access and Eligibility Services (AES), Procurement and Contracting Services, and
the Texas Medicaid and Healthcare Partnership.
Audit procedures included a review of 60 providers each for Medicaid, which resulted in the following (sampled
exceptions noted in parentheses):
A copy of the completed application was not included in the file. (9 providers)
Enrollment of the provider was not completed within the last 5 years. (7 providers)
Verification of the provider’s license was not included in the file. (7 providers)
Required information on ownership and control was not disclosed. (11 providers)
Supporting documentation was not included in the file indicating the provider consented to a criminal
background check. (9 providers)
Supporting documentation was not included in the file indicating the SSADMF database was checked at
the time of the most recent enrollment. (12 providers)
Supporting documentation was not included in the file indicating the NPPES database was checked at the
time of the most recent enrollment. (12 providers)
Supporting documentation was not included in the file indicating the LEIE database was checked at the
time of the most recent enrollment. (12 providers)
Supporting documentation was not included in the file indicating the EPLS database was checked at the
time of the most recent enrollment. (12 providers)
Supporting documentation was not included in the file indicating the provider was categorized during
screening as limited, moderate, or high risk. (13 providers)
A copy of the provider agreement was not included in the files. (13 providers)
Supporting documentation was not included indicating a pre- or post-enrollment site visit was conducted
as required for providers designated as moderate or high risk. (13 providers)
Supporting documentation was not included indicating the provider disclosed the identity of any person
who had been convicted of a criminal offense related to that person's involvement in any program under
Medicare, Medicaid, or the Title XX services program since the inception of those programs. (9 providers)
Questioned costs: None.
Context: See “Condition.”
Cause: HHSC does not have adequate procedures in place to ensure required documentation is obtained and
maintained to comply with federal provider eligibility requirements.
Effect: Failure to obtain and maintain adequate documentation during the provider screening and enrollment
process may result in otherwise ineligible or fraudulent providers receiving Medicaid funds.
Repeat finding: 2022-014, 2021-008
Recommendation: HHSC should implement controls to ensure:
Documentation is maintained for at least the length of the providers’ current enrollment period or three
years, whichever is greater in accordance with 2 CFR 200.334.
Provider licenses are verified during enrollment.
Providers are re-enrolled at least once every five years.
Provider agreements are obtained, and the proper disclosures are made.
Providers are categorized according to risk level and pre- and post-enrollment site visits are conducted as
required for those deemed moderate or high risk.
Relevant federal databases are checked during initial enrollment and at least monthly for all providers
currently enrolled in Medicaid.
Views of responsible officials: HHSC concurs with this repeat finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Special Tests and Provisions – ADP Risk Analysis and System Security Review – Information Technology – Lack of Risk Assessments Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Medicaid Cluster CFDA Number: 93.775, 93.777, 93.778 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). State agencies must establish and maintain a program for conducting periodic risk analyses to ensure that appropriate, cost-effective safeguards are incorporated into new and existing systems. State agencies must perform risk analyses whenever significant system changes occur. State agencies shall review the ADP system security installations involved in the administration of Health and Human Services (HHS) programs on a biennial basis. At a minimum, the reviews shall include an evaluation of physical and data security operating procedures and personnel practices. The State agency shall maintain reports on its biennial ADP system security reviews, together with pertinent supporting documentation, for HHS on-site reviews (45 CFR section 95.621). Condition: HHSC has a total of 62 in-house and third-party systems that are used in the administration of Medicaid, which are required to be reviewed each biennial period. During the fiscal year 2022-2023 biennial, only five risk assessments were executed based on internal methodology or third-party assessments. HHSC did not perform risk assessments over the remaining 57 systems during the two-year period. Questioned costs: None. Context: See “Condition.” Cause: HHSC is not adhering to its’ current policies and procedures regarding completion of the biennial ADP system security reviews. Effect: Failure to perform risk analyses increases the risk that safeguards will not be in place over physical and data security. Repeat finding: No Recommendation: HHSC should ensure all systems are reviewed in a two-year period. HHSC should also
implement oversight controls to ensure progress toward the plan is executed during the two-year period, including
resolution of remediation items.
Views of responsible officials: HHSC concurs with the finding.
Special Tests and Provisions – Provider Eligibility – Lack of Documentation Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Medicaid Cluster ALN: 93.775, 93.777, 93.778 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Material Weakness in Internal Control over Compliance and Material Noncompliance Criteria or specific requirement: Per 2 CFR 200.303, a non-Federal entity must: Establish and maintain effective internal controls over federal awards that provide reasonable assurance they are managing federal awards in compliance with federal statutes, regulations, and the provisions of contracts or grant agreements that could have a material effect on each of its federal programs. Per 2 CFR 200.334, financial records, supporting documents, statistical records, and all other non-Federal entity records pertinent to a Federal award must be retained for a period of three years from the date of submission of the final expenditure report or, for Federal awards that are renewed quarterly or annually, from the date of the submission of the quarterly or annual financial report, respectively, as reported to the Federal awarding agency or pass-through entity in the case of a subrecipient. Federal awarding agencies and pass-through entities must not impose any other record retention requirements upon non-Federal entities. In order to comply with federal provider eligibility requirements, HHSC must adhere to various subsections of 42
CFR Section 455 including but not limited to:
§ 455.104 – HHSC must require that disclosing entities, fiscal agents, and managed care entities provide the
following disclosures:
The name and address of any person (individual or corporation) with an ownership or control interest in
the disclosing entity, fiscal agent, or managed care entity. The address for corporate entities must include
as applicable primary business address, every business location, and P.O. Box address.
Date of birth and Social Security Number (in the case of an individual)
Other tax identification number (in the case of a corporation) with an ownership or control interest in the
disclosing entity (or fiscal agent or managed care entity) or in any subcontractor in which the disclosing
entity (or fiscal agent or managed care entity) has a 5 percent or more interest.
Whether the person (individual or corporation) with an ownership or control interest in the disclosing entity
(or fiscal agent or managed care entity) is related to another person with ownership or control interest in
the disclosing entity as a spouse, parent, child, or sibling; or whether the person (individual or
corporation) with an ownership or control interest in any subcontractor in which the disclosing entity (or
fiscal agent or managed care entity) has a 5 percent or more interest is related to another person with
ownership or control interest in the disclosing entity as a spouse, parent, child, or sibling.
The name of any other disclosing entity (or fiscal agent or managed care entity) in which an owner of the
disclosing entity (or fiscal agent or managed care entity) has an ownership or control interest.
The name, address, date of birth, and Social Security Number of any managing employee of the
disclosing entity (or fiscal agent or managed care entity).
§ 455.105 – HHSC must enter into an agreement with each provider under which the provider agrees to furnish to
it the following information related to business transactions within 35 days of request:
The ownership of any subcontractor with whom the provider has had business transactions totaling more
than $25,000 during the 12-month period ending on the date of the request; and
Any significant business transactions between the provider and any wholly owned supplier, or between
the provider and any subcontractor, during the 5-year period ending on the date of the request.
§ 455.106 – Before HHSC enters into or renews a provider agreement, or at any time upon written request by
HHSC, the provider must disclose to HHSC the identity of any person who:
Has ownership or control interest in the provider, or is an agent or managing employee of the provider;
and
Has been convicted of a criminal offense related to that person's involvement in any program under
Medicare, Medicaid, or the title XX services program since the inception of those programs.
§ 455.410 – HHSC must require all ordering or referring physicians or other professionals providing services
under the State plan or under a waiver of the plan to be enrolled as participating providers.
§ 455.412 – HHSC must:
Have a method for verifying that any provider purporting to be licensed in accordance with the laws of any
State is licensed by such State.
Confirm that the provider's license has not expired and that there are no current limitations on the
provider's license.
§ 455.414 – HHSC must revalidate the enrollment of all providers regardless of provider type at least every five
years.
§ 455.432 – HHSC must:
Conduct pre-enrollment and post-enrollment site visits of providers who are designated as “moderate” or
“high” categorical risks to the Medicaid program.
Require any enrolled provider to permit CMS, its agents, its designated contractors, or HHSC to conduct
unannounced on-site inspections of any and all provider locations.
§ 455.434 – HHSC must:
Require providers to consent to criminal background checks including fingerprinting when required to do
so under State law or by the level of screening based on risk of fraud, waste or abuse as determined for
that category of provider.
Establish categorical risk levels for providers and provider categories who pose an increased financial risk
of fraud, waste or abuse to the Medicaid program.
o Upon HHSC determining that a provider, or a person with a 5 percent or more direct or indirect
ownership interest in the provider, meets HHSC's criteria hereunder for criminal background
checks as a “high” risk to the Medicaid program, HHSC will require that each such provider or
person submit fingerprints, in a form and manner to be determined by HHSC, within 30 days upon
request from CMS or HHSC.
§ 455.436 – HHSC must confirm the identity and determine the exclusion status of providers and any person with
an ownership or control interest or who is an agent or managing employee of the provider through routine checks
of Federal databases. Upon enrollment and reenrollment, HHSC must check the Social Security Administration's
Death Master File (SSADMF), the National Plan and Provider Enumeration System (NPPES), the List of Excluded
Individuals/Entities (LEIE), the Excluded Parties List System (EPLS), and any such other databases as the
Secretary may prescribe. During the period the provider is enrolled, HHSC must check the LEIE and EPLS no
less frequently than monthly.
§ 455.434 – HHSC must screen all initial applications, including applications for a new practice location, and any
applications received in response to a re-enrollment or revalidation of enrollment request based on a categorical
risk level of “limited,” “moderate,” or “high.” If a provider could fit within more than one risk level described in this
section, the highest level of screening is applicable.
Condition: Various departments within and contractors of HHSC are responsible for ensuring medical providers
are properly licensed, screened, and enrolled in the Medicaid Program including Contract Administration and
Provider Monitoring (CAPM), Access and Eligibility Services (AES), Procurement and Contracting Services, and
the Texas Medicaid and Healthcare Partnership.
Audit procedures included a review of 60 providers each for Medicaid, which resulted in the following (sampled
exceptions noted in parentheses):
A copy of the completed application was not included in the file. (9 providers)
Enrollment of the provider was not completed within the last 5 years. (7 providers)
Verification of the provider’s license was not included in the file. (7 providers)
Required information on ownership and control was not disclosed. (11 providers)
Supporting documentation was not included in the file indicating the provider consented to a criminal
background check. (9 providers)
Supporting documentation was not included in the file indicating the SSADMF database was checked at
the time of the most recent enrollment. (12 providers)
Supporting documentation was not included in the file indicating the NPPES database was checked at the
time of the most recent enrollment. (12 providers)
Supporting documentation was not included in the file indicating the LEIE database was checked at the
time of the most recent enrollment. (12 providers)
Supporting documentation was not included in the file indicating the EPLS database was checked at the
time of the most recent enrollment. (12 providers)
Supporting documentation was not included in the file indicating the provider was categorized during
screening as limited, moderate, or high risk. (13 providers)
A copy of the provider agreement was not included in the files. (13 providers)
Supporting documentation was not included indicating a pre- or post-enrollment site visit was conducted
as required for providers designated as moderate or high risk. (13 providers)
Supporting documentation was not included indicating the provider disclosed the identity of any person
who had been convicted of a criminal offense related to that person's involvement in any program under
Medicare, Medicaid, or the Title XX services program since the inception of those programs. (9 providers)
Questioned costs: None.
Context: See “Condition.”
Cause: HHSC does not have adequate procedures in place to ensure required documentation is obtained and
maintained to comply with federal provider eligibility requirements.
Effect: Failure to obtain and maintain adequate documentation during the provider screening and enrollment
process may result in otherwise ineligible or fraudulent providers receiving Medicaid funds.
Repeat finding: 2022-014, 2021-008
Recommendation: HHSC should implement controls to ensure:
Documentation is maintained for at least the length of the providers’ current enrollment period or three
years, whichever is greater in accordance with 2 CFR 200.334.
Provider licenses are verified during enrollment.
Providers are re-enrolled at least once every five years.
Provider agreements are obtained, and the proper disclosures are made.
Providers are categorized according to risk level and pre- and post-enrollment site visits are conducted as
required for those deemed moderate or high risk.
Relevant federal databases are checked during initial enrollment and at least monthly for all providers
currently enrolled in Medicaid.
Views of responsible officials: HHSC concurs with this repeat finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Special Tests and Provisions – ADP Risk Analysis and System Security Review – Information Technology – Lack of Risk Assessments Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Medicaid Cluster CFDA Number: 93.775, 93.777, 93.778 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). State agencies must establish and maintain a program for conducting periodic risk analyses to ensure that appropriate, cost-effective safeguards are incorporated into new and existing systems. State agencies must perform risk analyses whenever significant system changes occur. State agencies shall review the ADP system security installations involved in the administration of Health and Human Services (HHS) programs on a biennial basis. At a minimum, the reviews shall include an evaluation of physical and data security operating procedures and personnel practices. The State agency shall maintain reports on its biennial ADP system security reviews, together with pertinent supporting documentation, for HHS on-site reviews (45 CFR section 95.621). Condition: HHSC has a total of 62 in-house and third-party systems that are used in the administration of Medicaid, which are required to be reviewed each biennial period. During the fiscal year 2022-2023 biennial, only five risk assessments were executed based on internal methodology or third-party assessments. HHSC did not perform risk assessments over the remaining 57 systems during the two-year period. Questioned costs: None. Context: See “Condition.” Cause: HHSC is not adhering to its’ current policies and procedures regarding completion of the biennial ADP system security reviews. Effect: Failure to perform risk analyses increases the risk that safeguards will not be in place over physical and data security. Repeat finding: No Recommendation: HHSC should ensure all systems are reviewed in a two-year period. HHSC should also
implement oversight controls to ensure progress toward the plan is executed during the two-year period, including
resolution of remediation items.
Views of responsible officials: HHSC concurs with the finding.
Special Tests and Provisions – Provider Eligibility – Lack of Documentation Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Medicaid Cluster ALN: 93.775, 93.777, 93.778 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Material Weakness in Internal Control over Compliance and Material Noncompliance Criteria or specific requirement: Per 2 CFR 200.303, a non-Federal entity must: Establish and maintain effective internal controls over federal awards that provide reasonable assurance they are managing federal awards in compliance with federal statutes, regulations, and the provisions of contracts or grant agreements that could have a material effect on each of its federal programs. Per 2 CFR 200.334, financial records, supporting documents, statistical records, and all other non-Federal entity records pertinent to a Federal award must be retained for a period of three years from the date of submission of the final expenditure report or, for Federal awards that are renewed quarterly or annually, from the date of the submission of the quarterly or annual financial report, respectively, as reported to the Federal awarding agency or pass-through entity in the case of a subrecipient. Federal awarding agencies and pass-through entities must not impose any other record retention requirements upon non-Federal entities. In order to comply with federal provider eligibility requirements, HHSC must adhere to various subsections of 42
CFR Section 455 including but not limited to:
§ 455.104 – HHSC must require that disclosing entities, fiscal agents, and managed care entities provide the
following disclosures:
The name and address of any person (individual or corporation) with an ownership or control interest in
the disclosing entity, fiscal agent, or managed care entity. The address for corporate entities must include
as applicable primary business address, every business location, and P.O. Box address.
Date of birth and Social Security Number (in the case of an individual)
Other tax identification number (in the case of a corporation) with an ownership or control interest in the
disclosing entity (or fiscal agent or managed care entity) or in any subcontractor in which the disclosing
entity (or fiscal agent or managed care entity) has a 5 percent or more interest.
Whether the person (individual or corporation) with an ownership or control interest in the disclosing entity
(or fiscal agent or managed care entity) is related to another person with ownership or control interest in
the disclosing entity as a spouse, parent, child, or sibling; or whether the person (individual or
corporation) with an ownership or control interest in any subcontractor in which the disclosing entity (or
fiscal agent or managed care entity) has a 5 percent or more interest is related to another person with
ownership or control interest in the disclosing entity as a spouse, parent, child, or sibling.
The name of any other disclosing entity (or fiscal agent or managed care entity) in which an owner of the
disclosing entity (or fiscal agent or managed care entity) has an ownership or control interest.
The name, address, date of birth, and Social Security Number of any managing employee of the
disclosing entity (or fiscal agent or managed care entity).
§ 455.105 – HHSC must enter into an agreement with each provider under which the provider agrees to furnish to
it the following information related to business transactions within 35 days of request:
The ownership of any subcontractor with whom the provider has had business transactions totaling more
than $25,000 during the 12-month period ending on the date of the request; and
Any significant business transactions between the provider and any wholly owned supplier, or between
the provider and any subcontractor, during the 5-year period ending on the date of the request.
§ 455.106 – Before HHSC enters into or renews a provider agreement, or at any time upon written request by
HHSC, the provider must disclose to HHSC the identity of any person who:
Has ownership or control interest in the provider, or is an agent or managing employee of the provider;
and
Has been convicted of a criminal offense related to that person's involvement in any program under
Medicare, Medicaid, or the title XX services program since the inception of those programs.
§ 455.410 – HHSC must require all ordering or referring physicians or other professionals providing services
under the State plan or under a waiver of the plan to be enrolled as participating providers.
§ 455.412 – HHSC must:
Have a method for verifying that any provider purporting to be licensed in accordance with the laws of any
State is licensed by such State.
Confirm that the provider's license has not expired and that there are no current limitations on the
provider's license.
§ 455.414 – HHSC must revalidate the enrollment of all providers regardless of provider type at least every five
years.
§ 455.432 – HHSC must:
Conduct pre-enrollment and post-enrollment site visits of providers who are designated as “moderate” or
“high” categorical risks to the Medicaid program.
Require any enrolled provider to permit CMS, its agents, its designated contractors, or HHSC to conduct
unannounced on-site inspections of any and all provider locations.
§ 455.434 – HHSC must:
Require providers to consent to criminal background checks including fingerprinting when required to do
so under State law or by the level of screening based on risk of fraud, waste or abuse as determined for
that category of provider.
Establish categorical risk levels for providers and provider categories who pose an increased financial risk
of fraud, waste or abuse to the Medicaid program.
o Upon HHSC determining that a provider, or a person with a 5 percent or more direct or indirect
ownership interest in the provider, meets HHSC's criteria hereunder for criminal background
checks as a “high” risk to the Medicaid program, HHSC will require that each such provider or
person submit fingerprints, in a form and manner to be determined by HHSC, within 30 days upon
request from CMS or HHSC.
§ 455.436 – HHSC must confirm the identity and determine the exclusion status of providers and any person with
an ownership or control interest or who is an agent or managing employee of the provider through routine checks
of Federal databases. Upon enrollment and reenrollment, HHSC must check the Social Security Administration's
Death Master File (SSADMF), the National Plan and Provider Enumeration System (NPPES), the List of Excluded
Individuals/Entities (LEIE), the Excluded Parties List System (EPLS), and any such other databases as the
Secretary may prescribe. During the period the provider is enrolled, HHSC must check the LEIE and EPLS no
less frequently than monthly.
§ 455.434 – HHSC must screen all initial applications, including applications for a new practice location, and any
applications received in response to a re-enrollment or revalidation of enrollment request based on a categorical
risk level of “limited,” “moderate,” or “high.” If a provider could fit within more than one risk level described in this
section, the highest level of screening is applicable.
Condition: Various departments within and contractors of HHSC are responsible for ensuring medical providers
are properly licensed, screened, and enrolled in the Medicaid Program including Contract Administration and
Provider Monitoring (CAPM), Access and Eligibility Services (AES), Procurement and Contracting Services, and
the Texas Medicaid and Healthcare Partnership.
Audit procedures included a review of 60 providers each for Medicaid, which resulted in the following (sampled
exceptions noted in parentheses):
A copy of the completed application was not included in the file. (9 providers)
Enrollment of the provider was not completed within the last 5 years. (7 providers)
Verification of the provider’s license was not included in the file. (7 providers)
Required information on ownership and control was not disclosed. (11 providers)
Supporting documentation was not included in the file indicating the provider consented to a criminal
background check. (9 providers)
Supporting documentation was not included in the file indicating the SSADMF database was checked at
the time of the most recent enrollment. (12 providers)
Supporting documentation was not included in the file indicating the NPPES database was checked at the
time of the most recent enrollment. (12 providers)
Supporting documentation was not included in the file indicating the LEIE database was checked at the
time of the most recent enrollment. (12 providers)
Supporting documentation was not included in the file indicating the EPLS database was checked at the
time of the most recent enrollment. (12 providers)
Supporting documentation was not included in the file indicating the provider was categorized during
screening as limited, moderate, or high risk. (13 providers)
A copy of the provider agreement was not included in the files. (13 providers)
Supporting documentation was not included indicating a pre- or post-enrollment site visit was conducted
as required for providers designated as moderate or high risk. (13 providers)
Supporting documentation was not included indicating the provider disclosed the identity of any person
who had been convicted of a criminal offense related to that person's involvement in any program under
Medicare, Medicaid, or the Title XX services program since the inception of those programs. (9 providers)
Questioned costs: None.
Context: See “Condition.”
Cause: HHSC does not have adequate procedures in place to ensure required documentation is obtained and
maintained to comply with federal provider eligibility requirements.
Effect: Failure to obtain and maintain adequate documentation during the provider screening and enrollment
process may result in otherwise ineligible or fraudulent providers receiving Medicaid funds.
Repeat finding: 2022-014, 2021-008
Recommendation: HHSC should implement controls to ensure:
Documentation is maintained for at least the length of the providers’ current enrollment period or three
years, whichever is greater in accordance with 2 CFR 200.334.
Provider licenses are verified during enrollment.
Providers are re-enrolled at least once every five years.
Provider agreements are obtained, and the proper disclosures are made.
Providers are categorized according to risk level and pre- and post-enrollment site visits are conducted as
required for those deemed moderate or high risk.
Relevant federal databases are checked during initial enrollment and at least monthly for all providers
currently enrolled in Medicaid.
Views of responsible officials: HHSC concurs with this repeat finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Special Tests and Provisions – ADP Risk Analysis and System Security Review – Information Technology – Lack of Risk Assessments Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Medicaid Cluster CFDA Number: 93.775, 93.777, 93.778 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). State agencies must establish and maintain a program for conducting periodic risk analyses to ensure that appropriate, cost-effective safeguards are incorporated into new and existing systems. State agencies must perform risk analyses whenever significant system changes occur. State agencies shall review the ADP system security installations involved in the administration of Health and Human Services (HHS) programs on a biennial basis. At a minimum, the reviews shall include an evaluation of physical and data security operating procedures and personnel practices. The State agency shall maintain reports on its biennial ADP system security reviews, together with pertinent supporting documentation, for HHS on-site reviews (45 CFR section 95.621). Condition: HHSC has a total of 62 in-house and third-party systems that are used in the administration of Medicaid, which are required to be reviewed each biennial period. During the fiscal year 2022-2023 biennial, only five risk assessments were executed based on internal methodology or third-party assessments. HHSC did not perform risk assessments over the remaining 57 systems during the two-year period. Questioned costs: None. Context: See “Condition.” Cause: HHSC is not adhering to its’ current policies and procedures regarding completion of the biennial ADP system security reviews. Effect: Failure to perform risk analyses increases the risk that safeguards will not be in place over physical and data security. Repeat finding: No Recommendation: HHSC should ensure all systems are reviewed in a two-year period. HHSC should also
implement oversight controls to ensure progress toward the plan is executed during the two-year period, including
resolution of remediation items.
Views of responsible officials: HHSC concurs with the finding.
Special Tests and Provisions – Provider Eligibility – Lack of Documentation Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Medicaid Cluster ALN: 93.775, 93.777, 93.778 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Material Weakness in Internal Control over Compliance and Material Noncompliance Criteria or specific requirement: Per 2 CFR 200.303, a non-Federal entity must: Establish and maintain effective internal controls over federal awards that provide reasonable assurance they are managing federal awards in compliance with federal statutes, regulations, and the provisions of contracts or grant agreements that could have a material effect on each of its federal programs. Per 2 CFR 200.334, financial records, supporting documents, statistical records, and all other non-Federal entity records pertinent to a Federal award must be retained for a period of three years from the date of submission of the final expenditure report or, for Federal awards that are renewed quarterly or annually, from the date of the submission of the quarterly or annual financial report, respectively, as reported to the Federal awarding agency or pass-through entity in the case of a subrecipient. Federal awarding agencies and pass-through entities must not impose any other record retention requirements upon non-Federal entities. In order to comply with federal provider eligibility requirements, HHSC must adhere to various subsections of 42
CFR Section 455 including but not limited to:
§ 455.104 – HHSC must require that disclosing entities, fiscal agents, and managed care entities provide the
following disclosures:
The name and address of any person (individual or corporation) with an ownership or control interest in
the disclosing entity, fiscal agent, or managed care entity. The address for corporate entities must include
as applicable primary business address, every business location, and P.O. Box address.
Date of birth and Social Security Number (in the case of an individual)
Other tax identification number (in the case of a corporation) with an ownership or control interest in the
disclosing entity (or fiscal agent or managed care entity) or in any subcontractor in which the disclosing
entity (or fiscal agent or managed care entity) has a 5 percent or more interest.
Whether the person (individual or corporation) with an ownership or control interest in the disclosing entity
(or fiscal agent or managed care entity) is related to another person with ownership or control interest in
the disclosing entity as a spouse, parent, child, or sibling; or whether the person (individual or
corporation) with an ownership or control interest in any subcontractor in which the disclosing entity (or
fiscal agent or managed care entity) has a 5 percent or more interest is related to another person with
ownership or control interest in the disclosing entity as a spouse, parent, child, or sibling.
The name of any other disclosing entity (or fiscal agent or managed care entity) in which an owner of the
disclosing entity (or fiscal agent or managed care entity) has an ownership or control interest.
The name, address, date of birth, and Social Security Number of any managing employee of the
disclosing entity (or fiscal agent or managed care entity).
§ 455.105 – HHSC must enter into an agreement with each provider under which the provider agrees to furnish to
it the following information related to business transactions within 35 days of request:
The ownership of any subcontractor with whom the provider has had business transactions totaling more
than $25,000 during the 12-month period ending on the date of the request; and
Any significant business transactions between the provider and any wholly owned supplier, or between
the provider and any subcontractor, during the 5-year period ending on the date of the request.
§ 455.106 – Before HHSC enters into or renews a provider agreement, or at any time upon written request by
HHSC, the provider must disclose to HHSC the identity of any person who:
Has ownership or control interest in the provider, or is an agent or managing employee of the provider;
and
Has been convicted of a criminal offense related to that person's involvement in any program under
Medicare, Medicaid, or the title XX services program since the inception of those programs.
§ 455.410 – HHSC must require all ordering or referring physicians or other professionals providing services
under the State plan or under a waiver of the plan to be enrolled as participating providers.
§ 455.412 – HHSC must:
Have a method for verifying that any provider purporting to be licensed in accordance with the laws of any
State is licensed by such State.
Confirm that the provider's license has not expired and that there are no current limitations on the
provider's license.
§ 455.414 – HHSC must revalidate the enrollment of all providers regardless of provider type at least every five
years.
§ 455.432 – HHSC must:
Conduct pre-enrollment and post-enrollment site visits of providers who are designated as “moderate” or
“high” categorical risks to the Medicaid program.
Require any enrolled provider to permit CMS, its agents, its designated contractors, or HHSC to conduct
unannounced on-site inspections of any and all provider locations.
§ 455.434 – HHSC must:
Require providers to consent to criminal background checks including fingerprinting when required to do
so under State law or by the level of screening based on risk of fraud, waste or abuse as determined for
that category of provider.
Establish categorical risk levels for providers and provider categories who pose an increased financial risk
of fraud, waste or abuse to the Medicaid program.
o Upon HHSC determining that a provider, or a person with a 5 percent or more direct or indirect
ownership interest in the provider, meets HHSC's criteria hereunder for criminal background
checks as a “high” risk to the Medicaid program, HHSC will require that each such provider or
person submit fingerprints, in a form and manner to be determined by HHSC, within 30 days upon
request from CMS or HHSC.
§ 455.436 – HHSC must confirm the identity and determine the exclusion status of providers and any person with
an ownership or control interest or who is an agent or managing employee of the provider through routine checks
of Federal databases. Upon enrollment and reenrollment, HHSC must check the Social Security Administration's
Death Master File (SSADMF), the National Plan and Provider Enumeration System (NPPES), the List of Excluded
Individuals/Entities (LEIE), the Excluded Parties List System (EPLS), and any such other databases as the
Secretary may prescribe. During the period the provider is enrolled, HHSC must check the LEIE and EPLS no
less frequently than monthly.
§ 455.434 – HHSC must screen all initial applications, including applications for a new practice location, and any
applications received in response to a re-enrollment or revalidation of enrollment request based on a categorical
risk level of “limited,” “moderate,” or “high.” If a provider could fit within more than one risk level described in this
section, the highest level of screening is applicable.
Condition: Various departments within and contractors of HHSC are responsible for ensuring medical providers
are properly licensed, screened, and enrolled in the Medicaid Program including Contract Administration and
Provider Monitoring (CAPM), Access and Eligibility Services (AES), Procurement and Contracting Services, and
the Texas Medicaid and Healthcare Partnership.
Audit procedures included a review of 60 providers each for Medicaid, which resulted in the following (sampled
exceptions noted in parentheses):
A copy of the completed application was not included in the file. (9 providers)
Enrollment of the provider was not completed within the last 5 years. (7 providers)
Verification of the provider’s license was not included in the file. (7 providers)
Required information on ownership and control was not disclosed. (11 providers)
Supporting documentation was not included in the file indicating the provider consented to a criminal
background check. (9 providers)
Supporting documentation was not included in the file indicating the SSADMF database was checked at
the time of the most recent enrollment. (12 providers)
Supporting documentation was not included in the file indicating the NPPES database was checked at the
time of the most recent enrollment. (12 providers)
Supporting documentation was not included in the file indicating the LEIE database was checked at the
time of the most recent enrollment. (12 providers)
Supporting documentation was not included in the file indicating the EPLS database was checked at the
time of the most recent enrollment. (12 providers)
Supporting documentation was not included in the file indicating the provider was categorized during
screening as limited, moderate, or high risk. (13 providers)
A copy of the provider agreement was not included in the files. (13 providers)
Supporting documentation was not included indicating a pre- or post-enrollment site visit was conducted
as required for providers designated as moderate or high risk. (13 providers)
Supporting documentation was not included indicating the provider disclosed the identity of any person
who had been convicted of a criminal offense related to that person's involvement in any program under
Medicare, Medicaid, or the Title XX services program since the inception of those programs. (9 providers)
Questioned costs: None.
Context: See “Condition.”
Cause: HHSC does not have adequate procedures in place to ensure required documentation is obtained and
maintained to comply with federal provider eligibility requirements.
Effect: Failure to obtain and maintain adequate documentation during the provider screening and enrollment
process may result in otherwise ineligible or fraudulent providers receiving Medicaid funds.
Repeat finding: 2022-014, 2021-008
Recommendation: HHSC should implement controls to ensure:
Documentation is maintained for at least the length of the providers’ current enrollment period or three
years, whichever is greater in accordance with 2 CFR 200.334.
Provider licenses are verified during enrollment.
Providers are re-enrolled at least once every five years.
Provider agreements are obtained, and the proper disclosures are made.
Providers are categorized according to risk level and pre- and post-enrollment site visits are conducted as
required for those deemed moderate or high risk.
Relevant federal databases are checked during initial enrollment and at least monthly for all providers
currently enrolled in Medicaid.
Views of responsible officials: HHSC concurs with this repeat finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Special Tests and Provisions – ADP Risk Analysis and System Security Review – Information Technology – Lack of Risk Assessments Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Medicaid Cluster CFDA Number: 93.775, 93.777, 93.778 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). State agencies must establish and maintain a program for conducting periodic risk analyses to ensure that appropriate, cost-effective safeguards are incorporated into new and existing systems. State agencies must perform risk analyses whenever significant system changes occur. State agencies shall review the ADP system security installations involved in the administration of Health and Human Services (HHS) programs on a biennial basis. At a minimum, the reviews shall include an evaluation of physical and data security operating procedures and personnel practices. The State agency shall maintain reports on its biennial ADP system security reviews, together with pertinent supporting documentation, for HHS on-site reviews (45 CFR section 95.621). Condition: HHSC has a total of 62 in-house and third-party systems that are used in the administration of Medicaid, which are required to be reviewed each biennial period. During the fiscal year 2022-2023 biennial, only five risk assessments were executed based on internal methodology or third-party assessments. HHSC did not perform risk assessments over the remaining 57 systems during the two-year period. Questioned costs: None. Context: See “Condition.” Cause: HHSC is not adhering to its’ current policies and procedures regarding completion of the biennial ADP system security reviews. Effect: Failure to perform risk analyses increases the risk that safeguards will not be in place over physical and data security. Repeat finding: No Recommendation: HHSC should ensure all systems are reviewed in a two-year period. HHSC should also
implement oversight controls to ensure progress toward the plan is executed during the two-year period, including
resolution of remediation items.
Views of responsible officials: HHSC concurs with the finding.
Special Tests and Provisions – Provider Eligibility – Lack of Documentation Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Medicaid Cluster ALN: 93.775, 93.777, 93.778 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Material Weakness in Internal Control over Compliance and Material Noncompliance Criteria or specific requirement: Per 2 CFR 200.303, a non-Federal entity must: Establish and maintain effective internal controls over federal awards that provide reasonable assurance they are managing federal awards in compliance with federal statutes, regulations, and the provisions of contracts or grant agreements that could have a material effect on each of its federal programs. Per 2 CFR 200.334, financial records, supporting documents, statistical records, and all other non-Federal entity records pertinent to a Federal award must be retained for a period of three years from the date of submission of the final expenditure report or, for Federal awards that are renewed quarterly or annually, from the date of the submission of the quarterly or annual financial report, respectively, as reported to the Federal awarding agency or pass-through entity in the case of a subrecipient. Federal awarding agencies and pass-through entities must not impose any other record retention requirements upon non-Federal entities. In order to comply with federal provider eligibility requirements, HHSC must adhere to various subsections of 42
CFR Section 455 including but not limited to:
§ 455.104 – HHSC must require that disclosing entities, fiscal agents, and managed care entities provide the
following disclosures:
The name and address of any person (individual or corporation) with an ownership or control interest in
the disclosing entity, fiscal agent, or managed care entity. The address for corporate entities must include
as applicable primary business address, every business location, and P.O. Box address.
Date of birth and Social Security Number (in the case of an individual)
Other tax identification number (in the case of a corporation) with an ownership or control interest in the
disclosing entity (or fiscal agent or managed care entity) or in any subcontractor in which the disclosing
entity (or fiscal agent or managed care entity) has a 5 percent or more interest.
Whether the person (individual or corporation) with an ownership or control interest in the disclosing entity
(or fiscal agent or managed care entity) is related to another person with ownership or control interest in
the disclosing entity as a spouse, parent, child, or sibling; or whether the person (individual or
corporation) with an ownership or control interest in any subcontractor in which the disclosing entity (or
fiscal agent or managed care entity) has a 5 percent or more interest is related to another person with
ownership or control interest in the disclosing entity as a spouse, parent, child, or sibling.
The name of any other disclosing entity (or fiscal agent or managed care entity) in which an owner of the
disclosing entity (or fiscal agent or managed care entity) has an ownership or control interest.
The name, address, date of birth, and Social Security Number of any managing employee of the
disclosing entity (or fiscal agent or managed care entity).
§ 455.105 – HHSC must enter into an agreement with each provider under which the provider agrees to furnish to
it the following information related to business transactions within 35 days of request:
The ownership of any subcontractor with whom the provider has had business transactions totaling more
than $25,000 during the 12-month period ending on the date of the request; and
Any significant business transactions between the provider and any wholly owned supplier, or between
the provider and any subcontractor, during the 5-year period ending on the date of the request.
§ 455.106 – Before HHSC enters into or renews a provider agreement, or at any time upon written request by
HHSC, the provider must disclose to HHSC the identity of any person who:
Has ownership or control interest in the provider, or is an agent or managing employee of the provider;
and
Has been convicted of a criminal offense related to that person's involvement in any program under
Medicare, Medicaid, or the title XX services program since the inception of those programs.
§ 455.410 – HHSC must require all ordering or referring physicians or other professionals providing services
under the State plan or under a waiver of the plan to be enrolled as participating providers.
§ 455.412 – HHSC must:
Have a method for verifying that any provider purporting to be licensed in accordance with the laws of any
State is licensed by such State.
Confirm that the provider's license has not expired and that there are no current limitations on the
provider's license.
§ 455.414 – HHSC must revalidate the enrollment of all providers regardless of provider type at least every five
years.
§ 455.432 – HHSC must:
Conduct pre-enrollment and post-enrollment site visits of providers who are designated as “moderate” or
“high” categorical risks to the Medicaid program.
Require any enrolled provider to permit CMS, its agents, its designated contractors, or HHSC to conduct
unannounced on-site inspections of any and all provider locations.
§ 455.434 – HHSC must:
Require providers to consent to criminal background checks including fingerprinting when required to do
so under State law or by the level of screening based on risk of fraud, waste or abuse as determined for
that category of provider.
Establish categorical risk levels for providers and provider categories who pose an increased financial risk
of fraud, waste or abuse to the Medicaid program.
o Upon HHSC determining that a provider, or a person with a 5 percent or more direct or indirect
ownership interest in the provider, meets HHSC's criteria hereunder for criminal background
checks as a “high” risk to the Medicaid program, HHSC will require that each such provider or
person submit fingerprints, in a form and manner to be determined by HHSC, within 30 days upon
request from CMS or HHSC.
§ 455.436 – HHSC must confirm the identity and determine the exclusion status of providers and any person with
an ownership or control interest or who is an agent or managing employee of the provider through routine checks
of Federal databases. Upon enrollment and reenrollment, HHSC must check the Social Security Administration's
Death Master File (SSADMF), the National Plan and Provider Enumeration System (NPPES), the List of Excluded
Individuals/Entities (LEIE), the Excluded Parties List System (EPLS), and any such other databases as the
Secretary may prescribe. During the period the provider is enrolled, HHSC must check the LEIE and EPLS no
less frequently than monthly.
§ 455.434 – HHSC must screen all initial applications, including applications for a new practice location, and any
applications received in response to a re-enrollment or revalidation of enrollment request based on a categorical
risk level of “limited,” “moderate,” or “high.” If a provider could fit within more than one risk level described in this
section, the highest level of screening is applicable.
Condition: Various departments within and contractors of HHSC are responsible for ensuring medical providers
are properly licensed, screened, and enrolled in the Medicaid Program including Contract Administration and
Provider Monitoring (CAPM), Access and Eligibility Services (AES), Procurement and Contracting Services, and
the Texas Medicaid and Healthcare Partnership.
Audit procedures included a review of 60 providers each for Medicaid, which resulted in the following (sampled
exceptions noted in parentheses):
A copy of the completed application was not included in the file. (9 providers)
Enrollment of the provider was not completed within the last 5 years. (7 providers)
Verification of the provider’s license was not included in the file. (7 providers)
Required information on ownership and control was not disclosed. (11 providers)
Supporting documentation was not included in the file indicating the provider consented to a criminal
background check. (9 providers)
Supporting documentation was not included in the file indicating the SSADMF database was checked at
the time of the most recent enrollment. (12 providers)
Supporting documentation was not included in the file indicating the NPPES database was checked at the
time of the most recent enrollment. (12 providers)
Supporting documentation was not included in the file indicating the LEIE database was checked at the
time of the most recent enrollment. (12 providers)
Supporting documentation was not included in the file indicating the EPLS database was checked at the
time of the most recent enrollment. (12 providers)
Supporting documentation was not included in the file indicating the provider was categorized during
screening as limited, moderate, or high risk. (13 providers)
A copy of the provider agreement was not included in the files. (13 providers)
Supporting documentation was not included indicating a pre- or post-enrollment site visit was conducted
as required for providers designated as moderate or high risk. (13 providers)
Supporting documentation was not included indicating the provider disclosed the identity of any person
who had been convicted of a criminal offense related to that person's involvement in any program under
Medicare, Medicaid, or the Title XX services program since the inception of those programs. (9 providers)
Questioned costs: None.
Context: See “Condition.”
Cause: HHSC does not have adequate procedures in place to ensure required documentation is obtained and
maintained to comply with federal provider eligibility requirements.
Effect: Failure to obtain and maintain adequate documentation during the provider screening and enrollment
process may result in otherwise ineligible or fraudulent providers receiving Medicaid funds.
Repeat finding: 2022-014, 2021-008
Recommendation: HHSC should implement controls to ensure:
Documentation is maintained for at least the length of the providers’ current enrollment period or three
years, whichever is greater in accordance with 2 CFR 200.334.
Provider licenses are verified during enrollment.
Providers are re-enrolled at least once every five years.
Provider agreements are obtained, and the proper disclosures are made.
Providers are categorized according to risk level and pre- and post-enrollment site visits are conducted as
required for those deemed moderate or high risk.
Relevant federal databases are checked during initial enrollment and at least monthly for all providers
currently enrolled in Medicaid.
Views of responsible officials: HHSC concurs with this repeat finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Special Tests and Provisions – ADP Risk Analysis and System Security Review – Information Technology – Lack of Risk Assessments Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Medicaid Cluster CFDA Number: 93.775, 93.777, 93.778 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). State agencies must establish and maintain a program for conducting periodic risk analyses to ensure that appropriate, cost-effective safeguards are incorporated into new and existing systems. State agencies must perform risk analyses whenever significant system changes occur. State agencies shall review the ADP system security installations involved in the administration of Health and Human Services (HHS) programs on a biennial basis. At a minimum, the reviews shall include an evaluation of physical and data security operating procedures and personnel practices. The State agency shall maintain reports on its biennial ADP system security reviews, together with pertinent supporting documentation, for HHS on-site reviews (45 CFR section 95.621). Condition: HHSC has a total of 62 in-house and third-party systems that are used in the administration of Medicaid, which are required to be reviewed each biennial period. During the fiscal year 2022-2023 biennial, only five risk assessments were executed based on internal methodology or third-party assessments. HHSC did not perform risk assessments over the remaining 57 systems during the two-year period. Questioned costs: None. Context: See “Condition.” Cause: HHSC is not adhering to its’ current policies and procedures regarding completion of the biennial ADP system security reviews. Effect: Failure to perform risk analyses increases the risk that safeguards will not be in place over physical and data security. Repeat finding: No Recommendation: HHSC should ensure all systems are reviewed in a two-year period. HHSC should also
implement oversight controls to ensure progress toward the plan is executed during the two-year period, including
resolution of remediation items.
Views of responsible officials: HHSC concurs with the finding.
Special Tests and Provisions – Provider Eligibility – Lack of Documentation Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Medicaid Cluster ALN: 93.775, 93.777, 93.778 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Material Weakness in Internal Control over Compliance and Material Noncompliance Criteria or specific requirement: Per 2 CFR 200.303, a non-Federal entity must: Establish and maintain effective internal controls over federal awards that provide reasonable assurance they are managing federal awards in compliance with federal statutes, regulations, and the provisions of contracts or grant agreements that could have a material effect on each of its federal programs. Per 2 CFR 200.334, financial records, supporting documents, statistical records, and all other non-Federal entity records pertinent to a Federal award must be retained for a period of three years from the date of submission of the final expenditure report or, for Federal awards that are renewed quarterly or annually, from the date of the submission of the quarterly or annual financial report, respectively, as reported to the Federal awarding agency or pass-through entity in the case of a subrecipient. Federal awarding agencies and pass-through entities must not impose any other record retention requirements upon non-Federal entities. In order to comply with federal provider eligibility requirements, HHSC must adhere to various subsections of 42
CFR Section 455 including but not limited to:
§ 455.104 – HHSC must require that disclosing entities, fiscal agents, and managed care entities provide the
following disclosures:
The name and address of any person (individual or corporation) with an ownership or control interest in
the disclosing entity, fiscal agent, or managed care entity. The address for corporate entities must include
as applicable primary business address, every business location, and P.O. Box address.
Date of birth and Social Security Number (in the case of an individual)
Other tax identification number (in the case of a corporation) with an ownership or control interest in the
disclosing entity (or fiscal agent or managed care entity) or in any subcontractor in which the disclosing
entity (or fiscal agent or managed care entity) has a 5 percent or more interest.
Whether the person (individual or corporation) with an ownership or control interest in the disclosing entity
(or fiscal agent or managed care entity) is related to another person with ownership or control interest in
the disclosing entity as a spouse, parent, child, or sibling; or whether the person (individual or
corporation) with an ownership or control interest in any subcontractor in which the disclosing entity (or
fiscal agent or managed care entity) has a 5 percent or more interest is related to another person with
ownership or control interest in the disclosing entity as a spouse, parent, child, or sibling.
The name of any other disclosing entity (or fiscal agent or managed care entity) in which an owner of the
disclosing entity (or fiscal agent or managed care entity) has an ownership or control interest.
The name, address, date of birth, and Social Security Number of any managing employee of the
disclosing entity (or fiscal agent or managed care entity).
§ 455.105 – HHSC must enter into an agreement with each provider under which the provider agrees to furnish to
it the following information related to business transactions within 35 days of request:
The ownership of any subcontractor with whom the provider has had business transactions totaling more
than $25,000 during the 12-month period ending on the date of the request; and
Any significant business transactions between the provider and any wholly owned supplier, or between
the provider and any subcontractor, during the 5-year period ending on the date of the request.
§ 455.106 – Before HHSC enters into or renews a provider agreement, or at any time upon written request by
HHSC, the provider must disclose to HHSC the identity of any person who:
Has ownership or control interest in the provider, or is an agent or managing employee of the provider;
and
Has been convicted of a criminal offense related to that person's involvement in any program under
Medicare, Medicaid, or the title XX services program since the inception of those programs.
§ 455.410 – HHSC must require all ordering or referring physicians or other professionals providing services
under the State plan or under a waiver of the plan to be enrolled as participating providers.
§ 455.412 – HHSC must:
Have a method for verifying that any provider purporting to be licensed in accordance with the laws of any
State is licensed by such State.
Confirm that the provider's license has not expired and that there are no current limitations on the
provider's license.
§ 455.414 – HHSC must revalidate the enrollment of all providers regardless of provider type at least every five
years.
§ 455.432 – HHSC must:
Conduct pre-enrollment and post-enrollment site visits of providers who are designated as “moderate” or
“high” categorical risks to the Medicaid program.
Require any enrolled provider to permit CMS, its agents, its designated contractors, or HHSC to conduct
unannounced on-site inspections of any and all provider locations.
§ 455.434 – HHSC must:
Require providers to consent to criminal background checks including fingerprinting when required to do
so under State law or by the level of screening based on risk of fraud, waste or abuse as determined for
that category of provider.
Establish categorical risk levels for providers and provider categories who pose an increased financial risk
of fraud, waste or abuse to the Medicaid program.
o Upon HHSC determining that a provider, or a person with a 5 percent or more direct or indirect
ownership interest in the provider, meets HHSC's criteria hereunder for criminal background
checks as a “high” risk to the Medicaid program, HHSC will require that each such provider or
person submit fingerprints, in a form and manner to be determined by HHSC, within 30 days upon
request from CMS or HHSC.
§ 455.436 – HHSC must confirm the identity and determine the exclusion status of providers and any person with
an ownership or control interest or who is an agent or managing employee of the provider through routine checks
of Federal databases. Upon enrollment and reenrollment, HHSC must check the Social Security Administration's
Death Master File (SSADMF), the National Plan and Provider Enumeration System (NPPES), the List of Excluded
Individuals/Entities (LEIE), the Excluded Parties List System (EPLS), and any such other databases as the
Secretary may prescribe. During the period the provider is enrolled, HHSC must check the LEIE and EPLS no
less frequently than monthly.
§ 455.434 – HHSC must screen all initial applications, including applications for a new practice location, and any
applications received in response to a re-enrollment or revalidation of enrollment request based on a categorical
risk level of “limited,” “moderate,” or “high.” If a provider could fit within more than one risk level described in this
section, the highest level of screening is applicable.
Condition: Various departments within and contractors of HHSC are responsible for ensuring medical providers
are properly licensed, screened, and enrolled in the Medicaid Program including Contract Administration and
Provider Monitoring (CAPM), Access and Eligibility Services (AES), Procurement and Contracting Services, and
the Texas Medicaid and Healthcare Partnership.
Audit procedures included a review of 60 providers each for Medicaid, which resulted in the following (sampled
exceptions noted in parentheses):
A copy of the completed application was not included in the file. (9 providers)
Enrollment of the provider was not completed within the last 5 years. (7 providers)
Verification of the provider’s license was not included in the file. (7 providers)
Required information on ownership and control was not disclosed. (11 providers)
Supporting documentation was not included in the file indicating the provider consented to a criminal
background check. (9 providers)
Supporting documentation was not included in the file indicating the SSADMF database was checked at
the time of the most recent enrollment. (12 providers)
Supporting documentation was not included in the file indicating the NPPES database was checked at the
time of the most recent enrollment. (12 providers)
Supporting documentation was not included in the file indicating the LEIE database was checked at the
time of the most recent enrollment. (12 providers)
Supporting documentation was not included in the file indicating the EPLS database was checked at the
time of the most recent enrollment. (12 providers)
Supporting documentation was not included in the file indicating the provider was categorized during
screening as limited, moderate, or high risk. (13 providers)
A copy of the provider agreement was not included in the files. (13 providers)
Supporting documentation was not included indicating a pre- or post-enrollment site visit was conducted
as required for providers designated as moderate or high risk. (13 providers)
Supporting documentation was not included indicating the provider disclosed the identity of any person
who had been convicted of a criminal offense related to that person's involvement in any program under
Medicare, Medicaid, or the Title XX services program since the inception of those programs. (9 providers)
Questioned costs: None.
Context: See “Condition.”
Cause: HHSC does not have adequate procedures in place to ensure required documentation is obtained and
maintained to comply with federal provider eligibility requirements.
Effect: Failure to obtain and maintain adequate documentation during the provider screening and enrollment
process may result in otherwise ineligible or fraudulent providers receiving Medicaid funds.
Repeat finding: 2022-014, 2021-008
Recommendation: HHSC should implement controls to ensure:
Documentation is maintained for at least the length of the providers’ current enrollment period or three
years, whichever is greater in accordance with 2 CFR 200.334.
Provider licenses are verified during enrollment.
Providers are re-enrolled at least once every five years.
Provider agreements are obtained, and the proper disclosures are made.
Providers are categorized according to risk level and pre- and post-enrollment site visits are conducted as
required for those deemed moderate or high risk.
Relevant federal databases are checked during initial enrollment and at least monthly for all providers
currently enrolled in Medicaid.
Views of responsible officials: HHSC concurs with this repeat finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Activities Allowed and Unallowed, Allowable Costs/Cost Principles, Reporting – Information Technology – Password Configuration Federal Agency: U.S. Department of Housing and Urban Development Federal Program Title: Community Development Block Grants/State’s Program and Non-Entitlement Grants in Hawaii ALN: 14.228 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: Various Various Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: MIP is GLO’s accounting application that serves as the agency’s system of record for budget, payroll, cash transactions, accounts receivable, and accounts payable. During our testing, we noted that Active Directory password configurations and the MIP lockout configurations do not adhere to the password policy defined in GLO’s Identification and Authentication policies or defined best practices. Questioned costs: None. Context: See “Condition.” Cause: GLO did not have processes in place to enforce password policies as outlined in the agency’s Identification and Authentication policies. Effect: Failure to follow GLO’s password policy increases the risk of inappropriate access. Repeat finding: No Recommendation: We recommend GLO update their password settings to align with the agency’s password policy. Views of responsible officials: We concur with the finding and the recommendation. Of note is that MIP is a standalone system and doesn’t provide the same password complexity and lockout capability that Active Directory offers, so we will address these individually. The risk associated with not having this same capability in the MIP system is somewhat mitigated by MIP being a system that is only available on-premises or via VPN with a valid Active Directory account.
Activities Allowed and Unallowed, Allowable Costs/Cost Principles, Reporting – Information
Technology – User Access
Federal Agency: U.S. Department of Housing and Urban Development
Federal Program Title: Community Development Block Grants/State’s Program and Non-Entitlement
Grants in Hawaii
ALN: 14.228
Pass-Through Agency: N/A
Pass-Through Number(s): N/A
Award Number and Period: Various
Various
Statistically Valid Sample: No, and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency in Internal Control over Compliance
Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and
maintain effective internal control over the Federal award that provides reasonable assurance that the non Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and
conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for
Internal Control in the Federal Government” issued by the Comptroller General of the United States or the
“Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway
Commission (COSO).
Condition: The Community Development and Revitalization (CDR) division of GLO uses TIGR as its primary
grant management system of record. It is used to manage and process CDBG-DR and CDBG-MIT grant
transactions.
During our testing, we noted one of 13 terminations selected for testing did not have their Active Directory and
TIGR access revoked upon termination in accordance with GLO’s Account Management policies, which state:
1.8 All access accounts established for contractors, consultants, vendors, and maintenance accounts must be
disabled immediately upon termination or completion of the contract period.
1.9 In the event of involuntary termination of users, access must be removed or disabled prior to or at the same
time the user is notified of the termination.
The employee was terminated on July 5, 2023, however, their access was not removed. Subsequent to audit
procedures, management terminated access to the Active Directory on September 25, 2023, and TIGR on
September 28, 2023. Management was unable to provide evidence to support that neither system had been
accessed between the date of the termination and the date that the system access was removed.
We also noted that while management affirmed that a privileged user access review was completed for Active
Directory accounts, there was no evidence maintained of the completion date, who the review was performed by,
or frequency of review.
Questioned costs: None.
Context: See “Condition.”
Cause: The exception related to the terminated employee was caused by a delay in communication between
multiple departments within GLO. The exception related to user access reviews was caused by GLO not
maintaining adequate documentation.
Effect: Failure to disable and archive accounts for users that have been terminated increases the risk of
inappropriate access and noncompliance. Failure to maintain adequate documentation of user access reviews
may result in omission of steps in the review process.
Repeat finding: No
Recommendation: We recommend GLO enhance the existing process to allow for timely communication of
terminated employees. Additionally, we recommend GLO develop a policy that outlines the documentation of user
access reviews.
Views of responsible officials: We concur with the finding and the recommendation and will take action to
address the concerns.
Reporting – FFATA Subawards
Federal Agency: U.S. Department of Housing and Urban Development
Federal Program Title: Community Development Block Grants/State’s Program and Non-Entitlement
Grants in Hawaii
ALN: 14.228
Pass-Through Agency: N/A
Pass-Through Number(s): N/A
Award Number and Period: B-18-DP-48-0002
January 12, 2021 – January 12, 2033
Statistically Valid Sample: No, and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance
Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and
maintain effective internal control over the Federal award that provides reasonable assurance that the non Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and
conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for
Internal Control in the Federal Government” issued by the Comptroller General of the United States or the
“Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway
Commission (COSO).
Under the requirements of the Federal Funding Accountability and Transparency Act (FFATA) (Pub. L. No. 109-
282), as amended by Section 6202 of Public Law 110-252, recipients (i.e., direct recipients) of grants or
cooperative agreements are required to report first-tier subawards of $30,000 or more to the Federal Funding
Accountability and Transparency Act Subaward Reporting System (FSRS) no later than the last day of the month
following the month in which the subaward/subaward amendment obligation was made or the subcontract
award/subcontract modification was made.
Condition: GLO’s Contract Department determines subawards that are required to be reported in FSRS under
FFATA reporting requirements. These subawards are subsequently provided to GLO’s Federal Finance and
Grants Management to report in FSRS.
During our testing, we noted the following exceptions:
See chart or table in the Schedule of Findings and Questioned Costs.
Questioned costs: None.
Context: See “Condition.”
Cause: Subawards were inadvertently omitted from the information provided to Federal Finance and Grants
Management resulting in untimely submission.
Effect: Failure to submit FFATA subawards timely may lead to noncompliance with federal requirements.
Repeat finding: No
Recommendation: We recommend that management establish standard operating procedures in order to
guarantee accurate support and timely communication between departments to ensure timely submission of
required reports.
Views of responsible officials: We agree that two sub-awards were inadvertently omitted from the information
provided to Federal Finance and Grants Management, resulting in an untimely submission.
Reporting – PR28 Financial Summary Report Federal Agency: U.S. Department of Housing and Urban Development Federal Program Title: Community Development Block Grants/State’s Program and Non-Entitlement Grants in Hawaii ALN: 14.228 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: B-22-DC-48-004 September 1, 2022 – September 1, 2029 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per U.S. Department of Housing and Urban Development (HUD) notice CPD-21-11, when generating the PR28 PER Financial Summary in IDIS, states have the ability to enter various adjustment parameters to data summarized from within IDIS. These adjustments are specific to each individual PR28 PER Financial Summary and are displayed in the report output. For any PR28 PER Financial Summary where the grantee made adjustments, the grantee must attach an explanation to the report. Condition: Texas Department of Agriculture (TDA) is required to submit the PR28 Financial Summary report and record any necessary adjustments to the financial report. During our testing, we noted TDA did not make the necessary adjustments to match supporting documentation from TDA accounting systems. The following adjustments were not reported as follows: Line B13: Adjustment to compute total set aside for State Administration - $421,994 Line B21: Adjustment to compute total redistributed – ($2,630,787) Line B24: Adjustment to compute total not yet distributed - $2,181,312 Line D47: Adjustments to compute total subject to PS cap – ($5,756) Line D56: Adjustments to compute total subject to P/A cap – ($5,756) Questioned costs: None. Context: See "Condition" Cause: While management maintained supporting documentation, they failed to make the appropriate adjustments to PR28 Financial Summary Report. Effect: Failure to report accurate data on the PR28 Financial Summary report could compromise HUD’s ability to monitor CDBG expenditures and compliance with statutory requirements. Repeat finding: No
Recommendation: TDA should enhance internal controls surrounding reporting to ensure accurate data is being
outputted in accordance with the requirements of the respective report.
Views of responsible officials: TDA agrees with the finding. TDA acknowledges that the appropriate
adjustments are not reflected in the PR-28 report originally submitted for Program Year 2022.
Reporting – FFATA Federal Agency: U.S. Department of Agriculture U.S. Department of Housing and Urban Development Federal Program Title: Child Nutrition Cluster (CNC) Community Development Block Grants/State’s Program and Non-Entitlement Grants in Hawaii (CDBG) ALN: 10.553, 10.555, 10.556, 10.559, 10.582 14.228 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: CNC 236TX332N1099, 236TX332N1199, 236TX375L1603 October 1, 2022 – September 30, 2023 CDBG B-21-DC-48-0001, B-22-DC-48-0001 September 1, 2021 – September 1, 2028, September 1, 2021 – September 1, 2028, September 1, 2022 – September 1, 2029 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework,” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Under the requirements of the Federal Funding Accountability and Transparency Act (FFATA) (Pub. L. No. 109- 282), as amended by Section 6202 of Public Law 110-252, recipients (i.e., direct recipients) of grants or cooperative agreements are required to report first-tier subawards of $30,000 or more to the Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS) no later than the last day of the month following the month in which the subaward/subaward amendment obligation was made or the subcontract award/subcontract modification was made. Condition: Texas Department of Agriculture (TDA) is responsible for submitting all required subawards in the
Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS).
During our testing, we noted the following compliance exceptions:
Child Nutrition Cluster- Fresh Fruit and Vegetable Program (ALN 10.582)
See chart or table in the Schedule of Findings and Questioned Costs.
Child Nutrition Cluster- National School Lunch Program (ALN 10.555)
See chart or table in the Schedule of Findings and Questioned Costs.
Community Development Block Grant (ALN 14.228)
See chart or table in the Schedule of Findings and Questioned Costs.
Questioned costs: None.
Context: See "Condition."
Cause: As related to ALN 10.582 and 10.555, TDA reports expenditures at the end of the subaward period rather
than reporting subawards over $30,000 by the last day of the month following the month in which the subaward/
subaward amendment obligation was made or the subcontract award/subcontract modification was made. This
was due to the nature of the subaward agreements, where subaward amounts are not specified in the agreement
and subrecipients are reimbursed based on actual expenditures incurred each month. As related to subawards
not reported for ALN 10.555, TDA did not attempt to report subawards during the fiscal year due to significant
technical difficulties encountered uploading subaward data into the FSRS in previous periods. As related to
14.228, reports were submitted late due to management oversight.
Effect: Failure to report all subawards $30,000 or greater in FSRS will result in noncompliance with terms of the
federal grant guidelines.
Repeat Finding: No
Recommendation: TDA should revise its current policies and procedures to ensure all subaward/ subaward
amendment obligations over $30,000 are identified and submitted in FSRS by the last day of the month following
the month in which the subaward/ subaward amendment obligation was made or the subcontract
award/subcontract modification was made. Additionally, TDA should attempt to submit subaward information as
required. If unsuccessful due to technical matters related to FSRS, TDA should retain documentation of the
resolution efforts and submit subaward information immediately after the matter has been resolved.
Views of responsible officials:
CNC – TDA FND agrees with the CLA’s recommendation.
CDBG – TDA agrees with the finding. TDA acknowledges the FFATA reports were not submitted timely.
Eligibility Federal Agency: U.S. Department of the Treasury Federal Program Title: Emergency Rental Assistance Program ALN: 21.023 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 1505-0266 – 2021, 1505-0270 – 2021. January 6, 2022 – December 29, 2022 and May 5, 2021 – September 30, 2025 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: According to Treasury’s Emergency Rental Assistance (ERA) Frequently Asked Questions (FAQs) Revised August 25, 2021, in ERA1, grantees must make reasonable efforts to obtain the cooperation of landlords and utility providers to accept payments from the ERA program. Outreach will be considered complete if (i) a request for participation is sent in writing, by mail, to the landlord or utility provider, and the addressee does not respond to the request within seven calendar days after mailing; (ii) the grantee has made at least three attempts by phone, text, or e-mail over a five calendar-day period to request the landlord or utility provider’s participation; or (iii) a landlord confirms in writing that the landlord does not wish to participate. The final outreach attempt or notice to the landlord must be documented. According to Treasury’s ERA Frequently Asked Questions (FAQs) Revised August 25, 2021, Grantees must obtain, if available, a current lease, signed by the applicant and the landlord or sublessor, that identifies the unit where the applicant resides and establishes the rental payment amount. If a household does not have a signed lease, documentation of residence may include evidence of paying utilities for the residential unit, an attestation by a landlord who can be identified as the verified owner or management agent of the unit, or other reasonable documentation as determined by the grantee. In the absence of a signed lease, evidence of the amount of a rental payment may include bank statements, check stubs, or other documentation that reasonably establishes a pattern of paying rent, a written attestation by a landlord who can be verified as the legitimate owner or management agent of the unit, or other reasonable documentation as defined by the grantee in its policies and procedures. According to the Texas Rent Relief Program Policies effective June 21, 2021, a household can request and receive rent assistance up to the total amount of monthly contracted rent listed on the lease. In the rare cases in which a tenant is applying without landlord cooperation, AND a lease does not exist, the tenant will be required to provide receipts for their 3 most recent rent payments in order to establish a pattern. Condition: During our testing of 60 individual payments to program participants, we noted the following exceptions: For one sampled payment totaling $1,950, only one outreach to the landlord was attempted by phone instead of the required minimum of three. For one sampled payment totaling $3,277, the landlord confirmed they were not willing to participate, however, it was not obtained in writing. For one sampled payment, the prorated calculation for monthly rent was incorrect, resulting in an overpayment of $203. Questioned costs: $5,430. Context: See "Condition"
Cause: The reviewer did not adhere to procedures related to outreach and obtaining required documentation.
Additionally, the processing vendor miscalculated the rental assistance.
Effect: Failure to accurately calculate and perform outreach for rental assistance under the program may result in
overpayments to tenants or payments to ineligible tenants.
Repeat finding: 2022-022, 2021-012
Recommendation: We recommend management enhance current policies and procedures to ensure all program
requirements are adhered to prior to making benefit payments.
Views of responsible officials: Management agrees with the finding and recommendation
Subrecipient Monitoring Federal Agency: U.S. Department of the Treasury Federal Program Title: Emergency Rental Assistance Program ALN: 21.023 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 1505-0266 – 2021, 1505-0270 – 2021. January 6, 2022 – December 29, 2022 and May 5, 2021 – September 30, 2025 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per 2 CFR sections 200.332 (d) through (f), all pass-through entities must monitor the activities of the subrecipient as necessary to ensure that the subaward is used for authorized purposes, complies with the terms and conditions of the subaward, and achieves performance goals. Condition: TDHCA maintains a Master Planning Summary (MPS) to track all active subrecipient contracts that
have expenditures in the planning phase, which are to be considered for sampling and potential selection for
review. During our testing, we noted one subrecipient contract with expenditures during the fiscal year that was
not included in the MPS for potential selection for a review.
Questioned costs: None.
Context: See “Condition.”
Cause: Management is not adhering to the subrecipient monitoring procedures to ensure all active subrecipient
contracts with expenditures incurred during the fiscal year are at least considered for review by being included in
the MPS.
Effect: Failure to complete proper monitoring over subrecipients may lead to noncompliance with grant terms and
conditions.
Repeat finding: No
Recommendation: We recommend that TDHCA strengthen its internal controls to ensure that all subrecipients
are included in the MPS and subject to review.
Views of responsible officials: The Department’s Compliance Subrecipient Monitoring (CMSM) staff
acknowledges that a subrecipient was erroneously not included in the Master Planning Summary. However, the
Department’s procedures for risk assessment and monitoring activities for this review period remain compliant
with 2 CFR section 200.303(a) as well as 2 CFR section 200.331(6)(b). Risk assessment for non-formula funded
contracts is 100% risk based. Both risk assessment and subsequent monitoring functions represent a snapshot of
the Department’s pass-through activities and 100% review is not required. It is the Department’s stance that this
error does not materially impact the risk assessment process or the scope of this audit.
Special Tests and Provisions – ERA Funds Reallocation Federal Agency: U.S. Department of the Treasury Federal Program Title: Emergency Rental Assistance Program ALN: 21.023 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 1505-0270 – 2021 May 5, 2021 – September 30, 2025 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR §200.302, the non-Federal entity's financial management systems,
including records documenting compliance with Federal statutes, regulations, and the terms and conditions of the
Federal award, must be sufficient to permit the preparation of reports required by general and program-specific
terms and conditions; and the tracing of funds to a level of expenditures adequate to establish that such funds
have been used according to the Federal statutes, regulations, and the terms and conditions of the Federal
award. Further, the financial management system of each non-Federal entity must provide accurate, current, and
complete disclosure of the financial results of each Federal award or program in accordance with the reporting
requirements.
Per 2 CFR §200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the
Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in
compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal
controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government”
issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per Treasury’s ERA2 Reallocation Guidance Updated November 15, 2022, the ERA2 statute requires Treasury to
identify funds for reallocation from amounts allocated to eligible Grantees, but not yet paid out to them.
Specifically, the statute provides that beginning on March 31, 2022, Treasury must “reallocate funds allocated to
eligible grantees … but not yet paid,” according to a procedure established by Treasury.
Condition: Audit procedures included a review of the ERA2 Quarter 3 2022 (July-September) and ERA2 Quarter
4 2022 (October-December) Compliance Reports. We noted that $6,777,186 was double counted on the
‘Cumulative Amount of Award Obligated as of the end of the Reporting Period’ amount in the ERA2 Quarter 4
2022 Compliance Report.
Questioned costs: None.
Context: See "Condition"
Cause: Obligated amounts were duplicated when preparing the supporting worksheets due to management
oversight.
Effect: Inaccurate supporting data when calculating reallocation expenditure ratios may result in an incorrect
amount of excess funds subject to recapture by Treasury.
Repeat finding: 2022-025
Recommendation: We recommend management enhance its internal controls over the review of supporting
reallocation expenditure ratio calculations.
Views of responsible officials: Management agrees with the finding and recommendation
Eligibility Federal Agency: U.S. Department of the Treasury Federal Program Title: Homeowner Assistance Fund Program ALN: 21.026 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 1505-0269 – 2021 May 3, 2021 – September 30, 2026 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR §200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: During our testing of 60 individual payments to program participants, we noted the following exceptions for one sampled payment: The servicer failed to provide an original loan amount. While the deed of trust was used to confirm conforming loan limits, it was not retained. The deed of trust was subsequently provided, however, we were unable to verify that the applicant provided a deed of trust prior to approval. The applicant was enrolled in the Mortgage Reinstatement Program, which states that the debt to-income ratio must be between 31.01% and 55.0% and the applicant states they can afford to make the mortgage payments. We noted that the while the applicant had a 32.01% debt-to-income ratio, they stated they cannot afford to continue mortgage payments. As such, the applicant should have been enrolled in the Reinstatement plus Monthly payment assistance (R+U) program, which provides full monthly payment assistance to homeowners who are past due on their mortgage and unable to make full mortgage payments due to a continuing financial hardship associated with the Coronavirus pandemic. Questioned costs: None. Context: See "Condition" Cause: Management did not retain documentation to support eligibility determinations in the case file. With respect to program placement, the applicant was enrolled in the incorrect program due to changes in program types concurrently taking place. Effect: Ineffective controls over loan eligibility could result in payments on ineligible loans. Additionally, incorrectly placing participants in programs may result in ineligible payments or erroneously denying payments. Repeat finding: No Recommendation: We recommend enhancing current policies and procedures to ensure that the case auditors and supervisors are: (1) not approving applications with incomplete documentation and (2) properly placing participants in the correct program. Views of responsible officials: Management concurs with the control deficiency.
Reporting Federal Agency: U.S. Department of the Treasury Federal Program Title: Homeowner Assistance Fund Program ALN: 21.026 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 1505-0269 – 2021 May 3, 2021 – September 30, 2026 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR §200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per the Department of Treasury’s Homeowner Assistance Fund (HAF) guidance on participant compliance and reporting responsibilities, HAF participants are required to submit quarterly reports (PRA 1505-0269) that include data regarding programs, expenditures, demographic distribution, civil rights compliance, equity indicators, community engagement efforts, and programmatic data. To provide public transparency on whether programs are using practices that promote on-time and on-budget delivery, Treasury will seek information from HAF participants on their workforce plans and practices related to HAF programs. The reports contain key line items with critical information as follows: 1. Administrative Expenses - Quantifiable Objective Criteria: Obligations and expenditures do not exceed 15% for admin expenses. 2. Services, Counseling & Education - Quantifiable Objective Criteria: Obligations and expenditures do not exceed 5% for legal services, counseling, and education. Condition: Audit procedures included a review of the key line items within the quarterly reports for the periods
ending December 31, 2022 and March 31, 2023. While TDHCA did not exceed the percentage maximums for
each key line item, we noted the following variances for Administrative Obligations and Expenses:
December 31, 2022 Report
Obligations – Total cumulative obligations reported was $121,740,816, however the amount per
supporting documentation provided was $95,675,808, resulting in a variance of $26,065,008.
Expenditures – Total cumulative expenditures reported was $32,309,867, however, the amount per
supporting documentation was $31,498,881 resulting in a variance of $810,986.
Specific to contracts with CDCs, Housing Counselors, Affordable Housing Providers for Intake Centers
and Outreach, review of the expenditure detail indicated that the $1,781,278 of cumulative expenditures
reported included other costs not related to this category.
March 31, 2023 Report
Obligations – Total cumulative obligations reported was $104,384,814, however, the amount per
supporting documentation was $96,426,918, resulting in a variance of $7,957,896.
Expenditures – Total cumulative expenditures reported was $41,113,838, however, the amount per
supporting documentation was $45,208,650, resulting in a variance of ($4,094,812).
Specific to contracts with expenditures for CDCs, Housing Counselors, Affordable Housing Providers for
Intake Centers and Outreach, review of the expenditure detail indicated that the $0 of cumulative
expenditures reported is incorrect. We noted cumulative expenditures for 100% intake of $2,324,512.
These are at minimum expenditures as there are subrecipient contracts allocated between intake,
counseling, and legal. which TDHCA did incur expenditures in Q1 2023 and previous quarters.
Management was unable to provide an analysis of these expenditures to allocate the respective portion to
intake.
Questioned costs: None.
Context: See "Condition"
Cause: TDHCA reported budgeted amounts rather than obligated amounts as defined by the U.S. Treasury
Homeowner Assistance Fund Guidance on Participant Compliance and Reporting Responsibilities. Additionally,
TDHCA’s controls over the review of reports were not operating at a precision level that would identify reported
amounts that do not agree to supporting documentation.
Effect: Improperly designed internal controls over reporting may result in a misstatement of amounts reported to
the federal government.
Repeat finding: No
Recommendation: We recommend management enhance its internal controls to ensure obligations reported on
federal reports meet the definition of an obligation per Treasury and that amounts agree to supporting
documentation.
Views of responsible officials: Management concurs with the control deficiency.
Activities Allowed or Unallowed, Allowable Costs/Cost Principles
Federal Agency: U.S. Department of the Treasury
Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds
ALN: 21.027
Pass-Through Agency: N/A
Pass-Through Number(s): N/A
Award Number and Period: SLT – 8809: Project Name: HHSC Section 33; HHSC Section 12: Rural Hospitals,
HHSC Section 22: Sunrise Canyon Hospital
November 8, 2021 – December 31, 2026
Statistically Valid Sample: No, and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance
Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the
federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award.
These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework”
issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per 2 CFR
200.334, financial records, supporting documents, statistical records, and all other non-Federal entity records
pertinent to a Federal award must be retained for a period of three years from the date of submission of the final
expenditure report or, for Federal awards that are renewed quarterly or annually, from the date of the submission
of the quarterly or annual financial report, respectively, as reported to the Federal awarding agency or pass through entity in the case of a subrecipient. Federal awarding agencies and pass-through entities must not
impose any other record retention requirements upon non-Federal entities.
In the 2021 Texas Senate Bill 8, HHSC was appropriated money in various sections of the bill received by Texas
from the Coronavirus State Fiscal Recovery Fund for the following purposes related to costs incurred during the
period beginning October 8, 2021, and ending November 8, 2023, due to the coronavirus pandemic:
Section 11(a) – funding for the construction of a state hospital in Dallas, Texas.
Section 12 – funding for grants to support rural hospitals that have been affected by the COVID-19
pandemic.
Section 13 – funding for the creation of a consolidated internet portal for Medicaid and the Children’s
Health Insurance Program medical services provider data.
Section 14 – funding for technology updates to the Medicaid eligibility computer system.
Section 15 – funding for COVID-19 related expenses incurred by the Texas Civil Commitment Office
related to consumable supplies and travel.
Section 22 – funding for the expansion of capacity of Sunrise Canyon Hospital.
Section 33 – funding to administer one-time grants related to providing critical staffing needs resulting
from frontline healthcare workers affected by COVID-19, including recruitment and retention bonuses for
staff.
Condition: Audit procedures included a selection of 60 sampled expenditures totaling $143,092,786 incurred
during the fiscal year to test allowability with the grant awards. We noted that for 48 out of the 60 samples totaling
$9,600,062, the agency did not obtain supporting documentation from the vendor to verify that the amounts
advanced to the vendor were expended on allowable costs. We were unable to substantiate the amounts
expended by the vendor and allowability of those expenditures in accordance with the relevant Senate Bill 8
section and the Department of the Treasury Final Rule.
Questioned costs: $9,600,062.
Context: See “Condition.”
Cause: HHSC is not fully monitoring the use of program funds through collection, review, and maintenance of
invoices supporting the expenditures.
Effect: Failure to maintain adequate documentation pertinent to a federal award may result in noncompliance with
grant terms and conditions.
Repeat finding: No
Recommendation: HHSC should implement policies and procedures to ensure documentation is maintained for
a period of at least three years from the date of submission of the final expenditure report for the grant in
accordance with 2 CFR 200.334.
Views of responsible officials: HHSC concurs with the finding.
Activities Allowed and Unallowed, Allowable Costs/Cost Principles, Earmarking, Procurement, Suspension and Debarment, Reporting – Information Technology – Change Management Federal Agency: U.S. Department of the Treasury Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds ALN: 21.027 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: SLT – 8809: Project Name: CACT Section 3: Children’s Advocacy; OOG TTIR Section 2; OOG Section 24: Trusted Programs within the Office of the Governor November 8, 2021 – December 31, 2026 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: System changes that were applied to the production Texas Travel Industry Recovery Grant Program (TTIR) environment were not documented in accordance with appropriate change management procedures. We were unable to verify that changes were requested, approved, and segregation of duties existed within the process for five of the five samples selected for testing. Questioned costs: None. Context: See “Condition.” Cause: OOG currently utilizes emails and Microsoft Teams messages to transmit information during the change management process request and approval process. However, documentation from these methods was not retained. Effect: Failure to formally document system changes could result in undocumented or unauthorized changes to the application. Repeat finding: No Recommendation: We recommend formally documenting and retaining the request and approval of all changes related to the TTIR application. Views of responsible officials: The Office of the Governor (OOG) management agrees with the finding that the
documented evidence of Change Management execution is insufficient. While the change management
procedure is in practice cohesive and in continued use, the documentation of such and evidence of the
repeatability thereof, is insufficient for the Texas Travel Industry Recovery Grant Program (TTIR) Portal.
Activities Allowed and Unallowed, Allowable Costs/Cost Principles, Earmarking, Procurement, Suspension and Debarment, Reporting – Information Technology – Logical Access Federal Agency: U.S. Department of the Treasury Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds ALN: 21.027 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: SLT – 8809: Project Name: CACT Section 3: Children’s Advocacy; OOG TTIR Section 2; OOG Section 24: Trusted Programs within the Office of the Governor November 8, 2021 – December 31, 2026 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: OOG did not perform a documented periodic access review of users for the eGrants application, which would include a review of privileged users’ access during the fiscal year. Questioned costs: None. Context: See “Condition.” Cause: Management’s timeline to complete the user access review was delayed. Effect: Failure to perform user access reviews in a timely manner could result in undetected inappropriate access
or inappropriate changes to the application.
Repeat finding: No
Recommendation: We recommend that OOG enforce current policies and procedures in relation to eGrants to
complete timely user access reviews and document the results. The user access review should include a review
of all privileged accounts on a periodic basis to verify that all active accounts are supported by a business
purpose.
Views of responsible officials: The Office of the Governor (OOG) management agrees with the finding that the
OOG did not perform a documented periodic access review of users for the eGrants application, which would
include a review of privileged users’ access during the fiscal year.
Reporting Federal Agency: U.S. Department of the Treasury Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds ALN: 21.027 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: SLT – 8809: Project Name: CACT Section 3: Children’s Advocacy; OOG TTIR Section 2; OOG Section 24: Trusted Programs within the Office of the Governor November 8, 2021 – December 31, 2026 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and NoncomplianceCriteria or specific requirement: Per 2 CFR section 200.303(a), the a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per the Coronavirus State and Local Fiscal Recovery Funds (SLFRF) Compliance and Reporting Guidance Version 5.0, for purposes of reporting in the SLFRF portal, an obligation is an order placed for property and services, contracts and subawards made, and similar transactions that require payment. Condition: OOG is the prime recipient of SLFRF funds for the State of Texas. Per Senate Bill 8, funds are passed through to other state agencies to expend on programs established by the Senate Bill. On a quarterly basis, OOG receives ‘Agency Reconcilers’ from each state agency with reported amounts for each of their respective programs per Senate Bill 8 in order to prepare the state-wide Project and Expenditure Report. Audit procedures included testing of the December 31, 2022 and March 31, 2023 Project and Expenditure Reports, which combined Agency Reconcilers for 33 programs and 41 programs, respectively. We compared the amounts reported on the Project and Expenditure Reports as submitted to Treasury to the amounts noted on the ‘Agency Reconcilers’ submitted by the pass-through state agencies noting the following variances by key line item: December 31, 2022 Project and Expenditure Report OOG was unable to provide the Agency Reconciler for five programs. As such, we were unable to validate all key line items reported for those agencies. Current period obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for nine programs, resulting in a variance of ($61,450,208). Cumulative obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for 12 programs, resulting in a variance of $333,636,497. Current period expenditures – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for five programs, resulting in a variance of ($85,590,747) Cumulative expenditures - Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for one program, resulting in a variance of ($74,511). March 31, 2023 Project and Expenditure Report Current period obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for 15 programs, resulting in a variance of ($115,194,311). Cumulative obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for 22 programs, resulting in a variance of $572,738,964. Current period expenditures – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for eight programs, resulting in a variance of ($20,661,270). Cumulative expenditures - Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for one program, resulting in a variance of ($32,479). Questioned costs: None.
Context: See “Condition.”
Cause: Variances related to cumulative obligations were due to OOG reporting budgeted amounts rather than
obligated amounts as defined by the SLFRF Compliance and Reporting Guidance Version 5.0. The remaining
variances were due to discrepancies between the Agency Reconcilers and amounts reported in OOG’s eGrants
system. OOG reported amounts reported in its eGrants system rather than the amounts reported by the state
agencies.
Effect: Improperly designed internal controls over reporting may result in a misstatement of amounts reported to
the federal government.
Repeat finding: No
Recommendation: We recommend management enhance its internal controls to ensure obligations reported on
federal reports meet the definition of an obligation per SLFRF Compliance and Reporting Guidance Version 5.0
and that amounts reported by the state agencies reconcile to the amounts reported in eGrants and the Project
and Expenditures Reports. Management should reconcile discrepancies between eGrants and the amounts
reported by the state agencies and obtain revised Agency Reconcilers, if appropriate.
Views of responsible officials: The Office of the Governor (OOG) management agrees with the finding that the
variances related to cumulative obligations are due to OOG reporting budgeted amounts rather than obligated
amounts as defined by the SLFRF Compliance and Reporting Guidance Version 5.0. The remaining variances
are due to discrepancies between the Agency Reconcilers and amounts reported in OOG’s eGrants system.
When variances occurred, it was typically the result of data entry errors within the Agency Reconcilers. In these
cases, the OOG deferred to the amounts reported in its eGrants system rather than the amounts reported by the
state agencies in the Agency Reconcilers.
Activities Allowed or Unallowed, Allowable Costs/Cost Principles
Federal Agency: U.S. Department of the Treasury
Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds
ALN: 21.027
Pass-Through Agency: N/A
Pass-Through Number(s): N/A
Award Number and Period: SLT – 8809: Project Name: HHSC Section 33; HHSC Section 12: Rural Hospitals,
HHSC Section 22: Sunrise Canyon Hospital
November 8, 2021 – December 31, 2026
Statistically Valid Sample: No, and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance
Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the
federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award.
These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework”
issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per 2 CFR
200.334, financial records, supporting documents, statistical records, and all other non-Federal entity records
pertinent to a Federal award must be retained for a period of three years from the date of submission of the final
expenditure report or, for Federal awards that are renewed quarterly or annually, from the date of the submission
of the quarterly or annual financial report, respectively, as reported to the Federal awarding agency or pass through entity in the case of a subrecipient. Federal awarding agencies and pass-through entities must not
impose any other record retention requirements upon non-Federal entities.
In the 2021 Texas Senate Bill 8, HHSC was appropriated money in various sections of the bill received by Texas
from the Coronavirus State Fiscal Recovery Fund for the following purposes related to costs incurred during the
period beginning October 8, 2021, and ending November 8, 2023, due to the coronavirus pandemic:
Section 11(a) – funding for the construction of a state hospital in Dallas, Texas.
Section 12 – funding for grants to support rural hospitals that have been affected by the COVID-19
pandemic.
Section 13 – funding for the creation of a consolidated internet portal for Medicaid and the Children’s
Health Insurance Program medical services provider data.
Section 14 – funding for technology updates to the Medicaid eligibility computer system.
Section 15 – funding for COVID-19 related expenses incurred by the Texas Civil Commitment Office
related to consumable supplies and travel.
Section 22 – funding for the expansion of capacity of Sunrise Canyon Hospital.
Section 33 – funding to administer one-time grants related to providing critical staffing needs resulting
from frontline healthcare workers affected by COVID-19, including recruitment and retention bonuses for
staff.
Condition: Audit procedures included a selection of 60 sampled expenditures totaling $143,092,786 incurred
during the fiscal year to test allowability with the grant awards. We noted that for 48 out of the 60 samples totaling
$9,600,062, the agency did not obtain supporting documentation from the vendor to verify that the amounts
advanced to the vendor were expended on allowable costs. We were unable to substantiate the amounts
expended by the vendor and allowability of those expenditures in accordance with the relevant Senate Bill 8
section and the Department of the Treasury Final Rule.
Questioned costs: $9,600,062.
Context: See “Condition.”
Cause: HHSC is not fully monitoring the use of program funds through collection, review, and maintenance of
invoices supporting the expenditures.
Effect: Failure to maintain adequate documentation pertinent to a federal award may result in noncompliance with
grant terms and conditions.
Repeat finding: No
Recommendation: HHSC should implement policies and procedures to ensure documentation is maintained for
a period of at least three years from the date of submission of the final expenditure report for the grant in
accordance with 2 CFR 200.334.
Views of responsible officials: HHSC concurs with the finding.
Activities Allowed and Unallowed, Allowable Costs/Cost Principles, Earmarking, Procurement, Suspension and Debarment, Reporting – Information Technology – Change Management Federal Agency: U.S. Department of the Treasury Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds ALN: 21.027 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: SLT – 8809: Project Name: CACT Section 3: Children’s Advocacy; OOG TTIR Section 2; OOG Section 24: Trusted Programs within the Office of the Governor November 8, 2021 – December 31, 2026 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: System changes that were applied to the production Texas Travel Industry Recovery Grant Program (TTIR) environment were not documented in accordance with appropriate change management procedures. We were unable to verify that changes were requested, approved, and segregation of duties existed within the process for five of the five samples selected for testing. Questioned costs: None. Context: See “Condition.” Cause: OOG currently utilizes emails and Microsoft Teams messages to transmit information during the change management process request and approval process. However, documentation from these methods was not retained. Effect: Failure to formally document system changes could result in undocumented or unauthorized changes to the application. Repeat finding: No Recommendation: We recommend formally documenting and retaining the request and approval of all changes related to the TTIR application. Views of responsible officials: The Office of the Governor (OOG) management agrees with the finding that the
documented evidence of Change Management execution is insufficient. While the change management
procedure is in practice cohesive and in continued use, the documentation of such and evidence of the
repeatability thereof, is insufficient for the Texas Travel Industry Recovery Grant Program (TTIR) Portal.
Activities Allowed and Unallowed, Allowable Costs/Cost Principles, Earmarking, Procurement, Suspension and Debarment, Reporting – Information Technology – Logical Access Federal Agency: U.S. Department of the Treasury Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds ALN: 21.027 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: SLT – 8809: Project Name: CACT Section 3: Children’s Advocacy; OOG TTIR Section 2; OOG Section 24: Trusted Programs within the Office of the Governor November 8, 2021 – December 31, 2026 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: OOG did not perform a documented periodic access review of users for the eGrants application, which would include a review of privileged users’ access during the fiscal year. Questioned costs: None. Context: See “Condition.” Cause: Management’s timeline to complete the user access review was delayed. Effect: Failure to perform user access reviews in a timely manner could result in undetected inappropriate access
or inappropriate changes to the application.
Repeat finding: No
Recommendation: We recommend that OOG enforce current policies and procedures in relation to eGrants to
complete timely user access reviews and document the results. The user access review should include a review
of all privileged accounts on a periodic basis to verify that all active accounts are supported by a business
purpose.
Views of responsible officials: The Office of the Governor (OOG) management agrees with the finding that the
OOG did not perform a documented periodic access review of users for the eGrants application, which would
include a review of privileged users’ access during the fiscal year.
Reporting Federal Agency: U.S. Department of the Treasury Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds ALN: 21.027 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: SLT – 8809: Project Name: CACT Section 3: Children’s Advocacy; OOG TTIR Section 2; OOG Section 24: Trusted Programs within the Office of the Governor November 8, 2021 – December 31, 2026 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and NoncomplianceCriteria or specific requirement: Per 2 CFR section 200.303(a), the a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per the Coronavirus State and Local Fiscal Recovery Funds (SLFRF) Compliance and Reporting Guidance Version 5.0, for purposes of reporting in the SLFRF portal, an obligation is an order placed for property and services, contracts and subawards made, and similar transactions that require payment. Condition: OOG is the prime recipient of SLFRF funds for the State of Texas. Per Senate Bill 8, funds are passed through to other state agencies to expend on programs established by the Senate Bill. On a quarterly basis, OOG receives ‘Agency Reconcilers’ from each state agency with reported amounts for each of their respective programs per Senate Bill 8 in order to prepare the state-wide Project and Expenditure Report. Audit procedures included testing of the December 31, 2022 and March 31, 2023 Project and Expenditure Reports, which combined Agency Reconcilers for 33 programs and 41 programs, respectively. We compared the amounts reported on the Project and Expenditure Reports as submitted to Treasury to the amounts noted on the ‘Agency Reconcilers’ submitted by the pass-through state agencies noting the following variances by key line item: December 31, 2022 Project and Expenditure Report OOG was unable to provide the Agency Reconciler for five programs. As such, we were unable to validate all key line items reported for those agencies. Current period obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for nine programs, resulting in a variance of ($61,450,208). Cumulative obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for 12 programs, resulting in a variance of $333,636,497. Current period expenditures – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for five programs, resulting in a variance of ($85,590,747) Cumulative expenditures - Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for one program, resulting in a variance of ($74,511). March 31, 2023 Project and Expenditure Report Current period obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for 15 programs, resulting in a variance of ($115,194,311). Cumulative obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for 22 programs, resulting in a variance of $572,738,964. Current period expenditures – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for eight programs, resulting in a variance of ($20,661,270). Cumulative expenditures - Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for one program, resulting in a variance of ($32,479). Questioned costs: None.
Context: See “Condition.”
Cause: Variances related to cumulative obligations were due to OOG reporting budgeted amounts rather than
obligated amounts as defined by the SLFRF Compliance and Reporting Guidance Version 5.0. The remaining
variances were due to discrepancies between the Agency Reconcilers and amounts reported in OOG’s eGrants
system. OOG reported amounts reported in its eGrants system rather than the amounts reported by the state
agencies.
Effect: Improperly designed internal controls over reporting may result in a misstatement of amounts reported to
the federal government.
Repeat finding: No
Recommendation: We recommend management enhance its internal controls to ensure obligations reported on
federal reports meet the definition of an obligation per SLFRF Compliance and Reporting Guidance Version 5.0
and that amounts reported by the state agencies reconcile to the amounts reported in eGrants and the Project
and Expenditures Reports. Management should reconcile discrepancies between eGrants and the amounts
reported by the state agencies and obtain revised Agency Reconcilers, if appropriate.
Views of responsible officials: The Office of the Governor (OOG) management agrees with the finding that the
variances related to cumulative obligations are due to OOG reporting budgeted amounts rather than obligated
amounts as defined by the SLFRF Compliance and Reporting Guidance Version 5.0. The remaining variances
are due to discrepancies between the Agency Reconcilers and amounts reported in OOG’s eGrants system.
When variances occurred, it was typically the result of data entry errors within the Agency Reconcilers. In these
cases, the OOG deferred to the amounts reported in its eGrants system rather than the amounts reported by the
state agencies in the Agency Reconcilers.
Activities Allowed or Unallowed, Allowable Costs/Cost Principles
Federal Agency: U.S. Department of the Treasury
Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds
ALN: 21.027
Pass-Through Agency: N/A
Pass-Through Number(s): N/A
Award Number and Period: SLT – 8809: Project Name: HHSC Section 33; HHSC Section 12: Rural Hospitals,
HHSC Section 22: Sunrise Canyon Hospital
November 8, 2021 – December 31, 2026
Statistically Valid Sample: No, and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance
Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the
federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award.
These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework”
issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per 2 CFR
200.334, financial records, supporting documents, statistical records, and all other non-Federal entity records
pertinent to a Federal award must be retained for a period of three years from the date of submission of the final
expenditure report or, for Federal awards that are renewed quarterly or annually, from the date of the submission
of the quarterly or annual financial report, respectively, as reported to the Federal awarding agency or pass through entity in the case of a subrecipient. Federal awarding agencies and pass-through entities must not
impose any other record retention requirements upon non-Federal entities.
In the 2021 Texas Senate Bill 8, HHSC was appropriated money in various sections of the bill received by Texas
from the Coronavirus State Fiscal Recovery Fund for the following purposes related to costs incurred during the
period beginning October 8, 2021, and ending November 8, 2023, due to the coronavirus pandemic:
Section 11(a) – funding for the construction of a state hospital in Dallas, Texas.
Section 12 – funding for grants to support rural hospitals that have been affected by the COVID-19
pandemic.
Section 13 – funding for the creation of a consolidated internet portal for Medicaid and the Children’s
Health Insurance Program medical services provider data.
Section 14 – funding for technology updates to the Medicaid eligibility computer system.
Section 15 – funding for COVID-19 related expenses incurred by the Texas Civil Commitment Office
related to consumable supplies and travel.
Section 22 – funding for the expansion of capacity of Sunrise Canyon Hospital.
Section 33 – funding to administer one-time grants related to providing critical staffing needs resulting
from frontline healthcare workers affected by COVID-19, including recruitment and retention bonuses for
staff.
Condition: Audit procedures included a selection of 60 sampled expenditures totaling $143,092,786 incurred
during the fiscal year to test allowability with the grant awards. We noted that for 48 out of the 60 samples totaling
$9,600,062, the agency did not obtain supporting documentation from the vendor to verify that the amounts
advanced to the vendor were expended on allowable costs. We were unable to substantiate the amounts
expended by the vendor and allowability of those expenditures in accordance with the relevant Senate Bill 8
section and the Department of the Treasury Final Rule.
Questioned costs: $9,600,062.
Context: See “Condition.”
Cause: HHSC is not fully monitoring the use of program funds through collection, review, and maintenance of
invoices supporting the expenditures.
Effect: Failure to maintain adequate documentation pertinent to a federal award may result in noncompliance with
grant terms and conditions.
Repeat finding: No
Recommendation: HHSC should implement policies and procedures to ensure documentation is maintained for
a period of at least three years from the date of submission of the final expenditure report for the grant in
accordance with 2 CFR 200.334.
Views of responsible officials: HHSC concurs with the finding.
Activities Allowed and Unallowed, Allowable Costs/Cost Principles, Earmarking, Procurement, Suspension and Debarment, Reporting – Information Technology – Change Management Federal Agency: U.S. Department of the Treasury Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds ALN: 21.027 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: SLT – 8809: Project Name: CACT Section 3: Children’s Advocacy; OOG TTIR Section 2; OOG Section 24: Trusted Programs within the Office of the Governor November 8, 2021 – December 31, 2026 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: System changes that were applied to the production Texas Travel Industry Recovery Grant Program (TTIR) environment were not documented in accordance with appropriate change management procedures. We were unable to verify that changes were requested, approved, and segregation of duties existed within the process for five of the five samples selected for testing. Questioned costs: None. Context: See “Condition.” Cause: OOG currently utilizes emails and Microsoft Teams messages to transmit information during the change management process request and approval process. However, documentation from these methods was not retained. Effect: Failure to formally document system changes could result in undocumented or unauthorized changes to the application. Repeat finding: No Recommendation: We recommend formally documenting and retaining the request and approval of all changes related to the TTIR application. Views of responsible officials: The Office of the Governor (OOG) management agrees with the finding that the
documented evidence of Change Management execution is insufficient. While the change management
procedure is in practice cohesive and in continued use, the documentation of such and evidence of the
repeatability thereof, is insufficient for the Texas Travel Industry Recovery Grant Program (TTIR) Portal.
Activities Allowed and Unallowed, Allowable Costs/Cost Principles, Earmarking, Procurement, Suspension and Debarment, Reporting – Information Technology – Logical Access Federal Agency: U.S. Department of the Treasury Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds ALN: 21.027 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: SLT – 8809: Project Name: CACT Section 3: Children’s Advocacy; OOG TTIR Section 2; OOG Section 24: Trusted Programs within the Office of the Governor November 8, 2021 – December 31, 2026 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: OOG did not perform a documented periodic access review of users for the eGrants application, which would include a review of privileged users’ access during the fiscal year. Questioned costs: None. Context: See “Condition.” Cause: Management’s timeline to complete the user access review was delayed. Effect: Failure to perform user access reviews in a timely manner could result in undetected inappropriate access
or inappropriate changes to the application.
Repeat finding: No
Recommendation: We recommend that OOG enforce current policies and procedures in relation to eGrants to
complete timely user access reviews and document the results. The user access review should include a review
of all privileged accounts on a periodic basis to verify that all active accounts are supported by a business
purpose.
Views of responsible officials: The Office of the Governor (OOG) management agrees with the finding that the
OOG did not perform a documented periodic access review of users for the eGrants application, which would
include a review of privileged users’ access during the fiscal year.
Reporting Federal Agency: U.S. Department of the Treasury Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds ALN: 21.027 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: SLT – 8809: Project Name: CACT Section 3: Children’s Advocacy; OOG TTIR Section 2; OOG Section 24: Trusted Programs within the Office of the Governor November 8, 2021 – December 31, 2026 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and NoncomplianceCriteria or specific requirement: Per 2 CFR section 200.303(a), the a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per the Coronavirus State and Local Fiscal Recovery Funds (SLFRF) Compliance and Reporting Guidance Version 5.0, for purposes of reporting in the SLFRF portal, an obligation is an order placed for property and services, contracts and subawards made, and similar transactions that require payment. Condition: OOG is the prime recipient of SLFRF funds for the State of Texas. Per Senate Bill 8, funds are passed through to other state agencies to expend on programs established by the Senate Bill. On a quarterly basis, OOG receives ‘Agency Reconcilers’ from each state agency with reported amounts for each of their respective programs per Senate Bill 8 in order to prepare the state-wide Project and Expenditure Report. Audit procedures included testing of the December 31, 2022 and March 31, 2023 Project and Expenditure Reports, which combined Agency Reconcilers for 33 programs and 41 programs, respectively. We compared the amounts reported on the Project and Expenditure Reports as submitted to Treasury to the amounts noted on the ‘Agency Reconcilers’ submitted by the pass-through state agencies noting the following variances by key line item: December 31, 2022 Project and Expenditure Report OOG was unable to provide the Agency Reconciler for five programs. As such, we were unable to validate all key line items reported for those agencies. Current period obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for nine programs, resulting in a variance of ($61,450,208). Cumulative obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for 12 programs, resulting in a variance of $333,636,497. Current period expenditures – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for five programs, resulting in a variance of ($85,590,747) Cumulative expenditures - Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for one program, resulting in a variance of ($74,511). March 31, 2023 Project and Expenditure Report Current period obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for 15 programs, resulting in a variance of ($115,194,311). Cumulative obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for 22 programs, resulting in a variance of $572,738,964. Current period expenditures – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for eight programs, resulting in a variance of ($20,661,270). Cumulative expenditures - Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for one program, resulting in a variance of ($32,479). Questioned costs: None.
Context: See “Condition.”
Cause: Variances related to cumulative obligations were due to OOG reporting budgeted amounts rather than
obligated amounts as defined by the SLFRF Compliance and Reporting Guidance Version 5.0. The remaining
variances were due to discrepancies between the Agency Reconcilers and amounts reported in OOG’s eGrants
system. OOG reported amounts reported in its eGrants system rather than the amounts reported by the state
agencies.
Effect: Improperly designed internal controls over reporting may result in a misstatement of amounts reported to
the federal government.
Repeat finding: No
Recommendation: We recommend management enhance its internal controls to ensure obligations reported on
federal reports meet the definition of an obligation per SLFRF Compliance and Reporting Guidance Version 5.0
and that amounts reported by the state agencies reconcile to the amounts reported in eGrants and the Project
and Expenditures Reports. Management should reconcile discrepancies between eGrants and the amounts
reported by the state agencies and obtain revised Agency Reconcilers, if appropriate.
Views of responsible officials: The Office of the Governor (OOG) management agrees with the finding that the
variances related to cumulative obligations are due to OOG reporting budgeted amounts rather than obligated
amounts as defined by the SLFRF Compliance and Reporting Guidance Version 5.0. The remaining variances
are due to discrepancies between the Agency Reconcilers and amounts reported in OOG’s eGrants system.
When variances occurred, it was typically the result of data entry errors within the Agency Reconcilers. In these
cases, the OOG deferred to the amounts reported in its eGrants system rather than the amounts reported by the
state agencies in the Agency Reconcilers.
Activities Allowed or Unallowed, Allowable Costs/Cost Principles
Federal Agency: U.S. Department of the Treasury
Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds
ALN: 21.027
Pass-Through Agency: N/A
Pass-Through Number(s): N/A
Award Number and Period: SLT – 8809: Project Name: HHSC Section 33; HHSC Section 12: Rural Hospitals,
HHSC Section 22: Sunrise Canyon Hospital
November 8, 2021 – December 31, 2026
Statistically Valid Sample: No, and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance
Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the
federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award.
These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework”
issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per 2 CFR
200.334, financial records, supporting documents, statistical records, and all other non-Federal entity records
pertinent to a Federal award must be retained for a period of three years from the date of submission of the final
expenditure report or, for Federal awards that are renewed quarterly or annually, from the date of the submission
of the quarterly or annual financial report, respectively, as reported to the Federal awarding agency or pass through entity in the case of a subrecipient. Federal awarding agencies and pass-through entities must not
impose any other record retention requirements upon non-Federal entities.
In the 2021 Texas Senate Bill 8, HHSC was appropriated money in various sections of the bill received by Texas
from the Coronavirus State Fiscal Recovery Fund for the following purposes related to costs incurred during the
period beginning October 8, 2021, and ending November 8, 2023, due to the coronavirus pandemic:
Section 11(a) – funding for the construction of a state hospital in Dallas, Texas.
Section 12 – funding for grants to support rural hospitals that have been affected by the COVID-19
pandemic.
Section 13 – funding for the creation of a consolidated internet portal for Medicaid and the Children’s
Health Insurance Program medical services provider data.
Section 14 – funding for technology updates to the Medicaid eligibility computer system.
Section 15 – funding for COVID-19 related expenses incurred by the Texas Civil Commitment Office
related to consumable supplies and travel.
Section 22 – funding for the expansion of capacity of Sunrise Canyon Hospital.
Section 33 – funding to administer one-time grants related to providing critical staffing needs resulting
from frontline healthcare workers affected by COVID-19, including recruitment and retention bonuses for
staff.
Condition: Audit procedures included a selection of 60 sampled expenditures totaling $143,092,786 incurred
during the fiscal year to test allowability with the grant awards. We noted that for 48 out of the 60 samples totaling
$9,600,062, the agency did not obtain supporting documentation from the vendor to verify that the amounts
advanced to the vendor were expended on allowable costs. We were unable to substantiate the amounts
expended by the vendor and allowability of those expenditures in accordance with the relevant Senate Bill 8
section and the Department of the Treasury Final Rule.
Questioned costs: $9,600,062.
Context: See “Condition.”
Cause: HHSC is not fully monitoring the use of program funds through collection, review, and maintenance of
invoices supporting the expenditures.
Effect: Failure to maintain adequate documentation pertinent to a federal award may result in noncompliance with
grant terms and conditions.
Repeat finding: No
Recommendation: HHSC should implement policies and procedures to ensure documentation is maintained for
a period of at least three years from the date of submission of the final expenditure report for the grant in
accordance with 2 CFR 200.334.
Views of responsible officials: HHSC concurs with the finding.
Activities Allowed and Unallowed, Allowable Costs/Cost Principles, Earmarking, Procurement, Suspension and Debarment, Reporting – Information Technology – Change Management Federal Agency: U.S. Department of the Treasury Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds ALN: 21.027 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: SLT – 8809: Project Name: CACT Section 3: Children’s Advocacy; OOG TTIR Section 2; OOG Section 24: Trusted Programs within the Office of the Governor November 8, 2021 – December 31, 2026 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: System changes that were applied to the production Texas Travel Industry Recovery Grant Program (TTIR) environment were not documented in accordance with appropriate change management procedures. We were unable to verify that changes were requested, approved, and segregation of duties existed within the process for five of the five samples selected for testing. Questioned costs: None. Context: See “Condition.” Cause: OOG currently utilizes emails and Microsoft Teams messages to transmit information during the change management process request and approval process. However, documentation from these methods was not retained. Effect: Failure to formally document system changes could result in undocumented or unauthorized changes to the application. Repeat finding: No Recommendation: We recommend formally documenting and retaining the request and approval of all changes related to the TTIR application. Views of responsible officials: The Office of the Governor (OOG) management agrees with the finding that the
documented evidence of Change Management execution is insufficient. While the change management
procedure is in practice cohesive and in continued use, the documentation of such and evidence of the
repeatability thereof, is insufficient for the Texas Travel Industry Recovery Grant Program (TTIR) Portal.
Activities Allowed and Unallowed, Allowable Costs/Cost Principles, Earmarking, Procurement, Suspension and Debarment, Reporting – Information Technology – Logical Access Federal Agency: U.S. Department of the Treasury Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds ALN: 21.027 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: SLT – 8809: Project Name: CACT Section 3: Children’s Advocacy; OOG TTIR Section 2; OOG Section 24: Trusted Programs within the Office of the Governor November 8, 2021 – December 31, 2026 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: OOG did not perform a documented periodic access review of users for the eGrants application, which would include a review of privileged users’ access during the fiscal year. Questioned costs: None. Context: See “Condition.” Cause: Management’s timeline to complete the user access review was delayed. Effect: Failure to perform user access reviews in a timely manner could result in undetected inappropriate access
or inappropriate changes to the application.
Repeat finding: No
Recommendation: We recommend that OOG enforce current policies and procedures in relation to eGrants to
complete timely user access reviews and document the results. The user access review should include a review
of all privileged accounts on a periodic basis to verify that all active accounts are supported by a business
purpose.
Views of responsible officials: The Office of the Governor (OOG) management agrees with the finding that the
OOG did not perform a documented periodic access review of users for the eGrants application, which would
include a review of privileged users’ access during the fiscal year.
Reporting Federal Agency: U.S. Department of the Treasury Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds ALN: 21.027 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: SLT – 8809: Project Name: CACT Section 3: Children’s Advocacy; OOG TTIR Section 2; OOG Section 24: Trusted Programs within the Office of the Governor November 8, 2021 – December 31, 2026 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and NoncomplianceCriteria or specific requirement: Per 2 CFR section 200.303(a), the a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per the Coronavirus State and Local Fiscal Recovery Funds (SLFRF) Compliance and Reporting Guidance Version 5.0, for purposes of reporting in the SLFRF portal, an obligation is an order placed for property and services, contracts and subawards made, and similar transactions that require payment. Condition: OOG is the prime recipient of SLFRF funds for the State of Texas. Per Senate Bill 8, funds are passed through to other state agencies to expend on programs established by the Senate Bill. On a quarterly basis, OOG receives ‘Agency Reconcilers’ from each state agency with reported amounts for each of their respective programs per Senate Bill 8 in order to prepare the state-wide Project and Expenditure Report. Audit procedures included testing of the December 31, 2022 and March 31, 2023 Project and Expenditure Reports, which combined Agency Reconcilers for 33 programs and 41 programs, respectively. We compared the amounts reported on the Project and Expenditure Reports as submitted to Treasury to the amounts noted on the ‘Agency Reconcilers’ submitted by the pass-through state agencies noting the following variances by key line item: December 31, 2022 Project and Expenditure Report OOG was unable to provide the Agency Reconciler for five programs. As such, we were unable to validate all key line items reported for those agencies. Current period obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for nine programs, resulting in a variance of ($61,450,208). Cumulative obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for 12 programs, resulting in a variance of $333,636,497. Current period expenditures – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for five programs, resulting in a variance of ($85,590,747) Cumulative expenditures - Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for one program, resulting in a variance of ($74,511). March 31, 2023 Project and Expenditure Report Current period obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for 15 programs, resulting in a variance of ($115,194,311). Cumulative obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for 22 programs, resulting in a variance of $572,738,964. Current period expenditures – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for eight programs, resulting in a variance of ($20,661,270). Cumulative expenditures - Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for one program, resulting in a variance of ($32,479). Questioned costs: None.
Context: See “Condition.”
Cause: Variances related to cumulative obligations were due to OOG reporting budgeted amounts rather than
obligated amounts as defined by the SLFRF Compliance and Reporting Guidance Version 5.0. The remaining
variances were due to discrepancies between the Agency Reconcilers and amounts reported in OOG’s eGrants
system. OOG reported amounts reported in its eGrants system rather than the amounts reported by the state
agencies.
Effect: Improperly designed internal controls over reporting may result in a misstatement of amounts reported to
the federal government.
Repeat finding: No
Recommendation: We recommend management enhance its internal controls to ensure obligations reported on
federal reports meet the definition of an obligation per SLFRF Compliance and Reporting Guidance Version 5.0
and that amounts reported by the state agencies reconcile to the amounts reported in eGrants and the Project
and Expenditures Reports. Management should reconcile discrepancies between eGrants and the amounts
reported by the state agencies and obtain revised Agency Reconcilers, if appropriate.
Views of responsible officials: The Office of the Governor (OOG) management agrees with the finding that the
variances related to cumulative obligations are due to OOG reporting budgeted amounts rather than obligated
amounts as defined by the SLFRF Compliance and Reporting Guidance Version 5.0. The remaining variances
are due to discrepancies between the Agency Reconcilers and amounts reported in OOG’s eGrants system.
When variances occurred, it was typically the result of data entry errors within the Agency Reconcilers. In these
cases, the OOG deferred to the amounts reported in its eGrants system rather than the amounts reported by the
state agencies in the Agency Reconcilers.
Activities Allowed or Unallowed, Allowable Costs/Cost Principles
Federal Agency: U.S. Department of the Treasury
Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds
ALN: 21.027
Pass-Through Agency: N/A
Pass-Through Number(s): N/A
Award Number and Period: SLT – 8809: Project Name: HHSC Section 33; HHSC Section 12: Rural Hospitals,
HHSC Section 22: Sunrise Canyon Hospital
November 8, 2021 – December 31, 2026
Statistically Valid Sample: No, and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance
Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the
federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award.
These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework”
issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per 2 CFR
200.334, financial records, supporting documents, statistical records, and all other non-Federal entity records
pertinent to a Federal award must be retained for a period of three years from the date of submission of the final
expenditure report or, for Federal awards that are renewed quarterly or annually, from the date of the submission
of the quarterly or annual financial report, respectively, as reported to the Federal awarding agency or pass through entity in the case of a subrecipient. Federal awarding agencies and pass-through entities must not
impose any other record retention requirements upon non-Federal entities.
In the 2021 Texas Senate Bill 8, HHSC was appropriated money in various sections of the bill received by Texas
from the Coronavirus State Fiscal Recovery Fund for the following purposes related to costs incurred during the
period beginning October 8, 2021, and ending November 8, 2023, due to the coronavirus pandemic:
Section 11(a) – funding for the construction of a state hospital in Dallas, Texas.
Section 12 – funding for grants to support rural hospitals that have been affected by the COVID-19
pandemic.
Section 13 – funding for the creation of a consolidated internet portal for Medicaid and the Children’s
Health Insurance Program medical services provider data.
Section 14 – funding for technology updates to the Medicaid eligibility computer system.
Section 15 – funding for COVID-19 related expenses incurred by the Texas Civil Commitment Office
related to consumable supplies and travel.
Section 22 – funding for the expansion of capacity of Sunrise Canyon Hospital.
Section 33 – funding to administer one-time grants related to providing critical staffing needs resulting
from frontline healthcare workers affected by COVID-19, including recruitment and retention bonuses for
staff.
Condition: Audit procedures included a selection of 60 sampled expenditures totaling $143,092,786 incurred
during the fiscal year to test allowability with the grant awards. We noted that for 48 out of the 60 samples totaling
$9,600,062, the agency did not obtain supporting documentation from the vendor to verify that the amounts
advanced to the vendor were expended on allowable costs. We were unable to substantiate the amounts
expended by the vendor and allowability of those expenditures in accordance with the relevant Senate Bill 8
section and the Department of the Treasury Final Rule.
Questioned costs: $9,600,062.
Context: See “Condition.”
Cause: HHSC is not fully monitoring the use of program funds through collection, review, and maintenance of
invoices supporting the expenditures.
Effect: Failure to maintain adequate documentation pertinent to a federal award may result in noncompliance with
grant terms and conditions.
Repeat finding: No
Recommendation: HHSC should implement policies and procedures to ensure documentation is maintained for
a period of at least three years from the date of submission of the final expenditure report for the grant in
accordance with 2 CFR 200.334.
Views of responsible officials: HHSC concurs with the finding.
Activities Allowed and Unallowed, Allowable Costs/Cost Principles, Earmarking, Procurement, Suspension and Debarment, Reporting – Information Technology – Change Management Federal Agency: U.S. Department of the Treasury Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds ALN: 21.027 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: SLT – 8809: Project Name: CACT Section 3: Children’s Advocacy; OOG TTIR Section 2; OOG Section 24: Trusted Programs within the Office of the Governor November 8, 2021 – December 31, 2026 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: System changes that were applied to the production Texas Travel Industry Recovery Grant Program (TTIR) environment were not documented in accordance with appropriate change management procedures. We were unable to verify that changes were requested, approved, and segregation of duties existed within the process for five of the five samples selected for testing. Questioned costs: None. Context: See “Condition.” Cause: OOG currently utilizes emails and Microsoft Teams messages to transmit information during the change management process request and approval process. However, documentation from these methods was not retained. Effect: Failure to formally document system changes could result in undocumented or unauthorized changes to the application. Repeat finding: No Recommendation: We recommend formally documenting and retaining the request and approval of all changes related to the TTIR application. Views of responsible officials: The Office of the Governor (OOG) management agrees with the finding that the
documented evidence of Change Management execution is insufficient. While the change management
procedure is in practice cohesive and in continued use, the documentation of such and evidence of the
repeatability thereof, is insufficient for the Texas Travel Industry Recovery Grant Program (TTIR) Portal.
Activities Allowed and Unallowed, Allowable Costs/Cost Principles, Earmarking, Procurement, Suspension and Debarment, Reporting – Information Technology – Logical Access Federal Agency: U.S. Department of the Treasury Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds ALN: 21.027 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: SLT – 8809: Project Name: CACT Section 3: Children’s Advocacy; OOG TTIR Section 2; OOG Section 24: Trusted Programs within the Office of the Governor November 8, 2021 – December 31, 2026 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: OOG did not perform a documented periodic access review of users for the eGrants application, which would include a review of privileged users’ access during the fiscal year. Questioned costs: None. Context: See “Condition.” Cause: Management’s timeline to complete the user access review was delayed. Effect: Failure to perform user access reviews in a timely manner could result in undetected inappropriate access
or inappropriate changes to the application.
Repeat finding: No
Recommendation: We recommend that OOG enforce current policies and procedures in relation to eGrants to
complete timely user access reviews and document the results. The user access review should include a review
of all privileged accounts on a periodic basis to verify that all active accounts are supported by a business
purpose.
Views of responsible officials: The Office of the Governor (OOG) management agrees with the finding that the
OOG did not perform a documented periodic access review of users for the eGrants application, which would
include a review of privileged users’ access during the fiscal year.
Reporting Federal Agency: U.S. Department of the Treasury Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds ALN: 21.027 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: SLT – 8809: Project Name: CACT Section 3: Children’s Advocacy; OOG TTIR Section 2; OOG Section 24: Trusted Programs within the Office of the Governor November 8, 2021 – December 31, 2026 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and NoncomplianceCriteria or specific requirement: Per 2 CFR section 200.303(a), the a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per the Coronavirus State and Local Fiscal Recovery Funds (SLFRF) Compliance and Reporting Guidance Version 5.0, for purposes of reporting in the SLFRF portal, an obligation is an order placed for property and services, contracts and subawards made, and similar transactions that require payment. Condition: OOG is the prime recipient of SLFRF funds for the State of Texas. Per Senate Bill 8, funds are passed through to other state agencies to expend on programs established by the Senate Bill. On a quarterly basis, OOG receives ‘Agency Reconcilers’ from each state agency with reported amounts for each of their respective programs per Senate Bill 8 in order to prepare the state-wide Project and Expenditure Report. Audit procedures included testing of the December 31, 2022 and March 31, 2023 Project and Expenditure Reports, which combined Agency Reconcilers for 33 programs and 41 programs, respectively. We compared the amounts reported on the Project and Expenditure Reports as submitted to Treasury to the amounts noted on the ‘Agency Reconcilers’ submitted by the pass-through state agencies noting the following variances by key line item: December 31, 2022 Project and Expenditure Report OOG was unable to provide the Agency Reconciler for five programs. As such, we were unable to validate all key line items reported for those agencies. Current period obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for nine programs, resulting in a variance of ($61,450,208). Cumulative obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for 12 programs, resulting in a variance of $333,636,497. Current period expenditures – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for five programs, resulting in a variance of ($85,590,747) Cumulative expenditures - Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for one program, resulting in a variance of ($74,511). March 31, 2023 Project and Expenditure Report Current period obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for 15 programs, resulting in a variance of ($115,194,311). Cumulative obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for 22 programs, resulting in a variance of $572,738,964. Current period expenditures – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for eight programs, resulting in a variance of ($20,661,270). Cumulative expenditures - Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for one program, resulting in a variance of ($32,479). Questioned costs: None.
Context: See “Condition.”
Cause: Variances related to cumulative obligations were due to OOG reporting budgeted amounts rather than
obligated amounts as defined by the SLFRF Compliance and Reporting Guidance Version 5.0. The remaining
variances were due to discrepancies between the Agency Reconcilers and amounts reported in OOG’s eGrants
system. OOG reported amounts reported in its eGrants system rather than the amounts reported by the state
agencies.
Effect: Improperly designed internal controls over reporting may result in a misstatement of amounts reported to
the federal government.
Repeat finding: No
Recommendation: We recommend management enhance its internal controls to ensure obligations reported on
federal reports meet the definition of an obligation per SLFRF Compliance and Reporting Guidance Version 5.0
and that amounts reported by the state agencies reconcile to the amounts reported in eGrants and the Project
and Expenditures Reports. Management should reconcile discrepancies between eGrants and the amounts
reported by the state agencies and obtain revised Agency Reconcilers, if appropriate.
Views of responsible officials: The Office of the Governor (OOG) management agrees with the finding that the
variances related to cumulative obligations are due to OOG reporting budgeted amounts rather than obligated
amounts as defined by the SLFRF Compliance and Reporting Guidance Version 5.0. The remaining variances
are due to discrepancies between the Agency Reconcilers and amounts reported in OOG’s eGrants system.
When variances occurred, it was typically the result of data entry errors within the Agency Reconcilers. In these
cases, the OOG deferred to the amounts reported in its eGrants system rather than the amounts reported by the
state agencies in the Agency Reconcilers.
Activities Allowed or Unallowed, Allowable Costs/Cost Principles
Federal Agency: U.S. Department of the Treasury
Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds
ALN: 21.027
Pass-Through Agency: N/A
Pass-Through Number(s): N/A
Award Number and Period: SLT – 8809: Project Name: HHSC Section 33; HHSC Section 12: Rural Hospitals,
HHSC Section 22: Sunrise Canyon Hospital
November 8, 2021 – December 31, 2026
Statistically Valid Sample: No, and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance
Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the
federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award.
These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework”
issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per 2 CFR
200.334, financial records, supporting documents, statistical records, and all other non-Federal entity records
pertinent to a Federal award must be retained for a period of three years from the date of submission of the final
expenditure report or, for Federal awards that are renewed quarterly or annually, from the date of the submission
of the quarterly or annual financial report, respectively, as reported to the Federal awarding agency or pass through entity in the case of a subrecipient. Federal awarding agencies and pass-through entities must not
impose any other record retention requirements upon non-Federal entities.
In the 2021 Texas Senate Bill 8, HHSC was appropriated money in various sections of the bill received by Texas
from the Coronavirus State Fiscal Recovery Fund for the following purposes related to costs incurred during the
period beginning October 8, 2021, and ending November 8, 2023, due to the coronavirus pandemic:
Section 11(a) – funding for the construction of a state hospital in Dallas, Texas.
Section 12 – funding for grants to support rural hospitals that have been affected by the COVID-19
pandemic.
Section 13 – funding for the creation of a consolidated internet portal for Medicaid and the Children’s
Health Insurance Program medical services provider data.
Section 14 – funding for technology updates to the Medicaid eligibility computer system.
Section 15 – funding for COVID-19 related expenses incurred by the Texas Civil Commitment Office
related to consumable supplies and travel.
Section 22 – funding for the expansion of capacity of Sunrise Canyon Hospital.
Section 33 – funding to administer one-time grants related to providing critical staffing needs resulting
from frontline healthcare workers affected by COVID-19, including recruitment and retention bonuses for
staff.
Condition: Audit procedures included a selection of 60 sampled expenditures totaling $143,092,786 incurred
during the fiscal year to test allowability with the grant awards. We noted that for 48 out of the 60 samples totaling
$9,600,062, the agency did not obtain supporting documentation from the vendor to verify that the amounts
advanced to the vendor were expended on allowable costs. We were unable to substantiate the amounts
expended by the vendor and allowability of those expenditures in accordance with the relevant Senate Bill 8
section and the Department of the Treasury Final Rule.
Questioned costs: $9,600,062.
Context: See “Condition.”
Cause: HHSC is not fully monitoring the use of program funds through collection, review, and maintenance of
invoices supporting the expenditures.
Effect: Failure to maintain adequate documentation pertinent to a federal award may result in noncompliance with
grant terms and conditions.
Repeat finding: No
Recommendation: HHSC should implement policies and procedures to ensure documentation is maintained for
a period of at least three years from the date of submission of the final expenditure report for the grant in
accordance with 2 CFR 200.334.
Views of responsible officials: HHSC concurs with the finding.
Activities Allowed and Unallowed, Allowable Costs/Cost Principles, Earmarking, Procurement, Suspension and Debarment, Reporting – Information Technology – Change Management Federal Agency: U.S. Department of the Treasury Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds ALN: 21.027 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: SLT – 8809: Project Name: CACT Section 3: Children’s Advocacy; OOG TTIR Section 2; OOG Section 24: Trusted Programs within the Office of the Governor November 8, 2021 – December 31, 2026 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: System changes that were applied to the production Texas Travel Industry Recovery Grant Program (TTIR) environment were not documented in accordance with appropriate change management procedures. We were unable to verify that changes were requested, approved, and segregation of duties existed within the process for five of the five samples selected for testing. Questioned costs: None. Context: See “Condition.” Cause: OOG currently utilizes emails and Microsoft Teams messages to transmit information during the change management process request and approval process. However, documentation from these methods was not retained. Effect: Failure to formally document system changes could result in undocumented or unauthorized changes to the application. Repeat finding: No Recommendation: We recommend formally documenting and retaining the request and approval of all changes related to the TTIR application. Views of responsible officials: The Office of the Governor (OOG) management agrees with the finding that the
documented evidence of Change Management execution is insufficient. While the change management
procedure is in practice cohesive and in continued use, the documentation of such and evidence of the
repeatability thereof, is insufficient for the Texas Travel Industry Recovery Grant Program (TTIR) Portal.
Activities Allowed and Unallowed, Allowable Costs/Cost Principles, Earmarking, Procurement, Suspension and Debarment, Reporting – Information Technology – Logical Access Federal Agency: U.S. Department of the Treasury Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds ALN: 21.027 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: SLT – 8809: Project Name: CACT Section 3: Children’s Advocacy; OOG TTIR Section 2; OOG Section 24: Trusted Programs within the Office of the Governor November 8, 2021 – December 31, 2026 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: OOG did not perform a documented periodic access review of users for the eGrants application, which would include a review of privileged users’ access during the fiscal year. Questioned costs: None. Context: See “Condition.” Cause: Management’s timeline to complete the user access review was delayed. Effect: Failure to perform user access reviews in a timely manner could result in undetected inappropriate access
or inappropriate changes to the application.
Repeat finding: No
Recommendation: We recommend that OOG enforce current policies and procedures in relation to eGrants to
complete timely user access reviews and document the results. The user access review should include a review
of all privileged accounts on a periodic basis to verify that all active accounts are supported by a business
purpose.
Views of responsible officials: The Office of the Governor (OOG) management agrees with the finding that the
OOG did not perform a documented periodic access review of users for the eGrants application, which would
include a review of privileged users’ access during the fiscal year.
Reporting Federal Agency: U.S. Department of the Treasury Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds ALN: 21.027 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: SLT – 8809: Project Name: CACT Section 3: Children’s Advocacy; OOG TTIR Section 2; OOG Section 24: Trusted Programs within the Office of the Governor November 8, 2021 – December 31, 2026 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and NoncomplianceCriteria or specific requirement: Per 2 CFR section 200.303(a), the a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per the Coronavirus State and Local Fiscal Recovery Funds (SLFRF) Compliance and Reporting Guidance Version 5.0, for purposes of reporting in the SLFRF portal, an obligation is an order placed for property and services, contracts and subawards made, and similar transactions that require payment. Condition: OOG is the prime recipient of SLFRF funds for the State of Texas. Per Senate Bill 8, funds are passed through to other state agencies to expend on programs established by the Senate Bill. On a quarterly basis, OOG receives ‘Agency Reconcilers’ from each state agency with reported amounts for each of their respective programs per Senate Bill 8 in order to prepare the state-wide Project and Expenditure Report. Audit procedures included testing of the December 31, 2022 and March 31, 2023 Project and Expenditure Reports, which combined Agency Reconcilers for 33 programs and 41 programs, respectively. We compared the amounts reported on the Project and Expenditure Reports as submitted to Treasury to the amounts noted on the ‘Agency Reconcilers’ submitted by the pass-through state agencies noting the following variances by key line item: December 31, 2022 Project and Expenditure Report OOG was unable to provide the Agency Reconciler for five programs. As such, we were unable to validate all key line items reported for those agencies. Current period obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for nine programs, resulting in a variance of ($61,450,208). Cumulative obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for 12 programs, resulting in a variance of $333,636,497. Current period expenditures – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for five programs, resulting in a variance of ($85,590,747) Cumulative expenditures - Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for one program, resulting in a variance of ($74,511). March 31, 2023 Project and Expenditure Report Current period obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for 15 programs, resulting in a variance of ($115,194,311). Cumulative obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for 22 programs, resulting in a variance of $572,738,964. Current period expenditures – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for eight programs, resulting in a variance of ($20,661,270). Cumulative expenditures - Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for one program, resulting in a variance of ($32,479). Questioned costs: None.
Context: See “Condition.”
Cause: Variances related to cumulative obligations were due to OOG reporting budgeted amounts rather than
obligated amounts as defined by the SLFRF Compliance and Reporting Guidance Version 5.0. The remaining
variances were due to discrepancies between the Agency Reconcilers and amounts reported in OOG’s eGrants
system. OOG reported amounts reported in its eGrants system rather than the amounts reported by the state
agencies.
Effect: Improperly designed internal controls over reporting may result in a misstatement of amounts reported to
the federal government.
Repeat finding: No
Recommendation: We recommend management enhance its internal controls to ensure obligations reported on
federal reports meet the definition of an obligation per SLFRF Compliance and Reporting Guidance Version 5.0
and that amounts reported by the state agencies reconcile to the amounts reported in eGrants and the Project
and Expenditures Reports. Management should reconcile discrepancies between eGrants and the amounts
reported by the state agencies and obtain revised Agency Reconcilers, if appropriate.
Views of responsible officials: The Office of the Governor (OOG) management agrees with the finding that the
variances related to cumulative obligations are due to OOG reporting budgeted amounts rather than obligated
amounts as defined by the SLFRF Compliance and Reporting Guidance Version 5.0. The remaining variances
are due to discrepancies between the Agency Reconcilers and amounts reported in OOG’s eGrants system.
When variances occurred, it was typically the result of data entry errors within the Agency Reconcilers. In these
cases, the OOG deferred to the amounts reported in its eGrants system rather than the amounts reported by the
state agencies in the Agency Reconcilers.
Activities Allowed or Unallowed, Allowable Costs/Cost Principles
Federal Agency: U.S. Department of the Treasury
Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds
ALN: 21.027
Pass-Through Agency: N/A
Pass-Through Number(s): N/A
Award Number and Period: SLT – 8809: Project Name: HHSC Section 33; HHSC Section 12: Rural Hospitals,
HHSC Section 22: Sunrise Canyon Hospital
November 8, 2021 – December 31, 2026
Statistically Valid Sample: No, and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance
Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the
federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award.
These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework”
issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per 2 CFR
200.334, financial records, supporting documents, statistical records, and all other non-Federal entity records
pertinent to a Federal award must be retained for a period of three years from the date of submission of the final
expenditure report or, for Federal awards that are renewed quarterly or annually, from the date of the submission
of the quarterly or annual financial report, respectively, as reported to the Federal awarding agency or pass through entity in the case of a subrecipient. Federal awarding agencies and pass-through entities must not
impose any other record retention requirements upon non-Federal entities.
In the 2021 Texas Senate Bill 8, HHSC was appropriated money in various sections of the bill received by Texas
from the Coronavirus State Fiscal Recovery Fund for the following purposes related to costs incurred during the
period beginning October 8, 2021, and ending November 8, 2023, due to the coronavirus pandemic:
Section 11(a) – funding for the construction of a state hospital in Dallas, Texas.
Section 12 – funding for grants to support rural hospitals that have been affected by the COVID-19
pandemic.
Section 13 – funding for the creation of a consolidated internet portal for Medicaid and the Children’s
Health Insurance Program medical services provider data.
Section 14 – funding for technology updates to the Medicaid eligibility computer system.
Section 15 – funding for COVID-19 related expenses incurred by the Texas Civil Commitment Office
related to consumable supplies and travel.
Section 22 – funding for the expansion of capacity of Sunrise Canyon Hospital.
Section 33 – funding to administer one-time grants related to providing critical staffing needs resulting
from frontline healthcare workers affected by COVID-19, including recruitment and retention bonuses for
staff.
Condition: Audit procedures included a selection of 60 sampled expenditures totaling $143,092,786 incurred
during the fiscal year to test allowability with the grant awards. We noted that for 48 out of the 60 samples totaling
$9,600,062, the agency did not obtain supporting documentation from the vendor to verify that the amounts
advanced to the vendor were expended on allowable costs. We were unable to substantiate the amounts
expended by the vendor and allowability of those expenditures in accordance with the relevant Senate Bill 8
section and the Department of the Treasury Final Rule.
Questioned costs: $9,600,062.
Context: See “Condition.”
Cause: HHSC is not fully monitoring the use of program funds through collection, review, and maintenance of
invoices supporting the expenditures.
Effect: Failure to maintain adequate documentation pertinent to a federal award may result in noncompliance with
grant terms and conditions.
Repeat finding: No
Recommendation: HHSC should implement policies and procedures to ensure documentation is maintained for
a period of at least three years from the date of submission of the final expenditure report for the grant in
accordance with 2 CFR 200.334.
Views of responsible officials: HHSC concurs with the finding.
Activities Allowed and Unallowed, Allowable Costs/Cost Principles, Earmarking, Procurement, Suspension and Debarment, Reporting – Information Technology – Change Management Federal Agency: U.S. Department of the Treasury Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds ALN: 21.027 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: SLT – 8809: Project Name: CACT Section 3: Children’s Advocacy; OOG TTIR Section 2; OOG Section 24: Trusted Programs within the Office of the Governor November 8, 2021 – December 31, 2026 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: System changes that were applied to the production Texas Travel Industry Recovery Grant Program (TTIR) environment were not documented in accordance with appropriate change management procedures. We were unable to verify that changes were requested, approved, and segregation of duties existed within the process for five of the five samples selected for testing. Questioned costs: None. Context: See “Condition.” Cause: OOG currently utilizes emails and Microsoft Teams messages to transmit information during the change management process request and approval process. However, documentation from these methods was not retained. Effect: Failure to formally document system changes could result in undocumented or unauthorized changes to the application. Repeat finding: No Recommendation: We recommend formally documenting and retaining the request and approval of all changes related to the TTIR application. Views of responsible officials: The Office of the Governor (OOG) management agrees with the finding that the
documented evidence of Change Management execution is insufficient. While the change management
procedure is in practice cohesive and in continued use, the documentation of such and evidence of the
repeatability thereof, is insufficient for the Texas Travel Industry Recovery Grant Program (TTIR) Portal.
Activities Allowed and Unallowed, Allowable Costs/Cost Principles, Earmarking, Procurement, Suspension and Debarment, Reporting – Information Technology – Logical Access Federal Agency: U.S. Department of the Treasury Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds ALN: 21.027 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: SLT – 8809: Project Name: CACT Section 3: Children’s Advocacy; OOG TTIR Section 2; OOG Section 24: Trusted Programs within the Office of the Governor November 8, 2021 – December 31, 2026 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: OOG did not perform a documented periodic access review of users for the eGrants application, which would include a review of privileged users’ access during the fiscal year. Questioned costs: None. Context: See “Condition.” Cause: Management’s timeline to complete the user access review was delayed. Effect: Failure to perform user access reviews in a timely manner could result in undetected inappropriate access
or inappropriate changes to the application.
Repeat finding: No
Recommendation: We recommend that OOG enforce current policies and procedures in relation to eGrants to
complete timely user access reviews and document the results. The user access review should include a review
of all privileged accounts on a periodic basis to verify that all active accounts are supported by a business
purpose.
Views of responsible officials: The Office of the Governor (OOG) management agrees with the finding that the
OOG did not perform a documented periodic access review of users for the eGrants application, which would
include a review of privileged users’ access during the fiscal year.
Reporting Federal Agency: U.S. Department of the Treasury Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds ALN: 21.027 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: SLT – 8809: Project Name: CACT Section 3: Children’s Advocacy; OOG TTIR Section 2; OOG Section 24: Trusted Programs within the Office of the Governor November 8, 2021 – December 31, 2026 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and NoncomplianceCriteria or specific requirement: Per 2 CFR section 200.303(a), the a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per the Coronavirus State and Local Fiscal Recovery Funds (SLFRF) Compliance and Reporting Guidance Version 5.0, for purposes of reporting in the SLFRF portal, an obligation is an order placed for property and services, contracts and subawards made, and similar transactions that require payment. Condition: OOG is the prime recipient of SLFRF funds for the State of Texas. Per Senate Bill 8, funds are passed through to other state agencies to expend on programs established by the Senate Bill. On a quarterly basis, OOG receives ‘Agency Reconcilers’ from each state agency with reported amounts for each of their respective programs per Senate Bill 8 in order to prepare the state-wide Project and Expenditure Report. Audit procedures included testing of the December 31, 2022 and March 31, 2023 Project and Expenditure Reports, which combined Agency Reconcilers for 33 programs and 41 programs, respectively. We compared the amounts reported on the Project and Expenditure Reports as submitted to Treasury to the amounts noted on the ‘Agency Reconcilers’ submitted by the pass-through state agencies noting the following variances by key line item: December 31, 2022 Project and Expenditure Report OOG was unable to provide the Agency Reconciler for five programs. As such, we were unable to validate all key line items reported for those agencies. Current period obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for nine programs, resulting in a variance of ($61,450,208). Cumulative obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for 12 programs, resulting in a variance of $333,636,497. Current period expenditures – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for five programs, resulting in a variance of ($85,590,747) Cumulative expenditures - Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for one program, resulting in a variance of ($74,511). March 31, 2023 Project and Expenditure Report Current period obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for 15 programs, resulting in a variance of ($115,194,311). Cumulative obligations – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for 22 programs, resulting in a variance of $572,738,964. Current period expenditures – Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for eight programs, resulting in a variance of ($20,661,270). Cumulative expenditures - Amounts reported in the Project and Expenditure Report did not agree to the Agency Reconcilers for one program, resulting in a variance of ($32,479). Questioned costs: None.
Context: See “Condition.”
Cause: Variances related to cumulative obligations were due to OOG reporting budgeted amounts rather than
obligated amounts as defined by the SLFRF Compliance and Reporting Guidance Version 5.0. The remaining
variances were due to discrepancies between the Agency Reconcilers and amounts reported in OOG’s eGrants
system. OOG reported amounts reported in its eGrants system rather than the amounts reported by the state
agencies.
Effect: Improperly designed internal controls over reporting may result in a misstatement of amounts reported to
the federal government.
Repeat finding: No
Recommendation: We recommend management enhance its internal controls to ensure obligations reported on
federal reports meet the definition of an obligation per SLFRF Compliance and Reporting Guidance Version 5.0
and that amounts reported by the state agencies reconcile to the amounts reported in eGrants and the Project
and Expenditures Reports. Management should reconcile discrepancies between eGrants and the amounts
reported by the state agencies and obtain revised Agency Reconcilers, if appropriate.
Views of responsible officials: The Office of the Governor (OOG) management agrees with the finding that the
variances related to cumulative obligations are due to OOG reporting budgeted amounts rather than obligated
amounts as defined by the SLFRF Compliance and Reporting Guidance Version 5.0. The remaining variances
are due to discrepancies between the Agency Reconcilers and amounts reported in OOG’s eGrants system.
When variances occurred, it was typically the result of data entry errors within the Agency Reconcilers. In these
cases, the OOG deferred to the amounts reported in its eGrants system rather than the amounts reported by the
state agencies in the Agency Reconcilers.
Subrecipient Monitoring Federal Agency: U.S. Department of Education Federal Program Title: Adult Education- Basic Grants to States ALN: 84.002 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: V002A200044, V002A210044, V002A220044, V002A230044 July 1, 2020 – September 30, 2021, July 1, 2021 – September 30, 2022, July 1, 2022 – September 30, 2023, July 1, 2023 – September 30, 2024 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per 2 CFR sections 200.332 (d) through (f), TWC must monitor the activities of the subrecipient as necessary to ensure that the subaward is used for authorized purposes, complies with the terms and conditions of the subaward, and achieves performance goals. Condition: Per review of TWC's Subrecipient Monitoring Department's (SRM) Annual Monitoring Plan, the Adult Education and Literacy (AEL) program is designed to meet the education and training needs of adults. SRM will continue to work closely with the Workforce Development Division to identify the fiscal and program areas that present the highest risk to the Agency. SRM will also conduct data validation reviews of all AEL providers, once during each five-year grant period. During our testing, we noted seven AEL subrecipients were excluded from the SRM Plan and no reviews or data validations were performed within the previous five years. Questioned costs: None. Context: See “Condition.” Cause: Management is not adhering to the subrecipient monitoring procedures to ensure all Adult Education and Literacy subrecipients have a data validation review once during each five-year granting period. Effect: Failure to complete proper monitoring over subrecipients may lead to noncompliance with grant terms and conditions. Repeat Finding: No Recommendation: We recommend that TWC strengthen its internal controls to ensure that monitoring over all
subrecipients is completed.
Views of responsible officials: The Texas Workforce Commission acknowledges and agrees with the finding
with one observation. Follow-up review indicates that only 6 of 7 AEL subrecipients tested were not included in
the risk assessment. ‘Restore Education’ was, in fact, assessed.
It was SRM’s understanding from prior guidance that the types of AEL subrecipients tested as part of this audit
were not applicable to SRM’s risk assessment process. We have confirmed with TWC’s AEL program staff that
they should have been in scope for SRM’s annual and mid-year risk assessments.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Reporting – Special Reporting Federal Agency: U.S. Department of Education Federal Program Title: Education Stabilization Fund ALN: 84.425R Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: S425R210043 February 25, 2021 – September 30, 2022 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per the Office of Elementary and Secondary Education, all grantees are required to report on ESSER funds received under the Coronavirus Aid, Relief, and Economic Security (CARES) Act; the Coronavirus Response and Relief Supplemental Appropriations (CRRSA) Act; and the American Rescue Plan (ARP) Act. Grantees must submit an annual report describing how the State and subrecipients used the awarded funds during the performance period. Condition: Audit procedures included a review of 40 subrecipients/ local education agencies (LEAs) whose data was reported on key line item 3.b10 - Number of specific positions supported with ESSER Fund. Of the 40 subrecipients, the number of paraprofessionals, the number of school counselors, school psychologists and/or social workers, and number of classroom educators, not covered by previous categories for one LEA was reported incorrectly in the Annual Report by TEA compared to the information the LEA submitted. Information was transposed with another LEA, causing that LEA’s information to be incorrect as well. Additionally, one LEA submitted corrected information, which was not subsequently corrected by TEA in the Annual Report. Questioned costs: None. Context: See “Condition.” Cause: Current controls are not at the correct precision level to detect variances in data reported in the Annual Report compared to information submitted by LEAs. Effect: Failure to report accurate information may result in noncompliance with terms of the grant award. Repeat finding: No Recommendation: TEA should enhance and/or modify existing controls to ensure information submitted by the
LEAs is reported completely and accurately on the Annual Report.
Views of responsible officials: TEA agrees an error was made during the upload of the LEA submitted
corrected CROSSACT data. The corrective actions below will be implemented to prevent future occurrence.
Special Tests and Provisions – Control, Accountability, and Safeguarding of Vaccines and Special Tests and Provisions – Record of Immunization – Information Technology – User Access Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Immunization Cooperative Agreements ALN: 93.268 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 6 NH23IP922616 July 1, 2019 – June 30, 2024 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: DSHS utilizes the Child Health Reporting System (CHRS) to track immunizations for childcare, daycares, and colleges. Providers that administer immunizations upload required information into the system for DSHS to meet reporting requirements. During our testing, we noted that the user provisioning process for CHRS does not require formal documentation for requesting and approving system access. Questioned costs: None. Context: See “Condition.” Cause: DSHS does not have established policies and procedures that require a formal request and approval for system access to CHRS. Effect: Failure to complete formal requests and approvals for system access increases the risk of unauthorized users and suspicious activities that may not be identified and investigated. Repeat finding: 2020-027 Recommendation: We recommend that DSHS implement enhanced procedures to ensure that new hire provisioning procedures are approved before access is granted. Views of responsible officials: The remaining portion of this prior year finding addresses only CHRS. CHRS is a
system currently used by public and private schools to enter non-confidential, aggregate data eventually posted to
the internet as part of the Annual Report of Immunizations Status. Within DSHS, internal CHRS users are from
the Infectious Disease Prevention Division and the Vision, Hearing, Spinal Screening (VHSS) program within the
Community Health Improvement Division. Access for these users is provisioned as part of the DSHS new hire
process. Because CHRS does not contain confidential information, Immunization and VHSS staff want to make
the process for schools to enter aggregate data as uncomplicated as possible.
Special Tests and Provisions – Control, Accountability, and Safeguarding of Vaccines Special Tests and Provisions – Record of Immunization Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Immunization Cooperative Agreements ALN: 93.268 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 6 NH23IP922616 July 1, 2019 – June 30, 2024 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: Texas Vaccines for Children (TVFC) staff perform compliance visits to assess, support, and educate the site regarding TVFC policies and procedures. Compliance visits must be directly entered in PEAR while the review is being conducted. At the conclusion of a compliance visit, the DSHS Public Health Region (PHR) or Quality Assurance (QA) contractor reviewer must discuss the visit’s outcomes with the vaccine coordinator. The discussion must include a review of the site visit findings and a formal follow-up plan with a timeline addressing noncompliance issues or opportunities for improvement. Monthly reports are run from PEAR to ensure all provider audits are being conducted within a 24-month timeframe. When pulling the monthly report of issues/deficiencies, TVFC staff also review to see that follow-up activities have been completed on time. During fiscal year 2023, review and verification of follow up activities for site reviews conducted by TVFC staff were not formally documented. Thus, we were unable to verify that the reviews were being conducted. Questioned costs: Unknown. Context: See “Condition.”
Cause: Internal controls surrounding the site visits conducted are not formally documented.
Effect: Lack of formal documentation of reviews may result in missed follow-up actions and potential
noncompliance.
Repeat finding: No
Recommendation: TVFC staff should formally document the review of site visit results, including any relevant
follow-up actions, to retain documentation of compliance.
Views of responsible officials: DSHS agrees formal documentation of TVFC site visits and site-visit reviews
would improve the process.
Special Tests and Provisions – Control, Accountability, and Safeguarding of Vaccines and Special Tests and Provisions – Record of Immunization – Information Technology – User Access Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Immunization Cooperative Agreements ALN: 93.268 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 6 NH23IP922616 July 1, 2019 – June 30, 2024 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: DSHS utilizes the Child Health Reporting System (CHRS) to track immunizations for childcare, daycares, and colleges. Providers that administer immunizations upload required information into the system for DSHS to meet reporting requirements. During our testing, we noted that the user provisioning process for CHRS does not require formal documentation for requesting and approving system access. Questioned costs: None. Context: See “Condition.” Cause: DSHS does not have established policies and procedures that require a formal request and approval for system access to CHRS. Effect: Failure to complete formal requests and approvals for system access increases the risk of unauthorized users and suspicious activities that may not be identified and investigated. Repeat finding: 2020-027 Recommendation: We recommend that DSHS implement enhanced procedures to ensure that new hire provisioning procedures are approved before access is granted. Views of responsible officials: The remaining portion of this prior year finding addresses only CHRS. CHRS is a
system currently used by public and private schools to enter non-confidential, aggregate data eventually posted to
the internet as part of the Annual Report of Immunizations Status. Within DSHS, internal CHRS users are from
the Infectious Disease Prevention Division and the Vision, Hearing, Spinal Screening (VHSS) program within the
Community Health Improvement Division. Access for these users is provisioned as part of the DSHS new hire
process. Because CHRS does not contain confidential information, Immunization and VHSS staff want to make
the process for schools to enter aggregate data as uncomplicated as possible.
Special Tests and Provisions – Control, Accountability, and Safeguarding of Vaccines Special Tests and Provisions – Record of Immunization Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Immunization Cooperative Agreements ALN: 93.268 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 6 NH23IP922616 July 1, 2019 – June 30, 2024 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: Texas Vaccines for Children (TVFC) staff perform compliance visits to assess, support, and educate the site regarding TVFC policies and procedures. Compliance visits must be directly entered in PEAR while the review is being conducted. At the conclusion of a compliance visit, the DSHS Public Health Region (PHR) or Quality Assurance (QA) contractor reviewer must discuss the visit’s outcomes with the vaccine coordinator. The discussion must include a review of the site visit findings and a formal follow-up plan with a timeline addressing noncompliance issues or opportunities for improvement. Monthly reports are run from PEAR to ensure all provider audits are being conducted within a 24-month timeframe. When pulling the monthly report of issues/deficiencies, TVFC staff also review to see that follow-up activities have been completed on time. During fiscal year 2023, review and verification of follow up activities for site reviews conducted by TVFC staff were not formally documented. Thus, we were unable to verify that the reviews were being conducted. Questioned costs: Unknown. Context: See “Condition.”
Cause: Internal controls surrounding the site visits conducted are not formally documented.
Effect: Lack of formal documentation of reviews may result in missed follow-up actions and potential
noncompliance.
Repeat finding: No
Recommendation: TVFC staff should formally document the review of site visit results, including any relevant
follow-up actions, to retain documentation of compliance.
Views of responsible officials: DSHS agrees formal documentation of TVFC site visits and site-visit reviews
would improve the process.
Special Tests and Provisions – Control, Accountability, and Safeguarding of Vaccines and Special Tests and Provisions – Record of Immunization – Information Technology – User Access Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Immunization Cooperative Agreements ALN: 93.268 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 6 NH23IP922616 July 1, 2019 – June 30, 2024 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: DSHS utilizes the Child Health Reporting System (CHRS) to track immunizations for childcare, daycares, and colleges. Providers that administer immunizations upload required information into the system for DSHS to meet reporting requirements. During our testing, we noted that the user provisioning process for CHRS does not require formal documentation for requesting and approving system access. Questioned costs: None. Context: See “Condition.” Cause: DSHS does not have established policies and procedures that require a formal request and approval for system access to CHRS. Effect: Failure to complete formal requests and approvals for system access increases the risk of unauthorized users and suspicious activities that may not be identified and investigated. Repeat finding: 2020-027 Recommendation: We recommend that DSHS implement enhanced procedures to ensure that new hire provisioning procedures are approved before access is granted. Views of responsible officials: The remaining portion of this prior year finding addresses only CHRS. CHRS is a
system currently used by public and private schools to enter non-confidential, aggregate data eventually posted to
the internet as part of the Annual Report of Immunizations Status. Within DSHS, internal CHRS users are from
the Infectious Disease Prevention Division and the Vision, Hearing, Spinal Screening (VHSS) program within the
Community Health Improvement Division. Access for these users is provisioned as part of the DSHS new hire
process. Because CHRS does not contain confidential information, Immunization and VHSS staff want to make
the process for schools to enter aggregate data as uncomplicated as possible.
Special Tests and Provisions – Control, Accountability, and Safeguarding of Vaccines Special Tests and Provisions – Record of Immunization Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Immunization Cooperative Agreements ALN: 93.268 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 6 NH23IP922616 July 1, 2019 – June 30, 2024 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: Texas Vaccines for Children (TVFC) staff perform compliance visits to assess, support, and educate the site regarding TVFC policies and procedures. Compliance visits must be directly entered in PEAR while the review is being conducted. At the conclusion of a compliance visit, the DSHS Public Health Region (PHR) or Quality Assurance (QA) contractor reviewer must discuss the visit’s outcomes with the vaccine coordinator. The discussion must include a review of the site visit findings and a formal follow-up plan with a timeline addressing noncompliance issues or opportunities for improvement. Monthly reports are run from PEAR to ensure all provider audits are being conducted within a 24-month timeframe. When pulling the monthly report of issues/deficiencies, TVFC staff also review to see that follow-up activities have been completed on time. During fiscal year 2023, review and verification of follow up activities for site reviews conducted by TVFC staff were not formally documented. Thus, we were unable to verify that the reviews were being conducted. Questioned costs: Unknown. Context: See “Condition.”
Cause: Internal controls surrounding the site visits conducted are not formally documented.
Effect: Lack of formal documentation of reviews may result in missed follow-up actions and potential
noncompliance.
Repeat finding: No
Recommendation: TVFC staff should formally document the review of site visit results, including any relevant
follow-up actions, to retain documentation of compliance.
Views of responsible officials: DSHS agrees formal documentation of TVFC site visits and site-visit reviews
would improve the process.
Special Tests and Provisions – Control, Accountability, and Safeguarding of Vaccines and Special Tests and Provisions – Record of Immunization – Information Technology – User Access Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Immunization Cooperative Agreements ALN: 93.268 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 6 NH23IP922616 July 1, 2019 – June 30, 2024 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: DSHS utilizes the Child Health Reporting System (CHRS) to track immunizations for childcare, daycares, and colleges. Providers that administer immunizations upload required information into the system for DSHS to meet reporting requirements. During our testing, we noted that the user provisioning process for CHRS does not require formal documentation for requesting and approving system access. Questioned costs: None. Context: See “Condition.” Cause: DSHS does not have established policies and procedures that require a formal request and approval for system access to CHRS. Effect: Failure to complete formal requests and approvals for system access increases the risk of unauthorized users and suspicious activities that may not be identified and investigated. Repeat finding: 2020-027 Recommendation: We recommend that DSHS implement enhanced procedures to ensure that new hire provisioning procedures are approved before access is granted. Views of responsible officials: The remaining portion of this prior year finding addresses only CHRS. CHRS is a
system currently used by public and private schools to enter non-confidential, aggregate data eventually posted to
the internet as part of the Annual Report of Immunizations Status. Within DSHS, internal CHRS users are from
the Infectious Disease Prevention Division and the Vision, Hearing, Spinal Screening (VHSS) program within the
Community Health Improvement Division. Access for these users is provisioned as part of the DSHS new hire
process. Because CHRS does not contain confidential information, Immunization and VHSS staff want to make
the process for schools to enter aggregate data as uncomplicated as possible.
Special Tests and Provisions – Control, Accountability, and Safeguarding of Vaccines Special Tests and Provisions – Record of Immunization Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Immunization Cooperative Agreements ALN: 93.268 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 6 NH23IP922616 July 1, 2019 – June 30, 2024 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: Texas Vaccines for Children (TVFC) staff perform compliance visits to assess, support, and educate the site regarding TVFC policies and procedures. Compliance visits must be directly entered in PEAR while the review is being conducted. At the conclusion of a compliance visit, the DSHS Public Health Region (PHR) or Quality Assurance (QA) contractor reviewer must discuss the visit’s outcomes with the vaccine coordinator. The discussion must include a review of the site visit findings and a formal follow-up plan with a timeline addressing noncompliance issues or opportunities for improvement. Monthly reports are run from PEAR to ensure all provider audits are being conducted within a 24-month timeframe. When pulling the monthly report of issues/deficiencies, TVFC staff also review to see that follow-up activities have been completed on time. During fiscal year 2023, review and verification of follow up activities for site reviews conducted by TVFC staff were not formally documented. Thus, we were unable to verify that the reviews were being conducted. Questioned costs: Unknown. Context: See “Condition.”
Cause: Internal controls surrounding the site visits conducted are not formally documented.
Effect: Lack of formal documentation of reviews may result in missed follow-up actions and potential
noncompliance.
Repeat finding: No
Recommendation: TVFC staff should formally document the review of site visit results, including any relevant
follow-up actions, to retain documentation of compliance.
Views of responsible officials: DSHS agrees formal documentation of TVFC site visits and site-visit reviews
would improve the process.
Eligibility
Federal Agency: U.S. Department of Health and Human Services
Federal Program Title: Temporary Assistance for Needy Families
ALN: 93.558
Pass-Through Agency: N/A
Pass-Through Number(s): N/A
Award Number and Period: 2301TXTANF, 2301TXTAN3, 2201TXTANF, 2201TXTAN3, 2101TXTANF,
2101TXTAN3
October 1, 2022 – September 30, 2023, October 1, 2021 – September 30, 2022,
and October 1, 2020 – September 30, 2021
Statistically Valid Sample: No, and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance
Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and
maintain effective internal control over the Federal award that provides reasonable assurance that the non Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and
conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for
Internal Control in the Federal Government” issued by the Comptroller General of the United States or the
“Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway
Commission (COSO).
According to United States Codes, Chapter 8 Aliens and Nationality, Chapter 14 – Restricting Welfare and Public
Benefits of Aliens, §1611 Aliens who are not qualified aliens ineligible for Federal public benefits is as follows: (a)
In general notwithstanding any other provision of law and except as provided in subsection (b), an alien who is not
a qualified alien (as defined in section 1641 of this title) is not eligible for any Federal public benefit (as defined in
subsection (c)).
Condition: According to the DFPS’s Child Protective Services Handbook 2720 Responding to the Eligibility
Statements CPS June 2020, IMPACT automatically makes the Emergency Assistance (EA) Eligibility
Application/Determination section available when the caseworker completes the Risk Assessment tool and the
risk level is ‘high’ or ‘very high.’ The caseworker completes this section, which contains three statements that
each require a response of ‘YES’ in order for the child to be eligible for EA benefits. For one of 40 payments to
program participants, we noted one of the three statements was answered ‘NO’ in IMPACT, which should have
resulted in the determination that the child does not meet the emergency assistance eligibility criteria. However,
the child and family were technically eligible for EA at closure of the investigation stage based on documentation.
DFPS’s sandbox database reflects a conclusion that the child does meet the emergency assistance eligibility
criteria indicating that the three statements had a response of ‘yes ‘at the time of stage closure. However, we
were unable to verify a response of ‘yes’ for all three statements in IMPACT.
Additionally, during our testing of 40 individual payments to program participants, we noted one participant being
eligible based on the EA eligibility criteria in IMPACT. However, the child was not a U.S. citizen, qualified alien, or
permanent resident and was ineligible to receive EA benefits.
Questioned costs: $842.18.
Context: See “Condition.”
Cause: Exception related to statements in IMPACT was caused by system limitations. Exceptions related to
eligibility determinations were due to management oversight.
Effect: Failure to review and maintain accurate information may result in payments made to ineligible participants
or overpayments to eligible participants.
Repeat finding: 2022-002
Recommendation: DFPS should strengthen its internal controls and remedy system limitations to ensure
accurate data is maintained in IMPACT. DFPS should also strengthen its internal controls over eligibility
determinations.
Views of responsible officials: DFPS acknowledges the incorrect EA Eligibility Determination was marked for
question #2 in the EA Eligibility Application/Determination section in IMPACT. The caseworker marked no, but the
answer should have been marked yes. Despite this system-generated discrepancy, interviews with family that
were documented in the investigation report, did confirm the child was genuinely eligible for Emergency
Assistance (EA). Notably, the child did not receive funding during the initial year but was later deemed eligible
upon recertification a year later, without a clear understanding of the root cause for why the child was determined
to be eligible at recertification.
Citizenship: DFPS acknowledges the child was determined to be Emergency Assistance (EA) eligible based on
(EA) eligibility criteria in IMPACT. DFPS also agrees the child was a not a US Citizen and therefore was not
eligible to receive EA Benefits.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Reporting – FFATA Subawards Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Temporary Assistance for Needy Families Social Services Block Grant Block Grants for Community Mental Health Services Block Grants for Prevention and Treatment of Substance Abuse ALN: 93.558 93.667 93.958 93.959 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 MHBG 1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM083999-01M001, 6B09SM083830-01M001 October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01M003 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Material Weakness in Internal Control over Compliance and Material Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Under the requirements of the Federal Funding Accountability and Transparency Act (FFATA) (Pub. L. No. 109- 282), as amended by Section 6202 of Public Law 110-252, recipients (i.e., direct recipients) of grants or cooperative agreements are required to report first-tier subawards of $30,000 or more to the Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS) no later than the last day of the month following the month in which the subaward/subaward amendment obligation was made or the subcontract award/subcontract modification was made. Condition: The HHSC Federal Funds Office (FFO) is responsible for submitting all required subawards in the
Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS). A standard FFATA
Reporting template has been created by the FFO that includes all required elements to be submitted. Program
departments must complete and submit the template to the FFO for all federal subawards with amounts over
$30,000 by the 15th of every month to be included in that month’s submission. Currently, it is the responsibility of
the individual program departments to ensure that each obligating action at or over $30,000 is reported in the
FFATA Reporting Template no later than the end of the next month in which the obligation was made. Due to
system limitations, there is no central tracking of award obligations. Thus, HHSC was unable to provide a
population of first-tier subawards of $30,000 or more that were obligated during the fiscal year and required to be
submitted in FSRS. Accordingly, we were unable to select a sample and test for internal controls over compliance
or compliance.
Questioned costs: None.
Context: See “Condition.”
Cause: CAPPS-FIN, HHSC’s system of record, does not have the capability to track the date of obligation of
federal awards.
Effect: Failure to report all subawards $30,000 or greater in FSRS will result in noncompliance with terms of the
federal grant guidelines.
Repeat finding: 2022-013, 2021-007
Recommendation: HHSC should implement functionality into CAPPS-FIN to track when obligations of federal
awards are made so that the agency is able to retrieve a list of all subawards by obligation date in order to
monitor compliance with the Federal Funding Accountability and Transparency Act.
Views of responsible officials: HHSC agrees with the finding but does not concur with the recommendation
insofar as it makes a specific designation of CAPPS-Financials as the system to ensure compliance.
Subrecipient Monitoring Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Temporary Assistance for Needy Families Social Services Block Grant Block Grants for Community Mental Health Services ALN: 93.558 93.667 93.958 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: TANF
2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3
October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30,
2022
SSBG
2301TXSOSR, 2201TXSOSR and 2101TXSOSR
October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023,
and October 1, 2020 – September 30, 2022
MHBG
1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002,
6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01,
6B09SM085994-01M001, 6B09SM085994-01M002,
6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001,
1B09SM083830-01, 6B09SM083830- 01M001
October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024,
October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024,
March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022
Statistically Valid Sample: No, and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance
Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the
federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award.
These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework”
issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 2 CFR section 200.332(a), all pass-through entities must ensure that every subaward is clearly identified to
the subrecipient as a subaward and includes certain information at the time of the subaward and if any of these
data elements change, include the changes in subsequent subaward modification. When some of this information
is not available, the pass-through entity must provide the best information available to describe the Federal award
and subaward. Required information includes:
Subrecipient’s unique entity identifier (UEI)
Federal award identification number (FAIN)
Federal award date of award to the recipient by the federal agency
Assistance listings number and title
Indirect cost rate for the federal award (including if the de minimis rate is charged)
Condition: Audit procedures included a review of a sample of subrecipient contracts for required information with
the following results noted:
TANF – For a sample of 17, the contracts did not include:
UEI (one sample)
FAIN (four samples)
Federal award date (four samples)
Assistance listings numbers and title (four samples)
Indirect cost rate, including if the de minimis rate is charged (four samples)
SSBG – For 11 of 19 samples, the contract did not include neither the FAIN nor the federal award date of award
to the recipient by the federal agency.
MHBG – For 7 of 8 samples, the contract did not include neither the FAIN nor the federal award date of award to
the recipient by the federal agency.
Questioned costs: None.
Context: See “Condition.”
Cause: Current internal controls in place to ensure a review of subaward agreements is taking place to verify that
all required elements are included per 2 CFR 200 §200.332 are not at the correct precision level.
Effect: Providing incomplete information to subrecipients may result in inaccurate reporting by the subrecipients
and ultimately by HHSC.
Repeat Finding: No
Recommendation: We recommend management enhance existing controls around the review of all subaward
agreements to ensure that all pass-through agreements include each of the required elements by 2 CFR
§200.332.
Views of responsible officials:
Temporary Assistance for Needy Families (TANF) - HHSC concurs with the finding.
Social Services Block Grants (SSBG)/ Mental Health Block Grants (MHBG) - HHSC concurs with the finding.
Special Tests and Provisions – Penalty for Refusal to Work Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Temporary Assistance for Needy Families (TANF) ALN: 93.558 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per 45 CFR 261.14, if an individual refuses to engage in work required under section 407 of the Act, the State must reduce or terminate the amount of assistance payable to the family, subject to any good cause or other exceptions the State may establish. Such a reduction is governed by the provisions of § 261.16. The State must, at a minimum, reduce the amount of assistance otherwise payable to the family pro rata with respect to any period during the month in which the individual refuses to work. The State may impose a greater reduction, including terminating assistance. A State that fails to impose penalties on individuals in accordance with the provisions of section 407(e) of the Act may be subject to the State penalty specified at § 261.54. The State’s policy is to reduce benefits 100% for non_x0002_cooperation. Condition: HHSC works with the Texas Workforce Commission (TWC) to administer the CHOICES program at the Texas Local Workforce Development Boards (Workforce Boards). TWC sends sanctions initiated by the Workforce Boards to HHSC within seven calendar days of the date of non-cooperation. Subsequently, HHSC has five working days to process and apply the sanction as per policy. A sample of 40 beneficiaries who should have had their benefits reduced was selected for review, which resulted in the following: For two cases, the benefits were not reduced timely by one month, resulting in an overpayments of $654. For one case, the benefits were not reduced timely by three months, resulting in an overpayment of $1,179. Questioned costs: $1,833. Context: See “Condition.” Cause: Upon receipt of the sanctions from TWC, HHSC did not apply them within the timeline set by policy. Effect: Non-cooperating beneficiaries received TANF benefit payments they were not entitled to. Repeat finding: No Recommendation: Sanction requests should be applied timely per policy to ensure ineligible beneficiaries do not receive benefits. Views of responsible officials: HHSC concurs with the finding.
Eligibility
Federal Agency: U.S. Department of Health and Human Services
Federal Program Title: Temporary Assistance for Needy Families
ALN: 93.558
Pass-Through Agency: N/A
Pass-Through Number(s): N/A
Award Number and Period: 2301TXTANF, 2301TXTAN3, 2201TXTANF, 2201TXTAN3, 2101TXTANF,
2101TXTAN3
October 1, 2022 – September 30, 2023, October 1, 2021 – September 30, 2022,
and October 1, 2020 – September 30, 2021
Statistically Valid Sample: No, and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance
Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and
maintain effective internal control over the Federal award that provides reasonable assurance that the non Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and
conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for
Internal Control in the Federal Government” issued by the Comptroller General of the United States or the
“Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway
Commission (COSO).
According to United States Codes, Chapter 8 Aliens and Nationality, Chapter 14 – Restricting Welfare and Public
Benefits of Aliens, §1611 Aliens who are not qualified aliens ineligible for Federal public benefits is as follows: (a)
In general notwithstanding any other provision of law and except as provided in subsection (b), an alien who is not
a qualified alien (as defined in section 1641 of this title) is not eligible for any Federal public benefit (as defined in
subsection (c)).
Condition: According to the DFPS’s Child Protective Services Handbook 2720 Responding to the Eligibility
Statements CPS June 2020, IMPACT automatically makes the Emergency Assistance (EA) Eligibility
Application/Determination section available when the caseworker completes the Risk Assessment tool and the
risk level is ‘high’ or ‘very high.’ The caseworker completes this section, which contains three statements that
each require a response of ‘YES’ in order for the child to be eligible for EA benefits. For one of 40 payments to
program participants, we noted one of the three statements was answered ‘NO’ in IMPACT, which should have
resulted in the determination that the child does not meet the emergency assistance eligibility criteria. However,
the child and family were technically eligible for EA at closure of the investigation stage based on documentation.
DFPS’s sandbox database reflects a conclusion that the child does meet the emergency assistance eligibility
criteria indicating that the three statements had a response of ‘yes ‘at the time of stage closure. However, we
were unable to verify a response of ‘yes’ for all three statements in IMPACT.
Additionally, during our testing of 40 individual payments to program participants, we noted one participant being
eligible based on the EA eligibility criteria in IMPACT. However, the child was not a U.S. citizen, qualified alien, or
permanent resident and was ineligible to receive EA benefits.
Questioned costs: $842.18.
Context: See “Condition.”
Cause: Exception related to statements in IMPACT was caused by system limitations. Exceptions related to
eligibility determinations were due to management oversight.
Effect: Failure to review and maintain accurate information may result in payments made to ineligible participants
or overpayments to eligible participants.
Repeat finding: 2022-002
Recommendation: DFPS should strengthen its internal controls and remedy system limitations to ensure
accurate data is maintained in IMPACT. DFPS should also strengthen its internal controls over eligibility
determinations.
Views of responsible officials: DFPS acknowledges the incorrect EA Eligibility Determination was marked for
question #2 in the EA Eligibility Application/Determination section in IMPACT. The caseworker marked no, but the
answer should have been marked yes. Despite this system-generated discrepancy, interviews with family that
were documented in the investigation report, did confirm the child was genuinely eligible for Emergency
Assistance (EA). Notably, the child did not receive funding during the initial year but was later deemed eligible
upon recertification a year later, without a clear understanding of the root cause for why the child was determined
to be eligible at recertification.
Citizenship: DFPS acknowledges the child was determined to be Emergency Assistance (EA) eligible based on
(EA) eligibility criteria in IMPACT. DFPS also agrees the child was a not a US Citizen and therefore was not
eligible to receive EA Benefits.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Reporting – FFATA Subawards Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Temporary Assistance for Needy Families Social Services Block Grant Block Grants for Community Mental Health Services Block Grants for Prevention and Treatment of Substance Abuse ALN: 93.558 93.667 93.958 93.959 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 MHBG 1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM083999-01M001, 6B09SM083830-01M001 October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01M003 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Material Weakness in Internal Control over Compliance and Material Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Under the requirements of the Federal Funding Accountability and Transparency Act (FFATA) (Pub. L. No. 109- 282), as amended by Section 6202 of Public Law 110-252, recipients (i.e., direct recipients) of grants or cooperative agreements are required to report first-tier subawards of $30,000 or more to the Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS) no later than the last day of the month following the month in which the subaward/subaward amendment obligation was made or the subcontract award/subcontract modification was made. Condition: The HHSC Federal Funds Office (FFO) is responsible for submitting all required subawards in the
Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS). A standard FFATA
Reporting template has been created by the FFO that includes all required elements to be submitted. Program
departments must complete and submit the template to the FFO for all federal subawards with amounts over
$30,000 by the 15th of every month to be included in that month’s submission. Currently, it is the responsibility of
the individual program departments to ensure that each obligating action at or over $30,000 is reported in the
FFATA Reporting Template no later than the end of the next month in which the obligation was made. Due to
system limitations, there is no central tracking of award obligations. Thus, HHSC was unable to provide a
population of first-tier subawards of $30,000 or more that were obligated during the fiscal year and required to be
submitted in FSRS. Accordingly, we were unable to select a sample and test for internal controls over compliance
or compliance.
Questioned costs: None.
Context: See “Condition.”
Cause: CAPPS-FIN, HHSC’s system of record, does not have the capability to track the date of obligation of
federal awards.
Effect: Failure to report all subawards $30,000 or greater in FSRS will result in noncompliance with terms of the
federal grant guidelines.
Repeat finding: 2022-013, 2021-007
Recommendation: HHSC should implement functionality into CAPPS-FIN to track when obligations of federal
awards are made so that the agency is able to retrieve a list of all subawards by obligation date in order to
monitor compliance with the Federal Funding Accountability and Transparency Act.
Views of responsible officials: HHSC agrees with the finding but does not concur with the recommendation
insofar as it makes a specific designation of CAPPS-Financials as the system to ensure compliance.
Subrecipient Monitoring Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Temporary Assistance for Needy Families Social Services Block Grant Block Grants for Community Mental Health Services ALN: 93.558 93.667 93.958 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: TANF
2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3
October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30,
2022
SSBG
2301TXSOSR, 2201TXSOSR and 2101TXSOSR
October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023,
and October 1, 2020 – September 30, 2022
MHBG
1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002,
6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01,
6B09SM085994-01M001, 6B09SM085994-01M002,
6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001,
1B09SM083830-01, 6B09SM083830- 01M001
October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024,
October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024,
March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022
Statistically Valid Sample: No, and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance
Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the
federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award.
These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework”
issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 2 CFR section 200.332(a), all pass-through entities must ensure that every subaward is clearly identified to
the subrecipient as a subaward and includes certain information at the time of the subaward and if any of these
data elements change, include the changes in subsequent subaward modification. When some of this information
is not available, the pass-through entity must provide the best information available to describe the Federal award
and subaward. Required information includes:
Subrecipient’s unique entity identifier (UEI)
Federal award identification number (FAIN)
Federal award date of award to the recipient by the federal agency
Assistance listings number and title
Indirect cost rate for the federal award (including if the de minimis rate is charged)
Condition: Audit procedures included a review of a sample of subrecipient contracts for required information with
the following results noted:
TANF – For a sample of 17, the contracts did not include:
UEI (one sample)
FAIN (four samples)
Federal award date (four samples)
Assistance listings numbers and title (four samples)
Indirect cost rate, including if the de minimis rate is charged (four samples)
SSBG – For 11 of 19 samples, the contract did not include neither the FAIN nor the federal award date of award
to the recipient by the federal agency.
MHBG – For 7 of 8 samples, the contract did not include neither the FAIN nor the federal award date of award to
the recipient by the federal agency.
Questioned costs: None.
Context: See “Condition.”
Cause: Current internal controls in place to ensure a review of subaward agreements is taking place to verify that
all required elements are included per 2 CFR 200 §200.332 are not at the correct precision level.
Effect: Providing incomplete information to subrecipients may result in inaccurate reporting by the subrecipients
and ultimately by HHSC.
Repeat Finding: No
Recommendation: We recommend management enhance existing controls around the review of all subaward
agreements to ensure that all pass-through agreements include each of the required elements by 2 CFR
§200.332.
Views of responsible officials:
Temporary Assistance for Needy Families (TANF) - HHSC concurs with the finding.
Social Services Block Grants (SSBG)/ Mental Health Block Grants (MHBG) - HHSC concurs with the finding.
Special Tests and Provisions – Penalty for Refusal to Work Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Temporary Assistance for Needy Families (TANF) ALN: 93.558 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per 45 CFR 261.14, if an individual refuses to engage in work required under section 407 of the Act, the State must reduce or terminate the amount of assistance payable to the family, subject to any good cause or other exceptions the State may establish. Such a reduction is governed by the provisions of § 261.16. The State must, at a minimum, reduce the amount of assistance otherwise payable to the family pro rata with respect to any period during the month in which the individual refuses to work. The State may impose a greater reduction, including terminating assistance. A State that fails to impose penalties on individuals in accordance with the provisions of section 407(e) of the Act may be subject to the State penalty specified at § 261.54. The State’s policy is to reduce benefits 100% for non_x0002_cooperation. Condition: HHSC works with the Texas Workforce Commission (TWC) to administer the CHOICES program at the Texas Local Workforce Development Boards (Workforce Boards). TWC sends sanctions initiated by the Workforce Boards to HHSC within seven calendar days of the date of non-cooperation. Subsequently, HHSC has five working days to process and apply the sanction as per policy. A sample of 40 beneficiaries who should have had their benefits reduced was selected for review, which resulted in the following: For two cases, the benefits were not reduced timely by one month, resulting in an overpayments of $654. For one case, the benefits were not reduced timely by three months, resulting in an overpayment of $1,179. Questioned costs: $1,833. Context: See “Condition.” Cause: Upon receipt of the sanctions from TWC, HHSC did not apply them within the timeline set by policy. Effect: Non-cooperating beneficiaries received TANF benefit payments they were not entitled to. Repeat finding: No Recommendation: Sanction requests should be applied timely per policy to ensure ineligible beneficiaries do not receive benefits. Views of responsible officials: HHSC concurs with the finding.
Eligibility
Federal Agency: U.S. Department of Health and Human Services
Federal Program Title: Temporary Assistance for Needy Families
ALN: 93.558
Pass-Through Agency: N/A
Pass-Through Number(s): N/A
Award Number and Period: 2301TXTANF, 2301TXTAN3, 2201TXTANF, 2201TXTAN3, 2101TXTANF,
2101TXTAN3
October 1, 2022 – September 30, 2023, October 1, 2021 – September 30, 2022,
and October 1, 2020 – September 30, 2021
Statistically Valid Sample: No, and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance
Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and
maintain effective internal control over the Federal award that provides reasonable assurance that the non Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and
conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for
Internal Control in the Federal Government” issued by the Comptroller General of the United States or the
“Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway
Commission (COSO).
According to United States Codes, Chapter 8 Aliens and Nationality, Chapter 14 – Restricting Welfare and Public
Benefits of Aliens, §1611 Aliens who are not qualified aliens ineligible for Federal public benefits is as follows: (a)
In general notwithstanding any other provision of law and except as provided in subsection (b), an alien who is not
a qualified alien (as defined in section 1641 of this title) is not eligible for any Federal public benefit (as defined in
subsection (c)).
Condition: According to the DFPS’s Child Protective Services Handbook 2720 Responding to the Eligibility
Statements CPS June 2020, IMPACT automatically makes the Emergency Assistance (EA) Eligibility
Application/Determination section available when the caseworker completes the Risk Assessment tool and the
risk level is ‘high’ or ‘very high.’ The caseworker completes this section, which contains three statements that
each require a response of ‘YES’ in order for the child to be eligible for EA benefits. For one of 40 payments to
program participants, we noted one of the three statements was answered ‘NO’ in IMPACT, which should have
resulted in the determination that the child does not meet the emergency assistance eligibility criteria. However,
the child and family were technically eligible for EA at closure of the investigation stage based on documentation.
DFPS’s sandbox database reflects a conclusion that the child does meet the emergency assistance eligibility
criteria indicating that the three statements had a response of ‘yes ‘at the time of stage closure. However, we
were unable to verify a response of ‘yes’ for all three statements in IMPACT.
Additionally, during our testing of 40 individual payments to program participants, we noted one participant being
eligible based on the EA eligibility criteria in IMPACT. However, the child was not a U.S. citizen, qualified alien, or
permanent resident and was ineligible to receive EA benefits.
Questioned costs: $842.18.
Context: See “Condition.”
Cause: Exception related to statements in IMPACT was caused by system limitations. Exceptions related to
eligibility determinations were due to management oversight.
Effect: Failure to review and maintain accurate information may result in payments made to ineligible participants
or overpayments to eligible participants.
Repeat finding: 2022-002
Recommendation: DFPS should strengthen its internal controls and remedy system limitations to ensure
accurate data is maintained in IMPACT. DFPS should also strengthen its internal controls over eligibility
determinations.
Views of responsible officials: DFPS acknowledges the incorrect EA Eligibility Determination was marked for
question #2 in the EA Eligibility Application/Determination section in IMPACT. The caseworker marked no, but the
answer should have been marked yes. Despite this system-generated discrepancy, interviews with family that
were documented in the investigation report, did confirm the child was genuinely eligible for Emergency
Assistance (EA). Notably, the child did not receive funding during the initial year but was later deemed eligible
upon recertification a year later, without a clear understanding of the root cause for why the child was determined
to be eligible at recertification.
Citizenship: DFPS acknowledges the child was determined to be Emergency Assistance (EA) eligible based on
(EA) eligibility criteria in IMPACT. DFPS also agrees the child was a not a US Citizen and therefore was not
eligible to receive EA Benefits.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Reporting – FFATA Subawards Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Temporary Assistance for Needy Families Social Services Block Grant Block Grants for Community Mental Health Services Block Grants for Prevention and Treatment of Substance Abuse ALN: 93.558 93.667 93.958 93.959 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 MHBG 1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM083999-01M001, 6B09SM083830-01M001 October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01M003 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Material Weakness in Internal Control over Compliance and Material Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Under the requirements of the Federal Funding Accountability and Transparency Act (FFATA) (Pub. L. No. 109- 282), as amended by Section 6202 of Public Law 110-252, recipients (i.e., direct recipients) of grants or cooperative agreements are required to report first-tier subawards of $30,000 or more to the Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS) no later than the last day of the month following the month in which the subaward/subaward amendment obligation was made or the subcontract award/subcontract modification was made. Condition: The HHSC Federal Funds Office (FFO) is responsible for submitting all required subawards in the
Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS). A standard FFATA
Reporting template has been created by the FFO that includes all required elements to be submitted. Program
departments must complete and submit the template to the FFO for all federal subawards with amounts over
$30,000 by the 15th of every month to be included in that month’s submission. Currently, it is the responsibility of
the individual program departments to ensure that each obligating action at or over $30,000 is reported in the
FFATA Reporting Template no later than the end of the next month in which the obligation was made. Due to
system limitations, there is no central tracking of award obligations. Thus, HHSC was unable to provide a
population of first-tier subawards of $30,000 or more that were obligated during the fiscal year and required to be
submitted in FSRS. Accordingly, we were unable to select a sample and test for internal controls over compliance
or compliance.
Questioned costs: None.
Context: See “Condition.”
Cause: CAPPS-FIN, HHSC’s system of record, does not have the capability to track the date of obligation of
federal awards.
Effect: Failure to report all subawards $30,000 or greater in FSRS will result in noncompliance with terms of the
federal grant guidelines.
Repeat finding: 2022-013, 2021-007
Recommendation: HHSC should implement functionality into CAPPS-FIN to track when obligations of federal
awards are made so that the agency is able to retrieve a list of all subawards by obligation date in order to
monitor compliance with the Federal Funding Accountability and Transparency Act.
Views of responsible officials: HHSC agrees with the finding but does not concur with the recommendation
insofar as it makes a specific designation of CAPPS-Financials as the system to ensure compliance.
Subrecipient Monitoring Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Temporary Assistance for Needy Families Social Services Block Grant Block Grants for Community Mental Health Services ALN: 93.558 93.667 93.958 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: TANF
2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3
October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30,
2022
SSBG
2301TXSOSR, 2201TXSOSR and 2101TXSOSR
October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023,
and October 1, 2020 – September 30, 2022
MHBG
1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002,
6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01,
6B09SM085994-01M001, 6B09SM085994-01M002,
6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001,
1B09SM083830-01, 6B09SM083830- 01M001
October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024,
October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024,
March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022
Statistically Valid Sample: No, and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance
Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the
federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award.
These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework”
issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 2 CFR section 200.332(a), all pass-through entities must ensure that every subaward is clearly identified to
the subrecipient as a subaward and includes certain information at the time of the subaward and if any of these
data elements change, include the changes in subsequent subaward modification. When some of this information
is not available, the pass-through entity must provide the best information available to describe the Federal award
and subaward. Required information includes:
Subrecipient’s unique entity identifier (UEI)
Federal award identification number (FAIN)
Federal award date of award to the recipient by the federal agency
Assistance listings number and title
Indirect cost rate for the federal award (including if the de minimis rate is charged)
Condition: Audit procedures included a review of a sample of subrecipient contracts for required information with
the following results noted:
TANF – For a sample of 17, the contracts did not include:
UEI (one sample)
FAIN (four samples)
Federal award date (four samples)
Assistance listings numbers and title (four samples)
Indirect cost rate, including if the de minimis rate is charged (four samples)
SSBG – For 11 of 19 samples, the contract did not include neither the FAIN nor the federal award date of award
to the recipient by the federal agency.
MHBG – For 7 of 8 samples, the contract did not include neither the FAIN nor the federal award date of award to
the recipient by the federal agency.
Questioned costs: None.
Context: See “Condition.”
Cause: Current internal controls in place to ensure a review of subaward agreements is taking place to verify that
all required elements are included per 2 CFR 200 §200.332 are not at the correct precision level.
Effect: Providing incomplete information to subrecipients may result in inaccurate reporting by the subrecipients
and ultimately by HHSC.
Repeat Finding: No
Recommendation: We recommend management enhance existing controls around the review of all subaward
agreements to ensure that all pass-through agreements include each of the required elements by 2 CFR
§200.332.
Views of responsible officials:
Temporary Assistance for Needy Families (TANF) - HHSC concurs with the finding.
Social Services Block Grants (SSBG)/ Mental Health Block Grants (MHBG) - HHSC concurs with the finding.
Special Tests and Provisions – Penalty for Refusal to Work Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Temporary Assistance for Needy Families (TANF) ALN: 93.558 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per 45 CFR 261.14, if an individual refuses to engage in work required under section 407 of the Act, the State must reduce or terminate the amount of assistance payable to the family, subject to any good cause or other exceptions the State may establish. Such a reduction is governed by the provisions of § 261.16. The State must, at a minimum, reduce the amount of assistance otherwise payable to the family pro rata with respect to any period during the month in which the individual refuses to work. The State may impose a greater reduction, including terminating assistance. A State that fails to impose penalties on individuals in accordance with the provisions of section 407(e) of the Act may be subject to the State penalty specified at § 261.54. The State’s policy is to reduce benefits 100% for non_x0002_cooperation. Condition: HHSC works with the Texas Workforce Commission (TWC) to administer the CHOICES program at the Texas Local Workforce Development Boards (Workforce Boards). TWC sends sanctions initiated by the Workforce Boards to HHSC within seven calendar days of the date of non-cooperation. Subsequently, HHSC has five working days to process and apply the sanction as per policy. A sample of 40 beneficiaries who should have had their benefits reduced was selected for review, which resulted in the following: For two cases, the benefits were not reduced timely by one month, resulting in an overpayments of $654. For one case, the benefits were not reduced timely by three months, resulting in an overpayment of $1,179. Questioned costs: $1,833. Context: See “Condition.” Cause: Upon receipt of the sanctions from TWC, HHSC did not apply them within the timeline set by policy. Effect: Non-cooperating beneficiaries received TANF benefit payments they were not entitled to. Repeat finding: No Recommendation: Sanction requests should be applied timely per policy to ensure ineligible beneficiaries do not receive benefits. Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Reporting – FFATA Subawards Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Temporary Assistance for Needy Families Social Services Block Grant Block Grants for Community Mental Health Services Block Grants for Prevention and Treatment of Substance Abuse ALN: 93.558 93.667 93.958 93.959 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 MHBG 1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM083999-01M001, 6B09SM083830-01M001 October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01M003 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Material Weakness in Internal Control over Compliance and Material Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Under the requirements of the Federal Funding Accountability and Transparency Act (FFATA) (Pub. L. No. 109- 282), as amended by Section 6202 of Public Law 110-252, recipients (i.e., direct recipients) of grants or cooperative agreements are required to report first-tier subawards of $30,000 or more to the Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS) no later than the last day of the month following the month in which the subaward/subaward amendment obligation was made or the subcontract award/subcontract modification was made. Condition: The HHSC Federal Funds Office (FFO) is responsible for submitting all required subawards in the
Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS). A standard FFATA
Reporting template has been created by the FFO that includes all required elements to be submitted. Program
departments must complete and submit the template to the FFO for all federal subawards with amounts over
$30,000 by the 15th of every month to be included in that month’s submission. Currently, it is the responsibility of
the individual program departments to ensure that each obligating action at or over $30,000 is reported in the
FFATA Reporting Template no later than the end of the next month in which the obligation was made. Due to
system limitations, there is no central tracking of award obligations. Thus, HHSC was unable to provide a
population of first-tier subawards of $30,000 or more that were obligated during the fiscal year and required to be
submitted in FSRS. Accordingly, we were unable to select a sample and test for internal controls over compliance
or compliance.
Questioned costs: None.
Context: See “Condition.”
Cause: CAPPS-FIN, HHSC’s system of record, does not have the capability to track the date of obligation of
federal awards.
Effect: Failure to report all subawards $30,000 or greater in FSRS will result in noncompliance with terms of the
federal grant guidelines.
Repeat finding: 2022-013, 2021-007
Recommendation: HHSC should implement functionality into CAPPS-FIN to track when obligations of federal
awards are made so that the agency is able to retrieve a list of all subawards by obligation date in order to
monitor compliance with the Federal Funding Accountability and Transparency Act.
Views of responsible officials: HHSC agrees with the finding but does not concur with the recommendation
insofar as it makes a specific designation of CAPPS-Financials as the system to ensure compliance.
Subrecipient Monitoring Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Temporary Assistance for Needy Families Social Services Block Grant Block Grants for Community Mental Health Services ALN: 93.558 93.667 93.958 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: TANF
2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3
October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30,
2022
SSBG
2301TXSOSR, 2201TXSOSR and 2101TXSOSR
October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023,
and October 1, 2020 – September 30, 2022
MHBG
1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002,
6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01,
6B09SM085994-01M001, 6B09SM085994-01M002,
6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001,
1B09SM083830-01, 6B09SM083830- 01M001
October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024,
October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024,
March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022
Statistically Valid Sample: No, and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance
Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the
federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award.
These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework”
issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 2 CFR section 200.332(a), all pass-through entities must ensure that every subaward is clearly identified to
the subrecipient as a subaward and includes certain information at the time of the subaward and if any of these
data elements change, include the changes in subsequent subaward modification. When some of this information
is not available, the pass-through entity must provide the best information available to describe the Federal award
and subaward. Required information includes:
Subrecipient’s unique entity identifier (UEI)
Federal award identification number (FAIN)
Federal award date of award to the recipient by the federal agency
Assistance listings number and title
Indirect cost rate for the federal award (including if the de minimis rate is charged)
Condition: Audit procedures included a review of a sample of subrecipient contracts for required information with
the following results noted:
TANF – For a sample of 17, the contracts did not include:
UEI (one sample)
FAIN (four samples)
Federal award date (four samples)
Assistance listings numbers and title (four samples)
Indirect cost rate, including if the de minimis rate is charged (four samples)
SSBG – For 11 of 19 samples, the contract did not include neither the FAIN nor the federal award date of award
to the recipient by the federal agency.
MHBG – For 7 of 8 samples, the contract did not include neither the FAIN nor the federal award date of award to
the recipient by the federal agency.
Questioned costs: None.
Context: See “Condition.”
Cause: Current internal controls in place to ensure a review of subaward agreements is taking place to verify that
all required elements are included per 2 CFR 200 §200.332 are not at the correct precision level.
Effect: Providing incomplete information to subrecipients may result in inaccurate reporting by the subrecipients
and ultimately by HHSC.
Repeat Finding: No
Recommendation: We recommend management enhance existing controls around the review of all subaward
agreements to ensure that all pass-through agreements include each of the required elements by 2 CFR
§200.332.
Views of responsible officials:
Temporary Assistance for Needy Families (TANF) - HHSC concurs with the finding.
Social Services Block Grants (SSBG)/ Mental Health Block Grants (MHBG) - HHSC concurs with the finding.
Reporting Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Social Services Block Grant ALN: 93.667 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per 2 CFR 200.334, financial records, supporting documents, statistical records, and all other non-Federal entity records pertinent to a Federal award must be retained for a period of three years from the date of submission of the final expenditure report or, for Federal awards that are renewed quarterly or annually, from the date of the submission of the quarterly or annual financial report, respectively, as reported to the Federal awarding agency or pass_x0002_through entity in the case of a subrecipient. Federal awarding agencies and pass-through entities must not impose any other record retention requirements upon non-Federal entities. Title 42 USC 1397e requires states and territories to submit to the federal administering agency, the Office of Community Services, an annual Post Expenditure Report no later than six months following the close of the fiscal year. The report includes certain critical key line information including: 1. The number of eligible individuals who received services paid for in part or in whole with federal funds under the SSBG. 2. The amount of Social Services Block Grant funds spent in providing each service. Condition: During testing of key line items noted above in the FY2022 Annual Post Expenditure Report submitted in March 2023, we noted the following variances between the amounts reported and supporting documentation: Key Line Item 1
Children
Family Planning Services – variance of 1,796
Prevention and Intervention – variance of 9,866
Protective Services – Children – variance of 13,511
Adults Age 59 Years and Younger
Family Planning Services – variance of 107,476
Prevention and Intervention – variance of 19,398
Protective Services – Adults – variance of 21,973
Other Services – variance of 10,733
Adults Age 60 Years and Older
Family Planning Services – variance of 4,549
Prevention and Intervention – variance of 868
Protective Services – Adults – variance of 71,969
Other Services – variance of 14,408
Adults of Unknown Age
Prevention and Intervention – variance of 151
Key Line Item 2
SSBG Allocation
Foster Care Services – Children – variance of ($77,124)
Information & Referral – variance of $2,116
Protective Services – Adults – variance of ($59,467)
Protective Services – Children – variance of ($114,243)
Funds Transferred into SSBG
Protective Services – Children – variance of ($6,948,063)
Expenditures of All Other Federal, State, and Local Funds
Family Planning Services – variance of $172,504,171
Foster Care Services – Children – variance of $674,230,152
Information & Referral – variance of $35,508,405
Protective Services – Adults – variance of $67,694,139
Protective Services – Children – variance of $1,145,408,512
Other Services – $171,788,478
Questioned costs: None.
Context: See “Condition.”
Cause: Current internal controls are not at the correct precision level to ensure the completeness and accuracy of
the report. Additionally, HHSC did not follow current policies and procedures regarding record retention. More
specifically, all variances listed for key line item 1 were due to lack of supporting documentation except for the
Protective Services – Children variance of 13,511, which was the difference between amounts reported and
supporting documentation provided. All variances for key line item 2 were due to lack of supporting
documentation except the four amounts listed under SSBG Allocation, which are a result difference between
amounts reported and supporting documentation provided.
Effect: Improperly designed internal controls over reporting may result in a misstatement of amounts reported on
federal reports. In addition, failure to maintain adequate documentation pertinent to a federal award may result in
noncompliance with grant terms and conditions.
Repeat Finding: No
Recommendation: We recommend management revise its internal controls to reconcile expenditures reported
on federal reports to federal expenditures in the general ledger. Additionally, HHSC should implement or revise
policies and procedures to ensure documentation is maintained for a period of at least three years from the date
of submission of the final expenditure report for the grant in accordance with 2 CFR 200.334.
Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Eligibility Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Children’s Health Insurance Program (CHIP) ALN: 93.767 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per 42 CFR 435.912(c)(3), the determination of eligibility for any applicant may not exceed (except in unusual circumstances such as an administrative or other emergency beyond the agency’s control): Ninety days for applicants who apply for Medicaid on the basis of disability; and Forty-five days for all other applicants. Condition: Audit procedures included a review of 40 CHIP eligibility applications submitted by fiscal year 2023 for benefit recipients to determine whether the eligibility determination was made within 45 days. Of the 40 applications, we identified eight applications for which the eligibility determination was not made within 45 days. The eligibility determinations of these eight applications were made within 46-75 days of the submission date and did not have an administrative or other emergency circumstance. Questioned costs: None.
Context: See “Condition.”
Cause: Current policies and procedures surrounding the timely processing of benefit applications are not being
properly implemented.
Effect: Failure to process CHIP applications in a timely manner may lead to recipients not receiving benefits
timely and noncompliance with grant award terms and conditions.
Repeat finding: No
Recommendation: HHSC should enforce existing application processing procedures to ensure all applications
are reviewed and an eligibility determination is made within the required timeline.
Views of responsible officials: HHSC concurs with the finding.
Special Tests and Provisions – Provider Eligibility – Lack of Documentation Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Children’s Health Insurance Program ALN: 93.767 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance. Criteria or specific requirement: Per 2 CFR 200.303, a non-Federal entity must: Establish and maintain
effective internal controls over federal awards that provide reasonable assurance they are managing federal
awards in compliance with federal statutes, regulations, and the provisions of contracts or grant agreements that
could have a material effect on each of its federal programs. Per 2 CFR 200.334, financial records, supporting
documents, statistical records, and all other non-Federal entity records pertinent to a Federal award must be
retained for a period of three years from the date of submission of the final expenditure report or, for Federal
awards that are renewed quarterly or annually, from the date of the submission of the quarterly or annual financial
report, respectively, as reported to the Federal awarding agency or pass-through entity in the case of a
subrecipient. Federal awarding agencies and pass-through entities must not impose any other record retention
requirements upon non-Federal entities.
In order to comply with federal provider eligibility requirements, HHSC must adhere to various subsections of 42
CFR Section 455 including but not limited to:
§ 455.104 – HHSC must require that disclosing entities, fiscal agents, and managed care entities provide the
following disclosures:
The name and address of any person (individual or corporation) with an ownership or control interest in
the disclosing entity, fiscal agent, or managed care entity. The address for corporate entities must include
as applicable primary business address, every business location, and P.O. Box address.
Date of birth and Social Security Number (in the case of an individual).
Other tax identification number (in the case of a corporation) with an ownership or control interest in the
disclosing entity (or fiscal agent or managed care entity) or in any subcontractor in which the disclosing
entity (or fiscal agent or managed care entity) has a 5 percent or more interest.
Whether the person (individual or corporation) with an ownership or control interest in the disclosing entity
(or fiscal agent or managed care entity) is related to another person with ownership or control interest in
the disclosing entity as a spouse, parent, child, or sibling; or whether the person (individual or
corporation) with an ownership or control interest in any subcontractor in which the disclosing entity (or
fiscal agent or managed care entity) has a 5 percent or more interest is related to another person with
ownership or control interest in the disclosing entity as a spouse, parent, child, or sibling.
The name of any other disclosing entity (or fiscal agent or managed care entity) in which an owner of the
disclosing entity (or fiscal agent or managed care entity) has an ownership or control interest.
The name, address, date of birth, and Social Security Number of any managing employee of the
disclosing entity (or fiscal agent or managed care entity).
§ 455.105 – HHSC must enter into an agreement with each provider under which the provider agrees to furnish to
it the following information related to business transactions within 35 days of request:
The ownership of any subcontractor with whom the provider has had business transactions totaling more
than $25,000 during the 12-month period ending on the date of the request; and
Any significant business transactions between the provider and any wholly owned supplier, or between
the provider and any subcontractor, during the 5-year period ending on the date of the request.
§ 455.106 – Before HHSC enters into or renews a provider agreement, or at any time upon written request by
HHSC, the provider must disclose to HHSC the identity of any person who:
Has ownership or control interest in the provider, or is an agent or managing employee of the provider;
and
Has been convicted of a criminal offense related to that person's involvement in any program under
Medicare, Medicaid, or the title XX services program since the inception of those programs.
§ 455.410 – HHSC must require all ordering or referring physicians or other professionals providing services
under the State plan or under a waiver of the plan to be enrolled as participating providers.
§ 455.412 – HHSC must:
Have a method for verifying that any provider purporting to be licensed in accordance with the laws of any
State is licensed by such State.
Confirm that the provider's license has not expired and that there are no current limitations on the
provider's license. § 455.414 – HHSC must revalidate the enrollment of all providers regardless of provider type at least every five
years.
§ 455.432 – HHSC must:
Conduct pre-enrollment and post-enrollment site visits of providers who are designated as “moderate” or
“high” categorical risks to the Medicaid program.
Require any enrolled provider to permit CMS, its agents, its designated contractors, or HHSC to conduct
unannounced on-site inspections of any and all provider locations.
§ 455.434 – HHSC must:
Require providers to consent to criminal background checks including fingerprinting when required to do
so under State law or by the level of screening based on risk of fraud, waste or abuse as determined for
that category of provider.
Establish categorical risk levels for providers and provider categories who pose an increased financial risk
of fraud, waste or abuse to the Medicaid program.
o Upon HHSC determining that a provider, or a person with a 5 percent or more direct or indirect
ownership interest in the provider, meets HHSC's criteria hereunder for criminal background
checks as a “high” risk to the Medicaid program, HHSC will require that each such provider or
person submit fingerprints, in a form and manner to be determined by HHSC, within 30 days upon
request from CMS or HHSC.
§ 455.436 – HHSC must confirm the identity and determine the exclusion status of providers and any person with
an ownership or control interest or who is an agent or managing employee of the provider through routine checks
of Federal databases. Upon enrollment and reenrollment, HHSC must check the Social Security Administration's
Death Master File (SSADMF), the National Plan and Provider Enumeration System (NPPES), the List of Excluded
Individuals/Entities (LEIE), the Excluded Parties List System (EPLS), and any such other databases as the
Secretary may prescribe. During the period the provider is enrolled, HHSC must check the LEIE and EPLS no
less frequently than monthly.
§ 455.434 – HHSC must screen all initial applications, including applications for a new practice location, and any
applications received in response to a re-enrollment or revalidation of enrollment request based on a categorical
risk level of “limited,” “moderate,” or “high.” If a provider could fit within more than one risk level described in this
section, the highest level of screening is applicable.
Condition: Various departments within and contractors of HHSC are responsible for ensuring medical providers
are properly licensed, screened, and enrolled in the Medicaid Program including Contract Administration and
Provider Monitoring (CAPM), Access and Eligibility Services (AES), Procurement and Contracting Services, and
the Texas Medicaid and Healthcare Partnership.
Audit procedures included a review of 60 providers for CHIP, which resulted in one exception for the following:
A copy of the completed application was not included in the file.
Enrollment of the provider was not completed within the last 5 years.
Verification of the provider’s license was not included in the file.
Required information on ownership and control was not disclosed.
Supporting documentation was not included in the file indicating the SSADMF database was checked at
the time of the most recent enrollment.
Supporting documentation was not included in the file indicating the NPPES database was checked at the
time of the most recent enrollment.
Supporting documentation was not included in the file indicating the LEIE database was checked at the
time of the most recent enrollment.
Supporting documentation was not included in the file indicating the EPLS database was checked at the
time of the most recent enrollment.
Supporting documentation was not included in the file indicating the provider was categorized during
screening as limited, moderate, or high risk.
A copy of the provider agreement was not included in the files.
Supporting documentation was not included indicating a pre- or post-enrollment site visit was conducted
as required for providers designated as moderate or high risk.
Supporting documentation was not included indicating the provider disclosed the identity of any person
who had been convicted of a criminal offense related to that person's involvement in any program under
Medicare, Medicaid, or the Title XX services program since the inception of those programs.
Questioned costs: None.
Context: See “Condition.”
Cause: HHSC does not have adequate procedures in place to ensure required documentation is obtained and
maintained to comply with federal provider eligibility requirements.
Effect: Failure to obtain and maintain adequate documentation during the provider screening and enrollment
process may result in otherwise ineligible or fraudulent providers receiving CHIP funds.
Repeat Finding: No
Recommendation: HHSC should implement controls to ensure:
Documentation is maintained for at least the length of the providers’ current enrollment period or three
years, whichever is greater in accordance with 2 CFR 200.334.
Provider licenses are verified during enrollment.
Providers are re-enrolled at least once every five years.
Provider agreements are obtained, and the proper disclosures are made.
Providers are categorized according to risk level and pre- and post-enrollment site visits are conducted as
required for those deemed moderate or high risk.
Relevant federal databases are checked during initial enrollment and at least monthly for all providers
currently enrolled in CHIP.
Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Eligibility Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Children’s Health Insurance Program (CHIP) ALN: 93.767 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per 42 CFR 435.912(c)(3), the determination of eligibility for any applicant may not exceed (except in unusual circumstances such as an administrative or other emergency beyond the agency’s control): Ninety days for applicants who apply for Medicaid on the basis of disability; and Forty-five days for all other applicants. Condition: Audit procedures included a review of 40 CHIP eligibility applications submitted by fiscal year 2023 for benefit recipients to determine whether the eligibility determination was made within 45 days. Of the 40 applications, we identified eight applications for which the eligibility determination was not made within 45 days. The eligibility determinations of these eight applications were made within 46-75 days of the submission date and did not have an administrative or other emergency circumstance. Questioned costs: None.
Context: See “Condition.”
Cause: Current policies and procedures surrounding the timely processing of benefit applications are not being
properly implemented.
Effect: Failure to process CHIP applications in a timely manner may lead to recipients not receiving benefits
timely and noncompliance with grant award terms and conditions.
Repeat finding: No
Recommendation: HHSC should enforce existing application processing procedures to ensure all applications
are reviewed and an eligibility determination is made within the required timeline.
Views of responsible officials: HHSC concurs with the finding.
Special Tests and Provisions – Provider Eligibility – Lack of Documentation Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Children’s Health Insurance Program ALN: 93.767 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance. Criteria or specific requirement: Per 2 CFR 200.303, a non-Federal entity must: Establish and maintain
effective internal controls over federal awards that provide reasonable assurance they are managing federal
awards in compliance with federal statutes, regulations, and the provisions of contracts or grant agreements that
could have a material effect on each of its federal programs. Per 2 CFR 200.334, financial records, supporting
documents, statistical records, and all other non-Federal entity records pertinent to a Federal award must be
retained for a period of three years from the date of submission of the final expenditure report or, for Federal
awards that are renewed quarterly or annually, from the date of the submission of the quarterly or annual financial
report, respectively, as reported to the Federal awarding agency or pass-through entity in the case of a
subrecipient. Federal awarding agencies and pass-through entities must not impose any other record retention
requirements upon non-Federal entities.
In order to comply with federal provider eligibility requirements, HHSC must adhere to various subsections of 42
CFR Section 455 including but not limited to:
§ 455.104 – HHSC must require that disclosing entities, fiscal agents, and managed care entities provide the
following disclosures:
The name and address of any person (individual or corporation) with an ownership or control interest in
the disclosing entity, fiscal agent, or managed care entity. The address for corporate entities must include
as applicable primary business address, every business location, and P.O. Box address.
Date of birth and Social Security Number (in the case of an individual).
Other tax identification number (in the case of a corporation) with an ownership or control interest in the
disclosing entity (or fiscal agent or managed care entity) or in any subcontractor in which the disclosing
entity (or fiscal agent or managed care entity) has a 5 percent or more interest.
Whether the person (individual or corporation) with an ownership or control interest in the disclosing entity
(or fiscal agent or managed care entity) is related to another person with ownership or control interest in
the disclosing entity as a spouse, parent, child, or sibling; or whether the person (individual or
corporation) with an ownership or control interest in any subcontractor in which the disclosing entity (or
fiscal agent or managed care entity) has a 5 percent or more interest is related to another person with
ownership or control interest in the disclosing entity as a spouse, parent, child, or sibling.
The name of any other disclosing entity (or fiscal agent or managed care entity) in which an owner of the
disclosing entity (or fiscal agent or managed care entity) has an ownership or control interest.
The name, address, date of birth, and Social Security Number of any managing employee of the
disclosing entity (or fiscal agent or managed care entity).
§ 455.105 – HHSC must enter into an agreement with each provider under which the provider agrees to furnish to
it the following information related to business transactions within 35 days of request:
The ownership of any subcontractor with whom the provider has had business transactions totaling more
than $25,000 during the 12-month period ending on the date of the request; and
Any significant business transactions between the provider and any wholly owned supplier, or between
the provider and any subcontractor, during the 5-year period ending on the date of the request.
§ 455.106 – Before HHSC enters into or renews a provider agreement, or at any time upon written request by
HHSC, the provider must disclose to HHSC the identity of any person who:
Has ownership or control interest in the provider, or is an agent or managing employee of the provider;
and
Has been convicted of a criminal offense related to that person's involvement in any program under
Medicare, Medicaid, or the title XX services program since the inception of those programs.
§ 455.410 – HHSC must require all ordering or referring physicians or other professionals providing services
under the State plan or under a waiver of the plan to be enrolled as participating providers.
§ 455.412 – HHSC must:
Have a method for verifying that any provider purporting to be licensed in accordance with the laws of any
State is licensed by such State.
Confirm that the provider's license has not expired and that there are no current limitations on the
provider's license. § 455.414 – HHSC must revalidate the enrollment of all providers regardless of provider type at least every five
years.
§ 455.432 – HHSC must:
Conduct pre-enrollment and post-enrollment site visits of providers who are designated as “moderate” or
“high” categorical risks to the Medicaid program.
Require any enrolled provider to permit CMS, its agents, its designated contractors, or HHSC to conduct
unannounced on-site inspections of any and all provider locations.
§ 455.434 – HHSC must:
Require providers to consent to criminal background checks including fingerprinting when required to do
so under State law or by the level of screening based on risk of fraud, waste or abuse as determined for
that category of provider.
Establish categorical risk levels for providers and provider categories who pose an increased financial risk
of fraud, waste or abuse to the Medicaid program.
o Upon HHSC determining that a provider, or a person with a 5 percent or more direct or indirect
ownership interest in the provider, meets HHSC's criteria hereunder for criminal background
checks as a “high” risk to the Medicaid program, HHSC will require that each such provider or
person submit fingerprints, in a form and manner to be determined by HHSC, within 30 days upon
request from CMS or HHSC.
§ 455.436 – HHSC must confirm the identity and determine the exclusion status of providers and any person with
an ownership or control interest or who is an agent or managing employee of the provider through routine checks
of Federal databases. Upon enrollment and reenrollment, HHSC must check the Social Security Administration's
Death Master File (SSADMF), the National Plan and Provider Enumeration System (NPPES), the List of Excluded
Individuals/Entities (LEIE), the Excluded Parties List System (EPLS), and any such other databases as the
Secretary may prescribe. During the period the provider is enrolled, HHSC must check the LEIE and EPLS no
less frequently than monthly.
§ 455.434 – HHSC must screen all initial applications, including applications for a new practice location, and any
applications received in response to a re-enrollment or revalidation of enrollment request based on a categorical
risk level of “limited,” “moderate,” or “high.” If a provider could fit within more than one risk level described in this
section, the highest level of screening is applicable.
Condition: Various departments within and contractors of HHSC are responsible for ensuring medical providers
are properly licensed, screened, and enrolled in the Medicaid Program including Contract Administration and
Provider Monitoring (CAPM), Access and Eligibility Services (AES), Procurement and Contracting Services, and
the Texas Medicaid and Healthcare Partnership.
Audit procedures included a review of 60 providers for CHIP, which resulted in one exception for the following:
A copy of the completed application was not included in the file.
Enrollment of the provider was not completed within the last 5 years.
Verification of the provider’s license was not included in the file.
Required information on ownership and control was not disclosed.
Supporting documentation was not included in the file indicating the SSADMF database was checked at
the time of the most recent enrollment.
Supporting documentation was not included in the file indicating the NPPES database was checked at the
time of the most recent enrollment.
Supporting documentation was not included in the file indicating the LEIE database was checked at the
time of the most recent enrollment.
Supporting documentation was not included in the file indicating the EPLS database was checked at the
time of the most recent enrollment.
Supporting documentation was not included in the file indicating the provider was categorized during
screening as limited, moderate, or high risk.
A copy of the provider agreement was not included in the files.
Supporting documentation was not included indicating a pre- or post-enrollment site visit was conducted
as required for providers designated as moderate or high risk.
Supporting documentation was not included indicating the provider disclosed the identity of any person
who had been convicted of a criminal offense related to that person's involvement in any program under
Medicare, Medicaid, or the Title XX services program since the inception of those programs.
Questioned costs: None.
Context: See “Condition.”
Cause: HHSC does not have adequate procedures in place to ensure required documentation is obtained and
maintained to comply with federal provider eligibility requirements.
Effect: Failure to obtain and maintain adequate documentation during the provider screening and enrollment
process may result in otherwise ineligible or fraudulent providers receiving CHIP funds.
Repeat Finding: No
Recommendation: HHSC should implement controls to ensure:
Documentation is maintained for at least the length of the providers’ current enrollment period or three
years, whichever is greater in accordance with 2 CFR 200.334.
Provider licenses are verified during enrollment.
Providers are re-enrolled at least once every five years.
Provider agreements are obtained, and the proper disclosures are made.
Providers are categorized according to risk level and pre- and post-enrollment site visits are conducted as
required for those deemed moderate or high risk.
Relevant federal databases are checked during initial enrollment and at least monthly for all providers
currently enrolled in CHIP.
Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Reporting – FFATA Subawards Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Temporary Assistance for Needy Families Social Services Block Grant Block Grants for Community Mental Health Services Block Grants for Prevention and Treatment of Substance Abuse ALN: 93.558 93.667 93.958 93.959 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 MHBG 1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM083999-01M001, 6B09SM083830-01M001 October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01M003 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Material Weakness in Internal Control over Compliance and Material Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Under the requirements of the Federal Funding Accountability and Transparency Act (FFATA) (Pub. L. No. 109- 282), as amended by Section 6202 of Public Law 110-252, recipients (i.e., direct recipients) of grants or cooperative agreements are required to report first-tier subawards of $30,000 or more to the Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS) no later than the last day of the month following the month in which the subaward/subaward amendment obligation was made or the subcontract award/subcontract modification was made. Condition: The HHSC Federal Funds Office (FFO) is responsible for submitting all required subawards in the
Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS). A standard FFATA
Reporting template has been created by the FFO that includes all required elements to be submitted. Program
departments must complete and submit the template to the FFO for all federal subawards with amounts over
$30,000 by the 15th of every month to be included in that month’s submission. Currently, it is the responsibility of
the individual program departments to ensure that each obligating action at or over $30,000 is reported in the
FFATA Reporting Template no later than the end of the next month in which the obligation was made. Due to
system limitations, there is no central tracking of award obligations. Thus, HHSC was unable to provide a
population of first-tier subawards of $30,000 or more that were obligated during the fiscal year and required to be
submitted in FSRS. Accordingly, we were unable to select a sample and test for internal controls over compliance
or compliance.
Questioned costs: None.
Context: See “Condition.”
Cause: CAPPS-FIN, HHSC’s system of record, does not have the capability to track the date of obligation of
federal awards.
Effect: Failure to report all subawards $30,000 or greater in FSRS will result in noncompliance with terms of the
federal grant guidelines.
Repeat finding: 2022-013, 2021-007
Recommendation: HHSC should implement functionality into CAPPS-FIN to track when obligations of federal
awards are made so that the agency is able to retrieve a list of all subawards by obligation date in order to
monitor compliance with the Federal Funding Accountability and Transparency Act.
Views of responsible officials: HHSC agrees with the finding but does not concur with the recommendation
insofar as it makes a specific designation of CAPPS-Financials as the system to ensure compliance.
Subrecipient Monitoring Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Temporary Assistance for Needy Families Social Services Block Grant Block Grants for Community Mental Health Services ALN: 93.558 93.667 93.958 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: TANF
2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3
October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30,
2022
SSBG
2301TXSOSR, 2201TXSOSR and 2101TXSOSR
October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023,
and October 1, 2020 – September 30, 2022
MHBG
1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002,
6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01,
6B09SM085994-01M001, 6B09SM085994-01M002,
6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001,
1B09SM083830-01, 6B09SM083830- 01M001
October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024,
October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024,
March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022
Statistically Valid Sample: No, and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance
Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the
federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award.
These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework”
issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 2 CFR section 200.332(a), all pass-through entities must ensure that every subaward is clearly identified to
the subrecipient as a subaward and includes certain information at the time of the subaward and if any of these
data elements change, include the changes in subsequent subaward modification. When some of this information
is not available, the pass-through entity must provide the best information available to describe the Federal award
and subaward. Required information includes:
Subrecipient’s unique entity identifier (UEI)
Federal award identification number (FAIN)
Federal award date of award to the recipient by the federal agency
Assistance listings number and title
Indirect cost rate for the federal award (including if the de minimis rate is charged)
Condition: Audit procedures included a review of a sample of subrecipient contracts for required information with
the following results noted:
TANF – For a sample of 17, the contracts did not include:
UEI (one sample)
FAIN (four samples)
Federal award date (four samples)
Assistance listings numbers and title (four samples)
Indirect cost rate, including if the de minimis rate is charged (four samples)
SSBG – For 11 of 19 samples, the contract did not include neither the FAIN nor the federal award date of award
to the recipient by the federal agency.
MHBG – For 7 of 8 samples, the contract did not include neither the FAIN nor the federal award date of award to
the recipient by the federal agency.
Questioned costs: None.
Context: See “Condition.”
Cause: Current internal controls in place to ensure a review of subaward agreements is taking place to verify that
all required elements are included per 2 CFR 200 §200.332 are not at the correct precision level.
Effect: Providing incomplete information to subrecipients may result in inaccurate reporting by the subrecipients
and ultimately by HHSC.
Repeat Finding: No
Recommendation: We recommend management enhance existing controls around the review of all subaward
agreements to ensure that all pass-through agreements include each of the required elements by 2 CFR
§200.332.
Views of responsible officials:
Temporary Assistance for Needy Families (TANF) - HHSC concurs with the finding.
Social Services Block Grants (SSBG)/ Mental Health Block Grants (MHBG) - HHSC concurs with the finding.
Period of Performance Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Block Grants for Community Mental Health Services ALN: 93.958 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 1B09SM087345, 6B09SM087345, 1B09SM087322-01 October 1, 2022 – September 30, 2024, October 17,2022 – October 16, 2024 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per 2 CFR 200.403(h) cost must be incurred during the approved budget period. The Federal awarding agency is authorized, at its discretion, to waive prior written approvals to carry forward unobligated balances to subsequent budget periods pursuant to § 200.308(e)(3). Condition: For projects with period of performance beginning dates during the fiscal year, audit procedures included testing transactions posted to the general ledger during the first month of the award. We noted the following instances of noncompliance: For the two sampled transactions, totaling $56,997, one of the expenditures, totaling $31,254, was related to costs incurred prior to the period of performance begin date. Questioned costs: $31,254. Context: See “Condition.” Cause: Current controls are not at the correct precision level to detect costs charged outside of the period of performance. Effect: Ineffective internal controls may result in questioned costs and noncompliance with the terms of the grant. Repeat finding: No Recommendation: HHSC should enhance and/or modify existing controls to ensure that costs charged to a project have service dates within the period of performance stated in the federal award. Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Reporting – FFATA Subawards Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Temporary Assistance for Needy Families Social Services Block Grant Block Grants for Community Mental Health Services Block Grants for Prevention and Treatment of Substance Abuse ALN: 93.558 93.667 93.958 93.959 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 MHBG 1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM083999-01M001, 6B09SM083830-01M001 October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01M003 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Material Weakness in Internal Control over Compliance and Material Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Under the requirements of the Federal Funding Accountability and Transparency Act (FFATA) (Pub. L. No. 109- 282), as amended by Section 6202 of Public Law 110-252, recipients (i.e., direct recipients) of grants or cooperative agreements are required to report first-tier subawards of $30,000 or more to the Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS) no later than the last day of the month following the month in which the subaward/subaward amendment obligation was made or the subcontract award/subcontract modification was made. Condition: The HHSC Federal Funds Office (FFO) is responsible for submitting all required subawards in the
Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS). A standard FFATA
Reporting template has been created by the FFO that includes all required elements to be submitted. Program
departments must complete and submit the template to the FFO for all federal subawards with amounts over
$30,000 by the 15th of every month to be included in that month’s submission. Currently, it is the responsibility of
the individual program departments to ensure that each obligating action at or over $30,000 is reported in the
FFATA Reporting Template no later than the end of the next month in which the obligation was made. Due to
system limitations, there is no central tracking of award obligations. Thus, HHSC was unable to provide a
population of first-tier subawards of $30,000 or more that were obligated during the fiscal year and required to be
submitted in FSRS. Accordingly, we were unable to select a sample and test for internal controls over compliance
or compliance.
Questioned costs: None.
Context: See “Condition.”
Cause: CAPPS-FIN, HHSC’s system of record, does not have the capability to track the date of obligation of
federal awards.
Effect: Failure to report all subawards $30,000 or greater in FSRS will result in noncompliance with terms of the
federal grant guidelines.
Repeat finding: 2022-013, 2021-007
Recommendation: HHSC should implement functionality into CAPPS-FIN to track when obligations of federal
awards are made so that the agency is able to retrieve a list of all subawards by obligation date in order to
monitor compliance with the Federal Funding Accountability and Transparency Act.
Views of responsible officials: HHSC agrees with the finding but does not concur with the recommendation
insofar as it makes a specific designation of CAPPS-Financials as the system to ensure compliance.
Subrecipient Monitoring Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Temporary Assistance for Needy Families Social Services Block Grant Block Grants for Community Mental Health Services ALN: 93.558 93.667 93.958 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: TANF
2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3
October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30,
2022
SSBG
2301TXSOSR, 2201TXSOSR and 2101TXSOSR
October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023,
and October 1, 2020 – September 30, 2022
MHBG
1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002,
6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01,
6B09SM085994-01M001, 6B09SM085994-01M002,
6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001,
1B09SM083830-01, 6B09SM083830- 01M001
October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024,
October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024,
March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022
Statistically Valid Sample: No, and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance
Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the
federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award.
These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework”
issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 2 CFR section 200.332(a), all pass-through entities must ensure that every subaward is clearly identified to
the subrecipient as a subaward and includes certain information at the time of the subaward and if any of these
data elements change, include the changes in subsequent subaward modification. When some of this information
is not available, the pass-through entity must provide the best information available to describe the Federal award
and subaward. Required information includes:
Subrecipient’s unique entity identifier (UEI)
Federal award identification number (FAIN)
Federal award date of award to the recipient by the federal agency
Assistance listings number and title
Indirect cost rate for the federal award (including if the de minimis rate is charged)
Condition: Audit procedures included a review of a sample of subrecipient contracts for required information with
the following results noted:
TANF – For a sample of 17, the contracts did not include:
UEI (one sample)
FAIN (four samples)
Federal award date (four samples)
Assistance listings numbers and title (four samples)
Indirect cost rate, including if the de minimis rate is charged (four samples)
SSBG – For 11 of 19 samples, the contract did not include neither the FAIN nor the federal award date of award
to the recipient by the federal agency.
MHBG – For 7 of 8 samples, the contract did not include neither the FAIN nor the federal award date of award to
the recipient by the federal agency.
Questioned costs: None.
Context: See “Condition.”
Cause: Current internal controls in place to ensure a review of subaward agreements is taking place to verify that
all required elements are included per 2 CFR 200 §200.332 are not at the correct precision level.
Effect: Providing incomplete information to subrecipients may result in inaccurate reporting by the subrecipients
and ultimately by HHSC.
Repeat Finding: No
Recommendation: We recommend management enhance existing controls around the review of all subaward
agreements to ensure that all pass-through agreements include each of the required elements by 2 CFR
§200.332.
Views of responsible officials:
Temporary Assistance for Needy Families (TANF) - HHSC concurs with the finding.
Social Services Block Grants (SSBG)/ Mental Health Block Grants (MHBG) - HHSC concurs with the finding.
Period of Performance Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Block Grants for Community Mental Health Services ALN: 93.958 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 1B09SM087345, 6B09SM087345, 1B09SM087322-01 October 1, 2022 – September 30, 2024, October 17,2022 – October 16, 2024 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per 2 CFR 200.403(h) cost must be incurred during the approved budget period. The Federal awarding agency is authorized, at its discretion, to waive prior written approvals to carry forward unobligated balances to subsequent budget periods pursuant to § 200.308(e)(3). Condition: For projects with period of performance beginning dates during the fiscal year, audit procedures included testing transactions posted to the general ledger during the first month of the award. We noted the following instances of noncompliance: For the two sampled transactions, totaling $56,997, one of the expenditures, totaling $31,254, was related to costs incurred prior to the period of performance begin date. Questioned costs: $31,254. Context: See “Condition.” Cause: Current controls are not at the correct precision level to detect costs charged outside of the period of performance. Effect: Ineffective internal controls may result in questioned costs and noncompliance with the terms of the grant. Repeat finding: No Recommendation: HHSC should enhance and/or modify existing controls to ensure that costs charged to a project have service dates within the period of performance stated in the federal award. Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Reporting – FFATA Subawards Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Temporary Assistance for Needy Families Social Services Block Grant Block Grants for Community Mental Health Services Block Grants for Prevention and Treatment of Substance Abuse ALN: 93.558 93.667 93.958 93.959 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 MHBG 1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM083999-01M001, 6B09SM083830-01M001 October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01M003 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Material Weakness in Internal Control over Compliance and Material Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Under the requirements of the Federal Funding Accountability and Transparency Act (FFATA) (Pub. L. No. 109- 282), as amended by Section 6202 of Public Law 110-252, recipients (i.e., direct recipients) of grants or cooperative agreements are required to report first-tier subawards of $30,000 or more to the Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS) no later than the last day of the month following the month in which the subaward/subaward amendment obligation was made or the subcontract award/subcontract modification was made. Condition: The HHSC Federal Funds Office (FFO) is responsible for submitting all required subawards in the
Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS). A standard FFATA
Reporting template has been created by the FFO that includes all required elements to be submitted. Program
departments must complete and submit the template to the FFO for all federal subawards with amounts over
$30,000 by the 15th of every month to be included in that month’s submission. Currently, it is the responsibility of
the individual program departments to ensure that each obligating action at or over $30,000 is reported in the
FFATA Reporting Template no later than the end of the next month in which the obligation was made. Due to
system limitations, there is no central tracking of award obligations. Thus, HHSC was unable to provide a
population of first-tier subawards of $30,000 or more that were obligated during the fiscal year and required to be
submitted in FSRS. Accordingly, we were unable to select a sample and test for internal controls over compliance
or compliance.
Questioned costs: None.
Context: See “Condition.”
Cause: CAPPS-FIN, HHSC’s system of record, does not have the capability to track the date of obligation of
federal awards.
Effect: Failure to report all subawards $30,000 or greater in FSRS will result in noncompliance with terms of the
federal grant guidelines.
Repeat finding: 2022-013, 2021-007
Recommendation: HHSC should implement functionality into CAPPS-FIN to track when obligations of federal
awards are made so that the agency is able to retrieve a list of all subawards by obligation date in order to
monitor compliance with the Federal Funding Accountability and Transparency Act.
Views of responsible officials: HHSC agrees with the finding but does not concur with the recommendation
insofar as it makes a specific designation of CAPPS-Financials as the system to ensure compliance.
Subrecipient Monitoring Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Temporary Assistance for Needy Families Social Services Block Grant Block Grants for Community Mental Health Services ALN: 93.558 93.667 93.958 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: TANF
2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3
October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30,
2022
SSBG
2301TXSOSR, 2201TXSOSR and 2101TXSOSR
October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023,
and October 1, 2020 – September 30, 2022
MHBG
1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002,
6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01,
6B09SM085994-01M001, 6B09SM085994-01M002,
6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001,
1B09SM083830-01, 6B09SM083830- 01M001
October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024,
October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024,
March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022
Statistically Valid Sample: No, and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance
Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the
federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award.
These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework”
issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 2 CFR section 200.332(a), all pass-through entities must ensure that every subaward is clearly identified to
the subrecipient as a subaward and includes certain information at the time of the subaward and if any of these
data elements change, include the changes in subsequent subaward modification. When some of this information
is not available, the pass-through entity must provide the best information available to describe the Federal award
and subaward. Required information includes:
Subrecipient’s unique entity identifier (UEI)
Federal award identification number (FAIN)
Federal award date of award to the recipient by the federal agency
Assistance listings number and title
Indirect cost rate for the federal award (including if the de minimis rate is charged)
Condition: Audit procedures included a review of a sample of subrecipient contracts for required information with
the following results noted:
TANF – For a sample of 17, the contracts did not include:
UEI (one sample)
FAIN (four samples)
Federal award date (four samples)
Assistance listings numbers and title (four samples)
Indirect cost rate, including if the de minimis rate is charged (four samples)
SSBG – For 11 of 19 samples, the contract did not include neither the FAIN nor the federal award date of award
to the recipient by the federal agency.
MHBG – For 7 of 8 samples, the contract did not include neither the FAIN nor the federal award date of award to
the recipient by the federal agency.
Questioned costs: None.
Context: See “Condition.”
Cause: Current internal controls in place to ensure a review of subaward agreements is taking place to verify that
all required elements are included per 2 CFR 200 §200.332 are not at the correct precision level.
Effect: Providing incomplete information to subrecipients may result in inaccurate reporting by the subrecipients
and ultimately by HHSC.
Repeat Finding: No
Recommendation: We recommend management enhance existing controls around the review of all subaward
agreements to ensure that all pass-through agreements include each of the required elements by 2 CFR
§200.332.
Views of responsible officials:
Temporary Assistance for Needy Families (TANF) - HHSC concurs with the finding.
Social Services Block Grants (SSBG)/ Mental Health Block Grants (MHBG) - HHSC concurs with the finding.
Period of Performance Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Block Grants for Community Mental Health Services ALN: 93.958 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 1B09SM087345, 6B09SM087345, 1B09SM087322-01 October 1, 2022 – September 30, 2024, October 17,2022 – October 16, 2024 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per 2 CFR 200.403(h) cost must be incurred during the approved budget period. The Federal awarding agency is authorized, at its discretion, to waive prior written approvals to carry forward unobligated balances to subsequent budget periods pursuant to § 200.308(e)(3). Condition: For projects with period of performance beginning dates during the fiscal year, audit procedures included testing transactions posted to the general ledger during the first month of the award. We noted the following instances of noncompliance: For the two sampled transactions, totaling $56,997, one of the expenditures, totaling $31,254, was related to costs incurred prior to the period of performance begin date. Questioned costs: $31,254. Context: See “Condition.” Cause: Current controls are not at the correct precision level to detect costs charged outside of the period of performance. Effect: Ineffective internal controls may result in questioned costs and noncompliance with the terms of the grant. Repeat finding: No Recommendation: HHSC should enhance and/or modify existing controls to ensure that costs charged to a project have service dates within the period of performance stated in the federal award. Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Reporting – FFATA Subawards Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Temporary Assistance for Needy Families Social Services Block Grant Block Grants for Community Mental Health Services Block Grants for Prevention and Treatment of Substance Abuse ALN: 93.558 93.667 93.958 93.959 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 MHBG 1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM083999-01M001, 6B09SM083830-01M001 October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01M003 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Material Weakness in Internal Control over Compliance and Material Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Under the requirements of the Federal Funding Accountability and Transparency Act (FFATA) (Pub. L. No. 109- 282), as amended by Section 6202 of Public Law 110-252, recipients (i.e., direct recipients) of grants or cooperative agreements are required to report first-tier subawards of $30,000 or more to the Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS) no later than the last day of the month following the month in which the subaward/subaward amendment obligation was made or the subcontract award/subcontract modification was made. Condition: The HHSC Federal Funds Office (FFO) is responsible for submitting all required subawards in the
Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS). A standard FFATA
Reporting template has been created by the FFO that includes all required elements to be submitted. Program
departments must complete and submit the template to the FFO for all federal subawards with amounts over
$30,000 by the 15th of every month to be included in that month’s submission. Currently, it is the responsibility of
the individual program departments to ensure that each obligating action at or over $30,000 is reported in the
FFATA Reporting Template no later than the end of the next month in which the obligation was made. Due to
system limitations, there is no central tracking of award obligations. Thus, HHSC was unable to provide a
population of first-tier subawards of $30,000 or more that were obligated during the fiscal year and required to be
submitted in FSRS. Accordingly, we were unable to select a sample and test for internal controls over compliance
or compliance.
Questioned costs: None.
Context: See “Condition.”
Cause: CAPPS-FIN, HHSC’s system of record, does not have the capability to track the date of obligation of
federal awards.
Effect: Failure to report all subawards $30,000 or greater in FSRS will result in noncompliance with terms of the
federal grant guidelines.
Repeat finding: 2022-013, 2021-007
Recommendation: HHSC should implement functionality into CAPPS-FIN to track when obligations of federal
awards are made so that the agency is able to retrieve a list of all subawards by obligation date in order to
monitor compliance with the Federal Funding Accountability and Transparency Act.
Views of responsible officials: HHSC agrees with the finding but does not concur with the recommendation
insofar as it makes a specific designation of CAPPS-Financials as the system to ensure compliance.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Reporting – FFATA Subawards Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Temporary Assistance for Needy Families Social Services Block Grant Block Grants for Community Mental Health Services Block Grants for Prevention and Treatment of Substance Abuse ALN: 93.558 93.667 93.958 93.959 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 MHBG 1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM083999-01M001, 6B09SM083830-01M001 October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01M003 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Material Weakness in Internal Control over Compliance and Material Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Under the requirements of the Federal Funding Accountability and Transparency Act (FFATA) (Pub. L. No. 109- 282), as amended by Section 6202 of Public Law 110-252, recipients (i.e., direct recipients) of grants or cooperative agreements are required to report first-tier subawards of $30,000 or more to the Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS) no later than the last day of the month following the month in which the subaward/subaward amendment obligation was made or the subcontract award/subcontract modification was made. Condition: The HHSC Federal Funds Office (FFO) is responsible for submitting all required subawards in the
Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS). A standard FFATA
Reporting template has been created by the FFO that includes all required elements to be submitted. Program
departments must complete and submit the template to the FFO for all federal subawards with amounts over
$30,000 by the 15th of every month to be included in that month’s submission. Currently, it is the responsibility of
the individual program departments to ensure that each obligating action at or over $30,000 is reported in the
FFATA Reporting Template no later than the end of the next month in which the obligation was made. Due to
system limitations, there is no central tracking of award obligations. Thus, HHSC was unable to provide a
population of first-tier subawards of $30,000 or more that were obligated during the fiscal year and required to be
submitted in FSRS. Accordingly, we were unable to select a sample and test for internal controls over compliance
or compliance.
Questioned costs: None.
Context: See “Condition.”
Cause: CAPPS-FIN, HHSC’s system of record, does not have the capability to track the date of obligation of
federal awards.
Effect: Failure to report all subawards $30,000 or greater in FSRS will result in noncompliance with terms of the
federal grant guidelines.
Repeat finding: 2022-013, 2021-007
Recommendation: HHSC should implement functionality into CAPPS-FIN to track when obligations of federal
awards are made so that the agency is able to retrieve a list of all subawards by obligation date in order to
monitor compliance with the Federal Funding Accountability and Transparency Act.
Views of responsible officials: HHSC agrees with the finding but does not concur with the recommendation
insofar as it makes a specific designation of CAPPS-Financials as the system to ensure compliance.
Activities Allowed or Unallowed, Allowable Costs/Cost Principles Federal Agency: U.S. Department of Homeland Security Federal Program Title: Disaster Grants-Public Assistance (Presidentially Declared Disasters) ALN: 97.036 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: FEMA-4332-DR, FEMA-3540-DR, FEMA-4485-DR, FEMA-4586-DR 2017, 2020, 2020, 2021 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). The Federal Emergency Management Agency (FEMA) evaluates the eligibility of all costs claimed by the applicant. Not all costs incurred as a result of the incident are eligible. Chapter 4 of the Public Assistance Program and Policy Guide states that to be eligible, costs must be: Directly tied to the performance of eligible work. Adequately documented. Reduced by all applicable credits, such as insurance proceeds and salvage values. Authorized and not prohibited under federal, state, territorial, tribal, or local government laws or
regulations.
Consistent with applicant’s internal policies, regulations, and procedures that apply uniformly to both
federal awards and other activities of the applicant; and
Necessary and reasonable to accomplish the work properly and efficiently.
Condition: Audit procedures included a sample of 60 expenditures, totaling $97,118,451, incurred during the
fiscal year to validate allowability with the grant award. DSHS was unable to provide the project worksheets for
seven out of the 60 samples, totaling $1,878,609. Thus, we were unable to verify that the costs were allowable
per the project worksheets. For eight samples, totaling $561,562, the project worksheets associated with the
transactions were not approved.
Questioned costs: $2,440,171.
Context: See “Condition.”
Cause: FEMA project worksheets from the Texas COVID pandemic remain open. DSHS is continually adding
and removing invoices from its claims with FEMA as final expenditures are deemed eligible and ineligible by
FEMA and claims are reimbursed. Five of the invoices reported on the schedule of expenditures of federal awards
and submitted for reimbursement were originally under a project worksheet but later withdrawn by DSHS as
updated FEMA policies deemed certain costs ineligible. As a result, these transactions were no longer associated
with a project worksheet at the time of audit fieldwork. Additionally, two invoices reported on the schedule of
expenditures of federal awards had not been submitted to FEMA for reimbursement and do not have project
worksheets associated with them at the time of audit fieldwork.
Additionally, expenditures reported on the schedule of federal awards are not reconciled to allowable costs after
ineligible expenditures are identified.
Effect: Amounts reported on the schedule of expenditures of federal awards that are not reconciled to underlying
allowable costs may result in disallowed costs.
Repeat finding: No
Recommendation: We recommend DSHS reconcile all program expenditures, whether they have been incurred,
submitted for reimbursement, or reimbursed, to determine the amount to report on the schedule of expenditures
of federal awards. Expenditures deemed to be ineligible subsequent to fiscal year end should be removed from
the reported amount.
Views of responsible officials: During the COVID-19 pandemic, DSHS’ primary focus was getting resources
where they were needed most. The intensity of the pandemic resulted in significantly increased workloads and a
need for rapid response. DSHS previously identified the need to review expenditures and ensure costs are
allowable and align with required parameters. Because of the shifting of FEMA eligibility criteria over time, we
agree that modifications are needed to ensure transactions comply with the most recent guidance.
Reporting – Financial and Special Reporting for FFATA Federal Agency: U.S. Department of Homeland Security Federal Program Title: Disaster Grants - Public Assistance (Presidentially Declared Disasters) ALN: 97.036 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: PA-06-TX-4485, PA-06-TX-4586 March 25, 2020 – March 25, 2028, February 19, 2021 – February 19, 2029 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Under the requirements of the Federal Funding Accountability and Transparency Act (Pub. L. No. 109-282), as amended by Section 6202 of Pub. L. No. 110-252, hereafter referred as the “Transparency Act” that are codified in 2 CFR Part 170, recipients (i.e., direct recipients) of grants or cooperative agreements are required to report first-tier subawards of $30,000 or more to the Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS). The action is to be reported in FSRS no later than the last day of the month following the month in which the subaward/subaward amendment obligation was made or the subcontract award/subcontract modification was made. Condition: For one of the nine financial reports tested during the fiscal year, we noted the Texas Division of Emergency Management (TDEM) incorrectly reported total federal funds authorized amount of $14,451,281,005. TDEM should have reported total federal funds authorized amount of $14,450,861,018, resulting in a reported variance of $419,988. During our testing of special reporting for FFATA, we noted the following instances of noncompliance: See chart or table in the Schedule of Findings and Questioned Costs.
Questioned costs: None.
Context: See "Condition"
Cause: Specific to financial reporting, the variance is due to a manual error in transferring data from the Smartlink
report used to report the total federal funds authorized amount to the financial report. TDEM did not reduce the
total federal funds authorized for the Hazard Mitigation projects included in the Smartlink report. The untimely
submission of the FFATA report was due to the utilization of a new third-party application where gaps were later
identified.
Effect: Reporting inaccurate information on financial reports could impact the federal agency’s ability to
accurately capture key information in order to assess the performance of the program. Failure to report all
subawards $30,000 or greater in FSRS will result in noncompliance with terms of the federal grant guidelines.
Repeat finding: No
Recommendation: TDEM should enhance its internal controls to ensure manual errors on financial reports are
identified and FFATA reports are identified in a timely manner in order to be reported in FSRS within the required
timeline.
Views of responsible officials: Specific to the financial reporting, it appears there was a malfunction with the
federal system adhoc legacy inquiry reporting tool when generating federal financial reports containing the total
federal funds authorized. The federal system’s malfunction produced a comingled program report which caused
an overage in total federal funds authorized. TDEM no longer generates reports from the unreliable federal
system adhoc legacy inquiry module. As of October 2023, we began utilizing the federal system APEX reports.
TDEM has followed up with the Federal Support Center for the Payment Management System multiple times to
determine what is causing the federal system to report inaccuracies, however they have failed to address the
issue at hand, have stated that “soon the legacy adhoc will no longer be available”, and are encouraging grantees
to only use the APEX reports – seemingly due to the inaccuracies, such as the one noted here, that the federal
system generates.
Regarding the FFATA reporting, a new automated report developed by a third-party vendor to streamline the
reporting timeline was being utilized after an internal testing phase had transpired. A gap was later identified
which inadvertently created the timing delay.
Activities Allowed or Unallowed, Allowable Costs/Cost Principles Federal Agency: U.S. Department of Homeland Security Federal Program Title: Disaster Grants-Public Assistance (Presidentially Declared Disasters) ALN: 97.036 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: FEMA-4332-DR, FEMA-3540-DR, FEMA-4485-DR, FEMA-4586-DR 2017, 2020, 2020, 2021 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). The Federal Emergency Management Agency (FEMA) evaluates the eligibility of all costs claimed by the applicant. Not all costs incurred as a result of the incident are eligible. Chapter 4 of the Public Assistance Program and Policy Guide states that to be eligible, costs must be: Directly tied to the performance of eligible work. Adequately documented. Reduced by all applicable credits, such as insurance proceeds and salvage values. Authorized and not prohibited under federal, state, territorial, tribal, or local government laws or
regulations.
Consistent with applicant’s internal policies, regulations, and procedures that apply uniformly to both
federal awards and other activities of the applicant; and
Necessary and reasonable to accomplish the work properly and efficiently.
Condition: Audit procedures included a sample of 60 expenditures, totaling $97,118,451, incurred during the
fiscal year to validate allowability with the grant award. DSHS was unable to provide the project worksheets for
seven out of the 60 samples, totaling $1,878,609. Thus, we were unable to verify that the costs were allowable
per the project worksheets. For eight samples, totaling $561,562, the project worksheets associated with the
transactions were not approved.
Questioned costs: $2,440,171.
Context: See “Condition.”
Cause: FEMA project worksheets from the Texas COVID pandemic remain open. DSHS is continually adding
and removing invoices from its claims with FEMA as final expenditures are deemed eligible and ineligible by
FEMA and claims are reimbursed. Five of the invoices reported on the schedule of expenditures of federal awards
and submitted for reimbursement were originally under a project worksheet but later withdrawn by DSHS as
updated FEMA policies deemed certain costs ineligible. As a result, these transactions were no longer associated
with a project worksheet at the time of audit fieldwork. Additionally, two invoices reported on the schedule of
expenditures of federal awards had not been submitted to FEMA for reimbursement and do not have project
worksheets associated with them at the time of audit fieldwork.
Additionally, expenditures reported on the schedule of federal awards are not reconciled to allowable costs after
ineligible expenditures are identified.
Effect: Amounts reported on the schedule of expenditures of federal awards that are not reconciled to underlying
allowable costs may result in disallowed costs.
Repeat finding: No
Recommendation: We recommend DSHS reconcile all program expenditures, whether they have been incurred,
submitted for reimbursement, or reimbursed, to determine the amount to report on the schedule of expenditures
of federal awards. Expenditures deemed to be ineligible subsequent to fiscal year end should be removed from
the reported amount.
Views of responsible officials: During the COVID-19 pandemic, DSHS’ primary focus was getting resources
where they were needed most. The intensity of the pandemic resulted in significantly increased workloads and a
need for rapid response. DSHS previously identified the need to review expenditures and ensure costs are
allowable and align with required parameters. Because of the shifting of FEMA eligibility criteria over time, we
agree that modifications are needed to ensure transactions comply with the most recent guidance.
Reporting – Financial and Special Reporting for FFATA Federal Agency: U.S. Department of Homeland Security Federal Program Title: Disaster Grants - Public Assistance (Presidentially Declared Disasters) ALN: 97.036 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: PA-06-TX-4485, PA-06-TX-4586 March 25, 2020 – March 25, 2028, February 19, 2021 – February 19, 2029 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Under the requirements of the Federal Funding Accountability and Transparency Act (Pub. L. No. 109-282), as amended by Section 6202 of Pub. L. No. 110-252, hereafter referred as the “Transparency Act” that are codified in 2 CFR Part 170, recipients (i.e., direct recipients) of grants or cooperative agreements are required to report first-tier subawards of $30,000 or more to the Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS). The action is to be reported in FSRS no later than the last day of the month following the month in which the subaward/subaward amendment obligation was made or the subcontract award/subcontract modification was made. Condition: For one of the nine financial reports tested during the fiscal year, we noted the Texas Division of Emergency Management (TDEM) incorrectly reported total federal funds authorized amount of $14,451,281,005. TDEM should have reported total federal funds authorized amount of $14,450,861,018, resulting in a reported variance of $419,988. During our testing of special reporting for FFATA, we noted the following instances of noncompliance: See chart or table in the Schedule of Findings and Questioned Costs.
Questioned costs: None.
Context: See "Condition"
Cause: Specific to financial reporting, the variance is due to a manual error in transferring data from the Smartlink
report used to report the total federal funds authorized amount to the financial report. TDEM did not reduce the
total federal funds authorized for the Hazard Mitigation projects included in the Smartlink report. The untimely
submission of the FFATA report was due to the utilization of a new third-party application where gaps were later
identified.
Effect: Reporting inaccurate information on financial reports could impact the federal agency’s ability to
accurately capture key information in order to assess the performance of the program. Failure to report all
subawards $30,000 or greater in FSRS will result in noncompliance with terms of the federal grant guidelines.
Repeat finding: No
Recommendation: TDEM should enhance its internal controls to ensure manual errors on financial reports are
identified and FFATA reports are identified in a timely manner in order to be reported in FSRS within the required
timeline.
Views of responsible officials: Specific to the financial reporting, it appears there was a malfunction with the
federal system adhoc legacy inquiry reporting tool when generating federal financial reports containing the total
federal funds authorized. The federal system’s malfunction produced a comingled program report which caused
an overage in total federal funds authorized. TDEM no longer generates reports from the unreliable federal
system adhoc legacy inquiry module. As of October 2023, we began utilizing the federal system APEX reports.
TDEM has followed up with the Federal Support Center for the Payment Management System multiple times to
determine what is causing the federal system to report inaccuracies, however they have failed to address the
issue at hand, have stated that “soon the legacy adhoc will no longer be available”, and are encouraging grantees
to only use the APEX reports – seemingly due to the inaccuracies, such as the one noted here, that the federal
system generates.
Regarding the FFATA reporting, a new automated report developed by a third-party vendor to streamline the
reporting timeline was being utilized after an internal testing phase had transpired. A gap was later identified
which inadvertently created the timing delay.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 93.264 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224051; Federal Work-Study Program, P033A224051; Federal Pell Grant Program, P063P222282; Federal Direct Student Loans, P268K232282; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232282; and Nurse Faculty Loan Program (NFLP), 1 E01HP45821-01-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $1,409 Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). Direct Subsidized and Unsubsidized Loans have annual and aggregate limits that are the same for all students at a given grade level and dependency status. In general, a loan may not be more than the amount the borrower requests, the borrower’s unmet financial need, the borrower’s COA, or the borrower’s maximum borrowing limit. (U.S. Department of Education 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 5). Lamar University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate), dependency (dependent or independent), residency (in-state or out-of-state), living status (on-campus, off-campus, or at home with parents), and enrollment level (full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 23 (38 percent) of 61 students tested, the University incorrectly calculated the COA. Specifically, the
University did not adjust the students’ COA to reflect the students’ actual enrollment as of the census date. The
University experienced turnover in the Student Financial Aid department during the 2022–2023 award year, and
could not provide a cause for those errors. The University asserted that it implemented a process to recalculate
students’ COAs based on their actual enrollment at census beginning with the Fall 2023 term; however, the errors
discussed above occurred before that process was in place. As a result, the University overawarded two students.
• One of those students was assigned an overstated COA for the Fall 2022 term based on three-quarter-time
enrollment although the student’s actual enrollment was half-time. The student was awarded $5,294 in
Subsidized Direct Loans, which exceeded the student’s financial need, resulting in $1,113 in questioned costs
associated with ALN 84.268, Federal Direct Student Loans, award number P268K232282.
• The other student was assigned an overstated COA for the Spring 2023 term based on full-time enrollment
although the student did not attend during the term. The student was awarded $10,142 in Unsubsidized Direct
Loans, which exceeded the student’s actual COA, resulting in $296 in questioned costs associated with ALN
84.268, Federal Direct Student Loans, award number P268K232282.
The University did not have adequate controls in place to review budgets used in the calculation of COA and
accurately assign those budgets to students. Incorrectly calculating COA increases the risk of overawarding or
underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets in
accordance with its process and does not overaward financial assistance to students.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; and 84.063 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224051; and Federal Pell Grant Program, P063P222282 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Fiscal Operations Report and Application to Participate (FISAP): An institution participating in campus-based programs is required to annually submit the FISAP to the Secretary of the U.S. Department of Education to receive funds for the campus-based programs. The institution uses the Fiscal Operations Report portion to report its expenditures in the previous award year and the Application to Participate portion to apply for the following year (Title 34, Code of Federal Regulations (CFR), Section 674.19(d); and U.S. Department of Education, Fiscal Operations Report for 2022–23 and Application to Participate for 2024– 25 (FISAP) Instructions). The institution must ensure that the information is accurately reported on the form and at the time specified by the Secretary of the U.S. Department of Education (Title 34, CFR, Section 674.19(d)(2)). Lamar University (University) did not maintain adequate support for its FISAP. Specifically, the University did not have support for the total Federal Pell Grants expenditures for the 2022–2023 award year reported in Part II, Section E. Assessments and Expenditures, Line 23. In addition, the supporting documentation provided by the University for the total Federal Supplemental Educational Opportunity Grants (FSEOG) expenditures for undergraduate independent students with income from $0 to $1,999 for the 2022–2023 award year did not match the amount reported in Part IV, Section A. Distribution of Program Recipients and Expenditures by Type of Student, Line 12(d). The University asserted that those issues were due to human error. As a result, auditors were unable to determine whether the information on the FISAP for those line items was accurate and fairly presented in accordance with requirements. Recommendation: The University should maintain adequate support for information reported on its FISAP to ensure that information is accurate. Views of Responsible Officials: The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Disbursements To or On Behalf of Students Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 93.264 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224051; Federal Work-Study Program, P033A224051; Federal Pell Grant Program, P063P222282; Federal Direct Student Loans, P268K232282; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232282; and Nurse Faculty Loan Program (NFLP), 1 E01HP45821-01-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Award and Disbursement Notifications: Before an institution disburses Title IV, Higher Education Act of 1965 (HEA) program funds for any award year, the institution must notify a student of the amount of funds that the student or his or her parent can expect to receive under each Title IV, HEA program, and how and when those funds will be disbursed. If those funds include Direct Loan program funds, the notice must indicate which funds are from subsidized loans, which are from unsubsidized loans, and which are from PLUS loans (Title 34, Code of Federal Regulations (CFR), Section 668.165(a)(1)). If an institution credits a student’s ledger account with Federal Direct Student Loan (Direct Loan) funds or Teacher Education Assistance for College and Higher Education (TEACH) Grant funds, the institution must notify the student or parent of (1) the anticipated date and amount of the disbursement, (2) the student’s or parent’s right to cancel all or a portion of that loan or grant and have the loan or grant proceeds returned to the U.S. Department of Education, and (3) the procedures and time by which the student or parent must notify the institution that he or she wishes to cancel the loan or grant, or loan or grant disbursement (Title 34, CFR, Section 668.165(a)(2)). The institution must provide the notice in writing no earlier than 30 days before, and no later than 30 days after, crediting the student’s ledger account at the institution (Title 34, CFR, Section 668.165(a)(3)). For 21 (34 percent) of 62 disbursements tested, Lamar University (University) did not send an award or
disbursement notification as required. Specifically:
• For 20 students that received Direct Loan disbursements, the University did not send a disbursement
notification. The University asserted those errors occurred because the University was utilizing a manual
process to send out the disbursement notifications, and on those days when the employee charged with
performing the manual process was not present, the notifications were not sent to students.
• For one student who received Title IV funds, the University did not send an award notification. This error
occurred because the University manually packaged the student’s awards after clearing a verification
requirement, and the University did not have an adequate process in place to ensure that students who are
manually awarded receive an award notification.
Not receiving award and disbursement notifications impairs students’ and parents’ ability to budget for the cost of
attending or exercise the option to cancel their loans or grants.
Promissory Notes:
Institutions must establish a process to make loans consistent with institutional policies and federal laws and
regulations, including the completion of the following during disbursement: (1) signed promissory note, and (2)
disclosure of terms and conditions (Nurse Faculty Loan Program (NFLP) Administrative Guidelines, 42 United
States Code (U.S.C.) 297n-1 (Public Health Service Act Section 846A)).
The University did not have a process in place to require a promissory note for NFLP loans prior to
disbursement. NFLP loans were incorrectly identified in the student information system as a grant instead of a
loan. As a result, the student information system did not place a required hold on disbursements until the
promissory note requirement was completed.
Not requiring a signed promissory note prior to disbursement of loan funds could limit the University’s ability to
enforce repayment of the loan.
Recommendations:
The University should:
• Strengthen its controls to ensure that it identifies all students that require an award or disbursement
notification, and sends those notifications to the students.
• Configure controls in the student information system to require promissory notes for applicable loans.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224051; Federal Pell Grant Program, P063P222282; Federal Direct Student Loans, P268K232282; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232282 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $19,357 Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs, and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). The total number of calendar days in a payment period or period of enrollment includes all days within the payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)). In determining the percentage of the payment period or period of enrollment completed for a student who
withdraws from a program offered in modules, an institution must (1) include all days within the period that the
student was scheduled to complete prior to ceasing attendance and (2) exclude any scheduled breaks of at least
five consecutive days when the student was not scheduled to attend a module or other course offered during that
period of time. Scheduled breaks include both those that take place within and between modules (U.S.
Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 5, Chapter 2).
An institution must offer to disburse directly to a student, or parent in the case of a parent PLUS loan, any amount
of a post-withdrawal disbursement of loan funds that is not credited to the student's account. The institution must
make a direct disbursement of any loan funds that make up the post-withdrawal disbursement only after obtaining
the student's, or parent's in the case of a parent PLUS loan, confirmation that the student or parent still wishes to
have the loan funds disbursed (Title 34, CFR, Section 668.22(a)(6)(ii)(B)).
Lamar University (University) made errors in Title IV return calculations for 25 (41 percent) of 61 students
tested. Specifically, the University did not exclude any break days from the Spring 2023 term or days between
modules as required. Those errors resulted in the University returning a total of $3,481 associated with ALN
84.268, Federal Direct Student Loans, award number P268K232282, and $1,802 associated with ALN 84.063,
Federal Pell Grant Program, award number P063P222282, less Title IV funds than required.
• For 2 of those 25 students, the University also used an inaccurate withdrawal date in the return calculation.
• For 1 of those 25 students, the University also did not identify that the student was eligible to receive a post withdrawal disbursement of loan funds and therefore did not offer to disburse those loan funds to the student
as required.
In addition, for 8 (13 percent) of 61 students tested who did not have a return of Title IV funds made, the
University did not perform a return calculation as required. The University asserted it did not consistently
follow its procedures in identifying students who required a Title IV return calculation due to staff turnover and
newer staff needing additional training. As a result, the University did not return a total of $13,707 associated with
ALN 84.268, Federal Direct Student Loans, award number P268K232282, and $367 associated with ALN 84.063,
Federal Pell Grant Program, award number P063P222282 as required.
The errors discussed above occurred because the University did not configure its information system to
accurately calculate returns and because of manual errors that the University made in performing the return
calculations. In addition, the University did not have an adequate monitoring process to identify those errors. Not
having a process that consistently calculates and returns the correct amount of Title IV funds increases the risk
that the University could return less Title IV funds than it is required to return.
Timeliness of Returns:
An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later
than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section
668.22(j)).
For 5 (8 percent) of 59 students tested who withdrew and required a return of Title IV funds, the University
did not return the funds within the required time frame. The University returned the funds for those students
47 to 143 days after it determined that the students withdrew. For 2 of those students, the University determined
the withdrawal dates and performed the return calculations; however, it did not return the Title IV funds within the
required 45-day time frame due to an oversight in processing the return of those funds. For three of those
students, the University asserted that it determined that the return calculations required corrections, which
resulted in the returns not being performed timely. Not making returns within required time frames reduces the
funds available to the U.S. Department of Education for its program management. Recommendations:
The University should:
• Strengthen its controls to ensure that it accurately calculates returns of Title IV funds when required, including
review of the variables it uses in those calculations.
• Accurately determine the number of days in the payment period and exclude any scheduled breaks as
required.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in return of Title IV calculations
and returns Title IV funds in a timely manner.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). Sam Houston State University (University) did not appropriately restrict access to its student information system. Specifically, the University did not always limit access to the student information system to only users who needed that access based on their job responsibilities. While the University had a process in place to review user access, that process was not adequately designed to ensure that the University granted the appropriate levels of access to all users based on the users’ job duties. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. In addition, the University did not have sufficient controls over its change management process for information systems. Specifically, 1 (14 percent) of 7 changes tested lacked documentation showing that the change was properly tested or validated before it was migrated to production. Not having sufficient controls over the change management process increases the risk of unauthorized programming changes being made to critical information systems that the University uses to administer student financial assistance. Recommendations: The University should: • Ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. • Strengthen its controls over its change management process to ensure adequate validation of changes prior to implementation. Views of Responsible Officials: The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224110; Federal Pell Grant Program, P063P222301; Federal Direct Student Loans, P268K232301; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232301 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No
When a student who received Title IV grant or loan assistance withdraws from an institution during a payment
period or period of enrollment in which the student began attendance, the institution must determine the amount
of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of
Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned
by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date
of the institution’s determination that the student withdrew, the difference must be returned to the Title IV
programs and no additional disbursements may be made to the student for the payment period or period of
enrollment (Title 34, CFR, Section 668.22(a)(4)).
The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV
grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title
IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the
payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their
Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period
or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by
subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was
disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student
withdrew (Title 34, CFR, Section 668.22(e)).
For distance education, documenting that a student has logged into an online class is not sufficient to
demonstrate academic attendance by the student. An institution must demonstrate that a student participated in
class or was otherwise engaged in an academically related activity. Only active participation by a student in an
instructional activity related to the student's course of study that meets the definition of “academic engagement” in
Title 34, CFR, Section 600.2 and takes place during a payment period or period of enrollment qualifies as
attendance in an academically related activity (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 5, Chapter 2).
For 1 (4 percent) of 24 students tested, Sam Houston State University (University) did not have evidence
of academic engagement in the distance education course from which the student’s withdrawal date was
determined. The University relies on the last dates of academic activity provided by instructors to determine the
withdrawal date for Return of Title IV purposes for students who unofficially withdraw. The student’s record did not
reflect evidence of academic activity for the distance education course, and the University asserted that the last
day of attendance provided by the instructor was inaccurate. The University did not have a process in place to
require instructors to provide or maintain evidence of academic engagement in distance education courses. As a
result, the University did not perform a return calculation because it incorrectly determined that the student
completed over 60 percent of the period. After auditors brought the issue to the University’s attention, the
University performed a return calculation and returned Title IV funds as required; therefore, there were no
questioned costs.
Having a process that does not consistently calculate and return the correct amount of Title IV funds increases
the risk that the University could return less Title IV funds than it is required to return.
Recommendation:
The University should ensure that evidence of academic engagement is consistently documented for students in
distance education courses.
Views of Responsible Officials:
The University acknowledges and agrees with the findings of this audit. Management acknowledges the
responsibility to accurately verify the academic engagement and document it for students enrolled in distance
education courses.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224131; Federal Work-Study Program, P033A224131; Federal Pell Grant Program, P063P222320; Federal Direct Student Loans, P268K232320; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232320 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). Tarleton State University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s tuition rate (guaranteed or variable), program, courses, classification (undergraduate or graduate), residency (in-state or out-of-state); living status (on-campus, off-campus, or with parent), and enrollment level (full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 62 (100 percent) of 62 students tested, the University incorrectly calculated the COA. Specifically, the University used the 2021–2022 award year budgets instead of the 2022–2023 award budgets because it did not update the COA budget components in its student information system for the new award year. As a result, the COAs for those students were understated by a total of $148,781. This error would have affected the COA for all students in the Fall 2022 and Spring 2023 terms. However, because the students’ budgets were understated, this error did not result in overawards of financial assistance; therefore, there were no questioned costs. The University did not have adequate controls in place to review budgets used in the calculation of COA and accurately assign those budgets to students. Incorrectly calculating COA increases the risk of overawarding or underawarding financial assistance to students. Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets in
accordance with its process.
Views of Responsible Officials:
The University has carefully reviewed the findings outlined in the recent financial aid audit report, and we
acknowledge and agree with the identified areas for improvement. Your thorough examination has provided
valuable insights into our financial aid processes, and we appreciate the effort invested in ensuring transparency
and accountability.
In response to the findings, we are committed to taking immediate and comprehensive corrective actions to
address the identified issues and enhance the overall effectiveness of our financial aid management. Our team is
already in the process of developing a detailed Corrective Action Plan that will outline the specific steps we will
take to rectify the noted deficiencies. We understand the importance of financial aid in supporting our students'
academic endeavors, and we are dedicated to ensuring that our processes align with the highest standards of
integrity and compliance.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224131; Federal Pell Grant Program, P063P222320; Federal Direct Student Loans, P268K232320; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232320 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $12,259 Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs, and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV
grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title
IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the
payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their
Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period
or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by
subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was
disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student
withdrew (Title 34, CFR, Section 668.22(e)).
The total number of calendar days in a payment period or period of enrollment includes all days within the
payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks
of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the
number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)).
In determining the percentage of the payment period or period of enrollment completed for a student who
withdraws from a program offered in modules, an institution must (1) include all days within the period that the
student was scheduled to complete prior to ceasing attendance and (2) exclude any scheduled breaks of at least
five consecutive days when the student was not scheduled to attend a module or other course offered during that
period of time. Scheduled breaks include both those that take place within and between modules (U.S.
Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 5, Chapter 2).
For a program offered in modules, a student is not considered to have withdrawn if the student successfully
completes any of the following: (1) a module that includes 49 percent or more of the number of days in the
payment period, excluding scheduled breaks of five or more consecutive days and all days between modules; (2)
a combination of modules that together contain 49 percent or more of the number of days in the payment period,
excluding scheduled breaks of five or more consecutive days and all days between modules (Title 34, CFR,
Section 668.22(a)(2)(ii)(A)(2)); or (3) coursework equal to or greater than the coursework required for the
institution’s definition of a half-time student under 34 CFR 668.2(b) for the payment period (U.S. Department of
Education, 2022-2023 Federal Student Aid Handbook, Volume 5, Chapter 1).
An institution must disburse directly to a student any amount of a post-withdrawal disbursement of grant funds
that is not credited to the student's account. The institution must make the disbursement as soon as possible, but
no later than 45 days after the date of the institution's determination that the student withdrew. The institution
must offer to disburse directly to a student, or parent in the case of a parent PLUS loan, any amount of a post withdrawal disbursement of loan funds that is not credited to the student's account. The institution must make a
direct disbursement of any loan funds that make up the post-withdrawal disbursement only after obtaining the
student's, or parent's in the case of a parent PLUS loan, confirmation that the student or parent still wishes to
have the loan funds disbursed (Title 34, CFR, Section 668.22(a)(6)(ii)(B)).
For 58 (97 percent) of 60 students tested, Tarleton State University (University) incorrectly calculated the
amount of Title IV funds to be returned or returned the incorrect amount of funds. Specifically:
• For 56 students, the University did not exclude any break days from the Fall 2022 term as required, and it
incorrectly excluded 5 break days rather than 8 break days from the Spring 2023 term. Those errors occurred
because the University did not load the correct break days into its student information system when setting up
the payment period; therefore, this issue would have affected all students who withdrew from the Fall 2022
and Spring 2023 terms. Additionally:
o For 2 of those 56 students, the University did not identify that the students were eligible to receive
a post-withdrawal disbursement and therefore did not disburse those grant funds or offer to
disburse those loan funds to the students as required.
o For 4 of those 56 students, the University incorrectly determined the number of days in the
payment period or used an incorrect withdrawal date for students enrolled in modules. • For 2 students enrolled in the Summer 2023 term, the University did not follow the return of Title IV
requirements related to modular terms. For one student, the University incorrectly used the number of days in
the full payment period rather than only the days within the period that the student was scheduled to complete
prior to ceasing attendance. For the other student, the University failed to identify that the student successfully
completed coursework equal to or greater than the coursework required for a half-time student and therefore
should not have been considered withdrawn. The University asserted that this error occurred because staff
misinterpreted the half-time withdrawal exemption requirements.
As a result of the errors discussed above, the University returned a total of $1,992 associated with ALN 84.268,
Federal Direct Student Loans, award number P268K232320, and $374 associated with ALN 84.063, Federal Pell
Grant Program, award number P063P222320 less Title IV funds than required for the students tested in the
sample.
In addition, for 10 (17 percent) of 60 students tested who did not have a return of Title IV funds made, the
University did not perform a return calculation as required.
• For 6 students, the University did not exclude break days from its determination of whether the students
completed 60 percent or more of the payment period as required. As a result, the University incorrectly
determined that the students earned their aid and did not return a total of $7,679 associated with ALN 84.268,
Federal Direct Student Loans, award number P268K232320, and $1,053 associated with ALN 84.063,
Federal Pell Grant Program, award number P063P222320 as required.
• For 4 students, the University incorrectly used the number of days in the full payment period in its
determination of whether the students successfully completed 49 percent or more of the number of days in
the payment period. As a result, the University incorrectly determined that the students earned their aid and
did not return a total of $1,161 in questioned costs associated with ALN 84.268, Federal Direct Student
Loans, award number P268K232320 as required.
The errors discussed above occurred because the University did not configure its information system to
accurately calculate returns and because of manual errors that the University made in performing return
calculations. In addition, the University did not have an adequate monitoring process to identify those errors. Not
having a process that consistently calculates and returns the correct amount of Title IV funds increases the risk
that the University could return less Title IV funds than it is required to return.
Recommendations:
The University should:
• Strengthen its controls to ensure that it accurately calculates returns of Title IV funds when required, including
review of the variables it uses in those calculations.
• Accurately determine the number of days in the payment period and configure its student information system
to exclude any scheduled breaks, as required.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in return of Title IV calculations
and returns Title IV funds.
Views of Responsible Officials:
The University has carefully reviewed the findings outlined in the recent financial aid audit report, and we
acknowledge and agree with the identified areas for improvement. Your thorough examination has provided
valuable insights into our financial aid processes, and we appreciate the effort invested in ensuring transparency
and accountability. In response to the findings, we are committed to taking immediate and comprehensive corrective actions to
address the identified issues and enhance the overall effectiveness of our financial aid management. Our team is
already in the process of developing a detailed Corrective Action Plan that will outline the specific steps we will
take to rectify the noted deficiencies. We understand the importance of financial aid in supporting our students'
academic endeavors, and we are dedicated to ensuring that our processes align with the highest standards of
integrity and compliance.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 84.408 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A234136; Federal Work-Study Program, P033A224136; Federal Pell Grant Program, P063P225286; Federal Direct Student Loans, P268K235286; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T235286; and Postsecondary Education Scholarships For Veteran's Dependents (Iraq and Afghanistan Service Grant (IASG)), P408A225286 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: Unknown Repeat Finding: No Satisfactory Academic Progress: A student is eligible to receive Title IV, Higher Education Act of 1965 (HEA) program assistance if the student maintains satisfactory academic progress in his or her course of study according to the institution’s published standards of satisfactory academic progress (SAP) that satisfy the provisions of Title 34, Code of Federal Regulations (CFR), Section 668.34 (Title 34, CFR, Section 668.32(f)). An institution’s SAP policy must include a qualitative component that consists of grades or comparable factors that are measurable against a norm and a quantitative component that consists of the pace at which students must progress through their program to ensure that they will graduate within the maximum time frame required to complete their education (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 1, Chapter 1). For an undergraduate program measured in credit hours, a period that is no longer than 150-percent of the published length of the educational program, as measured in credit hours, should be used to determine the maximum time frame for the quantitative component of SAP (Title 34, CFR, Section 668.34(b)(1)). For 1 (2 percent) of 45 students tested, Texas A&M University (University) did not calculate SAP in accordance with its policy. Specifically, the University did not update the program hours for the Bachelor of Science in Nursing program in its student information system when it changed the program length from 123 hours to 120 hours during the 2017–2018 award year. Therefore, this issue would have affected all students enrolled in the program. As a result, the maximum time frame calculation incorrectly allowed students to exceed the maximum hours without failing SAP. Incorrectly calculating the maximum time frame increases the risk that students could receive financial assistance for which they are not eligible. Recommendation: The University should ensure that the maximum time frame is configured in its student information system with the accurate number of credit hours for each degree program. Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: 2020-113, 2017-119, 2016-109 General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). Texas Southern University (University) did not appropriately restrict user access to its student information system. Specifically, the University did not always ensure that (1) access to modify information and process transactions in the student information system and (2) administrative access at the network level was limited to only current employees and users who needed that access based on their job responsibilities. The University had a process to review user access to its systems; however, it did not always implement changes based on the results of that review. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made to those systems. Recommendation: The University should ensure that user access to its student information system and administrative access to its network is appropriately limited to employees based on current job responsibilities. Views of Responsible Officials: The Office of Technology acknowledges and agrees with the finding.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 93.925 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224145; Federal Work-Study Program, P033A224145; Federal Pell Grant Program, P063P222327; Federal Direct Student Loans, P268K232327; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232327; and Scholarships for Health Professions Students from Disadvantaged Backgrounds – Scholarships for Disadvantaged Students (SDS), 5 T08HP39322-03-00, 5 T08HP39282-03-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: 2020-113, 2017-119, 2016-109 Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). Texas Southern University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate); residency (in-state or out-of-state); living status (on_x0002_campus, off-campus, or with parent); and enrollment level (full-time, three-quarter-time, half-time, or less-than_x0002_half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 7 (11 percent) of 65 students tested, the University incorrectly calculated the COA. Specifically, the University assigned an incorrect amount for books and supplies for these students. Those errors occurred because the University decreased the default amount for the books and supplies budget component but did not update the algorithmic budget table in its student information system to reflect that change. As a result, the COA was overstated by $40 for each of those students. The errors discussed above did not result in overawards of financial assistance; therefore, there were no questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or underawarding financial assistance to students. Federal Pell Grant:
When awarding Federal Pell Grant assistance to students, institutions use the payment and disbursement
schedules provided each year by the U.S. Department of Education for determining award amounts (Title 34,
CFR, Section 690.62(a)). Those schedules provide the maximum annual amount a student would receive for a full
academic year for a given enrollment status, EFC, and COA. There are separate schedules for three-quarter time, half-time, and less-than-half-time students (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 3, Chapter 3; and Title 34, CFR, Section 690.63(b)).
For 2 (3 percent) of 65 students tested who received Federal Pell Grants, the University did not award the
correct amount of Federal Pell Grant assistance. Specifically, the University awarded those students less than
they were eligible to receive. The University did not identify additional credit hours from late registration in the
students’ Federal Pell Grant award determinations. As a result, the students were underawarded a total of $1,544
in Federal Pell Grant assistance.
Federal Direct Student Loans:
A borrower who has reached the aggregate borrowing limit for Direct Subsidized Loans and Direct Unsubsidized
Loans may not receive additional loans. Once the loans are repaid, in full or in part, the borrower may apply for
additional loans. The aggregate unpaid principal amount of all Direct Subsidized Loans made to a student may
not exceed $23,000 for any student who has not successfully completed a program of study at the undergraduate
level (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 5; and Title
34, CFR, Section 685.203(d)(1)).
The University did not always disburse Federal Direct Student Loans in accordance with applicable limits.
Specifically, the University exceeded the aggregate limit for Subsidized Direct Loans. Auditors determined that a
student had been awarded $500 in excess of the aggregate limit of $23,000. The University manually cleared a
hold to enforce the loan limit, without properly reviewing or adjusting the student’s loan. After auditors brought the
overaward issue to the University’s attention, it returned the loan funds; therefore, there were no questioned
costs. However, by not properly reviewing account holds, the University increases the risk of overawarding
financial assistance to students.
Satisfactory Academic Progress:
A student is eligible to receive Title IV, Higher Education Act of 1965 (HEA) program assistance if the student
maintains satisfactory academic progress in his or her course of study according to the institution’s published
standards of satisfactory academic progress (SAP) that satisfy the provisions of Title 34, CFR, Section 668.34
(Title 34, CFR, Section 668.32(f)). An institution’s SAP policy must include a qualitative component that consists
of grades or comparable factors that are measurable against a norm and a quantitative component that consists
of the pace at which students must progress through their program to ensure that they will graduate within the
maximum time frame required to complete their education.
For a graduate program, a period defined by the institution that is based on the length of the educational program
should be used to determine the maximum time frame for the quantitative component of SAP (U.S. Department of
Education, 2022-2023 Federal Student Aid Handbook, Volume 1, Chapter 1; and Title 34, CFR, Section
668.34(b)).
Additionally, an institution’s SAP policy should provide that, if at the time of evaluation, the student has not
achieved the required grade point average, is not successfully completing his or her program of study at the
required pace, or has not completed the program within the maximum time frame, the student is no longer eligible
for Title IV aid. The policy should provide specific procedures for disbursements to students on financial aid
warning or probation status and permit the student to appeal a determination; it should also provide specific
procedures for re-establishing eligibility to receive Title IV aid and the basis on which a student may file an appeal
(Title 34, CFR, Section 668.34(a)). For 1 (2 percent) of 65 students tested, the University did not calculate SAP in accordance with its policy.
The student re-enrolled in the Fall 2022 term after a gap in attendance, and the University did not perform a
manual SAP calculation, which would have shown that the student did not meet the minimum required pace as
defined in the University’s SAP policy. The student would have been required to submit an appeal, and have that
appeal approved, to receive financial assistance. The student was initially overawarded $6,184. Part of the funds
were returned as a result of a Return of Title IV Funds calculation after the student withdrew, and the remaining
funds were returned after auditors brought the issue to the University’s attention. Therefore, there were no
questioned costs.
Not calculating SAP compliance increases the risk that students could receive financial assistance for which they
are not eligible.
Institutional Student Information Records (ISIR):
The U.S. Department of Education automatically distributes (or “pushes”) to institutions certain ISIR transactions
processed by the Central Processing System (CPS); it then requires the institutions to take some sort of action.
An example of a pushed ISIR would be a student-corrected ISIR that causes a change to the EFC. Institutions are
required to review all pushed ISIRs and assess any potential effect on students’ eligibility for assistance
(Technical Reference for Electronic Date Exchange (EDE) 2022-2023).
The University did not have a process to address errors to ensure that all ISIR data was loaded accurately
and completely into its student information system. Specifically, the University did not reconcile records
received from CPS-pushed ISIRs to the University’s student information system records during the Fall 2022 term
and part of the Spring 2023 term. As a result, some eligible students did not receive their financial assistance until
making an inquiry of the University.
Recommendations:
The University should:
• Ensure that it accurately configures COA budget components within its student information system.
• Award students Federal Pell Grant assistance based on actual enrollment.
• Disburse Subsidized Direct Loans within the student’s applicable aggregate limit.
• Ensure that all students are evaluated for Satisfactory Academic Progress prior to disbursing financial
assistance.
• Properly reconcile all records received from CPS-pushed ISIRs.
Views of Responsible Officials:
Cost of Attendance (COA):
The Office of Student Financial Success agrees with the auditor’s findings indicating that 7 of 65 students tested
had an incorrect COA specifically related to the students’ books and supplies portion of the budget.
Views of Responsible Officials:
Federal Pell Grant:
The Office of Student Financial Success agrees with the findings that 2 of 65 students tested were not awarded
the correct amount of Federal Pell grant funds.
Views of Responsible Officials:
Federal Direct Student Loans:
The Office of Student Financial Success agrees with the finding that 1 student did not receive federal student
loans in accordance with applicable limits.
Views of Responsible Officials:
Satisfactory Academic Progress:
The Office of Student Financial Success agrees with the finding that 1 of 65 students did not receive an SAP
calculation in accordance with TSU policy.
Views of Responsible Officials:
Institutional Student Information Records (ISIR):
The Office of Student Financial Success agrees with the finding related to Institutional Student Information
Records.
Special Tests and Provisions – Disbursements To or On Behalf of Students Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224145; Federal Work-Study Program, P033A224145; Federal Pell Grant Program, P063P222327; Federal Direct Student Loans, P268K232327; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232327 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Award and Disbursement Notifications: Before an institution disburses Title IV, Higher Education Act of 1965 (HEA) program funds for any award year, the institution must notify a student of the amount of funds that the student or his or her parent can expect to receive under each Title IV, HEA program, and how and when those funds will be disbursed. If those funds include Direct Loan program funds, the notice must indicate which funds are from subsidized loans, which are from unsubsidized loans, and which are from PLUS loans (Title 34, Code of Federal Regulations (CFR), Section 668.165(a)(1)). If an institution credits a student’s ledger account with Federal Direct Student Loan (Direct Loan) funds or Teacher Education Assistance for College and Higher Education (TEACH) Grant funds, the institution must notify the student or parent of (1) the anticipated date and amount of the disbursement, (2) the student’s or parent’s right to cancel all or a portion of that loan or grant and have the loan or grant proceeds returned to the U.S. Department of Education, and (3) the procedures and time by which the student or parent must notify the institution that he or she wishes to cancel the loan or grant, or loan or grant disbursement (Title 34, CFR, Section 668.165(a)(2)). The institution must provide the notice in writing no earlier than 30 days before, and no later than 30 days after, crediting the student’s ledger account at the institution (Title 34, CFR, Section 668.165(a)(3)). For 61 (100 percent) of 61 disbursements tested, Texas Southern University (University) did not send an award or disbursement notification as required. The University asserted it did not send award notifications to students because it relied on the Common Origination and Disbursement (COD) Disclosure Statements sent by the Department of Education. However, the COD Disclosure Statements did not include all required elements of the award notification. In addition, the University did not consistently send disbursement notifications for the Fall 2022 term, and did not send any disbursement notifications for the Spring 2023 term. The issues with disbursement notifications were attributed to both manual error and disabling of the University’s automated processes. Further, the disbursement notifications that were sent for the Fall 2022 term did not include all required elements. Not receiving award and disbursement notifications impairs students’ and parents’ ability to budget for the cost of attending or exercise the option to cancel their loans or grants. Allowable Charges and Credit Balance Authorizations:
An institution may credit a student's ledger account with Title IV, HEA program funds to pay for allowable charges
associated with the current payment period. Allowable charges are: (1) the amount of tuition, fees, and
institutionally provided room and board assessed the student for the payment period or the prorated amount of
those charges if the institution debits the student's ledger account for more than the charges associated with the
payment period; and (2) the amount incurred by the student for the payment period for purchasing books,
supplies, and other educationally related goods and services provided by the institution for which the institution
obtains the student's or parent's authorization under Section 668.165(b) (Title 34, CFR, Section 668.164(c)(1)).
A Title IV, HEA credit balance occurs whenever the amount of Title IV, HEA program funds credited to a student's
ledger account for a payment period exceeds the amount assessed the student for allowable charges associated
with that payment period. A Title IV, HEA credit balance must be paid directly to the student or parent as soon as
possible, but no later than (1) fourteen days after the balance occurred if the credit balance occurred after the first
day of class within a payment period; or (2) fourteen days after the first day of class of a payment period if the
credit balance occurred on or before the first day of class within that payment period (Title 34, CFR, Section
668.164(h)).
If an institution obtains written authorization from a student or parent, as applicable, the institution may: (1) use
the student’s or parent’s Title IV, HEA program funds to pay for charges that are included in that authorization,
and (2) hold on behalf of the student or parent any Title IV, HEA program funds that would otherwise be paid
directly to the student or parent as a credit balance, unless the Secretary provides funds to the institution under
the reimbursement payment method or the heightened cash monitoring payment method (Title 34, CFR, Section
668.165(b)(1)).
An institution may not use Title IV funds to pay finance charges or fees that are incurred because a student uses
a financing method provided by the school to pay for educational expenses over time. Because students or
families choose to incur these additional expenses rather than paying the balance due at registration, the
additional charges are not considered educational expenses, and may not be included in a student’s cost of
attendance. (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 2).
For 8 (13 percent) of 61 students tested, the University used Title IV funds to pay unallowable charges.
Specifically, the University credited the students’ ledger accounts during the payment period for installment
handling charges and late installment charges. Although the University obtained authorization from the students
to apply Title IV funds to charges other than tuition, fees, or institutionally provided room and board, that
authorization did not extend to those unallowable charges.
For 6 (11 percent) of 57 students tested, the University did not return credit balances to students or
parents within 14 days of the disbursement date or first day of class. Specifically, the University returned
credit balances to those students between 21 and 78 days. The University asserted those errors were caused by
changes to the term allocations, and inadequate tracking of credit balances and associated refunds.
Not receiving all Title IV funds a student is entitled to, or not receiving those funds in a timely manner, impairs
students’ and parents’ ability to budget for the cost of attending.
Recommendations:
The University should strengthen its controls to ensure that:
• It identifies all students that require an award or disbursement notification, and sends those notifications to the
students.
• Award and disbursement notifications include all required elements.
• It does not credit student ledger accounts for unallowable charges.
• Credit balances caused by the awarding of Title IV funds are returned to students in a timely manner.
Views of Responsible Officials:
Award and Disbursement Notifications:
The Office of Student Financial Success agrees with the finding related to award and disbursement notifications.
Views of Responsible Officials:
Allowable Charges and Credit Balance Authorizations:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224145; Federal Pell Grant Program, P063P222327; Federal Direct Student Loans, P268K232327; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232327 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs, and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). For 8 (13 percent) of 61 students tested, Texas Southern University (University) incorrectly calculated the amount of Title IV funds to be returned for unofficially withdrawn students. Specifically, those 8 students were enrolled in the Fall 2022 term, and the University did not use the last date of attendance identified in the University’s automated report process. For return of Title IV funds, the University uses an automated report process to identify students who have unofficially withdrawn from a term; however, that process was inconsistently followed or not completed in determining the students’ withdrawal dates. The incorrect withdrawal dates used by the University were prior to the students’ actual withdrawal dates, which resulted in the University returning more Title IV funds than required for those students; therefore, there were no questioned costs. Those errors occurred because the University did not have an adequate process to determine the withdrawal dates of students who unofficially withdrew from the University. Timeliness of Returns:
For an institution that is not required to take attendance, the institution must determine the withdrawal date for a
student who withdraws without providing notification to the institution no later than 30 days after the earliest end
date of (1) the payment period or period of enrollment, (2) the academic year in which the student withdrew, or (3)
the educational program from which the student withdrew (Title 34, CFR, Section 668.22(j)(2)).
An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later
than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section
668.22(j)).
For 35 (57 percent) of 61 students tested who withdrew and required a return of Title IV funds, the
University did not return the funds within the required time frame. Specifically:
• For 23 students who unofficially withdrew in the Fall 2022 term, the University did not determine the
withdrawal date within the required 30-day time frame, nor did it return the Title IV funds within the required
45-day time frame. The University determined the withdrawal date and returned the Title IV funds at the end
of the Spring 2023 term.
• For 9 students who unofficially withdrew in the Spring 2023 term, the University did not determine the
students’ withdrawal date within the required 30-day time frame. The University determined the withdrawal
date for those students between 31 and 52 days after the end of the period of enrollment.
• For 3 students who withdrew in the Fall 2022 term, the University determined the withdrawal dates and
performed the return calculations; however, it did not return the Title IV funds within the required 45-day time
frame. The University asserted that for two students, this was due to an oversight in processing the return of
those funds. The University returned the funds for those two students 71 and 115 days after it determined that
the students withdrew. For the third student, the University completed a return calculation but did not return
the funds as required. After auditors brought this error to the University’s attention, the University returned the
funds to the U.S. Department of Education; therefore, there were no questioned costs.
Those errors occurred because the University did not have an effective monitoring process to identify those errors
and because of manual errors the University made in performing the return calculations. Not making returns
within the required time frame reduces the funds available to the U.S. Department of Education for its program
management.
Recommendations:
The University should:
• Strengthen its process to ensure that it accurately determines the withdrawal date for students who
unofficially withdraw from the University in a timely manner.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in return of Title IV calculations
and returns Title IV funds in a timely manner.
Views of Responsible Officials:
Return of Title IV Calculations:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Views of Responsible Officials:
Timeliness of Returns:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Gramm-Leach-Bliley Act - Student Information Security Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Gramm-Leach-Bliley Act: Institutions must protect sensitive data, including information obtained in support of the administration of federal student financial assistance programs, as required by the Gramm-Leach-Bliley Act (GLBA) (Public Law 106-102). Under their Program Participation Agreement (PPA) and the GLBA, postsecondary educational institutions must protect student financial aid information, with particular attention to information provided by the Department of Education or otherwise obtained in support of the administration of the Title IV Federal student financial aid programs (Dear Colleague Letter, July 1, 2016 (GEN-16-12)). Institutions are required to develop, implement, and maintain an information security program that includes the minimum elements in Title 16, Code of Federal Regulations (CFR), Section 314.4. In addition, the institution must designate a qualified individual responsible for overseeing, implementing, and enforcing the institution’s information security program (Title 16, CFR, Section 314.4(a)). Texas Southern University (University) did not implement an information security program as required by the GLBA. The University did not have a written information security program (and therefore did not address any of the minimum elements), and it did not designate a Qualified Individual responsible for implementing and monitoring its information security program. The University asserted that this was due to significant staffing issues in its Information Technology Department. Not implementing the required safeguards in an information security program and designating a Qualified Individual to implement and enforce those safeguards increases the University’s risk of data breach or loss. Recommendations: The University should: • Develop and implement an information security program that contains all elements required by the GLBA and the Code of Federal Regulations. • Designate a Qualified Individual responsible to implement and monitor its information security program. Views of Responsible Officials: Gramm-Leach-Bliley Act: The University acknowledges and agrees with the findings.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; 84.408; and 93.925 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224122; Federal Work-Study Program, P033A224122; Federal Pell Grant Program, P063P220387; Federal Direct Student Loans, P268K230387; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T230387; Postsecondary Education Scholarships For Veteran's Dependents (Iraq and Afghanistan Service Grant (IASG)), P408A220387; and Scholarships for Health Professions Students from Disadvantaged Backgrounds - Scholarships for Disadvantaged Students (SDS), 5 T08HP39298-03-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, CFR, Sections 668.2, 673.5, and 685.301). Texas State University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate); residency (in-state or out-of-state); housing status (on_x0002_campus, off-campus, or living with parent); and enrollment status (full-time, three-quarter-time, half-time, or less_x0002_than-half-time). Budgeting rules within the University’s student financial assistance system are established to assign various budget components based on the factors noted above. For 1 (2 percent) of 44 students tested, the University incorrectly calculated the COA. Specifically, the University assigned a less-than-half-time COA when the student was enrolled full-time. As a result, the student’s COA was understated by $9,545. After auditors brought the issue to the University’s attention, it identified a total of 84 total students who were affected, including 56 students who received Title IV financial assistance. Those errors occurred because the University did not recalculate the COA for students in the Pathway program after enrollment was finalized for the Spring 2023 term. The errors discussed above did not result in overawards of financial assistance; therefore, there were no
questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or
underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets for the
Pathway program in accordance with its process.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). Texas Tech University (University) did not appropriately restrict user access to its student information system. Specifically, the University did not always limit access to the student information system to only users who needed that access based on their job responsibilities. While the University had a process in place to review user access, that process was not adequately designed to ensure that the University granted the appropriate level of access to all users based on the users’ job duties. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. Recommendation: The University should ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. Views of Responsible Officials: Texas Tech University acknowledges and agrees with the findings. Texas Tech University has worked to develop and implement corrective action to further improve processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; 84.379; and 84.408 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224151; Federal Pell Grant Program, P063P222328; Federal Direct Student Loans, P268K232328; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232328; and Postsecondary Education Scholarships For Veteran's Dependents (Iraq and Afghanistan Service Grant (IASG)), P408A222328 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: Unknown Repeat Finding: No When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV
grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title
IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the
payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their
Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period
or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by
subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was
disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student
withdrew (Title 34, CFR, Section 668.22(e)).
For distance education, documenting that a student has logged into an online class is not sufficient to
demonstrate academic attendance by the student. An institution must demonstrate that a student participated in
class or was otherwise engaged in an academically related activity. Only active participation by a student in an
instructional activity related to the student’s course of study that meets the definition of “academic engagement” in
Title 34, CFR, Section 600.2 and takes place during a payment period or period of enrollment qualifies as
attendance in an academically related activity (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 5, Chapter 2).
For 1 (5 percent) of 20 students tested, Texas Tech University (University) did not have evidence of
academic engagement in the distance education course from which the student’s withdrawal date was
determined. The University asserted that when an instructor submits a failing grade for a student, the instructor is
required to provide the date of last academic activity. That date is recorded in the University’s student information
system and used by the University to determine the unofficial withdrawal date for Return of Title IV purposes.
However, the University did not have a process in place to require instructors to provide or maintain evidence of
academic engagement in distance education courses. As a result, the University could not demonstrate that the
student participated or otherwise engaged in an academically related activity in that course to support the last
date of attendance used by the University for Return of Title IV purposes.
Having a process that does not consistently calculate and return the correct amount of Title IV funds increases
the risk that the University could return less Title IV funds than it is required to return.
Recommendations:
The University should:
• Ensure that evidence of academic engagement is consistently documented for students in distance education
courses.
• Strengthen its controls to ensure that it accurately calculates returns of Title IV funds when required, including
review of the variables it uses in those calculations.
Views of Responsible Officials:
Texas Tech University acknowledges and agrees with the findings. Texas Tech University has worked to develop
and implement corrective action to further improve processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: 2020-142 General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). The University of Texas at Arlington (University) did not appropriately restrict user access to its student information system. Specifically, a user was granted administrative access in the student information system, which included the ability to modify information and process transactions, such as authorizing and disbursing aid. The University did not remove the administrative access after the user’s specific job responsibilities no longer required that level of access. The University had a process to periodically review user access; however, that review was not sufficient to identify the inappropriate access. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. Recommendation: The University should ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. Views of Responsible Officials: To the point that The University of Texas at Arlington (University) did not appropriately restrict user access to its student information system. OIT and Financial Aid acknowledge that a user was given elevated access that was not removed when the assigned maintenance task was completed.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224172; Federal Pell Grant Program, P063P222335; and Federal Direct Student Loans, P268K232335 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational
expenses; it is computed by the federal central processor and included on the student’s Institutional Student
Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds
the student’s need. Therefore, awards must be coordinated among the various programs and with other federal
and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need
(U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34,
Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301).
The University of Texas at Arlington (University) uses algorithmic budgeting to build COA budgets for each term
based on a student’s classification (undergraduate or graduate), dependency (dependent or independent),
residency (in-state or out-of-state), living status (on-campus, off-campus, or with parents), and enrollment level
(full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student
information system are established to assign various budget components based on the factors noted above.
For 3 (5 percent) of 63 students tested, the University incorrectly calculated the COA. Specifically:
• For two students, the University understated the COA by assigning a books component that did not reflect the
students’ actual enrollment status. Those errors occurred because the University budgeted the students’
books at half-time enrollment instead of full-time enrollment. The University attributed the cause to human
error associated with a manual budget rebuild in the student information system. As a result, the COA was
understated by $200 for each of those students.
• For one student, the University assigned an incorrect budget for the cost of tuition and fees component during
the Summer 2022 term. The University attributed the cause to human error. As a result, the COA was
understated by $198.
The errors discussed above did not result in overawards of financial assistance; therefore, there were no
questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or
underawarding financial assistance to students.
Federal Pell Grant:
A student is eligible to receive a Federal Pell Grant for the period of time required to complete his or her first
undergraduate baccalaureate course of study (Title 34, CFR, Section 690.6(a)).
When awarding Federal Pell Grant assistance to students, institutions use the payment and disbursement
schedules provided each year by the U.S. Department of Education for determining award amounts (Title 34,
CFR, Section 690.62(a)).
Based on a review of the full population of student financial assistance recipients, the University awarded
a total of $1,593 in Federal Pell Grant assistance to 2 post-baccalaureate students who were not eligible
for that assistance. The University asserted queries designed to identify these issues were not run timely due to
staffing issues within the Financial Aid department. After auditors brought those errors to the University’s
attention, the University returned the funds to the U.S. Department of Education; therefore, there were no
questioned costs.
For 1 (2 percent) of 63 students tested, the University did not award Federal Pell Grant assistance to an
eligible student. Specifically, the student was eligible to receive $1,790 in Federal Pell Grant assistance, but did
not receive an award from the University. The University asserted that the error occurred because the student
made a late registration change and was missed on the University’s add report. As a result, the student was
underawarded Federal Pell Grant assistance; therefore, there were no questioned costs. Federal Direct Student Loans:
Direct Subsidized and Unsubsidized Loans have annual and aggregate limits that are the same for all students at
a given grade level and dependency status. In general, a loan may not be more than the amount the borrower
requests, the borrower’s unmet financial need, the borrower’s COA, or the borrower’s maximum borrowing limit.
(U.S. Department of Education 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 5).
For 1 (2 percent) of 63 students tested, the University did not disburse Direct Loans in accordance with
applicable limits. Specifically, the University disbursed a Subsidized Direct Loan in excess of the student’s
aggregate Subsidized Direct Loan and Total Direct Loan limits. After auditors brought the overaward issue to the
University’s attention, it returned the loan funds; therefore, there were no questioned costs. The University
asserted that error occurred because the University did not receive an updated history file in a timely manner due
to issues with the National Student Loan Data System (NSLDS).
Federal Supplemental Educational Opportunity Grants (FSEOG):
The FSEOG program provides grants to eligible undergraduate students. Institutions are required to award
FSEOG first to Federal Pell Grant recipients who have the lowest EFC. If an institution has FSEOG funds
remaining after giving FSEOG awards to all Federal Pell Grant recipients, it can then award the remaining
FSEOG funds to eligible students with the lowest EFCs who did not receive Federal Pell Grants (Title 34, CFR,
Section 676.10).
Based on a review of the full population of student financial assistance recipients, the University awarded
a total of $750 in FSEOG assistance to a student who was working towards a second bachelor’s degree
and thus was not eligible for that assistance. The student was awarded FSEOG in the Spring 2023 term after
earning a first bachelor’s degree in the Fall 2022 term. The University asserted this was a manual error caused by
a counselor canceling the student’s Federal Pell Grant, but failing to cancel the student’s FSEOG award. After
auditors brought the issue to the University’s attention, it removed the grant funds from the student’s account;
therefore, there were no questioned costs.
Recommendations:
The University should:
• Strengthen its controls to ensure that it correctly calculates students’ COA budgets in accordance with its
process.
• Award Federal Pell Grant assistance only to eligible students.
• Ensure that students are awarded Federal Pell Grants for which they are eligible.
• Disburse Subsidized Direct Loans within the student’s applicable aggregate limit.
• Award FSEOG assistance only to eligible students.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). The University of Texas at Austin (University) did not appropriately restrict user access to its student information system. Specifically, an employee retained the ability to modify student financial aid awards after transitioning from the Office of Student Financial Aid to another department within the University. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. In addition, the University did not have sufficient controls over its change management process for information systems. Specifically, one of the University’s departments did not enable the control designed to prevent developers from migrating their own code changes into production. Not having sufficient segregation of duties controls over the change management process increases the risk of unauthorized programming changes being made to critical information systems that the University uses to administer student financial assistance. Recommendations: The University should: • Ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. • Strengthen its controls over its change management process to ensure adequate segregation of duties. Views of Responsible Officials:
The University acknowledges and agrees with the finding. In this case, the employee transitioned from the Office
of Scholarships and Financial Aid (OSFA) to the Student Financial Aid implementation project. It was intended for
this employee to retain his prior access for a time so he could help provide backstop support while his duties were
transitioned to other employees within OSFA. This access should have been removed once his duties were
successfully transitioned.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. However, technical limitations in the current financial
aid management system require that a particular mainframe programming library be exempted from the change
control mechanisms that are used in all other libraries that can update student financial aid information.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224173; Federal Pell Grant Program, P063P222336; and Federal Direct Student Loans, P268K232336 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs, and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). For 1 (2 percent) of 60 students tested, the University of Texas at Austin (University) incorrectly calculated the amount of Title IV funds to be returned. Specifically, the University initially determined that the student officially withdrew on March 10, 2023, and the University incorrectly determined that the student completed more than 60 percent of the term. The University subsequently incorrectly determined that the student unofficially withdrew on February 10, 2023, and processed a return of Title IV funds in the amount of $18,742. After auditors brought the error to the University’s attention, it re-performed the return calculation using the correct date of withdrawal and reinstated the appropriate amount of funds to the student. Not having a process that consistently calculates and returns the correct amount of Title IV funds increases the risk that the University could return less Title IV funds than it is required to return. Coronavirus Aid, Relief, and Economic Security (CARES) Act:
Section 3508 of the CARES Act directs the Secretary to waive the statutory requirement for institutions to return
Title IV funds (R2T4) as the result of student withdrawals related to a qualifying emergency. For any student who
begins attendance in a payment period or period of enrollment that includes March 13, 2020, or begins between
March 13 and the later of December 31 or the last date that the national emergency is in effect, and subsequently
withdraws from the period as a result of COVID-19-related circumstances, an institution is not required to return
Title IV funds. The CARES Act requires an institution to report to the Department information specific to each
student for whom it was not required to return Title IV funds under the waiver exception. An institution must
determine the total amount of grant and loan assistance that otherwise would have been returned, identified in
Step 5 of the R2T4 calculation, had the calculation been performed. Therefore, it will continue to be necessary for
institutions to perform an R2T4 calculation for each student covered by the CARES Act R2T4 waiver (Electronic
Announcement titled UPDATED Guidance for interruptions of study related to Coronavirus (COVID-19), June 16,
2020).
For 1 (50 percent) of 2 students tested who were eligible for relief under the CARES Act, the University
incorrectly processed a return of Title IV funds. The University determined that the student was eligible to
receive an R2T4 waiver under Section 3508 of the CARES Act. However, the University subsequently processed
a return of Title IV funds for the student. The University asserted that error occurred because the student was
listed on a census report showing students who did not enroll in sufficient hours to receive aid, and the student’s
Title IV funds were incorrectly returned because the student’s CARES Act R2T4 waiver was overlooked. After
auditors brought the error to the University’s attention, it reinstated the student's aid and reported to the U.S.
Department of Education that the student qualified for relief under the CARES Act waiver exemption and reported
the amount of relief given. Not accurately identifying students who qualify for a waiver could result in those
students not receiving aid to which they are entitled.
Timeliness of Returns:
An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later
than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section
668.22(j)).
For 1 (2 percent) of 58 students tested who withdrew and required a return of Title IV funds, the University
did not return the funds within the required time frame. The University performed the return calculation and
executed a transaction to return the funds within its student information system; however, the University did not
return the Title IV funds to the U.S. Department of Education within the required 45-day time frame due to an error
in processing the return of those funds. After auditors selected the student for testing, the University returned Title
IV funds as required; therefore, there were no questioned costs. Not returning funds within the required time
frame reduces the information available to the U.S. Department of Education for its program management.
The University had a process to review its calculations for returns of Title IV funds; however, it did not have
adequate controls to ensure that it identified the errors discussed above.
Recommendations:
The University should strengthen its controls to ensure that it:
• Accurately calculates returns of Title IV funds when required, including review of the variables it uses in those
calculations.
• Performs return of Title IV calculations and returns funds within the required time frame.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. For 1 (2 percent) of 58 students tested who withdrew
and required a return of Title IV funds, the University did not return the funds within the required time frame. For 1
(2 percent) of 60 students tested, the University incorrectly calculated the amount of Title IV funds to be returned.
For 1 (50 percent) of 2 students tested eligible for relief under the CARES Act, the University incorrectly
processed a return of Title IV funds. Through analysis of the exceptions identified in the audit, the University will
work to develop and implement corrective action to improve the processes further.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224174; Federal Work-Study Program, P033A224174; Federal Pell Grant Program, P063P223234; Federal Direct Student Loans, P268K233234; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233234 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, CFR, Sections 668.2, 673.5, and 685.301). The University of Texas at Dallas (University) established different COA budgets for each term based on a student’s tuition rate (guaranteed or variable); classification (undergraduate or graduate); residency (in-state and out-of-state); living status (on-campus, off-campus, or at home); and enrollment level (full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting formulas within the University’s student information system are used to assign various budget components based on the factors noted above. The University did not always accurately configure COA budget components in its student information system. Specifically, the University incorrectly set the Summer transportation budget for a certain group of students—undergraduate students with a guaranteed tuition rate who were in-state residents living at home and enrolled half-time—to $640 instead of $928. After auditors brought the issue to the University’s attention, it identified 299 students who were affected. As a result, the COA for those students was understated by a total of $86,112 for the Summer 2023 term. The errors discussed above did not result in overawards of financial assistance; therefore, there were no questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or underawarding financial assistance to students. Recommendation:
The University should ensure that it accurately configures COA budget components within its student information
system.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
While reviewing the population for submission to the auditors, the University determined that the above error had
occurred. Since the timing was still within the summer semester, we corrected the COA component error and
provided institutional grant funding for those students who had increased need due to the update in their summer
transportation budget. There were only 2 students who needed to have their loans repackaged to avoid under
awarding federal aid, which was done.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224169; Federal Pell Grant Program, P063P223294; Federal Direct Student Loans, P268K233294; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233294 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $64,905 Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). The total number of calendar days in a payment period or period of enrollment includes all days within the payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)). The University of Texas at San Antonio (University) made errors in Title IV return calculations for 14 (56 percent) of 25 students tested. Those errors occurred because the University did not exclude break days from its calculations of returns of Title IV funds for the Spring 2023 term as required; therefore, that issue would have affected all students who withdrew from the Spring 2023 term and had a return calculation performed. Although the amount of unearned Title IV assistance calculated for those students was incorrect, there were no questioned costs because the University returned more funds than required. In addition, for 3 (12 percent) of 25 students tested who did not have a return of Title IV funds made, the
University did not perform a return calculation as required. Those errors occurred because the University
incorrectly used 7 break days instead of 8 break days when determining whether students who withdrew from the
Spring 2023 term had completed 60 percent or more of the term. As a result, the University did not perform return
calculations and return funds as required for students who withdrew between March 26 and March 28, 2023,
which resulted in total questioned costs of $50,146 associated with ALN 84.268, Federal Direct Student Loans,
award number P268K233294, and $14,759 associated with ALN 84.063, Federal Pell Grant Program, award
number P063P223294.
The University did not have an adequate monitoring process to identify those errors. Not having a process that
consistently calculates and returns the correct amount of Title IV funds increases the risk that the University could
return less Title IV funds than it is required to return.
Recommendations:
The University should:
• Accurately determine the number of days in the payment period and exclude any scheduled breaks as
required.
• Strengthen its controls to ensure that it detects and corrects errors in return of Title IV calculations and returns
Title IV funds.
Views of Responsible Officials:
The University acknowledges and agrees with the finding that were the result of staff turnover. Through analysis
of the exceptions identified in the audit, the University has worked to develop and implement corrective action.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). The University of Texas Permian Basin (University) did not appropriately restrict user access to its student information system. Specifically, the University did not always limit access to the student information system to only users who needed that access based on their job responsibilities. The University had a process to periodically review user access; however, that review was not sufficient to identify the inappropriate access. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. Recommendation: The University should ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. Views of Responsible Officials: The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the audit, the University has worked to implement further access limitations and enhanced its periodic review of access.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224178; Federal Work-Study Program, P033A224178; Federal Pell Grant Program, P063P223265; Federal Direct Student Loans, P268K233265; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233265 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). The University of Texas Permian Basin (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate), program (in-person or online), residency (in_x0002_state or out-of-state), living status (on-campus, off-campus, or at home with parents), and enrollment level (full_x0002_time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 60 (98 percent) of 61 students tested, the University incorrectly calculated the COA. For some of the students discussed below, there were multiple errors in the COA calculation. Specifically: • For 38 students, the University assigned an incorrect amount for the fees, loan fees, and/or transportation budget components. Those errors occurred because the amounts were incorrectly loaded into the budget tables in the University’s student information system. The University asserted that it discovered these issues in April 2023, and attempted to manually update individual student accounts that were affected. As a result, the COA for those students was overstated, and three students were overawarded a total of $2,871. After auditors brought the overawards to the University’s attention, it returned funds to the U.S. Department of Education; therefore, there were no questioned costs. • For 15 students, the University assigned an in-person budget instead of an online advanced budget. Those
errors occurred because the University failed to consistently communicate which programs were offered
online to the financial aid office, which would have helped ensure that the student information system was
updated appropriately. As a result, the COA for those students was overstated, and one of those students
was overawarded a Subsidized Direct Loan in the amount of $919. After auditors brought the overaward to
the University’s attention, it returned funds to the U.S. Department of Education; therefore, there were no
questioned costs.
• For 12 students, the University incorrectly assigned an additional room and board fee. As a result, the COA
was overstated by $50 per term for each of those students; however, the University did not overaward
financial assistance to those students.
• For eight students, the University did not adjust the students’ COA to reflect the students’ actual enrollment.
The University did not have a process to freeze student enrollment levels in order to recalculate COA after
census. As a result, the COA for those students was overstated; however, the University did not overaward
financial assistance to those students.
The University did not have adequate controls in place to review budgets used in the calculation of COA and
accurately assign those budgets to students. Incorrectly calculating COA increases the risk of overawarding or
underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets in
accordance with its process and does not overaward financial assistance to students.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University has worked to implement additional controls as it relates to calculation of the Cost of
Attendance.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224178; Federal Pell Grant Program, P063P223265; Federal Direct Student Loans, P268K233265; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233265 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs, and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). The total number of calendar days in a payment period or period of enrollment includes all days within the
payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks
of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the
number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)).
For a program offered in modules, a student is not considered to have withdrawn if the student successfully
completes either (1) a module that includes 49 percent or more of the number of days in the payment period,
excluding scheduled breaks of five or more consecutive days and all days between modules; or (2) a combination
of modules that together contain 49 percent or more of the number of days in the payment period, excluding
scheduled breaks of five or more consecutive days and all days between modules (Title 34, CFR, Section
668.22(a)(2)(ii)(A)(2)).
For 3 (6 percent) of 48 students tested who did not have a return of Title IV funds made, the University of
Texas Permian Basin (University) did not perform a return calculation as required. Specifically:
• For two students who were enrolled in module courses, the University did not perform a return calculation
because it incorrectly determined that the students completed 49 percent or more of the number of days in
the payment period. The University asserted that staff misinterpreted the 49 percent withdrawal exemption
requirements.
• For one student, the University did not perform a return calculation and return funds as required due to staff
oversight.
After auditors brought those errors to the University’s attention, the University performed the return calculations
and returned the funds to the U.S. Department of Education; therefore, there were no questioned costs.
In addition, the University made errors in Title IV return calculations for 11 (48 percent) of 23 students
tested. Specifically, the University did not exclude any break days from the students’ return calculations as
required. Those errors occurred because the University did not load the break days into its student information
system when setting up the payment periods for the standard Fall 2022 and Spring 2023 terms; therefore, this
issue would have affected all students who withdrew from those terms. As a result, the University returned a total
of $284 less than it should have for 2 of those 11 students. After auditors brought the issue to the University’s
attention, the University returned those funds to the U.S. Department of Education; therefore, there were no
questioned costs.
• For 3 of those 11 students, the University also incorrectly adjusted the students’ Direct Loans disbursements
prior to performing the return calculation. As a result of those errors, the University returned more funds than
required; therefore, there were no questioned costs.
The University did not have an adequate monitoring process to identify the errors discussed above. Not having a
process that consistently calculates and returns the correct amount of Title IV funds increases the risk that the
University could return less Title IV funds than it is required to return.
Timeliness of Returns:
An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later
than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section
668.22(j)).
For 3 (13 percent) of 23 students tested who withdrew and required a return of Title IV funds, the
University did not return the funds within the required time frame. The University returned the Title IV funds
to the U.S. Department of Education 46 and 203 days after the University determined that the students withdrew.
The University did not have adequate controls in place to ensure that Title IV funds were returned within the
required 45-day time frame. Not making returns within required time frames reduces the funds available to the U.S. Department of Education
for its program management.
Recommendations:
The University should:
• Configure its student information system to exclude any scheduled breaks as required.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in return of Title IV calculations
and returns Title IV funds in a timely manner.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University has worked to ensure procedures and interpretation of the regulations for the Return to Title
IV have been updated to result in correct and timely return of Title IV funds.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; and 84.063 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224166; and Federal Pell Grant Program, P063P222333 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Federal Supplemental Educational Opportunity Grants (FSEOG): The FSEOG program provides grants to eligible undergraduate students. Institutions are required to award FSEOG first to Federal Pell Grant recipients who have the lowest expected family contribution (EFC). If an institution has FSEOG funds remaining after giving FSEOG awards to all Federal Pell Grant recipients, it can then award the remaining FSEOG funds to eligible students with the lowest EFCs who did not receive Federal Pell Grants (Title 34, Code of Federal Regulations (CFR), Section 676.10). If the total amount of calculated Title IV grant or loan assistance, or both, that a student earned is greater than the total amount of Title IV grant or loan assistance, or both, that was disbursed to the student, as of the date that the institution determines that the student has withdrawn, the difference between those amounts must be treated as a post-withdrawal disbursement in accordance with Title 34, CFR, Section 668.22(a)(6) and Section 668.164(i) (Title 34, CFR, Section 668.22(a)(5)). The institution must disburse directly to a student any amount of a post-withdrawal disbursement of grant funds that is not credited to the student’s account. The institution must make the disbursement as soon as possible, but no later than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(a)(6)(ii)(B)(1)). Based on a review of the full population of student financial assistance recipients, the University of Houston (University) awarded a total of $6,500 in FSEOG assistance to 5 students who did not also receive a Federal Pell Grant. Specifically: • For three students, the University did not award Federal Pell Grants to those students because the students reported on their Free Application for Federal Student Aid (FAFSA) that they had earned a bachelor’s degree or were working on a degree beyond a bachelor's degree. After auditors brought these errors to the University’s attention, the University canceled the FSEOG awards to those students; therefore there were no questioned costs. • For one student, the University did not award a Federal Pell Grant to the student for the term in which the student received FSEOG funds. Due to a manual error, the University applied the student’s Federal Pell Grant to the wrong term. After auditors brought the error to the University’s attention, the University corrected the Federal Pell Grant award to the correct term; therefore there were no questioned costs. • For one student, the University did not award a Federal Pell Grant to the student due to a hold that was
placed on the student’s account for an incomplete task. After auditors brought the error to the University’s
attention, the University reviewed the student’s account and determined the hold should be removed. The
University processed a post-withdrawal disbursement of Federal Pell Grant funds 324 days after the date of
the University’s determination that the student withdrew. There were no questioned costs as a result of this
error.
Although the University had monitoring controls in place to ensure accurate awarding of federal funds, it did not
have an adequate process to identify the errors discussed above.
Recommendations:
The University should:
• Award FSEOG funds only to eligible students.
• Complete post-withdrawal disbursements within a timely manner.
Views of Responsible Officials:
The University acknowledges and agrees with the findings. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224166; Federal Pell Grant Program, P063P222333; Federal Direct Student Loans, P268K232333; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232333 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). The institution must return the lesser of the total amount of unearned Title IV assistance calculated above or an amount equal to the total institutional charges incurred by the student for the payment period or period of enrollment multiplied by the percentage of Title IV grant or loan assistance not earned by the student. For purposes of this calculation, “institutional charges” are tuition, fees, room and board (if the student contracts with the institution for the room and board), and other educationally related expenses assessed by the institution (Title 34, CFR, Section 668.22(g)). The institutional charges used in the calculation are usually the charges that were initially assessed to the student for the entire payment period or period of enrollment, as applicable. Initial charges may be adjusted only by those changes the institution made prior to the student’s withdrawal, such as a change in enrollment status unrelated to the withdrawal (U.S. Department of Education, 2022- 2023 Federal Student Aid Handbook, Volume 5, Chapter 1, Section: Institutional Charges). The University of Houston (University) made errors in Title IV return calculations for 18 (30 percent) of 60
students tested. Specifically:
• For 15 students, the University made errors in determining the amount of institutional charges to be used in
the return calculation by including unallowable charges in its calculation for those students.
• For two students, the University returned the incorrect amount of Title IV funds due to manual entry errors.
For one of those students, the University also incorrectly included unallowable charges in the student’s return
calculation as discussed above.
• For one student, the University incorrectly canceled the student’s Federal Pell Grant award before its
calculation. The University asserted that was due to a processing error in its student information system.
There were no questioned costs as a result of those errors because for each student the University returned more
than the required amount or the error did not affect the amount of Title IV grant or loan assistance to be returned.
Distance Education:
For distance education, documenting that a student has logged into an online class is not sufficient to
demonstrate academic attendance by the student. An institution must demonstrate that a student participated in
class or was otherwise engaged in an academically related activity. Only active participation by a student in an
instructional activity related to the student’s course of study that meets the definition of “academic engagement” in
Title 34, CFR, Section 600.2 and takes place during a payment period or period of enrollment qualifies as
attendance in an academically related activity (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 5, Chapter 2).
For 1 (7 percent) of 14 students tested, the University did not have evidence of academic engagement in
the distance education course from which the student’s withdrawal date was determined. The University
relies on the last dates of academic activity provided by instructors to determine the withdrawal date for return of
Title IV purposes for students who unofficially withdraw. However, the University did not have an adequate review
process in place to ensure that it maintained documentation supporting attendance in distance education courses.
As a result, the University could not demonstrate that the student participated or otherwise engaged in an
academically related activity in that course to support the last date of attendance used by the University for return
of Title IV purposes.
The University did not have an adequate monitoring process to identify the errors discussed above. Not having a
process that consistently calculates and returns the correct amount of Title IV funds increases the risk that the
University could return the incorrect amount of Title IV funds.
Recommendations:
The University should:
• Calculate institutional charges in accordance with U.S. Department of Education requirements.
• Ensure that evidence of academic engagement is consistently documented for students in distance education
courses.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in its calculation of Title IV
funds to return. Views of Responsible Officials:
The University acknowledges and agrees with the findings. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions - Gramm-Leach-Bliley Act - Student Information Security Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Gramm-Leach-Bliley Act: Institutions must protect sensitive data, including information obtained in support of the administration of federal student financial assistance programs, as required by the Gramm-Leach-Bliley Act (GLBA) (Public Law 106-102). Under their Program Participation Agreement (PPA) and the GLBA, postsecondary educational institutions must protect student financial aid information, with particular attention to information provided by the Department of Education or otherwise obtained in support of the administration of the Title IV Federal student financial aid programs (Dear Colleague Letter, July 1, 2016 (GEN-16-12)). Institutions are required to develop, implement, and maintain an information security program that includes the minimum elements in Title 16, Code of Federal Regulations (CFR), Section 314.4. Those minimum requirements include conducting a periodic inventory of data, noting where it is collected, stored, or transmitted (Title 16, CFR, Section 314.4(c)(1)). In addition, the institution must designate a qualified individual responsible for overseeing, implementing, and enforcing the institution’s information security program (Title 16, CFR, Section 314.4(a)). The University of Houston’s (University) information security program did not address the implementation of all minimum safeguards as required by the GLBA. Specifically, while the University had designated a Qualified Individual to coordinate its information security program and had a written information security program in place, that program did not meet the requirements for conducting a periodic inventory of data. Not implementing all required safeguards in its information security program increases the University’s risk of data breach or loss. Recommendation:
The University should ensure that all elements required by the GLBA are documented and implemented in its
information security program.
Views of Responsible Officials:
The University acknowledges and agrees with the findings. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Return of Title IV Funds
Federal Agency: U.S. Department of Education
Federal Program Title: Student Financial Assistance Cluster
Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379
Pass-Through Agency: N/A
Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG),
P007A224085; Federal Pell Grant Program, P063P222293; Federal Direct
Student Loans, P268K232293; and Teacher Education Assistance for
College and Higher Education Grants (TEACH), P379T232293
Award Period: July 1, 2022, to June 30, 2023
Statistically Valid Sample: No and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency and Noncompliance
Questioned Costs: None
Repeat Finding: No
Return of Title IV Calculations:
When a student who received Title IV grant or loan assistance withdraws from an institution during a payment
period or period of enrollment in which the student began attendance, the institution must determine the amount
of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of
Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned
by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date
of the institution’s determination that the student withdrew, the difference must be returned to the Title IV
programs and no additional disbursements may be made to the student for the payment period or period of
enrollment (Title 34, CFR, Section 668.22(a)(4)).
The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV
grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title
IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the
payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their
Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period
or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by
subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was
disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student
withdrew (Title 34, CFR, Section 668.22(e)).
The total number of calendar days in a payment period or period of enrollment includes all days within the
payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks
of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the
number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)). The University of North Texas (University) made errors in Title IV return calculations for 32 (52 percent) of
61 students tested. Those errors occurred because the University did not exclude any break days from its Title
IV return calculations for the Fall 2022 term as required; therefore, that issue would have affected all students
who withdrew from the Fall 2022 term and had an automated return calculation performed. Although the amount
of unearned Title IV assistance calculated for those students was incorrect, there were no questioned costs as a
result of those errors because the University returned more funds than required.
• For 1 of those 32 students, the University also did not accurately determine the withdrawal date for the
student who was enrolled in modules. After auditors brought the issue to the University’s attention, the
University re-performed the return calculation and returned the additional Title IV funds as required; therefore,
there were no questioned costs.
• In addition, for 1 of those 32 students, the University incorrectly returned Title IV funds for a student who
completed more than 60 percent of the term and did not require a return.
Distance Education:
For distance education, documenting that a student has logged into an online class is not sufficient to
demonstrate academic attendance by the student. An institution must demonstrate that a student participated in
class or was otherwise engaged in an academically related activity. Only active participation by a student in an
instructional activity related to the student’s course of study that meets the definition of “academic engagement” in
Title 34, CFR, Section 600.2, and takes place during a payment period or period of enrollment qualifies as
attendance in an academically related activity (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 5, Chapter 2).
For 1 (14 percent) of 7 students tested, the University did not have evidence of academic engagement for
the student who attended all distance education courses. The University relies on the last dates of
attendance (LDA) provided by instructors to determine the withdrawal date for Return of Title IV purposes for
students who unofficially withdraw. If no LDAs are provided by the instructors, the University uses the midpoint of
the term as the withdrawal date. The student was enrolled in all distance education courses, and the University
used the midpoint as the withdrawal for the student. However, the University could not provide evidence that the
student participated or otherwise engaged in an academically related activity in any of the distance education
courses. After auditors brought the issue to the University’s attention, the University performed a return
calculation and returned Title IV funds as required; therefore, there were no questioned costs.
Timeliness of Returns:
An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later
than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section
668.22(j)).
For 12 (20 percent) of 61 students tested who withdrew and required a return of Title IV funds, the
University did not return the funds within the required time frame. Specifically, the University returned the
Title IV funds to the U.S. Department of Education between 47 to 183 days after the University determined that
the students withdrew. The University asserted those errors occurred due to staffing issues and problems with the
transmission of the adjustments to the U.S. Department of Education’s Common Origination and Disbursement
(COD) system.
The University did not have an adequate monitoring process to identify those errors or document the review
process. Having a process that does not consistently calculate and return the correct amount of Title IV funds
increases the risk that the University could return incorrect amounts of Title IV funds. In addition, not making
returns within the required time frames reduces the funds available to the U.S. Department of Education for its
program management.
Recommendations:
The University should:
• Accurately determine the number of days in the payment period and exclude any scheduled breaks as
required.
• Ensure that evidence of academic engagement is consistently documented for students in distance education
courses.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in Title IV return calculations
and returns Title IV funds in a timely manner.
Views of Responsible Officials:
The University acknowledges and agrees with the findings regarding the Return of Title IV funds in cases where a
student officially or unofficial withdraws from the institution after the student begins attendance in a given payment
period or period of enrollment. The University acknowledges the importance of accurately calculating the Title IV
funds to be returned and the timely return of those funds.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 93.264 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224051; Federal Work-Study Program, P033A224051; Federal Pell Grant Program, P063P222282; Federal Direct Student Loans, P268K232282; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232282; and Nurse Faculty Loan Program (NFLP), 1 E01HP45821-01-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $1,409 Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). Direct Subsidized and Unsubsidized Loans have annual and aggregate limits that are the same for all students at a given grade level and dependency status. In general, a loan may not be more than the amount the borrower requests, the borrower’s unmet financial need, the borrower’s COA, or the borrower’s maximum borrowing limit. (U.S. Department of Education 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 5). Lamar University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate), dependency (dependent or independent), residency (in-state or out-of-state), living status (on-campus, off-campus, or at home with parents), and enrollment level (full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 23 (38 percent) of 61 students tested, the University incorrectly calculated the COA. Specifically, the
University did not adjust the students’ COA to reflect the students’ actual enrollment as of the census date. The
University experienced turnover in the Student Financial Aid department during the 2022–2023 award year, and
could not provide a cause for those errors. The University asserted that it implemented a process to recalculate
students’ COAs based on their actual enrollment at census beginning with the Fall 2023 term; however, the errors
discussed above occurred before that process was in place. As a result, the University overawarded two students.
• One of those students was assigned an overstated COA for the Fall 2022 term based on three-quarter-time
enrollment although the student’s actual enrollment was half-time. The student was awarded $5,294 in
Subsidized Direct Loans, which exceeded the student’s financial need, resulting in $1,113 in questioned costs
associated with ALN 84.268, Federal Direct Student Loans, award number P268K232282.
• The other student was assigned an overstated COA for the Spring 2023 term based on full-time enrollment
although the student did not attend during the term. The student was awarded $10,142 in Unsubsidized Direct
Loans, which exceeded the student’s actual COA, resulting in $296 in questioned costs associated with ALN
84.268, Federal Direct Student Loans, award number P268K232282.
The University did not have adequate controls in place to review budgets used in the calculation of COA and
accurately assign those budgets to students. Incorrectly calculating COA increases the risk of overawarding or
underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets in
accordance with its process and does not overaward financial assistance to students.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; and 84.063 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224051; and Federal Pell Grant Program, P063P222282 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Fiscal Operations Report and Application to Participate (FISAP): An institution participating in campus-based programs is required to annually submit the FISAP to the Secretary of the U.S. Department of Education to receive funds for the campus-based programs. The institution uses the Fiscal Operations Report portion to report its expenditures in the previous award year and the Application to Participate portion to apply for the following year (Title 34, Code of Federal Regulations (CFR), Section 674.19(d); and U.S. Department of Education, Fiscal Operations Report for 2022–23 and Application to Participate for 2024– 25 (FISAP) Instructions). The institution must ensure that the information is accurately reported on the form and at the time specified by the Secretary of the U.S. Department of Education (Title 34, CFR, Section 674.19(d)(2)). Lamar University (University) did not maintain adequate support for its FISAP. Specifically, the University did not have support for the total Federal Pell Grants expenditures for the 2022–2023 award year reported in Part II, Section E. Assessments and Expenditures, Line 23. In addition, the supporting documentation provided by the University for the total Federal Supplemental Educational Opportunity Grants (FSEOG) expenditures for undergraduate independent students with income from $0 to $1,999 for the 2022–2023 award year did not match the amount reported in Part IV, Section A. Distribution of Program Recipients and Expenditures by Type of Student, Line 12(d). The University asserted that those issues were due to human error. As a result, auditors were unable to determine whether the information on the FISAP for those line items was accurate and fairly presented in accordance with requirements. Recommendation: The University should maintain adequate support for information reported on its FISAP to ensure that information is accurate. Views of Responsible Officials: The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Disbursements To or On Behalf of Students Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 93.264 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224051; Federal Work-Study Program, P033A224051; Federal Pell Grant Program, P063P222282; Federal Direct Student Loans, P268K232282; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232282; and Nurse Faculty Loan Program (NFLP), 1 E01HP45821-01-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Award and Disbursement Notifications: Before an institution disburses Title IV, Higher Education Act of 1965 (HEA) program funds for any award year, the institution must notify a student of the amount of funds that the student or his or her parent can expect to receive under each Title IV, HEA program, and how and when those funds will be disbursed. If those funds include Direct Loan program funds, the notice must indicate which funds are from subsidized loans, which are from unsubsidized loans, and which are from PLUS loans (Title 34, Code of Federal Regulations (CFR), Section 668.165(a)(1)). If an institution credits a student’s ledger account with Federal Direct Student Loan (Direct Loan) funds or Teacher Education Assistance for College and Higher Education (TEACH) Grant funds, the institution must notify the student or parent of (1) the anticipated date and amount of the disbursement, (2) the student’s or parent’s right to cancel all or a portion of that loan or grant and have the loan or grant proceeds returned to the U.S. Department of Education, and (3) the procedures and time by which the student or parent must notify the institution that he or she wishes to cancel the loan or grant, or loan or grant disbursement (Title 34, CFR, Section 668.165(a)(2)). The institution must provide the notice in writing no earlier than 30 days before, and no later than 30 days after, crediting the student’s ledger account at the institution (Title 34, CFR, Section 668.165(a)(3)). For 21 (34 percent) of 62 disbursements tested, Lamar University (University) did not send an award or
disbursement notification as required. Specifically:
• For 20 students that received Direct Loan disbursements, the University did not send a disbursement
notification. The University asserted those errors occurred because the University was utilizing a manual
process to send out the disbursement notifications, and on those days when the employee charged with
performing the manual process was not present, the notifications were not sent to students.
• For one student who received Title IV funds, the University did not send an award notification. This error
occurred because the University manually packaged the student’s awards after clearing a verification
requirement, and the University did not have an adequate process in place to ensure that students who are
manually awarded receive an award notification.
Not receiving award and disbursement notifications impairs students’ and parents’ ability to budget for the cost of
attending or exercise the option to cancel their loans or grants.
Promissory Notes:
Institutions must establish a process to make loans consistent with institutional policies and federal laws and
regulations, including the completion of the following during disbursement: (1) signed promissory note, and (2)
disclosure of terms and conditions (Nurse Faculty Loan Program (NFLP) Administrative Guidelines, 42 United
States Code (U.S.C.) 297n-1 (Public Health Service Act Section 846A)).
The University did not have a process in place to require a promissory note for NFLP loans prior to
disbursement. NFLP loans were incorrectly identified in the student information system as a grant instead of a
loan. As a result, the student information system did not place a required hold on disbursements until the
promissory note requirement was completed.
Not requiring a signed promissory note prior to disbursement of loan funds could limit the University’s ability to
enforce repayment of the loan.
Recommendations:
The University should:
• Strengthen its controls to ensure that it identifies all students that require an award or disbursement
notification, and sends those notifications to the students.
• Configure controls in the student information system to require promissory notes for applicable loans.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224051; Federal Pell Grant Program, P063P222282; Federal Direct Student Loans, P268K232282; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232282 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $19,357 Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs, and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). The total number of calendar days in a payment period or period of enrollment includes all days within the payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)). In determining the percentage of the payment period or period of enrollment completed for a student who
withdraws from a program offered in modules, an institution must (1) include all days within the period that the
student was scheduled to complete prior to ceasing attendance and (2) exclude any scheduled breaks of at least
five consecutive days when the student was not scheduled to attend a module or other course offered during that
period of time. Scheduled breaks include both those that take place within and between modules (U.S.
Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 5, Chapter 2).
An institution must offer to disburse directly to a student, or parent in the case of a parent PLUS loan, any amount
of a post-withdrawal disbursement of loan funds that is not credited to the student's account. The institution must
make a direct disbursement of any loan funds that make up the post-withdrawal disbursement only after obtaining
the student's, or parent's in the case of a parent PLUS loan, confirmation that the student or parent still wishes to
have the loan funds disbursed (Title 34, CFR, Section 668.22(a)(6)(ii)(B)).
Lamar University (University) made errors in Title IV return calculations for 25 (41 percent) of 61 students
tested. Specifically, the University did not exclude any break days from the Spring 2023 term or days between
modules as required. Those errors resulted in the University returning a total of $3,481 associated with ALN
84.268, Federal Direct Student Loans, award number P268K232282, and $1,802 associated with ALN 84.063,
Federal Pell Grant Program, award number P063P222282, less Title IV funds than required.
• For 2 of those 25 students, the University also used an inaccurate withdrawal date in the return calculation.
• For 1 of those 25 students, the University also did not identify that the student was eligible to receive a post withdrawal disbursement of loan funds and therefore did not offer to disburse those loan funds to the student
as required.
In addition, for 8 (13 percent) of 61 students tested who did not have a return of Title IV funds made, the
University did not perform a return calculation as required. The University asserted it did not consistently
follow its procedures in identifying students who required a Title IV return calculation due to staff turnover and
newer staff needing additional training. As a result, the University did not return a total of $13,707 associated with
ALN 84.268, Federal Direct Student Loans, award number P268K232282, and $367 associated with ALN 84.063,
Federal Pell Grant Program, award number P063P222282 as required.
The errors discussed above occurred because the University did not configure its information system to
accurately calculate returns and because of manual errors that the University made in performing the return
calculations. In addition, the University did not have an adequate monitoring process to identify those errors. Not
having a process that consistently calculates and returns the correct amount of Title IV funds increases the risk
that the University could return less Title IV funds than it is required to return.
Timeliness of Returns:
An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later
than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section
668.22(j)).
For 5 (8 percent) of 59 students tested who withdrew and required a return of Title IV funds, the University
did not return the funds within the required time frame. The University returned the funds for those students
47 to 143 days after it determined that the students withdrew. For 2 of those students, the University determined
the withdrawal dates and performed the return calculations; however, it did not return the Title IV funds within the
required 45-day time frame due to an oversight in processing the return of those funds. For three of those
students, the University asserted that it determined that the return calculations required corrections, which
resulted in the returns not being performed timely. Not making returns within required time frames reduces the
funds available to the U.S. Department of Education for its program management. Recommendations:
The University should:
• Strengthen its controls to ensure that it accurately calculates returns of Title IV funds when required, including
review of the variables it uses in those calculations.
• Accurately determine the number of days in the payment period and exclude any scheduled breaks as
required.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in return of Title IV calculations
and returns Title IV funds in a timely manner.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). Sam Houston State University (University) did not appropriately restrict access to its student information system. Specifically, the University did not always limit access to the student information system to only users who needed that access based on their job responsibilities. While the University had a process in place to review user access, that process was not adequately designed to ensure that the University granted the appropriate levels of access to all users based on the users’ job duties. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. In addition, the University did not have sufficient controls over its change management process for information systems. Specifically, 1 (14 percent) of 7 changes tested lacked documentation showing that the change was properly tested or validated before it was migrated to production. Not having sufficient controls over the change management process increases the risk of unauthorized programming changes being made to critical information systems that the University uses to administer student financial assistance. Recommendations: The University should: • Ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. • Strengthen its controls over its change management process to ensure adequate validation of changes prior to implementation. Views of Responsible Officials: The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224110; Federal Pell Grant Program, P063P222301; Federal Direct Student Loans, P268K232301; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232301 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No
When a student who received Title IV grant or loan assistance withdraws from an institution during a payment
period or period of enrollment in which the student began attendance, the institution must determine the amount
of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of
Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned
by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date
of the institution’s determination that the student withdrew, the difference must be returned to the Title IV
programs and no additional disbursements may be made to the student for the payment period or period of
enrollment (Title 34, CFR, Section 668.22(a)(4)).
The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV
grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title
IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the
payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their
Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period
or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by
subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was
disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student
withdrew (Title 34, CFR, Section 668.22(e)).
For distance education, documenting that a student has logged into an online class is not sufficient to
demonstrate academic attendance by the student. An institution must demonstrate that a student participated in
class or was otherwise engaged in an academically related activity. Only active participation by a student in an
instructional activity related to the student's course of study that meets the definition of “academic engagement” in
Title 34, CFR, Section 600.2 and takes place during a payment period or period of enrollment qualifies as
attendance in an academically related activity (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 5, Chapter 2).
For 1 (4 percent) of 24 students tested, Sam Houston State University (University) did not have evidence
of academic engagement in the distance education course from which the student’s withdrawal date was
determined. The University relies on the last dates of academic activity provided by instructors to determine the
withdrawal date for Return of Title IV purposes for students who unofficially withdraw. The student’s record did not
reflect evidence of academic activity for the distance education course, and the University asserted that the last
day of attendance provided by the instructor was inaccurate. The University did not have a process in place to
require instructors to provide or maintain evidence of academic engagement in distance education courses. As a
result, the University did not perform a return calculation because it incorrectly determined that the student
completed over 60 percent of the period. After auditors brought the issue to the University’s attention, the
University performed a return calculation and returned Title IV funds as required; therefore, there were no
questioned costs.
Having a process that does not consistently calculate and return the correct amount of Title IV funds increases
the risk that the University could return less Title IV funds than it is required to return.
Recommendation:
The University should ensure that evidence of academic engagement is consistently documented for students in
distance education courses.
Views of Responsible Officials:
The University acknowledges and agrees with the findings of this audit. Management acknowledges the
responsibility to accurately verify the academic engagement and document it for students enrolled in distance
education courses.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224131; Federal Work-Study Program, P033A224131; Federal Pell Grant Program, P063P222320; Federal Direct Student Loans, P268K232320; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232320 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). Tarleton State University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s tuition rate (guaranteed or variable), program, courses, classification (undergraduate or graduate), residency (in-state or out-of-state); living status (on-campus, off-campus, or with parent), and enrollment level (full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 62 (100 percent) of 62 students tested, the University incorrectly calculated the COA. Specifically, the University used the 2021–2022 award year budgets instead of the 2022–2023 award budgets because it did not update the COA budget components in its student information system for the new award year. As a result, the COAs for those students were understated by a total of $148,781. This error would have affected the COA for all students in the Fall 2022 and Spring 2023 terms. However, because the students’ budgets were understated, this error did not result in overawards of financial assistance; therefore, there were no questioned costs. The University did not have adequate controls in place to review budgets used in the calculation of COA and accurately assign those budgets to students. Incorrectly calculating COA increases the risk of overawarding or underawarding financial assistance to students. Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets in
accordance with its process.
Views of Responsible Officials:
The University has carefully reviewed the findings outlined in the recent financial aid audit report, and we
acknowledge and agree with the identified areas for improvement. Your thorough examination has provided
valuable insights into our financial aid processes, and we appreciate the effort invested in ensuring transparency
and accountability.
In response to the findings, we are committed to taking immediate and comprehensive corrective actions to
address the identified issues and enhance the overall effectiveness of our financial aid management. Our team is
already in the process of developing a detailed Corrective Action Plan that will outline the specific steps we will
take to rectify the noted deficiencies. We understand the importance of financial aid in supporting our students'
academic endeavors, and we are dedicated to ensuring that our processes align with the highest standards of
integrity and compliance.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224131; Federal Pell Grant Program, P063P222320; Federal Direct Student Loans, P268K232320; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232320 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $12,259 Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs, and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV
grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title
IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the
payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their
Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period
or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by
subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was
disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student
withdrew (Title 34, CFR, Section 668.22(e)).
The total number of calendar days in a payment period or period of enrollment includes all days within the
payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks
of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the
number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)).
In determining the percentage of the payment period or period of enrollment completed for a student who
withdraws from a program offered in modules, an institution must (1) include all days within the period that the
student was scheduled to complete prior to ceasing attendance and (2) exclude any scheduled breaks of at least
five consecutive days when the student was not scheduled to attend a module or other course offered during that
period of time. Scheduled breaks include both those that take place within and between modules (U.S.
Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 5, Chapter 2).
For a program offered in modules, a student is not considered to have withdrawn if the student successfully
completes any of the following: (1) a module that includes 49 percent or more of the number of days in the
payment period, excluding scheduled breaks of five or more consecutive days and all days between modules; (2)
a combination of modules that together contain 49 percent or more of the number of days in the payment period,
excluding scheduled breaks of five or more consecutive days and all days between modules (Title 34, CFR,
Section 668.22(a)(2)(ii)(A)(2)); or (3) coursework equal to or greater than the coursework required for the
institution’s definition of a half-time student under 34 CFR 668.2(b) for the payment period (U.S. Department of
Education, 2022-2023 Federal Student Aid Handbook, Volume 5, Chapter 1).
An institution must disburse directly to a student any amount of a post-withdrawal disbursement of grant funds
that is not credited to the student's account. The institution must make the disbursement as soon as possible, but
no later than 45 days after the date of the institution's determination that the student withdrew. The institution
must offer to disburse directly to a student, or parent in the case of a parent PLUS loan, any amount of a post withdrawal disbursement of loan funds that is not credited to the student's account. The institution must make a
direct disbursement of any loan funds that make up the post-withdrawal disbursement only after obtaining the
student's, or parent's in the case of a parent PLUS loan, confirmation that the student or parent still wishes to
have the loan funds disbursed (Title 34, CFR, Section 668.22(a)(6)(ii)(B)).
For 58 (97 percent) of 60 students tested, Tarleton State University (University) incorrectly calculated the
amount of Title IV funds to be returned or returned the incorrect amount of funds. Specifically:
• For 56 students, the University did not exclude any break days from the Fall 2022 term as required, and it
incorrectly excluded 5 break days rather than 8 break days from the Spring 2023 term. Those errors occurred
because the University did not load the correct break days into its student information system when setting up
the payment period; therefore, this issue would have affected all students who withdrew from the Fall 2022
and Spring 2023 terms. Additionally:
o For 2 of those 56 students, the University did not identify that the students were eligible to receive
a post-withdrawal disbursement and therefore did not disburse those grant funds or offer to
disburse those loan funds to the students as required.
o For 4 of those 56 students, the University incorrectly determined the number of days in the
payment period or used an incorrect withdrawal date for students enrolled in modules. • For 2 students enrolled in the Summer 2023 term, the University did not follow the return of Title IV
requirements related to modular terms. For one student, the University incorrectly used the number of days in
the full payment period rather than only the days within the period that the student was scheduled to complete
prior to ceasing attendance. For the other student, the University failed to identify that the student successfully
completed coursework equal to or greater than the coursework required for a half-time student and therefore
should not have been considered withdrawn. The University asserted that this error occurred because staff
misinterpreted the half-time withdrawal exemption requirements.
As a result of the errors discussed above, the University returned a total of $1,992 associated with ALN 84.268,
Federal Direct Student Loans, award number P268K232320, and $374 associated with ALN 84.063, Federal Pell
Grant Program, award number P063P222320 less Title IV funds than required for the students tested in the
sample.
In addition, for 10 (17 percent) of 60 students tested who did not have a return of Title IV funds made, the
University did not perform a return calculation as required.
• For 6 students, the University did not exclude break days from its determination of whether the students
completed 60 percent or more of the payment period as required. As a result, the University incorrectly
determined that the students earned their aid and did not return a total of $7,679 associated with ALN 84.268,
Federal Direct Student Loans, award number P268K232320, and $1,053 associated with ALN 84.063,
Federal Pell Grant Program, award number P063P222320 as required.
• For 4 students, the University incorrectly used the number of days in the full payment period in its
determination of whether the students successfully completed 49 percent or more of the number of days in
the payment period. As a result, the University incorrectly determined that the students earned their aid and
did not return a total of $1,161 in questioned costs associated with ALN 84.268, Federal Direct Student
Loans, award number P268K232320 as required.
The errors discussed above occurred because the University did not configure its information system to
accurately calculate returns and because of manual errors that the University made in performing return
calculations. In addition, the University did not have an adequate monitoring process to identify those errors. Not
having a process that consistently calculates and returns the correct amount of Title IV funds increases the risk
that the University could return less Title IV funds than it is required to return.
Recommendations:
The University should:
• Strengthen its controls to ensure that it accurately calculates returns of Title IV funds when required, including
review of the variables it uses in those calculations.
• Accurately determine the number of days in the payment period and configure its student information system
to exclude any scheduled breaks, as required.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in return of Title IV calculations
and returns Title IV funds.
Views of Responsible Officials:
The University has carefully reviewed the findings outlined in the recent financial aid audit report, and we
acknowledge and agree with the identified areas for improvement. Your thorough examination has provided
valuable insights into our financial aid processes, and we appreciate the effort invested in ensuring transparency
and accountability. In response to the findings, we are committed to taking immediate and comprehensive corrective actions to
address the identified issues and enhance the overall effectiveness of our financial aid management. Our team is
already in the process of developing a detailed Corrective Action Plan that will outline the specific steps we will
take to rectify the noted deficiencies. We understand the importance of financial aid in supporting our students'
academic endeavors, and we are dedicated to ensuring that our processes align with the highest standards of
integrity and compliance.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 84.408 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A234136; Federal Work-Study Program, P033A224136; Federal Pell Grant Program, P063P225286; Federal Direct Student Loans, P268K235286; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T235286; and Postsecondary Education Scholarships For Veteran's Dependents (Iraq and Afghanistan Service Grant (IASG)), P408A225286 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: Unknown Repeat Finding: No Satisfactory Academic Progress: A student is eligible to receive Title IV, Higher Education Act of 1965 (HEA) program assistance if the student maintains satisfactory academic progress in his or her course of study according to the institution’s published standards of satisfactory academic progress (SAP) that satisfy the provisions of Title 34, Code of Federal Regulations (CFR), Section 668.34 (Title 34, CFR, Section 668.32(f)). An institution’s SAP policy must include a qualitative component that consists of grades or comparable factors that are measurable against a norm and a quantitative component that consists of the pace at which students must progress through their program to ensure that they will graduate within the maximum time frame required to complete their education (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 1, Chapter 1). For an undergraduate program measured in credit hours, a period that is no longer than 150-percent of the published length of the educational program, as measured in credit hours, should be used to determine the maximum time frame for the quantitative component of SAP (Title 34, CFR, Section 668.34(b)(1)). For 1 (2 percent) of 45 students tested, Texas A&M University (University) did not calculate SAP in accordance with its policy. Specifically, the University did not update the program hours for the Bachelor of Science in Nursing program in its student information system when it changed the program length from 123 hours to 120 hours during the 2017–2018 award year. Therefore, this issue would have affected all students enrolled in the program. As a result, the maximum time frame calculation incorrectly allowed students to exceed the maximum hours without failing SAP. Incorrectly calculating the maximum time frame increases the risk that students could receive financial assistance for which they are not eligible. Recommendation: The University should ensure that the maximum time frame is configured in its student information system with the accurate number of credit hours for each degree program. Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: 2020-113, 2017-119, 2016-109 General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). Texas Southern University (University) did not appropriately restrict user access to its student information system. Specifically, the University did not always ensure that (1) access to modify information and process transactions in the student information system and (2) administrative access at the network level was limited to only current employees and users who needed that access based on their job responsibilities. The University had a process to review user access to its systems; however, it did not always implement changes based on the results of that review. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made to those systems. Recommendation: The University should ensure that user access to its student information system and administrative access to its network is appropriately limited to employees based on current job responsibilities. Views of Responsible Officials: The Office of Technology acknowledges and agrees with the finding.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 93.925 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224145; Federal Work-Study Program, P033A224145; Federal Pell Grant Program, P063P222327; Federal Direct Student Loans, P268K232327; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232327; and Scholarships for Health Professions Students from Disadvantaged Backgrounds – Scholarships for Disadvantaged Students (SDS), 5 T08HP39322-03-00, 5 T08HP39282-03-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: 2020-113, 2017-119, 2016-109 Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). Texas Southern University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate); residency (in-state or out-of-state); living status (on_x0002_campus, off-campus, or with parent); and enrollment level (full-time, three-quarter-time, half-time, or less-than_x0002_half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 7 (11 percent) of 65 students tested, the University incorrectly calculated the COA. Specifically, the University assigned an incorrect amount for books and supplies for these students. Those errors occurred because the University decreased the default amount for the books and supplies budget component but did not update the algorithmic budget table in its student information system to reflect that change. As a result, the COA was overstated by $40 for each of those students. The errors discussed above did not result in overawards of financial assistance; therefore, there were no questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or underawarding financial assistance to students. Federal Pell Grant:
When awarding Federal Pell Grant assistance to students, institutions use the payment and disbursement
schedules provided each year by the U.S. Department of Education for determining award amounts (Title 34,
CFR, Section 690.62(a)). Those schedules provide the maximum annual amount a student would receive for a full
academic year for a given enrollment status, EFC, and COA. There are separate schedules for three-quarter time, half-time, and less-than-half-time students (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 3, Chapter 3; and Title 34, CFR, Section 690.63(b)).
For 2 (3 percent) of 65 students tested who received Federal Pell Grants, the University did not award the
correct amount of Federal Pell Grant assistance. Specifically, the University awarded those students less than
they were eligible to receive. The University did not identify additional credit hours from late registration in the
students’ Federal Pell Grant award determinations. As a result, the students were underawarded a total of $1,544
in Federal Pell Grant assistance.
Federal Direct Student Loans:
A borrower who has reached the aggregate borrowing limit for Direct Subsidized Loans and Direct Unsubsidized
Loans may not receive additional loans. Once the loans are repaid, in full or in part, the borrower may apply for
additional loans. The aggregate unpaid principal amount of all Direct Subsidized Loans made to a student may
not exceed $23,000 for any student who has not successfully completed a program of study at the undergraduate
level (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 5; and Title
34, CFR, Section 685.203(d)(1)).
The University did not always disburse Federal Direct Student Loans in accordance with applicable limits.
Specifically, the University exceeded the aggregate limit for Subsidized Direct Loans. Auditors determined that a
student had been awarded $500 in excess of the aggregate limit of $23,000. The University manually cleared a
hold to enforce the loan limit, without properly reviewing or adjusting the student’s loan. After auditors brought the
overaward issue to the University’s attention, it returned the loan funds; therefore, there were no questioned
costs. However, by not properly reviewing account holds, the University increases the risk of overawarding
financial assistance to students.
Satisfactory Academic Progress:
A student is eligible to receive Title IV, Higher Education Act of 1965 (HEA) program assistance if the student
maintains satisfactory academic progress in his or her course of study according to the institution’s published
standards of satisfactory academic progress (SAP) that satisfy the provisions of Title 34, CFR, Section 668.34
(Title 34, CFR, Section 668.32(f)). An institution’s SAP policy must include a qualitative component that consists
of grades or comparable factors that are measurable against a norm and a quantitative component that consists
of the pace at which students must progress through their program to ensure that they will graduate within the
maximum time frame required to complete their education.
For a graduate program, a period defined by the institution that is based on the length of the educational program
should be used to determine the maximum time frame for the quantitative component of SAP (U.S. Department of
Education, 2022-2023 Federal Student Aid Handbook, Volume 1, Chapter 1; and Title 34, CFR, Section
668.34(b)).
Additionally, an institution’s SAP policy should provide that, if at the time of evaluation, the student has not
achieved the required grade point average, is not successfully completing his or her program of study at the
required pace, or has not completed the program within the maximum time frame, the student is no longer eligible
for Title IV aid. The policy should provide specific procedures for disbursements to students on financial aid
warning or probation status and permit the student to appeal a determination; it should also provide specific
procedures for re-establishing eligibility to receive Title IV aid and the basis on which a student may file an appeal
(Title 34, CFR, Section 668.34(a)). For 1 (2 percent) of 65 students tested, the University did not calculate SAP in accordance with its policy.
The student re-enrolled in the Fall 2022 term after a gap in attendance, and the University did not perform a
manual SAP calculation, which would have shown that the student did not meet the minimum required pace as
defined in the University’s SAP policy. The student would have been required to submit an appeal, and have that
appeal approved, to receive financial assistance. The student was initially overawarded $6,184. Part of the funds
were returned as a result of a Return of Title IV Funds calculation after the student withdrew, and the remaining
funds were returned after auditors brought the issue to the University’s attention. Therefore, there were no
questioned costs.
Not calculating SAP compliance increases the risk that students could receive financial assistance for which they
are not eligible.
Institutional Student Information Records (ISIR):
The U.S. Department of Education automatically distributes (or “pushes”) to institutions certain ISIR transactions
processed by the Central Processing System (CPS); it then requires the institutions to take some sort of action.
An example of a pushed ISIR would be a student-corrected ISIR that causes a change to the EFC. Institutions are
required to review all pushed ISIRs and assess any potential effect on students’ eligibility for assistance
(Technical Reference for Electronic Date Exchange (EDE) 2022-2023).
The University did not have a process to address errors to ensure that all ISIR data was loaded accurately
and completely into its student information system. Specifically, the University did not reconcile records
received from CPS-pushed ISIRs to the University’s student information system records during the Fall 2022 term
and part of the Spring 2023 term. As a result, some eligible students did not receive their financial assistance until
making an inquiry of the University.
Recommendations:
The University should:
• Ensure that it accurately configures COA budget components within its student information system.
• Award students Federal Pell Grant assistance based on actual enrollment.
• Disburse Subsidized Direct Loans within the student’s applicable aggregate limit.
• Ensure that all students are evaluated for Satisfactory Academic Progress prior to disbursing financial
assistance.
• Properly reconcile all records received from CPS-pushed ISIRs.
Views of Responsible Officials:
Cost of Attendance (COA):
The Office of Student Financial Success agrees with the auditor’s findings indicating that 7 of 65 students tested
had an incorrect COA specifically related to the students’ books and supplies portion of the budget.
Views of Responsible Officials:
Federal Pell Grant:
The Office of Student Financial Success agrees with the findings that 2 of 65 students tested were not awarded
the correct amount of Federal Pell grant funds.
Views of Responsible Officials:
Federal Direct Student Loans:
The Office of Student Financial Success agrees with the finding that 1 student did not receive federal student
loans in accordance with applicable limits.
Views of Responsible Officials:
Satisfactory Academic Progress:
The Office of Student Financial Success agrees with the finding that 1 of 65 students did not receive an SAP
calculation in accordance with TSU policy.
Views of Responsible Officials:
Institutional Student Information Records (ISIR):
The Office of Student Financial Success agrees with the finding related to Institutional Student Information
Records.
Special Tests and Provisions – Disbursements To or On Behalf of Students Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224145; Federal Work-Study Program, P033A224145; Federal Pell Grant Program, P063P222327; Federal Direct Student Loans, P268K232327; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232327 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Award and Disbursement Notifications: Before an institution disburses Title IV, Higher Education Act of 1965 (HEA) program funds for any award year, the institution must notify a student of the amount of funds that the student or his or her parent can expect to receive under each Title IV, HEA program, and how and when those funds will be disbursed. If those funds include Direct Loan program funds, the notice must indicate which funds are from subsidized loans, which are from unsubsidized loans, and which are from PLUS loans (Title 34, Code of Federal Regulations (CFR), Section 668.165(a)(1)). If an institution credits a student’s ledger account with Federal Direct Student Loan (Direct Loan) funds or Teacher Education Assistance for College and Higher Education (TEACH) Grant funds, the institution must notify the student or parent of (1) the anticipated date and amount of the disbursement, (2) the student’s or parent’s right to cancel all or a portion of that loan or grant and have the loan or grant proceeds returned to the U.S. Department of Education, and (3) the procedures and time by which the student or parent must notify the institution that he or she wishes to cancel the loan or grant, or loan or grant disbursement (Title 34, CFR, Section 668.165(a)(2)). The institution must provide the notice in writing no earlier than 30 days before, and no later than 30 days after, crediting the student’s ledger account at the institution (Title 34, CFR, Section 668.165(a)(3)). For 61 (100 percent) of 61 disbursements tested, Texas Southern University (University) did not send an award or disbursement notification as required. The University asserted it did not send award notifications to students because it relied on the Common Origination and Disbursement (COD) Disclosure Statements sent by the Department of Education. However, the COD Disclosure Statements did not include all required elements of the award notification. In addition, the University did not consistently send disbursement notifications for the Fall 2022 term, and did not send any disbursement notifications for the Spring 2023 term. The issues with disbursement notifications were attributed to both manual error and disabling of the University’s automated processes. Further, the disbursement notifications that were sent for the Fall 2022 term did not include all required elements. Not receiving award and disbursement notifications impairs students’ and parents’ ability to budget for the cost of attending or exercise the option to cancel their loans or grants. Allowable Charges and Credit Balance Authorizations:
An institution may credit a student's ledger account with Title IV, HEA program funds to pay for allowable charges
associated with the current payment period. Allowable charges are: (1) the amount of tuition, fees, and
institutionally provided room and board assessed the student for the payment period or the prorated amount of
those charges if the institution debits the student's ledger account for more than the charges associated with the
payment period; and (2) the amount incurred by the student for the payment period for purchasing books,
supplies, and other educationally related goods and services provided by the institution for which the institution
obtains the student's or parent's authorization under Section 668.165(b) (Title 34, CFR, Section 668.164(c)(1)).
A Title IV, HEA credit balance occurs whenever the amount of Title IV, HEA program funds credited to a student's
ledger account for a payment period exceeds the amount assessed the student for allowable charges associated
with that payment period. A Title IV, HEA credit balance must be paid directly to the student or parent as soon as
possible, but no later than (1) fourteen days after the balance occurred if the credit balance occurred after the first
day of class within a payment period; or (2) fourteen days after the first day of class of a payment period if the
credit balance occurred on or before the first day of class within that payment period (Title 34, CFR, Section
668.164(h)).
If an institution obtains written authorization from a student or parent, as applicable, the institution may: (1) use
the student’s or parent’s Title IV, HEA program funds to pay for charges that are included in that authorization,
and (2) hold on behalf of the student or parent any Title IV, HEA program funds that would otherwise be paid
directly to the student or parent as a credit balance, unless the Secretary provides funds to the institution under
the reimbursement payment method or the heightened cash monitoring payment method (Title 34, CFR, Section
668.165(b)(1)).
An institution may not use Title IV funds to pay finance charges or fees that are incurred because a student uses
a financing method provided by the school to pay for educational expenses over time. Because students or
families choose to incur these additional expenses rather than paying the balance due at registration, the
additional charges are not considered educational expenses, and may not be included in a student’s cost of
attendance. (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 2).
For 8 (13 percent) of 61 students tested, the University used Title IV funds to pay unallowable charges.
Specifically, the University credited the students’ ledger accounts during the payment period for installment
handling charges and late installment charges. Although the University obtained authorization from the students
to apply Title IV funds to charges other than tuition, fees, or institutionally provided room and board, that
authorization did not extend to those unallowable charges.
For 6 (11 percent) of 57 students tested, the University did not return credit balances to students or
parents within 14 days of the disbursement date or first day of class. Specifically, the University returned
credit balances to those students between 21 and 78 days. The University asserted those errors were caused by
changes to the term allocations, and inadequate tracking of credit balances and associated refunds.
Not receiving all Title IV funds a student is entitled to, or not receiving those funds in a timely manner, impairs
students’ and parents’ ability to budget for the cost of attending.
Recommendations:
The University should strengthen its controls to ensure that:
• It identifies all students that require an award or disbursement notification, and sends those notifications to the
students.
• Award and disbursement notifications include all required elements.
• It does not credit student ledger accounts for unallowable charges.
• Credit balances caused by the awarding of Title IV funds are returned to students in a timely manner.
Views of Responsible Officials:
Award and Disbursement Notifications:
The Office of Student Financial Success agrees with the finding related to award and disbursement notifications.
Views of Responsible Officials:
Allowable Charges and Credit Balance Authorizations:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224145; Federal Pell Grant Program, P063P222327; Federal Direct Student Loans, P268K232327; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232327 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs, and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). For 8 (13 percent) of 61 students tested, Texas Southern University (University) incorrectly calculated the amount of Title IV funds to be returned for unofficially withdrawn students. Specifically, those 8 students were enrolled in the Fall 2022 term, and the University did not use the last date of attendance identified in the University’s automated report process. For return of Title IV funds, the University uses an automated report process to identify students who have unofficially withdrawn from a term; however, that process was inconsistently followed or not completed in determining the students’ withdrawal dates. The incorrect withdrawal dates used by the University were prior to the students’ actual withdrawal dates, which resulted in the University returning more Title IV funds than required for those students; therefore, there were no questioned costs. Those errors occurred because the University did not have an adequate process to determine the withdrawal dates of students who unofficially withdrew from the University. Timeliness of Returns:
For an institution that is not required to take attendance, the institution must determine the withdrawal date for a
student who withdraws without providing notification to the institution no later than 30 days after the earliest end
date of (1) the payment period or period of enrollment, (2) the academic year in which the student withdrew, or (3)
the educational program from which the student withdrew (Title 34, CFR, Section 668.22(j)(2)).
An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later
than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section
668.22(j)).
For 35 (57 percent) of 61 students tested who withdrew and required a return of Title IV funds, the
University did not return the funds within the required time frame. Specifically:
• For 23 students who unofficially withdrew in the Fall 2022 term, the University did not determine the
withdrawal date within the required 30-day time frame, nor did it return the Title IV funds within the required
45-day time frame. The University determined the withdrawal date and returned the Title IV funds at the end
of the Spring 2023 term.
• For 9 students who unofficially withdrew in the Spring 2023 term, the University did not determine the
students’ withdrawal date within the required 30-day time frame. The University determined the withdrawal
date for those students between 31 and 52 days after the end of the period of enrollment.
• For 3 students who withdrew in the Fall 2022 term, the University determined the withdrawal dates and
performed the return calculations; however, it did not return the Title IV funds within the required 45-day time
frame. The University asserted that for two students, this was due to an oversight in processing the return of
those funds. The University returned the funds for those two students 71 and 115 days after it determined that
the students withdrew. For the third student, the University completed a return calculation but did not return
the funds as required. After auditors brought this error to the University’s attention, the University returned the
funds to the U.S. Department of Education; therefore, there were no questioned costs.
Those errors occurred because the University did not have an effective monitoring process to identify those errors
and because of manual errors the University made in performing the return calculations. Not making returns
within the required time frame reduces the funds available to the U.S. Department of Education for its program
management.
Recommendations:
The University should:
• Strengthen its process to ensure that it accurately determines the withdrawal date for students who
unofficially withdraw from the University in a timely manner.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in return of Title IV calculations
and returns Title IV funds in a timely manner.
Views of Responsible Officials:
Return of Title IV Calculations:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Views of Responsible Officials:
Timeliness of Returns:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Gramm-Leach-Bliley Act - Student Information Security Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Gramm-Leach-Bliley Act: Institutions must protect sensitive data, including information obtained in support of the administration of federal student financial assistance programs, as required by the Gramm-Leach-Bliley Act (GLBA) (Public Law 106-102). Under their Program Participation Agreement (PPA) and the GLBA, postsecondary educational institutions must protect student financial aid information, with particular attention to information provided by the Department of Education or otherwise obtained in support of the administration of the Title IV Federal student financial aid programs (Dear Colleague Letter, July 1, 2016 (GEN-16-12)). Institutions are required to develop, implement, and maintain an information security program that includes the minimum elements in Title 16, Code of Federal Regulations (CFR), Section 314.4. In addition, the institution must designate a qualified individual responsible for overseeing, implementing, and enforcing the institution’s information security program (Title 16, CFR, Section 314.4(a)). Texas Southern University (University) did not implement an information security program as required by the GLBA. The University did not have a written information security program (and therefore did not address any of the minimum elements), and it did not designate a Qualified Individual responsible for implementing and monitoring its information security program. The University asserted that this was due to significant staffing issues in its Information Technology Department. Not implementing the required safeguards in an information security program and designating a Qualified Individual to implement and enforce those safeguards increases the University’s risk of data breach or loss. Recommendations: The University should: • Develop and implement an information security program that contains all elements required by the GLBA and the Code of Federal Regulations. • Designate a Qualified Individual responsible to implement and monitor its information security program. Views of Responsible Officials: Gramm-Leach-Bliley Act: The University acknowledges and agrees with the findings.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; 84.408; and 93.925 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224122; Federal Work-Study Program, P033A224122; Federal Pell Grant Program, P063P220387; Federal Direct Student Loans, P268K230387; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T230387; Postsecondary Education Scholarships For Veteran's Dependents (Iraq and Afghanistan Service Grant (IASG)), P408A220387; and Scholarships for Health Professions Students from Disadvantaged Backgrounds - Scholarships for Disadvantaged Students (SDS), 5 T08HP39298-03-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, CFR, Sections 668.2, 673.5, and 685.301). Texas State University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate); residency (in-state or out-of-state); housing status (on_x0002_campus, off-campus, or living with parent); and enrollment status (full-time, three-quarter-time, half-time, or less_x0002_than-half-time). Budgeting rules within the University’s student financial assistance system are established to assign various budget components based on the factors noted above. For 1 (2 percent) of 44 students tested, the University incorrectly calculated the COA. Specifically, the University assigned a less-than-half-time COA when the student was enrolled full-time. As a result, the student’s COA was understated by $9,545. After auditors brought the issue to the University’s attention, it identified a total of 84 total students who were affected, including 56 students who received Title IV financial assistance. Those errors occurred because the University did not recalculate the COA for students in the Pathway program after enrollment was finalized for the Spring 2023 term. The errors discussed above did not result in overawards of financial assistance; therefore, there were no
questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or
underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets for the
Pathway program in accordance with its process.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). Texas Tech University (University) did not appropriately restrict user access to its student information system. Specifically, the University did not always limit access to the student information system to only users who needed that access based on their job responsibilities. While the University had a process in place to review user access, that process was not adequately designed to ensure that the University granted the appropriate level of access to all users based on the users’ job duties. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. Recommendation: The University should ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. Views of Responsible Officials: Texas Tech University acknowledges and agrees with the findings. Texas Tech University has worked to develop and implement corrective action to further improve processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; 84.379; and 84.408 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224151; Federal Pell Grant Program, P063P222328; Federal Direct Student Loans, P268K232328; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232328; and Postsecondary Education Scholarships For Veteran's Dependents (Iraq and Afghanistan Service Grant (IASG)), P408A222328 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: Unknown Repeat Finding: No When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV
grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title
IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the
payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their
Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period
or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by
subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was
disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student
withdrew (Title 34, CFR, Section 668.22(e)).
For distance education, documenting that a student has logged into an online class is not sufficient to
demonstrate academic attendance by the student. An institution must demonstrate that a student participated in
class or was otherwise engaged in an academically related activity. Only active participation by a student in an
instructional activity related to the student’s course of study that meets the definition of “academic engagement” in
Title 34, CFR, Section 600.2 and takes place during a payment period or period of enrollment qualifies as
attendance in an academically related activity (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 5, Chapter 2).
For 1 (5 percent) of 20 students tested, Texas Tech University (University) did not have evidence of
academic engagement in the distance education course from which the student’s withdrawal date was
determined. The University asserted that when an instructor submits a failing grade for a student, the instructor is
required to provide the date of last academic activity. That date is recorded in the University’s student information
system and used by the University to determine the unofficial withdrawal date for Return of Title IV purposes.
However, the University did not have a process in place to require instructors to provide or maintain evidence of
academic engagement in distance education courses. As a result, the University could not demonstrate that the
student participated or otherwise engaged in an academically related activity in that course to support the last
date of attendance used by the University for Return of Title IV purposes.
Having a process that does not consistently calculate and return the correct amount of Title IV funds increases
the risk that the University could return less Title IV funds than it is required to return.
Recommendations:
The University should:
• Ensure that evidence of academic engagement is consistently documented for students in distance education
courses.
• Strengthen its controls to ensure that it accurately calculates returns of Title IV funds when required, including
review of the variables it uses in those calculations.
Views of Responsible Officials:
Texas Tech University acknowledges and agrees with the findings. Texas Tech University has worked to develop
and implement corrective action to further improve processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: 2020-142 General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). The University of Texas at Arlington (University) did not appropriately restrict user access to its student information system. Specifically, a user was granted administrative access in the student information system, which included the ability to modify information and process transactions, such as authorizing and disbursing aid. The University did not remove the administrative access after the user’s specific job responsibilities no longer required that level of access. The University had a process to periodically review user access; however, that review was not sufficient to identify the inappropriate access. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. Recommendation: The University should ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. Views of Responsible Officials: To the point that The University of Texas at Arlington (University) did not appropriately restrict user access to its student information system. OIT and Financial Aid acknowledge that a user was given elevated access that was not removed when the assigned maintenance task was completed.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224172; Federal Pell Grant Program, P063P222335; and Federal Direct Student Loans, P268K232335 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational
expenses; it is computed by the federal central processor and included on the student’s Institutional Student
Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds
the student’s need. Therefore, awards must be coordinated among the various programs and with other federal
and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need
(U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34,
Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301).
The University of Texas at Arlington (University) uses algorithmic budgeting to build COA budgets for each term
based on a student’s classification (undergraduate or graduate), dependency (dependent or independent),
residency (in-state or out-of-state), living status (on-campus, off-campus, or with parents), and enrollment level
(full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student
information system are established to assign various budget components based on the factors noted above.
For 3 (5 percent) of 63 students tested, the University incorrectly calculated the COA. Specifically:
• For two students, the University understated the COA by assigning a books component that did not reflect the
students’ actual enrollment status. Those errors occurred because the University budgeted the students’
books at half-time enrollment instead of full-time enrollment. The University attributed the cause to human
error associated with a manual budget rebuild in the student information system. As a result, the COA was
understated by $200 for each of those students.
• For one student, the University assigned an incorrect budget for the cost of tuition and fees component during
the Summer 2022 term. The University attributed the cause to human error. As a result, the COA was
understated by $198.
The errors discussed above did not result in overawards of financial assistance; therefore, there were no
questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or
underawarding financial assistance to students.
Federal Pell Grant:
A student is eligible to receive a Federal Pell Grant for the period of time required to complete his or her first
undergraduate baccalaureate course of study (Title 34, CFR, Section 690.6(a)).
When awarding Federal Pell Grant assistance to students, institutions use the payment and disbursement
schedules provided each year by the U.S. Department of Education for determining award amounts (Title 34,
CFR, Section 690.62(a)).
Based on a review of the full population of student financial assistance recipients, the University awarded
a total of $1,593 in Federal Pell Grant assistance to 2 post-baccalaureate students who were not eligible
for that assistance. The University asserted queries designed to identify these issues were not run timely due to
staffing issues within the Financial Aid department. After auditors brought those errors to the University’s
attention, the University returned the funds to the U.S. Department of Education; therefore, there were no
questioned costs.
For 1 (2 percent) of 63 students tested, the University did not award Federal Pell Grant assistance to an
eligible student. Specifically, the student was eligible to receive $1,790 in Federal Pell Grant assistance, but did
not receive an award from the University. The University asserted that the error occurred because the student
made a late registration change and was missed on the University’s add report. As a result, the student was
underawarded Federal Pell Grant assistance; therefore, there were no questioned costs. Federal Direct Student Loans:
Direct Subsidized and Unsubsidized Loans have annual and aggregate limits that are the same for all students at
a given grade level and dependency status. In general, a loan may not be more than the amount the borrower
requests, the borrower’s unmet financial need, the borrower’s COA, or the borrower’s maximum borrowing limit.
(U.S. Department of Education 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 5).
For 1 (2 percent) of 63 students tested, the University did not disburse Direct Loans in accordance with
applicable limits. Specifically, the University disbursed a Subsidized Direct Loan in excess of the student’s
aggregate Subsidized Direct Loan and Total Direct Loan limits. After auditors brought the overaward issue to the
University’s attention, it returned the loan funds; therefore, there were no questioned costs. The University
asserted that error occurred because the University did not receive an updated history file in a timely manner due
to issues with the National Student Loan Data System (NSLDS).
Federal Supplemental Educational Opportunity Grants (FSEOG):
The FSEOG program provides grants to eligible undergraduate students. Institutions are required to award
FSEOG first to Federal Pell Grant recipients who have the lowest EFC. If an institution has FSEOG funds
remaining after giving FSEOG awards to all Federal Pell Grant recipients, it can then award the remaining
FSEOG funds to eligible students with the lowest EFCs who did not receive Federal Pell Grants (Title 34, CFR,
Section 676.10).
Based on a review of the full population of student financial assistance recipients, the University awarded
a total of $750 in FSEOG assistance to a student who was working towards a second bachelor’s degree
and thus was not eligible for that assistance. The student was awarded FSEOG in the Spring 2023 term after
earning a first bachelor’s degree in the Fall 2022 term. The University asserted this was a manual error caused by
a counselor canceling the student’s Federal Pell Grant, but failing to cancel the student’s FSEOG award. After
auditors brought the issue to the University’s attention, it removed the grant funds from the student’s account;
therefore, there were no questioned costs.
Recommendations:
The University should:
• Strengthen its controls to ensure that it correctly calculates students’ COA budgets in accordance with its
process.
• Award Federal Pell Grant assistance only to eligible students.
• Ensure that students are awarded Federal Pell Grants for which they are eligible.
• Disburse Subsidized Direct Loans within the student’s applicable aggregate limit.
• Award FSEOG assistance only to eligible students.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). The University of Texas at Austin (University) did not appropriately restrict user access to its student information system. Specifically, an employee retained the ability to modify student financial aid awards after transitioning from the Office of Student Financial Aid to another department within the University. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. In addition, the University did not have sufficient controls over its change management process for information systems. Specifically, one of the University’s departments did not enable the control designed to prevent developers from migrating their own code changes into production. Not having sufficient segregation of duties controls over the change management process increases the risk of unauthorized programming changes being made to critical information systems that the University uses to administer student financial assistance. Recommendations: The University should: • Ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. • Strengthen its controls over its change management process to ensure adequate segregation of duties. Views of Responsible Officials:
The University acknowledges and agrees with the finding. In this case, the employee transitioned from the Office
of Scholarships and Financial Aid (OSFA) to the Student Financial Aid implementation project. It was intended for
this employee to retain his prior access for a time so he could help provide backstop support while his duties were
transitioned to other employees within OSFA. This access should have been removed once his duties were
successfully transitioned.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. However, technical limitations in the current financial
aid management system require that a particular mainframe programming library be exempted from the change
control mechanisms that are used in all other libraries that can update student financial aid information.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224173; Federal Pell Grant Program, P063P222336; and Federal Direct Student Loans, P268K232336 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs, and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). For 1 (2 percent) of 60 students tested, the University of Texas at Austin (University) incorrectly calculated the amount of Title IV funds to be returned. Specifically, the University initially determined that the student officially withdrew on March 10, 2023, and the University incorrectly determined that the student completed more than 60 percent of the term. The University subsequently incorrectly determined that the student unofficially withdrew on February 10, 2023, and processed a return of Title IV funds in the amount of $18,742. After auditors brought the error to the University’s attention, it re-performed the return calculation using the correct date of withdrawal and reinstated the appropriate amount of funds to the student. Not having a process that consistently calculates and returns the correct amount of Title IV funds increases the risk that the University could return less Title IV funds than it is required to return. Coronavirus Aid, Relief, and Economic Security (CARES) Act:
Section 3508 of the CARES Act directs the Secretary to waive the statutory requirement for institutions to return
Title IV funds (R2T4) as the result of student withdrawals related to a qualifying emergency. For any student who
begins attendance in a payment period or period of enrollment that includes March 13, 2020, or begins between
March 13 and the later of December 31 or the last date that the national emergency is in effect, and subsequently
withdraws from the period as a result of COVID-19-related circumstances, an institution is not required to return
Title IV funds. The CARES Act requires an institution to report to the Department information specific to each
student for whom it was not required to return Title IV funds under the waiver exception. An institution must
determine the total amount of grant and loan assistance that otherwise would have been returned, identified in
Step 5 of the R2T4 calculation, had the calculation been performed. Therefore, it will continue to be necessary for
institutions to perform an R2T4 calculation for each student covered by the CARES Act R2T4 waiver (Electronic
Announcement titled UPDATED Guidance for interruptions of study related to Coronavirus (COVID-19), June 16,
2020).
For 1 (50 percent) of 2 students tested who were eligible for relief under the CARES Act, the University
incorrectly processed a return of Title IV funds. The University determined that the student was eligible to
receive an R2T4 waiver under Section 3508 of the CARES Act. However, the University subsequently processed
a return of Title IV funds for the student. The University asserted that error occurred because the student was
listed on a census report showing students who did not enroll in sufficient hours to receive aid, and the student’s
Title IV funds were incorrectly returned because the student’s CARES Act R2T4 waiver was overlooked. After
auditors brought the error to the University’s attention, it reinstated the student's aid and reported to the U.S.
Department of Education that the student qualified for relief under the CARES Act waiver exemption and reported
the amount of relief given. Not accurately identifying students who qualify for a waiver could result in those
students not receiving aid to which they are entitled.
Timeliness of Returns:
An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later
than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section
668.22(j)).
For 1 (2 percent) of 58 students tested who withdrew and required a return of Title IV funds, the University
did not return the funds within the required time frame. The University performed the return calculation and
executed a transaction to return the funds within its student information system; however, the University did not
return the Title IV funds to the U.S. Department of Education within the required 45-day time frame due to an error
in processing the return of those funds. After auditors selected the student for testing, the University returned Title
IV funds as required; therefore, there were no questioned costs. Not returning funds within the required time
frame reduces the information available to the U.S. Department of Education for its program management.
The University had a process to review its calculations for returns of Title IV funds; however, it did not have
adequate controls to ensure that it identified the errors discussed above.
Recommendations:
The University should strengthen its controls to ensure that it:
• Accurately calculates returns of Title IV funds when required, including review of the variables it uses in those
calculations.
• Performs return of Title IV calculations and returns funds within the required time frame.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. For 1 (2 percent) of 58 students tested who withdrew
and required a return of Title IV funds, the University did not return the funds within the required time frame. For 1
(2 percent) of 60 students tested, the University incorrectly calculated the amount of Title IV funds to be returned.
For 1 (50 percent) of 2 students tested eligible for relief under the CARES Act, the University incorrectly
processed a return of Title IV funds. Through analysis of the exceptions identified in the audit, the University will
work to develop and implement corrective action to improve the processes further.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224174; Federal Work-Study Program, P033A224174; Federal Pell Grant Program, P063P223234; Federal Direct Student Loans, P268K233234; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233234 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, CFR, Sections 668.2, 673.5, and 685.301). The University of Texas at Dallas (University) established different COA budgets for each term based on a student’s tuition rate (guaranteed or variable); classification (undergraduate or graduate); residency (in-state and out-of-state); living status (on-campus, off-campus, or at home); and enrollment level (full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting formulas within the University’s student information system are used to assign various budget components based on the factors noted above. The University did not always accurately configure COA budget components in its student information system. Specifically, the University incorrectly set the Summer transportation budget for a certain group of students—undergraduate students with a guaranteed tuition rate who were in-state residents living at home and enrolled half-time—to $640 instead of $928. After auditors brought the issue to the University’s attention, it identified 299 students who were affected. As a result, the COA for those students was understated by a total of $86,112 for the Summer 2023 term. The errors discussed above did not result in overawards of financial assistance; therefore, there were no questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or underawarding financial assistance to students. Recommendation:
The University should ensure that it accurately configures COA budget components within its student information
system.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
While reviewing the population for submission to the auditors, the University determined that the above error had
occurred. Since the timing was still within the summer semester, we corrected the COA component error and
provided institutional grant funding for those students who had increased need due to the update in their summer
transportation budget. There were only 2 students who needed to have their loans repackaged to avoid under
awarding federal aid, which was done.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224169; Federal Pell Grant Program, P063P223294; Federal Direct Student Loans, P268K233294; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233294 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $64,905 Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). The total number of calendar days in a payment period or period of enrollment includes all days within the payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)). The University of Texas at San Antonio (University) made errors in Title IV return calculations for 14 (56 percent) of 25 students tested. Those errors occurred because the University did not exclude break days from its calculations of returns of Title IV funds for the Spring 2023 term as required; therefore, that issue would have affected all students who withdrew from the Spring 2023 term and had a return calculation performed. Although the amount of unearned Title IV assistance calculated for those students was incorrect, there were no questioned costs because the University returned more funds than required. In addition, for 3 (12 percent) of 25 students tested who did not have a return of Title IV funds made, the
University did not perform a return calculation as required. Those errors occurred because the University
incorrectly used 7 break days instead of 8 break days when determining whether students who withdrew from the
Spring 2023 term had completed 60 percent or more of the term. As a result, the University did not perform return
calculations and return funds as required for students who withdrew between March 26 and March 28, 2023,
which resulted in total questioned costs of $50,146 associated with ALN 84.268, Federal Direct Student Loans,
award number P268K233294, and $14,759 associated with ALN 84.063, Federal Pell Grant Program, award
number P063P223294.
The University did not have an adequate monitoring process to identify those errors. Not having a process that
consistently calculates and returns the correct amount of Title IV funds increases the risk that the University could
return less Title IV funds than it is required to return.
Recommendations:
The University should:
• Accurately determine the number of days in the payment period and exclude any scheduled breaks as
required.
• Strengthen its controls to ensure that it detects and corrects errors in return of Title IV calculations and returns
Title IV funds.
Views of Responsible Officials:
The University acknowledges and agrees with the finding that were the result of staff turnover. Through analysis
of the exceptions identified in the audit, the University has worked to develop and implement corrective action.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). The University of Texas Permian Basin (University) did not appropriately restrict user access to its student information system. Specifically, the University did not always limit access to the student information system to only users who needed that access based on their job responsibilities. The University had a process to periodically review user access; however, that review was not sufficient to identify the inappropriate access. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. Recommendation: The University should ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. Views of Responsible Officials: The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the audit, the University has worked to implement further access limitations and enhanced its periodic review of access.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224178; Federal Work-Study Program, P033A224178; Federal Pell Grant Program, P063P223265; Federal Direct Student Loans, P268K233265; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233265 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). The University of Texas Permian Basin (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate), program (in-person or online), residency (in_x0002_state or out-of-state), living status (on-campus, off-campus, or at home with parents), and enrollment level (full_x0002_time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 60 (98 percent) of 61 students tested, the University incorrectly calculated the COA. For some of the students discussed below, there were multiple errors in the COA calculation. Specifically: • For 38 students, the University assigned an incorrect amount for the fees, loan fees, and/or transportation budget components. Those errors occurred because the amounts were incorrectly loaded into the budget tables in the University’s student information system. The University asserted that it discovered these issues in April 2023, and attempted to manually update individual student accounts that were affected. As a result, the COA for those students was overstated, and three students were overawarded a total of $2,871. After auditors brought the overawards to the University’s attention, it returned funds to the U.S. Department of Education; therefore, there were no questioned costs. • For 15 students, the University assigned an in-person budget instead of an online advanced budget. Those
errors occurred because the University failed to consistently communicate which programs were offered
online to the financial aid office, which would have helped ensure that the student information system was
updated appropriately. As a result, the COA for those students was overstated, and one of those students
was overawarded a Subsidized Direct Loan in the amount of $919. After auditors brought the overaward to
the University’s attention, it returned funds to the U.S. Department of Education; therefore, there were no
questioned costs.
• For 12 students, the University incorrectly assigned an additional room and board fee. As a result, the COA
was overstated by $50 per term for each of those students; however, the University did not overaward
financial assistance to those students.
• For eight students, the University did not adjust the students’ COA to reflect the students’ actual enrollment.
The University did not have a process to freeze student enrollment levels in order to recalculate COA after
census. As a result, the COA for those students was overstated; however, the University did not overaward
financial assistance to those students.
The University did not have adequate controls in place to review budgets used in the calculation of COA and
accurately assign those budgets to students. Incorrectly calculating COA increases the risk of overawarding or
underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets in
accordance with its process and does not overaward financial assistance to students.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University has worked to implement additional controls as it relates to calculation of the Cost of
Attendance.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224178; Federal Pell Grant Program, P063P223265; Federal Direct Student Loans, P268K233265; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233265 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs, and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). The total number of calendar days in a payment period or period of enrollment includes all days within the
payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks
of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the
number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)).
For a program offered in modules, a student is not considered to have withdrawn if the student successfully
completes either (1) a module that includes 49 percent or more of the number of days in the payment period,
excluding scheduled breaks of five or more consecutive days and all days between modules; or (2) a combination
of modules that together contain 49 percent or more of the number of days in the payment period, excluding
scheduled breaks of five or more consecutive days and all days between modules (Title 34, CFR, Section
668.22(a)(2)(ii)(A)(2)).
For 3 (6 percent) of 48 students tested who did not have a return of Title IV funds made, the University of
Texas Permian Basin (University) did not perform a return calculation as required. Specifically:
• For two students who were enrolled in module courses, the University did not perform a return calculation
because it incorrectly determined that the students completed 49 percent or more of the number of days in
the payment period. The University asserted that staff misinterpreted the 49 percent withdrawal exemption
requirements.
• For one student, the University did not perform a return calculation and return funds as required due to staff
oversight.
After auditors brought those errors to the University’s attention, the University performed the return calculations
and returned the funds to the U.S. Department of Education; therefore, there were no questioned costs.
In addition, the University made errors in Title IV return calculations for 11 (48 percent) of 23 students
tested. Specifically, the University did not exclude any break days from the students’ return calculations as
required. Those errors occurred because the University did not load the break days into its student information
system when setting up the payment periods for the standard Fall 2022 and Spring 2023 terms; therefore, this
issue would have affected all students who withdrew from those terms. As a result, the University returned a total
of $284 less than it should have for 2 of those 11 students. After auditors brought the issue to the University’s
attention, the University returned those funds to the U.S. Department of Education; therefore, there were no
questioned costs.
• For 3 of those 11 students, the University also incorrectly adjusted the students’ Direct Loans disbursements
prior to performing the return calculation. As a result of those errors, the University returned more funds than
required; therefore, there were no questioned costs.
The University did not have an adequate monitoring process to identify the errors discussed above. Not having a
process that consistently calculates and returns the correct amount of Title IV funds increases the risk that the
University could return less Title IV funds than it is required to return.
Timeliness of Returns:
An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later
than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section
668.22(j)).
For 3 (13 percent) of 23 students tested who withdrew and required a return of Title IV funds, the
University did not return the funds within the required time frame. The University returned the Title IV funds
to the U.S. Department of Education 46 and 203 days after the University determined that the students withdrew.
The University did not have adequate controls in place to ensure that Title IV funds were returned within the
required 45-day time frame. Not making returns within required time frames reduces the funds available to the U.S. Department of Education
for its program management.
Recommendations:
The University should:
• Configure its student information system to exclude any scheduled breaks as required.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in return of Title IV calculations
and returns Title IV funds in a timely manner.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University has worked to ensure procedures and interpretation of the regulations for the Return to Title
IV have been updated to result in correct and timely return of Title IV funds.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; and 84.063 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224166; and Federal Pell Grant Program, P063P222333 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Federal Supplemental Educational Opportunity Grants (FSEOG): The FSEOG program provides grants to eligible undergraduate students. Institutions are required to award FSEOG first to Federal Pell Grant recipients who have the lowest expected family contribution (EFC). If an institution has FSEOG funds remaining after giving FSEOG awards to all Federal Pell Grant recipients, it can then award the remaining FSEOG funds to eligible students with the lowest EFCs who did not receive Federal Pell Grants (Title 34, Code of Federal Regulations (CFR), Section 676.10). If the total amount of calculated Title IV grant or loan assistance, or both, that a student earned is greater than the total amount of Title IV grant or loan assistance, or both, that was disbursed to the student, as of the date that the institution determines that the student has withdrawn, the difference between those amounts must be treated as a post-withdrawal disbursement in accordance with Title 34, CFR, Section 668.22(a)(6) and Section 668.164(i) (Title 34, CFR, Section 668.22(a)(5)). The institution must disburse directly to a student any amount of a post-withdrawal disbursement of grant funds that is not credited to the student’s account. The institution must make the disbursement as soon as possible, but no later than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(a)(6)(ii)(B)(1)). Based on a review of the full population of student financial assistance recipients, the University of Houston (University) awarded a total of $6,500 in FSEOG assistance to 5 students who did not also receive a Federal Pell Grant. Specifically: • For three students, the University did not award Federal Pell Grants to those students because the students reported on their Free Application for Federal Student Aid (FAFSA) that they had earned a bachelor’s degree or were working on a degree beyond a bachelor's degree. After auditors brought these errors to the University’s attention, the University canceled the FSEOG awards to those students; therefore there were no questioned costs. • For one student, the University did not award a Federal Pell Grant to the student for the term in which the student received FSEOG funds. Due to a manual error, the University applied the student’s Federal Pell Grant to the wrong term. After auditors brought the error to the University’s attention, the University corrected the Federal Pell Grant award to the correct term; therefore there were no questioned costs. • For one student, the University did not award a Federal Pell Grant to the student due to a hold that was
placed on the student’s account for an incomplete task. After auditors brought the error to the University’s
attention, the University reviewed the student’s account and determined the hold should be removed. The
University processed a post-withdrawal disbursement of Federal Pell Grant funds 324 days after the date of
the University’s determination that the student withdrew. There were no questioned costs as a result of this
error.
Although the University had monitoring controls in place to ensure accurate awarding of federal funds, it did not
have an adequate process to identify the errors discussed above.
Recommendations:
The University should:
• Award FSEOG funds only to eligible students.
• Complete post-withdrawal disbursements within a timely manner.
Views of Responsible Officials:
The University acknowledges and agrees with the findings. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224166; Federal Pell Grant Program, P063P222333; Federal Direct Student Loans, P268K232333; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232333 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). The institution must return the lesser of the total amount of unearned Title IV assistance calculated above or an amount equal to the total institutional charges incurred by the student for the payment period or period of enrollment multiplied by the percentage of Title IV grant or loan assistance not earned by the student. For purposes of this calculation, “institutional charges” are tuition, fees, room and board (if the student contracts with the institution for the room and board), and other educationally related expenses assessed by the institution (Title 34, CFR, Section 668.22(g)). The institutional charges used in the calculation are usually the charges that were initially assessed to the student for the entire payment period or period of enrollment, as applicable. Initial charges may be adjusted only by those changes the institution made prior to the student’s withdrawal, such as a change in enrollment status unrelated to the withdrawal (U.S. Department of Education, 2022- 2023 Federal Student Aid Handbook, Volume 5, Chapter 1, Section: Institutional Charges). The University of Houston (University) made errors in Title IV return calculations for 18 (30 percent) of 60
students tested. Specifically:
• For 15 students, the University made errors in determining the amount of institutional charges to be used in
the return calculation by including unallowable charges in its calculation for those students.
• For two students, the University returned the incorrect amount of Title IV funds due to manual entry errors.
For one of those students, the University also incorrectly included unallowable charges in the student’s return
calculation as discussed above.
• For one student, the University incorrectly canceled the student’s Federal Pell Grant award before its
calculation. The University asserted that was due to a processing error in its student information system.
There were no questioned costs as a result of those errors because for each student the University returned more
than the required amount or the error did not affect the amount of Title IV grant or loan assistance to be returned.
Distance Education:
For distance education, documenting that a student has logged into an online class is not sufficient to
demonstrate academic attendance by the student. An institution must demonstrate that a student participated in
class or was otherwise engaged in an academically related activity. Only active participation by a student in an
instructional activity related to the student’s course of study that meets the definition of “academic engagement” in
Title 34, CFR, Section 600.2 and takes place during a payment period or period of enrollment qualifies as
attendance in an academically related activity (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 5, Chapter 2).
For 1 (7 percent) of 14 students tested, the University did not have evidence of academic engagement in
the distance education course from which the student’s withdrawal date was determined. The University
relies on the last dates of academic activity provided by instructors to determine the withdrawal date for return of
Title IV purposes for students who unofficially withdraw. However, the University did not have an adequate review
process in place to ensure that it maintained documentation supporting attendance in distance education courses.
As a result, the University could not demonstrate that the student participated or otherwise engaged in an
academically related activity in that course to support the last date of attendance used by the University for return
of Title IV purposes.
The University did not have an adequate monitoring process to identify the errors discussed above. Not having a
process that consistently calculates and returns the correct amount of Title IV funds increases the risk that the
University could return the incorrect amount of Title IV funds.
Recommendations:
The University should:
• Calculate institutional charges in accordance with U.S. Department of Education requirements.
• Ensure that evidence of academic engagement is consistently documented for students in distance education
courses.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in its calculation of Title IV
funds to return. Views of Responsible Officials:
The University acknowledges and agrees with the findings. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions - Gramm-Leach-Bliley Act - Student Information Security Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Gramm-Leach-Bliley Act: Institutions must protect sensitive data, including information obtained in support of the administration of federal student financial assistance programs, as required by the Gramm-Leach-Bliley Act (GLBA) (Public Law 106-102). Under their Program Participation Agreement (PPA) and the GLBA, postsecondary educational institutions must protect student financial aid information, with particular attention to information provided by the Department of Education or otherwise obtained in support of the administration of the Title IV Federal student financial aid programs (Dear Colleague Letter, July 1, 2016 (GEN-16-12)). Institutions are required to develop, implement, and maintain an information security program that includes the minimum elements in Title 16, Code of Federal Regulations (CFR), Section 314.4. Those minimum requirements include conducting a periodic inventory of data, noting where it is collected, stored, or transmitted (Title 16, CFR, Section 314.4(c)(1)). In addition, the institution must designate a qualified individual responsible for overseeing, implementing, and enforcing the institution’s information security program (Title 16, CFR, Section 314.4(a)). The University of Houston’s (University) information security program did not address the implementation of all minimum safeguards as required by the GLBA. Specifically, while the University had designated a Qualified Individual to coordinate its information security program and had a written information security program in place, that program did not meet the requirements for conducting a periodic inventory of data. Not implementing all required safeguards in its information security program increases the University’s risk of data breach or loss. Recommendation:
The University should ensure that all elements required by the GLBA are documented and implemented in its
information security program.
Views of Responsible Officials:
The University acknowledges and agrees with the findings. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Return of Title IV Funds
Federal Agency: U.S. Department of Education
Federal Program Title: Student Financial Assistance Cluster
Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379
Pass-Through Agency: N/A
Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG),
P007A224085; Federal Pell Grant Program, P063P222293; Federal Direct
Student Loans, P268K232293; and Teacher Education Assistance for
College and Higher Education Grants (TEACH), P379T232293
Award Period: July 1, 2022, to June 30, 2023
Statistically Valid Sample: No and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency and Noncompliance
Questioned Costs: None
Repeat Finding: No
Return of Title IV Calculations:
When a student who received Title IV grant or loan assistance withdraws from an institution during a payment
period or period of enrollment in which the student began attendance, the institution must determine the amount
of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of
Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned
by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date
of the institution’s determination that the student withdrew, the difference must be returned to the Title IV
programs and no additional disbursements may be made to the student for the payment period or period of
enrollment (Title 34, CFR, Section 668.22(a)(4)).
The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV
grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title
IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the
payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their
Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period
or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by
subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was
disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student
withdrew (Title 34, CFR, Section 668.22(e)).
The total number of calendar days in a payment period or period of enrollment includes all days within the
payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks
of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the
number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)). The University of North Texas (University) made errors in Title IV return calculations for 32 (52 percent) of
61 students tested. Those errors occurred because the University did not exclude any break days from its Title
IV return calculations for the Fall 2022 term as required; therefore, that issue would have affected all students
who withdrew from the Fall 2022 term and had an automated return calculation performed. Although the amount
of unearned Title IV assistance calculated for those students was incorrect, there were no questioned costs as a
result of those errors because the University returned more funds than required.
• For 1 of those 32 students, the University also did not accurately determine the withdrawal date for the
student who was enrolled in modules. After auditors brought the issue to the University’s attention, the
University re-performed the return calculation and returned the additional Title IV funds as required; therefore,
there were no questioned costs.
• In addition, for 1 of those 32 students, the University incorrectly returned Title IV funds for a student who
completed more than 60 percent of the term and did not require a return.
Distance Education:
For distance education, documenting that a student has logged into an online class is not sufficient to
demonstrate academic attendance by the student. An institution must demonstrate that a student participated in
class or was otherwise engaged in an academically related activity. Only active participation by a student in an
instructional activity related to the student’s course of study that meets the definition of “academic engagement” in
Title 34, CFR, Section 600.2, and takes place during a payment period or period of enrollment qualifies as
attendance in an academically related activity (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 5, Chapter 2).
For 1 (14 percent) of 7 students tested, the University did not have evidence of academic engagement for
the student who attended all distance education courses. The University relies on the last dates of
attendance (LDA) provided by instructors to determine the withdrawal date for Return of Title IV purposes for
students who unofficially withdraw. If no LDAs are provided by the instructors, the University uses the midpoint of
the term as the withdrawal date. The student was enrolled in all distance education courses, and the University
used the midpoint as the withdrawal for the student. However, the University could not provide evidence that the
student participated or otherwise engaged in an academically related activity in any of the distance education
courses. After auditors brought the issue to the University’s attention, the University performed a return
calculation and returned Title IV funds as required; therefore, there were no questioned costs.
Timeliness of Returns:
An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later
than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section
668.22(j)).
For 12 (20 percent) of 61 students tested who withdrew and required a return of Title IV funds, the
University did not return the funds within the required time frame. Specifically, the University returned the
Title IV funds to the U.S. Department of Education between 47 to 183 days after the University determined that
the students withdrew. The University asserted those errors occurred due to staffing issues and problems with the
transmission of the adjustments to the U.S. Department of Education’s Common Origination and Disbursement
(COD) system.
The University did not have an adequate monitoring process to identify those errors or document the review
process. Having a process that does not consistently calculate and return the correct amount of Title IV funds
increases the risk that the University could return incorrect amounts of Title IV funds. In addition, not making
returns within the required time frames reduces the funds available to the U.S. Department of Education for its
program management.
Recommendations:
The University should:
• Accurately determine the number of days in the payment period and exclude any scheduled breaks as
required.
• Ensure that evidence of academic engagement is consistently documented for students in distance education
courses.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in Title IV return calculations
and returns Title IV funds in a timely manner.
Views of Responsible Officials:
The University acknowledges and agrees with the findings regarding the Return of Title IV funds in cases where a
student officially or unofficial withdraws from the institution after the student begins attendance in a given payment
period or period of enrollment. The University acknowledges the importance of accurately calculating the Title IV
funds to be returned and the timely return of those funds.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 93.264 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224051; Federal Work-Study Program, P033A224051; Federal Pell Grant Program, P063P222282; Federal Direct Student Loans, P268K232282; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232282; and Nurse Faculty Loan Program (NFLP), 1 E01HP45821-01-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $1,409 Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). Direct Subsidized and Unsubsidized Loans have annual and aggregate limits that are the same for all students at a given grade level and dependency status. In general, a loan may not be more than the amount the borrower requests, the borrower’s unmet financial need, the borrower’s COA, or the borrower’s maximum borrowing limit. (U.S. Department of Education 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 5). Lamar University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate), dependency (dependent or independent), residency (in-state or out-of-state), living status (on-campus, off-campus, or at home with parents), and enrollment level (full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 23 (38 percent) of 61 students tested, the University incorrectly calculated the COA. Specifically, the
University did not adjust the students’ COA to reflect the students’ actual enrollment as of the census date. The
University experienced turnover in the Student Financial Aid department during the 2022–2023 award year, and
could not provide a cause for those errors. The University asserted that it implemented a process to recalculate
students’ COAs based on their actual enrollment at census beginning with the Fall 2023 term; however, the errors
discussed above occurred before that process was in place. As a result, the University overawarded two students.
• One of those students was assigned an overstated COA for the Fall 2022 term based on three-quarter-time
enrollment although the student’s actual enrollment was half-time. The student was awarded $5,294 in
Subsidized Direct Loans, which exceeded the student’s financial need, resulting in $1,113 in questioned costs
associated with ALN 84.268, Federal Direct Student Loans, award number P268K232282.
• The other student was assigned an overstated COA for the Spring 2023 term based on full-time enrollment
although the student did not attend during the term. The student was awarded $10,142 in Unsubsidized Direct
Loans, which exceeded the student’s actual COA, resulting in $296 in questioned costs associated with ALN
84.268, Federal Direct Student Loans, award number P268K232282.
The University did not have adequate controls in place to review budgets used in the calculation of COA and
accurately assign those budgets to students. Incorrectly calculating COA increases the risk of overawarding or
underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets in
accordance with its process and does not overaward financial assistance to students.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Disbursements To or On Behalf of Students Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 93.264 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224051; Federal Work-Study Program, P033A224051; Federal Pell Grant Program, P063P222282; Federal Direct Student Loans, P268K232282; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232282; and Nurse Faculty Loan Program (NFLP), 1 E01HP45821-01-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Award and Disbursement Notifications: Before an institution disburses Title IV, Higher Education Act of 1965 (HEA) program funds for any award year, the institution must notify a student of the amount of funds that the student or his or her parent can expect to receive under each Title IV, HEA program, and how and when those funds will be disbursed. If those funds include Direct Loan program funds, the notice must indicate which funds are from subsidized loans, which are from unsubsidized loans, and which are from PLUS loans (Title 34, Code of Federal Regulations (CFR), Section 668.165(a)(1)). If an institution credits a student’s ledger account with Federal Direct Student Loan (Direct Loan) funds or Teacher Education Assistance for College and Higher Education (TEACH) Grant funds, the institution must notify the student or parent of (1) the anticipated date and amount of the disbursement, (2) the student’s or parent’s right to cancel all or a portion of that loan or grant and have the loan or grant proceeds returned to the U.S. Department of Education, and (3) the procedures and time by which the student or parent must notify the institution that he or she wishes to cancel the loan or grant, or loan or grant disbursement (Title 34, CFR, Section 668.165(a)(2)). The institution must provide the notice in writing no earlier than 30 days before, and no later than 30 days after, crediting the student’s ledger account at the institution (Title 34, CFR, Section 668.165(a)(3)). For 21 (34 percent) of 62 disbursements tested, Lamar University (University) did not send an award or
disbursement notification as required. Specifically:
• For 20 students that received Direct Loan disbursements, the University did not send a disbursement
notification. The University asserted those errors occurred because the University was utilizing a manual
process to send out the disbursement notifications, and on those days when the employee charged with
performing the manual process was not present, the notifications were not sent to students.
• For one student who received Title IV funds, the University did not send an award notification. This error
occurred because the University manually packaged the student’s awards after clearing a verification
requirement, and the University did not have an adequate process in place to ensure that students who are
manually awarded receive an award notification.
Not receiving award and disbursement notifications impairs students’ and parents’ ability to budget for the cost of
attending or exercise the option to cancel their loans or grants.
Promissory Notes:
Institutions must establish a process to make loans consistent with institutional policies and federal laws and
regulations, including the completion of the following during disbursement: (1) signed promissory note, and (2)
disclosure of terms and conditions (Nurse Faculty Loan Program (NFLP) Administrative Guidelines, 42 United
States Code (U.S.C.) 297n-1 (Public Health Service Act Section 846A)).
The University did not have a process in place to require a promissory note for NFLP loans prior to
disbursement. NFLP loans were incorrectly identified in the student information system as a grant instead of a
loan. As a result, the student information system did not place a required hold on disbursements until the
promissory note requirement was completed.
Not requiring a signed promissory note prior to disbursement of loan funds could limit the University’s ability to
enforce repayment of the loan.
Recommendations:
The University should:
• Strengthen its controls to ensure that it identifies all students that require an award or disbursement
notification, and sends those notifications to the students.
• Configure controls in the student information system to require promissory notes for applicable loans.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). Sam Houston State University (University) did not appropriately restrict access to its student information system. Specifically, the University did not always limit access to the student information system to only users who needed that access based on their job responsibilities. While the University had a process in place to review user access, that process was not adequately designed to ensure that the University granted the appropriate levels of access to all users based on the users’ job duties. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. In addition, the University did not have sufficient controls over its change management process for information systems. Specifically, 1 (14 percent) of 7 changes tested lacked documentation showing that the change was properly tested or validated before it was migrated to production. Not having sufficient controls over the change management process increases the risk of unauthorized programming changes being made to critical information systems that the University uses to administer student financial assistance. Recommendations: The University should: • Ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. • Strengthen its controls over its change management process to ensure adequate validation of changes prior to implementation. Views of Responsible Officials: The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the audit, the University will work to develop and implement corrective action to further improve the processes.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224131; Federal Work-Study Program, P033A224131; Federal Pell Grant Program, P063P222320; Federal Direct Student Loans, P268K232320; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232320 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). Tarleton State University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s tuition rate (guaranteed or variable), program, courses, classification (undergraduate or graduate), residency (in-state or out-of-state); living status (on-campus, off-campus, or with parent), and enrollment level (full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 62 (100 percent) of 62 students tested, the University incorrectly calculated the COA. Specifically, the University used the 2021–2022 award year budgets instead of the 2022–2023 award budgets because it did not update the COA budget components in its student information system for the new award year. As a result, the COAs for those students were understated by a total of $148,781. This error would have affected the COA for all students in the Fall 2022 and Spring 2023 terms. However, because the students’ budgets were understated, this error did not result in overawards of financial assistance; therefore, there were no questioned costs. The University did not have adequate controls in place to review budgets used in the calculation of COA and accurately assign those budgets to students. Incorrectly calculating COA increases the risk of overawarding or underawarding financial assistance to students. Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets in
accordance with its process.
Views of Responsible Officials:
The University has carefully reviewed the findings outlined in the recent financial aid audit report, and we
acknowledge and agree with the identified areas for improvement. Your thorough examination has provided
valuable insights into our financial aid processes, and we appreciate the effort invested in ensuring transparency
and accountability.
In response to the findings, we are committed to taking immediate and comprehensive corrective actions to
address the identified issues and enhance the overall effectiveness of our financial aid management. Our team is
already in the process of developing a detailed Corrective Action Plan that will outline the specific steps we will
take to rectify the noted deficiencies. We understand the importance of financial aid in supporting our students'
academic endeavors, and we are dedicated to ensuring that our processes align with the highest standards of
integrity and compliance.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 84.408 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A234136; Federal Work-Study Program, P033A224136; Federal Pell Grant Program, P063P225286; Federal Direct Student Loans, P268K235286; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T235286; and Postsecondary Education Scholarships For Veteran's Dependents (Iraq and Afghanistan Service Grant (IASG)), P408A225286 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: Unknown Repeat Finding: No Satisfactory Academic Progress: A student is eligible to receive Title IV, Higher Education Act of 1965 (HEA) program assistance if the student maintains satisfactory academic progress in his or her course of study according to the institution’s published standards of satisfactory academic progress (SAP) that satisfy the provisions of Title 34, Code of Federal Regulations (CFR), Section 668.34 (Title 34, CFR, Section 668.32(f)). An institution’s SAP policy must include a qualitative component that consists of grades or comparable factors that are measurable against a norm and a quantitative component that consists of the pace at which students must progress through their program to ensure that they will graduate within the maximum time frame required to complete their education (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 1, Chapter 1). For an undergraduate program measured in credit hours, a period that is no longer than 150-percent of the published length of the educational program, as measured in credit hours, should be used to determine the maximum time frame for the quantitative component of SAP (Title 34, CFR, Section 668.34(b)(1)). For 1 (2 percent) of 45 students tested, Texas A&M University (University) did not calculate SAP in accordance with its policy. Specifically, the University did not update the program hours for the Bachelor of Science in Nursing program in its student information system when it changed the program length from 123 hours to 120 hours during the 2017–2018 award year. Therefore, this issue would have affected all students enrolled in the program. As a result, the maximum time frame calculation incorrectly allowed students to exceed the maximum hours without failing SAP. Incorrectly calculating the maximum time frame increases the risk that students could receive financial assistance for which they are not eligible. Recommendation: The University should ensure that the maximum time frame is configured in its student information system with the accurate number of credit hours for each degree program. Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: 2020-113, 2017-119, 2016-109 General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). Texas Southern University (University) did not appropriately restrict user access to its student information system. Specifically, the University did not always ensure that (1) access to modify information and process transactions in the student information system and (2) administrative access at the network level was limited to only current employees and users who needed that access based on their job responsibilities. The University had a process to review user access to its systems; however, it did not always implement changes based on the results of that review. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made to those systems. Recommendation: The University should ensure that user access to its student information system and administrative access to its network is appropriately limited to employees based on current job responsibilities. Views of Responsible Officials: The Office of Technology acknowledges and agrees with the finding.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 93.925 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224145; Federal Work-Study Program, P033A224145; Federal Pell Grant Program, P063P222327; Federal Direct Student Loans, P268K232327; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232327; and Scholarships for Health Professions Students from Disadvantaged Backgrounds – Scholarships for Disadvantaged Students (SDS), 5 T08HP39322-03-00, 5 T08HP39282-03-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: 2020-113, 2017-119, 2016-109 Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). Texas Southern University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate); residency (in-state or out-of-state); living status (on_x0002_campus, off-campus, or with parent); and enrollment level (full-time, three-quarter-time, half-time, or less-than_x0002_half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 7 (11 percent) of 65 students tested, the University incorrectly calculated the COA. Specifically, the University assigned an incorrect amount for books and supplies for these students. Those errors occurred because the University decreased the default amount for the books and supplies budget component but did not update the algorithmic budget table in its student information system to reflect that change. As a result, the COA was overstated by $40 for each of those students. The errors discussed above did not result in overawards of financial assistance; therefore, there were no questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or underawarding financial assistance to students. Federal Pell Grant:
When awarding Federal Pell Grant assistance to students, institutions use the payment and disbursement
schedules provided each year by the U.S. Department of Education for determining award amounts (Title 34,
CFR, Section 690.62(a)). Those schedules provide the maximum annual amount a student would receive for a full
academic year for a given enrollment status, EFC, and COA. There are separate schedules for three-quarter time, half-time, and less-than-half-time students (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 3, Chapter 3; and Title 34, CFR, Section 690.63(b)).
For 2 (3 percent) of 65 students tested who received Federal Pell Grants, the University did not award the
correct amount of Federal Pell Grant assistance. Specifically, the University awarded those students less than
they were eligible to receive. The University did not identify additional credit hours from late registration in the
students’ Federal Pell Grant award determinations. As a result, the students were underawarded a total of $1,544
in Federal Pell Grant assistance.
Federal Direct Student Loans:
A borrower who has reached the aggregate borrowing limit for Direct Subsidized Loans and Direct Unsubsidized
Loans may not receive additional loans. Once the loans are repaid, in full or in part, the borrower may apply for
additional loans. The aggregate unpaid principal amount of all Direct Subsidized Loans made to a student may
not exceed $23,000 for any student who has not successfully completed a program of study at the undergraduate
level (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 5; and Title
34, CFR, Section 685.203(d)(1)).
The University did not always disburse Federal Direct Student Loans in accordance with applicable limits.
Specifically, the University exceeded the aggregate limit for Subsidized Direct Loans. Auditors determined that a
student had been awarded $500 in excess of the aggregate limit of $23,000. The University manually cleared a
hold to enforce the loan limit, without properly reviewing or adjusting the student’s loan. After auditors brought the
overaward issue to the University’s attention, it returned the loan funds; therefore, there were no questioned
costs. However, by not properly reviewing account holds, the University increases the risk of overawarding
financial assistance to students.
Satisfactory Academic Progress:
A student is eligible to receive Title IV, Higher Education Act of 1965 (HEA) program assistance if the student
maintains satisfactory academic progress in his or her course of study according to the institution’s published
standards of satisfactory academic progress (SAP) that satisfy the provisions of Title 34, CFR, Section 668.34
(Title 34, CFR, Section 668.32(f)). An institution’s SAP policy must include a qualitative component that consists
of grades or comparable factors that are measurable against a norm and a quantitative component that consists
of the pace at which students must progress through their program to ensure that they will graduate within the
maximum time frame required to complete their education.
For a graduate program, a period defined by the institution that is based on the length of the educational program
should be used to determine the maximum time frame for the quantitative component of SAP (U.S. Department of
Education, 2022-2023 Federal Student Aid Handbook, Volume 1, Chapter 1; and Title 34, CFR, Section
668.34(b)).
Additionally, an institution’s SAP policy should provide that, if at the time of evaluation, the student has not
achieved the required grade point average, is not successfully completing his or her program of study at the
required pace, or has not completed the program within the maximum time frame, the student is no longer eligible
for Title IV aid. The policy should provide specific procedures for disbursements to students on financial aid
warning or probation status and permit the student to appeal a determination; it should also provide specific
procedures for re-establishing eligibility to receive Title IV aid and the basis on which a student may file an appeal
(Title 34, CFR, Section 668.34(a)). For 1 (2 percent) of 65 students tested, the University did not calculate SAP in accordance with its policy.
The student re-enrolled in the Fall 2022 term after a gap in attendance, and the University did not perform a
manual SAP calculation, which would have shown that the student did not meet the minimum required pace as
defined in the University’s SAP policy. The student would have been required to submit an appeal, and have that
appeal approved, to receive financial assistance. The student was initially overawarded $6,184. Part of the funds
were returned as a result of a Return of Title IV Funds calculation after the student withdrew, and the remaining
funds were returned after auditors brought the issue to the University’s attention. Therefore, there were no
questioned costs.
Not calculating SAP compliance increases the risk that students could receive financial assistance for which they
are not eligible.
Institutional Student Information Records (ISIR):
The U.S. Department of Education automatically distributes (or “pushes”) to institutions certain ISIR transactions
processed by the Central Processing System (CPS); it then requires the institutions to take some sort of action.
An example of a pushed ISIR would be a student-corrected ISIR that causes a change to the EFC. Institutions are
required to review all pushed ISIRs and assess any potential effect on students’ eligibility for assistance
(Technical Reference for Electronic Date Exchange (EDE) 2022-2023).
The University did not have a process to address errors to ensure that all ISIR data was loaded accurately
and completely into its student information system. Specifically, the University did not reconcile records
received from CPS-pushed ISIRs to the University’s student information system records during the Fall 2022 term
and part of the Spring 2023 term. As a result, some eligible students did not receive their financial assistance until
making an inquiry of the University.
Recommendations:
The University should:
• Ensure that it accurately configures COA budget components within its student information system.
• Award students Federal Pell Grant assistance based on actual enrollment.
• Disburse Subsidized Direct Loans within the student’s applicable aggregate limit.
• Ensure that all students are evaluated for Satisfactory Academic Progress prior to disbursing financial
assistance.
• Properly reconcile all records received from CPS-pushed ISIRs.
Views of Responsible Officials:
Cost of Attendance (COA):
The Office of Student Financial Success agrees with the auditor’s findings indicating that 7 of 65 students tested
had an incorrect COA specifically related to the students’ books and supplies portion of the budget.
Views of Responsible Officials:
Federal Pell Grant:
The Office of Student Financial Success agrees with the findings that 2 of 65 students tested were not awarded
the correct amount of Federal Pell grant funds.
Views of Responsible Officials:
Federal Direct Student Loans:
The Office of Student Financial Success agrees with the finding that 1 student did not receive federal student
loans in accordance with applicable limits.
Views of Responsible Officials:
Satisfactory Academic Progress:
The Office of Student Financial Success agrees with the finding that 1 of 65 students did not receive an SAP
calculation in accordance with TSU policy.
Views of Responsible Officials:
Institutional Student Information Records (ISIR):
The Office of Student Financial Success agrees with the finding related to Institutional Student Information
Records.
Special Tests and Provisions – Disbursements To or On Behalf of Students Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224145; Federal Work-Study Program, P033A224145; Federal Pell Grant Program, P063P222327; Federal Direct Student Loans, P268K232327; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232327 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Award and Disbursement Notifications: Before an institution disburses Title IV, Higher Education Act of 1965 (HEA) program funds for any award year, the institution must notify a student of the amount of funds that the student or his or her parent can expect to receive under each Title IV, HEA program, and how and when those funds will be disbursed. If those funds include Direct Loan program funds, the notice must indicate which funds are from subsidized loans, which are from unsubsidized loans, and which are from PLUS loans (Title 34, Code of Federal Regulations (CFR), Section 668.165(a)(1)). If an institution credits a student’s ledger account with Federal Direct Student Loan (Direct Loan) funds or Teacher Education Assistance for College and Higher Education (TEACH) Grant funds, the institution must notify the student or parent of (1) the anticipated date and amount of the disbursement, (2) the student’s or parent’s right to cancel all or a portion of that loan or grant and have the loan or grant proceeds returned to the U.S. Department of Education, and (3) the procedures and time by which the student or parent must notify the institution that he or she wishes to cancel the loan or grant, or loan or grant disbursement (Title 34, CFR, Section 668.165(a)(2)). The institution must provide the notice in writing no earlier than 30 days before, and no later than 30 days after, crediting the student’s ledger account at the institution (Title 34, CFR, Section 668.165(a)(3)). For 61 (100 percent) of 61 disbursements tested, Texas Southern University (University) did not send an award or disbursement notification as required. The University asserted it did not send award notifications to students because it relied on the Common Origination and Disbursement (COD) Disclosure Statements sent by the Department of Education. However, the COD Disclosure Statements did not include all required elements of the award notification. In addition, the University did not consistently send disbursement notifications for the Fall 2022 term, and did not send any disbursement notifications for the Spring 2023 term. The issues with disbursement notifications were attributed to both manual error and disabling of the University’s automated processes. Further, the disbursement notifications that were sent for the Fall 2022 term did not include all required elements. Not receiving award and disbursement notifications impairs students’ and parents’ ability to budget for the cost of attending or exercise the option to cancel their loans or grants. Allowable Charges and Credit Balance Authorizations:
An institution may credit a student's ledger account with Title IV, HEA program funds to pay for allowable charges
associated with the current payment period. Allowable charges are: (1) the amount of tuition, fees, and
institutionally provided room and board assessed the student for the payment period or the prorated amount of
those charges if the institution debits the student's ledger account for more than the charges associated with the
payment period; and (2) the amount incurred by the student for the payment period for purchasing books,
supplies, and other educationally related goods and services provided by the institution for which the institution
obtains the student's or parent's authorization under Section 668.165(b) (Title 34, CFR, Section 668.164(c)(1)).
A Title IV, HEA credit balance occurs whenever the amount of Title IV, HEA program funds credited to a student's
ledger account for a payment period exceeds the amount assessed the student for allowable charges associated
with that payment period. A Title IV, HEA credit balance must be paid directly to the student or parent as soon as
possible, but no later than (1) fourteen days after the balance occurred if the credit balance occurred after the first
day of class within a payment period; or (2) fourteen days after the first day of class of a payment period if the
credit balance occurred on or before the first day of class within that payment period (Title 34, CFR, Section
668.164(h)).
If an institution obtains written authorization from a student or parent, as applicable, the institution may: (1) use
the student’s or parent’s Title IV, HEA program funds to pay for charges that are included in that authorization,
and (2) hold on behalf of the student or parent any Title IV, HEA program funds that would otherwise be paid
directly to the student or parent as a credit balance, unless the Secretary provides funds to the institution under
the reimbursement payment method or the heightened cash monitoring payment method (Title 34, CFR, Section
668.165(b)(1)).
An institution may not use Title IV funds to pay finance charges or fees that are incurred because a student uses
a financing method provided by the school to pay for educational expenses over time. Because students or
families choose to incur these additional expenses rather than paying the balance due at registration, the
additional charges are not considered educational expenses, and may not be included in a student’s cost of
attendance. (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 2).
For 8 (13 percent) of 61 students tested, the University used Title IV funds to pay unallowable charges.
Specifically, the University credited the students’ ledger accounts during the payment period for installment
handling charges and late installment charges. Although the University obtained authorization from the students
to apply Title IV funds to charges other than tuition, fees, or institutionally provided room and board, that
authorization did not extend to those unallowable charges.
For 6 (11 percent) of 57 students tested, the University did not return credit balances to students or
parents within 14 days of the disbursement date or first day of class. Specifically, the University returned
credit balances to those students between 21 and 78 days. The University asserted those errors were caused by
changes to the term allocations, and inadequate tracking of credit balances and associated refunds.
Not receiving all Title IV funds a student is entitled to, or not receiving those funds in a timely manner, impairs
students’ and parents’ ability to budget for the cost of attending.
Recommendations:
The University should strengthen its controls to ensure that:
• It identifies all students that require an award or disbursement notification, and sends those notifications to the
students.
• Award and disbursement notifications include all required elements.
• It does not credit student ledger accounts for unallowable charges.
• Credit balances caused by the awarding of Title IV funds are returned to students in a timely manner.
Views of Responsible Officials:
Award and Disbursement Notifications:
The Office of Student Financial Success agrees with the finding related to award and disbursement notifications.
Views of Responsible Officials:
Allowable Charges and Credit Balance Authorizations:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Gramm-Leach-Bliley Act - Student Information Security Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Gramm-Leach-Bliley Act: Institutions must protect sensitive data, including information obtained in support of the administration of federal student financial assistance programs, as required by the Gramm-Leach-Bliley Act (GLBA) (Public Law 106-102). Under their Program Participation Agreement (PPA) and the GLBA, postsecondary educational institutions must protect student financial aid information, with particular attention to information provided by the Department of Education or otherwise obtained in support of the administration of the Title IV Federal student financial aid programs (Dear Colleague Letter, July 1, 2016 (GEN-16-12)). Institutions are required to develop, implement, and maintain an information security program that includes the minimum elements in Title 16, Code of Federal Regulations (CFR), Section 314.4. In addition, the institution must designate a qualified individual responsible for overseeing, implementing, and enforcing the institution’s information security program (Title 16, CFR, Section 314.4(a)). Texas Southern University (University) did not implement an information security program as required by the GLBA. The University did not have a written information security program (and therefore did not address any of the minimum elements), and it did not designate a Qualified Individual responsible for implementing and monitoring its information security program. The University asserted that this was due to significant staffing issues in its Information Technology Department. Not implementing the required safeguards in an information security program and designating a Qualified Individual to implement and enforce those safeguards increases the University’s risk of data breach or loss. Recommendations: The University should: • Develop and implement an information security program that contains all elements required by the GLBA and the Code of Federal Regulations. • Designate a Qualified Individual responsible to implement and monitor its information security program. Views of Responsible Officials: Gramm-Leach-Bliley Act: The University acknowledges and agrees with the findings.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; 84.408; and 93.925 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224122; Federal Work-Study Program, P033A224122; Federal Pell Grant Program, P063P220387; Federal Direct Student Loans, P268K230387; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T230387; Postsecondary Education Scholarships For Veteran's Dependents (Iraq and Afghanistan Service Grant (IASG)), P408A220387; and Scholarships for Health Professions Students from Disadvantaged Backgrounds - Scholarships for Disadvantaged Students (SDS), 5 T08HP39298-03-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, CFR, Sections 668.2, 673.5, and 685.301). Texas State University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate); residency (in-state or out-of-state); housing status (on_x0002_campus, off-campus, or living with parent); and enrollment status (full-time, three-quarter-time, half-time, or less_x0002_than-half-time). Budgeting rules within the University’s student financial assistance system are established to assign various budget components based on the factors noted above. For 1 (2 percent) of 44 students tested, the University incorrectly calculated the COA. Specifically, the University assigned a less-than-half-time COA when the student was enrolled full-time. As a result, the student’s COA was understated by $9,545. After auditors brought the issue to the University’s attention, it identified a total of 84 total students who were affected, including 56 students who received Title IV financial assistance. Those errors occurred because the University did not recalculate the COA for students in the Pathway program after enrollment was finalized for the Spring 2023 term. The errors discussed above did not result in overawards of financial assistance; therefore, there were no
questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or
underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets for the
Pathway program in accordance with its process.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). Texas Tech University (University) did not appropriately restrict user access to its student information system. Specifically, the University did not always limit access to the student information system to only users who needed that access based on their job responsibilities. While the University had a process in place to review user access, that process was not adequately designed to ensure that the University granted the appropriate level of access to all users based on the users’ job duties. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. Recommendation: The University should ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. Views of Responsible Officials: Texas Tech University acknowledges and agrees with the findings. Texas Tech University has worked to develop and implement corrective action to further improve processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: 2020-142 General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). The University of Texas at Arlington (University) did not appropriately restrict user access to its student information system. Specifically, a user was granted administrative access in the student information system, which included the ability to modify information and process transactions, such as authorizing and disbursing aid. The University did not remove the administrative access after the user’s specific job responsibilities no longer required that level of access. The University had a process to periodically review user access; however, that review was not sufficient to identify the inappropriate access. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. Recommendation: The University should ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. Views of Responsible Officials: To the point that The University of Texas at Arlington (University) did not appropriately restrict user access to its student information system. OIT and Financial Aid acknowledge that a user was given elevated access that was not removed when the assigned maintenance task was completed.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). The University of Texas at Austin (University) did not appropriately restrict user access to its student information system. Specifically, an employee retained the ability to modify student financial aid awards after transitioning from the Office of Student Financial Aid to another department within the University. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. In addition, the University did not have sufficient controls over its change management process for information systems. Specifically, one of the University’s departments did not enable the control designed to prevent developers from migrating their own code changes into production. Not having sufficient segregation of duties controls over the change management process increases the risk of unauthorized programming changes being made to critical information systems that the University uses to administer student financial assistance. Recommendations: The University should: • Ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. • Strengthen its controls over its change management process to ensure adequate segregation of duties. Views of Responsible Officials:
The University acknowledges and agrees with the finding. In this case, the employee transitioned from the Office
of Scholarships and Financial Aid (OSFA) to the Student Financial Aid implementation project. It was intended for
this employee to retain his prior access for a time so he could help provide backstop support while his duties were
transitioned to other employees within OSFA. This access should have been removed once his duties were
successfully transitioned.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. However, technical limitations in the current financial
aid management system require that a particular mainframe programming library be exempted from the change
control mechanisms that are used in all other libraries that can update student financial aid information.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224174; Federal Work-Study Program, P033A224174; Federal Pell Grant Program, P063P223234; Federal Direct Student Loans, P268K233234; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233234 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, CFR, Sections 668.2, 673.5, and 685.301). The University of Texas at Dallas (University) established different COA budgets for each term based on a student’s tuition rate (guaranteed or variable); classification (undergraduate or graduate); residency (in-state and out-of-state); living status (on-campus, off-campus, or at home); and enrollment level (full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting formulas within the University’s student information system are used to assign various budget components based on the factors noted above. The University did not always accurately configure COA budget components in its student information system. Specifically, the University incorrectly set the Summer transportation budget for a certain group of students—undergraduate students with a guaranteed tuition rate who were in-state residents living at home and enrolled half-time—to $640 instead of $928. After auditors brought the issue to the University’s attention, it identified 299 students who were affected. As a result, the COA for those students was understated by a total of $86,112 for the Summer 2023 term. The errors discussed above did not result in overawards of financial assistance; therefore, there were no questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or underawarding financial assistance to students. Recommendation:
The University should ensure that it accurately configures COA budget components within its student information
system.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
While reviewing the population for submission to the auditors, the University determined that the above error had
occurred. Since the timing was still within the summer semester, we corrected the COA component error and
provided institutional grant funding for those students who had increased need due to the update in their summer
transportation budget. There were only 2 students who needed to have their loans repackaged to avoid under
awarding federal aid, which was done.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). The University of Texas Permian Basin (University) did not appropriately restrict user access to its student information system. Specifically, the University did not always limit access to the student information system to only users who needed that access based on their job responsibilities. The University had a process to periodically review user access; however, that review was not sufficient to identify the inappropriate access. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. Recommendation: The University should ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. Views of Responsible Officials: The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the audit, the University has worked to implement further access limitations and enhanced its periodic review of access.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224178; Federal Work-Study Program, P033A224178; Federal Pell Grant Program, P063P223265; Federal Direct Student Loans, P268K233265; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233265 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). The University of Texas Permian Basin (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate), program (in-person or online), residency (in_x0002_state or out-of-state), living status (on-campus, off-campus, or at home with parents), and enrollment level (full_x0002_time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 60 (98 percent) of 61 students tested, the University incorrectly calculated the COA. For some of the students discussed below, there were multiple errors in the COA calculation. Specifically: • For 38 students, the University assigned an incorrect amount for the fees, loan fees, and/or transportation budget components. Those errors occurred because the amounts were incorrectly loaded into the budget tables in the University’s student information system. The University asserted that it discovered these issues in April 2023, and attempted to manually update individual student accounts that were affected. As a result, the COA for those students was overstated, and three students were overawarded a total of $2,871. After auditors brought the overawards to the University’s attention, it returned funds to the U.S. Department of Education; therefore, there were no questioned costs. • For 15 students, the University assigned an in-person budget instead of an online advanced budget. Those
errors occurred because the University failed to consistently communicate which programs were offered
online to the financial aid office, which would have helped ensure that the student information system was
updated appropriately. As a result, the COA for those students was overstated, and one of those students
was overawarded a Subsidized Direct Loan in the amount of $919. After auditors brought the overaward to
the University’s attention, it returned funds to the U.S. Department of Education; therefore, there were no
questioned costs.
• For 12 students, the University incorrectly assigned an additional room and board fee. As a result, the COA
was overstated by $50 per term for each of those students; however, the University did not overaward
financial assistance to those students.
• For eight students, the University did not adjust the students’ COA to reflect the students’ actual enrollment.
The University did not have a process to freeze student enrollment levels in order to recalculate COA after
census. As a result, the COA for those students was overstated; however, the University did not overaward
financial assistance to those students.
The University did not have adequate controls in place to review budgets used in the calculation of COA and
accurately assign those budgets to students. Incorrectly calculating COA increases the risk of overawarding or
underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets in
accordance with its process and does not overaward financial assistance to students.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University has worked to implement additional controls as it relates to calculation of the Cost of
Attendance.
Special Tests and Provisions - Gramm-Leach-Bliley Act - Student Information Security Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Gramm-Leach-Bliley Act: Institutions must protect sensitive data, including information obtained in support of the administration of federal student financial assistance programs, as required by the Gramm-Leach-Bliley Act (GLBA) (Public Law 106-102). Under their Program Participation Agreement (PPA) and the GLBA, postsecondary educational institutions must protect student financial aid information, with particular attention to information provided by the Department of Education or otherwise obtained in support of the administration of the Title IV Federal student financial aid programs (Dear Colleague Letter, July 1, 2016 (GEN-16-12)). Institutions are required to develop, implement, and maintain an information security program that includes the minimum elements in Title 16, Code of Federal Regulations (CFR), Section 314.4. Those minimum requirements include conducting a periodic inventory of data, noting where it is collected, stored, or transmitted (Title 16, CFR, Section 314.4(c)(1)). In addition, the institution must designate a qualified individual responsible for overseeing, implementing, and enforcing the institution’s information security program (Title 16, CFR, Section 314.4(a)). The University of Houston’s (University) information security program did not address the implementation of all minimum safeguards as required by the GLBA. Specifically, while the University had designated a Qualified Individual to coordinate its information security program and had a written information security program in place, that program did not meet the requirements for conducting a periodic inventory of data. Not implementing all required safeguards in its information security program increases the University’s risk of data breach or loss. Recommendation:
The University should ensure that all elements required by the GLBA are documented and implemented in its
information security program.
Views of Responsible Officials:
The University acknowledges and agrees with the findings. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 93.264 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224051; Federal Work-Study Program, P033A224051; Federal Pell Grant Program, P063P222282; Federal Direct Student Loans, P268K232282; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232282; and Nurse Faculty Loan Program (NFLP), 1 E01HP45821-01-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $1,409 Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). Direct Subsidized and Unsubsidized Loans have annual and aggregate limits that are the same for all students at a given grade level and dependency status. In general, a loan may not be more than the amount the borrower requests, the borrower’s unmet financial need, the borrower’s COA, or the borrower’s maximum borrowing limit. (U.S. Department of Education 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 5). Lamar University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate), dependency (dependent or independent), residency (in-state or out-of-state), living status (on-campus, off-campus, or at home with parents), and enrollment level (full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 23 (38 percent) of 61 students tested, the University incorrectly calculated the COA. Specifically, the
University did not adjust the students’ COA to reflect the students’ actual enrollment as of the census date. The
University experienced turnover in the Student Financial Aid department during the 2022–2023 award year, and
could not provide a cause for those errors. The University asserted that it implemented a process to recalculate
students’ COAs based on their actual enrollment at census beginning with the Fall 2023 term; however, the errors
discussed above occurred before that process was in place. As a result, the University overawarded two students.
• One of those students was assigned an overstated COA for the Fall 2022 term based on three-quarter-time
enrollment although the student’s actual enrollment was half-time. The student was awarded $5,294 in
Subsidized Direct Loans, which exceeded the student’s financial need, resulting in $1,113 in questioned costs
associated with ALN 84.268, Federal Direct Student Loans, award number P268K232282.
• The other student was assigned an overstated COA for the Spring 2023 term based on full-time enrollment
although the student did not attend during the term. The student was awarded $10,142 in Unsubsidized Direct
Loans, which exceeded the student’s actual COA, resulting in $296 in questioned costs associated with ALN
84.268, Federal Direct Student Loans, award number P268K232282.
The University did not have adequate controls in place to review budgets used in the calculation of COA and
accurately assign those budgets to students. Incorrectly calculating COA increases the risk of overawarding or
underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets in
accordance with its process and does not overaward financial assistance to students.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Disbursements To or On Behalf of Students Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 93.264 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224051; Federal Work-Study Program, P033A224051; Federal Pell Grant Program, P063P222282; Federal Direct Student Loans, P268K232282; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232282; and Nurse Faculty Loan Program (NFLP), 1 E01HP45821-01-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Award and Disbursement Notifications: Before an institution disburses Title IV, Higher Education Act of 1965 (HEA) program funds for any award year, the institution must notify a student of the amount of funds that the student or his or her parent can expect to receive under each Title IV, HEA program, and how and when those funds will be disbursed. If those funds include Direct Loan program funds, the notice must indicate which funds are from subsidized loans, which are from unsubsidized loans, and which are from PLUS loans (Title 34, Code of Federal Regulations (CFR), Section 668.165(a)(1)). If an institution credits a student’s ledger account with Federal Direct Student Loan (Direct Loan) funds or Teacher Education Assistance for College and Higher Education (TEACH) Grant funds, the institution must notify the student or parent of (1) the anticipated date and amount of the disbursement, (2) the student’s or parent’s right to cancel all or a portion of that loan or grant and have the loan or grant proceeds returned to the U.S. Department of Education, and (3) the procedures and time by which the student or parent must notify the institution that he or she wishes to cancel the loan or grant, or loan or grant disbursement (Title 34, CFR, Section 668.165(a)(2)). The institution must provide the notice in writing no earlier than 30 days before, and no later than 30 days after, crediting the student’s ledger account at the institution (Title 34, CFR, Section 668.165(a)(3)). For 21 (34 percent) of 62 disbursements tested, Lamar University (University) did not send an award or
disbursement notification as required. Specifically:
• For 20 students that received Direct Loan disbursements, the University did not send a disbursement
notification. The University asserted those errors occurred because the University was utilizing a manual
process to send out the disbursement notifications, and on those days when the employee charged with
performing the manual process was not present, the notifications were not sent to students.
• For one student who received Title IV funds, the University did not send an award notification. This error
occurred because the University manually packaged the student’s awards after clearing a verification
requirement, and the University did not have an adequate process in place to ensure that students who are
manually awarded receive an award notification.
Not receiving award and disbursement notifications impairs students’ and parents’ ability to budget for the cost of
attending or exercise the option to cancel their loans or grants.
Promissory Notes:
Institutions must establish a process to make loans consistent with institutional policies and federal laws and
regulations, including the completion of the following during disbursement: (1) signed promissory note, and (2)
disclosure of terms and conditions (Nurse Faculty Loan Program (NFLP) Administrative Guidelines, 42 United
States Code (U.S.C.) 297n-1 (Public Health Service Act Section 846A)).
The University did not have a process in place to require a promissory note for NFLP loans prior to
disbursement. NFLP loans were incorrectly identified in the student information system as a grant instead of a
loan. As a result, the student information system did not place a required hold on disbursements until the
promissory note requirement was completed.
Not requiring a signed promissory note prior to disbursement of loan funds could limit the University’s ability to
enforce repayment of the loan.
Recommendations:
The University should:
• Strengthen its controls to ensure that it identifies all students that require an award or disbursement
notification, and sends those notifications to the students.
• Configure controls in the student information system to require promissory notes for applicable loans.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). Sam Houston State University (University) did not appropriately restrict access to its student information system. Specifically, the University did not always limit access to the student information system to only users who needed that access based on their job responsibilities. While the University had a process in place to review user access, that process was not adequately designed to ensure that the University granted the appropriate levels of access to all users based on the users’ job duties. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. In addition, the University did not have sufficient controls over its change management process for information systems. Specifically, 1 (14 percent) of 7 changes tested lacked documentation showing that the change was properly tested or validated before it was migrated to production. Not having sufficient controls over the change management process increases the risk of unauthorized programming changes being made to critical information systems that the University uses to administer student financial assistance. Recommendations: The University should: • Ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. • Strengthen its controls over its change management process to ensure adequate validation of changes prior to implementation. Views of Responsible Officials: The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the audit, the University will work to develop and implement corrective action to further improve the processes.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224131; Federal Work-Study Program, P033A224131; Federal Pell Grant Program, P063P222320; Federal Direct Student Loans, P268K232320; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232320 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). Tarleton State University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s tuition rate (guaranteed or variable), program, courses, classification (undergraduate or graduate), residency (in-state or out-of-state); living status (on-campus, off-campus, or with parent), and enrollment level (full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 62 (100 percent) of 62 students tested, the University incorrectly calculated the COA. Specifically, the University used the 2021–2022 award year budgets instead of the 2022–2023 award budgets because it did not update the COA budget components in its student information system for the new award year. As a result, the COAs for those students were understated by a total of $148,781. This error would have affected the COA for all students in the Fall 2022 and Spring 2023 terms. However, because the students’ budgets were understated, this error did not result in overawards of financial assistance; therefore, there were no questioned costs. The University did not have adequate controls in place to review budgets used in the calculation of COA and accurately assign those budgets to students. Incorrectly calculating COA increases the risk of overawarding or underawarding financial assistance to students. Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets in
accordance with its process.
Views of Responsible Officials:
The University has carefully reviewed the findings outlined in the recent financial aid audit report, and we
acknowledge and agree with the identified areas for improvement. Your thorough examination has provided
valuable insights into our financial aid processes, and we appreciate the effort invested in ensuring transparency
and accountability.
In response to the findings, we are committed to taking immediate and comprehensive corrective actions to
address the identified issues and enhance the overall effectiveness of our financial aid management. Our team is
already in the process of developing a detailed Corrective Action Plan that will outline the specific steps we will
take to rectify the noted deficiencies. We understand the importance of financial aid in supporting our students'
academic endeavors, and we are dedicated to ensuring that our processes align with the highest standards of
integrity and compliance.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 84.408 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A234136; Federal Work-Study Program, P033A224136; Federal Pell Grant Program, P063P225286; Federal Direct Student Loans, P268K235286; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T235286; and Postsecondary Education Scholarships For Veteran's Dependents (Iraq and Afghanistan Service Grant (IASG)), P408A225286 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: Unknown Repeat Finding: No Satisfactory Academic Progress: A student is eligible to receive Title IV, Higher Education Act of 1965 (HEA) program assistance if the student maintains satisfactory academic progress in his or her course of study according to the institution’s published standards of satisfactory academic progress (SAP) that satisfy the provisions of Title 34, Code of Federal Regulations (CFR), Section 668.34 (Title 34, CFR, Section 668.32(f)). An institution’s SAP policy must include a qualitative component that consists of grades or comparable factors that are measurable against a norm and a quantitative component that consists of the pace at which students must progress through their program to ensure that they will graduate within the maximum time frame required to complete their education (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 1, Chapter 1). For an undergraduate program measured in credit hours, a period that is no longer than 150-percent of the published length of the educational program, as measured in credit hours, should be used to determine the maximum time frame for the quantitative component of SAP (Title 34, CFR, Section 668.34(b)(1)). For 1 (2 percent) of 45 students tested, Texas A&M University (University) did not calculate SAP in accordance with its policy. Specifically, the University did not update the program hours for the Bachelor of Science in Nursing program in its student information system when it changed the program length from 123 hours to 120 hours during the 2017–2018 award year. Therefore, this issue would have affected all students enrolled in the program. As a result, the maximum time frame calculation incorrectly allowed students to exceed the maximum hours without failing SAP. Incorrectly calculating the maximum time frame increases the risk that students could receive financial assistance for which they are not eligible. Recommendation: The University should ensure that the maximum time frame is configured in its student information system with the accurate number of credit hours for each degree program. Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: 2020-113, 2017-119, 2016-109 General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). Texas Southern University (University) did not appropriately restrict user access to its student information system. Specifically, the University did not always ensure that (1) access to modify information and process transactions in the student information system and (2) administrative access at the network level was limited to only current employees and users who needed that access based on their job responsibilities. The University had a process to review user access to its systems; however, it did not always implement changes based on the results of that review. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made to those systems. Recommendation: The University should ensure that user access to its student information system and administrative access to its network is appropriately limited to employees based on current job responsibilities. Views of Responsible Officials: The Office of Technology acknowledges and agrees with the finding.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 93.925 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224145; Federal Work-Study Program, P033A224145; Federal Pell Grant Program, P063P222327; Federal Direct Student Loans, P268K232327; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232327; and Scholarships for Health Professions Students from Disadvantaged Backgrounds – Scholarships for Disadvantaged Students (SDS), 5 T08HP39322-03-00, 5 T08HP39282-03-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: 2020-113, 2017-119, 2016-109 Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). Texas Southern University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate); residency (in-state or out-of-state); living status (on_x0002_campus, off-campus, or with parent); and enrollment level (full-time, three-quarter-time, half-time, or less-than_x0002_half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 7 (11 percent) of 65 students tested, the University incorrectly calculated the COA. Specifically, the University assigned an incorrect amount for books and supplies for these students. Those errors occurred because the University decreased the default amount for the books and supplies budget component but did not update the algorithmic budget table in its student information system to reflect that change. As a result, the COA was overstated by $40 for each of those students. The errors discussed above did not result in overawards of financial assistance; therefore, there were no questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or underawarding financial assistance to students. Federal Pell Grant:
When awarding Federal Pell Grant assistance to students, institutions use the payment and disbursement
schedules provided each year by the U.S. Department of Education for determining award amounts (Title 34,
CFR, Section 690.62(a)). Those schedules provide the maximum annual amount a student would receive for a full
academic year for a given enrollment status, EFC, and COA. There are separate schedules for three-quarter time, half-time, and less-than-half-time students (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 3, Chapter 3; and Title 34, CFR, Section 690.63(b)).
For 2 (3 percent) of 65 students tested who received Federal Pell Grants, the University did not award the
correct amount of Federal Pell Grant assistance. Specifically, the University awarded those students less than
they were eligible to receive. The University did not identify additional credit hours from late registration in the
students’ Federal Pell Grant award determinations. As a result, the students were underawarded a total of $1,544
in Federal Pell Grant assistance.
Federal Direct Student Loans:
A borrower who has reached the aggregate borrowing limit for Direct Subsidized Loans and Direct Unsubsidized
Loans may not receive additional loans. Once the loans are repaid, in full or in part, the borrower may apply for
additional loans. The aggregate unpaid principal amount of all Direct Subsidized Loans made to a student may
not exceed $23,000 for any student who has not successfully completed a program of study at the undergraduate
level (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 5; and Title
34, CFR, Section 685.203(d)(1)).
The University did not always disburse Federal Direct Student Loans in accordance with applicable limits.
Specifically, the University exceeded the aggregate limit for Subsidized Direct Loans. Auditors determined that a
student had been awarded $500 in excess of the aggregate limit of $23,000. The University manually cleared a
hold to enforce the loan limit, without properly reviewing or adjusting the student’s loan. After auditors brought the
overaward issue to the University’s attention, it returned the loan funds; therefore, there were no questioned
costs. However, by not properly reviewing account holds, the University increases the risk of overawarding
financial assistance to students.
Satisfactory Academic Progress:
A student is eligible to receive Title IV, Higher Education Act of 1965 (HEA) program assistance if the student
maintains satisfactory academic progress in his or her course of study according to the institution’s published
standards of satisfactory academic progress (SAP) that satisfy the provisions of Title 34, CFR, Section 668.34
(Title 34, CFR, Section 668.32(f)). An institution’s SAP policy must include a qualitative component that consists
of grades or comparable factors that are measurable against a norm and a quantitative component that consists
of the pace at which students must progress through their program to ensure that they will graduate within the
maximum time frame required to complete their education.
For a graduate program, a period defined by the institution that is based on the length of the educational program
should be used to determine the maximum time frame for the quantitative component of SAP (U.S. Department of
Education, 2022-2023 Federal Student Aid Handbook, Volume 1, Chapter 1; and Title 34, CFR, Section
668.34(b)).
Additionally, an institution’s SAP policy should provide that, if at the time of evaluation, the student has not
achieved the required grade point average, is not successfully completing his or her program of study at the
required pace, or has not completed the program within the maximum time frame, the student is no longer eligible
for Title IV aid. The policy should provide specific procedures for disbursements to students on financial aid
warning or probation status and permit the student to appeal a determination; it should also provide specific
procedures for re-establishing eligibility to receive Title IV aid and the basis on which a student may file an appeal
(Title 34, CFR, Section 668.34(a)). For 1 (2 percent) of 65 students tested, the University did not calculate SAP in accordance with its policy.
The student re-enrolled in the Fall 2022 term after a gap in attendance, and the University did not perform a
manual SAP calculation, which would have shown that the student did not meet the minimum required pace as
defined in the University’s SAP policy. The student would have been required to submit an appeal, and have that
appeal approved, to receive financial assistance. The student was initially overawarded $6,184. Part of the funds
were returned as a result of a Return of Title IV Funds calculation after the student withdrew, and the remaining
funds were returned after auditors brought the issue to the University’s attention. Therefore, there were no
questioned costs.
Not calculating SAP compliance increases the risk that students could receive financial assistance for which they
are not eligible.
Institutional Student Information Records (ISIR):
The U.S. Department of Education automatically distributes (or “pushes”) to institutions certain ISIR transactions
processed by the Central Processing System (CPS); it then requires the institutions to take some sort of action.
An example of a pushed ISIR would be a student-corrected ISIR that causes a change to the EFC. Institutions are
required to review all pushed ISIRs and assess any potential effect on students’ eligibility for assistance
(Technical Reference for Electronic Date Exchange (EDE) 2022-2023).
The University did not have a process to address errors to ensure that all ISIR data was loaded accurately
and completely into its student information system. Specifically, the University did not reconcile records
received from CPS-pushed ISIRs to the University’s student information system records during the Fall 2022 term
and part of the Spring 2023 term. As a result, some eligible students did not receive their financial assistance until
making an inquiry of the University.
Recommendations:
The University should:
• Ensure that it accurately configures COA budget components within its student information system.
• Award students Federal Pell Grant assistance based on actual enrollment.
• Disburse Subsidized Direct Loans within the student’s applicable aggregate limit.
• Ensure that all students are evaluated for Satisfactory Academic Progress prior to disbursing financial
assistance.
• Properly reconcile all records received from CPS-pushed ISIRs.
Views of Responsible Officials:
Cost of Attendance (COA):
The Office of Student Financial Success agrees with the auditor’s findings indicating that 7 of 65 students tested
had an incorrect COA specifically related to the students’ books and supplies portion of the budget.
Views of Responsible Officials:
Federal Pell Grant:
The Office of Student Financial Success agrees with the findings that 2 of 65 students tested were not awarded
the correct amount of Federal Pell grant funds.
Views of Responsible Officials:
Federal Direct Student Loans:
The Office of Student Financial Success agrees with the finding that 1 student did not receive federal student
loans in accordance with applicable limits.
Views of Responsible Officials:
Satisfactory Academic Progress:
The Office of Student Financial Success agrees with the finding that 1 of 65 students did not receive an SAP
calculation in accordance with TSU policy.
Views of Responsible Officials:
Institutional Student Information Records (ISIR):
The Office of Student Financial Success agrees with the finding related to Institutional Student Information
Records.
Special Tests and Provisions – Disbursements To or On Behalf of Students Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224145; Federal Work-Study Program, P033A224145; Federal Pell Grant Program, P063P222327; Federal Direct Student Loans, P268K232327; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232327 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Award and Disbursement Notifications: Before an institution disburses Title IV, Higher Education Act of 1965 (HEA) program funds for any award year, the institution must notify a student of the amount of funds that the student or his or her parent can expect to receive under each Title IV, HEA program, and how and when those funds will be disbursed. If those funds include Direct Loan program funds, the notice must indicate which funds are from subsidized loans, which are from unsubsidized loans, and which are from PLUS loans (Title 34, Code of Federal Regulations (CFR), Section 668.165(a)(1)). If an institution credits a student’s ledger account with Federal Direct Student Loan (Direct Loan) funds or Teacher Education Assistance for College and Higher Education (TEACH) Grant funds, the institution must notify the student or parent of (1) the anticipated date and amount of the disbursement, (2) the student’s or parent’s right to cancel all or a portion of that loan or grant and have the loan or grant proceeds returned to the U.S. Department of Education, and (3) the procedures and time by which the student or parent must notify the institution that he or she wishes to cancel the loan or grant, or loan or grant disbursement (Title 34, CFR, Section 668.165(a)(2)). The institution must provide the notice in writing no earlier than 30 days before, and no later than 30 days after, crediting the student’s ledger account at the institution (Title 34, CFR, Section 668.165(a)(3)). For 61 (100 percent) of 61 disbursements tested, Texas Southern University (University) did not send an award or disbursement notification as required. The University asserted it did not send award notifications to students because it relied on the Common Origination and Disbursement (COD) Disclosure Statements sent by the Department of Education. However, the COD Disclosure Statements did not include all required elements of the award notification. In addition, the University did not consistently send disbursement notifications for the Fall 2022 term, and did not send any disbursement notifications for the Spring 2023 term. The issues with disbursement notifications were attributed to both manual error and disabling of the University’s automated processes. Further, the disbursement notifications that were sent for the Fall 2022 term did not include all required elements. Not receiving award and disbursement notifications impairs students’ and parents’ ability to budget for the cost of attending or exercise the option to cancel their loans or grants. Allowable Charges and Credit Balance Authorizations:
An institution may credit a student's ledger account with Title IV, HEA program funds to pay for allowable charges
associated with the current payment period. Allowable charges are: (1) the amount of tuition, fees, and
institutionally provided room and board assessed the student for the payment period or the prorated amount of
those charges if the institution debits the student's ledger account for more than the charges associated with the
payment period; and (2) the amount incurred by the student for the payment period for purchasing books,
supplies, and other educationally related goods and services provided by the institution for which the institution
obtains the student's or parent's authorization under Section 668.165(b) (Title 34, CFR, Section 668.164(c)(1)).
A Title IV, HEA credit balance occurs whenever the amount of Title IV, HEA program funds credited to a student's
ledger account for a payment period exceeds the amount assessed the student for allowable charges associated
with that payment period. A Title IV, HEA credit balance must be paid directly to the student or parent as soon as
possible, but no later than (1) fourteen days after the balance occurred if the credit balance occurred after the first
day of class within a payment period; or (2) fourteen days after the first day of class of a payment period if the
credit balance occurred on or before the first day of class within that payment period (Title 34, CFR, Section
668.164(h)).
If an institution obtains written authorization from a student or parent, as applicable, the institution may: (1) use
the student’s or parent’s Title IV, HEA program funds to pay for charges that are included in that authorization,
and (2) hold on behalf of the student or parent any Title IV, HEA program funds that would otherwise be paid
directly to the student or parent as a credit balance, unless the Secretary provides funds to the institution under
the reimbursement payment method or the heightened cash monitoring payment method (Title 34, CFR, Section
668.165(b)(1)).
An institution may not use Title IV funds to pay finance charges or fees that are incurred because a student uses
a financing method provided by the school to pay for educational expenses over time. Because students or
families choose to incur these additional expenses rather than paying the balance due at registration, the
additional charges are not considered educational expenses, and may not be included in a student’s cost of
attendance. (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 2).
For 8 (13 percent) of 61 students tested, the University used Title IV funds to pay unallowable charges.
Specifically, the University credited the students’ ledger accounts during the payment period for installment
handling charges and late installment charges. Although the University obtained authorization from the students
to apply Title IV funds to charges other than tuition, fees, or institutionally provided room and board, that
authorization did not extend to those unallowable charges.
For 6 (11 percent) of 57 students tested, the University did not return credit balances to students or
parents within 14 days of the disbursement date or first day of class. Specifically, the University returned
credit balances to those students between 21 and 78 days. The University asserted those errors were caused by
changes to the term allocations, and inadequate tracking of credit balances and associated refunds.
Not receiving all Title IV funds a student is entitled to, or not receiving those funds in a timely manner, impairs
students’ and parents’ ability to budget for the cost of attending.
Recommendations:
The University should strengthen its controls to ensure that:
• It identifies all students that require an award or disbursement notification, and sends those notifications to the
students.
• Award and disbursement notifications include all required elements.
• It does not credit student ledger accounts for unallowable charges.
• Credit balances caused by the awarding of Title IV funds are returned to students in a timely manner.
Views of Responsible Officials:
Award and Disbursement Notifications:
The Office of Student Financial Success agrees with the finding related to award and disbursement notifications.
Views of Responsible Officials:
Allowable Charges and Credit Balance Authorizations:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Gramm-Leach-Bliley Act - Student Information Security Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Gramm-Leach-Bliley Act: Institutions must protect sensitive data, including information obtained in support of the administration of federal student financial assistance programs, as required by the Gramm-Leach-Bliley Act (GLBA) (Public Law 106-102). Under their Program Participation Agreement (PPA) and the GLBA, postsecondary educational institutions must protect student financial aid information, with particular attention to information provided by the Department of Education or otherwise obtained in support of the administration of the Title IV Federal student financial aid programs (Dear Colleague Letter, July 1, 2016 (GEN-16-12)). Institutions are required to develop, implement, and maintain an information security program that includes the minimum elements in Title 16, Code of Federal Regulations (CFR), Section 314.4. In addition, the institution must designate a qualified individual responsible for overseeing, implementing, and enforcing the institution’s information security program (Title 16, CFR, Section 314.4(a)). Texas Southern University (University) did not implement an information security program as required by the GLBA. The University did not have a written information security program (and therefore did not address any of the minimum elements), and it did not designate a Qualified Individual responsible for implementing and monitoring its information security program. The University asserted that this was due to significant staffing issues in its Information Technology Department. Not implementing the required safeguards in an information security program and designating a Qualified Individual to implement and enforce those safeguards increases the University’s risk of data breach or loss. Recommendations: The University should: • Develop and implement an information security program that contains all elements required by the GLBA and the Code of Federal Regulations. • Designate a Qualified Individual responsible to implement and monitor its information security program. Views of Responsible Officials: Gramm-Leach-Bliley Act: The University acknowledges and agrees with the findings.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; 84.408; and 93.925 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224122; Federal Work-Study Program, P033A224122; Federal Pell Grant Program, P063P220387; Federal Direct Student Loans, P268K230387; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T230387; Postsecondary Education Scholarships For Veteran's Dependents (Iraq and Afghanistan Service Grant (IASG)), P408A220387; and Scholarships for Health Professions Students from Disadvantaged Backgrounds - Scholarships for Disadvantaged Students (SDS), 5 T08HP39298-03-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, CFR, Sections 668.2, 673.5, and 685.301). Texas State University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate); residency (in-state or out-of-state); housing status (on_x0002_campus, off-campus, or living with parent); and enrollment status (full-time, three-quarter-time, half-time, or less_x0002_than-half-time). Budgeting rules within the University’s student financial assistance system are established to assign various budget components based on the factors noted above. For 1 (2 percent) of 44 students tested, the University incorrectly calculated the COA. Specifically, the University assigned a less-than-half-time COA when the student was enrolled full-time. As a result, the student’s COA was understated by $9,545. After auditors brought the issue to the University’s attention, it identified a total of 84 total students who were affected, including 56 students who received Title IV financial assistance. Those errors occurred because the University did not recalculate the COA for students in the Pathway program after enrollment was finalized for the Spring 2023 term. The errors discussed above did not result in overawards of financial assistance; therefore, there were no
questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or
underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets for the
Pathway program in accordance with its process.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). Texas Tech University (University) did not appropriately restrict user access to its student information system. Specifically, the University did not always limit access to the student information system to only users who needed that access based on their job responsibilities. While the University had a process in place to review user access, that process was not adequately designed to ensure that the University granted the appropriate level of access to all users based on the users’ job duties. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. Recommendation: The University should ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. Views of Responsible Officials: Texas Tech University acknowledges and agrees with the findings. Texas Tech University has worked to develop and implement corrective action to further improve processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: 2020-142 General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). The University of Texas at Arlington (University) did not appropriately restrict user access to its student information system. Specifically, a user was granted administrative access in the student information system, which included the ability to modify information and process transactions, such as authorizing and disbursing aid. The University did not remove the administrative access after the user’s specific job responsibilities no longer required that level of access. The University had a process to periodically review user access; however, that review was not sufficient to identify the inappropriate access. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. Recommendation: The University should ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. Views of Responsible Officials: To the point that The University of Texas at Arlington (University) did not appropriately restrict user access to its student information system. OIT and Financial Aid acknowledge that a user was given elevated access that was not removed when the assigned maintenance task was completed.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). The University of Texas at Austin (University) did not appropriately restrict user access to its student information system. Specifically, an employee retained the ability to modify student financial aid awards after transitioning from the Office of Student Financial Aid to another department within the University. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. In addition, the University did not have sufficient controls over its change management process for information systems. Specifically, one of the University’s departments did not enable the control designed to prevent developers from migrating their own code changes into production. Not having sufficient segregation of duties controls over the change management process increases the risk of unauthorized programming changes being made to critical information systems that the University uses to administer student financial assistance. Recommendations: The University should: • Ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. • Strengthen its controls over its change management process to ensure adequate segregation of duties. Views of Responsible Officials:
The University acknowledges and agrees with the finding. In this case, the employee transitioned from the Office
of Scholarships and Financial Aid (OSFA) to the Student Financial Aid implementation project. It was intended for
this employee to retain his prior access for a time so he could help provide backstop support while his duties were
transitioned to other employees within OSFA. This access should have been removed once his duties were
successfully transitioned.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. However, technical limitations in the current financial
aid management system require that a particular mainframe programming library be exempted from the change
control mechanisms that are used in all other libraries that can update student financial aid information.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224174; Federal Work-Study Program, P033A224174; Federal Pell Grant Program, P063P223234; Federal Direct Student Loans, P268K233234; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233234 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, CFR, Sections 668.2, 673.5, and 685.301). The University of Texas at Dallas (University) established different COA budgets for each term based on a student’s tuition rate (guaranteed or variable); classification (undergraduate or graduate); residency (in-state and out-of-state); living status (on-campus, off-campus, or at home); and enrollment level (full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting formulas within the University’s student information system are used to assign various budget components based on the factors noted above. The University did not always accurately configure COA budget components in its student information system. Specifically, the University incorrectly set the Summer transportation budget for a certain group of students—undergraduate students with a guaranteed tuition rate who were in-state residents living at home and enrolled half-time—to $640 instead of $928. After auditors brought the issue to the University’s attention, it identified 299 students who were affected. As a result, the COA for those students was understated by a total of $86,112 for the Summer 2023 term. The errors discussed above did not result in overawards of financial assistance; therefore, there were no questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or underawarding financial assistance to students. Recommendation:
The University should ensure that it accurately configures COA budget components within its student information
system.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
While reviewing the population for submission to the auditors, the University determined that the above error had
occurred. Since the timing was still within the summer semester, we corrected the COA component error and
provided institutional grant funding for those students who had increased need due to the update in their summer
transportation budget. There were only 2 students who needed to have their loans repackaged to avoid under
awarding federal aid, which was done.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). The University of Texas Permian Basin (University) did not appropriately restrict user access to its student information system. Specifically, the University did not always limit access to the student information system to only users who needed that access based on their job responsibilities. The University had a process to periodically review user access; however, that review was not sufficient to identify the inappropriate access. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. Recommendation: The University should ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. Views of Responsible Officials: The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the audit, the University has worked to implement further access limitations and enhanced its periodic review of access.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224178; Federal Work-Study Program, P033A224178; Federal Pell Grant Program, P063P223265; Federal Direct Student Loans, P268K233265; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233265 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). The University of Texas Permian Basin (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate), program (in-person or online), residency (in_x0002_state or out-of-state), living status (on-campus, off-campus, or at home with parents), and enrollment level (full_x0002_time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 60 (98 percent) of 61 students tested, the University incorrectly calculated the COA. For some of the students discussed below, there were multiple errors in the COA calculation. Specifically: • For 38 students, the University assigned an incorrect amount for the fees, loan fees, and/or transportation budget components. Those errors occurred because the amounts were incorrectly loaded into the budget tables in the University’s student information system. The University asserted that it discovered these issues in April 2023, and attempted to manually update individual student accounts that were affected. As a result, the COA for those students was overstated, and three students were overawarded a total of $2,871. After auditors brought the overawards to the University’s attention, it returned funds to the U.S. Department of Education; therefore, there were no questioned costs. • For 15 students, the University assigned an in-person budget instead of an online advanced budget. Those
errors occurred because the University failed to consistently communicate which programs were offered
online to the financial aid office, which would have helped ensure that the student information system was
updated appropriately. As a result, the COA for those students was overstated, and one of those students
was overawarded a Subsidized Direct Loan in the amount of $919. After auditors brought the overaward to
the University’s attention, it returned funds to the U.S. Department of Education; therefore, there were no
questioned costs.
• For 12 students, the University incorrectly assigned an additional room and board fee. As a result, the COA
was overstated by $50 per term for each of those students; however, the University did not overaward
financial assistance to those students.
• For eight students, the University did not adjust the students’ COA to reflect the students’ actual enrollment.
The University did not have a process to freeze student enrollment levels in order to recalculate COA after
census. As a result, the COA for those students was overstated; however, the University did not overaward
financial assistance to those students.
The University did not have adequate controls in place to review budgets used in the calculation of COA and
accurately assign those budgets to students. Incorrectly calculating COA increases the risk of overawarding or
underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets in
accordance with its process and does not overaward financial assistance to students.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University has worked to implement additional controls as it relates to calculation of the Cost of
Attendance.
Special Tests and Provisions - Gramm-Leach-Bliley Act - Student Information Security Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Gramm-Leach-Bliley Act: Institutions must protect sensitive data, including information obtained in support of the administration of federal student financial assistance programs, as required by the Gramm-Leach-Bliley Act (GLBA) (Public Law 106-102). Under their Program Participation Agreement (PPA) and the GLBA, postsecondary educational institutions must protect student financial aid information, with particular attention to information provided by the Department of Education or otherwise obtained in support of the administration of the Title IV Federal student financial aid programs (Dear Colleague Letter, July 1, 2016 (GEN-16-12)). Institutions are required to develop, implement, and maintain an information security program that includes the minimum elements in Title 16, Code of Federal Regulations (CFR), Section 314.4. Those minimum requirements include conducting a periodic inventory of data, noting where it is collected, stored, or transmitted (Title 16, CFR, Section 314.4(c)(1)). In addition, the institution must designate a qualified individual responsible for overseeing, implementing, and enforcing the institution’s information security program (Title 16, CFR, Section 314.4(a)). The University of Houston’s (University) information security program did not address the implementation of all minimum safeguards as required by the GLBA. Specifically, while the University had designated a Qualified Individual to coordinate its information security program and had a written information security program in place, that program did not meet the requirements for conducting a periodic inventory of data. Not implementing all required safeguards in its information security program increases the University’s risk of data breach or loss. Recommendation:
The University should ensure that all elements required by the GLBA are documented and implemented in its
information security program.
Views of Responsible Officials:
The University acknowledges and agrees with the findings. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). The University of Texas at Austin (University) did not appropriately restrict user access to its student information system. Specifically, an employee retained the ability to modify student financial aid awards after transitioning from the Office of Student Financial Aid to another department within the University. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. In addition, the University did not have sufficient controls over its change management process for information systems. Specifically, one of the University’s departments did not enable the control designed to prevent developers from migrating their own code changes into production. Not having sufficient segregation of duties controls over the change management process increases the risk of unauthorized programming changes being made to critical information systems that the University uses to administer student financial assistance. Recommendations: The University should: • Ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. • Strengthen its controls over its change management process to ensure adequate segregation of duties. Views of Responsible Officials:
The University acknowledges and agrees with the finding. In this case, the employee transitioned from the Office
of Scholarships and Financial Aid (OSFA) to the Student Financial Aid implementation project. It was intended for
this employee to retain his prior access for a time so he could help provide backstop support while his duties were
transitioned to other employees within OSFA. This access should have been removed once his duties were
successfully transitioned.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. However, technical limitations in the current financial
aid management system require that a particular mainframe programming library be exempted from the change
control mechanisms that are used in all other libraries that can update student financial aid information.
Special Tests and Provisions – Perkins Loan Recordkeeping and Record Retention Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.038 Pass-Through Agency: N/A Award Number: Federal Perkins Loan Program, award number N/A Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Institutions must retain promissory and master promissory notes (MPNs) and repayment records for each Perkins Loan program loan made. Institutions are required to keep original paper promissory notes or original paper MPNs and repayment schedules in a locked, fireproof container. The original promissory notes and repayment schedules must be kept until the loans are satisfied (Title 34, Code of Federal Regulations (CFR), Section 674.19(e)(4)). An institution shall retain disbursement and electronic authentication and signature records for each loan made using an MPN for at least three years from the date the loan is canceled, repaid, or otherwise satisfied. (Title 34, CFR, Section 674.19(e)(3)(i)). The University of Texas at Austin (University) did not consistently maintain paper Perkins Loan records in a locked, fire-proof container, as required. Paper records for open Perkins Loans were properly maintained; however, paper records for retired Perkins Loans were stored in paper boxes in the basement storage room of the Student Accounts Receivable Office. The University asserted that only staff in the Student Accounts Receivables Office have access to the storage room with electronic key cards, and that the records were stored in boxes because the University did not have sufficient filing cabinet storage available. Not appropriately storing paper records results in noncompliance with the Federal Perkins loan program record retention requirements and increases the risk of data loss or breach. Recommendation: The University should ensure that retired Perkins Loan original paper promissory notes or original paper MPNs and repayment schedules are stored in a locked, fireproof container for the prescribed period. Views of Responsible Officials:
The University acknowledges and agrees with the finding. The University will work to develop and implement
corrective action to further improve the processes.
Special Tests and Provisions – Perkins Loan Recordkeeping and Record Retention Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.038 Pass-Through Agency: N/A Award Number: Federal Perkins Loan Program, award number N/A Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Institutions must retain promissory and master promissory notes (MPNs) and repayment records for each Perkins Loan program loan made. Institutions are required to keep original paper promissory notes or original paper MPNs and repayment schedules in a locked, fireproof container. The original promissory notes and repayment schedules must be kept until the loans are satisfied. If required to release original documents in order to enforce the loan, the institution must retain certified true copies of those documents. After the loan obligation is satisfied, the institution shall return the original or a true and exact copy of the note marked “paid in full” to the borrower, or otherwise notify the borrower in writing that the loan is paid in full and retain a copy for the prescribed period (Title 34, Code of Federal Regulations (CFR), Section 674.19(e)(4)). For 9 (100 percent) of 9 retired loans tested, the University of Texas at Dallas (University) did not send
paid-in-full notifications to those borrowers, as required. As a result, the University did not maintain the
required documentation of the paid-in-full notifications to those borrowers after their loan obligations were
satisfied. Those errors occurred because the University’s third-party Perkins Loan servicer erroneously excluded
the paid-in-full letter service from its contract renewal with the University, and the University failed to identify the
discrepancy. The University provided auditors with correspondence from the servicer in which the servicer
accepted responsibility for the oversight. The servicer stated that it would send the paid-in-full letters to borrowers
retroactively.
Not maintaining adequate documentation results in noncompliance with the Federal Perkins loan program record
retention requirements. Additionally, not notifying borrowers of their loans’ paid-in-full status increases the risk of
borrowers making overpayments on their loans.
Recommendation:
The University should ensure that paid-in-full notifications are sent to all borrowers who satisfy their Perkins Loan
obligations, and retain a copy of each notification for the prescribed period.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
For many years, the University's Perkins Loan portfolio was being serviced by Campus Partners. Shortly after
Heartland ECSI acquired Campus Partners, the University made the decision to fully transfer their Perkins Loan
services to ECSI. This transition was intended to not only continue receiving the services provided by our current
servicer, but also to enhance services in other areas. During the early stages of this transition our team was very
involved in determining which services would be included in the contract. It was determined that there were
services considered standard with Campus Partners that were not included with ECSI; the paid-in-full letter was
one of these services. The Bursar management team noticed this discrepancy and mentioned this to our ECSI
Client Relationship Coordinator dated April 27, 2017. Based on the information provided, it was our understanding
that the paid-in-full letter service would be an active service with ECSI. Since ECSI does not retain copies of
these letters, we had no reason to question whether this service was being done.
During this audit, it was brought to our attention that the most recent contract renewal with ECSI did not indicate
that they were providing the paid- in-full letters on our behalf. As the Bursar Office began to research this process,
we were told by an ECSI representative that they did not see this service being provided to our borrowers. After
further communication with our Client Relationship Coordinator, it was determined that ECSI did not "turn on" this
service after the order request was submitted to their implementation team, as determined via email on
October 12, 2023.
The University understands it's our responsibility to ensure processes are being completed by all servicing
organizations. In response, ECSI has submitted an order for this service to be activated for all future accounts.
They have also agreed to send paid in full notices to all borrowers dating back to the beginning of our contract, as
well as revising the contract to ensure this service is included moving forward.
Special Tests and Provisions – Perkins Loan Recordkeeping and Record Retention Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.038 Pass-Through Agency: N/A Award Number: Federal Perkins Loan Program, award number N/A Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Institutions must retain promissory and master promissory notes (MPNs) and repayment records for each Perkins Loan program loan made. Institutions are required to keep original paper promissory notes or original paper MPNs and repayment schedules in a locked, fireproof container. The original promissory notes and repayment schedules must be kept until the loans are satisfied. If required to release original documents in order to enforce the loan, the institution must retain certified true copies of those documents. After the loan obligation is satisfied, the institution shall return the original or a true and exact copy of the note marked “paid in full” to the borrower, or otherwise notify the borrower in writing that the loan is paid in full and retain a copy for the prescribed period (Title 34, Code of Federal Regulations (CFR), Section 674.19(e)(4)). For 25 (100 percent) of 25 retired loans tested, the University of Texas at San Antonio (University) did not send paid-in-full notifications to those borrowers, as required. As a result, the University did not maintain the required documentation of the paid-in-full notifications being sent to those borrowers after their loan obligations were satisfied. Not maintaining adequate documentation results in noncompliance with the Federal Perkins loan program record retention requirements. Additionally, not notifying borrowers of their loans’ paid-in-full status increases the risk of borrowers making overpayments on their loans. The University asserted the errors discussed above occurred because it believed the University’s third-party
Perkins Loan servicer was responsible for sending the paid-in-full notifications. The University was unable to
provide its contract with the third-party Perkins Loan servicer. However, the University obtained a list of services
rendered from the servicer, which showed the paid-in-full letter service was not a service included in the contract.
Recommendation:
The University should ensure that paid-in-full notifications are sent to all borrowers who satisfy their Perkins Loan
obligations, and retain a copy of each notification for the prescribed period.
Views of Responsible Officials:
UTSA acknowledges and agrees with the finding. Through analysis of the exceptions identified in the audit, UTSA
will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Perkins Loan Recordkeeping and Record Retention Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.038 Pass-Through Agency: N/A Award Number: Federal Perkins Loan Program, award number N/A Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Institutions must retain promissory and master promissory notes (MPNs) and repayment records for each Perkins Loan program loan made. Institutions are required to keep original paper promissory notes or original paper MPNs and repayment schedules in a locked, fireproof container. The original promissory notes and repayment schedules must be kept until the loans are satisfied. If required to release original documents in order to enforce the loan, the institution must retain certified true copies of those documents. After the loan obligation is satisfied, the institution shall return the original or a true and exact copy of the note marked “paid in full” to the borrower, or otherwise notify the borrower in writing that the loan is paid in full and retain a copy for the prescribed period (Title 34, Code of Federal Regulations (CFR), Section 674.19(e)(4)). For 17 (100 percent) of 17 retired loans tested, the University of Texas Health Science Center at San
Antonio (Health Science Center) did not send paid-in-full notifications to those borrowers, as required. As
a result, the Health Science Center did not maintain the required documentation of the paid-in-full notifications to
those borrowers after their loan obligations were satisfied. The Health Science Center asserted that it was
unaware of this requirement and that it only provided paid-in-full confirmations when requested by the borrower.
Not maintaining adequate documentation results in noncompliance with the Federal Perkins loan program record
retention requirements. Additionally, not notifying borrowers of their loans’ paid-in-full status increases the risk of
borrowers making overpayments on their loans.
Recommendation:
The Health Science Center should ensure that paid-in-full notifications are sent to all borrowers who satisfy their
Perkins Loan obligations and retain a copy of each notification for the prescribed period.
Views of Responsible Officials:
The University acknowledges non-compliance with Perkins loan recordkeeping and will implement corrective
action to improve processes.
Special Tests and Provisions – Perkins Loan Recordkeeping and Record Retention Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.038 Pass-Through Agency: N/A Award Number: Federal Perkins Loan Program, award number N/A Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Institutions must retain promissory and master promissory notes (MPNs) and repayment records for each Perkins Loan program loan made. Institutions are required to keep original paper promissory notes or original paper MPNs and repayment schedules in a locked, fireproof container. The original promissory notes and repayment schedules must be kept until the loans are satisfied. If required to release original documents in order to enforce the loan, the institution must retain certified true copies of those documents. After the loan obligation is satisfied, the institution shall return the original or a true and exact copy of the note marked “paid in full” to the borrower, or otherwise notify the borrower in writing that the loan is paid in full and retain a copy for the prescribed period (Title 34, Code of Federal Regulations (CFR), Section 674.19(e)(4)). For 4 (100 percent) of 4 retired loans tested, the University of North Texas (University) did not send paid in-full notifications to those borrowers, as required. As a result, the University did not maintain the required
documentation of the paid-in-full notifications to those borrowers after their loan obligations were satisfied. The
University asserted that the notifications were not sent due to staff turnover and the assumption that the
University’s third-party Perkins Loan servicer was responsible for sending the notifications.
Not maintaining adequate documentation results in noncompliance with the Federal Perkins loan program record
retention requirements. Additionally, not notifying borrowers of their loans’ paid-in-full status increases the risk of
borrowers making overpayments on their loans.
Recommendation:
The University should ensure that paid-in-full notifications are sent to all borrowers who satisfy their Perkins Loan
obligations, and retain a copy of each notification for the prescribed period.
Views of Responsible Officials:
The University acknowledges and agrees with the finding related to sending paid-in-full notifications to all
borrowers who satisfy their Perkins Loan obligations.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 93.264 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224051; Federal Work-Study Program, P033A224051; Federal Pell Grant Program, P063P222282; Federal Direct Student Loans, P268K232282; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232282; and Nurse Faculty Loan Program (NFLP), 1 E01HP45821-01-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $1,409 Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). Direct Subsidized and Unsubsidized Loans have annual and aggregate limits that are the same for all students at a given grade level and dependency status. In general, a loan may not be more than the amount the borrower requests, the borrower’s unmet financial need, the borrower’s COA, or the borrower’s maximum borrowing limit. (U.S. Department of Education 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 5). Lamar University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate), dependency (dependent or independent), residency (in-state or out-of-state), living status (on-campus, off-campus, or at home with parents), and enrollment level (full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 23 (38 percent) of 61 students tested, the University incorrectly calculated the COA. Specifically, the
University did not adjust the students’ COA to reflect the students’ actual enrollment as of the census date. The
University experienced turnover in the Student Financial Aid department during the 2022–2023 award year, and
could not provide a cause for those errors. The University asserted that it implemented a process to recalculate
students’ COAs based on their actual enrollment at census beginning with the Fall 2023 term; however, the errors
discussed above occurred before that process was in place. As a result, the University overawarded two students.
• One of those students was assigned an overstated COA for the Fall 2022 term based on three-quarter-time
enrollment although the student’s actual enrollment was half-time. The student was awarded $5,294 in
Subsidized Direct Loans, which exceeded the student’s financial need, resulting in $1,113 in questioned costs
associated with ALN 84.268, Federal Direct Student Loans, award number P268K232282.
• The other student was assigned an overstated COA for the Spring 2023 term based on full-time enrollment
although the student did not attend during the term. The student was awarded $10,142 in Unsubsidized Direct
Loans, which exceeded the student’s actual COA, resulting in $296 in questioned costs associated with ALN
84.268, Federal Direct Student Loans, award number P268K232282.
The University did not have adequate controls in place to review budgets used in the calculation of COA and
accurately assign those budgets to students. Incorrectly calculating COA increases the risk of overawarding or
underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets in
accordance with its process and does not overaward financial assistance to students.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; and 84.063 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224051; and Federal Pell Grant Program, P063P222282 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Fiscal Operations Report and Application to Participate (FISAP): An institution participating in campus-based programs is required to annually submit the FISAP to the Secretary of the U.S. Department of Education to receive funds for the campus-based programs. The institution uses the Fiscal Operations Report portion to report its expenditures in the previous award year and the Application to Participate portion to apply for the following year (Title 34, Code of Federal Regulations (CFR), Section 674.19(d); and U.S. Department of Education, Fiscal Operations Report for 2022–23 and Application to Participate for 2024– 25 (FISAP) Instructions). The institution must ensure that the information is accurately reported on the form and at the time specified by the Secretary of the U.S. Department of Education (Title 34, CFR, Section 674.19(d)(2)). Lamar University (University) did not maintain adequate support for its FISAP. Specifically, the University did not have support for the total Federal Pell Grants expenditures for the 2022–2023 award year reported in Part II, Section E. Assessments and Expenditures, Line 23. In addition, the supporting documentation provided by the University for the total Federal Supplemental Educational Opportunity Grants (FSEOG) expenditures for undergraduate independent students with income from $0 to $1,999 for the 2022–2023 award year did not match the amount reported in Part IV, Section A. Distribution of Program Recipients and Expenditures by Type of Student, Line 12(d). The University asserted that those issues were due to human error. As a result, auditors were unable to determine whether the information on the FISAP for those line items was accurate and fairly presented in accordance with requirements. Recommendation: The University should maintain adequate support for information reported on its FISAP to ensure that information is accurate. Views of Responsible Officials: The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Disbursements To or On Behalf of Students Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 93.264 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224051; Federal Work-Study Program, P033A224051; Federal Pell Grant Program, P063P222282; Federal Direct Student Loans, P268K232282; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232282; and Nurse Faculty Loan Program (NFLP), 1 E01HP45821-01-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Award and Disbursement Notifications: Before an institution disburses Title IV, Higher Education Act of 1965 (HEA) program funds for any award year, the institution must notify a student of the amount of funds that the student or his or her parent can expect to receive under each Title IV, HEA program, and how and when those funds will be disbursed. If those funds include Direct Loan program funds, the notice must indicate which funds are from subsidized loans, which are from unsubsidized loans, and which are from PLUS loans (Title 34, Code of Federal Regulations (CFR), Section 668.165(a)(1)). If an institution credits a student’s ledger account with Federal Direct Student Loan (Direct Loan) funds or Teacher Education Assistance for College and Higher Education (TEACH) Grant funds, the institution must notify the student or parent of (1) the anticipated date and amount of the disbursement, (2) the student’s or parent’s right to cancel all or a portion of that loan or grant and have the loan or grant proceeds returned to the U.S. Department of Education, and (3) the procedures and time by which the student or parent must notify the institution that he or she wishes to cancel the loan or grant, or loan or grant disbursement (Title 34, CFR, Section 668.165(a)(2)). The institution must provide the notice in writing no earlier than 30 days before, and no later than 30 days after, crediting the student’s ledger account at the institution (Title 34, CFR, Section 668.165(a)(3)). For 21 (34 percent) of 62 disbursements tested, Lamar University (University) did not send an award or
disbursement notification as required. Specifically:
• For 20 students that received Direct Loan disbursements, the University did not send a disbursement
notification. The University asserted those errors occurred because the University was utilizing a manual
process to send out the disbursement notifications, and on those days when the employee charged with
performing the manual process was not present, the notifications were not sent to students.
• For one student who received Title IV funds, the University did not send an award notification. This error
occurred because the University manually packaged the student’s awards after clearing a verification
requirement, and the University did not have an adequate process in place to ensure that students who are
manually awarded receive an award notification.
Not receiving award and disbursement notifications impairs students’ and parents’ ability to budget for the cost of
attending or exercise the option to cancel their loans or grants.
Promissory Notes:
Institutions must establish a process to make loans consistent with institutional policies and federal laws and
regulations, including the completion of the following during disbursement: (1) signed promissory note, and (2)
disclosure of terms and conditions (Nurse Faculty Loan Program (NFLP) Administrative Guidelines, 42 United
States Code (U.S.C.) 297n-1 (Public Health Service Act Section 846A)).
The University did not have a process in place to require a promissory note for NFLP loans prior to
disbursement. NFLP loans were incorrectly identified in the student information system as a grant instead of a
loan. As a result, the student information system did not place a required hold on disbursements until the
promissory note requirement was completed.
Not requiring a signed promissory note prior to disbursement of loan funds could limit the University’s ability to
enforce repayment of the loan.
Recommendations:
The University should:
• Strengthen its controls to ensure that it identifies all students that require an award or disbursement
notification, and sends those notifications to the students.
• Configure controls in the student information system to require promissory notes for applicable loans.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224051; Federal Pell Grant Program, P063P222282; Federal Direct Student Loans, P268K232282; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232282 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $19,357 Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs, and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). The total number of calendar days in a payment period or period of enrollment includes all days within the payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)). In determining the percentage of the payment period or period of enrollment completed for a student who
withdraws from a program offered in modules, an institution must (1) include all days within the period that the
student was scheduled to complete prior to ceasing attendance and (2) exclude any scheduled breaks of at least
five consecutive days when the student was not scheduled to attend a module or other course offered during that
period of time. Scheduled breaks include both those that take place within and between modules (U.S.
Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 5, Chapter 2).
An institution must offer to disburse directly to a student, or parent in the case of a parent PLUS loan, any amount
of a post-withdrawal disbursement of loan funds that is not credited to the student's account. The institution must
make a direct disbursement of any loan funds that make up the post-withdrawal disbursement only after obtaining
the student's, or parent's in the case of a parent PLUS loan, confirmation that the student or parent still wishes to
have the loan funds disbursed (Title 34, CFR, Section 668.22(a)(6)(ii)(B)).
Lamar University (University) made errors in Title IV return calculations for 25 (41 percent) of 61 students
tested. Specifically, the University did not exclude any break days from the Spring 2023 term or days between
modules as required. Those errors resulted in the University returning a total of $3,481 associated with ALN
84.268, Federal Direct Student Loans, award number P268K232282, and $1,802 associated with ALN 84.063,
Federal Pell Grant Program, award number P063P222282, less Title IV funds than required.
• For 2 of those 25 students, the University also used an inaccurate withdrawal date in the return calculation.
• For 1 of those 25 students, the University also did not identify that the student was eligible to receive a post withdrawal disbursement of loan funds and therefore did not offer to disburse those loan funds to the student
as required.
In addition, for 8 (13 percent) of 61 students tested who did not have a return of Title IV funds made, the
University did not perform a return calculation as required. The University asserted it did not consistently
follow its procedures in identifying students who required a Title IV return calculation due to staff turnover and
newer staff needing additional training. As a result, the University did not return a total of $13,707 associated with
ALN 84.268, Federal Direct Student Loans, award number P268K232282, and $367 associated with ALN 84.063,
Federal Pell Grant Program, award number P063P222282 as required.
The errors discussed above occurred because the University did not configure its information system to
accurately calculate returns and because of manual errors that the University made in performing the return
calculations. In addition, the University did not have an adequate monitoring process to identify those errors. Not
having a process that consistently calculates and returns the correct amount of Title IV funds increases the risk
that the University could return less Title IV funds than it is required to return.
Timeliness of Returns:
An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later
than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section
668.22(j)).
For 5 (8 percent) of 59 students tested who withdrew and required a return of Title IV funds, the University
did not return the funds within the required time frame. The University returned the funds for those students
47 to 143 days after it determined that the students withdrew. For 2 of those students, the University determined
the withdrawal dates and performed the return calculations; however, it did not return the Title IV funds within the
required 45-day time frame due to an oversight in processing the return of those funds. For three of those
students, the University asserted that it determined that the return calculations required corrections, which
resulted in the returns not being performed timely. Not making returns within required time frames reduces the
funds available to the U.S. Department of Education for its program management. Recommendations:
The University should:
• Strengthen its controls to ensure that it accurately calculates returns of Title IV funds when required, including
review of the variables it uses in those calculations.
• Accurately determine the number of days in the payment period and exclude any scheduled breaks as
required.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in return of Title IV calculations
and returns Title IV funds in a timely manner.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222282; and Federal Direct Student Loans, P268K232282 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Federal regulations and related guidance governing Title IV student aid programs require schools to report the enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next 60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan) has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half_x0002_time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title 34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30, 2012 (GEN-12-06)). Institutions are required to report the campus-level enrollment for the student, including enrollment status and the effective date of that enrollment status. For enrollment status changes to three-quarter-time, half-time, and less_x0002_than-half-time status, the institution must use the effective date that the student dropped to those particular statuses (NSLDS Enrollment Reporting Guide, November 2022, Chapter 1, 4, 7, and Appendix C). Institutions also are required to report the program(s) of attendance for the student, including classification of instructional programs (CIP) code, program credential level, program length, program enrollment status, and other data about the program. The program enrollment effective date is the date that the current enrollment status reported for a student was first effective and the program begin date is the date the student began attending the program being reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4). For a student who has graduated, institutions that initially report a withdrawn status must subsequently report the student as having graduated by certifying a “G” status at the campus level and/or program level as appropriate (NSLDS Enrollment Reporting Guide, November 2022, Chapter 4, Section 4.4.3). Lamar University (University) uses the services of the National Student Clearinghouse (NSC) to report status changes to NSLDS. Under this arrangement, the University reports all students enrolled and their status to NSC. NSC then identifies any changes in status and reports those changes to NSLDS when required. Although the University uses the services of NSC, the University still has the primary responsibility to report any changes in student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide, November 2022, Chapter 3, Section 3.3). For 7 (12 percent) of 60 students tested, the University did not accurately report campus- and program level data elements or did not report enrollment status changes to NSLDS. Specifically:
• For two students, the University incorrectly reported the students’ enrollment status as withdrawn, rather than
graduated. The incorrect enrollment status was reported at both the campus and program levels to NSLDS. In
addition, those statuses were not received by NSLDS until 130 and 134 days after the students graduated.
• For two students, the University did not report the withdrawn status at the campus and program levels to
NSLDS as required.
• For two students, the University incorrectly reported the students’ graduated status effective date at the
campus level. However, the graduated effective date for both students was correctly reported at the program
level. The effective date reported at the campus level should be the same date reported at the program level
because those dates reflect the same enrollment status change.
• For one student, the University incorrectly reported the student’s enrollment status at the campus and
program levels. The University initially reported the correct enrollment status; however, subsequent
submissions to NSLDS overwrote that enrollment status with an incorrect enrollment status.
The errors discussed above occurred because the University (1) did not ensure that all graduated students were
included on the graduation transmission file to NSC, (2) did not fully address error reports provided by NSC, and
(3) did not have a formally documented policy or review to ensure consistent and accurate enrollment reporting.
Not reporting student status changes accurately and in a timely manner could affect determinations that
guarantors, lenders, and servicers of student loans make related to in-school status, deferments, grace periods,
and repayment schedules.
Recommendation:
The University should strengthen its controls to ensure that all status changes are reported accurately and in a
timely manner to NSLDS.
Views of Responsible Officials:
The University accepts and confirms the findings. Through assessing and identifying the exceptions in the audit
the University will work to develop and enforce the beneficial measures needed to refine our procedures.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). Sam Houston State University (University) did not appropriately restrict access to its student information system. Specifically, the University did not always limit access to the student information system to only users who needed that access based on their job responsibilities. While the University had a process in place to review user access, that process was not adequately designed to ensure that the University granted the appropriate levels of access to all users based on the users’ job duties. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. In addition, the University did not have sufficient controls over its change management process for information systems. Specifically, 1 (14 percent) of 7 changes tested lacked documentation showing that the change was properly tested or validated before it was migrated to production. Not having sufficient controls over the change management process increases the risk of unauthorized programming changes being made to critical information systems that the University uses to administer student financial assistance. Recommendations: The University should: • Ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. • Strengthen its controls over its change management process to ensure adequate validation of changes prior to implementation. Views of Responsible Officials: The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the audit, the University will work to develop and implement corrective action to further improve the processes.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.268 Pass-Through Agency: N/A Award Number: Federal Direct Student Loans, P268K232301 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Federal Direct Student Loans: Direct Unsubsidized Loans have higher annual limits for certain graduate and professional health professions students. Schools may award the increased unsubsidized amounts to students who are enrolled at least half-time in certain health professions programs. The increased unsubsidized amounts that an eligible health professions student may receive are in addition to the regular $20,500 Direct Unsubsidized Loan annual loan limit for graduate and professional students. For programs with an academic year covering 10 or 11 months, the annual additional unsubsidized loan limit must be prorated. The prorated annual loan limit is determined by dividing the applicable loan limit for a nine-month academic year by nine, and then multiplying the result by 10 or 11. (U.S. Department of Education 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 5). Based on a review of the full population of student financial assistance recipients, Sam Houston State
University (University) overawarded a total of $239,932 in Unsubsidized Direct Loans to 133 students. Due
to an incorrect proration methodology, the University awarded first- and second-year students in the Doctor of
Osteopathic Medicine program in excess of their Unsubsidized Direct Loan annual limit. Specifically, the
University prorated the sum of the annual and increased additional annual limits, instead of prorating only the
increased additional annual limit. After auditors brought the errors to the University’s attention, it returned the
excess Unsubsidized Direct Loan funds; therefore, there were no questioned costs.
Recommendation:
The University should use the appropriate methodology when prorating Unsubsidized Direct Loans for eligible
health professions students to ensure that loans are disbursed within the student’s applicable annual limit.
Views of Responsible Officials:
The University acknowledges and agrees with the findings of this audit. Management recognizes that increased
unsubsidized amounts for eligible health professions are to be calculated by prorating the additional months then
dividing the applicable loan limit for a nine-month academic year by nine, and then multiplying the result by 10 or
11, depending on the months of the program.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224110; Federal Pell Grant Program, P063P222301; Federal Direct Student Loans, P268K232301; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232301 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No
When a student who received Title IV grant or loan assistance withdraws from an institution during a payment
period or period of enrollment in which the student began attendance, the institution must determine the amount
of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of
Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned
by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date
of the institution’s determination that the student withdrew, the difference must be returned to the Title IV
programs and no additional disbursements may be made to the student for the payment period or period of
enrollment (Title 34, CFR, Section 668.22(a)(4)).
The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV
grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title
IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the
payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their
Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period
or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by
subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was
disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student
withdrew (Title 34, CFR, Section 668.22(e)).
For distance education, documenting that a student has logged into an online class is not sufficient to
demonstrate academic attendance by the student. An institution must demonstrate that a student participated in
class or was otherwise engaged in an academically related activity. Only active participation by a student in an
instructional activity related to the student's course of study that meets the definition of “academic engagement” in
Title 34, CFR, Section 600.2 and takes place during a payment period or period of enrollment qualifies as
attendance in an academically related activity (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 5, Chapter 2).
For 1 (4 percent) of 24 students tested, Sam Houston State University (University) did not have evidence
of academic engagement in the distance education course from which the student’s withdrawal date was
determined. The University relies on the last dates of academic activity provided by instructors to determine the
withdrawal date for Return of Title IV purposes for students who unofficially withdraw. The student’s record did not
reflect evidence of academic activity for the distance education course, and the University asserted that the last
day of attendance provided by the instructor was inaccurate. The University did not have a process in place to
require instructors to provide or maintain evidence of academic engagement in distance education courses. As a
result, the University did not perform a return calculation because it incorrectly determined that the student
completed over 60 percent of the period. After auditors brought the issue to the University’s attention, the
University performed a return calculation and returned Title IV funds as required; therefore, there were no
questioned costs.
Having a process that does not consistently calculate and return the correct amount of Title IV funds increases
the risk that the University could return less Title IV funds than it is required to return.
Recommendation:
The University should ensure that evidence of academic engagement is consistently documented for students in
distance education courses.
Views of Responsible Officials:
The University acknowledges and agrees with the findings of this audit. Management acknowledges the
responsibility to accurately verify the academic engagement and document it for students enrolled in distance
education courses.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224131; Federal Work-Study Program, P033A224131; Federal Pell Grant Program, P063P222320; Federal Direct Student Loans, P268K232320; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232320 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). Tarleton State University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s tuition rate (guaranteed or variable), program, courses, classification (undergraduate or graduate), residency (in-state or out-of-state); living status (on-campus, off-campus, or with parent), and enrollment level (full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 62 (100 percent) of 62 students tested, the University incorrectly calculated the COA. Specifically, the University used the 2021–2022 award year budgets instead of the 2022–2023 award budgets because it did not update the COA budget components in its student information system for the new award year. As a result, the COAs for those students were understated by a total of $148,781. This error would have affected the COA for all students in the Fall 2022 and Spring 2023 terms. However, because the students’ budgets were understated, this error did not result in overawards of financial assistance; therefore, there were no questioned costs. The University did not have adequate controls in place to review budgets used in the calculation of COA and accurately assign those budgets to students. Incorrectly calculating COA increases the risk of overawarding or underawarding financial assistance to students. Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets in
accordance with its process.
Views of Responsible Officials:
The University has carefully reviewed the findings outlined in the recent financial aid audit report, and we
acknowledge and agree with the identified areas for improvement. Your thorough examination has provided
valuable insights into our financial aid processes, and we appreciate the effort invested in ensuring transparency
and accountability.
In response to the findings, we are committed to taking immediate and comprehensive corrective actions to
address the identified issues and enhance the overall effectiveness of our financial aid management. Our team is
already in the process of developing a detailed Corrective Action Plan that will outline the specific steps we will
take to rectify the noted deficiencies. We understand the importance of financial aid in supporting our students'
academic endeavors, and we are dedicated to ensuring that our processes align with the highest standards of
integrity and compliance.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224131; Federal Pell Grant Program, P063P222320; Federal Direct Student Loans, P268K232320; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232320 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $12,259 Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs, and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV
grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title
IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the
payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their
Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period
or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by
subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was
disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student
withdrew (Title 34, CFR, Section 668.22(e)).
The total number of calendar days in a payment period or period of enrollment includes all days within the
payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks
of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the
number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)).
In determining the percentage of the payment period or period of enrollment completed for a student who
withdraws from a program offered in modules, an institution must (1) include all days within the period that the
student was scheduled to complete prior to ceasing attendance and (2) exclude any scheduled breaks of at least
five consecutive days when the student was not scheduled to attend a module or other course offered during that
period of time. Scheduled breaks include both those that take place within and between modules (U.S.
Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 5, Chapter 2).
For a program offered in modules, a student is not considered to have withdrawn if the student successfully
completes any of the following: (1) a module that includes 49 percent or more of the number of days in the
payment period, excluding scheduled breaks of five or more consecutive days and all days between modules; (2)
a combination of modules that together contain 49 percent or more of the number of days in the payment period,
excluding scheduled breaks of five or more consecutive days and all days between modules (Title 34, CFR,
Section 668.22(a)(2)(ii)(A)(2)); or (3) coursework equal to or greater than the coursework required for the
institution’s definition of a half-time student under 34 CFR 668.2(b) for the payment period (U.S. Department of
Education, 2022-2023 Federal Student Aid Handbook, Volume 5, Chapter 1).
An institution must disburse directly to a student any amount of a post-withdrawal disbursement of grant funds
that is not credited to the student's account. The institution must make the disbursement as soon as possible, but
no later than 45 days after the date of the institution's determination that the student withdrew. The institution
must offer to disburse directly to a student, or parent in the case of a parent PLUS loan, any amount of a post withdrawal disbursement of loan funds that is not credited to the student's account. The institution must make a
direct disbursement of any loan funds that make up the post-withdrawal disbursement only after obtaining the
student's, or parent's in the case of a parent PLUS loan, confirmation that the student or parent still wishes to
have the loan funds disbursed (Title 34, CFR, Section 668.22(a)(6)(ii)(B)).
For 58 (97 percent) of 60 students tested, Tarleton State University (University) incorrectly calculated the
amount of Title IV funds to be returned or returned the incorrect amount of funds. Specifically:
• For 56 students, the University did not exclude any break days from the Fall 2022 term as required, and it
incorrectly excluded 5 break days rather than 8 break days from the Spring 2023 term. Those errors occurred
because the University did not load the correct break days into its student information system when setting up
the payment period; therefore, this issue would have affected all students who withdrew from the Fall 2022
and Spring 2023 terms. Additionally:
o For 2 of those 56 students, the University did not identify that the students were eligible to receive
a post-withdrawal disbursement and therefore did not disburse those grant funds or offer to
disburse those loan funds to the students as required.
o For 4 of those 56 students, the University incorrectly determined the number of days in the
payment period or used an incorrect withdrawal date for students enrolled in modules. • For 2 students enrolled in the Summer 2023 term, the University did not follow the return of Title IV
requirements related to modular terms. For one student, the University incorrectly used the number of days in
the full payment period rather than only the days within the period that the student was scheduled to complete
prior to ceasing attendance. For the other student, the University failed to identify that the student successfully
completed coursework equal to or greater than the coursework required for a half-time student and therefore
should not have been considered withdrawn. The University asserted that this error occurred because staff
misinterpreted the half-time withdrawal exemption requirements.
As a result of the errors discussed above, the University returned a total of $1,992 associated with ALN 84.268,
Federal Direct Student Loans, award number P268K232320, and $374 associated with ALN 84.063, Federal Pell
Grant Program, award number P063P222320 less Title IV funds than required for the students tested in the
sample.
In addition, for 10 (17 percent) of 60 students tested who did not have a return of Title IV funds made, the
University did not perform a return calculation as required.
• For 6 students, the University did not exclude break days from its determination of whether the students
completed 60 percent or more of the payment period as required. As a result, the University incorrectly
determined that the students earned their aid and did not return a total of $7,679 associated with ALN 84.268,
Federal Direct Student Loans, award number P268K232320, and $1,053 associated with ALN 84.063,
Federal Pell Grant Program, award number P063P222320 as required.
• For 4 students, the University incorrectly used the number of days in the full payment period in its
determination of whether the students successfully completed 49 percent or more of the number of days in
the payment period. As a result, the University incorrectly determined that the students earned their aid and
did not return a total of $1,161 in questioned costs associated with ALN 84.268, Federal Direct Student
Loans, award number P268K232320 as required.
The errors discussed above occurred because the University did not configure its information system to
accurately calculate returns and because of manual errors that the University made in performing return
calculations. In addition, the University did not have an adequate monitoring process to identify those errors. Not
having a process that consistently calculates and returns the correct amount of Title IV funds increases the risk
that the University could return less Title IV funds than it is required to return.
Recommendations:
The University should:
• Strengthen its controls to ensure that it accurately calculates returns of Title IV funds when required, including
review of the variables it uses in those calculations.
• Accurately determine the number of days in the payment period and configure its student information system
to exclude any scheduled breaks, as required.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in return of Title IV calculations
and returns Title IV funds.
Views of Responsible Officials:
The University has carefully reviewed the findings outlined in the recent financial aid audit report, and we
acknowledge and agree with the identified areas for improvement. Your thorough examination has provided
valuable insights into our financial aid processes, and we appreciate the effort invested in ensuring transparency
and accountability. In response to the findings, we are committed to taking immediate and comprehensive corrective actions to
address the identified issues and enhance the overall effectiveness of our financial aid management. Our team is
already in the process of developing a detailed Corrective Action Plan that will outline the specific steps we will
take to rectify the noted deficiencies. We understand the importance of financial aid in supporting our students'
academic endeavors, and we are dedicated to ensuring that our processes align with the highest standards of
integrity and compliance.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222320; and Federal Direct Student Loans, P268K232320 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No
Federal regulations and related guidance governing Title IV student aid programs require schools to report the enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next 60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan) has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title 34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30, 2012 (GEN-12-06)). Institutions are required to report the campus-level enrollment for the student, including enrollment status and the effective date of that enrollment status. For enrollment status changes to three-quarter-time, half-time, and less than-half-time status, the institution must use the effective date that the student dropped to those particular statuses (NSLDS Enrollment Reporting Guide, November 2022, Chapter 1, 4, 7, and Appendix C). Institutions also are required to report the program(s) of attendance for the student, including classification of instructional programs (CIP) code, program credential level, program length, program enrollment status, and other data about the program. The program enrollment effective date is the date that the current enrollment status reported for a student was first effective, and the program begin date is the date the student began attending the program being reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4). Enrollment is reported for a specific location of each campus; that is, the eight-digit Office of Postsecondary Education Identification (OPEID) number. Most students are enrolled in coursework at only one location. However, for students who are taking coursework at multiple locations of the same school, the school must determine which location is the student’s “primary location” and report the combined enrollment for the student using that location to NSLDS. A student’s “primary location” is the location where the student is taking more coursework than at any other location. Reporting a student’s enrollment at the main campus does not satisfy the enrollment reporting requirement if aid was disbursed or the student was physically attending school at a different location (NSLDS Enrollment Reporting Guide, November 2022, Chapters 4 and 6). For a student who has graduated, institutions that initially report a withdrawn status must subsequently report the student as having graduated by certifying a “G” status at the campus level and/or program level as appropriate (NSLDS Enrollment Reporting Guide, November 2022, Chapter 4, Section 4.4.3). Tarleton State University (University) uses the services of the National Student Clearinghouse (NSC) to report status changes to NSLDS. Under this arrangement, the University reports all students enrolled and their status to NSC. NSC then identifies any changes in status and reports those changes to NSLDS when required. Although the University uses the services of NSC, the University still has the primary responsibility to report any changes in student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide, November 2022, Chapter 3, Section 3.3). For 20 (33 percent) of 61 students tested, the University did not report or did not accurately report campus- or program-level data elements to NSLDS. Specifically: • For 19 students, the University incorrectly reported the OPEID number of the main campus instead of the OPEID number of the location where the students were taking the majority of their coursework. The University asserted that it reports the main campus OPEID number for all students to NSLDS, which would result in errors affecting all students who did not take the majority of their coursework at the main campus location. Additionally: o For 1 of those 19 students, the University did not report an enrollment status to NSLDS at the campus or program level. The University asserted that it reported the student’s enrollment and graduated statuses to NSC; however, those statuses were not reported to NSLDS. o For 1 of those 19 students, the program begin date was reported incorrectly. The University reported the program begin date for a program from which the student had withdrawn, instead of the first day of the term in which the student began attendance in a new program. • For one student, the University did not accurately report the student’s graduated status at the campus level to
NSLDS. The student’s status was reported as graduated at the program level but was reported as withdrawn
at the campus level. In addition, the withdrawn status was not received by NSLDS until 132 days after the
student graduated.
The University had a process to monitor enrollment information reported to NSC; however, that process was not
sufficient to identify the errors discussed above. Not reporting student information accurately and in a timely
manner could affect determinations that guarantors, lenders, and servicers of student loans make related to in school status, deferments, grace periods, and repayment schedules.
Recommendation:
The University should strengthen its controls to ensure that campus- and program-level data elements are
reported accurately and in a timely manner to NSLDS.
Views of Responsible Officials:
The Office of the Registrar has thoroughly reviewed the findings related to enrollment reporting, specifically
concerning instances highlighted in the recent financial aid audit report. We acknowledge and agree with the
identified discrepancies and are committed to addressing these issues promptly. For the student in question
where the program begin date was reported incorrectly, we recognize the significance of accurately reporting
program begin dates and maintaining accurate and consistent reporting across relevant systems. Regarding the
case where the graduated status was inaccurately reported at the campus level, we understand the impact of
such discrepancies and the delay in reporting.
We recognize the importance of precise and timely enrollment reporting, and we are committed to enhancing our
processes to prevent similar issues in the future. Our team is actively working on these corrective measures, and
we aim to demonstrate significant improvements in the accuracy and timeliness of our reporting.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 84.408 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A234136; Federal Work-Study Program, P033A224136; Federal Pell Grant Program, P063P225286; Federal Direct Student Loans, P268K235286; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T235286; and Postsecondary Education Scholarships For Veteran's Dependents (Iraq and Afghanistan Service Grant (IASG)), P408A225286 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: Unknown Repeat Finding: No Satisfactory Academic Progress: A student is eligible to receive Title IV, Higher Education Act of 1965 (HEA) program assistance if the student maintains satisfactory academic progress in his or her course of study according to the institution’s published standards of satisfactory academic progress (SAP) that satisfy the provisions of Title 34, Code of Federal Regulations (CFR), Section 668.34 (Title 34, CFR, Section 668.32(f)). An institution’s SAP policy must include a qualitative component that consists of grades or comparable factors that are measurable against a norm and a quantitative component that consists of the pace at which students must progress through their program to ensure that they will graduate within the maximum time frame required to complete their education (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 1, Chapter 1). For an undergraduate program measured in credit hours, a period that is no longer than 150-percent of the published length of the educational program, as measured in credit hours, should be used to determine the maximum time frame for the quantitative component of SAP (Title 34, CFR, Section 668.34(b)(1)). For 1 (2 percent) of 45 students tested, Texas A&M University (University) did not calculate SAP in accordance with its policy. Specifically, the University did not update the program hours for the Bachelor of Science in Nursing program in its student information system when it changed the program length from 123 hours to 120 hours during the 2017–2018 award year. Therefore, this issue would have affected all students enrolled in the program. As a result, the maximum time frame calculation incorrectly allowed students to exceed the maximum hours without failing SAP. Incorrectly calculating the maximum time frame increases the risk that students could receive financial assistance for which they are not eligible. Recommendation: The University should ensure that the maximum time frame is configured in its student information system with the accurate number of credit hours for each degree program. Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P225286; and Federal Direct Student Loans, P268K235286 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Federal regulations and related guidance governing Title IV student aid programs require schools to report the enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next 60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan) has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half_x0002_time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title 34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30, 2012 (GEN-12-06)). To protect a student’s interest subsidy, institutions are required to report a graduated status for students who have completed their course of study (NSLDS Enrollment Reporting Guide, November 2022, Chapter 4 and Appendix C). For instances in which a student completes one academic program and then enrolls in another academic program at the same school, the school must report two separate enrollment transactions: one showing the completion of the first program and its effective date and credential level, and the other showing the enrollment in the second program and its effective date (Dear Colleague Letter, March 30, 2012 (GEN-12-06)). Texas A&M University (University) uses the services of the National Student Clearinghouse (NSC) to report status
changes to NSLDS. Under this arrangement, the University reports all students enrolled and their status to NSC.
NSC then identifies any changes in status and reports those changes when required to NSLDS. Additionally, NSC
completes the roster file on the University’s behalf and communicates status changes to NSLDS, as applicable.
Although the University uses the services of NSC, it is still ultimately the University’s responsibility to report any
changes in student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide,
November 2022, Chapter 3, Section 3.3).
For 2 (3 percent) of 61 students tested, the University did not accurately report graduated status changes
to NSLDS. Both students graduated from the Doctor of Veterinary Medicine program, but were reported to NSLDS
as withdrawn. After auditors brought this to the University’s attention, the University determined that the issue was
caused by the students being on two separate reports sent to NSC. NSC included the students on a warning file
provided to the University to review and correct. However, the University did not complete a review of the warning
file or make updates to those students’ enrollment status. As a result, NSC subsequently submitted a withdrawn
status for those students. The University asserted the issue affected 158 additional Doctor of Veterinary Medicine
program graduates, and indicated it was in the process of updating NSLDS with the correct enrollment status.
Not reporting student status changes accurately could affect determinations that guarantors, lenders, and
servicers of student loans make related to in-school status, deferments, grace periods, and repayment schedules.
Recommendation:
The University should strengthen its process of reporting graduated students and ensure that warning files related
to graduated students are addressed and corrected.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: 2020-113, 2017-119, 2016-109 General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). Texas Southern University (University) did not appropriately restrict user access to its student information system. Specifically, the University did not always ensure that (1) access to modify information and process transactions in the student information system and (2) administrative access at the network level was limited to only current employees and users who needed that access based on their job responsibilities. The University had a process to review user access to its systems; however, it did not always implement changes based on the results of that review. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made to those systems. Recommendation: The University should ensure that user access to its student information system and administrative access to its network is appropriately limited to employees based on current job responsibilities. Views of Responsible Officials: The Office of Technology acknowledges and agrees with the finding.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 93.925 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224145; Federal Work-Study Program, P033A224145; Federal Pell Grant Program, P063P222327; Federal Direct Student Loans, P268K232327; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232327; and Scholarships for Health Professions Students from Disadvantaged Backgrounds – Scholarships for Disadvantaged Students (SDS), 5 T08HP39322-03-00, 5 T08HP39282-03-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: 2020-113, 2017-119, 2016-109 Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). Texas Southern University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate); residency (in-state or out-of-state); living status (on_x0002_campus, off-campus, or with parent); and enrollment level (full-time, three-quarter-time, half-time, or less-than_x0002_half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 7 (11 percent) of 65 students tested, the University incorrectly calculated the COA. Specifically, the University assigned an incorrect amount for books and supplies for these students. Those errors occurred because the University decreased the default amount for the books and supplies budget component but did not update the algorithmic budget table in its student information system to reflect that change. As a result, the COA was overstated by $40 for each of those students. The errors discussed above did not result in overawards of financial assistance; therefore, there were no questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or underawarding financial assistance to students. Federal Pell Grant:
When awarding Federal Pell Grant assistance to students, institutions use the payment and disbursement
schedules provided each year by the U.S. Department of Education for determining award amounts (Title 34,
CFR, Section 690.62(a)). Those schedules provide the maximum annual amount a student would receive for a full
academic year for a given enrollment status, EFC, and COA. There are separate schedules for three-quarter time, half-time, and less-than-half-time students (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 3, Chapter 3; and Title 34, CFR, Section 690.63(b)).
For 2 (3 percent) of 65 students tested who received Federal Pell Grants, the University did not award the
correct amount of Federal Pell Grant assistance. Specifically, the University awarded those students less than
they were eligible to receive. The University did not identify additional credit hours from late registration in the
students’ Federal Pell Grant award determinations. As a result, the students were underawarded a total of $1,544
in Federal Pell Grant assistance.
Federal Direct Student Loans:
A borrower who has reached the aggregate borrowing limit for Direct Subsidized Loans and Direct Unsubsidized
Loans may not receive additional loans. Once the loans are repaid, in full or in part, the borrower may apply for
additional loans. The aggregate unpaid principal amount of all Direct Subsidized Loans made to a student may
not exceed $23,000 for any student who has not successfully completed a program of study at the undergraduate
level (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 5; and Title
34, CFR, Section 685.203(d)(1)).
The University did not always disburse Federal Direct Student Loans in accordance with applicable limits.
Specifically, the University exceeded the aggregate limit for Subsidized Direct Loans. Auditors determined that a
student had been awarded $500 in excess of the aggregate limit of $23,000. The University manually cleared a
hold to enforce the loan limit, without properly reviewing or adjusting the student’s loan. After auditors brought the
overaward issue to the University’s attention, it returned the loan funds; therefore, there were no questioned
costs. However, by not properly reviewing account holds, the University increases the risk of overawarding
financial assistance to students.
Satisfactory Academic Progress:
A student is eligible to receive Title IV, Higher Education Act of 1965 (HEA) program assistance if the student
maintains satisfactory academic progress in his or her course of study according to the institution’s published
standards of satisfactory academic progress (SAP) that satisfy the provisions of Title 34, CFR, Section 668.34
(Title 34, CFR, Section 668.32(f)). An institution’s SAP policy must include a qualitative component that consists
of grades or comparable factors that are measurable against a norm and a quantitative component that consists
of the pace at which students must progress through their program to ensure that they will graduate within the
maximum time frame required to complete their education.
For a graduate program, a period defined by the institution that is based on the length of the educational program
should be used to determine the maximum time frame for the quantitative component of SAP (U.S. Department of
Education, 2022-2023 Federal Student Aid Handbook, Volume 1, Chapter 1; and Title 34, CFR, Section
668.34(b)).
Additionally, an institution’s SAP policy should provide that, if at the time of evaluation, the student has not
achieved the required grade point average, is not successfully completing his or her program of study at the
required pace, or has not completed the program within the maximum time frame, the student is no longer eligible
for Title IV aid. The policy should provide specific procedures for disbursements to students on financial aid
warning or probation status and permit the student to appeal a determination; it should also provide specific
procedures for re-establishing eligibility to receive Title IV aid and the basis on which a student may file an appeal
(Title 34, CFR, Section 668.34(a)). For 1 (2 percent) of 65 students tested, the University did not calculate SAP in accordance with its policy.
The student re-enrolled in the Fall 2022 term after a gap in attendance, and the University did not perform a
manual SAP calculation, which would have shown that the student did not meet the minimum required pace as
defined in the University’s SAP policy. The student would have been required to submit an appeal, and have that
appeal approved, to receive financial assistance. The student was initially overawarded $6,184. Part of the funds
were returned as a result of a Return of Title IV Funds calculation after the student withdrew, and the remaining
funds were returned after auditors brought the issue to the University’s attention. Therefore, there were no
questioned costs.
Not calculating SAP compliance increases the risk that students could receive financial assistance for which they
are not eligible.
Institutional Student Information Records (ISIR):
The U.S. Department of Education automatically distributes (or “pushes”) to institutions certain ISIR transactions
processed by the Central Processing System (CPS); it then requires the institutions to take some sort of action.
An example of a pushed ISIR would be a student-corrected ISIR that causes a change to the EFC. Institutions are
required to review all pushed ISIRs and assess any potential effect on students’ eligibility for assistance
(Technical Reference for Electronic Date Exchange (EDE) 2022-2023).
The University did not have a process to address errors to ensure that all ISIR data was loaded accurately
and completely into its student information system. Specifically, the University did not reconcile records
received from CPS-pushed ISIRs to the University’s student information system records during the Fall 2022 term
and part of the Spring 2023 term. As a result, some eligible students did not receive their financial assistance until
making an inquiry of the University.
Recommendations:
The University should:
• Ensure that it accurately configures COA budget components within its student information system.
• Award students Federal Pell Grant assistance based on actual enrollment.
• Disburse Subsidized Direct Loans within the student’s applicable aggregate limit.
• Ensure that all students are evaluated for Satisfactory Academic Progress prior to disbursing financial
assistance.
• Properly reconcile all records received from CPS-pushed ISIRs.
Views of Responsible Officials:
Cost of Attendance (COA):
The Office of Student Financial Success agrees with the auditor’s findings indicating that 7 of 65 students tested
had an incorrect COA specifically related to the students’ books and supplies portion of the budget.
Views of Responsible Officials:
Federal Pell Grant:
The Office of Student Financial Success agrees with the findings that 2 of 65 students tested were not awarded
the correct amount of Federal Pell grant funds.
Views of Responsible Officials:
Federal Direct Student Loans:
The Office of Student Financial Success agrees with the finding that 1 student did not receive federal student
loans in accordance with applicable limits.
Views of Responsible Officials:
Satisfactory Academic Progress:
The Office of Student Financial Success agrees with the finding that 1 of 65 students did not receive an SAP
calculation in accordance with TSU policy.
Views of Responsible Officials:
Institutional Student Information Records (ISIR):
The Office of Student Financial Success agrees with the finding related to Institutional Student Information
Records.
Special Tests and Provisions – Disbursements To or On Behalf of Students Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224145; Federal Work-Study Program, P033A224145; Federal Pell Grant Program, P063P222327; Federal Direct Student Loans, P268K232327; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232327 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Award and Disbursement Notifications: Before an institution disburses Title IV, Higher Education Act of 1965 (HEA) program funds for any award year, the institution must notify a student of the amount of funds that the student or his or her parent can expect to receive under each Title IV, HEA program, and how and when those funds will be disbursed. If those funds include Direct Loan program funds, the notice must indicate which funds are from subsidized loans, which are from unsubsidized loans, and which are from PLUS loans (Title 34, Code of Federal Regulations (CFR), Section 668.165(a)(1)). If an institution credits a student’s ledger account with Federal Direct Student Loan (Direct Loan) funds or Teacher Education Assistance for College and Higher Education (TEACH) Grant funds, the institution must notify the student or parent of (1) the anticipated date and amount of the disbursement, (2) the student’s or parent’s right to cancel all or a portion of that loan or grant and have the loan or grant proceeds returned to the U.S. Department of Education, and (3) the procedures and time by which the student or parent must notify the institution that he or she wishes to cancel the loan or grant, or loan or grant disbursement (Title 34, CFR, Section 668.165(a)(2)). The institution must provide the notice in writing no earlier than 30 days before, and no later than 30 days after, crediting the student’s ledger account at the institution (Title 34, CFR, Section 668.165(a)(3)). For 61 (100 percent) of 61 disbursements tested, Texas Southern University (University) did not send an award or disbursement notification as required. The University asserted it did not send award notifications to students because it relied on the Common Origination and Disbursement (COD) Disclosure Statements sent by the Department of Education. However, the COD Disclosure Statements did not include all required elements of the award notification. In addition, the University did not consistently send disbursement notifications for the Fall 2022 term, and did not send any disbursement notifications for the Spring 2023 term. The issues with disbursement notifications were attributed to both manual error and disabling of the University’s automated processes. Further, the disbursement notifications that were sent for the Fall 2022 term did not include all required elements. Not receiving award and disbursement notifications impairs students’ and parents’ ability to budget for the cost of attending or exercise the option to cancel their loans or grants. Allowable Charges and Credit Balance Authorizations:
An institution may credit a student's ledger account with Title IV, HEA program funds to pay for allowable charges
associated with the current payment period. Allowable charges are: (1) the amount of tuition, fees, and
institutionally provided room and board assessed the student for the payment period or the prorated amount of
those charges if the institution debits the student's ledger account for more than the charges associated with the
payment period; and (2) the amount incurred by the student for the payment period for purchasing books,
supplies, and other educationally related goods and services provided by the institution for which the institution
obtains the student's or parent's authorization under Section 668.165(b) (Title 34, CFR, Section 668.164(c)(1)).
A Title IV, HEA credit balance occurs whenever the amount of Title IV, HEA program funds credited to a student's
ledger account for a payment period exceeds the amount assessed the student for allowable charges associated
with that payment period. A Title IV, HEA credit balance must be paid directly to the student or parent as soon as
possible, but no later than (1) fourteen days after the balance occurred if the credit balance occurred after the first
day of class within a payment period; or (2) fourteen days after the first day of class of a payment period if the
credit balance occurred on or before the first day of class within that payment period (Title 34, CFR, Section
668.164(h)).
If an institution obtains written authorization from a student or parent, as applicable, the institution may: (1) use
the student’s or parent’s Title IV, HEA program funds to pay for charges that are included in that authorization,
and (2) hold on behalf of the student or parent any Title IV, HEA program funds that would otherwise be paid
directly to the student or parent as a credit balance, unless the Secretary provides funds to the institution under
the reimbursement payment method or the heightened cash monitoring payment method (Title 34, CFR, Section
668.165(b)(1)).
An institution may not use Title IV funds to pay finance charges or fees that are incurred because a student uses
a financing method provided by the school to pay for educational expenses over time. Because students or
families choose to incur these additional expenses rather than paying the balance due at registration, the
additional charges are not considered educational expenses, and may not be included in a student’s cost of
attendance. (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 2).
For 8 (13 percent) of 61 students tested, the University used Title IV funds to pay unallowable charges.
Specifically, the University credited the students’ ledger accounts during the payment period for installment
handling charges and late installment charges. Although the University obtained authorization from the students
to apply Title IV funds to charges other than tuition, fees, or institutionally provided room and board, that
authorization did not extend to those unallowable charges.
For 6 (11 percent) of 57 students tested, the University did not return credit balances to students or
parents within 14 days of the disbursement date or first day of class. Specifically, the University returned
credit balances to those students between 21 and 78 days. The University asserted those errors were caused by
changes to the term allocations, and inadequate tracking of credit balances and associated refunds.
Not receiving all Title IV funds a student is entitled to, or not receiving those funds in a timely manner, impairs
students’ and parents’ ability to budget for the cost of attending.
Recommendations:
The University should strengthen its controls to ensure that:
• It identifies all students that require an award or disbursement notification, and sends those notifications to the
students.
• Award and disbursement notifications include all required elements.
• It does not credit student ledger accounts for unallowable charges.
• Credit balances caused by the awarding of Title IV funds are returned to students in a timely manner.
Views of Responsible Officials:
Award and Disbursement Notifications:
The Office of Student Financial Success agrees with the finding related to award and disbursement notifications.
Views of Responsible Officials:
Allowable Charges and Credit Balance Authorizations:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224145; Federal Pell Grant Program, P063P222327; Federal Direct Student Loans, P268K232327; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232327 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs, and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). For 8 (13 percent) of 61 students tested, Texas Southern University (University) incorrectly calculated the amount of Title IV funds to be returned for unofficially withdrawn students. Specifically, those 8 students were enrolled in the Fall 2022 term, and the University did not use the last date of attendance identified in the University’s automated report process. For return of Title IV funds, the University uses an automated report process to identify students who have unofficially withdrawn from a term; however, that process was inconsistently followed or not completed in determining the students’ withdrawal dates. The incorrect withdrawal dates used by the University were prior to the students’ actual withdrawal dates, which resulted in the University returning more Title IV funds than required for those students; therefore, there were no questioned costs. Those errors occurred because the University did not have an adequate process to determine the withdrawal dates of students who unofficially withdrew from the University. Timeliness of Returns:
For an institution that is not required to take attendance, the institution must determine the withdrawal date for a
student who withdraws without providing notification to the institution no later than 30 days after the earliest end
date of (1) the payment period or period of enrollment, (2) the academic year in which the student withdrew, or (3)
the educational program from which the student withdrew (Title 34, CFR, Section 668.22(j)(2)).
An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later
than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section
668.22(j)).
For 35 (57 percent) of 61 students tested who withdrew and required a return of Title IV funds, the
University did not return the funds within the required time frame. Specifically:
• For 23 students who unofficially withdrew in the Fall 2022 term, the University did not determine the
withdrawal date within the required 30-day time frame, nor did it return the Title IV funds within the required
45-day time frame. The University determined the withdrawal date and returned the Title IV funds at the end
of the Spring 2023 term.
• For 9 students who unofficially withdrew in the Spring 2023 term, the University did not determine the
students’ withdrawal date within the required 30-day time frame. The University determined the withdrawal
date for those students between 31 and 52 days after the end of the period of enrollment.
• For 3 students who withdrew in the Fall 2022 term, the University determined the withdrawal dates and
performed the return calculations; however, it did not return the Title IV funds within the required 45-day time
frame. The University asserted that for two students, this was due to an oversight in processing the return of
those funds. The University returned the funds for those two students 71 and 115 days after it determined that
the students withdrew. For the third student, the University completed a return calculation but did not return
the funds as required. After auditors brought this error to the University’s attention, the University returned the
funds to the U.S. Department of Education; therefore, there were no questioned costs.
Those errors occurred because the University did not have an effective monitoring process to identify those errors
and because of manual errors the University made in performing the return calculations. Not making returns
within the required time frame reduces the funds available to the U.S. Department of Education for its program
management.
Recommendations:
The University should:
• Strengthen its process to ensure that it accurately determines the withdrawal date for students who
unofficially withdraw from the University in a timely manner.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in return of Title IV calculations
and returns Title IV funds in a timely manner.
Views of Responsible Officials:
Return of Title IV Calculations:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Views of Responsible Officials:
Timeliness of Returns:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222327; and Federal Direct Student Loans, P268K232327 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: 2020-115
Federal regulations and related guidance governing Title IV student aid programs require schools to report the
enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan
Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to
submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next
60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan)
has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at
least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title
34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include
Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30,
2012 (GEN-12-06)).
Institutions are required to report the campus-level enrollment for the student, including enrollment status and the
effective date of that enrollment status. For enrollment status changes to three-quarter-time, half-time, and less than-half-time status, the institution must use the effective date that the student dropped to those particular
statuses (NSLDS Enrollment Reporting Guide, November 2022, Chapter 1, 4, 7, and Appendix C). Institutions
also are required to report the program(s) of attendance for the student, including classification of instructional
programs (CIP) code, program credential level, program length, program enrollment status, and other data about
the program. The program enrollment effective date is the date that the current enrollment status reported for a
student was first effective, and the program begin date is the date the student began attending the program being
reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4). For a student who has
graduated, institutions that initially report a withdrawn status must subsequently report the student as having
graduated by certifying a “G” status at the campus level and/or program level as appropriate (NSLDS Enrollment
Reporting Guide, November 2022, Chapter 4, Section 4.4.3).
Texas Southern University (University) uses the services of the National Student Clearinghouse (NSC) to report
status changes to NSLDS. Under this arrangement, the University reports all students enrolled and their status to
NSC. NSC then identifies any changes in status and reports those changes when required to NSLDS. Although
the University uses the services of NSC, the University still has the primary responsibility to report any changes in
student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide, November
2022, Chapter 3).
For 10 (17 percent) of 60 students tested, the University did not accurately report campus- or program level data elements to NSLDS. Specifically, the program length was reported incorrectly for the students’
master’s degree or doctoral degree programs. Additionally, for 1 of those 10 students, the University inaccurately
reported the effective date of the student’s graduated status at the campus and program levels. The date reported
was eight days before the actual date of graduation for the student.
For 17 (45 percent) of 38 students tested who received a Direct Loan and ceased to be enrolled on at least
a half-time basis or changed their permanent address, the students’ enrollment status was not reported to
NSLDS in a timely manner. Specifically:
• For 13 students, the University reported the students’ graduated status to NSLDS between 73 and 100 days
after the students graduated.
• For 2 students, the University reported the students’ enrollment level change to NSLDS 89 and 95 days after
the effective date of the status change.
• For 2 students, the University reported the students’ withdrawal status to NSLDS 68 and 70 days after the
students’ withdrawal date.
The errors discussed above occurred because the University (1) did not configure its information system to
accurately report student enrollment information to NSLDS, (2) does not have a process to monitor student
enrollment and program information reported to NSLDS, and (3) does not have a reporting process that allows it
to make corrections to ensure that it certifies and submits graduated statuses in a timely manner.
Not reporting student status changes accurately and in a timely manner could affect determinations that
guarantors, lenders, and servicers of student loans make related to in-school status, deferments, grace periods,
and repayments schedules.
Recommendation:
The University should develop and implement controls to ensure that campus- and program-level data elements
are reported to NSLDS accurately and in a timely manner.
Views of Responsible Officials:
Campus and Program Level Data:
Texas Southern University agrees with the finding related to not accurately reporting campus or program level
data elements to NSLDS.
Views of Responsible Officials:
Enrollment Status Updates:
Texas Southern University agrees with the finding related to not accurately reporting enrollment status updates to
NSLDS in a timely manner.
Views of Responsible Officials:
Accurate Attendance Reporting:
Texas Southern University agrees with the finding related to not accurately reporting enrollment status updates to
NSLDS in a timely manner.
Special Tests and Provisions – Gramm-Leach-Bliley Act - Student Information Security Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Gramm-Leach-Bliley Act: Institutions must protect sensitive data, including information obtained in support of the administration of federal student financial assistance programs, as required by the Gramm-Leach-Bliley Act (GLBA) (Public Law 106-102). Under their Program Participation Agreement (PPA) and the GLBA, postsecondary educational institutions must protect student financial aid information, with particular attention to information provided by the Department of Education or otherwise obtained in support of the administration of the Title IV Federal student financial aid programs (Dear Colleague Letter, July 1, 2016 (GEN-16-12)). Institutions are required to develop, implement, and maintain an information security program that includes the minimum elements in Title 16, Code of Federal Regulations (CFR), Section 314.4. In addition, the institution must designate a qualified individual responsible for overseeing, implementing, and enforcing the institution’s information security program (Title 16, CFR, Section 314.4(a)). Texas Southern University (University) did not implement an information security program as required by the GLBA. The University did not have a written information security program (and therefore did not address any of the minimum elements), and it did not designate a Qualified Individual responsible for implementing and monitoring its information security program. The University asserted that this was due to significant staffing issues in its Information Technology Department. Not implementing the required safeguards in an information security program and designating a Qualified Individual to implement and enforce those safeguards increases the University’s risk of data breach or loss. Recommendations: The University should: • Develop and implement an information security program that contains all elements required by the GLBA and the Code of Federal Regulations. • Designate a Qualified Individual responsible to implement and monitor its information security program. Views of Responsible Officials: Gramm-Leach-Bliley Act: The University acknowledges and agrees with the findings.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; 84.408; and 93.925 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224122; Federal Work-Study Program, P033A224122; Federal Pell Grant Program, P063P220387; Federal Direct Student Loans, P268K230387; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T230387; Postsecondary Education Scholarships For Veteran's Dependents (Iraq and Afghanistan Service Grant (IASG)), P408A220387; and Scholarships for Health Professions Students from Disadvantaged Backgrounds - Scholarships for Disadvantaged Students (SDS), 5 T08HP39298-03-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, CFR, Sections 668.2, 673.5, and 685.301). Texas State University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate); residency (in-state or out-of-state); housing status (on_x0002_campus, off-campus, or living with parent); and enrollment status (full-time, three-quarter-time, half-time, or less_x0002_than-half-time). Budgeting rules within the University’s student financial assistance system are established to assign various budget components based on the factors noted above. For 1 (2 percent) of 44 students tested, the University incorrectly calculated the COA. Specifically, the University assigned a less-than-half-time COA when the student was enrolled full-time. As a result, the student’s COA was understated by $9,545. After auditors brought the issue to the University’s attention, it identified a total of 84 total students who were affected, including 56 students who received Title IV financial assistance. Those errors occurred because the University did not recalculate the COA for students in the Pathway program after enrollment was finalized for the Spring 2023 term. The errors discussed above did not result in overawards of financial assistance; therefore, there were no
questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or
underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets for the
Pathway program in accordance with its process.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). Texas Tech University (University) did not appropriately restrict user access to its student information system. Specifically, the University did not always limit access to the student information system to only users who needed that access based on their job responsibilities. While the University had a process in place to review user access, that process was not adequately designed to ensure that the University granted the appropriate level of access to all users based on the users’ job duties. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. Recommendation: The University should ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. Views of Responsible Officials: Texas Tech University acknowledges and agrees with the findings. Texas Tech University has worked to develop and implement corrective action to further improve processes.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222328; and Federal Direct Student Loans, P268K232328 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $562 Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations, Sections 668.2, 673.5, and 685.301). Texas Tech University (University) uses algorithmic budgeting to build COA budgets based on student classification (undergraduate or graduate), academic program (for example, certain programs have increased tuition costs), enrollment level (full-time, three-quarter-time, half-time, or less-than-half-time), living status (on_x0002_campus, off-campus, or living with parents), and residency (in-state or out-of-state). Budgeting rules within the University’s student information system are established to assign various budget components based on the student’s reported expected enrollment. For 3 (5 percent) of 65 students tested, the University incorrectly calculated the COA. Specifically: • For one student, the University assigned an incorrect loan fee to the COA. The University manually canceled the student’s loan, but asserted that it did not remove the fee because the student was still eligible to receive the loan. As a result, the student’s COA was overstated by $60. • For one student, the University did not adjust the student’s COA budget to reflect the student’s actual
enrollment. The University manually assigned a three-quarter-time budget to the student. Due to the manual
update, the COA was not subject to an automated update process to adjust the COA to less-than-half-time
status at census. In addition, the student was not included in the University’s process for reviewing manually
updated budgets. As a result, the student’s COA was overstated by $4,157, and the student was
overawarded $562 associated with ALN 84.063, Federal Pell Grant Program, award number P063P222328.
• For one student, the University did not adjust the student’s tuition and fees budget component to reflect a
change in the student’s academic program. The student’s major changed after the initial budget had been
assigned. As a result, the student’s COA was overstated by $903; however, the University did not overaward
financial assistance to that student.
Incorrectly calculating COA increases the risk of overawarding or underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets in
accordance with its process and does not overaward financial assistance to students.
Views of Responsible Officials:
Texas Tech University acknowledges and agrees with the findings. Texas Tech University has worked to develop
and implement corrective action to further improve processes.
Special Tests and Provisions – Disbursements To or On Behalf of Students Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222328; and Federal Direct Student Loans, P268K232328 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Award Notifications: Before an institution disburses Title IV, Higher Education Act of 1965 (HEA) program funds for any award year, the institution must notify a student of the amount of funds that the student or his or her parent can expect to receive under each Title IV, HEA program, and how and when those funds will be disbursed. If those funds include Direct Loan program funds, the notice must indicate which funds are from subsidized loans, which are from unsubsidized loans, and which are from PLUS loans (Title 34, Code of Federal Regulations (CFR), 668.165(a)(1)). For 7 (16 percent) of 43 disbursements tested, Texas Tech University (University) did not send an award notification or sent an award notification that did not include all required information. Specifically: • For four students who enrolled in the Fall 2022 term after August 1, 2022, the University did not send an award notification. The University sent award notifications to all students enrolled for the Fall 2022 term prior to that date. However, it did not have a process in place to identify and send award notifications to students who enrolled after that date. Therefore, this issue would have affected all students who enrolled in the Fall 2022 term after August 1, 2022. • For three students who enrolled in the Spring 2023 term, the award notifications did not contain the type or amount of funds that the student or his or her parent could expect to receive. The University notified students of expected financial assistance through email, and the award notification emails for the Fall 2022 term contained a hyperlink for students to access their account in the student information system to review the expected loan types and amounts. However, the award notification emails for the Spring 2023 term did not contain that hyperlink. This issue would have affected all students who enrolled after August 1, 2022, and only for the Spring 2023 term. The University did not have adequate controls in place to ensure that all students received award notifications and that the notifications contained all required elements. Not receiving award notifications, or receiving incomplete award notifications, impairs students’ and parents’ ability to budget for the cost of attending. Recommendations: The University should: • Strengthen its controls to ensure that it identifies all students that require an award notification, and sends those notifications to the students. • Ensure that award notifications contain all required elements. Views of Responsible Officials:
Texas Tech University acknowledges and agrees with the findings. Texas Tech University has worked to develop
and implement corrective action to further improve processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; 84.379; and 84.408 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224151; Federal Pell Grant Program, P063P222328; Federal Direct Student Loans, P268K232328; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232328; and Postsecondary Education Scholarships For Veteran's Dependents (Iraq and Afghanistan Service Grant (IASG)), P408A222328 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: Unknown Repeat Finding: No When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV
grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title
IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the
payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their
Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period
or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by
subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was
disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student
withdrew (Title 34, CFR, Section 668.22(e)).
For distance education, documenting that a student has logged into an online class is not sufficient to
demonstrate academic attendance by the student. An institution must demonstrate that a student participated in
class or was otherwise engaged in an academically related activity. Only active participation by a student in an
instructional activity related to the student’s course of study that meets the definition of “academic engagement” in
Title 34, CFR, Section 600.2 and takes place during a payment period or period of enrollment qualifies as
attendance in an academically related activity (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 5, Chapter 2).
For 1 (5 percent) of 20 students tested, Texas Tech University (University) did not have evidence of
academic engagement in the distance education course from which the student’s withdrawal date was
determined. The University asserted that when an instructor submits a failing grade for a student, the instructor is
required to provide the date of last academic activity. That date is recorded in the University’s student information
system and used by the University to determine the unofficial withdrawal date for Return of Title IV purposes.
However, the University did not have a process in place to require instructors to provide or maintain evidence of
academic engagement in distance education courses. As a result, the University could not demonstrate that the
student participated or otherwise engaged in an academically related activity in that course to support the last
date of attendance used by the University for Return of Title IV purposes.
Having a process that does not consistently calculate and return the correct amount of Title IV funds increases
the risk that the University could return less Title IV funds than it is required to return.
Recommendations:
The University should:
• Ensure that evidence of academic engagement is consistently documented for students in distance education
courses.
• Strengthen its controls to ensure that it accurately calculates returns of Title IV funds when required, including
review of the variables it uses in those calculations.
Views of Responsible Officials:
Texas Tech University acknowledges and agrees with the findings. Texas Tech University has worked to develop
and implement corrective action to further improve processes.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222328; and Federal Direct Student Loans, P268K232328 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: 2020-117 Federal regulations and related guidance governing Title IV student aid programs require schools to report the enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next 60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan) has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half_x0002_time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title 34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30, 2012 (GEN-12-06)). Institutions are required to report the campus-level enrollment for the student, including enrollment status and the effective date of that enrollment status. For enrollment status changes to three-quarter-time, half-time, and less_x0002_than-half-time status, the institution must use the effective date that the student dropped to those particular statuses (NSLDS Enrollment Reporting Guide, November 2022, Chapter 1, 4, 7, and Appendix C). Institutions also are required to report the program(s) of attendance for the student, including classification of instructional programs (CIP) code, program credential level, program length, program enrollment status, and other data about the program. The program enrollment effective date is the date that the current enrollment status reported for a student was first effective and the program begin date is the date the student first began attending the program being reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4). For instances in which a student completes one academic program and then enrolls in another academic program at the same school, the school must report two separate enrollment transactions: one showing the completion of the first program and its effective date and credential level, and the other showing the enrollment in the second program and its effective date (Dear Colleague Letter, March 30, 2012 (GEN-12-06)). For a student who has graduated, institutions that initially report a withdrawn status must subsequently report the student as having graduated by certifying a “G” status at the campus level and/or program level as appropriate (NSLDS Enrollment Reporting Guide, November 2022, Chapter 4, Section 4.4.3). Texas Tech University (University) uses the services of the National Student Clearinghouse (NSC) to report status changes to NSLDS. Under this arrangement, the University reports all students enrolled and their status to NSC. NSC then identifies any changes in status and reports those changes when required to NSLDS. Although the University uses the services of NSC, the University still has the primary responsibility to report any changes in student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide, November 2022, Chapter 3, Section 3.3). For 5 (8 percent) of 60 students tested, the University did not report campus- or program-level data
elements accurately or in a timely manner to NSLDS. Specifically:
• For three students, the enrollment effective date was correctly reported as the first day of the Summer 2023
term to NSLDS at the program level; however, the enrollment effective date was incorrectly reported as the
day after the last day of the Spring 2023 term at the campus level because it did not align with the date
reported at the program level. The effective date reported at the campus level should be the same date
reported at the program level because those dates reflect the same enrollment status change.
• For one student, the University incorrectly reported the student’s program-level enrollment status and the
student’s program begin date as the day after the last day of the Spring 2023 term. The enrollment status
should have been reported at the program level as full-time effective the first day of the Fall 2023 term.
• For one student, the campus-level enrollment status change should have been reported as graduated, but it
was incorrectly reported as withdrawn. Additionally, the student was pursuing dual majors, and the program level enrollment status was correctly reported as graduated for one program in a timely manner but incorrectly
reported as withdrawn for the second program. The incorrect campus-level enrollment change and program level enrollment change were reported to NSLDS 135 days after the effective date of the graduation.
The errors discussed above were caused by issues related to the configuration of the enrollment reporting
processes in the University’s student information system.
Not reporting student status changes accurately and in a timely manner could affect determinations that
guarantors, lenders, and servicers of student loans make related to in-school status, deferments, grace periods,
and repayments schedules.
Recommendations:
The University should:
• Strengthen its controls to ensure that campus-level and program-level data elements are reported to NSLDS
accurately and in a timely manner.
• Ensure that dual-major graduated statuses are reported to NSLDS accurately and timely for all programs.
Views of Responsible Officials:
Texas Tech University acknowledges and agrees with the findings. Texas Tech University has worked to develop
and implement corrective action to further improve processes.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P223367; and Federal Direct Student Loans, P268K233367 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: 2016-122 Federal regulations and related guidance governing Title IV student aid programs require schools to report the enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next 60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan) has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half_x0002_time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title 34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30, 2012 (GEN-12-06)). Institutions are required to report the campus-level enrollment for the student, including enrollment status and the effective date of that enrollment status. For enrollment status changes to three-quarter-time, half-time, and less_x0002_than-half-time status, the institution must use the effective date that the student dropped to those particular statuses (NSLDS Enrollment Reporting Guide, November 2022, Chapter 1, 4, 7, and Appendix C). Institutions also are required to report the program(s) of attendance for the student, including classification of instructional programs (CIP) code, program credential level, program length, program enrollment status, and other data about the program. The program enrollment effective date is the date that the current enrollment status reported for a student was first effective, and the program begin date is the date the student began attending the program being reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4). For a student who has graduated, institutions that initially report a withdrawn status must subsequently report the student as having graduated by certifying a “G” status at the campus level and/or program level as appropriate(NSLDS Enrollment Reporting Guide, November 2022, Chapter 4, Section 4.4.3). Texas Tech University Health Sciences Center (Health Sciences Center) uses the services of the National Student Clearinghouse (NSC) to report status changes to NSLDS. Under this arrangement, the Health Sciences Center reports all students enrolled and their status to NSC. NSC then identifies any changes in status and reports those changes to NSLDS when required. Although the Health Sciences Center uses the services of NSC, the Health Sciences Center still has the primary responsibility to report any changes in student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide, November 2022, Chapter 3.3). For 6 (10 percent) of 62 students tested, the Health Sciences Center did not accurately report campus level enrollment effective dates or did not report enrollment status changes to NSLDS. Specifically:
• For one student, the enrollment status effective date was reported incorrectly at the campus-level. The
student’s enrollment status for the Spring 2023 term decreased from full-time to less-than-half-time in April
2023; however, the effective date was reported as January 2023.
• For five students, the Health Sciences Center did not report the students’ enrollment status changes to
NSLDS. Two of those students withdrew, two students graduated, and one student received an approved
leave of absence.
The Health Sciences Center asserted that the errors discussed above were caused by issues related to the
configuration of the enrollment reporting processes in the Health Sciences Center’s student information system,
manual reporting errors, and not having adequate controls to ensure that student enrollment information reported
to NSC was accurately reported to NSLDS.
Not reporting student status changes accurately and in a timely manner could affect determinations that
guarantors, lenders, and servicers of student loans make related to in-school status, deferments, grace periods,
and repayment schedules.
Recommendation:
The Health Sciences Center should strengthen its controls to ensure that campus-level enrollment statuses and
effective dates are reported accurately and in a timely manner to NSLDS.
Views of Responsible Officials:
The University acknowledges and agrees with the findings. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: 2020-142 General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). The University of Texas at Arlington (University) did not appropriately restrict user access to its student information system. Specifically, a user was granted administrative access in the student information system, which included the ability to modify information and process transactions, such as authorizing and disbursing aid. The University did not remove the administrative access after the user’s specific job responsibilities no longer required that level of access. The University had a process to periodically review user access; however, that review was not sufficient to identify the inappropriate access. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. Recommendation: The University should ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. Views of Responsible Officials: To the point that The University of Texas at Arlington (University) did not appropriately restrict user access to its student information system. OIT and Financial Aid acknowledge that a user was given elevated access that was not removed when the assigned maintenance task was completed.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224172; Federal Pell Grant Program, P063P222335; and Federal Direct Student Loans, P268K232335 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational
expenses; it is computed by the federal central processor and included on the student’s Institutional Student
Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds
the student’s need. Therefore, awards must be coordinated among the various programs and with other federal
and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need
(U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34,
Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301).
The University of Texas at Arlington (University) uses algorithmic budgeting to build COA budgets for each term
based on a student’s classification (undergraduate or graduate), dependency (dependent or independent),
residency (in-state or out-of-state), living status (on-campus, off-campus, or with parents), and enrollment level
(full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student
information system are established to assign various budget components based on the factors noted above.
For 3 (5 percent) of 63 students tested, the University incorrectly calculated the COA. Specifically:
• For two students, the University understated the COA by assigning a books component that did not reflect the
students’ actual enrollment status. Those errors occurred because the University budgeted the students’
books at half-time enrollment instead of full-time enrollment. The University attributed the cause to human
error associated with a manual budget rebuild in the student information system. As a result, the COA was
understated by $200 for each of those students.
• For one student, the University assigned an incorrect budget for the cost of tuition and fees component during
the Summer 2022 term. The University attributed the cause to human error. As a result, the COA was
understated by $198.
The errors discussed above did not result in overawards of financial assistance; therefore, there were no
questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or
underawarding financial assistance to students.
Federal Pell Grant:
A student is eligible to receive a Federal Pell Grant for the period of time required to complete his or her first
undergraduate baccalaureate course of study (Title 34, CFR, Section 690.6(a)).
When awarding Federal Pell Grant assistance to students, institutions use the payment and disbursement
schedules provided each year by the U.S. Department of Education for determining award amounts (Title 34,
CFR, Section 690.62(a)).
Based on a review of the full population of student financial assistance recipients, the University awarded
a total of $1,593 in Federal Pell Grant assistance to 2 post-baccalaureate students who were not eligible
for that assistance. The University asserted queries designed to identify these issues were not run timely due to
staffing issues within the Financial Aid department. After auditors brought those errors to the University’s
attention, the University returned the funds to the U.S. Department of Education; therefore, there were no
questioned costs.
For 1 (2 percent) of 63 students tested, the University did not award Federal Pell Grant assistance to an
eligible student. Specifically, the student was eligible to receive $1,790 in Federal Pell Grant assistance, but did
not receive an award from the University. The University asserted that the error occurred because the student
made a late registration change and was missed on the University’s add report. As a result, the student was
underawarded Federal Pell Grant assistance; therefore, there were no questioned costs. Federal Direct Student Loans:
Direct Subsidized and Unsubsidized Loans have annual and aggregate limits that are the same for all students at
a given grade level and dependency status. In general, a loan may not be more than the amount the borrower
requests, the borrower’s unmet financial need, the borrower’s COA, or the borrower’s maximum borrowing limit.
(U.S. Department of Education 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 5).
For 1 (2 percent) of 63 students tested, the University did not disburse Direct Loans in accordance with
applicable limits. Specifically, the University disbursed a Subsidized Direct Loan in excess of the student’s
aggregate Subsidized Direct Loan and Total Direct Loan limits. After auditors brought the overaward issue to the
University’s attention, it returned the loan funds; therefore, there were no questioned costs. The University
asserted that error occurred because the University did not receive an updated history file in a timely manner due
to issues with the National Student Loan Data System (NSLDS).
Federal Supplemental Educational Opportunity Grants (FSEOG):
The FSEOG program provides grants to eligible undergraduate students. Institutions are required to award
FSEOG first to Federal Pell Grant recipients who have the lowest EFC. If an institution has FSEOG funds
remaining after giving FSEOG awards to all Federal Pell Grant recipients, it can then award the remaining
FSEOG funds to eligible students with the lowest EFCs who did not receive Federal Pell Grants (Title 34, CFR,
Section 676.10).
Based on a review of the full population of student financial assistance recipients, the University awarded
a total of $750 in FSEOG assistance to a student who was working towards a second bachelor’s degree
and thus was not eligible for that assistance. The student was awarded FSEOG in the Spring 2023 term after
earning a first bachelor’s degree in the Fall 2022 term. The University asserted this was a manual error caused by
a counselor canceling the student’s Federal Pell Grant, but failing to cancel the student’s FSEOG award. After
auditors brought the issue to the University’s attention, it removed the grant funds from the student’s account;
therefore, there were no questioned costs.
Recommendations:
The University should:
• Strengthen its controls to ensure that it correctly calculates students’ COA budgets in accordance with its
process.
• Award Federal Pell Grant assistance only to eligible students.
• Ensure that students are awarded Federal Pell Grants for which they are eligible.
• Disburse Subsidized Direct Loans within the student’s applicable aggregate limit.
• Award FSEOG assistance only to eligible students.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222335; Federal Direct Student Loans, P268K232335; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232335 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No COD Reporting: Institutions must submit Federal Pell Grant, Iraq and Afghanistan Service Grant, Direct Loan, and Teacher Education Assistance for College and Higher Education (TEACH) Grant disbursement records to the Common Origination and Disbursement (COD) system no later than 15 days after making the disbursement or becoming aware of the need to adjust a previously reported disbursement. Reporting this information helps ensure that institutions have the most accurate information available about students’ federal awards and helps prevent an institution from overawarding students (Title 34, Code of Federal Regulations (CFR), Section 690.83(b); U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 1; and Federal Register, Volume 88, Number 120). Certain data elements are required to be reported as part of a student’s origination and disbursement record, including the student’s Social Security number, Central Processing System (CPS) transaction number, enrollment date, cost of attendance, the start and end dates for the academic term, disbursement amount, and disbursement date (2022-2023 COD Technical Reference, Volume II). For 5 (8 percent) of 61 students tested, the University of Texas at Arlington (University) did not accurately
report all origination record data elements to the COD system. Two of those students had both errors
discussed below. Specifically,
• For four students, the University reported an incorrect academic end date for one or more Direct Loan
originations made on behalf of the students during the award year.
• For three students, the University reported an incorrect cost of attendance for one or more Federal Pell Grant
and/or Direct Loan originations made on behalf of the students during the award year.
The University asserted that its developer was unable to identify the specific cause of these errors, but
determined that the errors were related to an automated process rather than a manual change. In addition, the
University did not have a sufficient monitoring process in place to identify those discrepancies. Not accurately
reporting information to the COD system could result in the institution overawarding federal funds.
Recommendation:
The University should strengthen its controls to ensure that academic end dates and cost of attendance are
reported to the COD system accurately.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222335; and Federal Direct Student Loans, P268K232335 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(j)). For 5 (8 percent) of 61 students tested who withdrew and required a return of Title IV funds, the University of Texas at Arlington (University) did not return the funds within the required time frame. Specifically, the University returned the Title IV funds to the U.S. Department of Education between 101 to 390 days after the University determined the students withdrew. For four of those students, the updates to the students’ returns occurred after auditors selected those students for review. The error for the other student was identified by the University, but the funds were not returned in a timely manner. After the University became aware of the errors, it returned those funds to the U.S. Department of Education; therefore, there were no questioned costs. The University did not have an adequate monitoring process to ensure that Title IV funds were returned within the required time frame. Not making returns within the required time frames reduces the funds available to the U.S. Department of Education for its program management. Recommendation: The University should ensure that it returns Title IV funds within required time frames. Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222335; and Federal Direct Student Loans, P268K232335 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: 2020-143 Federal regulations and related guidance governing Title IV student aid programs require schools to report the enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next 60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan) has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half_x0002_time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title 34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30, 2012 (GEN-12-06)). Institutions are required to report the campus-level enrollment for the student, including enrollment status and the
effective date of that enrollment status. For enrollment status changes to three-quarter-time, half-time, and less than-half-time status, the institution must use the effective date that the student dropped to those particular
statuses (NSLDS Enrollment Reporting Guide, November 2022, Chapter 1, 4, 7, and Appendix C). Institutions
also are required to report the program(s) of attendance for the student, including classification of instructional
programs (CIP) code, program credential level, program length, program enrollment status, and other data about
the program. The program enrollment effective date is the date that the current enrollment status reported for a
student was first effective and the program begin date is the date the student began attending the program being
reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4). For a student who has
graduated, institutions that initially report a withdrawn status must subsequently report the student as having
graduated by certifying a “G” status at the campus level and/or program level as appropriate (NSLDS Enrollment
Reporting Guide, November 2022, Chapter 4, Section 4.4.3).
The University of Texas at Arlington (University) uses the services of the National Student Clearinghouse (NSC)
to report status changes to NSLDS. Under this arrangement, the University reports all students enrolled and their
status to NSC. NSC then identifies any changes in status and reports those changes to NSLDS when required.
Although the University uses the services of NSC, the University still has the primary responsibility to report any
changes in student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide,
November 2022, Chapter 3, Section 3.3).
For 18 (30 percent) of 61 students tested, the University did not accurately report campus- and program level data elements to NSLDS. One of those students was affected by two of the errors discussed below.
Specifically:
• For 13 students, the University incorrectly reported the students’ enrollment status at the program level to
NSLDS. Six students were reported as less-than-half-time instead of half-time, and seven students were
reported as half-time instead of full-time. Those errors occurred because the enrollment reporting processes
in the University’s student information system were not configured appropriately for the Graduate Nursing
program.
• For four students, the enrollment effective date was reported correctly to NSLDS at the program level;
however, the University incorrectly reported the first day of the Spring 2023 term as the enrollment effective
date at the campus level. The effective date reported at the program level should have been the same date
reported at the campus level because those dates reflect the same enrollment status change. As noted
above, those errors were caused by issues with the configuration of the enrollment reporting processes for
the Graduate Nursing Program.
• For two students, the University did not report the students’ graduated status or did not accurately report the
graduated status at the campus and program levels to NSLDS. One student’s graduated status was
accurately reported at the campus level, but was reported as withdrawn at the program level. The other
student was inaccurately reported as withdrawn at both the campus- and program-levels. Those errors
occurred because the students’ statuses required manual reporting and were overlooked.
Not reporting student enrollment and program information accurately could affect determinations that guarantors,
lenders, and servicers of student loans make related to in-school status, deferments, grace periods, and
repayment schedules.
Recommendation:
The University should strengthen its controls to ensure that all status changes are reported accurately to NSLDS. Views of Responsible Officials:
The University acknowledges and agrees with the finding. The University will work to develop and implement
corrective action to improve and update the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). The University of Texas at Austin (University) did not appropriately restrict user access to its student information system. Specifically, an employee retained the ability to modify student financial aid awards after transitioning from the Office of Student Financial Aid to another department within the University. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. In addition, the University did not have sufficient controls over its change management process for information systems. Specifically, one of the University’s departments did not enable the control designed to prevent developers from migrating their own code changes into production. Not having sufficient segregation of duties controls over the change management process increases the risk of unauthorized programming changes being made to critical information systems that the University uses to administer student financial assistance. Recommendations: The University should: • Ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. • Strengthen its controls over its change management process to ensure adequate segregation of duties. Views of Responsible Officials:
The University acknowledges and agrees with the finding. In this case, the employee transitioned from the Office
of Scholarships and Financial Aid (OSFA) to the Student Financial Aid implementation project. It was intended for
this employee to retain his prior access for a time so he could help provide backstop support while his duties were
transitioned to other employees within OSFA. This access should have been removed once his duties were
successfully transitioned.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. However, technical limitations in the current financial
aid management system require that a particular mainframe programming library be exempted from the change
control mechanisms that are used in all other libraries that can update student financial aid information.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224173; Federal Pell Grant Program, P063P222336; and Federal Direct Student Loans, P268K232336 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs, and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). For 1 (2 percent) of 60 students tested, the University of Texas at Austin (University) incorrectly calculated the amount of Title IV funds to be returned. Specifically, the University initially determined that the student officially withdrew on March 10, 2023, and the University incorrectly determined that the student completed more than 60 percent of the term. The University subsequently incorrectly determined that the student unofficially withdrew on February 10, 2023, and processed a return of Title IV funds in the amount of $18,742. After auditors brought the error to the University’s attention, it re-performed the return calculation using the correct date of withdrawal and reinstated the appropriate amount of funds to the student. Not having a process that consistently calculates and returns the correct amount of Title IV funds increases the risk that the University could return less Title IV funds than it is required to return. Coronavirus Aid, Relief, and Economic Security (CARES) Act:
Section 3508 of the CARES Act directs the Secretary to waive the statutory requirement for institutions to return
Title IV funds (R2T4) as the result of student withdrawals related to a qualifying emergency. For any student who
begins attendance in a payment period or period of enrollment that includes March 13, 2020, or begins between
March 13 and the later of December 31 or the last date that the national emergency is in effect, and subsequently
withdraws from the period as a result of COVID-19-related circumstances, an institution is not required to return
Title IV funds. The CARES Act requires an institution to report to the Department information specific to each
student for whom it was not required to return Title IV funds under the waiver exception. An institution must
determine the total amount of grant and loan assistance that otherwise would have been returned, identified in
Step 5 of the R2T4 calculation, had the calculation been performed. Therefore, it will continue to be necessary for
institutions to perform an R2T4 calculation for each student covered by the CARES Act R2T4 waiver (Electronic
Announcement titled UPDATED Guidance for interruptions of study related to Coronavirus (COVID-19), June 16,
2020).
For 1 (50 percent) of 2 students tested who were eligible for relief under the CARES Act, the University
incorrectly processed a return of Title IV funds. The University determined that the student was eligible to
receive an R2T4 waiver under Section 3508 of the CARES Act. However, the University subsequently processed
a return of Title IV funds for the student. The University asserted that error occurred because the student was
listed on a census report showing students who did not enroll in sufficient hours to receive aid, and the student’s
Title IV funds were incorrectly returned because the student’s CARES Act R2T4 waiver was overlooked. After
auditors brought the error to the University’s attention, it reinstated the student's aid and reported to the U.S.
Department of Education that the student qualified for relief under the CARES Act waiver exemption and reported
the amount of relief given. Not accurately identifying students who qualify for a waiver could result in those
students not receiving aid to which they are entitled.
Timeliness of Returns:
An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later
than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section
668.22(j)).
For 1 (2 percent) of 58 students tested who withdrew and required a return of Title IV funds, the University
did not return the funds within the required time frame. The University performed the return calculation and
executed a transaction to return the funds within its student information system; however, the University did not
return the Title IV funds to the U.S. Department of Education within the required 45-day time frame due to an error
in processing the return of those funds. After auditors selected the student for testing, the University returned Title
IV funds as required; therefore, there were no questioned costs. Not returning funds within the required time
frame reduces the information available to the U.S. Department of Education for its program management.
The University had a process to review its calculations for returns of Title IV funds; however, it did not have
adequate controls to ensure that it identified the errors discussed above.
Recommendations:
The University should strengthen its controls to ensure that it:
• Accurately calculates returns of Title IV funds when required, including review of the variables it uses in those
calculations.
• Performs return of Title IV calculations and returns funds within the required time frame.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. For 1 (2 percent) of 58 students tested who withdrew
and required a return of Title IV funds, the University did not return the funds within the required time frame. For 1
(2 percent) of 60 students tested, the University incorrectly calculated the amount of Title IV funds to be returned.
For 1 (50 percent) of 2 students tested eligible for relief under the CARES Act, the University incorrectly
processed a return of Title IV funds. Through analysis of the exceptions identified in the audit, the University will
work to develop and implement corrective action to improve the processes further.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222336; and Federal Direct Student Loans, P268K232336 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No
Federal regulations and related guidance governing Title IV student aid programs require schools to report the
enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan
Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to
submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next
60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan)
has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at
least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title
34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include
Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30,
2012 (GEN-12-06)).
Institutions are required to report the program(s) of attendance for the student, including classification of
instructional programs (CIP) code, program credential level, program length, program enrollment status, and other
data about the program. The program enrollment effective date is the date that the current enrollment status
reported for a student was first effective and the program begin date is the date the student first began attending
the program being reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4).
Institutions may not be immediately aware of a student’s enrollment status change when it happens. When the
institution does become aware of such a change, it must report the status change using the actual enrollment
status effective date, not the date when the institution became aware of the change (NSLDS Enrollment Reporting
Guide, November 2022, Chapter 4; and U.S. Department of Education Electronic Announcement, NSLDS
Enrollment Reporting - Submission Dates, Effective Dates and Certification Dates, April 20, 2017).
The University of Texas at Austin (University) uses the services of the National Student Clearinghouse (NSC) to
report status changes to NSLDS. Under this arrangement, the University reports all students enrolled and their
status to NSC. NSC then identifies any changes in status and reports those changes when required to NSLDS.
Although the University uses the services of NSC, the University still has the primary responsibility to report any
changes in student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide,
November 2022, Chapter 3, Section 3.3).
For 4 (7 percent) of 61 students tested, the University did not accurately report program-level data
elements to NSLDS. Specifically, the University incorrectly reported the program enrollment effective date as the
first date of the term, rather than the actual effective date of the students’ enrollment status change. The
University asserted those errors were caused by changes implemented in its automated enrollment reporting
process to reflect the new 2023 academic calendar.
Not reporting student status changes accurately could affect determinations that guarantors, lenders, and
servicers of student loans make related to in-school status, deferments, grace periods, and repayment schedules.
Recommendation:
The University should strengthen its controls to ensure that program enrollment effective dates are reported to
NSLDS accurately.
Views of Responsible Officials:
The University acknowledges and agrees with the Program Enrollment Effective Date finding. Program Enrollment
Effective Date is defined as the date a student’s enrollment status changes during a semester of enrollment (i.e.
student’s enrollment status changes from full-time to half-time status). For 4 (7 percent) of 61 students tested, the
University did not accurately report program-level data elements to NSLDS. Specifically, the University incorrectly
reported the program enrollment effective date as the first date of the term, rather than the date the students’
enrollment status actually changed. The University asserted those errors were caused by required changes to its
automated enrollment reporting process to accommodate the newly implemented structure of its academic
calendar. Through analysis of the exceptions identified in the audit, the University has developed and
implemented corrective action to further improve the processes.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224174; Federal Work-Study Program, P033A224174; Federal Pell Grant Program, P063P223234; Federal Direct Student Loans, P268K233234; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233234 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, CFR, Sections 668.2, 673.5, and 685.301). The University of Texas at Dallas (University) established different COA budgets for each term based on a student’s tuition rate (guaranteed or variable); classification (undergraduate or graduate); residency (in-state and out-of-state); living status (on-campus, off-campus, or at home); and enrollment level (full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting formulas within the University’s student information system are used to assign various budget components based on the factors noted above. The University did not always accurately configure COA budget components in its student information system. Specifically, the University incorrectly set the Summer transportation budget for a certain group of students—undergraduate students with a guaranteed tuition rate who were in-state residents living at home and enrolled half-time—to $640 instead of $928. After auditors brought the issue to the University’s attention, it identified 299 students who were affected. As a result, the COA for those students was understated by a total of $86,112 for the Summer 2023 term. The errors discussed above did not result in overawards of financial assistance; therefore, there were no questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or underawarding financial assistance to students. Recommendation:
The University should ensure that it accurately configures COA budget components within its student information
system.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
While reviewing the population for submission to the auditors, the University determined that the above error had
occurred. Since the timing was still within the summer semester, we corrected the COA component error and
provided institutional grant funding for those students who had increased need due to the update in their summer
transportation budget. There were only 2 students who needed to have their loans repackaged to avoid under
awarding federal aid, which was done.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222338; and Federal Direct Student Loans, P268K232338 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Federal regulations and related guidance governing Title IV student aid programs require schools to report the enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next 60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan) has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half_x0002_time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title 34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30, 2012 (GEN-12-06)). Institutions are required to report the campus-level enrollment for the student, including enrollment status and the effective date of that enrollment status. For enrollment status changes to three-quarter-time, half-time, and less_x0002_than-half-time status, the institution must use the effective date that the student changed to those particular statuses (NSLDS Enrollment Reporting Guide, November 2022, Chapter 1 and Appendix C). Institutions also are required to report the program(s) of attendance for the student, including classification of instructional programs (CIP) code, program credential level, program length, program enrollment status, and other data about the program. The program enrollment effective date is the date that the current enrollment status reported for a student was first effective and the program begin date is the date the student first began attending the program being reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4). To protect a student’s interest subsidy, institutions are required to report a graduated status for students who have completed their course of study (NSLDS Enrollment Reporting Guide, November 2022, Chapter 4 and Appendix C). Institutions may not be immediately aware of a student’s enrollment status change when it happens. When the institution does become aware of such a change, it must report the status change using the actual enrollment status effective date, not the date when the institution became aware of the change (NSLDS Enrollment Reporting Guide, November 2022, Chapter 4; and U.S. Department of Education Electronic Announcement, NSLDS Enrollment Reporting - Submission Dates, Effective Dates and Certification Dates, April 20, 2017). The University of Texas at El Paso (University) uses the services of the National Student Clearinghouse (NSC) to report status changes to NSLDS. Under this arrangement, the University reports all students enrolled and their status to NSC. NSC then identifies any changes in status and reports those changes when required to NSLDS. Although the University uses the services of NSC, the University still has the primary responsibility to report any changes in student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide, November 2022, Chapter 3, Section 3.3). For 3 (5 percent) of 62 students tested, the University did not accurately report campus- and program level enrollment effective dates or did not report enrollment status changes to NSLDS. Specifically:
• For two students, the effective date of the students’ withdrawn status was reported incorrectly at both the
campus and program levels. The University reported one student’s withdrawal effective date as the end of the
payment period, instead of the actual date of withdrawal. The University determined the second student never
attended the Summer 2023 term and reported an incorrect withdrawal date instead of the student’s actual last
date of attendance, which was the last day of the Fall 2022 term.
• For one student, the University did not report an enrollment status change to NSLDS. The student’s
enrollment status decreased from three-quarter-time to less-than-half-time after the University approved a
medical withdrawal for certain courses after the term had ended, and the University did not report that
change.
For 2 (12 percent) of 17 students tested who received a Direct Loan and ceased to be enrolled on at least
a half-time basis or changed their permanent address, the students’ enrollment status was not reported to
NSLDS in a timely manner. Specifically, both students’ graduated status was received by NSLDS 73 days after
the students graduated.
The University had a process to monitor enrollment information reported to NSC and NSLDS; however, that
process was not sufficient to identify the errors discussed above. Not reporting student status changes accurately
and in a timely manner could affect determinations that guarantors, lenders, and servicers of student loans make
related to in-school status, deferments, grace periods, and repayment schedules.
Recommendations:
The University should:
• Strengthen its controls to ensure that campus- and program-level enrollment statuses and effective dates are
reported to NSLDS accurately.
• Ensure that all graduated statuses are reported to NSLDS in a timely manner.
Views of Responsible Officials:
The University acknowledges the findings and recommendations. Staff members have begun working on the
corrective action plan to improve the processes and implement any necessary changes by the end of the spring
2024 semester.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224169; Federal Pell Grant Program, P063P223294; Federal Direct Student Loans, P268K233294; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233294 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $64,905 Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). The total number of calendar days in a payment period or period of enrollment includes all days within the payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)). The University of Texas at San Antonio (University) made errors in Title IV return calculations for 14 (56 percent) of 25 students tested. Those errors occurred because the University did not exclude break days from its calculations of returns of Title IV funds for the Spring 2023 term as required; therefore, that issue would have affected all students who withdrew from the Spring 2023 term and had a return calculation performed. Although the amount of unearned Title IV assistance calculated for those students was incorrect, there were no questioned costs because the University returned more funds than required. In addition, for 3 (12 percent) of 25 students tested who did not have a return of Title IV funds made, the
University did not perform a return calculation as required. Those errors occurred because the University
incorrectly used 7 break days instead of 8 break days when determining whether students who withdrew from the
Spring 2023 term had completed 60 percent or more of the term. As a result, the University did not perform return
calculations and return funds as required for students who withdrew between March 26 and March 28, 2023,
which resulted in total questioned costs of $50,146 associated with ALN 84.268, Federal Direct Student Loans,
award number P268K233294, and $14,759 associated with ALN 84.063, Federal Pell Grant Program, award
number P063P223294.
The University did not have an adequate monitoring process to identify those errors. Not having a process that
consistently calculates and returns the correct amount of Title IV funds increases the risk that the University could
return less Title IV funds than it is required to return.
Recommendations:
The University should:
• Accurately determine the number of days in the payment period and exclude any scheduled breaks as
required.
• Strengthen its controls to ensure that it detects and corrects errors in return of Title IV calculations and returns
Title IV funds.
Views of Responsible Officials:
The University acknowledges and agrees with the finding that were the result of staff turnover. Through analysis
of the exceptions identified in the audit, the University has worked to develop and implement corrective action.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P223294; and Federal Direct Student Loans, P268K233294 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Federal regulations and related guidance governing Title IV student aid programs require schools to report the enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next 60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan) has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half_x0002_time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title 34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30, 2012 (GEN-12-06)). Enrollment is reported for a specific location of each campus; that is, the eight-digit Office of Postsecondary Education Identification (OPEID) number. Most students are enrolled in coursework at only one location. However, for students who are taking coursework at multiple locations of the same school, the school must determine which location is the student’s “primary location” and report the combined enrollment for the student using that location to NSLDS. A student’s “primary location” is the location where the student is taking more coursework than at any other location. Reporting a student’s enrollment at the main campus does not satisfy the enrollment reporting requirement if aid was disbursed or the student was physically attending school at a different location (NSLDS Enrollment Reporting Guide, November 2022, Chapters 4 and 6). The University of Texas at San Antonio (University) uses the services of the National Student Clearinghouse (NSC) to report status changes to NSLDS. Under this arrangement, the University reports all students enrolled and their status to NSC. NSC then identifies any changes in status and reports those changes to NSLDS when required. Although the University uses the services of NSC, the University still has the primary responsibility to report any changes in student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide, November 2022, Chapter 3, Section 3.3). For 2 (8 percent) of 26 students tested, the University inaccurately reported the OPEID number to NSLDS. Specifically for those students, the University incorrectly reported the OPEID number of the main campus, instead of the OPEID number of the location where the students were taking the majority of their coursework. The University asserted that it reports the main campus OPEID number for all students to NSLDS; therefore, the errors discussed above would have affected all students who did not take the majority of their coursework at the main campus location. Not reporting student information accurately could affect determinations that guarantors, lenders, and servicers of student loans make related to in-school status, deferments, grace periods, and repayment schedules. Recommendation:
The University should implement a process to ensure that it accurately reports the OPEID number to NSLDS for
students who take the majority of their coursework at a location other than the main campus.
Views of Responsible Officials:
The University acknowledges and agrees with the finding, which has had no impact on accurately reporting the
enrollment levels of our students to NSLDS.
Special Tests and Provisions – Enrollment Reporting
Federal Agency: U.S. Department of Education
Federal Program Title: Student Financial Assistance Cluster
Assistance Listing Number: 84.063; and 84.268
Pass-Through Agency: N/A
Award Number: Federal Pell Grant Program, P063P222337; and Federal Direct Student
Loans, P268K232337
Award Period: July 1, 2022, to June 30, 2023
Statistically Valid Sample: No and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency and Noncompliance
Questioned Costs: None
Repeat Finding: No
Federal regulations and related guidance governing Title IV student aid programs require schools to report the
enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan
Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to
submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next
60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan)
has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at
least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title
34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include
Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30,
2012 (GEN-12-06)).
Institutions are required to report the program(s) of attendance for the student, including classification of
instructional programs (CIP) code, program credential level, program length, program enrollment status, and other
data about the program. The program enrollment effective date is the date that the current enrollment status
reported for a student was first effective and the program begin date is the date the student first began attending
the program being reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4).
To protect a student’s interest subsidy, institutions are required to report a graduated status for students who have
completed their course of study (NSLDS Enrollment Reporting Guide, November 2022, Chapter 4 and Appendix
C). Institutions may not be immediately aware of a student’s enrollment status change when it happens. When the
institution does become aware of such a change, it must report the status change using the actual enrollment
status effective date, not the date when the institution became aware of the change (NSLDS Enrollment Reporting
Guide, November 2022, Chapter 4; and U.S. Department of Education Electronic Announcement, NSLDS
Enrollment Reporting - Submission Dates, Effective Dates and Certification Dates, April 20, 2017).
For 6 (10 percent) of 61 students tested, the University of Texas Health Science Center at San Antonio
(Health Science Center) did not accurately report the program begin date to NSLDS. Specifically, those
students began attendance in the program on July 29, 2019; however, the Health Science Center reported a
program begin date of either January 6, 2020, or May 18, 2020. The Health Science Center asserted those errors
were caused by the CIP code year conversion from 2010 to 2020 within the Health Science Center Registrar’s
Office. After auditors brought those errors to the Health Science Center’s attention, the Health Science Center
corrected the program begin date for all six students.
Not reporting student program information accurately could affect determinations that guarantors, lenders, and
servicers of student loans make related to in-school status, deferments, grace periods, and repayment schedules.
Recommendation:
The Health Science Center should strengthen its controls to ensure that program begin dates are reported to
NSLDS accurately.
Views of Responsible Officials:
The University acknowledges noncompliance of validating program start dates aligned to Classification of
Instructional Program (CIP codes) and graduated student status. Through analysis of the exceptions identified in
the audit, the University will work to develop and implement corrective action to improve processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). The University of Texas Permian Basin (University) did not appropriately restrict user access to its student information system. Specifically, the University did not always limit access to the student information system to only users who needed that access based on their job responsibilities. The University had a process to periodically review user access; however, that review was not sufficient to identify the inappropriate access. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. Recommendation: The University should ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. Views of Responsible Officials: The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the audit, the University has worked to implement further access limitations and enhanced its periodic review of access.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224178; Federal Work-Study Program, P033A224178; Federal Pell Grant Program, P063P223265; Federal Direct Student Loans, P268K233265; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233265 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). The University of Texas Permian Basin (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate), program (in-person or online), residency (in_x0002_state or out-of-state), living status (on-campus, off-campus, or at home with parents), and enrollment level (full_x0002_time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 60 (98 percent) of 61 students tested, the University incorrectly calculated the COA. For some of the students discussed below, there were multiple errors in the COA calculation. Specifically: • For 38 students, the University assigned an incorrect amount for the fees, loan fees, and/or transportation budget components. Those errors occurred because the amounts were incorrectly loaded into the budget tables in the University’s student information system. The University asserted that it discovered these issues in April 2023, and attempted to manually update individual student accounts that were affected. As a result, the COA for those students was overstated, and three students were overawarded a total of $2,871. After auditors brought the overawards to the University’s attention, it returned funds to the U.S. Department of Education; therefore, there were no questioned costs. • For 15 students, the University assigned an in-person budget instead of an online advanced budget. Those
errors occurred because the University failed to consistently communicate which programs were offered
online to the financial aid office, which would have helped ensure that the student information system was
updated appropriately. As a result, the COA for those students was overstated, and one of those students
was overawarded a Subsidized Direct Loan in the amount of $919. After auditors brought the overaward to
the University’s attention, it returned funds to the U.S. Department of Education; therefore, there were no
questioned costs.
• For 12 students, the University incorrectly assigned an additional room and board fee. As a result, the COA
was overstated by $50 per term for each of those students; however, the University did not overaward
financial assistance to those students.
• For eight students, the University did not adjust the students’ COA to reflect the students’ actual enrollment.
The University did not have a process to freeze student enrollment levels in order to recalculate COA after
census. As a result, the COA for those students was overstated; however, the University did not overaward
financial assistance to those students.
The University did not have adequate controls in place to review budgets used in the calculation of COA and
accurately assign those budgets to students. Incorrectly calculating COA increases the risk of overawarding or
underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets in
accordance with its process and does not overaward financial assistance to students.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University has worked to implement additional controls as it relates to calculation of the Cost of
Attendance.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224178; Federal Pell Grant Program, P063P223265; Federal Direct Student Loans, P268K233265; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233265 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs, and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). The total number of calendar days in a payment period or period of enrollment includes all days within the
payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks
of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the
number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)).
For a program offered in modules, a student is not considered to have withdrawn if the student successfully
completes either (1) a module that includes 49 percent or more of the number of days in the payment period,
excluding scheduled breaks of five or more consecutive days and all days between modules; or (2) a combination
of modules that together contain 49 percent or more of the number of days in the payment period, excluding
scheduled breaks of five or more consecutive days and all days between modules (Title 34, CFR, Section
668.22(a)(2)(ii)(A)(2)).
For 3 (6 percent) of 48 students tested who did not have a return of Title IV funds made, the University of
Texas Permian Basin (University) did not perform a return calculation as required. Specifically:
• For two students who were enrolled in module courses, the University did not perform a return calculation
because it incorrectly determined that the students completed 49 percent or more of the number of days in
the payment period. The University asserted that staff misinterpreted the 49 percent withdrawal exemption
requirements.
• For one student, the University did not perform a return calculation and return funds as required due to staff
oversight.
After auditors brought those errors to the University’s attention, the University performed the return calculations
and returned the funds to the U.S. Department of Education; therefore, there were no questioned costs.
In addition, the University made errors in Title IV return calculations for 11 (48 percent) of 23 students
tested. Specifically, the University did not exclude any break days from the students’ return calculations as
required. Those errors occurred because the University did not load the break days into its student information
system when setting up the payment periods for the standard Fall 2022 and Spring 2023 terms; therefore, this
issue would have affected all students who withdrew from those terms. As a result, the University returned a total
of $284 less than it should have for 2 of those 11 students. After auditors brought the issue to the University’s
attention, the University returned those funds to the U.S. Department of Education; therefore, there were no
questioned costs.
• For 3 of those 11 students, the University also incorrectly adjusted the students’ Direct Loans disbursements
prior to performing the return calculation. As a result of those errors, the University returned more funds than
required; therefore, there were no questioned costs.
The University did not have an adequate monitoring process to identify the errors discussed above. Not having a
process that consistently calculates and returns the correct amount of Title IV funds increases the risk that the
University could return less Title IV funds than it is required to return.
Timeliness of Returns:
An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later
than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section
668.22(j)).
For 3 (13 percent) of 23 students tested who withdrew and required a return of Title IV funds, the
University did not return the funds within the required time frame. The University returned the Title IV funds
to the U.S. Department of Education 46 and 203 days after the University determined that the students withdrew.
The University did not have adequate controls in place to ensure that Title IV funds were returned within the
required 45-day time frame. Not making returns within required time frames reduces the funds available to the U.S. Department of Education
for its program management.
Recommendations:
The University should:
• Configure its student information system to exclude any scheduled breaks as required.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in return of Title IV calculations
and returns Title IV funds in a timely manner.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University has worked to ensure procedures and interpretation of the regulations for the Return to Title
IV have been updated to result in correct and timely return of Title IV funds.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P223265; and Federal Direct Student Loans, P268K233265 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No
Federal regulations and related guidance governing Title IV student aid programs require schools to report the
enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan
Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to
submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next
60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan)
has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at
least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title
34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include
Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30,
2012 (GEN-12-06)).
Institutions are required to report the campus-level enrollment for the student, including enrollment status and the
effective date of that enrollment status. For enrollment status changes to three-quarter-time, half-time, and less than-half-time status, the institution must use the effective date that the student dropped to those particular
statuses (NSLDS Enrollment Reporting Guide, November 2022, Chapter 1, 4, 7, and Appendix C). Institutions
also are required to report the program(s) of attendance for the student, including classification of instructional
programs (CIP) code, program credential level, program length, program enrollment status, and other data about
the program. The program enrollment effective date is the date that the current enrollment status reported for a
student was first effective, and the program begin date is the date the student began attending the program being
reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4).
Institutions may not be immediately aware of a student’s enrollment status change when it happens. When the
institution does become aware of such a change, it must report the status change using the actual enrollment
status effective date, not the date when the institution became aware of the change (NSLDS Enrollment Reporting
Guide, November 2022, Chapter 4; and U.S. Department of Education Electronic Announcement, NSLDS
Enrollment Reporting - Submission Dates, Effective Dates and Certification Dates, April 20, 2017). For instances
in which a student completes one academic program and then enrolls in another academic program at the same
school, the school must report two separate enrollment transactions: one showing the completion of the first
program and its effective date and credential level, and the other showing the enrollment in the second program
and its effective date (Dear Colleague Letter, March 30, 2012 (GEN-12-06)). For a student who has graduated,
institutions that initially report a withdrawn status must subsequently report the student as having graduated by
certifying a “G” status at the campus level and/or program level as appropriate (NSLDS Enrollment Reporting
Guide, November 2022, Chapter 4, Section 4.4.3).
The University of Texas Permian Basin (University) uses the services of the National Student Clearinghouse
(NSC) to report status changes to NSLDS. Under this arrangement, the University reports all students enrolled
and their status to NSC. NSC then identifies any changes in status and reports those changes to NSLDS when
required. Although the University uses the services of NSC, the University still has the primary responsibility to
report any changes in student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting
Guide, November 2022, Chapter 3, Section 3.3).
For 8 (13 percent) of 61 students tested, the University did not report enrollment status changes or did
not accurately report campus- and program-level data elements to NSLDS. Specifically:
• For three students, the effective date for the students’ withdrawn status was reported incorrectly. Those
students were determined to have never attended the Spring 2023 term. The University incorrectly reported
the last day of the Spring 2023 term as the effective date at the campus and program level, rather than the
students’ actual last date of attendance.
• For two students, enrollment status changes were inaccurately reported at the campus and program levels.
Both students were enrolled full-time in the Spring 2023 term and had enrollment changes to half-time;
however, the University incorrectly reported to NSLDS a less-than-half-time status for one student and a
withdrawn status for the other student.
• For two students, the University incorrectly reported the effective date of enrollment status changes at the
campus and program levels.
• For one student, the enrollment status for the Spring 2023 term was reported incorrectly at the campus and
program levels because the University used graduate-level enrollment rather than undergraduate-level
enrollment. The University asserted that the student was enrolled as an undergraduate in the Spring 2023
term and as an undergraduate and graduate in the Summer 2023 term. This error was caused by the
University not submitting the student’s undergraduate program information to NSLDS.
For 3 (9 percent) of 33 students tested who received a Direct Loan and ceased to be enrolled on at least a
half-time basis or changed their permanent address, the students’ enrollment status was not reported to
NSLDS in a timely manner. Specifically, the University reported the 3 students’ withdrawn status 118 days after
it became aware that the students either never attended or unofficially withdrew from the Spring 2023 term.
The issues discussed above occurred because the University (1) did not configure its student information system
to accurately report student enrollment and program information to NSLDS, (2) did not establish formal and
documented policies over student enrollment reporting until policies were requested by auditors, and (3) did not
have an adequate process to monitor student enrollment and program information reported to NSLDS. Not
reporting student status changes accurately and in a timely manner could affect determinations that guarantors,
lenders, and servicers of student loans make related to in-school status, deferments, grace periods, and
repayments schedules.
Recommendation:
The University should strengthen its controls to ensure that campus- and program-level data elements are
reported accurately and in a timely manner to NSLDS.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University is working to ensure that procedures and queries used for exporting enrollment information to
the National Student Clearinghouse are updated so that reporting is accurate and timely.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222296; and Federal Direct Student Loans, P268K232296 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Federal regulations and related guidance governing Title IV student aid programs require schools to report the enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next 60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan) has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half_x0002_time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title 34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30, 2012 (GEN-12-06)). Institutions are required to report the campus-level enrollment for the student, including enrollment status and the effective date of that enrollment status. For enrollment status changes to three-quarter-time, half-time, and less_x0002_than-half-time status, the institution must use the effective date that the student dropped to those particular statuses (NSLDS Enrollment Reporting Guide, November 2022, Chapter 1, 4, 7, and Appendix C). Institutions also are required to report the program(s) of attendance for the student, including classification of instructional programs (CIP) code, program credential level, program length, program enrollment status, and other data about the program. The program enrollment effective date is the date that the current enrollment status reported for a student was first effective and the program begin date is the date the student began attending the program being reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4). For a student who has graduated, institutions that initially report a withdrawn status must subsequently report the student as having graduated by certifying a “G” status at the campus level and/or program level as appropriate (NSLDS Enrollment Reporting Guide, November 2022, Chapter 4, Section 4.4.3). The University of Texas Rio Grande Valley (University) uses the services of the National Student Clearinghouse (NSC) to report status changes to NSLDS. Under this arrangement, the University reports all students enrolled and their status to NSC. NSC then identifies any changes in status and reports those changes to NSLDS when required. Although the University uses the services of NSC, the University still has the primary responsibility to report any changes in student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide, November 2022, Chapter 3, Section 3.3). For 2 (3 percent) of 62 students tested, the University inaccurately reported the students’ program-level
graduated status effective date to NSLDS. For those students, the graduated status effective date was
reported correctly to NSLDS at the campus level; however, a different effective date was incorrectly reported at
the program level for the students’ graduated status. The effective date reported at the program level should be
the same date reported at the campus level because those dates reflect the same graduated status change. The
University identified and corrected the program-level effective date for one of those students after auditors
selected the student for testing.
Not reporting student status changes accurately and in a timely manner could affect determinations that
guarantors, lenders, and servicers of student loans make related to in-school status, deferments, grace periods,
and repayment schedules.
Recommendation:
The University should strengthen its controls to ensure that program-level data elements are reported to NSLDS
accurately.
Views of Responsible Officials:
UTRGV acknowledges and concurs with the audit finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the process.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; and 84.063 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224166; and Federal Pell Grant Program, P063P222333 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Federal Supplemental Educational Opportunity Grants (FSEOG): The FSEOG program provides grants to eligible undergraduate students. Institutions are required to award FSEOG first to Federal Pell Grant recipients who have the lowest expected family contribution (EFC). If an institution has FSEOG funds remaining after giving FSEOG awards to all Federal Pell Grant recipients, it can then award the remaining FSEOG funds to eligible students with the lowest EFCs who did not receive Federal Pell Grants (Title 34, Code of Federal Regulations (CFR), Section 676.10). If the total amount of calculated Title IV grant or loan assistance, or both, that a student earned is greater than the total amount of Title IV grant or loan assistance, or both, that was disbursed to the student, as of the date that the institution determines that the student has withdrawn, the difference between those amounts must be treated as a post-withdrawal disbursement in accordance with Title 34, CFR, Section 668.22(a)(6) and Section 668.164(i) (Title 34, CFR, Section 668.22(a)(5)). The institution must disburse directly to a student any amount of a post-withdrawal disbursement of grant funds that is not credited to the student’s account. The institution must make the disbursement as soon as possible, but no later than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(a)(6)(ii)(B)(1)). Based on a review of the full population of student financial assistance recipients, the University of Houston (University) awarded a total of $6,500 in FSEOG assistance to 5 students who did not also receive a Federal Pell Grant. Specifically: • For three students, the University did not award Federal Pell Grants to those students because the students reported on their Free Application for Federal Student Aid (FAFSA) that they had earned a bachelor’s degree or were working on a degree beyond a bachelor's degree. After auditors brought these errors to the University’s attention, the University canceled the FSEOG awards to those students; therefore there were no questioned costs. • For one student, the University did not award a Federal Pell Grant to the student for the term in which the student received FSEOG funds. Due to a manual error, the University applied the student’s Federal Pell Grant to the wrong term. After auditors brought the error to the University’s attention, the University corrected the Federal Pell Grant award to the correct term; therefore there were no questioned costs. • For one student, the University did not award a Federal Pell Grant to the student due to a hold that was
placed on the student’s account for an incomplete task. After auditors brought the error to the University’s
attention, the University reviewed the student’s account and determined the hold should be removed. The
University processed a post-withdrawal disbursement of Federal Pell Grant funds 324 days after the date of
the University’s determination that the student withdrew. There were no questioned costs as a result of this
error.
Although the University had monitoring controls in place to ensure accurate awarding of federal funds, it did not
have an adequate process to identify the errors discussed above.
Recommendations:
The University should:
• Award FSEOG funds only to eligible students.
• Complete post-withdrawal disbursements within a timely manner.
Views of Responsible Officials:
The University acknowledges and agrees with the findings. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Disbursement To or On Behalf of Students Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222333; Federal Direct Student Loans, P268K232333; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232333 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Allowable Charges: An institution may credit a student's ledger account with Title IV, Higher Education Act of 1965 (HEA) program funds to pay for allowable charges associated with the current payment period. Allowable charges are: (1) the amount of tuition, fees, and institutionally provided room and board assessed the student for the payment period or the prorated amount of those charges if the institution debits the student's ledger account for more than the charges associated with the payment period; and (2) the amount incurred by the student for the payment period for purchasing books, supplies, and other educationally related goods and services provided by the institution for which the institution obtains the student’s or parent’s authorization under Section 668.165(b) (Title 34, Code of Federal Regulations (CFR), Section 668.164(c)(1)). If an institution obtains written authorization from a student or parent, as applicable, the institution may: (1) use the student’s or parent’s Title IV, HEA program funds to pay for charges that are included in that authorization, and (2) hold on behalf of the student or parent any Title IV, HEA program funds that would otherwise be paid directly to the student or parent as a credit balance, unless the Secretary provides funds to the institution under the reimbursement payment method or the heightened cash monitoring payment method (Title 34, CFR, Section 668.165(b)(1)). An institution may not use Title IV funds to pay finance charges or fees that are incurred because a student uses a financing method provided by the school to pay for educational expenses over time. Because students or families choose to incur these additional expenses rather than paying the balance due at registration, the additional charges are not considered educational expenses, and may not be included in a student’s cost of attendance. (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 2). For 13 (21 percent) of 62 students tested, the University of Houston (University) used Title IV funds to pay unallowable charges. Some of those students were affected by both errors discussed below. Specifically: • For eight students, the University credited student ledger accounts during the payment period for unallowable charges unrelated to tuition, fees, or institutionally provided room and board. The unallowable finance charges paid with Title IV funds included various fees (credit card processing, severance of service, installment origination, and late fees), and various loan charges. Those charges are unallowable whether the University obtains student or parent authorization or not. The University asserted it is conducting a comprehensive review of all charges to determine allowability for Title IV funds. • For eight students, the University credited student ledger accounts during the payment period for charges other than tuition, fees, or institutionally provided room and board without obtaining the authorization of the student or parent. The unallowable charges paid with Title IV funds included various parking and garage related fees, meal plan tax charges, and book loan university fund charges. Those errors occurred because the University did not have a process to obtain written authorization from a student or parent to apply Title IV funds to charges other than tuition, fees, and institutionally provided room and board. Not receiving all Title IV funds a student is entitled to impairs students’ and parents’ ability to budget for the cost
of attending.
Recommendations:
The University should strengthen its controls to ensure that:
• It does not credit student ledger accounts for unallowable charges.
• It obtains written authorization from students or parents prior to crediting student ledger accounts for certain
charges.
Views of Responsible Officials:
The University acknowledges and agrees with the findings. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224166; Federal Pell Grant Program, P063P222333; Federal Direct Student Loans, P268K232333; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232333 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). The institution must return the lesser of the total amount of unearned Title IV assistance calculated above or an amount equal to the total institutional charges incurred by the student for the payment period or period of enrollment multiplied by the percentage of Title IV grant or loan assistance not earned by the student. For purposes of this calculation, “institutional charges” are tuition, fees, room and board (if the student contracts with the institution for the room and board), and other educationally related expenses assessed by the institution (Title 34, CFR, Section 668.22(g)). The institutional charges used in the calculation are usually the charges that were initially assessed to the student for the entire payment period or period of enrollment, as applicable. Initial charges may be adjusted only by those changes the institution made prior to the student’s withdrawal, such as a change in enrollment status unrelated to the withdrawal (U.S. Department of Education, 2022- 2023 Federal Student Aid Handbook, Volume 5, Chapter 1, Section: Institutional Charges). The University of Houston (University) made errors in Title IV return calculations for 18 (30 percent) of 60
students tested. Specifically:
• For 15 students, the University made errors in determining the amount of institutional charges to be used in
the return calculation by including unallowable charges in its calculation for those students.
• For two students, the University returned the incorrect amount of Title IV funds due to manual entry errors.
For one of those students, the University also incorrectly included unallowable charges in the student’s return
calculation as discussed above.
• For one student, the University incorrectly canceled the student’s Federal Pell Grant award before its
calculation. The University asserted that was due to a processing error in its student information system.
There were no questioned costs as a result of those errors because for each student the University returned more
than the required amount or the error did not affect the amount of Title IV grant or loan assistance to be returned.
Distance Education:
For distance education, documenting that a student has logged into an online class is not sufficient to
demonstrate academic attendance by the student. An institution must demonstrate that a student participated in
class or was otherwise engaged in an academically related activity. Only active participation by a student in an
instructional activity related to the student’s course of study that meets the definition of “academic engagement” in
Title 34, CFR, Section 600.2 and takes place during a payment period or period of enrollment qualifies as
attendance in an academically related activity (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 5, Chapter 2).
For 1 (7 percent) of 14 students tested, the University did not have evidence of academic engagement in
the distance education course from which the student’s withdrawal date was determined. The University
relies on the last dates of academic activity provided by instructors to determine the withdrawal date for return of
Title IV purposes for students who unofficially withdraw. However, the University did not have an adequate review
process in place to ensure that it maintained documentation supporting attendance in distance education courses.
As a result, the University could not demonstrate that the student participated or otherwise engaged in an
academically related activity in that course to support the last date of attendance used by the University for return
of Title IV purposes.
The University did not have an adequate monitoring process to identify the errors discussed above. Not having a
process that consistently calculates and returns the correct amount of Title IV funds increases the risk that the
University could return the incorrect amount of Title IV funds.
Recommendations:
The University should:
• Calculate institutional charges in accordance with U.S. Department of Education requirements.
• Ensure that evidence of academic engagement is consistently documented for students in distance education
courses.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in its calculation of Title IV
funds to return. Views of Responsible Officials:
The University acknowledges and agrees with the findings. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Enrollment Reporting
Federal Agency: U.S. Department of Education
Federal Program Title: Student Financial Assistance Cluster
Assistance Listing Number: 84.063; and 84.268
Pass-Through Agency: N/A
Award Number: Federal Pell Grant Program, P063P222333; and Federal Direct Student
Loans, P268K232333
Award Period: July 1, 2022, to June 30, 2023
Statistically Valid Sample: No and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency and Noncompliance
Questioned Costs: None
Repeat Finding: No
Federal regulations and related guidance governing Title IV student aid programs require schools to report the
enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan
Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to
submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next
60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan)
has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at
least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title
34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include
Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30,
2012 (GEN-12-06)). Institutions are required to report the campus-level enrollment for the student, including enrollment status and the
effective date of that enrollment status. For enrollment status changes to three-quarter-time, half-time, and less than-half-time status, the institution must use the effective date that the student dropped to those particular
statuses (NSLDS Enrollment Reporting Guide, November 2022, Chapter 1, 4, 7, and Appendix C). Institutions
also are required to report the program(s) of attendance for the student, including classification of instructional
programs (CIP) code, program credential level, program length, program enrollment status, and other data about
the program. The program enrollment effective date is the date that the current enrollment status reported for a
student was first effective and the program begin date is the date the student first began attending the program
being reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4). For a student who has
graduated, institutions that initially report a withdrawn status must subsequently report the student as having
graduated by certifying a “G” status at the campus level and/or program level as appropriate (NSLDS Enrollment
Reporting Guide, November 2022, Chapter 4, Section 4.4.3).
The University of Houston (University) uses the services of the National Student Clearinghouse (NSC) to report
status changes to NSLDS. Under this arrangement, the University reports all students enrolled and their status to
NSC. NSC then identifies any changes in status and reports those changes to NSLDS when required. Although
the University uses the services of NSC, the University still has the primary responsibility to report any changes in
student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide, November
2022, Chapter 3, Section 3.3).
For 3 (5 percent) of 61 students tested, the University did not report graduated status changes or did not
accurately report graduated status changes at the campus and program levels to NSLDS. Specifically:
• For two students, the University did not report a graduated status at the program level. However, the
graduated status for both students was correctly reported at the campus level. The University asserted that it
reported the graduated statuses to NSC; however, NSLDS had no record found reported for the program
level.
• For one student, a graduated status was not reported at the campus level, and the effective date of the
graduated status was incorrectly reported at the program level. The University asserted that it reported the
graduated status accurately to NSC.
For 24 (75 percent) of 32 students tested who received a Direct Loan and ceased to be enrolled on at least
a half-time basis or changed their permanent address, the student’s enrollment status was not reported to
NSLDS in a timely manner. Specifically:
• For 23 students, the students’ graduated status for the Spring 2023 term was not received by NSLDS until 85
days after that status became effective on May 11, 2023. The University certified and submitted the
graduation file to NSC on June 22, 2023; however, the statuses were not received by NSLDS until August 4,
2023.
• For one student, the University reported the status change 146 days after the student’s graduated status
became effective.
The errors discussed above occurred because the University did not have a process to ensure that student
enrollment and program information reported to NSC was accurately reported to NSLDS in a timely manner. Not
reporting student status changes accurately and in a timely manner could affect determinations that guarantors,
lenders, and servicers of student loans make related to in-school status, deferments, grace periods, and
repayment schedules.
Recommendation:
The University should develop and implement controls to ensure that campus-level and program-level data
elements are reported to NSLDS accurately and in a timely manner.
Views of Responsible Officials:
The University acknowledges and agrees with the findings. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions - Gramm-Leach-Bliley Act - Student Information Security Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Gramm-Leach-Bliley Act: Institutions must protect sensitive data, including information obtained in support of the administration of federal student financial assistance programs, as required by the Gramm-Leach-Bliley Act (GLBA) (Public Law 106-102). Under their Program Participation Agreement (PPA) and the GLBA, postsecondary educational institutions must protect student financial aid information, with particular attention to information provided by the Department of Education or otherwise obtained in support of the administration of the Title IV Federal student financial aid programs (Dear Colleague Letter, July 1, 2016 (GEN-16-12)). Institutions are required to develop, implement, and maintain an information security program that includes the minimum elements in Title 16, Code of Federal Regulations (CFR), Section 314.4. Those minimum requirements include conducting a periodic inventory of data, noting where it is collected, stored, or transmitted (Title 16, CFR, Section 314.4(c)(1)). In addition, the institution must designate a qualified individual responsible for overseeing, implementing, and enforcing the institution’s information security program (Title 16, CFR, Section 314.4(a)). The University of Houston’s (University) information security program did not address the implementation of all minimum safeguards as required by the GLBA. Specifically, while the University had designated a Qualified Individual to coordinate its information security program and had a written information security program in place, that program did not meet the requirements for conducting a periodic inventory of data. Not implementing all required safeguards in its information security program increases the University’s risk of data breach or loss. Recommendation:
The University should ensure that all elements required by the GLBA are documented and implemented in its
information security program.
Views of Responsible Officials:
The University acknowledges and agrees with the findings. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Reporting
Federal Agency: U.S. Department of Education
Federal Program Title: Student Financial Assistance Cluster
Assistance Listing Number: 84.063; and 84.379
Pass-Through Agency: N/A
Award Number: Federal Pell Grant Program, P063P222293; and Teacher Education
Assistance for College and Higher Education Grants (TEACH),
P379T232293
Award Period: July 1, 2022, to June 30, 2023
Statistically Valid Sample: No and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency and Noncompliance
Questioned Costs: None
Repeat Finding: No
COD Reporting:
Institutions must submit Federal Pell Grant, Iraq and Afghanistan Service Grant, Direct Loan, and Teacher
Education Assistance for College and Higher Education (TEACH) Grant disbursement records to the Common
Origination and Disbursement (COD) system no later than 15 days after making the disbursement or becoming
aware of the need to adjust a previously reported disbursement. Reporting this information helps ensure that
institutions have the most accurate information available about students’ federal awards and helps prevent an
institution from overawarding students (Title 34, Code of Federal Regulations (CFR), Section 690.83(b); U.S.
Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 1; and Federal Register,
Volume 88, Number 120). Certain data elements are required to be reported as part of a student’s origination and
disbursement record, including the student’s Social Security number, Central Processing System (CPS)
transaction number, enrollment date, disbursement amount, and disbursement date (2022-2023 COD Technical
Reference, Volume II).
For 2 (3 percent) of 63 students tested, the University North Texas (University) did not accurately report
all disbursement record data elements to the COD system. Specifically:
• For one student, the University reported an incorrect disbursement date for two TEACH disbursements made
to the student during the award year. The University’s process is to manually report TEACH Grant awards on
COD’s website; the incorrect disbursement dates reported were a result of manual entry errors made during
that process.
• For one student, the University reported an incorrect disbursement date for one Federal Pell Grant
disbursement made to the student during the award year. The University asserted that error occurred
because the student’s record had to be manually updated after being rejected by the COD system for a
missing value.
The incorrect disbursement dates ranged from 78 days prior to 74 days after the actual funds were disbursed to
the students. The University did not have a sufficient process to review the manual data entries for accuracy. Not
accurately reporting information to the COD system could result in the institution overawarding federal funds.
Recommendation:
The University should strengthen its controls to ensure that disbursement dates are reported to the COD system
accurately.
Views of Responsible Officials:
The University acknowledges and agrees with the findings regarding the accuracy of reporting disbursements in
the Common Origination and Disbursement (COD) system. The University recognizes the importance of
accurately reporting disbursements in the COD system and will work accordingly to ensure manual entries are
entered with accurate information.
Special Tests and Provisions – Disbursements To or On Behalf of Students Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222293; and Federal Direct Student Loans, P268K232293 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Allowable Charges and Credit Balance Authorizations: An institution may credit a student’s ledger account with Title IV, Higher Education Act of 1965 (HEA) program funds to pay for allowable charges associated with the current payment period. Allowable charges are: (1) the amount of tuition, fees, and institutionally provided room and board assessed the student for the payment period or the prorated amount of those charges if the institution debits the student’s ledger account for more than the charges associated with the payment period; and (2) the amount incurred by the student for the payment period for purchasing books, supplies, and other educationally related goods and services provided by the institution for which the institution obtains the student’s or parent’s authorization under Section 668.165(b) (Title 34, Code of Federal Regulations (CFR), Section 668.164(c)(1)). A Title IV, HEA credit balance occurs whenever the amount of Title IV, HEA program funds credited to a student’s ledger account for a payment period exceeds the amount assessed the student for allowable charges associated with that payment period. A Title IV, HEA credit balance must be paid directly to the student or parent as soon as possible, but no later than (1) fourteen days after the balance occurred if the credit balance occurred after the first day of class within a payment period; or (2) fourteen days after the first day of class within a payment period if the credit balance occurred on or before the first day of class within that payment period (Title 34, CFR, Section 668.164(h)). If an institution obtains written authorization from a student or parent, as applicable, the institution may: (1) use
the student’s or parent’s Title IV, HEA program funds to pay for charges that are included in that authorization,
and (2) hold on behalf of the student or parent any Title IV, HEA program funds that would otherwise be paid
directly to the student or parent as a credit balance, unless the Secretary provides funds to the institution under
the reimbursement payment method or the heightened cash monitoring payment method (Title 34, CFR, Section
668.165(b)(1)).
For 5 (8 percent) of 62 students tested, the University of North Texas (University) used Title IV funds to
pay unallowable charges. Specifically, the University credited student ledger accounts during the payment
period for charges other than tuition, fees, or institutionally provided room and board without obtaining the
authorization of the student or parent. The unallowable charges paid with Title IV funds included various fees (late
registration, replacement identification card, and parking), as well as the balance of institutional loans. Those
errors occurred because a statement designed to obtain the student’s authorization to apply the Title IV funds to
those types of charges was not included in the student self-service portal in the student information system as
intended.
For 1 (3 percent) of 36 students tested, the University did not obtain written authorization from the
student or parent to hold Title IV funds as a credit balance. Specifically, the University held $1,861 of Direct
Loans in excess of the student’s institutional charges, which should have been paid directly to the student or
parent.
Not receiving all Title IV funds a student is entitled to impairs students’ and parents’ ability to budget for the cost
of attending.
Recommendation:
The University should strengthen its controls to ensure that it obtains written authorization from students or
parents prior to crediting student ledger accounts for certain charges, or holding credit balances.
Views of Responsible Officials:
The University acknowledges and agrees with the findings regarding the payment of unallowable charges using
Title IV funds for 5 students and the lack of written authorization to hold a Title IV fund as a credit balance for 1
student. The University recognizes the importance of ensuring Title IV funds are used only toward allowable
charges and are not held as a credit balance without written authorization from the student or parent.
Special Tests and Provisions – Return of Title IV Funds
Federal Agency: U.S. Department of Education
Federal Program Title: Student Financial Assistance Cluster
Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379
Pass-Through Agency: N/A
Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG),
P007A224085; Federal Pell Grant Program, P063P222293; Federal Direct
Student Loans, P268K232293; and Teacher Education Assistance for
College and Higher Education Grants (TEACH), P379T232293
Award Period: July 1, 2022, to June 30, 2023
Statistically Valid Sample: No and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency and Noncompliance
Questioned Costs: None
Repeat Finding: No
Return of Title IV Calculations:
When a student who received Title IV grant or loan assistance withdraws from an institution during a payment
period or period of enrollment in which the student began attendance, the institution must determine the amount
of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of
Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned
by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date
of the institution’s determination that the student withdrew, the difference must be returned to the Title IV
programs and no additional disbursements may be made to the student for the payment period or period of
enrollment (Title 34, CFR, Section 668.22(a)(4)).
The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV
grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title
IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the
payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their
Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period
or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by
subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was
disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student
withdrew (Title 34, CFR, Section 668.22(e)).
The total number of calendar days in a payment period or period of enrollment includes all days within the
payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks
of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the
number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)). The University of North Texas (University) made errors in Title IV return calculations for 32 (52 percent) of
61 students tested. Those errors occurred because the University did not exclude any break days from its Title
IV return calculations for the Fall 2022 term as required; therefore, that issue would have affected all students
who withdrew from the Fall 2022 term and had an automated return calculation performed. Although the amount
of unearned Title IV assistance calculated for those students was incorrect, there were no questioned costs as a
result of those errors because the University returned more funds than required.
• For 1 of those 32 students, the University also did not accurately determine the withdrawal date for the
student who was enrolled in modules. After auditors brought the issue to the University’s attention, the
University re-performed the return calculation and returned the additional Title IV funds as required; therefore,
there were no questioned costs.
• In addition, for 1 of those 32 students, the University incorrectly returned Title IV funds for a student who
completed more than 60 percent of the term and did not require a return.
Distance Education:
For distance education, documenting that a student has logged into an online class is not sufficient to
demonstrate academic attendance by the student. An institution must demonstrate that a student participated in
class or was otherwise engaged in an academically related activity. Only active participation by a student in an
instructional activity related to the student’s course of study that meets the definition of “academic engagement” in
Title 34, CFR, Section 600.2, and takes place during a payment period or period of enrollment qualifies as
attendance in an academically related activity (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 5, Chapter 2).
For 1 (14 percent) of 7 students tested, the University did not have evidence of academic engagement for
the student who attended all distance education courses. The University relies on the last dates of
attendance (LDA) provided by instructors to determine the withdrawal date for Return of Title IV purposes for
students who unofficially withdraw. If no LDAs are provided by the instructors, the University uses the midpoint of
the term as the withdrawal date. The student was enrolled in all distance education courses, and the University
used the midpoint as the withdrawal for the student. However, the University could not provide evidence that the
student participated or otherwise engaged in an academically related activity in any of the distance education
courses. After auditors brought the issue to the University’s attention, the University performed a return
calculation and returned Title IV funds as required; therefore, there were no questioned costs.
Timeliness of Returns:
An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later
than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section
668.22(j)).
For 12 (20 percent) of 61 students tested who withdrew and required a return of Title IV funds, the
University did not return the funds within the required time frame. Specifically, the University returned the
Title IV funds to the U.S. Department of Education between 47 to 183 days after the University determined that
the students withdrew. The University asserted those errors occurred due to staffing issues and problems with the
transmission of the adjustments to the U.S. Department of Education’s Common Origination and Disbursement
(COD) system.
The University did not have an adequate monitoring process to identify those errors or document the review
process. Having a process that does not consistently calculate and return the correct amount of Title IV funds
increases the risk that the University could return incorrect amounts of Title IV funds. In addition, not making
returns within the required time frames reduces the funds available to the U.S. Department of Education for its
program management.
Recommendations:
The University should:
• Accurately determine the number of days in the payment period and exclude any scheduled breaks as
required.
• Ensure that evidence of academic engagement is consistently documented for students in distance education
courses.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in Title IV return calculations
and returns Title IV funds in a timely manner.
Views of Responsible Officials:
The University acknowledges and agrees with the findings regarding the Return of Title IV funds in cases where a
student officially or unofficial withdraws from the institution after the student begins attendance in a given payment
period or period of enrollment. The University acknowledges the importance of accurately calculating the Title IV
funds to be returned and the timely return of those funds.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222293; and Federal Direct Student Loans, P268K232293 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: 2020-136 Federal regulations and related guidance governing Title IV student aid programs require schools to report the enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next 60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan) has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half_x0002_time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title 34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30, 2012 (GEN-12-06)). Institutions are required to report the program(s) of attendance for the student, including classification of instructional programs (CIP) code, program credential level, program length, program enrollment status, and other data about the program. The program enrollment effective date is the date that the current enrollment status reported for a student was first effective, and the program begin date is the date the student began attending the program being reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4). For instances in which a student completes one academic program and then enrolls in another academic program at the same institution, the institution must report two separate enrollment transactions: one showing the completion of the first program and its effective date and credential level, and the other showing the enrollment in the second program and its effective date (Dear Colleague Letter, March 30, 2012 (GEN-12-06)). The University of North Texas (University) uses the services of the National Student Clearinghouse (NSC) to report status changes to NSLDS. Under this arrangement, the University reports all students enrolled and their status to NSC. NSC then identifies any changes in status and reports those changes when required to NSLDS. Although the University uses the services of NSC, the University still has the primary responsibility to report any changes in student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide, November 2022, Chapter 3). For 9 (36 percent) of 25 students tested, the University did not accurately report the program begin date to NSLDS. Specifically, the University reported the program begin date as the first day of the term after the students declared their major or were otherwise approved to enroll in the program, instead of the first day of the term in which the students actually began attendance in the program. The University asserted that the errors were caused by issues related to the configuration of the enrollment reporting processes in the University’s student information system. Not reporting student program information accurately could affect determinations that guarantors, lenders, and servicers of student loans make related to in-school status, deferments, grace periods, and repayments schedules. Recommendation:
The University should strengthen its controls to ensure that program begin dates are reported to NSLDS
accurately.
Views of Responsible Officials:
The University acknowledges and agrees with the findings regarding the accuracy of the program begin dates
reported for some students identified in the testing. The University acknowledges the importance of accurately
reporting program information for students receiving Title IV aid to ensure that guarantors, lenders, and servicers
of student loans are able to make accurate determinations related to in-school status, deferments, grace periods,
and repayment schedules.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 93.264 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224051; Federal Work-Study Program, P033A224051; Federal Pell Grant Program, P063P222282; Federal Direct Student Loans, P268K232282; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232282; and Nurse Faculty Loan Program (NFLP), 1 E01HP45821-01-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $1,409 Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). Direct Subsidized and Unsubsidized Loans have annual and aggregate limits that are the same for all students at a given grade level and dependency status. In general, a loan may not be more than the amount the borrower requests, the borrower’s unmet financial need, the borrower’s COA, or the borrower’s maximum borrowing limit. (U.S. Department of Education 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 5). Lamar University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate), dependency (dependent or independent), residency (in-state or out-of-state), living status (on-campus, off-campus, or at home with parents), and enrollment level (full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 23 (38 percent) of 61 students tested, the University incorrectly calculated the COA. Specifically, the
University did not adjust the students’ COA to reflect the students’ actual enrollment as of the census date. The
University experienced turnover in the Student Financial Aid department during the 2022–2023 award year, and
could not provide a cause for those errors. The University asserted that it implemented a process to recalculate
students’ COAs based on their actual enrollment at census beginning with the Fall 2023 term; however, the errors
discussed above occurred before that process was in place. As a result, the University overawarded two students.
• One of those students was assigned an overstated COA for the Fall 2022 term based on three-quarter-time
enrollment although the student’s actual enrollment was half-time. The student was awarded $5,294 in
Subsidized Direct Loans, which exceeded the student’s financial need, resulting in $1,113 in questioned costs
associated with ALN 84.268, Federal Direct Student Loans, award number P268K232282.
• The other student was assigned an overstated COA for the Spring 2023 term based on full-time enrollment
although the student did not attend during the term. The student was awarded $10,142 in Unsubsidized Direct
Loans, which exceeded the student’s actual COA, resulting in $296 in questioned costs associated with ALN
84.268, Federal Direct Student Loans, award number P268K232282.
The University did not have adequate controls in place to review budgets used in the calculation of COA and
accurately assign those budgets to students. Incorrectly calculating COA increases the risk of overawarding or
underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets in
accordance with its process and does not overaward financial assistance to students.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Disbursements To or On Behalf of Students Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 93.264 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224051; Federal Work-Study Program, P033A224051; Federal Pell Grant Program, P063P222282; Federal Direct Student Loans, P268K232282; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232282; and Nurse Faculty Loan Program (NFLP), 1 E01HP45821-01-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Award and Disbursement Notifications: Before an institution disburses Title IV, Higher Education Act of 1965 (HEA) program funds for any award year, the institution must notify a student of the amount of funds that the student or his or her parent can expect to receive under each Title IV, HEA program, and how and when those funds will be disbursed. If those funds include Direct Loan program funds, the notice must indicate which funds are from subsidized loans, which are from unsubsidized loans, and which are from PLUS loans (Title 34, Code of Federal Regulations (CFR), Section 668.165(a)(1)). If an institution credits a student’s ledger account with Federal Direct Student Loan (Direct Loan) funds or Teacher Education Assistance for College and Higher Education (TEACH) Grant funds, the institution must notify the student or parent of (1) the anticipated date and amount of the disbursement, (2) the student’s or parent’s right to cancel all or a portion of that loan or grant and have the loan or grant proceeds returned to the U.S. Department of Education, and (3) the procedures and time by which the student or parent must notify the institution that he or she wishes to cancel the loan or grant, or loan or grant disbursement (Title 34, CFR, Section 668.165(a)(2)). The institution must provide the notice in writing no earlier than 30 days before, and no later than 30 days after, crediting the student’s ledger account at the institution (Title 34, CFR, Section 668.165(a)(3)). For 21 (34 percent) of 62 disbursements tested, Lamar University (University) did not send an award or
disbursement notification as required. Specifically:
• For 20 students that received Direct Loan disbursements, the University did not send a disbursement
notification. The University asserted those errors occurred because the University was utilizing a manual
process to send out the disbursement notifications, and on those days when the employee charged with
performing the manual process was not present, the notifications were not sent to students.
• For one student who received Title IV funds, the University did not send an award notification. This error
occurred because the University manually packaged the student’s awards after clearing a verification
requirement, and the University did not have an adequate process in place to ensure that students who are
manually awarded receive an award notification.
Not receiving award and disbursement notifications impairs students’ and parents’ ability to budget for the cost of
attending or exercise the option to cancel their loans or grants.
Promissory Notes:
Institutions must establish a process to make loans consistent with institutional policies and federal laws and
regulations, including the completion of the following during disbursement: (1) signed promissory note, and (2)
disclosure of terms and conditions (Nurse Faculty Loan Program (NFLP) Administrative Guidelines, 42 United
States Code (U.S.C.) 297n-1 (Public Health Service Act Section 846A)).
The University did not have a process in place to require a promissory note for NFLP loans prior to
disbursement. NFLP loans were incorrectly identified in the student information system as a grant instead of a
loan. As a result, the student information system did not place a required hold on disbursements until the
promissory note requirement was completed.
Not requiring a signed promissory note prior to disbursement of loan funds could limit the University’s ability to
enforce repayment of the loan.
Recommendations:
The University should:
• Strengthen its controls to ensure that it identifies all students that require an award or disbursement
notification, and sends those notifications to the students.
• Configure controls in the student information system to require promissory notes for applicable loans.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224051; Federal Pell Grant Program, P063P222282; Federal Direct Student Loans, P268K232282; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232282 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $19,357 Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs, and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). The total number of calendar days in a payment period or period of enrollment includes all days within the payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)). In determining the percentage of the payment period or period of enrollment completed for a student who
withdraws from a program offered in modules, an institution must (1) include all days within the period that the
student was scheduled to complete prior to ceasing attendance and (2) exclude any scheduled breaks of at least
five consecutive days when the student was not scheduled to attend a module or other course offered during that
period of time. Scheduled breaks include both those that take place within and between modules (U.S.
Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 5, Chapter 2).
An institution must offer to disburse directly to a student, or parent in the case of a parent PLUS loan, any amount
of a post-withdrawal disbursement of loan funds that is not credited to the student's account. The institution must
make a direct disbursement of any loan funds that make up the post-withdrawal disbursement only after obtaining
the student's, or parent's in the case of a parent PLUS loan, confirmation that the student or parent still wishes to
have the loan funds disbursed (Title 34, CFR, Section 668.22(a)(6)(ii)(B)).
Lamar University (University) made errors in Title IV return calculations for 25 (41 percent) of 61 students
tested. Specifically, the University did not exclude any break days from the Spring 2023 term or days between
modules as required. Those errors resulted in the University returning a total of $3,481 associated with ALN
84.268, Federal Direct Student Loans, award number P268K232282, and $1,802 associated with ALN 84.063,
Federal Pell Grant Program, award number P063P222282, less Title IV funds than required.
• For 2 of those 25 students, the University also used an inaccurate withdrawal date in the return calculation.
• For 1 of those 25 students, the University also did not identify that the student was eligible to receive a post withdrawal disbursement of loan funds and therefore did not offer to disburse those loan funds to the student
as required.
In addition, for 8 (13 percent) of 61 students tested who did not have a return of Title IV funds made, the
University did not perform a return calculation as required. The University asserted it did not consistently
follow its procedures in identifying students who required a Title IV return calculation due to staff turnover and
newer staff needing additional training. As a result, the University did not return a total of $13,707 associated with
ALN 84.268, Federal Direct Student Loans, award number P268K232282, and $367 associated with ALN 84.063,
Federal Pell Grant Program, award number P063P222282 as required.
The errors discussed above occurred because the University did not configure its information system to
accurately calculate returns and because of manual errors that the University made in performing the return
calculations. In addition, the University did not have an adequate monitoring process to identify those errors. Not
having a process that consistently calculates and returns the correct amount of Title IV funds increases the risk
that the University could return less Title IV funds than it is required to return.
Timeliness of Returns:
An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later
than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section
668.22(j)).
For 5 (8 percent) of 59 students tested who withdrew and required a return of Title IV funds, the University
did not return the funds within the required time frame. The University returned the funds for those students
47 to 143 days after it determined that the students withdrew. For 2 of those students, the University determined
the withdrawal dates and performed the return calculations; however, it did not return the Title IV funds within the
required 45-day time frame due to an oversight in processing the return of those funds. For three of those
students, the University asserted that it determined that the return calculations required corrections, which
resulted in the returns not being performed timely. Not making returns within required time frames reduces the
funds available to the U.S. Department of Education for its program management. Recommendations:
The University should:
• Strengthen its controls to ensure that it accurately calculates returns of Title IV funds when required, including
review of the variables it uses in those calculations.
• Accurately determine the number of days in the payment period and exclude any scheduled breaks as
required.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in return of Title IV calculations
and returns Title IV funds in a timely manner.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222282; and Federal Direct Student Loans, P268K232282 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Federal regulations and related guidance governing Title IV student aid programs require schools to report the enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next 60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan) has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half_x0002_time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title 34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30, 2012 (GEN-12-06)). Institutions are required to report the campus-level enrollment for the student, including enrollment status and the effective date of that enrollment status. For enrollment status changes to three-quarter-time, half-time, and less_x0002_than-half-time status, the institution must use the effective date that the student dropped to those particular statuses (NSLDS Enrollment Reporting Guide, November 2022, Chapter 1, 4, 7, and Appendix C). Institutions also are required to report the program(s) of attendance for the student, including classification of instructional programs (CIP) code, program credential level, program length, program enrollment status, and other data about the program. The program enrollment effective date is the date that the current enrollment status reported for a student was first effective and the program begin date is the date the student began attending the program being reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4). For a student who has graduated, institutions that initially report a withdrawn status must subsequently report the student as having graduated by certifying a “G” status at the campus level and/or program level as appropriate (NSLDS Enrollment Reporting Guide, November 2022, Chapter 4, Section 4.4.3). Lamar University (University) uses the services of the National Student Clearinghouse (NSC) to report status changes to NSLDS. Under this arrangement, the University reports all students enrolled and their status to NSC. NSC then identifies any changes in status and reports those changes to NSLDS when required. Although the University uses the services of NSC, the University still has the primary responsibility to report any changes in student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide, November 2022, Chapter 3, Section 3.3). For 7 (12 percent) of 60 students tested, the University did not accurately report campus- and program level data elements or did not report enrollment status changes to NSLDS. Specifically:
• For two students, the University incorrectly reported the students’ enrollment status as withdrawn, rather than
graduated. The incorrect enrollment status was reported at both the campus and program levels to NSLDS. In
addition, those statuses were not received by NSLDS until 130 and 134 days after the students graduated.
• For two students, the University did not report the withdrawn status at the campus and program levels to
NSLDS as required.
• For two students, the University incorrectly reported the students’ graduated status effective date at the
campus level. However, the graduated effective date for both students was correctly reported at the program
level. The effective date reported at the campus level should be the same date reported at the program level
because those dates reflect the same enrollment status change.
• For one student, the University incorrectly reported the student’s enrollment status at the campus and
program levels. The University initially reported the correct enrollment status; however, subsequent
submissions to NSLDS overwrote that enrollment status with an incorrect enrollment status.
The errors discussed above occurred because the University (1) did not ensure that all graduated students were
included on the graduation transmission file to NSC, (2) did not fully address error reports provided by NSC, and
(3) did not have a formally documented policy or review to ensure consistent and accurate enrollment reporting.
Not reporting student status changes accurately and in a timely manner could affect determinations that
guarantors, lenders, and servicers of student loans make related to in-school status, deferments, grace periods,
and repayment schedules.
Recommendation:
The University should strengthen its controls to ensure that all status changes are reported accurately and in a
timely manner to NSLDS.
Views of Responsible Officials:
The University accepts and confirms the findings. Through assessing and identifying the exceptions in the audit
the University will work to develop and enforce the beneficial measures needed to refine our procedures.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). Sam Houston State University (University) did not appropriately restrict access to its student information system. Specifically, the University did not always limit access to the student information system to only users who needed that access based on their job responsibilities. While the University had a process in place to review user access, that process was not adequately designed to ensure that the University granted the appropriate levels of access to all users based on the users’ job duties. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. In addition, the University did not have sufficient controls over its change management process for information systems. Specifically, 1 (14 percent) of 7 changes tested lacked documentation showing that the change was properly tested or validated before it was migrated to production. Not having sufficient controls over the change management process increases the risk of unauthorized programming changes being made to critical information systems that the University uses to administer student financial assistance. Recommendations: The University should: • Ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. • Strengthen its controls over its change management process to ensure adequate validation of changes prior to implementation. Views of Responsible Officials: The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224110; Federal Pell Grant Program, P063P222301; Federal Direct Student Loans, P268K232301; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232301 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No
When a student who received Title IV grant or loan assistance withdraws from an institution during a payment
period or period of enrollment in which the student began attendance, the institution must determine the amount
of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of
Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned
by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date
of the institution’s determination that the student withdrew, the difference must be returned to the Title IV
programs and no additional disbursements may be made to the student for the payment period or period of
enrollment (Title 34, CFR, Section 668.22(a)(4)).
The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV
grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title
IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the
payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their
Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period
or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by
subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was
disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student
withdrew (Title 34, CFR, Section 668.22(e)).
For distance education, documenting that a student has logged into an online class is not sufficient to
demonstrate academic attendance by the student. An institution must demonstrate that a student participated in
class or was otherwise engaged in an academically related activity. Only active participation by a student in an
instructional activity related to the student's course of study that meets the definition of “academic engagement” in
Title 34, CFR, Section 600.2 and takes place during a payment period or period of enrollment qualifies as
attendance in an academically related activity (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 5, Chapter 2).
For 1 (4 percent) of 24 students tested, Sam Houston State University (University) did not have evidence
of academic engagement in the distance education course from which the student’s withdrawal date was
determined. The University relies on the last dates of academic activity provided by instructors to determine the
withdrawal date for Return of Title IV purposes for students who unofficially withdraw. The student’s record did not
reflect evidence of academic activity for the distance education course, and the University asserted that the last
day of attendance provided by the instructor was inaccurate. The University did not have a process in place to
require instructors to provide or maintain evidence of academic engagement in distance education courses. As a
result, the University did not perform a return calculation because it incorrectly determined that the student
completed over 60 percent of the period. After auditors brought the issue to the University’s attention, the
University performed a return calculation and returned Title IV funds as required; therefore, there were no
questioned costs.
Having a process that does not consistently calculate and return the correct amount of Title IV funds increases
the risk that the University could return less Title IV funds than it is required to return.
Recommendation:
The University should ensure that evidence of academic engagement is consistently documented for students in
distance education courses.
Views of Responsible Officials:
The University acknowledges and agrees with the findings of this audit. Management acknowledges the
responsibility to accurately verify the academic engagement and document it for students enrolled in distance
education courses.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224131; Federal Work-Study Program, P033A224131; Federal Pell Grant Program, P063P222320; Federal Direct Student Loans, P268K232320; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232320 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). Tarleton State University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s tuition rate (guaranteed or variable), program, courses, classification (undergraduate or graduate), residency (in-state or out-of-state); living status (on-campus, off-campus, or with parent), and enrollment level (full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 62 (100 percent) of 62 students tested, the University incorrectly calculated the COA. Specifically, the University used the 2021–2022 award year budgets instead of the 2022–2023 award budgets because it did not update the COA budget components in its student information system for the new award year. As a result, the COAs for those students were understated by a total of $148,781. This error would have affected the COA for all students in the Fall 2022 and Spring 2023 terms. However, because the students’ budgets were understated, this error did not result in overawards of financial assistance; therefore, there were no questioned costs. The University did not have adequate controls in place to review budgets used in the calculation of COA and accurately assign those budgets to students. Incorrectly calculating COA increases the risk of overawarding or underawarding financial assistance to students. Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets in
accordance with its process.
Views of Responsible Officials:
The University has carefully reviewed the findings outlined in the recent financial aid audit report, and we
acknowledge and agree with the identified areas for improvement. Your thorough examination has provided
valuable insights into our financial aid processes, and we appreciate the effort invested in ensuring transparency
and accountability.
In response to the findings, we are committed to taking immediate and comprehensive corrective actions to
address the identified issues and enhance the overall effectiveness of our financial aid management. Our team is
already in the process of developing a detailed Corrective Action Plan that will outline the specific steps we will
take to rectify the noted deficiencies. We understand the importance of financial aid in supporting our students'
academic endeavors, and we are dedicated to ensuring that our processes align with the highest standards of
integrity and compliance.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224131; Federal Pell Grant Program, P063P222320; Federal Direct Student Loans, P268K232320; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232320 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $12,259 Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs, and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV
grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title
IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the
payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their
Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period
or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by
subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was
disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student
withdrew (Title 34, CFR, Section 668.22(e)).
The total number of calendar days in a payment period or period of enrollment includes all days within the
payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks
of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the
number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)).
In determining the percentage of the payment period or period of enrollment completed for a student who
withdraws from a program offered in modules, an institution must (1) include all days within the period that the
student was scheduled to complete prior to ceasing attendance and (2) exclude any scheduled breaks of at least
five consecutive days when the student was not scheduled to attend a module or other course offered during that
period of time. Scheduled breaks include both those that take place within and between modules (U.S.
Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 5, Chapter 2).
For a program offered in modules, a student is not considered to have withdrawn if the student successfully
completes any of the following: (1) a module that includes 49 percent or more of the number of days in the
payment period, excluding scheduled breaks of five or more consecutive days and all days between modules; (2)
a combination of modules that together contain 49 percent or more of the number of days in the payment period,
excluding scheduled breaks of five or more consecutive days and all days between modules (Title 34, CFR,
Section 668.22(a)(2)(ii)(A)(2)); or (3) coursework equal to or greater than the coursework required for the
institution’s definition of a half-time student under 34 CFR 668.2(b) for the payment period (U.S. Department of
Education, 2022-2023 Federal Student Aid Handbook, Volume 5, Chapter 1).
An institution must disburse directly to a student any amount of a post-withdrawal disbursement of grant funds
that is not credited to the student's account. The institution must make the disbursement as soon as possible, but
no later than 45 days after the date of the institution's determination that the student withdrew. The institution
must offer to disburse directly to a student, or parent in the case of a parent PLUS loan, any amount of a post withdrawal disbursement of loan funds that is not credited to the student's account. The institution must make a
direct disbursement of any loan funds that make up the post-withdrawal disbursement only after obtaining the
student's, or parent's in the case of a parent PLUS loan, confirmation that the student or parent still wishes to
have the loan funds disbursed (Title 34, CFR, Section 668.22(a)(6)(ii)(B)).
For 58 (97 percent) of 60 students tested, Tarleton State University (University) incorrectly calculated the
amount of Title IV funds to be returned or returned the incorrect amount of funds. Specifically:
• For 56 students, the University did not exclude any break days from the Fall 2022 term as required, and it
incorrectly excluded 5 break days rather than 8 break days from the Spring 2023 term. Those errors occurred
because the University did not load the correct break days into its student information system when setting up
the payment period; therefore, this issue would have affected all students who withdrew from the Fall 2022
and Spring 2023 terms. Additionally:
o For 2 of those 56 students, the University did not identify that the students were eligible to receive
a post-withdrawal disbursement and therefore did not disburse those grant funds or offer to
disburse those loan funds to the students as required.
o For 4 of those 56 students, the University incorrectly determined the number of days in the
payment period or used an incorrect withdrawal date for students enrolled in modules. • For 2 students enrolled in the Summer 2023 term, the University did not follow the return of Title IV
requirements related to modular terms. For one student, the University incorrectly used the number of days in
the full payment period rather than only the days within the period that the student was scheduled to complete
prior to ceasing attendance. For the other student, the University failed to identify that the student successfully
completed coursework equal to or greater than the coursework required for a half-time student and therefore
should not have been considered withdrawn. The University asserted that this error occurred because staff
misinterpreted the half-time withdrawal exemption requirements.
As a result of the errors discussed above, the University returned a total of $1,992 associated with ALN 84.268,
Federal Direct Student Loans, award number P268K232320, and $374 associated with ALN 84.063, Federal Pell
Grant Program, award number P063P222320 less Title IV funds than required for the students tested in the
sample.
In addition, for 10 (17 percent) of 60 students tested who did not have a return of Title IV funds made, the
University did not perform a return calculation as required.
• For 6 students, the University did not exclude break days from its determination of whether the students
completed 60 percent or more of the payment period as required. As a result, the University incorrectly
determined that the students earned their aid and did not return a total of $7,679 associated with ALN 84.268,
Federal Direct Student Loans, award number P268K232320, and $1,053 associated with ALN 84.063,
Federal Pell Grant Program, award number P063P222320 as required.
• For 4 students, the University incorrectly used the number of days in the full payment period in its
determination of whether the students successfully completed 49 percent or more of the number of days in
the payment period. As a result, the University incorrectly determined that the students earned their aid and
did not return a total of $1,161 in questioned costs associated with ALN 84.268, Federal Direct Student
Loans, award number P268K232320 as required.
The errors discussed above occurred because the University did not configure its information system to
accurately calculate returns and because of manual errors that the University made in performing return
calculations. In addition, the University did not have an adequate monitoring process to identify those errors. Not
having a process that consistently calculates and returns the correct amount of Title IV funds increases the risk
that the University could return less Title IV funds than it is required to return.
Recommendations:
The University should:
• Strengthen its controls to ensure that it accurately calculates returns of Title IV funds when required, including
review of the variables it uses in those calculations.
• Accurately determine the number of days in the payment period and configure its student information system
to exclude any scheduled breaks, as required.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in return of Title IV calculations
and returns Title IV funds.
Views of Responsible Officials:
The University has carefully reviewed the findings outlined in the recent financial aid audit report, and we
acknowledge and agree with the identified areas for improvement. Your thorough examination has provided
valuable insights into our financial aid processes, and we appreciate the effort invested in ensuring transparency
and accountability. In response to the findings, we are committed to taking immediate and comprehensive corrective actions to
address the identified issues and enhance the overall effectiveness of our financial aid management. Our team is
already in the process of developing a detailed Corrective Action Plan that will outline the specific steps we will
take to rectify the noted deficiencies. We understand the importance of financial aid in supporting our students'
academic endeavors, and we are dedicated to ensuring that our processes align with the highest standards of
integrity and compliance.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222320; and Federal Direct Student Loans, P268K232320 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No
Federal regulations and related guidance governing Title IV student aid programs require schools to report the enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next 60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan) has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title 34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30, 2012 (GEN-12-06)). Institutions are required to report the campus-level enrollment for the student, including enrollment status and the effective date of that enrollment status. For enrollment status changes to three-quarter-time, half-time, and less than-half-time status, the institution must use the effective date that the student dropped to those particular statuses (NSLDS Enrollment Reporting Guide, November 2022, Chapter 1, 4, 7, and Appendix C). Institutions also are required to report the program(s) of attendance for the student, including classification of instructional programs (CIP) code, program credential level, program length, program enrollment status, and other data about the program. The program enrollment effective date is the date that the current enrollment status reported for a student was first effective, and the program begin date is the date the student began attending the program being reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4). Enrollment is reported for a specific location of each campus; that is, the eight-digit Office of Postsecondary Education Identification (OPEID) number. Most students are enrolled in coursework at only one location. However, for students who are taking coursework at multiple locations of the same school, the school must determine which location is the student’s “primary location” and report the combined enrollment for the student using that location to NSLDS. A student’s “primary location” is the location where the student is taking more coursework than at any other location. Reporting a student’s enrollment at the main campus does not satisfy the enrollment reporting requirement if aid was disbursed or the student was physically attending school at a different location (NSLDS Enrollment Reporting Guide, November 2022, Chapters 4 and 6). For a student who has graduated, institutions that initially report a withdrawn status must subsequently report the student as having graduated by certifying a “G” status at the campus level and/or program level as appropriate (NSLDS Enrollment Reporting Guide, November 2022, Chapter 4, Section 4.4.3). Tarleton State University (University) uses the services of the National Student Clearinghouse (NSC) to report status changes to NSLDS. Under this arrangement, the University reports all students enrolled and their status to NSC. NSC then identifies any changes in status and reports those changes to NSLDS when required. Although the University uses the services of NSC, the University still has the primary responsibility to report any changes in student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide, November 2022, Chapter 3, Section 3.3). For 20 (33 percent) of 61 students tested, the University did not report or did not accurately report campus- or program-level data elements to NSLDS. Specifically: • For 19 students, the University incorrectly reported the OPEID number of the main campus instead of the OPEID number of the location where the students were taking the majority of their coursework. The University asserted that it reports the main campus OPEID number for all students to NSLDS, which would result in errors affecting all students who did not take the majority of their coursework at the main campus location. Additionally: o For 1 of those 19 students, the University did not report an enrollment status to NSLDS at the campus or program level. The University asserted that it reported the student’s enrollment and graduated statuses to NSC; however, those statuses were not reported to NSLDS. o For 1 of those 19 students, the program begin date was reported incorrectly. The University reported the program begin date for a program from which the student had withdrawn, instead of the first day of the term in which the student began attendance in a new program. • For one student, the University did not accurately report the student’s graduated status at the campus level to
NSLDS. The student’s status was reported as graduated at the program level but was reported as withdrawn
at the campus level. In addition, the withdrawn status was not received by NSLDS until 132 days after the
student graduated.
The University had a process to monitor enrollment information reported to NSC; however, that process was not
sufficient to identify the errors discussed above. Not reporting student information accurately and in a timely
manner could affect determinations that guarantors, lenders, and servicers of student loans make related to in school status, deferments, grace periods, and repayment schedules.
Recommendation:
The University should strengthen its controls to ensure that campus- and program-level data elements are
reported accurately and in a timely manner to NSLDS.
Views of Responsible Officials:
The Office of the Registrar has thoroughly reviewed the findings related to enrollment reporting, specifically
concerning instances highlighted in the recent financial aid audit report. We acknowledge and agree with the
identified discrepancies and are committed to addressing these issues promptly. For the student in question
where the program begin date was reported incorrectly, we recognize the significance of accurately reporting
program begin dates and maintaining accurate and consistent reporting across relevant systems. Regarding the
case where the graduated status was inaccurately reported at the campus level, we understand the impact of
such discrepancies and the delay in reporting.
We recognize the importance of precise and timely enrollment reporting, and we are committed to enhancing our
processes to prevent similar issues in the future. Our team is actively working on these corrective measures, and
we aim to demonstrate significant improvements in the accuracy and timeliness of our reporting.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 84.408 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A234136; Federal Work-Study Program, P033A224136; Federal Pell Grant Program, P063P225286; Federal Direct Student Loans, P268K235286; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T235286; and Postsecondary Education Scholarships For Veteran's Dependents (Iraq and Afghanistan Service Grant (IASG)), P408A225286 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: Unknown Repeat Finding: No Satisfactory Academic Progress: A student is eligible to receive Title IV, Higher Education Act of 1965 (HEA) program assistance if the student maintains satisfactory academic progress in his or her course of study according to the institution’s published standards of satisfactory academic progress (SAP) that satisfy the provisions of Title 34, Code of Federal Regulations (CFR), Section 668.34 (Title 34, CFR, Section 668.32(f)). An institution’s SAP policy must include a qualitative component that consists of grades or comparable factors that are measurable against a norm and a quantitative component that consists of the pace at which students must progress through their program to ensure that they will graduate within the maximum time frame required to complete their education (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 1, Chapter 1). For an undergraduate program measured in credit hours, a period that is no longer than 150-percent of the published length of the educational program, as measured in credit hours, should be used to determine the maximum time frame for the quantitative component of SAP (Title 34, CFR, Section 668.34(b)(1)). For 1 (2 percent) of 45 students tested, Texas A&M University (University) did not calculate SAP in accordance with its policy. Specifically, the University did not update the program hours for the Bachelor of Science in Nursing program in its student information system when it changed the program length from 123 hours to 120 hours during the 2017–2018 award year. Therefore, this issue would have affected all students enrolled in the program. As a result, the maximum time frame calculation incorrectly allowed students to exceed the maximum hours without failing SAP. Incorrectly calculating the maximum time frame increases the risk that students could receive financial assistance for which they are not eligible. Recommendation: The University should ensure that the maximum time frame is configured in its student information system with the accurate number of credit hours for each degree program. Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P225286; and Federal Direct Student Loans, P268K235286 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Federal regulations and related guidance governing Title IV student aid programs require schools to report the enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next 60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan) has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half_x0002_time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title 34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30, 2012 (GEN-12-06)). To protect a student’s interest subsidy, institutions are required to report a graduated status for students who have completed their course of study (NSLDS Enrollment Reporting Guide, November 2022, Chapter 4 and Appendix C). For instances in which a student completes one academic program and then enrolls in another academic program at the same school, the school must report two separate enrollment transactions: one showing the completion of the first program and its effective date and credential level, and the other showing the enrollment in the second program and its effective date (Dear Colleague Letter, March 30, 2012 (GEN-12-06)). Texas A&M University (University) uses the services of the National Student Clearinghouse (NSC) to report status
changes to NSLDS. Under this arrangement, the University reports all students enrolled and their status to NSC.
NSC then identifies any changes in status and reports those changes when required to NSLDS. Additionally, NSC
completes the roster file on the University’s behalf and communicates status changes to NSLDS, as applicable.
Although the University uses the services of NSC, it is still ultimately the University’s responsibility to report any
changes in student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide,
November 2022, Chapter 3, Section 3.3).
For 2 (3 percent) of 61 students tested, the University did not accurately report graduated status changes
to NSLDS. Both students graduated from the Doctor of Veterinary Medicine program, but were reported to NSLDS
as withdrawn. After auditors brought this to the University’s attention, the University determined that the issue was
caused by the students being on two separate reports sent to NSC. NSC included the students on a warning file
provided to the University to review and correct. However, the University did not complete a review of the warning
file or make updates to those students’ enrollment status. As a result, NSC subsequently submitted a withdrawn
status for those students. The University asserted the issue affected 158 additional Doctor of Veterinary Medicine
program graduates, and indicated it was in the process of updating NSLDS with the correct enrollment status.
Not reporting student status changes accurately could affect determinations that guarantors, lenders, and
servicers of student loans make related to in-school status, deferments, grace periods, and repayment schedules.
Recommendation:
The University should strengthen its process of reporting graduated students and ensure that warning files related
to graduated students are addressed and corrected.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: 2020-113, 2017-119, 2016-109 General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). Texas Southern University (University) did not appropriately restrict user access to its student information system. Specifically, the University did not always ensure that (1) access to modify information and process transactions in the student information system and (2) administrative access at the network level was limited to only current employees and users who needed that access based on their job responsibilities. The University had a process to review user access to its systems; however, it did not always implement changes based on the results of that review. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made to those systems. Recommendation: The University should ensure that user access to its student information system and administrative access to its network is appropriately limited to employees based on current job responsibilities. Views of Responsible Officials: The Office of Technology acknowledges and agrees with the finding.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 93.925 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224145; Federal Work-Study Program, P033A224145; Federal Pell Grant Program, P063P222327; Federal Direct Student Loans, P268K232327; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232327; and Scholarships for Health Professions Students from Disadvantaged Backgrounds – Scholarships for Disadvantaged Students (SDS), 5 T08HP39322-03-00, 5 T08HP39282-03-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: 2020-113, 2017-119, 2016-109 Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). Texas Southern University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate); residency (in-state or out-of-state); living status (on_x0002_campus, off-campus, or with parent); and enrollment level (full-time, three-quarter-time, half-time, or less-than_x0002_half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 7 (11 percent) of 65 students tested, the University incorrectly calculated the COA. Specifically, the University assigned an incorrect amount for books and supplies for these students. Those errors occurred because the University decreased the default amount for the books and supplies budget component but did not update the algorithmic budget table in its student information system to reflect that change. As a result, the COA was overstated by $40 for each of those students. The errors discussed above did not result in overawards of financial assistance; therefore, there were no questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or underawarding financial assistance to students. Federal Pell Grant:
When awarding Federal Pell Grant assistance to students, institutions use the payment and disbursement
schedules provided each year by the U.S. Department of Education for determining award amounts (Title 34,
CFR, Section 690.62(a)). Those schedules provide the maximum annual amount a student would receive for a full
academic year for a given enrollment status, EFC, and COA. There are separate schedules for three-quarter time, half-time, and less-than-half-time students (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 3, Chapter 3; and Title 34, CFR, Section 690.63(b)).
For 2 (3 percent) of 65 students tested who received Federal Pell Grants, the University did not award the
correct amount of Federal Pell Grant assistance. Specifically, the University awarded those students less than
they were eligible to receive. The University did not identify additional credit hours from late registration in the
students’ Federal Pell Grant award determinations. As a result, the students were underawarded a total of $1,544
in Federal Pell Grant assistance.
Federal Direct Student Loans:
A borrower who has reached the aggregate borrowing limit for Direct Subsidized Loans and Direct Unsubsidized
Loans may not receive additional loans. Once the loans are repaid, in full or in part, the borrower may apply for
additional loans. The aggregate unpaid principal amount of all Direct Subsidized Loans made to a student may
not exceed $23,000 for any student who has not successfully completed a program of study at the undergraduate
level (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 5; and Title
34, CFR, Section 685.203(d)(1)).
The University did not always disburse Federal Direct Student Loans in accordance with applicable limits.
Specifically, the University exceeded the aggregate limit for Subsidized Direct Loans. Auditors determined that a
student had been awarded $500 in excess of the aggregate limit of $23,000. The University manually cleared a
hold to enforce the loan limit, without properly reviewing or adjusting the student’s loan. After auditors brought the
overaward issue to the University’s attention, it returned the loan funds; therefore, there were no questioned
costs. However, by not properly reviewing account holds, the University increases the risk of overawarding
financial assistance to students.
Satisfactory Academic Progress:
A student is eligible to receive Title IV, Higher Education Act of 1965 (HEA) program assistance if the student
maintains satisfactory academic progress in his or her course of study according to the institution’s published
standards of satisfactory academic progress (SAP) that satisfy the provisions of Title 34, CFR, Section 668.34
(Title 34, CFR, Section 668.32(f)). An institution’s SAP policy must include a qualitative component that consists
of grades or comparable factors that are measurable against a norm and a quantitative component that consists
of the pace at which students must progress through their program to ensure that they will graduate within the
maximum time frame required to complete their education.
For a graduate program, a period defined by the institution that is based on the length of the educational program
should be used to determine the maximum time frame for the quantitative component of SAP (U.S. Department of
Education, 2022-2023 Federal Student Aid Handbook, Volume 1, Chapter 1; and Title 34, CFR, Section
668.34(b)).
Additionally, an institution’s SAP policy should provide that, if at the time of evaluation, the student has not
achieved the required grade point average, is not successfully completing his or her program of study at the
required pace, or has not completed the program within the maximum time frame, the student is no longer eligible
for Title IV aid. The policy should provide specific procedures for disbursements to students on financial aid
warning or probation status and permit the student to appeal a determination; it should also provide specific
procedures for re-establishing eligibility to receive Title IV aid and the basis on which a student may file an appeal
(Title 34, CFR, Section 668.34(a)). For 1 (2 percent) of 65 students tested, the University did not calculate SAP in accordance with its policy.
The student re-enrolled in the Fall 2022 term after a gap in attendance, and the University did not perform a
manual SAP calculation, which would have shown that the student did not meet the minimum required pace as
defined in the University’s SAP policy. The student would have been required to submit an appeal, and have that
appeal approved, to receive financial assistance. The student was initially overawarded $6,184. Part of the funds
were returned as a result of a Return of Title IV Funds calculation after the student withdrew, and the remaining
funds were returned after auditors brought the issue to the University’s attention. Therefore, there were no
questioned costs.
Not calculating SAP compliance increases the risk that students could receive financial assistance for which they
are not eligible.
Institutional Student Information Records (ISIR):
The U.S. Department of Education automatically distributes (or “pushes”) to institutions certain ISIR transactions
processed by the Central Processing System (CPS); it then requires the institutions to take some sort of action.
An example of a pushed ISIR would be a student-corrected ISIR that causes a change to the EFC. Institutions are
required to review all pushed ISIRs and assess any potential effect on students’ eligibility for assistance
(Technical Reference for Electronic Date Exchange (EDE) 2022-2023).
The University did not have a process to address errors to ensure that all ISIR data was loaded accurately
and completely into its student information system. Specifically, the University did not reconcile records
received from CPS-pushed ISIRs to the University’s student information system records during the Fall 2022 term
and part of the Spring 2023 term. As a result, some eligible students did not receive their financial assistance until
making an inquiry of the University.
Recommendations:
The University should:
• Ensure that it accurately configures COA budget components within its student information system.
• Award students Federal Pell Grant assistance based on actual enrollment.
• Disburse Subsidized Direct Loans within the student’s applicable aggregate limit.
• Ensure that all students are evaluated for Satisfactory Academic Progress prior to disbursing financial
assistance.
• Properly reconcile all records received from CPS-pushed ISIRs.
Views of Responsible Officials:
Cost of Attendance (COA):
The Office of Student Financial Success agrees with the auditor’s findings indicating that 7 of 65 students tested
had an incorrect COA specifically related to the students’ books and supplies portion of the budget.
Views of Responsible Officials:
Federal Pell Grant:
The Office of Student Financial Success agrees with the findings that 2 of 65 students tested were not awarded
the correct amount of Federal Pell grant funds.
Views of Responsible Officials:
Federal Direct Student Loans:
The Office of Student Financial Success agrees with the finding that 1 student did not receive federal student
loans in accordance with applicable limits.
Views of Responsible Officials:
Satisfactory Academic Progress:
The Office of Student Financial Success agrees with the finding that 1 of 65 students did not receive an SAP
calculation in accordance with TSU policy.
Views of Responsible Officials:
Institutional Student Information Records (ISIR):
The Office of Student Financial Success agrees with the finding related to Institutional Student Information
Records.
Special Tests and Provisions – Disbursements To or On Behalf of Students Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224145; Federal Work-Study Program, P033A224145; Federal Pell Grant Program, P063P222327; Federal Direct Student Loans, P268K232327; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232327 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Award and Disbursement Notifications: Before an institution disburses Title IV, Higher Education Act of 1965 (HEA) program funds for any award year, the institution must notify a student of the amount of funds that the student or his or her parent can expect to receive under each Title IV, HEA program, and how and when those funds will be disbursed. If those funds include Direct Loan program funds, the notice must indicate which funds are from subsidized loans, which are from unsubsidized loans, and which are from PLUS loans (Title 34, Code of Federal Regulations (CFR), Section 668.165(a)(1)). If an institution credits a student’s ledger account with Federal Direct Student Loan (Direct Loan) funds or Teacher Education Assistance for College and Higher Education (TEACH) Grant funds, the institution must notify the student or parent of (1) the anticipated date and amount of the disbursement, (2) the student’s or parent’s right to cancel all or a portion of that loan or grant and have the loan or grant proceeds returned to the U.S. Department of Education, and (3) the procedures and time by which the student or parent must notify the institution that he or she wishes to cancel the loan or grant, or loan or grant disbursement (Title 34, CFR, Section 668.165(a)(2)). The institution must provide the notice in writing no earlier than 30 days before, and no later than 30 days after, crediting the student’s ledger account at the institution (Title 34, CFR, Section 668.165(a)(3)). For 61 (100 percent) of 61 disbursements tested, Texas Southern University (University) did not send an award or disbursement notification as required. The University asserted it did not send award notifications to students because it relied on the Common Origination and Disbursement (COD) Disclosure Statements sent by the Department of Education. However, the COD Disclosure Statements did not include all required elements of the award notification. In addition, the University did not consistently send disbursement notifications for the Fall 2022 term, and did not send any disbursement notifications for the Spring 2023 term. The issues with disbursement notifications were attributed to both manual error and disabling of the University’s automated processes. Further, the disbursement notifications that were sent for the Fall 2022 term did not include all required elements. Not receiving award and disbursement notifications impairs students’ and parents’ ability to budget for the cost of attending or exercise the option to cancel their loans or grants. Allowable Charges and Credit Balance Authorizations:
An institution may credit a student's ledger account with Title IV, HEA program funds to pay for allowable charges
associated with the current payment period. Allowable charges are: (1) the amount of tuition, fees, and
institutionally provided room and board assessed the student for the payment period or the prorated amount of
those charges if the institution debits the student's ledger account for more than the charges associated with the
payment period; and (2) the amount incurred by the student for the payment period for purchasing books,
supplies, and other educationally related goods and services provided by the institution for which the institution
obtains the student's or parent's authorization under Section 668.165(b) (Title 34, CFR, Section 668.164(c)(1)).
A Title IV, HEA credit balance occurs whenever the amount of Title IV, HEA program funds credited to a student's
ledger account for a payment period exceeds the amount assessed the student for allowable charges associated
with that payment period. A Title IV, HEA credit balance must be paid directly to the student or parent as soon as
possible, but no later than (1) fourteen days after the balance occurred if the credit balance occurred after the first
day of class within a payment period; or (2) fourteen days after the first day of class of a payment period if the
credit balance occurred on or before the first day of class within that payment period (Title 34, CFR, Section
668.164(h)).
If an institution obtains written authorization from a student or parent, as applicable, the institution may: (1) use
the student’s or parent’s Title IV, HEA program funds to pay for charges that are included in that authorization,
and (2) hold on behalf of the student or parent any Title IV, HEA program funds that would otherwise be paid
directly to the student or parent as a credit balance, unless the Secretary provides funds to the institution under
the reimbursement payment method or the heightened cash monitoring payment method (Title 34, CFR, Section
668.165(b)(1)).
An institution may not use Title IV funds to pay finance charges or fees that are incurred because a student uses
a financing method provided by the school to pay for educational expenses over time. Because students or
families choose to incur these additional expenses rather than paying the balance due at registration, the
additional charges are not considered educational expenses, and may not be included in a student’s cost of
attendance. (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 2).
For 8 (13 percent) of 61 students tested, the University used Title IV funds to pay unallowable charges.
Specifically, the University credited the students’ ledger accounts during the payment period for installment
handling charges and late installment charges. Although the University obtained authorization from the students
to apply Title IV funds to charges other than tuition, fees, or institutionally provided room and board, that
authorization did not extend to those unallowable charges.
For 6 (11 percent) of 57 students tested, the University did not return credit balances to students or
parents within 14 days of the disbursement date or first day of class. Specifically, the University returned
credit balances to those students between 21 and 78 days. The University asserted those errors were caused by
changes to the term allocations, and inadequate tracking of credit balances and associated refunds.
Not receiving all Title IV funds a student is entitled to, or not receiving those funds in a timely manner, impairs
students’ and parents’ ability to budget for the cost of attending.
Recommendations:
The University should strengthen its controls to ensure that:
• It identifies all students that require an award or disbursement notification, and sends those notifications to the
students.
• Award and disbursement notifications include all required elements.
• It does not credit student ledger accounts for unallowable charges.
• Credit balances caused by the awarding of Title IV funds are returned to students in a timely manner.
Views of Responsible Officials:
Award and Disbursement Notifications:
The Office of Student Financial Success agrees with the finding related to award and disbursement notifications.
Views of Responsible Officials:
Allowable Charges and Credit Balance Authorizations:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224145; Federal Pell Grant Program, P063P222327; Federal Direct Student Loans, P268K232327; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232327 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs, and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). For 8 (13 percent) of 61 students tested, Texas Southern University (University) incorrectly calculated the amount of Title IV funds to be returned for unofficially withdrawn students. Specifically, those 8 students were enrolled in the Fall 2022 term, and the University did not use the last date of attendance identified in the University’s automated report process. For return of Title IV funds, the University uses an automated report process to identify students who have unofficially withdrawn from a term; however, that process was inconsistently followed or not completed in determining the students’ withdrawal dates. The incorrect withdrawal dates used by the University were prior to the students’ actual withdrawal dates, which resulted in the University returning more Title IV funds than required for those students; therefore, there were no questioned costs. Those errors occurred because the University did not have an adequate process to determine the withdrawal dates of students who unofficially withdrew from the University. Timeliness of Returns:
For an institution that is not required to take attendance, the institution must determine the withdrawal date for a
student who withdraws without providing notification to the institution no later than 30 days after the earliest end
date of (1) the payment period or period of enrollment, (2) the academic year in which the student withdrew, or (3)
the educational program from which the student withdrew (Title 34, CFR, Section 668.22(j)(2)).
An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later
than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section
668.22(j)).
For 35 (57 percent) of 61 students tested who withdrew and required a return of Title IV funds, the
University did not return the funds within the required time frame. Specifically:
• For 23 students who unofficially withdrew in the Fall 2022 term, the University did not determine the
withdrawal date within the required 30-day time frame, nor did it return the Title IV funds within the required
45-day time frame. The University determined the withdrawal date and returned the Title IV funds at the end
of the Spring 2023 term.
• For 9 students who unofficially withdrew in the Spring 2023 term, the University did not determine the
students’ withdrawal date within the required 30-day time frame. The University determined the withdrawal
date for those students between 31 and 52 days after the end of the period of enrollment.
• For 3 students who withdrew in the Fall 2022 term, the University determined the withdrawal dates and
performed the return calculations; however, it did not return the Title IV funds within the required 45-day time
frame. The University asserted that for two students, this was due to an oversight in processing the return of
those funds. The University returned the funds for those two students 71 and 115 days after it determined that
the students withdrew. For the third student, the University completed a return calculation but did not return
the funds as required. After auditors brought this error to the University’s attention, the University returned the
funds to the U.S. Department of Education; therefore, there were no questioned costs.
Those errors occurred because the University did not have an effective monitoring process to identify those errors
and because of manual errors the University made in performing the return calculations. Not making returns
within the required time frame reduces the funds available to the U.S. Department of Education for its program
management.
Recommendations:
The University should:
• Strengthen its process to ensure that it accurately determines the withdrawal date for students who
unofficially withdraw from the University in a timely manner.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in return of Title IV calculations
and returns Title IV funds in a timely manner.
Views of Responsible Officials:
Return of Title IV Calculations:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Views of Responsible Officials:
Timeliness of Returns:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222327; and Federal Direct Student Loans, P268K232327 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: 2020-115
Federal regulations and related guidance governing Title IV student aid programs require schools to report the
enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan
Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to
submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next
60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan)
has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at
least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title
34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include
Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30,
2012 (GEN-12-06)).
Institutions are required to report the campus-level enrollment for the student, including enrollment status and the
effective date of that enrollment status. For enrollment status changes to three-quarter-time, half-time, and less than-half-time status, the institution must use the effective date that the student dropped to those particular
statuses (NSLDS Enrollment Reporting Guide, November 2022, Chapter 1, 4, 7, and Appendix C). Institutions
also are required to report the program(s) of attendance for the student, including classification of instructional
programs (CIP) code, program credential level, program length, program enrollment status, and other data about
the program. The program enrollment effective date is the date that the current enrollment status reported for a
student was first effective, and the program begin date is the date the student began attending the program being
reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4). For a student who has
graduated, institutions that initially report a withdrawn status must subsequently report the student as having
graduated by certifying a “G” status at the campus level and/or program level as appropriate (NSLDS Enrollment
Reporting Guide, November 2022, Chapter 4, Section 4.4.3).
Texas Southern University (University) uses the services of the National Student Clearinghouse (NSC) to report
status changes to NSLDS. Under this arrangement, the University reports all students enrolled and their status to
NSC. NSC then identifies any changes in status and reports those changes when required to NSLDS. Although
the University uses the services of NSC, the University still has the primary responsibility to report any changes in
student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide, November
2022, Chapter 3).
For 10 (17 percent) of 60 students tested, the University did not accurately report campus- or program level data elements to NSLDS. Specifically, the program length was reported incorrectly for the students’
master’s degree or doctoral degree programs. Additionally, for 1 of those 10 students, the University inaccurately
reported the effective date of the student’s graduated status at the campus and program levels. The date reported
was eight days before the actual date of graduation for the student.
For 17 (45 percent) of 38 students tested who received a Direct Loan and ceased to be enrolled on at least
a half-time basis or changed their permanent address, the students’ enrollment status was not reported to
NSLDS in a timely manner. Specifically:
• For 13 students, the University reported the students’ graduated status to NSLDS between 73 and 100 days
after the students graduated.
• For 2 students, the University reported the students’ enrollment level change to NSLDS 89 and 95 days after
the effective date of the status change.
• For 2 students, the University reported the students’ withdrawal status to NSLDS 68 and 70 days after the
students’ withdrawal date.
The errors discussed above occurred because the University (1) did not configure its information system to
accurately report student enrollment information to NSLDS, (2) does not have a process to monitor student
enrollment and program information reported to NSLDS, and (3) does not have a reporting process that allows it
to make corrections to ensure that it certifies and submits graduated statuses in a timely manner.
Not reporting student status changes accurately and in a timely manner could affect determinations that
guarantors, lenders, and servicers of student loans make related to in-school status, deferments, grace periods,
and repayments schedules.
Recommendation:
The University should develop and implement controls to ensure that campus- and program-level data elements
are reported to NSLDS accurately and in a timely manner.
Views of Responsible Officials:
Campus and Program Level Data:
Texas Southern University agrees with the finding related to not accurately reporting campus or program level
data elements to NSLDS.
Views of Responsible Officials:
Enrollment Status Updates:
Texas Southern University agrees with the finding related to not accurately reporting enrollment status updates to
NSLDS in a timely manner.
Views of Responsible Officials:
Accurate Attendance Reporting:
Texas Southern University agrees with the finding related to not accurately reporting enrollment status updates to
NSLDS in a timely manner.
Special Tests and Provisions – Gramm-Leach-Bliley Act - Student Information Security Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Gramm-Leach-Bliley Act: Institutions must protect sensitive data, including information obtained in support of the administration of federal student financial assistance programs, as required by the Gramm-Leach-Bliley Act (GLBA) (Public Law 106-102). Under their Program Participation Agreement (PPA) and the GLBA, postsecondary educational institutions must protect student financial aid information, with particular attention to information provided by the Department of Education or otherwise obtained in support of the administration of the Title IV Federal student financial aid programs (Dear Colleague Letter, July 1, 2016 (GEN-16-12)). Institutions are required to develop, implement, and maintain an information security program that includes the minimum elements in Title 16, Code of Federal Regulations (CFR), Section 314.4. In addition, the institution must designate a qualified individual responsible for overseeing, implementing, and enforcing the institution’s information security program (Title 16, CFR, Section 314.4(a)). Texas Southern University (University) did not implement an information security program as required by the GLBA. The University did not have a written information security program (and therefore did not address any of the minimum elements), and it did not designate a Qualified Individual responsible for implementing and monitoring its information security program. The University asserted that this was due to significant staffing issues in its Information Technology Department. Not implementing the required safeguards in an information security program and designating a Qualified Individual to implement and enforce those safeguards increases the University’s risk of data breach or loss. Recommendations: The University should: • Develop and implement an information security program that contains all elements required by the GLBA and the Code of Federal Regulations. • Designate a Qualified Individual responsible to implement and monitor its information security program. Views of Responsible Officials: Gramm-Leach-Bliley Act: The University acknowledges and agrees with the findings.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; 84.408; and 93.925 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224122; Federal Work-Study Program, P033A224122; Federal Pell Grant Program, P063P220387; Federal Direct Student Loans, P268K230387; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T230387; Postsecondary Education Scholarships For Veteran's Dependents (Iraq and Afghanistan Service Grant (IASG)), P408A220387; and Scholarships for Health Professions Students from Disadvantaged Backgrounds - Scholarships for Disadvantaged Students (SDS), 5 T08HP39298-03-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, CFR, Sections 668.2, 673.5, and 685.301). Texas State University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate); residency (in-state or out-of-state); housing status (on_x0002_campus, off-campus, or living with parent); and enrollment status (full-time, three-quarter-time, half-time, or less_x0002_than-half-time). Budgeting rules within the University’s student financial assistance system are established to assign various budget components based on the factors noted above. For 1 (2 percent) of 44 students tested, the University incorrectly calculated the COA. Specifically, the University assigned a less-than-half-time COA when the student was enrolled full-time. As a result, the student’s COA was understated by $9,545. After auditors brought the issue to the University’s attention, it identified a total of 84 total students who were affected, including 56 students who received Title IV financial assistance. Those errors occurred because the University did not recalculate the COA for students in the Pathway program after enrollment was finalized for the Spring 2023 term. The errors discussed above did not result in overawards of financial assistance; therefore, there were no
questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or
underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets for the
Pathway program in accordance with its process.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). Texas Tech University (University) did not appropriately restrict user access to its student information system. Specifically, the University did not always limit access to the student information system to only users who needed that access based on their job responsibilities. While the University had a process in place to review user access, that process was not adequately designed to ensure that the University granted the appropriate level of access to all users based on the users’ job duties. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. Recommendation: The University should ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. Views of Responsible Officials: Texas Tech University acknowledges and agrees with the findings. Texas Tech University has worked to develop and implement corrective action to further improve processes.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222328; and Federal Direct Student Loans, P268K232328 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $562 Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations, Sections 668.2, 673.5, and 685.301). Texas Tech University (University) uses algorithmic budgeting to build COA budgets based on student classification (undergraduate or graduate), academic program (for example, certain programs have increased tuition costs), enrollment level (full-time, three-quarter-time, half-time, or less-than-half-time), living status (on_x0002_campus, off-campus, or living with parents), and residency (in-state or out-of-state). Budgeting rules within the University’s student information system are established to assign various budget components based on the student’s reported expected enrollment. For 3 (5 percent) of 65 students tested, the University incorrectly calculated the COA. Specifically: • For one student, the University assigned an incorrect loan fee to the COA. The University manually canceled the student’s loan, but asserted that it did not remove the fee because the student was still eligible to receive the loan. As a result, the student’s COA was overstated by $60. • For one student, the University did not adjust the student’s COA budget to reflect the student’s actual
enrollment. The University manually assigned a three-quarter-time budget to the student. Due to the manual
update, the COA was not subject to an automated update process to adjust the COA to less-than-half-time
status at census. In addition, the student was not included in the University’s process for reviewing manually
updated budgets. As a result, the student’s COA was overstated by $4,157, and the student was
overawarded $562 associated with ALN 84.063, Federal Pell Grant Program, award number P063P222328.
• For one student, the University did not adjust the student’s tuition and fees budget component to reflect a
change in the student’s academic program. The student’s major changed after the initial budget had been
assigned. As a result, the student’s COA was overstated by $903; however, the University did not overaward
financial assistance to that student.
Incorrectly calculating COA increases the risk of overawarding or underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets in
accordance with its process and does not overaward financial assistance to students.
Views of Responsible Officials:
Texas Tech University acknowledges and agrees with the findings. Texas Tech University has worked to develop
and implement corrective action to further improve processes.
Special Tests and Provisions – Disbursements To or On Behalf of Students Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222328; and Federal Direct Student Loans, P268K232328 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Award Notifications: Before an institution disburses Title IV, Higher Education Act of 1965 (HEA) program funds for any award year, the institution must notify a student of the amount of funds that the student or his or her parent can expect to receive under each Title IV, HEA program, and how and when those funds will be disbursed. If those funds include Direct Loan program funds, the notice must indicate which funds are from subsidized loans, which are from unsubsidized loans, and which are from PLUS loans (Title 34, Code of Federal Regulations (CFR), 668.165(a)(1)). For 7 (16 percent) of 43 disbursements tested, Texas Tech University (University) did not send an award notification or sent an award notification that did not include all required information. Specifically: • For four students who enrolled in the Fall 2022 term after August 1, 2022, the University did not send an award notification. The University sent award notifications to all students enrolled for the Fall 2022 term prior to that date. However, it did not have a process in place to identify and send award notifications to students who enrolled after that date. Therefore, this issue would have affected all students who enrolled in the Fall 2022 term after August 1, 2022. • For three students who enrolled in the Spring 2023 term, the award notifications did not contain the type or amount of funds that the student or his or her parent could expect to receive. The University notified students of expected financial assistance through email, and the award notification emails for the Fall 2022 term contained a hyperlink for students to access their account in the student information system to review the expected loan types and amounts. However, the award notification emails for the Spring 2023 term did not contain that hyperlink. This issue would have affected all students who enrolled after August 1, 2022, and only for the Spring 2023 term. The University did not have adequate controls in place to ensure that all students received award notifications and that the notifications contained all required elements. Not receiving award notifications, or receiving incomplete award notifications, impairs students’ and parents’ ability to budget for the cost of attending. Recommendations: The University should: • Strengthen its controls to ensure that it identifies all students that require an award notification, and sends those notifications to the students. • Ensure that award notifications contain all required elements. Views of Responsible Officials:
Texas Tech University acknowledges and agrees with the findings. Texas Tech University has worked to develop
and implement corrective action to further improve processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; 84.379; and 84.408 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224151; Federal Pell Grant Program, P063P222328; Federal Direct Student Loans, P268K232328; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232328; and Postsecondary Education Scholarships For Veteran's Dependents (Iraq and Afghanistan Service Grant (IASG)), P408A222328 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: Unknown Repeat Finding: No When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV
grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title
IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the
payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their
Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period
or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by
subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was
disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student
withdrew (Title 34, CFR, Section 668.22(e)).
For distance education, documenting that a student has logged into an online class is not sufficient to
demonstrate academic attendance by the student. An institution must demonstrate that a student participated in
class or was otherwise engaged in an academically related activity. Only active participation by a student in an
instructional activity related to the student’s course of study that meets the definition of “academic engagement” in
Title 34, CFR, Section 600.2 and takes place during a payment period or period of enrollment qualifies as
attendance in an academically related activity (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 5, Chapter 2).
For 1 (5 percent) of 20 students tested, Texas Tech University (University) did not have evidence of
academic engagement in the distance education course from which the student’s withdrawal date was
determined. The University asserted that when an instructor submits a failing grade for a student, the instructor is
required to provide the date of last academic activity. That date is recorded in the University’s student information
system and used by the University to determine the unofficial withdrawal date for Return of Title IV purposes.
However, the University did not have a process in place to require instructors to provide or maintain evidence of
academic engagement in distance education courses. As a result, the University could not demonstrate that the
student participated or otherwise engaged in an academically related activity in that course to support the last
date of attendance used by the University for Return of Title IV purposes.
Having a process that does not consistently calculate and return the correct amount of Title IV funds increases
the risk that the University could return less Title IV funds than it is required to return.
Recommendations:
The University should:
• Ensure that evidence of academic engagement is consistently documented for students in distance education
courses.
• Strengthen its controls to ensure that it accurately calculates returns of Title IV funds when required, including
review of the variables it uses in those calculations.
Views of Responsible Officials:
Texas Tech University acknowledges and agrees with the findings. Texas Tech University has worked to develop
and implement corrective action to further improve processes.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222328; and Federal Direct Student Loans, P268K232328 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: 2020-117 Federal regulations and related guidance governing Title IV student aid programs require schools to report the enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next 60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan) has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half_x0002_time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title 34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30, 2012 (GEN-12-06)). Institutions are required to report the campus-level enrollment for the student, including enrollment status and the effective date of that enrollment status. For enrollment status changes to three-quarter-time, half-time, and less_x0002_than-half-time status, the institution must use the effective date that the student dropped to those particular statuses (NSLDS Enrollment Reporting Guide, November 2022, Chapter 1, 4, 7, and Appendix C). Institutions also are required to report the program(s) of attendance for the student, including classification of instructional programs (CIP) code, program credential level, program length, program enrollment status, and other data about the program. The program enrollment effective date is the date that the current enrollment status reported for a student was first effective and the program begin date is the date the student first began attending the program being reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4). For instances in which a student completes one academic program and then enrolls in another academic program at the same school, the school must report two separate enrollment transactions: one showing the completion of the first program and its effective date and credential level, and the other showing the enrollment in the second program and its effective date (Dear Colleague Letter, March 30, 2012 (GEN-12-06)). For a student who has graduated, institutions that initially report a withdrawn status must subsequently report the student as having graduated by certifying a “G” status at the campus level and/or program level as appropriate (NSLDS Enrollment Reporting Guide, November 2022, Chapter 4, Section 4.4.3). Texas Tech University (University) uses the services of the National Student Clearinghouse (NSC) to report status changes to NSLDS. Under this arrangement, the University reports all students enrolled and their status to NSC. NSC then identifies any changes in status and reports those changes when required to NSLDS. Although the University uses the services of NSC, the University still has the primary responsibility to report any changes in student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide, November 2022, Chapter 3, Section 3.3). For 5 (8 percent) of 60 students tested, the University did not report campus- or program-level data
elements accurately or in a timely manner to NSLDS. Specifically:
• For three students, the enrollment effective date was correctly reported as the first day of the Summer 2023
term to NSLDS at the program level; however, the enrollment effective date was incorrectly reported as the
day after the last day of the Spring 2023 term at the campus level because it did not align with the date
reported at the program level. The effective date reported at the campus level should be the same date
reported at the program level because those dates reflect the same enrollment status change.
• For one student, the University incorrectly reported the student’s program-level enrollment status and the
student’s program begin date as the day after the last day of the Spring 2023 term. The enrollment status
should have been reported at the program level as full-time effective the first day of the Fall 2023 term.
• For one student, the campus-level enrollment status change should have been reported as graduated, but it
was incorrectly reported as withdrawn. Additionally, the student was pursuing dual majors, and the program level enrollment status was correctly reported as graduated for one program in a timely manner but incorrectly
reported as withdrawn for the second program. The incorrect campus-level enrollment change and program level enrollment change were reported to NSLDS 135 days after the effective date of the graduation.
The errors discussed above were caused by issues related to the configuration of the enrollment reporting
processes in the University’s student information system.
Not reporting student status changes accurately and in a timely manner could affect determinations that
guarantors, lenders, and servicers of student loans make related to in-school status, deferments, grace periods,
and repayments schedules.
Recommendations:
The University should:
• Strengthen its controls to ensure that campus-level and program-level data elements are reported to NSLDS
accurately and in a timely manner.
• Ensure that dual-major graduated statuses are reported to NSLDS accurately and timely for all programs.
Views of Responsible Officials:
Texas Tech University acknowledges and agrees with the findings. Texas Tech University has worked to develop
and implement corrective action to further improve processes.
Special Tests and Provisions – Additional Locations Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.268 Pass-Through Agency: N/A Award Number: Federal Direct Student Loans, P268K232328 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $3,452,367 Repeat Finding: No Eligibility and Certification Approval Report: Each institution’s most recent Eligibility and Certification Approval Report (ECAR) lists the institution’s main campus and any additional approved locations. For any other locations at which an institution offers 50 percent or more of an eligible program, the institution must notify the U.S. Department of Education of that location if the institution plans to disburse Title IV funds to students enrolled at that location (Title 34, Code of Federal Regulations (CFR), Section 600.21(a)(3)). An institution may not disburse Title IV funds to students at that location before it reports to the U.S. Department of Education about that location (Title 34, CFR, Section 600.21(d)). Texas Tech University’s (University) most recent ECAR did not include all additional locations. Specifically, the University offered more than 50 percent of an eligible program at the School of Veterinary Medicine at Amarillo; however, the University did not include the location on its most recent ECAR nor did it submit notice or an application for approval of additional location as required. The University asserted that the error occurred due to turnover of the Primary Designee responsible for requesting approval of the new location, which resulted in the University failing to adequately review its ECAR to ensure that it reported all locations at which it offered more than 50 percent of an eligible program. The University disbursed $3,452,367 in federal student financial assistance to 108 students at the unreported location during the 2022–2023 award year. Those disbursements were associated with ALN 84.268, Federal Direct Student Loans, award number P268K232328, and were considered questioned costs. After auditors brought the issue to the University’s attention, the University added the location to its ECAR and the School of Veterinary Medicine at Amarillo was approved on July 26, 2023. Recommendation: The University should update its ECAR as required, and ensure that it does not disburse federal financial assistance to students at locations that are not approved by the U.S. Department of Education. Views of Responsible Officials: Texas Tech University acknowledges and agrees with the findings. Texas Tech University has worked to develop and implement corrective action to further improve processes.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P223367; and Federal Direct Student Loans, P268K233367 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: 2016-122 Federal regulations and related guidance governing Title IV student aid programs require schools to report the enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next 60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan) has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half_x0002_time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title 34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30, 2012 (GEN-12-06)). Institutions are required to report the campus-level enrollment for the student, including enrollment status and the effective date of that enrollment status. For enrollment status changes to three-quarter-time, half-time, and less_x0002_than-half-time status, the institution must use the effective date that the student dropped to those particular statuses (NSLDS Enrollment Reporting Guide, November 2022, Chapter 1, 4, 7, and Appendix C). Institutions also are required to report the program(s) of attendance for the student, including classification of instructional programs (CIP) code, program credential level, program length, program enrollment status, and other data about the program. The program enrollment effective date is the date that the current enrollment status reported for a student was first effective, and the program begin date is the date the student began attending the program being reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4). For a student who has graduated, institutions that initially report a withdrawn status must subsequently report the student as having graduated by certifying a “G” status at the campus level and/or program level as appropriate(NSLDS Enrollment Reporting Guide, November 2022, Chapter 4, Section 4.4.3). Texas Tech University Health Sciences Center (Health Sciences Center) uses the services of the National Student Clearinghouse (NSC) to report status changes to NSLDS. Under this arrangement, the Health Sciences Center reports all students enrolled and their status to NSC. NSC then identifies any changes in status and reports those changes to NSLDS when required. Although the Health Sciences Center uses the services of NSC, the Health Sciences Center still has the primary responsibility to report any changes in student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide, November 2022, Chapter 3.3). For 6 (10 percent) of 62 students tested, the Health Sciences Center did not accurately report campus level enrollment effective dates or did not report enrollment status changes to NSLDS. Specifically:
• For one student, the enrollment status effective date was reported incorrectly at the campus-level. The
student’s enrollment status for the Spring 2023 term decreased from full-time to less-than-half-time in April
2023; however, the effective date was reported as January 2023.
• For five students, the Health Sciences Center did not report the students’ enrollment status changes to
NSLDS. Two of those students withdrew, two students graduated, and one student received an approved
leave of absence.
The Health Sciences Center asserted that the errors discussed above were caused by issues related to the
configuration of the enrollment reporting processes in the Health Sciences Center’s student information system,
manual reporting errors, and not having adequate controls to ensure that student enrollment information reported
to NSC was accurately reported to NSLDS.
Not reporting student status changes accurately and in a timely manner could affect determinations that
guarantors, lenders, and servicers of student loans make related to in-school status, deferments, grace periods,
and repayment schedules.
Recommendation:
The Health Sciences Center should strengthen its controls to ensure that campus-level enrollment statuses and
effective dates are reported accurately and in a timely manner to NSLDS.
Views of Responsible Officials:
The University acknowledges and agrees with the findings. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: 2020-142 General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). The University of Texas at Arlington (University) did not appropriately restrict user access to its student information system. Specifically, a user was granted administrative access in the student information system, which included the ability to modify information and process transactions, such as authorizing and disbursing aid. The University did not remove the administrative access after the user’s specific job responsibilities no longer required that level of access. The University had a process to periodically review user access; however, that review was not sufficient to identify the inappropriate access. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. Recommendation: The University should ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. Views of Responsible Officials: To the point that The University of Texas at Arlington (University) did not appropriately restrict user access to its student information system. OIT and Financial Aid acknowledge that a user was given elevated access that was not removed when the assigned maintenance task was completed.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224172; Federal Pell Grant Program, P063P222335; and Federal Direct Student Loans, P268K232335 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational
expenses; it is computed by the federal central processor and included on the student’s Institutional Student
Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds
the student’s need. Therefore, awards must be coordinated among the various programs and with other federal
and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need
(U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34,
Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301).
The University of Texas at Arlington (University) uses algorithmic budgeting to build COA budgets for each term
based on a student’s classification (undergraduate or graduate), dependency (dependent or independent),
residency (in-state or out-of-state), living status (on-campus, off-campus, or with parents), and enrollment level
(full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student
information system are established to assign various budget components based on the factors noted above.
For 3 (5 percent) of 63 students tested, the University incorrectly calculated the COA. Specifically:
• For two students, the University understated the COA by assigning a books component that did not reflect the
students’ actual enrollment status. Those errors occurred because the University budgeted the students’
books at half-time enrollment instead of full-time enrollment. The University attributed the cause to human
error associated with a manual budget rebuild in the student information system. As a result, the COA was
understated by $200 for each of those students.
• For one student, the University assigned an incorrect budget for the cost of tuition and fees component during
the Summer 2022 term. The University attributed the cause to human error. As a result, the COA was
understated by $198.
The errors discussed above did not result in overawards of financial assistance; therefore, there were no
questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or
underawarding financial assistance to students.
Federal Pell Grant:
A student is eligible to receive a Federal Pell Grant for the period of time required to complete his or her first
undergraduate baccalaureate course of study (Title 34, CFR, Section 690.6(a)).
When awarding Federal Pell Grant assistance to students, institutions use the payment and disbursement
schedules provided each year by the U.S. Department of Education for determining award amounts (Title 34,
CFR, Section 690.62(a)).
Based on a review of the full population of student financial assistance recipients, the University awarded
a total of $1,593 in Federal Pell Grant assistance to 2 post-baccalaureate students who were not eligible
for that assistance. The University asserted queries designed to identify these issues were not run timely due to
staffing issues within the Financial Aid department. After auditors brought those errors to the University’s
attention, the University returned the funds to the U.S. Department of Education; therefore, there were no
questioned costs.
For 1 (2 percent) of 63 students tested, the University did not award Federal Pell Grant assistance to an
eligible student. Specifically, the student was eligible to receive $1,790 in Federal Pell Grant assistance, but did
not receive an award from the University. The University asserted that the error occurred because the student
made a late registration change and was missed on the University’s add report. As a result, the student was
underawarded Federal Pell Grant assistance; therefore, there were no questioned costs. Federal Direct Student Loans:
Direct Subsidized and Unsubsidized Loans have annual and aggregate limits that are the same for all students at
a given grade level and dependency status. In general, a loan may not be more than the amount the borrower
requests, the borrower’s unmet financial need, the borrower’s COA, or the borrower’s maximum borrowing limit.
(U.S. Department of Education 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 5).
For 1 (2 percent) of 63 students tested, the University did not disburse Direct Loans in accordance with
applicable limits. Specifically, the University disbursed a Subsidized Direct Loan in excess of the student’s
aggregate Subsidized Direct Loan and Total Direct Loan limits. After auditors brought the overaward issue to the
University’s attention, it returned the loan funds; therefore, there were no questioned costs. The University
asserted that error occurred because the University did not receive an updated history file in a timely manner due
to issues with the National Student Loan Data System (NSLDS).
Federal Supplemental Educational Opportunity Grants (FSEOG):
The FSEOG program provides grants to eligible undergraduate students. Institutions are required to award
FSEOG first to Federal Pell Grant recipients who have the lowest EFC. If an institution has FSEOG funds
remaining after giving FSEOG awards to all Federal Pell Grant recipients, it can then award the remaining
FSEOG funds to eligible students with the lowest EFCs who did not receive Federal Pell Grants (Title 34, CFR,
Section 676.10).
Based on a review of the full population of student financial assistance recipients, the University awarded
a total of $750 in FSEOG assistance to a student who was working towards a second bachelor’s degree
and thus was not eligible for that assistance. The student was awarded FSEOG in the Spring 2023 term after
earning a first bachelor’s degree in the Fall 2022 term. The University asserted this was a manual error caused by
a counselor canceling the student’s Federal Pell Grant, but failing to cancel the student’s FSEOG award. After
auditors brought the issue to the University’s attention, it removed the grant funds from the student’s account;
therefore, there were no questioned costs.
Recommendations:
The University should:
• Strengthen its controls to ensure that it correctly calculates students’ COA budgets in accordance with its
process.
• Award Federal Pell Grant assistance only to eligible students.
• Ensure that students are awarded Federal Pell Grants for which they are eligible.
• Disburse Subsidized Direct Loans within the student’s applicable aggregate limit.
• Award FSEOG assistance only to eligible students.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222335; Federal Direct Student Loans, P268K232335; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232335 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No COD Reporting: Institutions must submit Federal Pell Grant, Iraq and Afghanistan Service Grant, Direct Loan, and Teacher Education Assistance for College and Higher Education (TEACH) Grant disbursement records to the Common Origination and Disbursement (COD) system no later than 15 days after making the disbursement or becoming aware of the need to adjust a previously reported disbursement. Reporting this information helps ensure that institutions have the most accurate information available about students’ federal awards and helps prevent an institution from overawarding students (Title 34, Code of Federal Regulations (CFR), Section 690.83(b); U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 1; and Federal Register, Volume 88, Number 120). Certain data elements are required to be reported as part of a student’s origination and disbursement record, including the student’s Social Security number, Central Processing System (CPS) transaction number, enrollment date, cost of attendance, the start and end dates for the academic term, disbursement amount, and disbursement date (2022-2023 COD Technical Reference, Volume II). For 5 (8 percent) of 61 students tested, the University of Texas at Arlington (University) did not accurately
report all origination record data elements to the COD system. Two of those students had both errors
discussed below. Specifically,
• For four students, the University reported an incorrect academic end date for one or more Direct Loan
originations made on behalf of the students during the award year.
• For three students, the University reported an incorrect cost of attendance for one or more Federal Pell Grant
and/or Direct Loan originations made on behalf of the students during the award year.
The University asserted that its developer was unable to identify the specific cause of these errors, but
determined that the errors were related to an automated process rather than a manual change. In addition, the
University did not have a sufficient monitoring process in place to identify those discrepancies. Not accurately
reporting information to the COD system could result in the institution overawarding federal funds.
Recommendation:
The University should strengthen its controls to ensure that academic end dates and cost of attendance are
reported to the COD system accurately.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222335; and Federal Direct Student Loans, P268K232335 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(j)). For 5 (8 percent) of 61 students tested who withdrew and required a return of Title IV funds, the University of Texas at Arlington (University) did not return the funds within the required time frame. Specifically, the University returned the Title IV funds to the U.S. Department of Education between 101 to 390 days after the University determined the students withdrew. For four of those students, the updates to the students’ returns occurred after auditors selected those students for review. The error for the other student was identified by the University, but the funds were not returned in a timely manner. After the University became aware of the errors, it returned those funds to the U.S. Department of Education; therefore, there were no questioned costs. The University did not have an adequate monitoring process to ensure that Title IV funds were returned within the required time frame. Not making returns within the required time frames reduces the funds available to the U.S. Department of Education for its program management. Recommendation: The University should ensure that it returns Title IV funds within required time frames. Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222335; and Federal Direct Student Loans, P268K232335 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: 2020-143 Federal regulations and related guidance governing Title IV student aid programs require schools to report the enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next 60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan) has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half_x0002_time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title 34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30, 2012 (GEN-12-06)). Institutions are required to report the campus-level enrollment for the student, including enrollment status and the
effective date of that enrollment status. For enrollment status changes to three-quarter-time, half-time, and less than-half-time status, the institution must use the effective date that the student dropped to those particular
statuses (NSLDS Enrollment Reporting Guide, November 2022, Chapter 1, 4, 7, and Appendix C). Institutions
also are required to report the program(s) of attendance for the student, including classification of instructional
programs (CIP) code, program credential level, program length, program enrollment status, and other data about
the program. The program enrollment effective date is the date that the current enrollment status reported for a
student was first effective and the program begin date is the date the student began attending the program being
reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4). For a student who has
graduated, institutions that initially report a withdrawn status must subsequently report the student as having
graduated by certifying a “G” status at the campus level and/or program level as appropriate (NSLDS Enrollment
Reporting Guide, November 2022, Chapter 4, Section 4.4.3).
The University of Texas at Arlington (University) uses the services of the National Student Clearinghouse (NSC)
to report status changes to NSLDS. Under this arrangement, the University reports all students enrolled and their
status to NSC. NSC then identifies any changes in status and reports those changes to NSLDS when required.
Although the University uses the services of NSC, the University still has the primary responsibility to report any
changes in student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide,
November 2022, Chapter 3, Section 3.3).
For 18 (30 percent) of 61 students tested, the University did not accurately report campus- and program level data elements to NSLDS. One of those students was affected by two of the errors discussed below.
Specifically:
• For 13 students, the University incorrectly reported the students’ enrollment status at the program level to
NSLDS. Six students were reported as less-than-half-time instead of half-time, and seven students were
reported as half-time instead of full-time. Those errors occurred because the enrollment reporting processes
in the University’s student information system were not configured appropriately for the Graduate Nursing
program.
• For four students, the enrollment effective date was reported correctly to NSLDS at the program level;
however, the University incorrectly reported the first day of the Spring 2023 term as the enrollment effective
date at the campus level. The effective date reported at the program level should have been the same date
reported at the campus level because those dates reflect the same enrollment status change. As noted
above, those errors were caused by issues with the configuration of the enrollment reporting processes for
the Graduate Nursing Program.
• For two students, the University did not report the students’ graduated status or did not accurately report the
graduated status at the campus and program levels to NSLDS. One student’s graduated status was
accurately reported at the campus level, but was reported as withdrawn at the program level. The other
student was inaccurately reported as withdrawn at both the campus- and program-levels. Those errors
occurred because the students’ statuses required manual reporting and were overlooked.
Not reporting student enrollment and program information accurately could affect determinations that guarantors,
lenders, and servicers of student loans make related to in-school status, deferments, grace periods, and
repayment schedules.
Recommendation:
The University should strengthen its controls to ensure that all status changes are reported accurately to NSLDS. Views of Responsible Officials:
The University acknowledges and agrees with the finding. The University will work to develop and implement
corrective action to improve and update the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). The University of Texas at Austin (University) did not appropriately restrict user access to its student information system. Specifically, an employee retained the ability to modify student financial aid awards after transitioning from the Office of Student Financial Aid to another department within the University. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. In addition, the University did not have sufficient controls over its change management process for information systems. Specifically, one of the University’s departments did not enable the control designed to prevent developers from migrating their own code changes into production. Not having sufficient segregation of duties controls over the change management process increases the risk of unauthorized programming changes being made to critical information systems that the University uses to administer student financial assistance. Recommendations: The University should: • Ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. • Strengthen its controls over its change management process to ensure adequate segregation of duties. Views of Responsible Officials:
The University acknowledges and agrees with the finding. In this case, the employee transitioned from the Office
of Scholarships and Financial Aid (OSFA) to the Student Financial Aid implementation project. It was intended for
this employee to retain his prior access for a time so he could help provide backstop support while his duties were
transitioned to other employees within OSFA. This access should have been removed once his duties were
successfully transitioned.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. However, technical limitations in the current financial
aid management system require that a particular mainframe programming library be exempted from the change
control mechanisms that are used in all other libraries that can update student financial aid information.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224173; Federal Pell Grant Program, P063P222336; and Federal Direct Student Loans, P268K232336 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs, and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). For 1 (2 percent) of 60 students tested, the University of Texas at Austin (University) incorrectly calculated the amount of Title IV funds to be returned. Specifically, the University initially determined that the student officially withdrew on March 10, 2023, and the University incorrectly determined that the student completed more than 60 percent of the term. The University subsequently incorrectly determined that the student unofficially withdrew on February 10, 2023, and processed a return of Title IV funds in the amount of $18,742. After auditors brought the error to the University’s attention, it re-performed the return calculation using the correct date of withdrawal and reinstated the appropriate amount of funds to the student. Not having a process that consistently calculates and returns the correct amount of Title IV funds increases the risk that the University could return less Title IV funds than it is required to return. Coronavirus Aid, Relief, and Economic Security (CARES) Act:
Section 3508 of the CARES Act directs the Secretary to waive the statutory requirement for institutions to return
Title IV funds (R2T4) as the result of student withdrawals related to a qualifying emergency. For any student who
begins attendance in a payment period or period of enrollment that includes March 13, 2020, or begins between
March 13 and the later of December 31 or the last date that the national emergency is in effect, and subsequently
withdraws from the period as a result of COVID-19-related circumstances, an institution is not required to return
Title IV funds. The CARES Act requires an institution to report to the Department information specific to each
student for whom it was not required to return Title IV funds under the waiver exception. An institution must
determine the total amount of grant and loan assistance that otherwise would have been returned, identified in
Step 5 of the R2T4 calculation, had the calculation been performed. Therefore, it will continue to be necessary for
institutions to perform an R2T4 calculation for each student covered by the CARES Act R2T4 waiver (Electronic
Announcement titled UPDATED Guidance for interruptions of study related to Coronavirus (COVID-19), June 16,
2020).
For 1 (50 percent) of 2 students tested who were eligible for relief under the CARES Act, the University
incorrectly processed a return of Title IV funds. The University determined that the student was eligible to
receive an R2T4 waiver under Section 3508 of the CARES Act. However, the University subsequently processed
a return of Title IV funds for the student. The University asserted that error occurred because the student was
listed on a census report showing students who did not enroll in sufficient hours to receive aid, and the student’s
Title IV funds were incorrectly returned because the student’s CARES Act R2T4 waiver was overlooked. After
auditors brought the error to the University’s attention, it reinstated the student's aid and reported to the U.S.
Department of Education that the student qualified for relief under the CARES Act waiver exemption and reported
the amount of relief given. Not accurately identifying students who qualify for a waiver could result in those
students not receiving aid to which they are entitled.
Timeliness of Returns:
An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later
than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section
668.22(j)).
For 1 (2 percent) of 58 students tested who withdrew and required a return of Title IV funds, the University
did not return the funds within the required time frame. The University performed the return calculation and
executed a transaction to return the funds within its student information system; however, the University did not
return the Title IV funds to the U.S. Department of Education within the required 45-day time frame due to an error
in processing the return of those funds. After auditors selected the student for testing, the University returned Title
IV funds as required; therefore, there were no questioned costs. Not returning funds within the required time
frame reduces the information available to the U.S. Department of Education for its program management.
The University had a process to review its calculations for returns of Title IV funds; however, it did not have
adequate controls to ensure that it identified the errors discussed above.
Recommendations:
The University should strengthen its controls to ensure that it:
• Accurately calculates returns of Title IV funds when required, including review of the variables it uses in those
calculations.
• Performs return of Title IV calculations and returns funds within the required time frame.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. For 1 (2 percent) of 58 students tested who withdrew
and required a return of Title IV funds, the University did not return the funds within the required time frame. For 1
(2 percent) of 60 students tested, the University incorrectly calculated the amount of Title IV funds to be returned.
For 1 (50 percent) of 2 students tested eligible for relief under the CARES Act, the University incorrectly
processed a return of Title IV funds. Through analysis of the exceptions identified in the audit, the University will
work to develop and implement corrective action to improve the processes further.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222336; and Federal Direct Student Loans, P268K232336 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No
Federal regulations and related guidance governing Title IV student aid programs require schools to report the
enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan
Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to
submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next
60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan)
has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at
least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title
34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include
Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30,
2012 (GEN-12-06)).
Institutions are required to report the program(s) of attendance for the student, including classification of
instructional programs (CIP) code, program credential level, program length, program enrollment status, and other
data about the program. The program enrollment effective date is the date that the current enrollment status
reported for a student was first effective and the program begin date is the date the student first began attending
the program being reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4).
Institutions may not be immediately aware of a student’s enrollment status change when it happens. When the
institution does become aware of such a change, it must report the status change using the actual enrollment
status effective date, not the date when the institution became aware of the change (NSLDS Enrollment Reporting
Guide, November 2022, Chapter 4; and U.S. Department of Education Electronic Announcement, NSLDS
Enrollment Reporting - Submission Dates, Effective Dates and Certification Dates, April 20, 2017).
The University of Texas at Austin (University) uses the services of the National Student Clearinghouse (NSC) to
report status changes to NSLDS. Under this arrangement, the University reports all students enrolled and their
status to NSC. NSC then identifies any changes in status and reports those changes when required to NSLDS.
Although the University uses the services of NSC, the University still has the primary responsibility to report any
changes in student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide,
November 2022, Chapter 3, Section 3.3).
For 4 (7 percent) of 61 students tested, the University did not accurately report program-level data
elements to NSLDS. Specifically, the University incorrectly reported the program enrollment effective date as the
first date of the term, rather than the actual effective date of the students’ enrollment status change. The
University asserted those errors were caused by changes implemented in its automated enrollment reporting
process to reflect the new 2023 academic calendar.
Not reporting student status changes accurately could affect determinations that guarantors, lenders, and
servicers of student loans make related to in-school status, deferments, grace periods, and repayment schedules.
Recommendation:
The University should strengthen its controls to ensure that program enrollment effective dates are reported to
NSLDS accurately.
Views of Responsible Officials:
The University acknowledges and agrees with the Program Enrollment Effective Date finding. Program Enrollment
Effective Date is defined as the date a student’s enrollment status changes during a semester of enrollment (i.e.
student’s enrollment status changes from full-time to half-time status). For 4 (7 percent) of 61 students tested, the
University did not accurately report program-level data elements to NSLDS. Specifically, the University incorrectly
reported the program enrollment effective date as the first date of the term, rather than the date the students’
enrollment status actually changed. The University asserted those errors were caused by required changes to its
automated enrollment reporting process to accommodate the newly implemented structure of its academic
calendar. Through analysis of the exceptions identified in the audit, the University has developed and
implemented corrective action to further improve the processes.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224174; Federal Work-Study Program, P033A224174; Federal Pell Grant Program, P063P223234; Federal Direct Student Loans, P268K233234; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233234 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, CFR, Sections 668.2, 673.5, and 685.301). The University of Texas at Dallas (University) established different COA budgets for each term based on a student’s tuition rate (guaranteed or variable); classification (undergraduate or graduate); residency (in-state and out-of-state); living status (on-campus, off-campus, or at home); and enrollment level (full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting formulas within the University’s student information system are used to assign various budget components based on the factors noted above. The University did not always accurately configure COA budget components in its student information system. Specifically, the University incorrectly set the Summer transportation budget for a certain group of students—undergraduate students with a guaranteed tuition rate who were in-state residents living at home and enrolled half-time—to $640 instead of $928. After auditors brought the issue to the University’s attention, it identified 299 students who were affected. As a result, the COA for those students was understated by a total of $86,112 for the Summer 2023 term. The errors discussed above did not result in overawards of financial assistance; therefore, there were no questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or underawarding financial assistance to students. Recommendation:
The University should ensure that it accurately configures COA budget components within its student information
system.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
While reviewing the population for submission to the auditors, the University determined that the above error had
occurred. Since the timing was still within the summer semester, we corrected the COA component error and
provided institutional grant funding for those students who had increased need due to the update in their summer
transportation budget. There were only 2 students who needed to have their loans repackaged to avoid under
awarding federal aid, which was done.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222338; and Federal Direct Student Loans, P268K232338 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Federal regulations and related guidance governing Title IV student aid programs require schools to report the enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next 60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan) has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half_x0002_time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title 34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30, 2012 (GEN-12-06)). Institutions are required to report the campus-level enrollment for the student, including enrollment status and the effective date of that enrollment status. For enrollment status changes to three-quarter-time, half-time, and less_x0002_than-half-time status, the institution must use the effective date that the student changed to those particular statuses (NSLDS Enrollment Reporting Guide, November 2022, Chapter 1 and Appendix C). Institutions also are required to report the program(s) of attendance for the student, including classification of instructional programs (CIP) code, program credential level, program length, program enrollment status, and other data about the program. The program enrollment effective date is the date that the current enrollment status reported for a student was first effective and the program begin date is the date the student first began attending the program being reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4). To protect a student’s interest subsidy, institutions are required to report a graduated status for students who have completed their course of study (NSLDS Enrollment Reporting Guide, November 2022, Chapter 4 and Appendix C). Institutions may not be immediately aware of a student’s enrollment status change when it happens. When the institution does become aware of such a change, it must report the status change using the actual enrollment status effective date, not the date when the institution became aware of the change (NSLDS Enrollment Reporting Guide, November 2022, Chapter 4; and U.S. Department of Education Electronic Announcement, NSLDS Enrollment Reporting - Submission Dates, Effective Dates and Certification Dates, April 20, 2017). The University of Texas at El Paso (University) uses the services of the National Student Clearinghouse (NSC) to report status changes to NSLDS. Under this arrangement, the University reports all students enrolled and their status to NSC. NSC then identifies any changes in status and reports those changes when required to NSLDS. Although the University uses the services of NSC, the University still has the primary responsibility to report any changes in student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide, November 2022, Chapter 3, Section 3.3). For 3 (5 percent) of 62 students tested, the University did not accurately report campus- and program level enrollment effective dates or did not report enrollment status changes to NSLDS. Specifically:
• For two students, the effective date of the students’ withdrawn status was reported incorrectly at both the
campus and program levels. The University reported one student’s withdrawal effective date as the end of the
payment period, instead of the actual date of withdrawal. The University determined the second student never
attended the Summer 2023 term and reported an incorrect withdrawal date instead of the student’s actual last
date of attendance, which was the last day of the Fall 2022 term.
• For one student, the University did not report an enrollment status change to NSLDS. The student’s
enrollment status decreased from three-quarter-time to less-than-half-time after the University approved a
medical withdrawal for certain courses after the term had ended, and the University did not report that
change.
For 2 (12 percent) of 17 students tested who received a Direct Loan and ceased to be enrolled on at least
a half-time basis or changed their permanent address, the students’ enrollment status was not reported to
NSLDS in a timely manner. Specifically, both students’ graduated status was received by NSLDS 73 days after
the students graduated.
The University had a process to monitor enrollment information reported to NSC and NSLDS; however, that
process was not sufficient to identify the errors discussed above. Not reporting student status changes accurately
and in a timely manner could affect determinations that guarantors, lenders, and servicers of student loans make
related to in-school status, deferments, grace periods, and repayment schedules.
Recommendations:
The University should:
• Strengthen its controls to ensure that campus- and program-level enrollment statuses and effective dates are
reported to NSLDS accurately.
• Ensure that all graduated statuses are reported to NSLDS in a timely manner.
Views of Responsible Officials:
The University acknowledges the findings and recommendations. Staff members have begun working on the
corrective action plan to improve the processes and implement any necessary changes by the end of the spring
2024 semester.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224169; Federal Pell Grant Program, P063P223294; Federal Direct Student Loans, P268K233294; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233294 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $64,905 Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). The total number of calendar days in a payment period or period of enrollment includes all days within the payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)). The University of Texas at San Antonio (University) made errors in Title IV return calculations for 14 (56 percent) of 25 students tested. Those errors occurred because the University did not exclude break days from its calculations of returns of Title IV funds for the Spring 2023 term as required; therefore, that issue would have affected all students who withdrew from the Spring 2023 term and had a return calculation performed. Although the amount of unearned Title IV assistance calculated for those students was incorrect, there were no questioned costs because the University returned more funds than required. In addition, for 3 (12 percent) of 25 students tested who did not have a return of Title IV funds made, the
University did not perform a return calculation as required. Those errors occurred because the University
incorrectly used 7 break days instead of 8 break days when determining whether students who withdrew from the
Spring 2023 term had completed 60 percent or more of the term. As a result, the University did not perform return
calculations and return funds as required for students who withdrew between March 26 and March 28, 2023,
which resulted in total questioned costs of $50,146 associated with ALN 84.268, Federal Direct Student Loans,
award number P268K233294, and $14,759 associated with ALN 84.063, Federal Pell Grant Program, award
number P063P223294.
The University did not have an adequate monitoring process to identify those errors. Not having a process that
consistently calculates and returns the correct amount of Title IV funds increases the risk that the University could
return less Title IV funds than it is required to return.
Recommendations:
The University should:
• Accurately determine the number of days in the payment period and exclude any scheduled breaks as
required.
• Strengthen its controls to ensure that it detects and corrects errors in return of Title IV calculations and returns
Title IV funds.
Views of Responsible Officials:
The University acknowledges and agrees with the finding that were the result of staff turnover. Through analysis
of the exceptions identified in the audit, the University has worked to develop and implement corrective action.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P223294; and Federal Direct Student Loans, P268K233294 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Federal regulations and related guidance governing Title IV student aid programs require schools to report the enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next 60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan) has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half_x0002_time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title 34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30, 2012 (GEN-12-06)). Enrollment is reported for a specific location of each campus; that is, the eight-digit Office of Postsecondary Education Identification (OPEID) number. Most students are enrolled in coursework at only one location. However, for students who are taking coursework at multiple locations of the same school, the school must determine which location is the student’s “primary location” and report the combined enrollment for the student using that location to NSLDS. A student’s “primary location” is the location where the student is taking more coursework than at any other location. Reporting a student’s enrollment at the main campus does not satisfy the enrollment reporting requirement if aid was disbursed or the student was physically attending school at a different location (NSLDS Enrollment Reporting Guide, November 2022, Chapters 4 and 6). The University of Texas at San Antonio (University) uses the services of the National Student Clearinghouse (NSC) to report status changes to NSLDS. Under this arrangement, the University reports all students enrolled and their status to NSC. NSC then identifies any changes in status and reports those changes to NSLDS when required. Although the University uses the services of NSC, the University still has the primary responsibility to report any changes in student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide, November 2022, Chapter 3, Section 3.3). For 2 (8 percent) of 26 students tested, the University inaccurately reported the OPEID number to NSLDS. Specifically for those students, the University incorrectly reported the OPEID number of the main campus, instead of the OPEID number of the location where the students were taking the majority of their coursework. The University asserted that it reports the main campus OPEID number for all students to NSLDS; therefore, the errors discussed above would have affected all students who did not take the majority of their coursework at the main campus location. Not reporting student information accurately could affect determinations that guarantors, lenders, and servicers of student loans make related to in-school status, deferments, grace periods, and repayment schedules. Recommendation:
The University should implement a process to ensure that it accurately reports the OPEID number to NSLDS for
students who take the majority of their coursework at a location other than the main campus.
Views of Responsible Officials:
The University acknowledges and agrees with the finding, which has had no impact on accurately reporting the
enrollment levels of our students to NSLDS.
Special Tests and Provisions – Enrollment Reporting
Federal Agency: U.S. Department of Education
Federal Program Title: Student Financial Assistance Cluster
Assistance Listing Number: 84.063; and 84.268
Pass-Through Agency: N/A
Award Number: Federal Pell Grant Program, P063P222337; and Federal Direct Student
Loans, P268K232337
Award Period: July 1, 2022, to June 30, 2023
Statistically Valid Sample: No and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency and Noncompliance
Questioned Costs: None
Repeat Finding: No
Federal regulations and related guidance governing Title IV student aid programs require schools to report the
enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan
Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to
submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next
60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan)
has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at
least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title
34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include
Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30,
2012 (GEN-12-06)).
Institutions are required to report the program(s) of attendance for the student, including classification of
instructional programs (CIP) code, program credential level, program length, program enrollment status, and other
data about the program. The program enrollment effective date is the date that the current enrollment status
reported for a student was first effective and the program begin date is the date the student first began attending
the program being reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4).
To protect a student’s interest subsidy, institutions are required to report a graduated status for students who have
completed their course of study (NSLDS Enrollment Reporting Guide, November 2022, Chapter 4 and Appendix
C). Institutions may not be immediately aware of a student’s enrollment status change when it happens. When the
institution does become aware of such a change, it must report the status change using the actual enrollment
status effective date, not the date when the institution became aware of the change (NSLDS Enrollment Reporting
Guide, November 2022, Chapter 4; and U.S. Department of Education Electronic Announcement, NSLDS
Enrollment Reporting - Submission Dates, Effective Dates and Certification Dates, April 20, 2017).
For 6 (10 percent) of 61 students tested, the University of Texas Health Science Center at San Antonio
(Health Science Center) did not accurately report the program begin date to NSLDS. Specifically, those
students began attendance in the program on July 29, 2019; however, the Health Science Center reported a
program begin date of either January 6, 2020, or May 18, 2020. The Health Science Center asserted those errors
were caused by the CIP code year conversion from 2010 to 2020 within the Health Science Center Registrar’s
Office. After auditors brought those errors to the Health Science Center’s attention, the Health Science Center
corrected the program begin date for all six students.
Not reporting student program information accurately could affect determinations that guarantors, lenders, and
servicers of student loans make related to in-school status, deferments, grace periods, and repayment schedules.
Recommendation:
The Health Science Center should strengthen its controls to ensure that program begin dates are reported to
NSLDS accurately.
Views of Responsible Officials:
The University acknowledges noncompliance of validating program start dates aligned to Classification of
Instructional Program (CIP codes) and graduated student status. Through analysis of the exceptions identified in
the audit, the University will work to develop and implement corrective action to improve processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). The University of Texas Permian Basin (University) did not appropriately restrict user access to its student information system. Specifically, the University did not always limit access to the student information system to only users who needed that access based on their job responsibilities. The University had a process to periodically review user access; however, that review was not sufficient to identify the inappropriate access. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. Recommendation: The University should ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. Views of Responsible Officials: The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the audit, the University has worked to implement further access limitations and enhanced its periodic review of access.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224178; Federal Work-Study Program, P033A224178; Federal Pell Grant Program, P063P223265; Federal Direct Student Loans, P268K233265; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233265 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). The University of Texas Permian Basin (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate), program (in-person or online), residency (in_x0002_state or out-of-state), living status (on-campus, off-campus, or at home with parents), and enrollment level (full_x0002_time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 60 (98 percent) of 61 students tested, the University incorrectly calculated the COA. For some of the students discussed below, there were multiple errors in the COA calculation. Specifically: • For 38 students, the University assigned an incorrect amount for the fees, loan fees, and/or transportation budget components. Those errors occurred because the amounts were incorrectly loaded into the budget tables in the University’s student information system. The University asserted that it discovered these issues in April 2023, and attempted to manually update individual student accounts that were affected. As a result, the COA for those students was overstated, and three students were overawarded a total of $2,871. After auditors brought the overawards to the University’s attention, it returned funds to the U.S. Department of Education; therefore, there were no questioned costs. • For 15 students, the University assigned an in-person budget instead of an online advanced budget. Those
errors occurred because the University failed to consistently communicate which programs were offered
online to the financial aid office, which would have helped ensure that the student information system was
updated appropriately. As a result, the COA for those students was overstated, and one of those students
was overawarded a Subsidized Direct Loan in the amount of $919. After auditors brought the overaward to
the University’s attention, it returned funds to the U.S. Department of Education; therefore, there were no
questioned costs.
• For 12 students, the University incorrectly assigned an additional room and board fee. As a result, the COA
was overstated by $50 per term for each of those students; however, the University did not overaward
financial assistance to those students.
• For eight students, the University did not adjust the students’ COA to reflect the students’ actual enrollment.
The University did not have a process to freeze student enrollment levels in order to recalculate COA after
census. As a result, the COA for those students was overstated; however, the University did not overaward
financial assistance to those students.
The University did not have adequate controls in place to review budgets used in the calculation of COA and
accurately assign those budgets to students. Incorrectly calculating COA increases the risk of overawarding or
underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets in
accordance with its process and does not overaward financial assistance to students.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University has worked to implement additional controls as it relates to calculation of the Cost of
Attendance.
Special Tests and Provisions – Disbursements To or On Behalf of Students Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Direct Student Loans, P268K233265; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233265 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Award and Disbursement Notifications: Before an institution disburses Title IV, Higher Education Act of 1965 (HEA) program funds for any award year, the institution must notify a student of the amount of funds that the student or his or her parent can expect to receive under each Title IV, HEA program, and how and when those funds will be disbursed. If those funds include Direct Loan program funds, the notice must indicate which funds are from subsidized loans, which are from unsubsidized loans, and which are from PLUS loans (Title 34, Code of Federal Regulations (CFR), Section 668.165(a)(1)). If an institution credits a student’s ledger account with Federal Direct Student Loan (Direct Loan) funds or Teacher Education Assistance for College and Higher Education (TEACH) Grant funds, the institution must notify the student or parent of (1) the anticipated date and amount of the disbursement, (2) the student’s or parent’s right to cancel all or a portion of that loan or grant and have the loan or grant proceeds returned to the U.S. Department of Education, and (3) the procedures and time by which the student or parent must notify the institution that he or she wishes to cancel the loan or grant, or loan or grant disbursement (Title 34, CFR, Section 668.165(a)(2)). The institution must provide the notice in writing no earlier than 30 days before, and no later than 30 days after, crediting the student’s ledger account at the institution (Title 34, CFR, Section 668.165(a)(3)). For 9 (15 percent) of 61 disbursements tested, the University of Texas Permian Basin (University) did not send a disbursement notification as required. Specifically, those nine students received Direct Loan disbursements, and the University did not send disbursement notifications because the University’s automated process used to identify and send disbursement notifications to students was not configured to include students whose disbursements were made manually within the student information system. The University asserted that it identified this issue in May 2023 and corrected the process in its student information system, but did not retroactively send the missing disbursement notifications for the Fall 2022 or Spring 2023 term. In addition, the University did not have a process in place to send award or disbursement notifications to TEACH Grant recipients. This error occurred because the University’s automated processes used to identify and send award and disbursement notifications to students was not configured to include TEACH Grants. The University asserted that it identified this issue in May 2023 and corrected the processes in its student information system, but it did not retroactively send missing disbursement notifications for the Fall 2022 or Spring 2023 term. Not receiving award and disbursement notifications impairs students’ and parents’ ability to budget for the cost of attending or exercise the option to cancel their loans or grants. Recommendation: The University should strengthen its controls to ensure that it identifies all students that require an award or disbursement notification, and sends those notifications to the students. Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University has worked to ensure that disbursement notifications for Federal Direct Loans and TEACH
grants go out to all applicable students.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224178; Federal Pell Grant Program, P063P223265; Federal Direct Student Loans, P268K233265; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233265 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs, and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). The total number of calendar days in a payment period or period of enrollment includes all days within the
payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks
of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the
number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)).
For a program offered in modules, a student is not considered to have withdrawn if the student successfully
completes either (1) a module that includes 49 percent or more of the number of days in the payment period,
excluding scheduled breaks of five or more consecutive days and all days between modules; or (2) a combination
of modules that together contain 49 percent or more of the number of days in the payment period, excluding
scheduled breaks of five or more consecutive days and all days between modules (Title 34, CFR, Section
668.22(a)(2)(ii)(A)(2)).
For 3 (6 percent) of 48 students tested who did not have a return of Title IV funds made, the University of
Texas Permian Basin (University) did not perform a return calculation as required. Specifically:
• For two students who were enrolled in module courses, the University did not perform a return calculation
because it incorrectly determined that the students completed 49 percent or more of the number of days in
the payment period. The University asserted that staff misinterpreted the 49 percent withdrawal exemption
requirements.
• For one student, the University did not perform a return calculation and return funds as required due to staff
oversight.
After auditors brought those errors to the University’s attention, the University performed the return calculations
and returned the funds to the U.S. Department of Education; therefore, there were no questioned costs.
In addition, the University made errors in Title IV return calculations for 11 (48 percent) of 23 students
tested. Specifically, the University did not exclude any break days from the students’ return calculations as
required. Those errors occurred because the University did not load the break days into its student information
system when setting up the payment periods for the standard Fall 2022 and Spring 2023 terms; therefore, this
issue would have affected all students who withdrew from those terms. As a result, the University returned a total
of $284 less than it should have for 2 of those 11 students. After auditors brought the issue to the University’s
attention, the University returned those funds to the U.S. Department of Education; therefore, there were no
questioned costs.
• For 3 of those 11 students, the University also incorrectly adjusted the students’ Direct Loans disbursements
prior to performing the return calculation. As a result of those errors, the University returned more funds than
required; therefore, there were no questioned costs.
The University did not have an adequate monitoring process to identify the errors discussed above. Not having a
process that consistently calculates and returns the correct amount of Title IV funds increases the risk that the
University could return less Title IV funds than it is required to return.
Timeliness of Returns:
An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later
than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section
668.22(j)).
For 3 (13 percent) of 23 students tested who withdrew and required a return of Title IV funds, the
University did not return the funds within the required time frame. The University returned the Title IV funds
to the U.S. Department of Education 46 and 203 days after the University determined that the students withdrew.
The University did not have adequate controls in place to ensure that Title IV funds were returned within the
required 45-day time frame. Not making returns within required time frames reduces the funds available to the U.S. Department of Education
for its program management.
Recommendations:
The University should:
• Configure its student information system to exclude any scheduled breaks as required.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in return of Title IV calculations
and returns Title IV funds in a timely manner.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University has worked to ensure procedures and interpretation of the regulations for the Return to Title
IV have been updated to result in correct and timely return of Title IV funds.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P223265; and Federal Direct Student Loans, P268K233265 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No
Federal regulations and related guidance governing Title IV student aid programs require schools to report the
enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan
Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to
submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next
60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan)
has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at
least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title
34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include
Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30,
2012 (GEN-12-06)).
Institutions are required to report the campus-level enrollment for the student, including enrollment status and the
effective date of that enrollment status. For enrollment status changes to three-quarter-time, half-time, and less than-half-time status, the institution must use the effective date that the student dropped to those particular
statuses (NSLDS Enrollment Reporting Guide, November 2022, Chapter 1, 4, 7, and Appendix C). Institutions
also are required to report the program(s) of attendance for the student, including classification of instructional
programs (CIP) code, program credential level, program length, program enrollment status, and other data about
the program. The program enrollment effective date is the date that the current enrollment status reported for a
student was first effective, and the program begin date is the date the student began attending the program being
reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4).
Institutions may not be immediately aware of a student’s enrollment status change when it happens. When the
institution does become aware of such a change, it must report the status change using the actual enrollment
status effective date, not the date when the institution became aware of the change (NSLDS Enrollment Reporting
Guide, November 2022, Chapter 4; and U.S. Department of Education Electronic Announcement, NSLDS
Enrollment Reporting - Submission Dates, Effective Dates and Certification Dates, April 20, 2017). For instances
in which a student completes one academic program and then enrolls in another academic program at the same
school, the school must report two separate enrollment transactions: one showing the completion of the first
program and its effective date and credential level, and the other showing the enrollment in the second program
and its effective date (Dear Colleague Letter, March 30, 2012 (GEN-12-06)). For a student who has graduated,
institutions that initially report a withdrawn status must subsequently report the student as having graduated by
certifying a “G” status at the campus level and/or program level as appropriate (NSLDS Enrollment Reporting
Guide, November 2022, Chapter 4, Section 4.4.3).
The University of Texas Permian Basin (University) uses the services of the National Student Clearinghouse
(NSC) to report status changes to NSLDS. Under this arrangement, the University reports all students enrolled
and their status to NSC. NSC then identifies any changes in status and reports those changes to NSLDS when
required. Although the University uses the services of NSC, the University still has the primary responsibility to
report any changes in student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting
Guide, November 2022, Chapter 3, Section 3.3).
For 8 (13 percent) of 61 students tested, the University did not report enrollment status changes or did
not accurately report campus- and program-level data elements to NSLDS. Specifically:
• For three students, the effective date for the students’ withdrawn status was reported incorrectly. Those
students were determined to have never attended the Spring 2023 term. The University incorrectly reported
the last day of the Spring 2023 term as the effective date at the campus and program level, rather than the
students’ actual last date of attendance.
• For two students, enrollment status changes were inaccurately reported at the campus and program levels.
Both students were enrolled full-time in the Spring 2023 term and had enrollment changes to half-time;
however, the University incorrectly reported to NSLDS a less-than-half-time status for one student and a
withdrawn status for the other student.
• For two students, the University incorrectly reported the effective date of enrollment status changes at the
campus and program levels.
• For one student, the enrollment status for the Spring 2023 term was reported incorrectly at the campus and
program levels because the University used graduate-level enrollment rather than undergraduate-level
enrollment. The University asserted that the student was enrolled as an undergraduate in the Spring 2023
term and as an undergraduate and graduate in the Summer 2023 term. This error was caused by the
University not submitting the student’s undergraduate program information to NSLDS.
For 3 (9 percent) of 33 students tested who received a Direct Loan and ceased to be enrolled on at least a
half-time basis or changed their permanent address, the students’ enrollment status was not reported to
NSLDS in a timely manner. Specifically, the University reported the 3 students’ withdrawn status 118 days after
it became aware that the students either never attended or unofficially withdrew from the Spring 2023 term.
The issues discussed above occurred because the University (1) did not configure its student information system
to accurately report student enrollment and program information to NSLDS, (2) did not establish formal and
documented policies over student enrollment reporting until policies were requested by auditors, and (3) did not
have an adequate process to monitor student enrollment and program information reported to NSLDS. Not
reporting student status changes accurately and in a timely manner could affect determinations that guarantors,
lenders, and servicers of student loans make related to in-school status, deferments, grace periods, and
repayments schedules.
Recommendation:
The University should strengthen its controls to ensure that campus- and program-level data elements are
reported accurately and in a timely manner to NSLDS.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University is working to ensure that procedures and queries used for exporting enrollment information to
the National Student Clearinghouse are updated so that reporting is accurate and timely.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222296; and Federal Direct Student Loans, P268K232296 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Federal regulations and related guidance governing Title IV student aid programs require schools to report the enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next 60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan) has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half_x0002_time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title 34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30, 2012 (GEN-12-06)). Institutions are required to report the campus-level enrollment for the student, including enrollment status and the effective date of that enrollment status. For enrollment status changes to three-quarter-time, half-time, and less_x0002_than-half-time status, the institution must use the effective date that the student dropped to those particular statuses (NSLDS Enrollment Reporting Guide, November 2022, Chapter 1, 4, 7, and Appendix C). Institutions also are required to report the program(s) of attendance for the student, including classification of instructional programs (CIP) code, program credential level, program length, program enrollment status, and other data about the program. The program enrollment effective date is the date that the current enrollment status reported for a student was first effective and the program begin date is the date the student began attending the program being reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4). For a student who has graduated, institutions that initially report a withdrawn status must subsequently report the student as having graduated by certifying a “G” status at the campus level and/or program level as appropriate (NSLDS Enrollment Reporting Guide, November 2022, Chapter 4, Section 4.4.3). The University of Texas Rio Grande Valley (University) uses the services of the National Student Clearinghouse (NSC) to report status changes to NSLDS. Under this arrangement, the University reports all students enrolled and their status to NSC. NSC then identifies any changes in status and reports those changes to NSLDS when required. Although the University uses the services of NSC, the University still has the primary responsibility to report any changes in student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide, November 2022, Chapter 3, Section 3.3). For 2 (3 percent) of 62 students tested, the University inaccurately reported the students’ program-level
graduated status effective date to NSLDS. For those students, the graduated status effective date was
reported correctly to NSLDS at the campus level; however, a different effective date was incorrectly reported at
the program level for the students’ graduated status. The effective date reported at the program level should be
the same date reported at the campus level because those dates reflect the same graduated status change. The
University identified and corrected the program-level effective date for one of those students after auditors
selected the student for testing.
Not reporting student status changes accurately and in a timely manner could affect determinations that
guarantors, lenders, and servicers of student loans make related to in-school status, deferments, grace periods,
and repayment schedules.
Recommendation:
The University should strengthen its controls to ensure that program-level data elements are reported to NSLDS
accurately.
Views of Responsible Officials:
UTRGV acknowledges and concurs with the audit finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the process.
Special Tests and Provisions – Disbursement To or On Behalf of Students Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222333; Federal Direct Student Loans, P268K232333; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232333 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Allowable Charges: An institution may credit a student's ledger account with Title IV, Higher Education Act of 1965 (HEA) program funds to pay for allowable charges associated with the current payment period. Allowable charges are: (1) the amount of tuition, fees, and institutionally provided room and board assessed the student for the payment period or the prorated amount of those charges if the institution debits the student's ledger account for more than the charges associated with the payment period; and (2) the amount incurred by the student for the payment period for purchasing books, supplies, and other educationally related goods and services provided by the institution for which the institution obtains the student’s or parent’s authorization under Section 668.165(b) (Title 34, Code of Federal Regulations (CFR), Section 668.164(c)(1)). If an institution obtains written authorization from a student or parent, as applicable, the institution may: (1) use the student’s or parent’s Title IV, HEA program funds to pay for charges that are included in that authorization, and (2) hold on behalf of the student or parent any Title IV, HEA program funds that would otherwise be paid directly to the student or parent as a credit balance, unless the Secretary provides funds to the institution under the reimbursement payment method or the heightened cash monitoring payment method (Title 34, CFR, Section 668.165(b)(1)). An institution may not use Title IV funds to pay finance charges or fees that are incurred because a student uses a financing method provided by the school to pay for educational expenses over time. Because students or families choose to incur these additional expenses rather than paying the balance due at registration, the additional charges are not considered educational expenses, and may not be included in a student’s cost of attendance. (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 2). For 13 (21 percent) of 62 students tested, the University of Houston (University) used Title IV funds to pay unallowable charges. Some of those students were affected by both errors discussed below. Specifically: • For eight students, the University credited student ledger accounts during the payment period for unallowable charges unrelated to tuition, fees, or institutionally provided room and board. The unallowable finance charges paid with Title IV funds included various fees (credit card processing, severance of service, installment origination, and late fees), and various loan charges. Those charges are unallowable whether the University obtains student or parent authorization or not. The University asserted it is conducting a comprehensive review of all charges to determine allowability for Title IV funds. • For eight students, the University credited student ledger accounts during the payment period for charges other than tuition, fees, or institutionally provided room and board without obtaining the authorization of the student or parent. The unallowable charges paid with Title IV funds included various parking and garage related fees, meal plan tax charges, and book loan university fund charges. Those errors occurred because the University did not have a process to obtain written authorization from a student or parent to apply Title IV funds to charges other than tuition, fees, and institutionally provided room and board. Not receiving all Title IV funds a student is entitled to impairs students’ and parents’ ability to budget for the cost
of attending.
Recommendations:
The University should strengthen its controls to ensure that:
• It does not credit student ledger accounts for unallowable charges.
• It obtains written authorization from students or parents prior to crediting student ledger accounts for certain
charges.
Views of Responsible Officials:
The University acknowledges and agrees with the findings. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224166; Federal Pell Grant Program, P063P222333; Federal Direct Student Loans, P268K232333; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232333 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). The institution must return the lesser of the total amount of unearned Title IV assistance calculated above or an amount equal to the total institutional charges incurred by the student for the payment period or period of enrollment multiplied by the percentage of Title IV grant or loan assistance not earned by the student. For purposes of this calculation, “institutional charges” are tuition, fees, room and board (if the student contracts with the institution for the room and board), and other educationally related expenses assessed by the institution (Title 34, CFR, Section 668.22(g)). The institutional charges used in the calculation are usually the charges that were initially assessed to the student for the entire payment period or period of enrollment, as applicable. Initial charges may be adjusted only by those changes the institution made prior to the student’s withdrawal, such as a change in enrollment status unrelated to the withdrawal (U.S. Department of Education, 2022- 2023 Federal Student Aid Handbook, Volume 5, Chapter 1, Section: Institutional Charges). The University of Houston (University) made errors in Title IV return calculations for 18 (30 percent) of 60
students tested. Specifically:
• For 15 students, the University made errors in determining the amount of institutional charges to be used in
the return calculation by including unallowable charges in its calculation for those students.
• For two students, the University returned the incorrect amount of Title IV funds due to manual entry errors.
For one of those students, the University also incorrectly included unallowable charges in the student’s return
calculation as discussed above.
• For one student, the University incorrectly canceled the student’s Federal Pell Grant award before its
calculation. The University asserted that was due to a processing error in its student information system.
There were no questioned costs as a result of those errors because for each student the University returned more
than the required amount or the error did not affect the amount of Title IV grant or loan assistance to be returned.
Distance Education:
For distance education, documenting that a student has logged into an online class is not sufficient to
demonstrate academic attendance by the student. An institution must demonstrate that a student participated in
class or was otherwise engaged in an academically related activity. Only active participation by a student in an
instructional activity related to the student’s course of study that meets the definition of “academic engagement” in
Title 34, CFR, Section 600.2 and takes place during a payment period or period of enrollment qualifies as
attendance in an academically related activity (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 5, Chapter 2).
For 1 (7 percent) of 14 students tested, the University did not have evidence of academic engagement in
the distance education course from which the student’s withdrawal date was determined. The University
relies on the last dates of academic activity provided by instructors to determine the withdrawal date for return of
Title IV purposes for students who unofficially withdraw. However, the University did not have an adequate review
process in place to ensure that it maintained documentation supporting attendance in distance education courses.
As a result, the University could not demonstrate that the student participated or otherwise engaged in an
academically related activity in that course to support the last date of attendance used by the University for return
of Title IV purposes.
The University did not have an adequate monitoring process to identify the errors discussed above. Not having a
process that consistently calculates and returns the correct amount of Title IV funds increases the risk that the
University could return the incorrect amount of Title IV funds.
Recommendations:
The University should:
• Calculate institutional charges in accordance with U.S. Department of Education requirements.
• Ensure that evidence of academic engagement is consistently documented for students in distance education
courses.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in its calculation of Title IV
funds to return. Views of Responsible Officials:
The University acknowledges and agrees with the findings. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Enrollment Reporting
Federal Agency: U.S. Department of Education
Federal Program Title: Student Financial Assistance Cluster
Assistance Listing Number: 84.063; and 84.268
Pass-Through Agency: N/A
Award Number: Federal Pell Grant Program, P063P222333; and Federal Direct Student
Loans, P268K232333
Award Period: July 1, 2022, to June 30, 2023
Statistically Valid Sample: No and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency and Noncompliance
Questioned Costs: None
Repeat Finding: No
Federal regulations and related guidance governing Title IV student aid programs require schools to report the
enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan
Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to
submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next
60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan)
has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at
least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title
34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include
Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30,
2012 (GEN-12-06)). Institutions are required to report the campus-level enrollment for the student, including enrollment status and the
effective date of that enrollment status. For enrollment status changes to three-quarter-time, half-time, and less than-half-time status, the institution must use the effective date that the student dropped to those particular
statuses (NSLDS Enrollment Reporting Guide, November 2022, Chapter 1, 4, 7, and Appendix C). Institutions
also are required to report the program(s) of attendance for the student, including classification of instructional
programs (CIP) code, program credential level, program length, program enrollment status, and other data about
the program. The program enrollment effective date is the date that the current enrollment status reported for a
student was first effective and the program begin date is the date the student first began attending the program
being reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4). For a student who has
graduated, institutions that initially report a withdrawn status must subsequently report the student as having
graduated by certifying a “G” status at the campus level and/or program level as appropriate (NSLDS Enrollment
Reporting Guide, November 2022, Chapter 4, Section 4.4.3).
The University of Houston (University) uses the services of the National Student Clearinghouse (NSC) to report
status changes to NSLDS. Under this arrangement, the University reports all students enrolled and their status to
NSC. NSC then identifies any changes in status and reports those changes to NSLDS when required. Although
the University uses the services of NSC, the University still has the primary responsibility to report any changes in
student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide, November
2022, Chapter 3, Section 3.3).
For 3 (5 percent) of 61 students tested, the University did not report graduated status changes or did not
accurately report graduated status changes at the campus and program levels to NSLDS. Specifically:
• For two students, the University did not report a graduated status at the program level. However, the
graduated status for both students was correctly reported at the campus level. The University asserted that it
reported the graduated statuses to NSC; however, NSLDS had no record found reported for the program
level.
• For one student, a graduated status was not reported at the campus level, and the effective date of the
graduated status was incorrectly reported at the program level. The University asserted that it reported the
graduated status accurately to NSC.
For 24 (75 percent) of 32 students tested who received a Direct Loan and ceased to be enrolled on at least
a half-time basis or changed their permanent address, the student’s enrollment status was not reported to
NSLDS in a timely manner. Specifically:
• For 23 students, the students’ graduated status for the Spring 2023 term was not received by NSLDS until 85
days after that status became effective on May 11, 2023. The University certified and submitted the
graduation file to NSC on June 22, 2023; however, the statuses were not received by NSLDS until August 4,
2023.
• For one student, the University reported the status change 146 days after the student’s graduated status
became effective.
The errors discussed above occurred because the University did not have a process to ensure that student
enrollment and program information reported to NSC was accurately reported to NSLDS in a timely manner. Not
reporting student status changes accurately and in a timely manner could affect determinations that guarantors,
lenders, and servicers of student loans make related to in-school status, deferments, grace periods, and
repayment schedules.
Recommendation:
The University should develop and implement controls to ensure that campus-level and program-level data
elements are reported to NSLDS accurately and in a timely manner.
Views of Responsible Officials:
The University acknowledges and agrees with the findings. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions - Gramm-Leach-Bliley Act - Student Information Security Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Gramm-Leach-Bliley Act: Institutions must protect sensitive data, including information obtained in support of the administration of federal student financial assistance programs, as required by the Gramm-Leach-Bliley Act (GLBA) (Public Law 106-102). Under their Program Participation Agreement (PPA) and the GLBA, postsecondary educational institutions must protect student financial aid information, with particular attention to information provided by the Department of Education or otherwise obtained in support of the administration of the Title IV Federal student financial aid programs (Dear Colleague Letter, July 1, 2016 (GEN-16-12)). Institutions are required to develop, implement, and maintain an information security program that includes the minimum elements in Title 16, Code of Federal Regulations (CFR), Section 314.4. Those minimum requirements include conducting a periodic inventory of data, noting where it is collected, stored, or transmitted (Title 16, CFR, Section 314.4(c)(1)). In addition, the institution must designate a qualified individual responsible for overseeing, implementing, and enforcing the institution’s information security program (Title 16, CFR, Section 314.4(a)). The University of Houston’s (University) information security program did not address the implementation of all minimum safeguards as required by the GLBA. Specifically, while the University had designated a Qualified Individual to coordinate its information security program and had a written information security program in place, that program did not meet the requirements for conducting a periodic inventory of data. Not implementing all required safeguards in its information security program increases the University’s risk of data breach or loss. Recommendation:
The University should ensure that all elements required by the GLBA are documented and implemented in its
information security program.
Views of Responsible Officials:
The University acknowledges and agrees with the findings. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Disbursements To or On Behalf of Students Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222293; and Federal Direct Student Loans, P268K232293 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Allowable Charges and Credit Balance Authorizations: An institution may credit a student’s ledger account with Title IV, Higher Education Act of 1965 (HEA) program funds to pay for allowable charges associated with the current payment period. Allowable charges are: (1) the amount of tuition, fees, and institutionally provided room and board assessed the student for the payment period or the prorated amount of those charges if the institution debits the student’s ledger account for more than the charges associated with the payment period; and (2) the amount incurred by the student for the payment period for purchasing books, supplies, and other educationally related goods and services provided by the institution for which the institution obtains the student’s or parent’s authorization under Section 668.165(b) (Title 34, Code of Federal Regulations (CFR), Section 668.164(c)(1)). A Title IV, HEA credit balance occurs whenever the amount of Title IV, HEA program funds credited to a student’s ledger account for a payment period exceeds the amount assessed the student for allowable charges associated with that payment period. A Title IV, HEA credit balance must be paid directly to the student or parent as soon as possible, but no later than (1) fourteen days after the balance occurred if the credit balance occurred after the first day of class within a payment period; or (2) fourteen days after the first day of class within a payment period if the credit balance occurred on or before the first day of class within that payment period (Title 34, CFR, Section 668.164(h)). If an institution obtains written authorization from a student or parent, as applicable, the institution may: (1) use
the student’s or parent’s Title IV, HEA program funds to pay for charges that are included in that authorization,
and (2) hold on behalf of the student or parent any Title IV, HEA program funds that would otherwise be paid
directly to the student or parent as a credit balance, unless the Secretary provides funds to the institution under
the reimbursement payment method or the heightened cash monitoring payment method (Title 34, CFR, Section
668.165(b)(1)).
For 5 (8 percent) of 62 students tested, the University of North Texas (University) used Title IV funds to
pay unallowable charges. Specifically, the University credited student ledger accounts during the payment
period for charges other than tuition, fees, or institutionally provided room and board without obtaining the
authorization of the student or parent. The unallowable charges paid with Title IV funds included various fees (late
registration, replacement identification card, and parking), as well as the balance of institutional loans. Those
errors occurred because a statement designed to obtain the student’s authorization to apply the Title IV funds to
those types of charges was not included in the student self-service portal in the student information system as
intended.
For 1 (3 percent) of 36 students tested, the University did not obtain written authorization from the
student or parent to hold Title IV funds as a credit balance. Specifically, the University held $1,861 of Direct
Loans in excess of the student’s institutional charges, which should have been paid directly to the student or
parent.
Not receiving all Title IV funds a student is entitled to impairs students’ and parents’ ability to budget for the cost
of attending.
Recommendation:
The University should strengthen its controls to ensure that it obtains written authorization from students or
parents prior to crediting student ledger accounts for certain charges, or holding credit balances.
Views of Responsible Officials:
The University acknowledges and agrees with the findings regarding the payment of unallowable charges using
Title IV funds for 5 students and the lack of written authorization to hold a Title IV fund as a credit balance for 1
student. The University recognizes the importance of ensuring Title IV funds are used only toward allowable
charges and are not held as a credit balance without written authorization from the student or parent.
Special Tests and Provisions – Return of Title IV Funds
Federal Agency: U.S. Department of Education
Federal Program Title: Student Financial Assistance Cluster
Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379
Pass-Through Agency: N/A
Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG),
P007A224085; Federal Pell Grant Program, P063P222293; Federal Direct
Student Loans, P268K232293; and Teacher Education Assistance for
College and Higher Education Grants (TEACH), P379T232293
Award Period: July 1, 2022, to June 30, 2023
Statistically Valid Sample: No and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency and Noncompliance
Questioned Costs: None
Repeat Finding: No
Return of Title IV Calculations:
When a student who received Title IV grant or loan assistance withdraws from an institution during a payment
period or period of enrollment in which the student began attendance, the institution must determine the amount
of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of
Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned
by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date
of the institution’s determination that the student withdrew, the difference must be returned to the Title IV
programs and no additional disbursements may be made to the student for the payment period or period of
enrollment (Title 34, CFR, Section 668.22(a)(4)).
The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV
grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title
IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the
payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their
Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period
or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by
subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was
disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student
withdrew (Title 34, CFR, Section 668.22(e)).
The total number of calendar days in a payment period or period of enrollment includes all days within the
payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks
of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the
number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)). The University of North Texas (University) made errors in Title IV return calculations for 32 (52 percent) of
61 students tested. Those errors occurred because the University did not exclude any break days from its Title
IV return calculations for the Fall 2022 term as required; therefore, that issue would have affected all students
who withdrew from the Fall 2022 term and had an automated return calculation performed. Although the amount
of unearned Title IV assistance calculated for those students was incorrect, there were no questioned costs as a
result of those errors because the University returned more funds than required.
• For 1 of those 32 students, the University also did not accurately determine the withdrawal date for the
student who was enrolled in modules. After auditors brought the issue to the University’s attention, the
University re-performed the return calculation and returned the additional Title IV funds as required; therefore,
there were no questioned costs.
• In addition, for 1 of those 32 students, the University incorrectly returned Title IV funds for a student who
completed more than 60 percent of the term and did not require a return.
Distance Education:
For distance education, documenting that a student has logged into an online class is not sufficient to
demonstrate academic attendance by the student. An institution must demonstrate that a student participated in
class or was otherwise engaged in an academically related activity. Only active participation by a student in an
instructional activity related to the student’s course of study that meets the definition of “academic engagement” in
Title 34, CFR, Section 600.2, and takes place during a payment period or period of enrollment qualifies as
attendance in an academically related activity (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 5, Chapter 2).
For 1 (14 percent) of 7 students tested, the University did not have evidence of academic engagement for
the student who attended all distance education courses. The University relies on the last dates of
attendance (LDA) provided by instructors to determine the withdrawal date for Return of Title IV purposes for
students who unofficially withdraw. If no LDAs are provided by the instructors, the University uses the midpoint of
the term as the withdrawal date. The student was enrolled in all distance education courses, and the University
used the midpoint as the withdrawal for the student. However, the University could not provide evidence that the
student participated or otherwise engaged in an academically related activity in any of the distance education
courses. After auditors brought the issue to the University’s attention, the University performed a return
calculation and returned Title IV funds as required; therefore, there were no questioned costs.
Timeliness of Returns:
An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later
than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section
668.22(j)).
For 12 (20 percent) of 61 students tested who withdrew and required a return of Title IV funds, the
University did not return the funds within the required time frame. Specifically, the University returned the
Title IV funds to the U.S. Department of Education between 47 to 183 days after the University determined that
the students withdrew. The University asserted those errors occurred due to staffing issues and problems with the
transmission of the adjustments to the U.S. Department of Education’s Common Origination and Disbursement
(COD) system.
The University did not have an adequate monitoring process to identify those errors or document the review
process. Having a process that does not consistently calculate and return the correct amount of Title IV funds
increases the risk that the University could return incorrect amounts of Title IV funds. In addition, not making
returns within the required time frames reduces the funds available to the U.S. Department of Education for its
program management.
Recommendations:
The University should:
• Accurately determine the number of days in the payment period and exclude any scheduled breaks as
required.
• Ensure that evidence of academic engagement is consistently documented for students in distance education
courses.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in Title IV return calculations
and returns Title IV funds in a timely manner.
Views of Responsible Officials:
The University acknowledges and agrees with the findings regarding the Return of Title IV funds in cases where a
student officially or unofficial withdraws from the institution after the student begins attendance in a given payment
period or period of enrollment. The University acknowledges the importance of accurately calculating the Title IV
funds to be returned and the timely return of those funds.
Special Tests and Provisions – Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; and 84.268 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222293; and Federal Direct Student Loans, P268K232293 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: 2020-136 Federal regulations and related guidance governing Title IV student aid programs require schools to report the enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). Unless an institution expects to submit its next enrollment reporting roster file to the Secretary of the U.S. Department of Education within the next 60 days, it must notify the Secretary within 30 days if it discovers that a Federal Direct Student Loan (Direct Loan) has been made to or on behalf of a student who (1) enrolled at that institution but has ceased to be enrolled on at least a half-time basis; (2) has been accepted for enrollment at that institution but failed to enroll on at least a half_x0002_time basis for the period for which the loan was intended; or (3) has changed his or her permanent address (Title 34, Code of Federal Regulations (CFR), Section 685.309(b)). Enrollment reporting roster files also must include Federal Pell Grant-only recipients (Title 34, CFR, Section 690.83(b)(2); and Dear Colleague Letter, March 30, 2012 (GEN-12-06)). Institutions are required to report the program(s) of attendance for the student, including classification of instructional programs (CIP) code, program credential level, program length, program enrollment status, and other data about the program. The program enrollment effective date is the date that the current enrollment status reported for a student was first effective, and the program begin date is the date the student began attending the program being reported (NSLDS Enrollment Reporting Guide, November 2022, Chapters 1 and 4). For instances in which a student completes one academic program and then enrolls in another academic program at the same institution, the institution must report two separate enrollment transactions: one showing the completion of the first program and its effective date and credential level, and the other showing the enrollment in the second program and its effective date (Dear Colleague Letter, March 30, 2012 (GEN-12-06)). The University of North Texas (University) uses the services of the National Student Clearinghouse (NSC) to report status changes to NSLDS. Under this arrangement, the University reports all students enrolled and their status to NSC. NSC then identifies any changes in status and reports those changes when required to NSLDS. Although the University uses the services of NSC, the University still has the primary responsibility to report any changes in student enrollment status accurately and in a timely manner (NSLDS Enrollment Reporting Guide, November 2022, Chapter 3). For 9 (36 percent) of 25 students tested, the University did not accurately report the program begin date to NSLDS. Specifically, the University reported the program begin date as the first day of the term after the students declared their major or were otherwise approved to enroll in the program, instead of the first day of the term in which the students actually began attendance in the program. The University asserted that the errors were caused by issues related to the configuration of the enrollment reporting processes in the University’s student information system. Not reporting student program information accurately could affect determinations that guarantors, lenders, and servicers of student loans make related to in-school status, deferments, grace periods, and repayments schedules. Recommendation:
The University should strengthen its controls to ensure that program begin dates are reported to NSLDS
accurately.
Views of Responsible Officials:
The University acknowledges and agrees with the findings regarding the accuracy of the program begin dates
reported for some students identified in the testing. The University acknowledges the importance of accurately
reporting program information for students receiving Title IV aid to ensure that guarantors, lenders, and servicers
of student loans are able to make accurate determinations related to in-school status, deferments, grace periods,
and repayment schedules.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 93.264 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224051; Federal Work-Study Program, P033A224051; Federal Pell Grant Program, P063P222282; Federal Direct Student Loans, P268K232282; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232282; and Nurse Faculty Loan Program (NFLP), 1 E01HP45821-01-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $1,409 Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). Direct Subsidized and Unsubsidized Loans have annual and aggregate limits that are the same for all students at a given grade level and dependency status. In general, a loan may not be more than the amount the borrower requests, the borrower’s unmet financial need, the borrower’s COA, or the borrower’s maximum borrowing limit. (U.S. Department of Education 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 5). Lamar University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate), dependency (dependent or independent), residency (in-state or out-of-state), living status (on-campus, off-campus, or at home with parents), and enrollment level (full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 23 (38 percent) of 61 students tested, the University incorrectly calculated the COA. Specifically, the
University did not adjust the students’ COA to reflect the students’ actual enrollment as of the census date. The
University experienced turnover in the Student Financial Aid department during the 2022–2023 award year, and
could not provide a cause for those errors. The University asserted that it implemented a process to recalculate
students’ COAs based on their actual enrollment at census beginning with the Fall 2023 term; however, the errors
discussed above occurred before that process was in place. As a result, the University overawarded two students.
• One of those students was assigned an overstated COA for the Fall 2022 term based on three-quarter-time
enrollment although the student’s actual enrollment was half-time. The student was awarded $5,294 in
Subsidized Direct Loans, which exceeded the student’s financial need, resulting in $1,113 in questioned costs
associated with ALN 84.268, Federal Direct Student Loans, award number P268K232282.
• The other student was assigned an overstated COA for the Spring 2023 term based on full-time enrollment
although the student did not attend during the term. The student was awarded $10,142 in Unsubsidized Direct
Loans, which exceeded the student’s actual COA, resulting in $296 in questioned costs associated with ALN
84.268, Federal Direct Student Loans, award number P268K232282.
The University did not have adequate controls in place to review budgets used in the calculation of COA and
accurately assign those budgets to students. Incorrectly calculating COA increases the risk of overawarding or
underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets in
accordance with its process and does not overaward financial assistance to students.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Disbursements To or On Behalf of Students Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 93.264 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224051; Federal Work-Study Program, P033A224051; Federal Pell Grant Program, P063P222282; Federal Direct Student Loans, P268K232282; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232282; and Nurse Faculty Loan Program (NFLP), 1 E01HP45821-01-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Award and Disbursement Notifications: Before an institution disburses Title IV, Higher Education Act of 1965 (HEA) program funds for any award year, the institution must notify a student of the amount of funds that the student or his or her parent can expect to receive under each Title IV, HEA program, and how and when those funds will be disbursed. If those funds include Direct Loan program funds, the notice must indicate which funds are from subsidized loans, which are from unsubsidized loans, and which are from PLUS loans (Title 34, Code of Federal Regulations (CFR), Section 668.165(a)(1)). If an institution credits a student’s ledger account with Federal Direct Student Loan (Direct Loan) funds or Teacher Education Assistance for College and Higher Education (TEACH) Grant funds, the institution must notify the student or parent of (1) the anticipated date and amount of the disbursement, (2) the student’s or parent’s right to cancel all or a portion of that loan or grant and have the loan or grant proceeds returned to the U.S. Department of Education, and (3) the procedures and time by which the student or parent must notify the institution that he or she wishes to cancel the loan or grant, or loan or grant disbursement (Title 34, CFR, Section 668.165(a)(2)). The institution must provide the notice in writing no earlier than 30 days before, and no later than 30 days after, crediting the student’s ledger account at the institution (Title 34, CFR, Section 668.165(a)(3)). For 21 (34 percent) of 62 disbursements tested, Lamar University (University) did not send an award or
disbursement notification as required. Specifically:
• For 20 students that received Direct Loan disbursements, the University did not send a disbursement
notification. The University asserted those errors occurred because the University was utilizing a manual
process to send out the disbursement notifications, and on those days when the employee charged with
performing the manual process was not present, the notifications were not sent to students.
• For one student who received Title IV funds, the University did not send an award notification. This error
occurred because the University manually packaged the student’s awards after clearing a verification
requirement, and the University did not have an adequate process in place to ensure that students who are
manually awarded receive an award notification.
Not receiving award and disbursement notifications impairs students’ and parents’ ability to budget for the cost of
attending or exercise the option to cancel their loans or grants.
Promissory Notes:
Institutions must establish a process to make loans consistent with institutional policies and federal laws and
regulations, including the completion of the following during disbursement: (1) signed promissory note, and (2)
disclosure of terms and conditions (Nurse Faculty Loan Program (NFLP) Administrative Guidelines, 42 United
States Code (U.S.C.) 297n-1 (Public Health Service Act Section 846A)).
The University did not have a process in place to require a promissory note for NFLP loans prior to
disbursement. NFLP loans were incorrectly identified in the student information system as a grant instead of a
loan. As a result, the student information system did not place a required hold on disbursements until the
promissory note requirement was completed.
Not requiring a signed promissory note prior to disbursement of loan funds could limit the University’s ability to
enforce repayment of the loan.
Recommendations:
The University should:
• Strengthen its controls to ensure that it identifies all students that require an award or disbursement
notification, and sends those notifications to the students.
• Configure controls in the student information system to require promissory notes for applicable loans.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224051; Federal Pell Grant Program, P063P222282; Federal Direct Student Loans, P268K232282; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232282 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $19,357 Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs, and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). The total number of calendar days in a payment period or period of enrollment includes all days within the payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)). In determining the percentage of the payment period or period of enrollment completed for a student who
withdraws from a program offered in modules, an institution must (1) include all days within the period that the
student was scheduled to complete prior to ceasing attendance and (2) exclude any scheduled breaks of at least
five consecutive days when the student was not scheduled to attend a module or other course offered during that
period of time. Scheduled breaks include both those that take place within and between modules (U.S.
Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 5, Chapter 2).
An institution must offer to disburse directly to a student, or parent in the case of a parent PLUS loan, any amount
of a post-withdrawal disbursement of loan funds that is not credited to the student's account. The institution must
make a direct disbursement of any loan funds that make up the post-withdrawal disbursement only after obtaining
the student's, or parent's in the case of a parent PLUS loan, confirmation that the student or parent still wishes to
have the loan funds disbursed (Title 34, CFR, Section 668.22(a)(6)(ii)(B)).
Lamar University (University) made errors in Title IV return calculations for 25 (41 percent) of 61 students
tested. Specifically, the University did not exclude any break days from the Spring 2023 term or days between
modules as required. Those errors resulted in the University returning a total of $3,481 associated with ALN
84.268, Federal Direct Student Loans, award number P268K232282, and $1,802 associated with ALN 84.063,
Federal Pell Grant Program, award number P063P222282, less Title IV funds than required.
• For 2 of those 25 students, the University also used an inaccurate withdrawal date in the return calculation.
• For 1 of those 25 students, the University also did not identify that the student was eligible to receive a post withdrawal disbursement of loan funds and therefore did not offer to disburse those loan funds to the student
as required.
In addition, for 8 (13 percent) of 61 students tested who did not have a return of Title IV funds made, the
University did not perform a return calculation as required. The University asserted it did not consistently
follow its procedures in identifying students who required a Title IV return calculation due to staff turnover and
newer staff needing additional training. As a result, the University did not return a total of $13,707 associated with
ALN 84.268, Federal Direct Student Loans, award number P268K232282, and $367 associated with ALN 84.063,
Federal Pell Grant Program, award number P063P222282 as required.
The errors discussed above occurred because the University did not configure its information system to
accurately calculate returns and because of manual errors that the University made in performing the return
calculations. In addition, the University did not have an adequate monitoring process to identify those errors. Not
having a process that consistently calculates and returns the correct amount of Title IV funds increases the risk
that the University could return less Title IV funds than it is required to return.
Timeliness of Returns:
An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later
than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section
668.22(j)).
For 5 (8 percent) of 59 students tested who withdrew and required a return of Title IV funds, the University
did not return the funds within the required time frame. The University returned the funds for those students
47 to 143 days after it determined that the students withdrew. For 2 of those students, the University determined
the withdrawal dates and performed the return calculations; however, it did not return the Title IV funds within the
required 45-day time frame due to an oversight in processing the return of those funds. For three of those
students, the University asserted that it determined that the return calculations required corrections, which
resulted in the returns not being performed timely. Not making returns within required time frames reduces the
funds available to the U.S. Department of Education for its program management. Recommendations:
The University should:
• Strengthen its controls to ensure that it accurately calculates returns of Title IV funds when required, including
review of the variables it uses in those calculations.
• Accurately determine the number of days in the payment period and exclude any scheduled breaks as
required.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in return of Title IV calculations
and returns Title IV funds in a timely manner.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). Sam Houston State University (University) did not appropriately restrict access to its student information system. Specifically, the University did not always limit access to the student information system to only users who needed that access based on their job responsibilities. While the University had a process in place to review user access, that process was not adequately designed to ensure that the University granted the appropriate levels of access to all users based on the users’ job duties. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. In addition, the University did not have sufficient controls over its change management process for information systems. Specifically, 1 (14 percent) of 7 changes tested lacked documentation showing that the change was properly tested or validated before it was migrated to production. Not having sufficient controls over the change management process increases the risk of unauthorized programming changes being made to critical information systems that the University uses to administer student financial assistance. Recommendations: The University should: • Ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. • Strengthen its controls over its change management process to ensure adequate validation of changes prior to implementation. Views of Responsible Officials: The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224110; Federal Pell Grant Program, P063P222301; Federal Direct Student Loans, P268K232301; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232301 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No
When a student who received Title IV grant or loan assistance withdraws from an institution during a payment
period or period of enrollment in which the student began attendance, the institution must determine the amount
of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of
Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned
by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date
of the institution’s determination that the student withdrew, the difference must be returned to the Title IV
programs and no additional disbursements may be made to the student for the payment period or period of
enrollment (Title 34, CFR, Section 668.22(a)(4)).
The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV
grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title
IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the
payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their
Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period
or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by
subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was
disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student
withdrew (Title 34, CFR, Section 668.22(e)).
For distance education, documenting that a student has logged into an online class is not sufficient to
demonstrate academic attendance by the student. An institution must demonstrate that a student participated in
class or was otherwise engaged in an academically related activity. Only active participation by a student in an
instructional activity related to the student's course of study that meets the definition of “academic engagement” in
Title 34, CFR, Section 600.2 and takes place during a payment period or period of enrollment qualifies as
attendance in an academically related activity (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 5, Chapter 2).
For 1 (4 percent) of 24 students tested, Sam Houston State University (University) did not have evidence
of academic engagement in the distance education course from which the student’s withdrawal date was
determined. The University relies on the last dates of academic activity provided by instructors to determine the
withdrawal date for Return of Title IV purposes for students who unofficially withdraw. The student’s record did not
reflect evidence of academic activity for the distance education course, and the University asserted that the last
day of attendance provided by the instructor was inaccurate. The University did not have a process in place to
require instructors to provide or maintain evidence of academic engagement in distance education courses. As a
result, the University did not perform a return calculation because it incorrectly determined that the student
completed over 60 percent of the period. After auditors brought the issue to the University’s attention, the
University performed a return calculation and returned Title IV funds as required; therefore, there were no
questioned costs.
Having a process that does not consistently calculate and return the correct amount of Title IV funds increases
the risk that the University could return less Title IV funds than it is required to return.
Recommendation:
The University should ensure that evidence of academic engagement is consistently documented for students in
distance education courses.
Views of Responsible Officials:
The University acknowledges and agrees with the findings of this audit. Management acknowledges the
responsibility to accurately verify the academic engagement and document it for students enrolled in distance
education courses.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224131; Federal Work-Study Program, P033A224131; Federal Pell Grant Program, P063P222320; Federal Direct Student Loans, P268K232320; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232320 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). Tarleton State University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s tuition rate (guaranteed or variable), program, courses, classification (undergraduate or graduate), residency (in-state or out-of-state); living status (on-campus, off-campus, or with parent), and enrollment level (full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 62 (100 percent) of 62 students tested, the University incorrectly calculated the COA. Specifically, the University used the 2021–2022 award year budgets instead of the 2022–2023 award budgets because it did not update the COA budget components in its student information system for the new award year. As a result, the COAs for those students were understated by a total of $148,781. This error would have affected the COA for all students in the Fall 2022 and Spring 2023 terms. However, because the students’ budgets were understated, this error did not result in overawards of financial assistance; therefore, there were no questioned costs. The University did not have adequate controls in place to review budgets used in the calculation of COA and accurately assign those budgets to students. Incorrectly calculating COA increases the risk of overawarding or underawarding financial assistance to students. Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets in
accordance with its process.
Views of Responsible Officials:
The University has carefully reviewed the findings outlined in the recent financial aid audit report, and we
acknowledge and agree with the identified areas for improvement. Your thorough examination has provided
valuable insights into our financial aid processes, and we appreciate the effort invested in ensuring transparency
and accountability.
In response to the findings, we are committed to taking immediate and comprehensive corrective actions to
address the identified issues and enhance the overall effectiveness of our financial aid management. Our team is
already in the process of developing a detailed Corrective Action Plan that will outline the specific steps we will
take to rectify the noted deficiencies. We understand the importance of financial aid in supporting our students'
academic endeavors, and we are dedicated to ensuring that our processes align with the highest standards of
integrity and compliance.
Special Tests and Provisions – Disbursements To or On Behalf of Students Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.379 Pass-Through Agency: N/A Award Number: Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232320 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Award and Disbursement Notifications: Before an institution disburses Title IV, Higher Education Act of 1965 (HEA) program funds for any award year, the institution must notify a student of the amount of funds that the student or his or her parent can expect to receive under each Title IV, HEA program, and how and when those funds will be disbursed. If those funds include Direct Loan program funds, the notice must indicate which funds are from subsidized loans, which are from unsubsidized loans, and which are from PLUS loans (Title 34, Code of Federal Regulations (CFR), Section 668.165(a)(1)). If an institution credits a student’s ledger account with Federal Direct Student Loan (Direct Loan) funds or Teacher Education Assistance for College and Higher Education (TEACH) Grant funds, the institution must notify the student or parent of (1) the anticipated date and amount of the disbursement, (2) the student’s or parent’s right to cancel all or a portion of that loan or grant and have the loan or grant proceeds returned to the U.S. Department of Education, and (3) the procedures and time by which the student or parent must notify the institution that he or she wishes to cancel the loan or grant, or loan or grant disbursement (Title 34, CFR, Section 668.165(a)(2)). The institution must provide the notice in writing no earlier than 30 days before, and no later than 30 days after, crediting the student’s ledger account at the institution (Title 34, CFR, Section 668.165(a)(3)). Tarleton State University (University) did not send appropriate award and disbursement notifications to TEACH Grant recipients. Specifically, the University’s TEACH award notification did not describe how and when funds would be disbursed, while the TEACH disbursement notification did not include the date of disbursement, student’s right to cancel all or part of the loan, and guidance for the procedures and time for canceling the loan. Not providing sufficient award and disbursement notifications impairs students’ and parents’ ability to budget for the cost of attending or exercise the option to cancel their loans or grants. Recommendation: The University should ensure that award and disbursement notifications for TEACH recipients contain all required elements. Views of Responsible Officials: The University has carefully reviewed the findings outlined in the recent financial aid audit report, and we acknowledge and agree with the identified areas for improvement. Your thorough examination has provided valuable insights into our financial aid processes, and we appreciate the effort invested in ensuring transparency and accountability. In response to the findings, we are committed to taking immediate and comprehensive corrective actions to
address the identified issues and enhance the overall effectiveness of our financial aid management. Our team is
already in the process of developing a detailed Corrective Action Plan that will outline the specific steps we will
take to rectify the noted deficiencies. We understand the importance of financial aid in supporting our students'
academic endeavors, and we are dedicated to ensuring that our processes align with the highest standards of
integrity and compliance.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224131; Federal Pell Grant Program, P063P222320; Federal Direct Student Loans, P268K232320; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232320 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $12,259 Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs, and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV
grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title
IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the
payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their
Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period
or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by
subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was
disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student
withdrew (Title 34, CFR, Section 668.22(e)).
The total number of calendar days in a payment period or period of enrollment includes all days within the
payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks
of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the
number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)).
In determining the percentage of the payment period or period of enrollment completed for a student who
withdraws from a program offered in modules, an institution must (1) include all days within the period that the
student was scheduled to complete prior to ceasing attendance and (2) exclude any scheduled breaks of at least
five consecutive days when the student was not scheduled to attend a module or other course offered during that
period of time. Scheduled breaks include both those that take place within and between modules (U.S.
Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 5, Chapter 2).
For a program offered in modules, a student is not considered to have withdrawn if the student successfully
completes any of the following: (1) a module that includes 49 percent or more of the number of days in the
payment period, excluding scheduled breaks of five or more consecutive days and all days between modules; (2)
a combination of modules that together contain 49 percent or more of the number of days in the payment period,
excluding scheduled breaks of five or more consecutive days and all days between modules (Title 34, CFR,
Section 668.22(a)(2)(ii)(A)(2)); or (3) coursework equal to or greater than the coursework required for the
institution’s definition of a half-time student under 34 CFR 668.2(b) for the payment period (U.S. Department of
Education, 2022-2023 Federal Student Aid Handbook, Volume 5, Chapter 1).
An institution must disburse directly to a student any amount of a post-withdrawal disbursement of grant funds
that is not credited to the student's account. The institution must make the disbursement as soon as possible, but
no later than 45 days after the date of the institution's determination that the student withdrew. The institution
must offer to disburse directly to a student, or parent in the case of a parent PLUS loan, any amount of a post withdrawal disbursement of loan funds that is not credited to the student's account. The institution must make a
direct disbursement of any loan funds that make up the post-withdrawal disbursement only after obtaining the
student's, or parent's in the case of a parent PLUS loan, confirmation that the student or parent still wishes to
have the loan funds disbursed (Title 34, CFR, Section 668.22(a)(6)(ii)(B)).
For 58 (97 percent) of 60 students tested, Tarleton State University (University) incorrectly calculated the
amount of Title IV funds to be returned or returned the incorrect amount of funds. Specifically:
• For 56 students, the University did not exclude any break days from the Fall 2022 term as required, and it
incorrectly excluded 5 break days rather than 8 break days from the Spring 2023 term. Those errors occurred
because the University did not load the correct break days into its student information system when setting up
the payment period; therefore, this issue would have affected all students who withdrew from the Fall 2022
and Spring 2023 terms. Additionally:
o For 2 of those 56 students, the University did not identify that the students were eligible to receive
a post-withdrawal disbursement and therefore did not disburse those grant funds or offer to
disburse those loan funds to the students as required.
o For 4 of those 56 students, the University incorrectly determined the number of days in the
payment period or used an incorrect withdrawal date for students enrolled in modules. • For 2 students enrolled in the Summer 2023 term, the University did not follow the return of Title IV
requirements related to modular terms. For one student, the University incorrectly used the number of days in
the full payment period rather than only the days within the period that the student was scheduled to complete
prior to ceasing attendance. For the other student, the University failed to identify that the student successfully
completed coursework equal to or greater than the coursework required for a half-time student and therefore
should not have been considered withdrawn. The University asserted that this error occurred because staff
misinterpreted the half-time withdrawal exemption requirements.
As a result of the errors discussed above, the University returned a total of $1,992 associated with ALN 84.268,
Federal Direct Student Loans, award number P268K232320, and $374 associated with ALN 84.063, Federal Pell
Grant Program, award number P063P222320 less Title IV funds than required for the students tested in the
sample.
In addition, for 10 (17 percent) of 60 students tested who did not have a return of Title IV funds made, the
University did not perform a return calculation as required.
• For 6 students, the University did not exclude break days from its determination of whether the students
completed 60 percent or more of the payment period as required. As a result, the University incorrectly
determined that the students earned their aid and did not return a total of $7,679 associated with ALN 84.268,
Federal Direct Student Loans, award number P268K232320, and $1,053 associated with ALN 84.063,
Federal Pell Grant Program, award number P063P222320 as required.
• For 4 students, the University incorrectly used the number of days in the full payment period in its
determination of whether the students successfully completed 49 percent or more of the number of days in
the payment period. As a result, the University incorrectly determined that the students earned their aid and
did not return a total of $1,161 in questioned costs associated with ALN 84.268, Federal Direct Student
Loans, award number P268K232320 as required.
The errors discussed above occurred because the University did not configure its information system to
accurately calculate returns and because of manual errors that the University made in performing return
calculations. In addition, the University did not have an adequate monitoring process to identify those errors. Not
having a process that consistently calculates and returns the correct amount of Title IV funds increases the risk
that the University could return less Title IV funds than it is required to return.
Recommendations:
The University should:
• Strengthen its controls to ensure that it accurately calculates returns of Title IV funds when required, including
review of the variables it uses in those calculations.
• Accurately determine the number of days in the payment period and configure its student information system
to exclude any scheduled breaks, as required.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in return of Title IV calculations
and returns Title IV funds.
Views of Responsible Officials:
The University has carefully reviewed the findings outlined in the recent financial aid audit report, and we
acknowledge and agree with the identified areas for improvement. Your thorough examination has provided
valuable insights into our financial aid processes, and we appreciate the effort invested in ensuring transparency
and accountability. In response to the findings, we are committed to taking immediate and comprehensive corrective actions to
address the identified issues and enhance the overall effectiveness of our financial aid management. Our team is
already in the process of developing a detailed Corrective Action Plan that will outline the specific steps we will
take to rectify the noted deficiencies. We understand the importance of financial aid in supporting our students'
academic endeavors, and we are dedicated to ensuring that our processes align with the highest standards of
integrity and compliance.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 84.408 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A234136; Federal Work-Study Program, P033A224136; Federal Pell Grant Program, P063P225286; Federal Direct Student Loans, P268K235286; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T235286; and Postsecondary Education Scholarships For Veteran's Dependents (Iraq and Afghanistan Service Grant (IASG)), P408A225286 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: Unknown Repeat Finding: No Satisfactory Academic Progress: A student is eligible to receive Title IV, Higher Education Act of 1965 (HEA) program assistance if the student maintains satisfactory academic progress in his or her course of study according to the institution’s published standards of satisfactory academic progress (SAP) that satisfy the provisions of Title 34, Code of Federal Regulations (CFR), Section 668.34 (Title 34, CFR, Section 668.32(f)). An institution’s SAP policy must include a qualitative component that consists of grades or comparable factors that are measurable against a norm and a quantitative component that consists of the pace at which students must progress through their program to ensure that they will graduate within the maximum time frame required to complete their education (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 1, Chapter 1). For an undergraduate program measured in credit hours, a period that is no longer than 150-percent of the published length of the educational program, as measured in credit hours, should be used to determine the maximum time frame for the quantitative component of SAP (Title 34, CFR, Section 668.34(b)(1)). For 1 (2 percent) of 45 students tested, Texas A&M University (University) did not calculate SAP in accordance with its policy. Specifically, the University did not update the program hours for the Bachelor of Science in Nursing program in its student information system when it changed the program length from 123 hours to 120 hours during the 2017–2018 award year. Therefore, this issue would have affected all students enrolled in the program. As a result, the maximum time frame calculation incorrectly allowed students to exceed the maximum hours without failing SAP. Incorrectly calculating the maximum time frame increases the risk that students could receive financial assistance for which they are not eligible. Recommendation: The University should ensure that the maximum time frame is configured in its student information system with the accurate number of credit hours for each degree program. Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: 2020-113, 2017-119, 2016-109 General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). Texas Southern University (University) did not appropriately restrict user access to its student information system. Specifically, the University did not always ensure that (1) access to modify information and process transactions in the student information system and (2) administrative access at the network level was limited to only current employees and users who needed that access based on their job responsibilities. The University had a process to review user access to its systems; however, it did not always implement changes based on the results of that review. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made to those systems. Recommendation: The University should ensure that user access to its student information system and administrative access to its network is appropriately limited to employees based on current job responsibilities. Views of Responsible Officials: The Office of Technology acknowledges and agrees with the finding.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 93.925 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224145; Federal Work-Study Program, P033A224145; Federal Pell Grant Program, P063P222327; Federal Direct Student Loans, P268K232327; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232327; and Scholarships for Health Professions Students from Disadvantaged Backgrounds – Scholarships for Disadvantaged Students (SDS), 5 T08HP39322-03-00, 5 T08HP39282-03-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: 2020-113, 2017-119, 2016-109 Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). Texas Southern University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate); residency (in-state or out-of-state); living status (on_x0002_campus, off-campus, or with parent); and enrollment level (full-time, three-quarter-time, half-time, or less-than_x0002_half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 7 (11 percent) of 65 students tested, the University incorrectly calculated the COA. Specifically, the University assigned an incorrect amount for books and supplies for these students. Those errors occurred because the University decreased the default amount for the books and supplies budget component but did not update the algorithmic budget table in its student information system to reflect that change. As a result, the COA was overstated by $40 for each of those students. The errors discussed above did not result in overawards of financial assistance; therefore, there were no questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or underawarding financial assistance to students. Federal Pell Grant:
When awarding Federal Pell Grant assistance to students, institutions use the payment and disbursement
schedules provided each year by the U.S. Department of Education for determining award amounts (Title 34,
CFR, Section 690.62(a)). Those schedules provide the maximum annual amount a student would receive for a full
academic year for a given enrollment status, EFC, and COA. There are separate schedules for three-quarter time, half-time, and less-than-half-time students (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 3, Chapter 3; and Title 34, CFR, Section 690.63(b)).
For 2 (3 percent) of 65 students tested who received Federal Pell Grants, the University did not award the
correct amount of Federal Pell Grant assistance. Specifically, the University awarded those students less than
they were eligible to receive. The University did not identify additional credit hours from late registration in the
students’ Federal Pell Grant award determinations. As a result, the students were underawarded a total of $1,544
in Federal Pell Grant assistance.
Federal Direct Student Loans:
A borrower who has reached the aggregate borrowing limit for Direct Subsidized Loans and Direct Unsubsidized
Loans may not receive additional loans. Once the loans are repaid, in full or in part, the borrower may apply for
additional loans. The aggregate unpaid principal amount of all Direct Subsidized Loans made to a student may
not exceed $23,000 for any student who has not successfully completed a program of study at the undergraduate
level (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 5; and Title
34, CFR, Section 685.203(d)(1)).
The University did not always disburse Federal Direct Student Loans in accordance with applicable limits.
Specifically, the University exceeded the aggregate limit for Subsidized Direct Loans. Auditors determined that a
student had been awarded $500 in excess of the aggregate limit of $23,000. The University manually cleared a
hold to enforce the loan limit, without properly reviewing or adjusting the student’s loan. After auditors brought the
overaward issue to the University’s attention, it returned the loan funds; therefore, there were no questioned
costs. However, by not properly reviewing account holds, the University increases the risk of overawarding
financial assistance to students.
Satisfactory Academic Progress:
A student is eligible to receive Title IV, Higher Education Act of 1965 (HEA) program assistance if the student
maintains satisfactory academic progress in his or her course of study according to the institution’s published
standards of satisfactory academic progress (SAP) that satisfy the provisions of Title 34, CFR, Section 668.34
(Title 34, CFR, Section 668.32(f)). An institution’s SAP policy must include a qualitative component that consists
of grades or comparable factors that are measurable against a norm and a quantitative component that consists
of the pace at which students must progress through their program to ensure that they will graduate within the
maximum time frame required to complete their education.
For a graduate program, a period defined by the institution that is based on the length of the educational program
should be used to determine the maximum time frame for the quantitative component of SAP (U.S. Department of
Education, 2022-2023 Federal Student Aid Handbook, Volume 1, Chapter 1; and Title 34, CFR, Section
668.34(b)).
Additionally, an institution’s SAP policy should provide that, if at the time of evaluation, the student has not
achieved the required grade point average, is not successfully completing his or her program of study at the
required pace, or has not completed the program within the maximum time frame, the student is no longer eligible
for Title IV aid. The policy should provide specific procedures for disbursements to students on financial aid
warning or probation status and permit the student to appeal a determination; it should also provide specific
procedures for re-establishing eligibility to receive Title IV aid and the basis on which a student may file an appeal
(Title 34, CFR, Section 668.34(a)). For 1 (2 percent) of 65 students tested, the University did not calculate SAP in accordance with its policy.
The student re-enrolled in the Fall 2022 term after a gap in attendance, and the University did not perform a
manual SAP calculation, which would have shown that the student did not meet the minimum required pace as
defined in the University’s SAP policy. The student would have been required to submit an appeal, and have that
appeal approved, to receive financial assistance. The student was initially overawarded $6,184. Part of the funds
were returned as a result of a Return of Title IV Funds calculation after the student withdrew, and the remaining
funds were returned after auditors brought the issue to the University’s attention. Therefore, there were no
questioned costs.
Not calculating SAP compliance increases the risk that students could receive financial assistance for which they
are not eligible.
Institutional Student Information Records (ISIR):
The U.S. Department of Education automatically distributes (or “pushes”) to institutions certain ISIR transactions
processed by the Central Processing System (CPS); it then requires the institutions to take some sort of action.
An example of a pushed ISIR would be a student-corrected ISIR that causes a change to the EFC. Institutions are
required to review all pushed ISIRs and assess any potential effect on students’ eligibility for assistance
(Technical Reference for Electronic Date Exchange (EDE) 2022-2023).
The University did not have a process to address errors to ensure that all ISIR data was loaded accurately
and completely into its student information system. Specifically, the University did not reconcile records
received from CPS-pushed ISIRs to the University’s student information system records during the Fall 2022 term
and part of the Spring 2023 term. As a result, some eligible students did not receive their financial assistance until
making an inquiry of the University.
Recommendations:
The University should:
• Ensure that it accurately configures COA budget components within its student information system.
• Award students Federal Pell Grant assistance based on actual enrollment.
• Disburse Subsidized Direct Loans within the student’s applicable aggregate limit.
• Ensure that all students are evaluated for Satisfactory Academic Progress prior to disbursing financial
assistance.
• Properly reconcile all records received from CPS-pushed ISIRs.
Views of Responsible Officials:
Cost of Attendance (COA):
The Office of Student Financial Success agrees with the auditor’s findings indicating that 7 of 65 students tested
had an incorrect COA specifically related to the students’ books and supplies portion of the budget.
Views of Responsible Officials:
Federal Pell Grant:
The Office of Student Financial Success agrees with the findings that 2 of 65 students tested were not awarded
the correct amount of Federal Pell grant funds.
Views of Responsible Officials:
Federal Direct Student Loans:
The Office of Student Financial Success agrees with the finding that 1 student did not receive federal student
loans in accordance with applicable limits.
Views of Responsible Officials:
Satisfactory Academic Progress:
The Office of Student Financial Success agrees with the finding that 1 of 65 students did not receive an SAP
calculation in accordance with TSU policy.
Views of Responsible Officials:
Institutional Student Information Records (ISIR):
The Office of Student Financial Success agrees with the finding related to Institutional Student Information
Records.
Special Tests and Provisions – Disbursements To or On Behalf of Students Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224145; Federal Work-Study Program, P033A224145; Federal Pell Grant Program, P063P222327; Federal Direct Student Loans, P268K232327; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232327 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Award and Disbursement Notifications: Before an institution disburses Title IV, Higher Education Act of 1965 (HEA) program funds for any award year, the institution must notify a student of the amount of funds that the student or his or her parent can expect to receive under each Title IV, HEA program, and how and when those funds will be disbursed. If those funds include Direct Loan program funds, the notice must indicate which funds are from subsidized loans, which are from unsubsidized loans, and which are from PLUS loans (Title 34, Code of Federal Regulations (CFR), Section 668.165(a)(1)). If an institution credits a student’s ledger account with Federal Direct Student Loan (Direct Loan) funds or Teacher Education Assistance for College and Higher Education (TEACH) Grant funds, the institution must notify the student or parent of (1) the anticipated date and amount of the disbursement, (2) the student’s or parent’s right to cancel all or a portion of that loan or grant and have the loan or grant proceeds returned to the U.S. Department of Education, and (3) the procedures and time by which the student or parent must notify the institution that he or she wishes to cancel the loan or grant, or loan or grant disbursement (Title 34, CFR, Section 668.165(a)(2)). The institution must provide the notice in writing no earlier than 30 days before, and no later than 30 days after, crediting the student’s ledger account at the institution (Title 34, CFR, Section 668.165(a)(3)). For 61 (100 percent) of 61 disbursements tested, Texas Southern University (University) did not send an award or disbursement notification as required. The University asserted it did not send award notifications to students because it relied on the Common Origination and Disbursement (COD) Disclosure Statements sent by the Department of Education. However, the COD Disclosure Statements did not include all required elements of the award notification. In addition, the University did not consistently send disbursement notifications for the Fall 2022 term, and did not send any disbursement notifications for the Spring 2023 term. The issues with disbursement notifications were attributed to both manual error and disabling of the University’s automated processes. Further, the disbursement notifications that were sent for the Fall 2022 term did not include all required elements. Not receiving award and disbursement notifications impairs students’ and parents’ ability to budget for the cost of attending or exercise the option to cancel their loans or grants. Allowable Charges and Credit Balance Authorizations:
An institution may credit a student's ledger account with Title IV, HEA program funds to pay for allowable charges
associated with the current payment period. Allowable charges are: (1) the amount of tuition, fees, and
institutionally provided room and board assessed the student for the payment period or the prorated amount of
those charges if the institution debits the student's ledger account for more than the charges associated with the
payment period; and (2) the amount incurred by the student for the payment period for purchasing books,
supplies, and other educationally related goods and services provided by the institution for which the institution
obtains the student's or parent's authorization under Section 668.165(b) (Title 34, CFR, Section 668.164(c)(1)).
A Title IV, HEA credit balance occurs whenever the amount of Title IV, HEA program funds credited to a student's
ledger account for a payment period exceeds the amount assessed the student for allowable charges associated
with that payment period. A Title IV, HEA credit balance must be paid directly to the student or parent as soon as
possible, but no later than (1) fourteen days after the balance occurred if the credit balance occurred after the first
day of class within a payment period; or (2) fourteen days after the first day of class of a payment period if the
credit balance occurred on or before the first day of class within that payment period (Title 34, CFR, Section
668.164(h)).
If an institution obtains written authorization from a student or parent, as applicable, the institution may: (1) use
the student’s or parent’s Title IV, HEA program funds to pay for charges that are included in that authorization,
and (2) hold on behalf of the student or parent any Title IV, HEA program funds that would otherwise be paid
directly to the student or parent as a credit balance, unless the Secretary provides funds to the institution under
the reimbursement payment method or the heightened cash monitoring payment method (Title 34, CFR, Section
668.165(b)(1)).
An institution may not use Title IV funds to pay finance charges or fees that are incurred because a student uses
a financing method provided by the school to pay for educational expenses over time. Because students or
families choose to incur these additional expenses rather than paying the balance due at registration, the
additional charges are not considered educational expenses, and may not be included in a student’s cost of
attendance. (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 2).
For 8 (13 percent) of 61 students tested, the University used Title IV funds to pay unallowable charges.
Specifically, the University credited the students’ ledger accounts during the payment period for installment
handling charges and late installment charges. Although the University obtained authorization from the students
to apply Title IV funds to charges other than tuition, fees, or institutionally provided room and board, that
authorization did not extend to those unallowable charges.
For 6 (11 percent) of 57 students tested, the University did not return credit balances to students or
parents within 14 days of the disbursement date or first day of class. Specifically, the University returned
credit balances to those students between 21 and 78 days. The University asserted those errors were caused by
changes to the term allocations, and inadequate tracking of credit balances and associated refunds.
Not receiving all Title IV funds a student is entitled to, or not receiving those funds in a timely manner, impairs
students’ and parents’ ability to budget for the cost of attending.
Recommendations:
The University should strengthen its controls to ensure that:
• It identifies all students that require an award or disbursement notification, and sends those notifications to the
students.
• Award and disbursement notifications include all required elements.
• It does not credit student ledger accounts for unallowable charges.
• Credit balances caused by the awarding of Title IV funds are returned to students in a timely manner.
Views of Responsible Officials:
Award and Disbursement Notifications:
The Office of Student Financial Success agrees with the finding related to award and disbursement notifications.
Views of Responsible Officials:
Allowable Charges and Credit Balance Authorizations:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224145; Federal Pell Grant Program, P063P222327; Federal Direct Student Loans, P268K232327; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232327 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs, and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). For 8 (13 percent) of 61 students tested, Texas Southern University (University) incorrectly calculated the amount of Title IV funds to be returned for unofficially withdrawn students. Specifically, those 8 students were enrolled in the Fall 2022 term, and the University did not use the last date of attendance identified in the University’s automated report process. For return of Title IV funds, the University uses an automated report process to identify students who have unofficially withdrawn from a term; however, that process was inconsistently followed or not completed in determining the students’ withdrawal dates. The incorrect withdrawal dates used by the University were prior to the students’ actual withdrawal dates, which resulted in the University returning more Title IV funds than required for those students; therefore, there were no questioned costs. Those errors occurred because the University did not have an adequate process to determine the withdrawal dates of students who unofficially withdrew from the University. Timeliness of Returns:
For an institution that is not required to take attendance, the institution must determine the withdrawal date for a
student who withdraws without providing notification to the institution no later than 30 days after the earliest end
date of (1) the payment period or period of enrollment, (2) the academic year in which the student withdrew, or (3)
the educational program from which the student withdrew (Title 34, CFR, Section 668.22(j)(2)).
An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later
than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section
668.22(j)).
For 35 (57 percent) of 61 students tested who withdrew and required a return of Title IV funds, the
University did not return the funds within the required time frame. Specifically:
• For 23 students who unofficially withdrew in the Fall 2022 term, the University did not determine the
withdrawal date within the required 30-day time frame, nor did it return the Title IV funds within the required
45-day time frame. The University determined the withdrawal date and returned the Title IV funds at the end
of the Spring 2023 term.
• For 9 students who unofficially withdrew in the Spring 2023 term, the University did not determine the
students’ withdrawal date within the required 30-day time frame. The University determined the withdrawal
date for those students between 31 and 52 days after the end of the period of enrollment.
• For 3 students who withdrew in the Fall 2022 term, the University determined the withdrawal dates and
performed the return calculations; however, it did not return the Title IV funds within the required 45-day time
frame. The University asserted that for two students, this was due to an oversight in processing the return of
those funds. The University returned the funds for those two students 71 and 115 days after it determined that
the students withdrew. For the third student, the University completed a return calculation but did not return
the funds as required. After auditors brought this error to the University’s attention, the University returned the
funds to the U.S. Department of Education; therefore, there were no questioned costs.
Those errors occurred because the University did not have an effective monitoring process to identify those errors
and because of manual errors the University made in performing the return calculations. Not making returns
within the required time frame reduces the funds available to the U.S. Department of Education for its program
management.
Recommendations:
The University should:
• Strengthen its process to ensure that it accurately determines the withdrawal date for students who
unofficially withdraw from the University in a timely manner.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in return of Title IV calculations
and returns Title IV funds in a timely manner.
Views of Responsible Officials:
Return of Title IV Calculations:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Views of Responsible Officials:
Timeliness of Returns:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Gramm-Leach-Bliley Act - Student Information Security Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Gramm-Leach-Bliley Act: Institutions must protect sensitive data, including information obtained in support of the administration of federal student financial assistance programs, as required by the Gramm-Leach-Bliley Act (GLBA) (Public Law 106-102). Under their Program Participation Agreement (PPA) and the GLBA, postsecondary educational institutions must protect student financial aid information, with particular attention to information provided by the Department of Education or otherwise obtained in support of the administration of the Title IV Federal student financial aid programs (Dear Colleague Letter, July 1, 2016 (GEN-16-12)). Institutions are required to develop, implement, and maintain an information security program that includes the minimum elements in Title 16, Code of Federal Regulations (CFR), Section 314.4. In addition, the institution must designate a qualified individual responsible for overseeing, implementing, and enforcing the institution’s information security program (Title 16, CFR, Section 314.4(a)). Texas Southern University (University) did not implement an information security program as required by the GLBA. The University did not have a written information security program (and therefore did not address any of the minimum elements), and it did not designate a Qualified Individual responsible for implementing and monitoring its information security program. The University asserted that this was due to significant staffing issues in its Information Technology Department. Not implementing the required safeguards in an information security program and designating a Qualified Individual to implement and enforce those safeguards increases the University’s risk of data breach or loss. Recommendations: The University should: • Develop and implement an information security program that contains all elements required by the GLBA and the Code of Federal Regulations. • Designate a Qualified Individual responsible to implement and monitor its information security program. Views of Responsible Officials: Gramm-Leach-Bliley Act: The University acknowledges and agrees with the findings.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; 84.408; and 93.925 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224122; Federal Work-Study Program, P033A224122; Federal Pell Grant Program, P063P220387; Federal Direct Student Loans, P268K230387; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T230387; Postsecondary Education Scholarships For Veteran's Dependents (Iraq and Afghanistan Service Grant (IASG)), P408A220387; and Scholarships for Health Professions Students from Disadvantaged Backgrounds - Scholarships for Disadvantaged Students (SDS), 5 T08HP39298-03-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, CFR, Sections 668.2, 673.5, and 685.301). Texas State University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate); residency (in-state or out-of-state); housing status (on_x0002_campus, off-campus, or living with parent); and enrollment status (full-time, three-quarter-time, half-time, or less_x0002_than-half-time). Budgeting rules within the University’s student financial assistance system are established to assign various budget components based on the factors noted above. For 1 (2 percent) of 44 students tested, the University incorrectly calculated the COA. Specifically, the University assigned a less-than-half-time COA when the student was enrolled full-time. As a result, the student’s COA was understated by $9,545. After auditors brought the issue to the University’s attention, it identified a total of 84 total students who were affected, including 56 students who received Title IV financial assistance. Those errors occurred because the University did not recalculate the COA for students in the Pathway program after enrollment was finalized for the Spring 2023 term. The errors discussed above did not result in overawards of financial assistance; therefore, there were no
questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or
underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets for the
Pathway program in accordance with its process.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). Texas Tech University (University) did not appropriately restrict user access to its student information system. Specifically, the University did not always limit access to the student information system to only users who needed that access based on their job responsibilities. While the University had a process in place to review user access, that process was not adequately designed to ensure that the University granted the appropriate level of access to all users based on the users’ job duties. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. Recommendation: The University should ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. Views of Responsible Officials: Texas Tech University acknowledges and agrees with the findings. Texas Tech University has worked to develop and implement corrective action to further improve processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; 84.379; and 84.408 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224151; Federal Pell Grant Program, P063P222328; Federal Direct Student Loans, P268K232328; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232328; and Postsecondary Education Scholarships For Veteran's Dependents (Iraq and Afghanistan Service Grant (IASG)), P408A222328 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: Unknown Repeat Finding: No When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV
grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title
IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the
payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their
Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period
or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by
subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was
disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student
withdrew (Title 34, CFR, Section 668.22(e)).
For distance education, documenting that a student has logged into an online class is not sufficient to
demonstrate academic attendance by the student. An institution must demonstrate that a student participated in
class or was otherwise engaged in an academically related activity. Only active participation by a student in an
instructional activity related to the student’s course of study that meets the definition of “academic engagement” in
Title 34, CFR, Section 600.2 and takes place during a payment period or period of enrollment qualifies as
attendance in an academically related activity (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 5, Chapter 2).
For 1 (5 percent) of 20 students tested, Texas Tech University (University) did not have evidence of
academic engagement in the distance education course from which the student’s withdrawal date was
determined. The University asserted that when an instructor submits a failing grade for a student, the instructor is
required to provide the date of last academic activity. That date is recorded in the University’s student information
system and used by the University to determine the unofficial withdrawal date for Return of Title IV purposes.
However, the University did not have a process in place to require instructors to provide or maintain evidence of
academic engagement in distance education courses. As a result, the University could not demonstrate that the
student participated or otherwise engaged in an academically related activity in that course to support the last
date of attendance used by the University for Return of Title IV purposes.
Having a process that does not consistently calculate and return the correct amount of Title IV funds increases
the risk that the University could return less Title IV funds than it is required to return.
Recommendations:
The University should:
• Ensure that evidence of academic engagement is consistently documented for students in distance education
courses.
• Strengthen its controls to ensure that it accurately calculates returns of Title IV funds when required, including
review of the variables it uses in those calculations.
Views of Responsible Officials:
Texas Tech University acknowledges and agrees with the findings. Texas Tech University has worked to develop
and implement corrective action to further improve processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: 2020-142 General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). The University of Texas at Arlington (University) did not appropriately restrict user access to its student information system. Specifically, a user was granted administrative access in the student information system, which included the ability to modify information and process transactions, such as authorizing and disbursing aid. The University did not remove the administrative access after the user’s specific job responsibilities no longer required that level of access. The University had a process to periodically review user access; however, that review was not sufficient to identify the inappropriate access. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. Recommendation: The University should ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. Views of Responsible Officials: To the point that The University of Texas at Arlington (University) did not appropriately restrict user access to its student information system. OIT and Financial Aid acknowledge that a user was given elevated access that was not removed when the assigned maintenance task was completed.
Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222335; Federal Direct Student Loans, P268K232335; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232335 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No COD Reporting: Institutions must submit Federal Pell Grant, Iraq and Afghanistan Service Grant, Direct Loan, and Teacher Education Assistance for College and Higher Education (TEACH) Grant disbursement records to the Common Origination and Disbursement (COD) system no later than 15 days after making the disbursement or becoming aware of the need to adjust a previously reported disbursement. Reporting this information helps ensure that institutions have the most accurate information available about students’ federal awards and helps prevent an institution from overawarding students (Title 34, Code of Federal Regulations (CFR), Section 690.83(b); U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 1; and Federal Register, Volume 88, Number 120). Certain data elements are required to be reported as part of a student’s origination and disbursement record, including the student’s Social Security number, Central Processing System (CPS) transaction number, enrollment date, cost of attendance, the start and end dates for the academic term, disbursement amount, and disbursement date (2022-2023 COD Technical Reference, Volume II). For 5 (8 percent) of 61 students tested, the University of Texas at Arlington (University) did not accurately
report all origination record data elements to the COD system. Two of those students had both errors
discussed below. Specifically,
• For four students, the University reported an incorrect academic end date for one or more Direct Loan
originations made on behalf of the students during the award year.
• For three students, the University reported an incorrect cost of attendance for one or more Federal Pell Grant
and/or Direct Loan originations made on behalf of the students during the award year.
The University asserted that its developer was unable to identify the specific cause of these errors, but
determined that the errors were related to an automated process rather than a manual change. In addition, the
University did not have a sufficient monitoring process in place to identify those discrepancies. Not accurately
reporting information to the COD system could result in the institution overawarding federal funds.
Recommendation:
The University should strengthen its controls to ensure that academic end dates and cost of attendance are
reported to the COD system accurately.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224174; Federal Work-Study Program, P033A224174; Federal Pell Grant Program, P063P223234; Federal Direct Student Loans, P268K233234; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233234 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, CFR, Sections 668.2, 673.5, and 685.301). The University of Texas at Dallas (University) established different COA budgets for each term based on a student’s tuition rate (guaranteed or variable); classification (undergraduate or graduate); residency (in-state and out-of-state); living status (on-campus, off-campus, or at home); and enrollment level (full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting formulas within the University’s student information system are used to assign various budget components based on the factors noted above. The University did not always accurately configure COA budget components in its student information system. Specifically, the University incorrectly set the Summer transportation budget for a certain group of students—undergraduate students with a guaranteed tuition rate who were in-state residents living at home and enrolled half-time—to $640 instead of $928. After auditors brought the issue to the University’s attention, it identified 299 students who were affected. As a result, the COA for those students was understated by a total of $86,112 for the Summer 2023 term. The errors discussed above did not result in overawards of financial assistance; therefore, there were no questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or underawarding financial assistance to students. Recommendation:
The University should ensure that it accurately configures COA budget components within its student information
system.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
While reviewing the population for submission to the auditors, the University determined that the above error had
occurred. Since the timing was still within the summer semester, we corrected the COA component error and
provided institutional grant funding for those students who had increased need due to the update in their summer
transportation budget. There were only 2 students who needed to have their loans repackaged to avoid under
awarding federal aid, which was done.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224169; Federal Pell Grant Program, P063P223294; Federal Direct Student Loans, P268K233294; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233294 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $64,905 Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). The total number of calendar days in a payment period or period of enrollment includes all days within the payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)). The University of Texas at San Antonio (University) made errors in Title IV return calculations for 14 (56 percent) of 25 students tested. Those errors occurred because the University did not exclude break days from its calculations of returns of Title IV funds for the Spring 2023 term as required; therefore, that issue would have affected all students who withdrew from the Spring 2023 term and had a return calculation performed. Although the amount of unearned Title IV assistance calculated for those students was incorrect, there were no questioned costs because the University returned more funds than required. In addition, for 3 (12 percent) of 25 students tested who did not have a return of Title IV funds made, the
University did not perform a return calculation as required. Those errors occurred because the University
incorrectly used 7 break days instead of 8 break days when determining whether students who withdrew from the
Spring 2023 term had completed 60 percent or more of the term. As a result, the University did not perform return
calculations and return funds as required for students who withdrew between March 26 and March 28, 2023,
which resulted in total questioned costs of $50,146 associated with ALN 84.268, Federal Direct Student Loans,
award number P268K233294, and $14,759 associated with ALN 84.063, Federal Pell Grant Program, award
number P063P223294.
The University did not have an adequate monitoring process to identify those errors. Not having a process that
consistently calculates and returns the correct amount of Title IV funds increases the risk that the University could
return less Title IV funds than it is required to return.
Recommendations:
The University should:
• Accurately determine the number of days in the payment period and exclude any scheduled breaks as
required.
• Strengthen its controls to ensure that it detects and corrects errors in return of Title IV calculations and returns
Title IV funds.
Views of Responsible Officials:
The University acknowledges and agrees with the finding that were the result of staff turnover. Through analysis
of the exceptions identified in the audit, the University has worked to develop and implement corrective action.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). The University of Texas Permian Basin (University) did not appropriately restrict user access to its student information system. Specifically, the University did not always limit access to the student information system to only users who needed that access based on their job responsibilities. The University had a process to periodically review user access; however, that review was not sufficient to identify the inappropriate access. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. Recommendation: The University should ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. Views of Responsible Officials: The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the audit, the University has worked to implement further access limitations and enhanced its periodic review of access.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224178; Federal Work-Study Program, P033A224178; Federal Pell Grant Program, P063P223265; Federal Direct Student Loans, P268K233265; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233265 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). The University of Texas Permian Basin (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate), program (in-person or online), residency (in_x0002_state or out-of-state), living status (on-campus, off-campus, or at home with parents), and enrollment level (full_x0002_time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 60 (98 percent) of 61 students tested, the University incorrectly calculated the COA. For some of the students discussed below, there were multiple errors in the COA calculation. Specifically: • For 38 students, the University assigned an incorrect amount for the fees, loan fees, and/or transportation budget components. Those errors occurred because the amounts were incorrectly loaded into the budget tables in the University’s student information system. The University asserted that it discovered these issues in April 2023, and attempted to manually update individual student accounts that were affected. As a result, the COA for those students was overstated, and three students were overawarded a total of $2,871. After auditors brought the overawards to the University’s attention, it returned funds to the U.S. Department of Education; therefore, there were no questioned costs. • For 15 students, the University assigned an in-person budget instead of an online advanced budget. Those
errors occurred because the University failed to consistently communicate which programs were offered
online to the financial aid office, which would have helped ensure that the student information system was
updated appropriately. As a result, the COA for those students was overstated, and one of those students
was overawarded a Subsidized Direct Loan in the amount of $919. After auditors brought the overaward to
the University’s attention, it returned funds to the U.S. Department of Education; therefore, there were no
questioned costs.
• For 12 students, the University incorrectly assigned an additional room and board fee. As a result, the COA
was overstated by $50 per term for each of those students; however, the University did not overaward
financial assistance to those students.
• For eight students, the University did not adjust the students’ COA to reflect the students’ actual enrollment.
The University did not have a process to freeze student enrollment levels in order to recalculate COA after
census. As a result, the COA for those students was overstated; however, the University did not overaward
financial assistance to those students.
The University did not have adequate controls in place to review budgets used in the calculation of COA and
accurately assign those budgets to students. Incorrectly calculating COA increases the risk of overawarding or
underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets in
accordance with its process and does not overaward financial assistance to students.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University has worked to implement additional controls as it relates to calculation of the Cost of
Attendance.
Special Tests and Provisions – Disbursements To or On Behalf of Students Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Direct Student Loans, P268K233265; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233265 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Award and Disbursement Notifications: Before an institution disburses Title IV, Higher Education Act of 1965 (HEA) program funds for any award year, the institution must notify a student of the amount of funds that the student or his or her parent can expect to receive under each Title IV, HEA program, and how and when those funds will be disbursed. If those funds include Direct Loan program funds, the notice must indicate which funds are from subsidized loans, which are from unsubsidized loans, and which are from PLUS loans (Title 34, Code of Federal Regulations (CFR), Section 668.165(a)(1)). If an institution credits a student’s ledger account with Federal Direct Student Loan (Direct Loan) funds or Teacher Education Assistance for College and Higher Education (TEACH) Grant funds, the institution must notify the student or parent of (1) the anticipated date and amount of the disbursement, (2) the student’s or parent’s right to cancel all or a portion of that loan or grant and have the loan or grant proceeds returned to the U.S. Department of Education, and (3) the procedures and time by which the student or parent must notify the institution that he or she wishes to cancel the loan or grant, or loan or grant disbursement (Title 34, CFR, Section 668.165(a)(2)). The institution must provide the notice in writing no earlier than 30 days before, and no later than 30 days after, crediting the student’s ledger account at the institution (Title 34, CFR, Section 668.165(a)(3)). For 9 (15 percent) of 61 disbursements tested, the University of Texas Permian Basin (University) did not send a disbursement notification as required. Specifically, those nine students received Direct Loan disbursements, and the University did not send disbursement notifications because the University’s automated process used to identify and send disbursement notifications to students was not configured to include students whose disbursements were made manually within the student information system. The University asserted that it identified this issue in May 2023 and corrected the process in its student information system, but did not retroactively send the missing disbursement notifications for the Fall 2022 or Spring 2023 term. In addition, the University did not have a process in place to send award or disbursement notifications to TEACH Grant recipients. This error occurred because the University’s automated processes used to identify and send award and disbursement notifications to students was not configured to include TEACH Grants. The University asserted that it identified this issue in May 2023 and corrected the processes in its student information system, but it did not retroactively send missing disbursement notifications for the Fall 2022 or Spring 2023 term. Not receiving award and disbursement notifications impairs students’ and parents’ ability to budget for the cost of attending or exercise the option to cancel their loans or grants. Recommendation: The University should strengthen its controls to ensure that it identifies all students that require an award or disbursement notification, and sends those notifications to the students. Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University has worked to ensure that disbursement notifications for Federal Direct Loans and TEACH
grants go out to all applicable students.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224178; Federal Pell Grant Program, P063P223265; Federal Direct Student Loans, P268K233265; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T233265 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs, and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). The total number of calendar days in a payment period or period of enrollment includes all days within the
payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks
of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the
number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)).
For a program offered in modules, a student is not considered to have withdrawn if the student successfully
completes either (1) a module that includes 49 percent or more of the number of days in the payment period,
excluding scheduled breaks of five or more consecutive days and all days between modules; or (2) a combination
of modules that together contain 49 percent or more of the number of days in the payment period, excluding
scheduled breaks of five or more consecutive days and all days between modules (Title 34, CFR, Section
668.22(a)(2)(ii)(A)(2)).
For 3 (6 percent) of 48 students tested who did not have a return of Title IV funds made, the University of
Texas Permian Basin (University) did not perform a return calculation as required. Specifically:
• For two students who were enrolled in module courses, the University did not perform a return calculation
because it incorrectly determined that the students completed 49 percent or more of the number of days in
the payment period. The University asserted that staff misinterpreted the 49 percent withdrawal exemption
requirements.
• For one student, the University did not perform a return calculation and return funds as required due to staff
oversight.
After auditors brought those errors to the University’s attention, the University performed the return calculations
and returned the funds to the U.S. Department of Education; therefore, there were no questioned costs.
In addition, the University made errors in Title IV return calculations for 11 (48 percent) of 23 students
tested. Specifically, the University did not exclude any break days from the students’ return calculations as
required. Those errors occurred because the University did not load the break days into its student information
system when setting up the payment periods for the standard Fall 2022 and Spring 2023 terms; therefore, this
issue would have affected all students who withdrew from those terms. As a result, the University returned a total
of $284 less than it should have for 2 of those 11 students. After auditors brought the issue to the University’s
attention, the University returned those funds to the U.S. Department of Education; therefore, there were no
questioned costs.
• For 3 of those 11 students, the University also incorrectly adjusted the students’ Direct Loans disbursements
prior to performing the return calculation. As a result of those errors, the University returned more funds than
required; therefore, there were no questioned costs.
The University did not have an adequate monitoring process to identify the errors discussed above. Not having a
process that consistently calculates and returns the correct amount of Title IV funds increases the risk that the
University could return less Title IV funds than it is required to return.
Timeliness of Returns:
An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later
than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section
668.22(j)).
For 3 (13 percent) of 23 students tested who withdrew and required a return of Title IV funds, the
University did not return the funds within the required time frame. The University returned the Title IV funds
to the U.S. Department of Education 46 and 203 days after the University determined that the students withdrew.
The University did not have adequate controls in place to ensure that Title IV funds were returned within the
required 45-day time frame. Not making returns within required time frames reduces the funds available to the U.S. Department of Education
for its program management.
Recommendations:
The University should:
• Configure its student information system to exclude any scheduled breaks as required.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in return of Title IV calculations
and returns Title IV funds in a timely manner.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University has worked to ensure procedures and interpretation of the regulations for the Return to Title
IV have been updated to result in correct and timely return of Title IV funds.
Special Tests and Provisions – Disbursement To or On Behalf of Students Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Pell Grant Program, P063P222333; Federal Direct Student Loans, P268K232333; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232333 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Allowable Charges: An institution may credit a student's ledger account with Title IV, Higher Education Act of 1965 (HEA) program funds to pay for allowable charges associated with the current payment period. Allowable charges are: (1) the amount of tuition, fees, and institutionally provided room and board assessed the student for the payment period or the prorated amount of those charges if the institution debits the student's ledger account for more than the charges associated with the payment period; and (2) the amount incurred by the student for the payment period for purchasing books, supplies, and other educationally related goods and services provided by the institution for which the institution obtains the student’s or parent’s authorization under Section 668.165(b) (Title 34, Code of Federal Regulations (CFR), Section 668.164(c)(1)). If an institution obtains written authorization from a student or parent, as applicable, the institution may: (1) use the student’s or parent’s Title IV, HEA program funds to pay for charges that are included in that authorization, and (2) hold on behalf of the student or parent any Title IV, HEA program funds that would otherwise be paid directly to the student or parent as a credit balance, unless the Secretary provides funds to the institution under the reimbursement payment method or the heightened cash monitoring payment method (Title 34, CFR, Section 668.165(b)(1)). An institution may not use Title IV funds to pay finance charges or fees that are incurred because a student uses a financing method provided by the school to pay for educational expenses over time. Because students or families choose to incur these additional expenses rather than paying the balance due at registration, the additional charges are not considered educational expenses, and may not be included in a student’s cost of attendance. (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 2). For 13 (21 percent) of 62 students tested, the University of Houston (University) used Title IV funds to pay unallowable charges. Some of those students were affected by both errors discussed below. Specifically: • For eight students, the University credited student ledger accounts during the payment period for unallowable charges unrelated to tuition, fees, or institutionally provided room and board. The unallowable finance charges paid with Title IV funds included various fees (credit card processing, severance of service, installment origination, and late fees), and various loan charges. Those charges are unallowable whether the University obtains student or parent authorization or not. The University asserted it is conducting a comprehensive review of all charges to determine allowability for Title IV funds. • For eight students, the University credited student ledger accounts during the payment period for charges other than tuition, fees, or institutionally provided room and board without obtaining the authorization of the student or parent. The unallowable charges paid with Title IV funds included various parking and garage related fees, meal plan tax charges, and book loan university fund charges. Those errors occurred because the University did not have a process to obtain written authorization from a student or parent to apply Title IV funds to charges other than tuition, fees, and institutionally provided room and board. Not receiving all Title IV funds a student is entitled to impairs students’ and parents’ ability to budget for the cost
of attending.
Recommendations:
The University should strengthen its controls to ensure that:
• It does not credit student ledger accounts for unallowable charges.
• It obtains written authorization from students or parents prior to crediting student ledger accounts for certain
charges.
Views of Responsible Officials:
The University acknowledges and agrees with the findings. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224166; Federal Pell Grant Program, P063P222333; Federal Direct Student Loans, P268K232333; and Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232333 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Return of Title IV Calculations: When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew (Title 34, CFR, Section 668.22(e)). The institution must return the lesser of the total amount of unearned Title IV assistance calculated above or an amount equal to the total institutional charges incurred by the student for the payment period or period of enrollment multiplied by the percentage of Title IV grant or loan assistance not earned by the student. For purposes of this calculation, “institutional charges” are tuition, fees, room and board (if the student contracts with the institution for the room and board), and other educationally related expenses assessed by the institution (Title 34, CFR, Section 668.22(g)). The institutional charges used in the calculation are usually the charges that were initially assessed to the student for the entire payment period or period of enrollment, as applicable. Initial charges may be adjusted only by those changes the institution made prior to the student’s withdrawal, such as a change in enrollment status unrelated to the withdrawal (U.S. Department of Education, 2022- 2023 Federal Student Aid Handbook, Volume 5, Chapter 1, Section: Institutional Charges). The University of Houston (University) made errors in Title IV return calculations for 18 (30 percent) of 60
students tested. Specifically:
• For 15 students, the University made errors in determining the amount of institutional charges to be used in
the return calculation by including unallowable charges in its calculation for those students.
• For two students, the University returned the incorrect amount of Title IV funds due to manual entry errors.
For one of those students, the University also incorrectly included unallowable charges in the student’s return
calculation as discussed above.
• For one student, the University incorrectly canceled the student’s Federal Pell Grant award before its
calculation. The University asserted that was due to a processing error in its student information system.
There were no questioned costs as a result of those errors because for each student the University returned more
than the required amount or the error did not affect the amount of Title IV grant or loan assistance to be returned.
Distance Education:
For distance education, documenting that a student has logged into an online class is not sufficient to
demonstrate academic attendance by the student. An institution must demonstrate that a student participated in
class or was otherwise engaged in an academically related activity. Only active participation by a student in an
instructional activity related to the student’s course of study that meets the definition of “academic engagement” in
Title 34, CFR, Section 600.2 and takes place during a payment period or period of enrollment qualifies as
attendance in an academically related activity (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 5, Chapter 2).
For 1 (7 percent) of 14 students tested, the University did not have evidence of academic engagement in
the distance education course from which the student’s withdrawal date was determined. The University
relies on the last dates of academic activity provided by instructors to determine the withdrawal date for return of
Title IV purposes for students who unofficially withdraw. However, the University did not have an adequate review
process in place to ensure that it maintained documentation supporting attendance in distance education courses.
As a result, the University could not demonstrate that the student participated or otherwise engaged in an
academically related activity in that course to support the last date of attendance used by the University for return
of Title IV purposes.
The University did not have an adequate monitoring process to identify the errors discussed above. Not having a
process that consistently calculates and returns the correct amount of Title IV funds increases the risk that the
University could return the incorrect amount of Title IV funds.
Recommendations:
The University should:
• Calculate institutional charges in accordance with U.S. Department of Education requirements.
• Ensure that evidence of academic engagement is consistently documented for students in distance education
courses.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in its calculation of Title IV
funds to return. Views of Responsible Officials:
The University acknowledges and agrees with the findings. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions - Gramm-Leach-Bliley Act - Student Information Security Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Gramm-Leach-Bliley Act: Institutions must protect sensitive data, including information obtained in support of the administration of federal student financial assistance programs, as required by the Gramm-Leach-Bliley Act (GLBA) (Public Law 106-102). Under their Program Participation Agreement (PPA) and the GLBA, postsecondary educational institutions must protect student financial aid information, with particular attention to information provided by the Department of Education or otherwise obtained in support of the administration of the Title IV Federal student financial aid programs (Dear Colleague Letter, July 1, 2016 (GEN-16-12)). Institutions are required to develop, implement, and maintain an information security program that includes the minimum elements in Title 16, Code of Federal Regulations (CFR), Section 314.4. Those minimum requirements include conducting a periodic inventory of data, noting where it is collected, stored, or transmitted (Title 16, CFR, Section 314.4(c)(1)). In addition, the institution must designate a qualified individual responsible for overseeing, implementing, and enforcing the institution’s information security program (Title 16, CFR, Section 314.4(a)). The University of Houston’s (University) information security program did not address the implementation of all minimum safeguards as required by the GLBA. Specifically, while the University had designated a Qualified Individual to coordinate its information security program and had a written information security program in place, that program did not meet the requirements for conducting a periodic inventory of data. Not implementing all required safeguards in its information security program increases the University’s risk of data breach or loss. Recommendation:
The University should ensure that all elements required by the GLBA are documented and implemented in its
information security program.
Views of Responsible Officials:
The University acknowledges and agrees with the findings. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Reporting
Federal Agency: U.S. Department of Education
Federal Program Title: Student Financial Assistance Cluster
Assistance Listing Number: 84.063; and 84.379
Pass-Through Agency: N/A
Award Number: Federal Pell Grant Program, P063P222293; and Teacher Education
Assistance for College and Higher Education Grants (TEACH),
P379T232293
Award Period: July 1, 2022, to June 30, 2023
Statistically Valid Sample: No and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency and Noncompliance
Questioned Costs: None
Repeat Finding: No
COD Reporting:
Institutions must submit Federal Pell Grant, Iraq and Afghanistan Service Grant, Direct Loan, and Teacher
Education Assistance for College and Higher Education (TEACH) Grant disbursement records to the Common
Origination and Disbursement (COD) system no later than 15 days after making the disbursement or becoming
aware of the need to adjust a previously reported disbursement. Reporting this information helps ensure that
institutions have the most accurate information available about students’ federal awards and helps prevent an
institution from overawarding students (Title 34, Code of Federal Regulations (CFR), Section 690.83(b); U.S.
Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 1; and Federal Register,
Volume 88, Number 120). Certain data elements are required to be reported as part of a student’s origination and
disbursement record, including the student’s Social Security number, Central Processing System (CPS)
transaction number, enrollment date, disbursement amount, and disbursement date (2022-2023 COD Technical
Reference, Volume II).
For 2 (3 percent) of 63 students tested, the University North Texas (University) did not accurately report
all disbursement record data elements to the COD system. Specifically:
• For one student, the University reported an incorrect disbursement date for two TEACH disbursements made
to the student during the award year. The University’s process is to manually report TEACH Grant awards on
COD’s website; the incorrect disbursement dates reported were a result of manual entry errors made during
that process.
• For one student, the University reported an incorrect disbursement date for one Federal Pell Grant
disbursement made to the student during the award year. The University asserted that error occurred
because the student’s record had to be manually updated after being rejected by the COD system for a
missing value.
The incorrect disbursement dates ranged from 78 days prior to 74 days after the actual funds were disbursed to
the students. The University did not have a sufficient process to review the manual data entries for accuracy. Not
accurately reporting information to the COD system could result in the institution overawarding federal funds.
Recommendation:
The University should strengthen its controls to ensure that disbursement dates are reported to the COD system
accurately.
Views of Responsible Officials:
The University acknowledges and agrees with the findings regarding the accuracy of reporting disbursements in
the Common Origination and Disbursement (COD) system. The University recognizes the importance of
accurately reporting disbursements in the COD system and will work accordingly to ensure manual entries are
entered with accurate information.
Special Tests and Provisions – Return of Title IV Funds
Federal Agency: U.S. Department of Education
Federal Program Title: Student Financial Assistance Cluster
Assistance Listing Number: 84.007; 84.063; 84.268; and 84.379
Pass-Through Agency: N/A
Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG),
P007A224085; Federal Pell Grant Program, P063P222293; Federal Direct
Student Loans, P268K232293; and Teacher Education Assistance for
College and Higher Education Grants (TEACH), P379T232293
Award Period: July 1, 2022, to June 30, 2023
Statistically Valid Sample: No and not intended to be a statistically valid sample
Type of Finding: Significant Deficiency and Noncompliance
Questioned Costs: None
Repeat Finding: No
Return of Title IV Calculations:
When a student who received Title IV grant or loan assistance withdraws from an institution during a payment
period or period of enrollment in which the student began attendance, the institution must determine the amount
of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of
Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned
by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date
of the institution’s determination that the student withdrew, the difference must be returned to the Title IV
programs and no additional disbursements may be made to the student for the payment period or period of
enrollment (Title 34, CFR, Section 668.22(a)(4)).
The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV
grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title
IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the
payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their
Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period
or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by
subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was
disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student
withdrew (Title 34, CFR, Section 668.22(e)).
The total number of calendar days in a payment period or period of enrollment includes all days within the
payment period or period of enrollment that the student was scheduled to complete, excluding scheduled breaks
of at least five consecutive days. Scheduled breaks of at least five consecutive days are also excluded from the
number of calendar days the student completed in that period (Title 34, CFR, Section 668.22(f)(2)(i)). The University of North Texas (University) made errors in Title IV return calculations for 32 (52 percent) of
61 students tested. Those errors occurred because the University did not exclude any break days from its Title
IV return calculations for the Fall 2022 term as required; therefore, that issue would have affected all students
who withdrew from the Fall 2022 term and had an automated return calculation performed. Although the amount
of unearned Title IV assistance calculated for those students was incorrect, there were no questioned costs as a
result of those errors because the University returned more funds than required.
• For 1 of those 32 students, the University also did not accurately determine the withdrawal date for the
student who was enrolled in modules. After auditors brought the issue to the University’s attention, the
University re-performed the return calculation and returned the additional Title IV funds as required; therefore,
there were no questioned costs.
• In addition, for 1 of those 32 students, the University incorrectly returned Title IV funds for a student who
completed more than 60 percent of the term and did not require a return.
Distance Education:
For distance education, documenting that a student has logged into an online class is not sufficient to
demonstrate academic attendance by the student. An institution must demonstrate that a student participated in
class or was otherwise engaged in an academically related activity. Only active participation by a student in an
instructional activity related to the student’s course of study that meets the definition of “academic engagement” in
Title 34, CFR, Section 600.2, and takes place during a payment period or period of enrollment qualifies as
attendance in an academically related activity (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 5, Chapter 2).
For 1 (14 percent) of 7 students tested, the University did not have evidence of academic engagement for
the student who attended all distance education courses. The University relies on the last dates of
attendance (LDA) provided by instructors to determine the withdrawal date for Return of Title IV purposes for
students who unofficially withdraw. If no LDAs are provided by the instructors, the University uses the midpoint of
the term as the withdrawal date. The student was enrolled in all distance education courses, and the University
used the midpoint as the withdrawal for the student. However, the University could not provide evidence that the
student participated or otherwise engaged in an academically related activity in any of the distance education
courses. After auditors brought the issue to the University’s attention, the University performed a return
calculation and returned Title IV funds as required; therefore, there were no questioned costs.
Timeliness of Returns:
An institution must return the amount of Title IV funds for which it is responsible as soon as possible but no later
than 45 days after the date of the institution’s determination that the student withdrew (Title 34, CFR, Section
668.22(j)).
For 12 (20 percent) of 61 students tested who withdrew and required a return of Title IV funds, the
University did not return the funds within the required time frame. Specifically, the University returned the
Title IV funds to the U.S. Department of Education between 47 to 183 days after the University determined that
the students withdrew. The University asserted those errors occurred due to staffing issues and problems with the
transmission of the adjustments to the U.S. Department of Education’s Common Origination and Disbursement
(COD) system.
The University did not have an adequate monitoring process to identify those errors or document the review
process. Having a process that does not consistently calculate and return the correct amount of Title IV funds
increases the risk that the University could return incorrect amounts of Title IV funds. In addition, not making
returns within the required time frames reduces the funds available to the U.S. Department of Education for its
program management.
Recommendations:
The University should:
• Accurately determine the number of days in the payment period and exclude any scheduled breaks as
required.
• Ensure that evidence of academic engagement is consistently documented for students in distance education
courses.
• Strengthen its monitoring controls to ensure that it detects and corrects errors in Title IV return calculations
and returns Title IV funds in a timely manner.
Views of Responsible Officials:
The University acknowledges and agrees with the findings regarding the Return of Title IV funds in cases where a
student officially or unofficial withdraws from the institution after the student begins attendance in a given payment
period or period of enrollment. The University acknowledges the importance of accurately calculating the Title IV
funds to be returned and the timely return of those funds.
Eligibility Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 84.408 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A234136; Federal Work-Study Program, P033A224136; Federal Pell Grant Program, P063P225286; Federal Direct Student Loans, P268K235286; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T235286; and Postsecondary Education Scholarships For Veteran's Dependents (Iraq and Afghanistan Service Grant (IASG)), P408A225286 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: Unknown Repeat Finding: No Satisfactory Academic Progress: A student is eligible to receive Title IV, Higher Education Act of 1965 (HEA) program assistance if the student maintains satisfactory academic progress in his or her course of study according to the institution’s published standards of satisfactory academic progress (SAP) that satisfy the provisions of Title 34, Code of Federal Regulations (CFR), Section 668.34 (Title 34, CFR, Section 668.32(f)). An institution’s SAP policy must include a qualitative component that consists of grades or comparable factors that are measurable against a norm and a quantitative component that consists of the pace at which students must progress through their program to ensure that they will graduate within the maximum time frame required to complete their education (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 1, Chapter 1). For an undergraduate program measured in credit hours, a period that is no longer than 150-percent of the published length of the educational program, as measured in credit hours, should be used to determine the maximum time frame for the quantitative component of SAP (Title 34, CFR, Section 668.34(b)(1)). For 1 (2 percent) of 45 students tested, Texas A&M University (University) did not calculate SAP in accordance with its policy. Specifically, the University did not update the program hours for the Bachelor of Science in Nursing program in its student information system when it changed the program length from 123 hours to 120 hours during the 2017–2018 award year. Therefore, this issue would have affected all students enrolled in the program. As a result, the maximum time frame calculation incorrectly allowed students to exceed the maximum hours without failing SAP. Incorrectly calculating the maximum time frame increases the risk that students could receive financial assistance for which they are not eligible. Recommendation: The University should ensure that the maximum time frame is configured in its student information system with the accurate number of credit hours for each degree program. Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; 84.408; and 93.925 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224122; Federal Work-Study Program, P033A224122; Federal Pell Grant Program, P063P220387; Federal Direct Student Loans, P268K230387; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T230387; Postsecondary Education Scholarships For Veteran's Dependents (Iraq and Afghanistan Service Grant (IASG)), P408A220387; and Scholarships for Health Professions Students from Disadvantaged Backgrounds - Scholarships for Disadvantaged Students (SDS), 5 T08HP39298-03-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, CFR, Sections 668.2, 673.5, and 685.301). Texas State University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate); residency (in-state or out-of-state); housing status (on_x0002_campus, off-campus, or living with parent); and enrollment status (full-time, three-quarter-time, half-time, or less_x0002_than-half-time). Budgeting rules within the University’s student financial assistance system are established to assign various budget components based on the factors noted above. For 1 (2 percent) of 44 students tested, the University incorrectly calculated the COA. Specifically, the University assigned a less-than-half-time COA when the student was enrolled full-time. As a result, the student’s COA was understated by $9,545. After auditors brought the issue to the University’s attention, it identified a total of 84 total students who were affected, including 56 students who received Title IV financial assistance. Those errors occurred because the University did not recalculate the COA for students in the Pathway program after enrollment was finalized for the Spring 2023 term. The errors discussed above did not result in overawards of financial assistance; therefore, there were no
questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or
underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets for the
Pathway program in accordance with its process.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). Texas Tech University (University) did not appropriately restrict user access to its student information system. Specifically, the University did not always limit access to the student information system to only users who needed that access based on their job responsibilities. While the University had a process in place to review user access, that process was not adequately designed to ensure that the University granted the appropriate level of access to all users based on the users’ job duties. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. Recommendation: The University should ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. Views of Responsible Officials: Texas Tech University acknowledges and agrees with the findings. Texas Tech University has worked to develop and implement corrective action to further improve processes.
Special Tests and Provisions – Return of Title IV Funds Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.063; 84.268; 84.379; and 84.408 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224151; Federal Pell Grant Program, P063P222328; Federal Direct Student Loans, P268K232328; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232328; and Postsecondary Education Scholarships For Veteran's Dependents (Iraq and Afghanistan Service Grant (IASG)), P408A222328 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: Unknown Repeat Finding: No When a student who received Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student’s withdrawal date (Title 34, Code of Federal Regulations (CFR), Section 668.22(a)(1)). If the total amount of Title IV grant or loan assistance earned by the student is less than the amount that was disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student withdrew, the difference must be returned to the Title IV programs and no additional disbursements may be made to the student for the payment period or period of enrollment (Title 34, CFR, Section 668.22(a)(4)). The amount of earned Title IV grant or loan assistance is calculated by (1) determining the percentage of Title IV
grant or loan assistance that the student has earned and (2) applying that percentage to the total amount of Title
IV grant or loan assistance that was or could have been disbursed to the student or on the student’s behalf for the
payment period or period of enrollment as of the student’s withdrawal date. Students earn 100 percent of their
Title IV grant or loan assistance if their withdrawal date is after the completion of 60 percent of the payment period
or period of enrollment. The unearned amount of Title IV grant or loan assistance to be returned is calculated by
subtracting the amount of Title IV assistance a student earned from the amount of Title IV assistance that was
disbursed to the student or on the student’s behalf as of the date of the institution’s determination that the student
withdrew (Title 34, CFR, Section 668.22(e)).
For distance education, documenting that a student has logged into an online class is not sufficient to
demonstrate academic attendance by the student. An institution must demonstrate that a student participated in
class or was otherwise engaged in an academically related activity. Only active participation by a student in an
instructional activity related to the student’s course of study that meets the definition of “academic engagement” in
Title 34, CFR, Section 600.2 and takes place during a payment period or period of enrollment qualifies as
attendance in an academically related activity (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 5, Chapter 2).
For 1 (5 percent) of 20 students tested, Texas Tech University (University) did not have evidence of
academic engagement in the distance education course from which the student’s withdrawal date was
determined. The University asserted that when an instructor submits a failing grade for a student, the instructor is
required to provide the date of last academic activity. That date is recorded in the University’s student information
system and used by the University to determine the unofficial withdrawal date for Return of Title IV purposes.
However, the University did not have a process in place to require instructors to provide or maintain evidence of
academic engagement in distance education courses. As a result, the University could not demonstrate that the
student participated or otherwise engaged in an academically related activity in that course to support the last
date of attendance used by the University for Return of Title IV purposes.
Having a process that does not consistently calculate and return the correct amount of Title IV funds increases
the risk that the University could return less Title IV funds than it is required to return.
Recommendations:
The University should:
• Ensure that evidence of academic engagement is consistently documented for students in distance education
courses.
• Strengthen its controls to ensure that it accurately calculates returns of Title IV funds when required, including
review of the variables it uses in those calculations.
Views of Responsible Officials:
Texas Tech University acknowledges and agrees with the findings. Texas Tech University has worked to develop
and implement corrective action to further improve processes.
Special Tests and Provisions - Gramm-Leach-Bliley Act - Student Information Security Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Gramm-Leach-Bliley Act: Institutions must protect sensitive data, including information obtained in support of the administration of federal student financial assistance programs, as required by the Gramm-Leach-Bliley Act (GLBA) (Public Law 106-102). Under their Program Participation Agreement (PPA) and the GLBA, postsecondary educational institutions must protect student financial aid information, with particular attention to information provided by the Department of Education or otherwise obtained in support of the administration of the Title IV Federal student financial aid programs (Dear Colleague Letter, July 1, 2016 (GEN-16-12)). Institutions are required to develop, implement, and maintain an information security program that includes the minimum elements in Title 16, Code of Federal Regulations (CFR), Section 314.4. Those minimum requirements include conducting a periodic inventory of data, noting where it is collected, stored, or transmitted (Title 16, CFR, Section 314.4(c)(1)). In addition, the institution must designate a qualified individual responsible for overseeing, implementing, and enforcing the institution’s information security program (Title 16, CFR, Section 314.4(a)). The University of Houston’s (University) information security program did not address the implementation of all minimum safeguards as required by the GLBA. Specifically, while the University had designated a Qualified Individual to coordinate its information security program and had a written information security program in place, that program did not meet the requirements for conducting a periodic inventory of data. Not implementing all required safeguards in its information security program increases the University’s risk of data breach or loss. Recommendation:
The University should ensure that all elements required by the GLBA are documented and implemented in its
information security program.
Views of Responsible Officials:
The University acknowledges and agrees with the findings. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 93.264 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224051; Federal Work-Study Program, P033A224051; Federal Pell Grant Program, P063P222282; Federal Direct Student Loans, P268K232282; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232282; and Nurse Faculty Loan Program (NFLP), 1 E01HP45821-01-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $1,409 Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). Direct Subsidized and Unsubsidized Loans have annual and aggregate limits that are the same for all students at a given grade level and dependency status. In general, a loan may not be more than the amount the borrower requests, the borrower’s unmet financial need, the borrower’s COA, or the borrower’s maximum borrowing limit. (U.S. Department of Education 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 5). Lamar University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate), dependency (dependent or independent), residency (in-state or out-of-state), living status (on-campus, off-campus, or at home with parents), and enrollment level (full-time, three-quarter-time, half-time, or less-than-half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 23 (38 percent) of 61 students tested, the University incorrectly calculated the COA. Specifically, the
University did not adjust the students’ COA to reflect the students’ actual enrollment as of the census date. The
University experienced turnover in the Student Financial Aid department during the 2022–2023 award year, and
could not provide a cause for those errors. The University asserted that it implemented a process to recalculate
students’ COAs based on their actual enrollment at census beginning with the Fall 2023 term; however, the errors
discussed above occurred before that process was in place. As a result, the University overawarded two students.
• One of those students was assigned an overstated COA for the Fall 2022 term based on three-quarter-time
enrollment although the student’s actual enrollment was half-time. The student was awarded $5,294 in
Subsidized Direct Loans, which exceeded the student’s financial need, resulting in $1,113 in questioned costs
associated with ALN 84.268, Federal Direct Student Loans, award number P268K232282.
• The other student was assigned an overstated COA for the Spring 2023 term based on full-time enrollment
although the student did not attend during the term. The student was awarded $10,142 in Unsubsidized Direct
Loans, which exceeded the student’s actual COA, resulting in $296 in questioned costs associated with ALN
84.268, Federal Direct Student Loans, award number P268K232282.
The University did not have adequate controls in place to review budgets used in the calculation of COA and
accurately assign those budgets to students. Incorrectly calculating COA increases the risk of overawarding or
underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets in
accordance with its process and does not overaward financial assistance to students.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Special Tests and Provisions – Disbursements To or On Behalf of Students Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 93.264 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224051; Federal Work-Study Program, P033A224051; Federal Pell Grant Program, P063P222282; Federal Direct Student Loans, P268K232282; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232282; and Nurse Faculty Loan Program (NFLP), 1 E01HP45821-01-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Award and Disbursement Notifications: Before an institution disburses Title IV, Higher Education Act of 1965 (HEA) program funds for any award year, the institution must notify a student of the amount of funds that the student or his or her parent can expect to receive under each Title IV, HEA program, and how and when those funds will be disbursed. If those funds include Direct Loan program funds, the notice must indicate which funds are from subsidized loans, which are from unsubsidized loans, and which are from PLUS loans (Title 34, Code of Federal Regulations (CFR), Section 668.165(a)(1)). If an institution credits a student’s ledger account with Federal Direct Student Loan (Direct Loan) funds or Teacher Education Assistance for College and Higher Education (TEACH) Grant funds, the institution must notify the student or parent of (1) the anticipated date and amount of the disbursement, (2) the student’s or parent’s right to cancel all or a portion of that loan or grant and have the loan or grant proceeds returned to the U.S. Department of Education, and (3) the procedures and time by which the student or parent must notify the institution that he or she wishes to cancel the loan or grant, or loan or grant disbursement (Title 34, CFR, Section 668.165(a)(2)). The institution must provide the notice in writing no earlier than 30 days before, and no later than 30 days after, crediting the student’s ledger account at the institution (Title 34, CFR, Section 668.165(a)(3)). For 21 (34 percent) of 62 disbursements tested, Lamar University (University) did not send an award or
disbursement notification as required. Specifically:
• For 20 students that received Direct Loan disbursements, the University did not send a disbursement
notification. The University asserted those errors occurred because the University was utilizing a manual
process to send out the disbursement notifications, and on those days when the employee charged with
performing the manual process was not present, the notifications were not sent to students.
• For one student who received Title IV funds, the University did not send an award notification. This error
occurred because the University manually packaged the student’s awards after clearing a verification
requirement, and the University did not have an adequate process in place to ensure that students who are
manually awarded receive an award notification.
Not receiving award and disbursement notifications impairs students’ and parents’ ability to budget for the cost of
attending or exercise the option to cancel their loans or grants.
Promissory Notes:
Institutions must establish a process to make loans consistent with institutional policies and federal laws and
regulations, including the completion of the following during disbursement: (1) signed promissory note, and (2)
disclosure of terms and conditions (Nurse Faculty Loan Program (NFLP) Administrative Guidelines, 42 United
States Code (U.S.C.) 297n-1 (Public Health Service Act Section 846A)).
The University did not have a process in place to require a promissory note for NFLP loans prior to
disbursement. NFLP loans were incorrectly identified in the student information system as a grant instead of a
loan. As a result, the student information system did not place a required hold on disbursements until the
promissory note requirement was completed.
Not requiring a signed promissory note prior to disbursement of loan funds could limit the University’s ability to
enforce repayment of the loan.
Recommendations:
The University should:
• Strengthen its controls to ensure that it identifies all students that require an award or disbursement
notification, and sends those notifications to the students.
• Configure controls in the student information system to require promissory notes for applicable loans.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: 2020-142 General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). The University of Texas at Arlington (University) did not appropriately restrict user access to its student information system. Specifically, a user was granted administrative access in the student information system, which included the ability to modify information and process transactions, such as authorizing and disbursing aid. The University did not remove the administrative access after the user’s specific job responsibilities no longer required that level of access. The University had a process to periodically review user access; however, that review was not sufficient to identify the inappropriate access. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. Recommendation: The University should ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. Views of Responsible Officials: To the point that The University of Texas at Arlington (University) did not appropriately restrict user access to its student information system. OIT and Financial Aid acknowledge that a user was given elevated access that was not removed when the assigned maintenance task was completed.
Cash Management Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 93.264; and 93.364 Pass-Through Agency: N/A Award Number: Nurse Faculty Loan Program (NFLP), 2 E01HP28792-04-00; and Nursing Student Loans (NSL), 1 E4CHP46343-01-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $19,593 Repeat Finding: No Institutions must maintain advance payments of federal awards in interest-bearing accounts (Title 2, Code of Federal Regulations (CFR), Section 200.305(b)(8)). Interest earned amounts up to $500 per year may be retained by the non-federal entity for administrative expense. Any additional interest earned on federal advance payments deposited in interest-bearing accounts must be remitted annually to the Department of Health and Human Services Payment Management System (PMS) through an electronic medium using either the Automated Clearing House (ACH) network or a Fedwire Funds Service payment (Title 2, CFR, Section 200.305(b)(9)). The University of Texas at Arlington (University) did not remit interest to the Department of Health and Human Services’ PMS as required. Specifically, the University: • Maintained advance payments of Nurse Faculty Loan Program (NFLP) funds in an interest-bearing account, which earned $17,803 in interest in fiscal year 2023. • Maintained advance payments of Nursing Student Loan (NSL) funds in an interest-bearing account, which earned $2,290 in interest in fiscal year 2023. The University asserted it was not aware of the requirement to remit interest for NFLP and NLS, and believed the earnings on interest could be retained as a source of additional funds for lending to students. After the $500 allowance for administrative expenses, the University would be required to remit interest totaling $17,553 associated with ALN 93.264, Nurse Faculty Loan Program, award number 2 E01HP28792-04-00 and $2,040 associated with ALN 93.364, Nursing Student Loans, award number 1 E4CHP46343-01-00, which are considered questioned costs. Recommendation:
The University should ensure that interest in excess of $500 per year earned on federal cash draws is remitted
annually to the Department of Health and Human Services.
Views of Responsible Officials:
The University has been adhering to the guidance found in the Nursing Faculty and Student Loan award
documentation as well as the guidance found in the HRSA EHB Guidance Document regarding interest earned on
the advanced payments. The guidance found in these documents states that interest earned in these loan funds
should be maintained in an interest-bearing account and deposited in the loan fund. It further states that the
interest earned can be retained as an important source of additional funds for lending to students.
However, as a result of the finding from this audit, the University acknowledges that interest in excess of $500
must be remitted annually to the Department of Health and Human Services.
Corrective Action Plan:
The University will remit annually any interest earned in excess of $500 to the Department of Health and Human
Services.
Implementation Date: 2/2024
Responsible Person: Andrea Wright, Executive Director of Accounting Service
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: No General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). The University of Texas at Austin (University) did not appropriately restrict user access to its student information system. Specifically, an employee retained the ability to modify student financial aid awards after transitioning from the Office of Student Financial Aid to another department within the University. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. In addition, the University did not have sufficient controls over its change management process for information systems. Specifically, one of the University’s departments did not enable the control designed to prevent developers from migrating their own code changes into production. Not having sufficient segregation of duties controls over the change management process increases the risk of unauthorized programming changes being made to critical information systems that the University uses to administer student financial assistance. Recommendations: The University should: • Ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. • Strengthen its controls over its change management process to ensure adequate segregation of duties. Views of Responsible Officials:
The University acknowledges and agrees with the finding. In this case, the employee transitioned from the Office
of Scholarships and Financial Aid (OSFA) to the Student Financial Aid implementation project. It was intended for
this employee to retain his prior access for a time so he could help provide backstop support while his duties were
transitioned to other employees within OSFA. This access should have been removed once his duties were
successfully transitioned.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. However, technical limitations in the current financial
aid management system require that a particular mainframe programming library be exempted from the change
control mechanisms that are used in all other libraries that can update student financial aid information.
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: 2020-142 General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). The University of Texas at Arlington (University) did not appropriately restrict user access to its student information system. Specifically, a user was granted administrative access in the student information system, which included the ability to modify information and process transactions, such as authorizing and disbursing aid. The University did not remove the administrative access after the user’s specific job responsibilities no longer required that level of access. The University had a process to periodically review user access; however, that review was not sufficient to identify the inappropriate access. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made in those systems. Recommendation: The University should ensure that user access to its student information system is appropriately limited based on a user’s job responsibilities. Views of Responsible Officials: To the point that The University of Texas at Arlington (University) did not appropriately restrict user access to its student information system. OIT and Financial Aid acknowledge that a user was given elevated access that was not removed when the assigned maintenance task was completed.
Cash Management Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 93.264; and 93.364 Pass-Through Agency: N/A Award Number: Nurse Faculty Loan Program (NFLP), 2 E01HP28792-04-00; and Nursing Student Loans (NSL), 1 E4CHP46343-01-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: $19,593 Repeat Finding: No Institutions must maintain advance payments of federal awards in interest-bearing accounts (Title 2, Code of Federal Regulations (CFR), Section 200.305(b)(8)). Interest earned amounts up to $500 per year may be retained by the non-federal entity for administrative expense. Any additional interest earned on federal advance payments deposited in interest-bearing accounts must be remitted annually to the Department of Health and Human Services Payment Management System (PMS) through an electronic medium using either the Automated Clearing House (ACH) network or a Fedwire Funds Service payment (Title 2, CFR, Section 200.305(b)(9)). The University of Texas at Arlington (University) did not remit interest to the Department of Health and Human Services’ PMS as required. Specifically, the University: • Maintained advance payments of Nurse Faculty Loan Program (NFLP) funds in an interest-bearing account, which earned $17,803 in interest in fiscal year 2023. • Maintained advance payments of Nursing Student Loan (NSL) funds in an interest-bearing account, which earned $2,290 in interest in fiscal year 2023. The University asserted it was not aware of the requirement to remit interest for NFLP and NLS, and believed the earnings on interest could be retained as a source of additional funds for lending to students. After the $500 allowance for administrative expenses, the University would be required to remit interest totaling $17,553 associated with ALN 93.264, Nurse Faculty Loan Program, award number 2 E01HP28792-04-00 and $2,040 associated with ALN 93.364, Nursing Student Loans, award number 1 E4CHP46343-01-00, which are considered questioned costs. Recommendation:
The University should ensure that interest in excess of $500 per year earned on federal cash draws is remitted
annually to the Department of Health and Human Services.
Views of Responsible Officials:
The University has been adhering to the guidance found in the Nursing Faculty and Student Loan award
documentation as well as the guidance found in the HRSA EHB Guidance Document regarding interest earned on
the advanced payments. The guidance found in these documents states that interest earned in these loan funds
should be maintained in an interest-bearing account and deposited in the loan fund. It further states that the
interest earned can be retained as an important source of additional funds for lending to students.
However, as a result of the finding from this audit, the University acknowledges that interest in excess of $500
must be remitted annually to the Department of Health and Human Services.
Corrective Action Plan:
The University will remit annually any interest earned in excess of $500 to the Department of Health and Human
Services.
Implementation Date: 2/2024
Responsible Person: Andrea Wright, Executive Director of Accounting Service
General Controls. The following compliance areas were impacted: Eligibility Reporting Special Tests and Provisions - Disbursements To or On Behalf of Students Special Tests and Provisions - Return of Title IV Funds Special Tests and Provisions - Enrollment Reporting Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency Questioned Costs: None Repeat Finding: 2020-113, 2017-119, 2016-109 General Controls: An institution must establish and maintain effective internal control over federal awards that provides reasonable assurance that the institution is managing federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal award (Title 2, Code of Federal Regulations (CFR), Section 200.303(a)). Texas Southern University (University) did not appropriately restrict user access to its student information system. Specifically, the University did not always ensure that (1) access to modify information and process transactions in the student information system and (2) administrative access at the network level was limited to only current employees and users who needed that access based on their job responsibilities. The University had a process to review user access to its systems; however, it did not always implement changes based on the results of that review. Allowing users inappropriate or excessive access to systems increases the risk of unauthorized changes being made to those systems. Recommendation: The University should ensure that user access to its student information system and administrative access to its network is appropriately limited to employees based on current job responsibilities. Views of Responsible Officials: The Office of Technology acknowledges and agrees with the finding.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; and 93.925 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224145; Federal Work-Study Program, P033A224145; Federal Pell Grant Program, P063P222327; Federal Direct Student Loans, P268K232327; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T232327; and Scholarships for Health Professions Students from Disadvantaged Backgrounds – Scholarships for Disadvantaged Students (SDS), 5 T08HP39322-03-00, 5 T08HP39282-03-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: 2020-113, 2017-119, 2016-109 Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, Code of Federal Regulations (CFR), Sections 668.2, 673.5, and 685.301). Texas Southern University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate); residency (in-state or out-of-state); living status (on_x0002_campus, off-campus, or with parent); and enrollment level (full-time, three-quarter-time, half-time, or less-than_x0002_half-time). Budgeting rules within the University’s student information system are established to assign various budget components based on the factors noted above. For 7 (11 percent) of 65 students tested, the University incorrectly calculated the COA. Specifically, the University assigned an incorrect amount for books and supplies for these students. Those errors occurred because the University decreased the default amount for the books and supplies budget component but did not update the algorithmic budget table in its student information system to reflect that change. As a result, the COA was overstated by $40 for each of those students. The errors discussed above did not result in overawards of financial assistance; therefore, there were no questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or underawarding financial assistance to students. Federal Pell Grant:
When awarding Federal Pell Grant assistance to students, institutions use the payment and disbursement
schedules provided each year by the U.S. Department of Education for determining award amounts (Title 34,
CFR, Section 690.62(a)). Those schedules provide the maximum annual amount a student would receive for a full
academic year for a given enrollment status, EFC, and COA. There are separate schedules for three-quarter time, half-time, and less-than-half-time students (U.S. Department of Education, 2022-2023 Federal Student Aid
Handbook, Volume 3, Chapter 3; and Title 34, CFR, Section 690.63(b)).
For 2 (3 percent) of 65 students tested who received Federal Pell Grants, the University did not award the
correct amount of Federal Pell Grant assistance. Specifically, the University awarded those students less than
they were eligible to receive. The University did not identify additional credit hours from late registration in the
students’ Federal Pell Grant award determinations. As a result, the students were underawarded a total of $1,544
in Federal Pell Grant assistance.
Federal Direct Student Loans:
A borrower who has reached the aggregate borrowing limit for Direct Subsidized Loans and Direct Unsubsidized
Loans may not receive additional loans. Once the loans are repaid, in full or in part, the borrower may apply for
additional loans. The aggregate unpaid principal amount of all Direct Subsidized Loans made to a student may
not exceed $23,000 for any student who has not successfully completed a program of study at the undergraduate
level (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 3, Chapter 5; and Title
34, CFR, Section 685.203(d)(1)).
The University did not always disburse Federal Direct Student Loans in accordance with applicable limits.
Specifically, the University exceeded the aggregate limit for Subsidized Direct Loans. Auditors determined that a
student had been awarded $500 in excess of the aggregate limit of $23,000. The University manually cleared a
hold to enforce the loan limit, without properly reviewing or adjusting the student’s loan. After auditors brought the
overaward issue to the University’s attention, it returned the loan funds; therefore, there were no questioned
costs. However, by not properly reviewing account holds, the University increases the risk of overawarding
financial assistance to students.
Satisfactory Academic Progress:
A student is eligible to receive Title IV, Higher Education Act of 1965 (HEA) program assistance if the student
maintains satisfactory academic progress in his or her course of study according to the institution’s published
standards of satisfactory academic progress (SAP) that satisfy the provisions of Title 34, CFR, Section 668.34
(Title 34, CFR, Section 668.32(f)). An institution’s SAP policy must include a qualitative component that consists
of grades or comparable factors that are measurable against a norm and a quantitative component that consists
of the pace at which students must progress through their program to ensure that they will graduate within the
maximum time frame required to complete their education.
For a graduate program, a period defined by the institution that is based on the length of the educational program
should be used to determine the maximum time frame for the quantitative component of SAP (U.S. Department of
Education, 2022-2023 Federal Student Aid Handbook, Volume 1, Chapter 1; and Title 34, CFR, Section
668.34(b)).
Additionally, an institution’s SAP policy should provide that, if at the time of evaluation, the student has not
achieved the required grade point average, is not successfully completing his or her program of study at the
required pace, or has not completed the program within the maximum time frame, the student is no longer eligible
for Title IV aid. The policy should provide specific procedures for disbursements to students on financial aid
warning or probation status and permit the student to appeal a determination; it should also provide specific
procedures for re-establishing eligibility to receive Title IV aid and the basis on which a student may file an appeal
(Title 34, CFR, Section 668.34(a)). For 1 (2 percent) of 65 students tested, the University did not calculate SAP in accordance with its policy.
The student re-enrolled in the Fall 2022 term after a gap in attendance, and the University did not perform a
manual SAP calculation, which would have shown that the student did not meet the minimum required pace as
defined in the University’s SAP policy. The student would have been required to submit an appeal, and have that
appeal approved, to receive financial assistance. The student was initially overawarded $6,184. Part of the funds
were returned as a result of a Return of Title IV Funds calculation after the student withdrew, and the remaining
funds were returned after auditors brought the issue to the University’s attention. Therefore, there were no
questioned costs.
Not calculating SAP compliance increases the risk that students could receive financial assistance for which they
are not eligible.
Institutional Student Information Records (ISIR):
The U.S. Department of Education automatically distributes (or “pushes”) to institutions certain ISIR transactions
processed by the Central Processing System (CPS); it then requires the institutions to take some sort of action.
An example of a pushed ISIR would be a student-corrected ISIR that causes a change to the EFC. Institutions are
required to review all pushed ISIRs and assess any potential effect on students’ eligibility for assistance
(Technical Reference for Electronic Date Exchange (EDE) 2022-2023).
The University did not have a process to address errors to ensure that all ISIR data was loaded accurately
and completely into its student information system. Specifically, the University did not reconcile records
received from CPS-pushed ISIRs to the University’s student information system records during the Fall 2022 term
and part of the Spring 2023 term. As a result, some eligible students did not receive their financial assistance until
making an inquiry of the University.
Recommendations:
The University should:
• Ensure that it accurately configures COA budget components within its student information system.
• Award students Federal Pell Grant assistance based on actual enrollment.
• Disburse Subsidized Direct Loans within the student’s applicable aggregate limit.
• Ensure that all students are evaluated for Satisfactory Academic Progress prior to disbursing financial
assistance.
• Properly reconcile all records received from CPS-pushed ISIRs.
Views of Responsible Officials:
Cost of Attendance (COA):
The Office of Student Financial Success agrees with the auditor’s findings indicating that 7 of 65 students tested
had an incorrect COA specifically related to the students’ books and supplies portion of the budget.
Views of Responsible Officials:
Federal Pell Grant:
The Office of Student Financial Success agrees with the findings that 2 of 65 students tested were not awarded
the correct amount of Federal Pell grant funds.
Views of Responsible Officials:
Federal Direct Student Loans:
The Office of Student Financial Success agrees with the finding that 1 student did not receive federal student
loans in accordance with applicable limits.
Views of Responsible Officials:
Satisfactory Academic Progress:
The Office of Student Financial Success agrees with the finding that 1 of 65 students did not receive an SAP
calculation in accordance with TSU policy.
Views of Responsible Officials:
Institutional Student Information Records (ISIR):
The Office of Student Financial Success agrees with the finding related to Institutional Student Information
Records.
Special Tests and Provisions – Gramm-Leach-Bliley Act - Student Information Security Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: Cross-cutting Pass-Through Agency: N/A Award Number: Cross-cutting Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Gramm-Leach-Bliley Act: Institutions must protect sensitive data, including information obtained in support of the administration of federal student financial assistance programs, as required by the Gramm-Leach-Bliley Act (GLBA) (Public Law 106-102). Under their Program Participation Agreement (PPA) and the GLBA, postsecondary educational institutions must protect student financial aid information, with particular attention to information provided by the Department of Education or otherwise obtained in support of the administration of the Title IV Federal student financial aid programs (Dear Colleague Letter, July 1, 2016 (GEN-16-12)). Institutions are required to develop, implement, and maintain an information security program that includes the minimum elements in Title 16, Code of Federal Regulations (CFR), Section 314.4. In addition, the institution must designate a qualified individual responsible for overseeing, implementing, and enforcing the institution’s information security program (Title 16, CFR, Section 314.4(a)). Texas Southern University (University) did not implement an information security program as required by the GLBA. The University did not have a written information security program (and therefore did not address any of the minimum elements), and it did not designate a Qualified Individual responsible for implementing and monitoring its information security program. The University asserted that this was due to significant staffing issues in its Information Technology Department. Not implementing the required safeguards in an information security program and designating a Qualified Individual to implement and enforce those safeguards increases the University’s risk of data breach or loss. Recommendations: The University should: • Develop and implement an information security program that contains all elements required by the GLBA and the Code of Federal Regulations. • Designate a Qualified Individual responsible to implement and monitor its information security program. Views of Responsible Officials: Gramm-Leach-Bliley Act: The University acknowledges and agrees with the findings.
Eligibility Federal Agency: U.S. Department of Education U.S. Department of Health and Human Services Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.007; 84.033; 84.063; 84.268; 84.379; 84.408; and 93.925 Pass-Through Agency: N/A Award Number: Federal Supplemental Educational Opportunity Grants (FSEOG), P007A224122; Federal Work-Study Program, P033A224122; Federal Pell Grant Program, P063P220387; Federal Direct Student Loans, P268K230387; Teacher Education Assistance for College and Higher Education Grants (TEACH), P379T230387; Postsecondary Education Scholarships For Veteran's Dependents (Iraq and Afghanistan Service Grant (IASG)), P408A220387; and Scholarships for Health Professions Students from Disadvantaged Backgrounds - Scholarships for Disadvantaged Students (SDS), 5 T08HP39298-03-00 Award Period: July 1, 2022, to June 30, 2023 Statistically Valid Sample: No and not intended to be a statistically valid sample Type of Finding: Significant Deficiency and Noncompliance Questioned Costs: None Repeat Finding: No Cost of Attendance: The determination of the federal student financial assistance award amount is based on financial need. Financial need is defined as a student’s cost of attendance (COA) minus the expected family contribution (EFC) (Title 20, United States Code (USC), Chapter 28, Subchapter IV, Section 1087kk). COA refers to the “tuition and fees normally assessed a student carrying the same academic workload as determined by the institution, and including costs for rental or purchase of any equipment, materials, or supplies required of all students in the same course of study.” An institution also may include an allowance for books, supplies, transportation, miscellaneous personal expenses, and room and board (Title 20, USC, Chapter 28, Section 1087ll). For Title IV programs, the EFC is the amount a student and his or her family are expected to pay for educational expenses; it is computed by the federal central processor and included on the student’s Institutional Student Information Record (ISIR) provided to the institution. An overaward exists when a student’s financial aid exceeds the student’s need. Therefore, awards must be coordinated among the various programs and with other federal and non-federal assistance to ensure that total assistance is not awarded in excess of the student’s financial need (U.S. Department of Education, 2022-2023 Federal Student Aid Handbook, Volume 4, Chapter 3; and Title 34, CFR, Sections 668.2, 673.5, and 685.301). Texas State University (University) uses algorithmic budgeting to build COA budgets for each term based on a student’s classification (undergraduate or graduate); residency (in-state or out-of-state); housing status (on_x0002_campus, off-campus, or living with parent); and enrollment status (full-time, three-quarter-time, half-time, or less_x0002_than-half-time). Budgeting rules within the University’s student financial assistance system are established to assign various budget components based on the factors noted above. For 1 (2 percent) of 44 students tested, the University incorrectly calculated the COA. Specifically, the University assigned a less-than-half-time COA when the student was enrolled full-time. As a result, the student’s COA was understated by $9,545. After auditors brought the issue to the University’s attention, it identified a total of 84 total students who were affected, including 56 students who received Title IV financial assistance. Those errors occurred because the University did not recalculate the COA for students in the Pathway program after enrollment was finalized for the Spring 2023 term. The errors discussed above did not result in overawards of financial assistance; therefore, there were no
questioned costs. However, by incorrectly calculating COA, the University increases the risk of overawarding or
underawarding financial assistance to students.
Recommendation:
The University should strengthen its controls to ensure that it correctly calculates students’ COA budgets for the
Pathway program in accordance with its process.
Views of Responsible Officials:
The University acknowledges and agrees with the finding. Through analysis of the exceptions identified in the
audit, the University will work to develop and implement corrective action to further improve the processes.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Reporting – FFATA Federal Agency: U.S. Department of Agriculture U.S. Department of Housing and Urban Development Federal Program Title: Child Nutrition Cluster (CNC) Community Development Block Grants/State’s Program and Non-Entitlement Grants in Hawaii (CDBG) ALN: 10.553, 10.555, 10.556, 10.559, 10.582 14.228 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: CNC 236TX332N1099, 236TX332N1199, 236TX375L1603 October 1, 2022 – September 30, 2023 CDBG B-21-DC-48-0001, B-22-DC-48-0001 September 1, 2021 – September 1, 2028, September 1, 2021 – September 1, 2028, September 1, 2022 – September 1, 2029 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework,” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Under the requirements of the Federal Funding Accountability and Transparency Act (FFATA) (Pub. L. No. 109- 282), as amended by Section 6202 of Public Law 110-252, recipients (i.e., direct recipients) of grants or cooperative agreements are required to report first-tier subawards of $30,000 or more to the Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS) no later than the last day of the month following the month in which the subaward/subaward amendment obligation was made or the subcontract award/subcontract modification was made. Condition: Texas Department of Agriculture (TDA) is responsible for submitting all required subawards in the
Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS).
During our testing, we noted the following compliance exceptions:
Child Nutrition Cluster- Fresh Fruit and Vegetable Program (ALN 10.582)
See chart or table in the Schedule of Findings and Questioned Costs.
Child Nutrition Cluster- National School Lunch Program (ALN 10.555)
See chart or table in the Schedule of Findings and Questioned Costs.
Community Development Block Grant (ALN 14.228)
See chart or table in the Schedule of Findings and Questioned Costs.
Questioned costs: None.
Context: See "Condition."
Cause: As related to ALN 10.582 and 10.555, TDA reports expenditures at the end of the subaward period rather
than reporting subawards over $30,000 by the last day of the month following the month in which the subaward/
subaward amendment obligation was made or the subcontract award/subcontract modification was made. This
was due to the nature of the subaward agreements, where subaward amounts are not specified in the agreement
and subrecipients are reimbursed based on actual expenditures incurred each month. As related to subawards
not reported for ALN 10.555, TDA did not attempt to report subawards during the fiscal year due to significant
technical difficulties encountered uploading subaward data into the FSRS in previous periods. As related to
14.228, reports were submitted late due to management oversight.
Effect: Failure to report all subawards $30,000 or greater in FSRS will result in noncompliance with terms of the
federal grant guidelines.
Repeat Finding: No
Recommendation: TDA should revise its current policies and procedures to ensure all subaward/ subaward
amendment obligations over $30,000 are identified and submitted in FSRS by the last day of the month following
the month in which the subaward/ subaward amendment obligation was made or the subcontract
award/subcontract modification was made. Additionally, TDA should attempt to submit subaward information as
required. If unsuccessful due to technical matters related to FSRS, TDA should retain documentation of the
resolution efforts and submit subaward information immediately after the matter has been resolved.
Views of responsible officials:
CNC – TDA FND agrees with the CLA’s recommendation.
CDBG – TDA agrees with the finding. TDA acknowledges the FFATA reports were not submitted timely.
Reporting – FFATA Federal Agency: U.S. Department of Agriculture U.S. Department of Housing and Urban Development Federal Program Title: Child Nutrition Cluster (CNC) Community Development Block Grants/State’s Program and Non-Entitlement Grants in Hawaii (CDBG) ALN: 10.553, 10.555, 10.556, 10.559, 10.582 14.228 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: CNC 236TX332N1099, 236TX332N1199, 236TX375L1603 October 1, 2022 – September 30, 2023 CDBG B-21-DC-48-0001, B-22-DC-48-0001 September 1, 2021 – September 1, 2028, September 1, 2021 – September 1, 2028, September 1, 2022 – September 1, 2029 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework,” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Under the requirements of the Federal Funding Accountability and Transparency Act (FFATA) (Pub. L. No. 109- 282), as amended by Section 6202 of Public Law 110-252, recipients (i.e., direct recipients) of grants or cooperative agreements are required to report first-tier subawards of $30,000 or more to the Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS) no later than the last day of the month following the month in which the subaward/subaward amendment obligation was made or the subcontract award/subcontract modification was made. Condition: Texas Department of Agriculture (TDA) is responsible for submitting all required subawards in the
Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS).
During our testing, we noted the following compliance exceptions:
Child Nutrition Cluster- Fresh Fruit and Vegetable Program (ALN 10.582)
See chart or table in the Schedule of Findings and Questioned Costs.
Child Nutrition Cluster- National School Lunch Program (ALN 10.555)
See chart or table in the Schedule of Findings and Questioned Costs.
Community Development Block Grant (ALN 14.228)
See chart or table in the Schedule of Findings and Questioned Costs.
Questioned costs: None.
Context: See "Condition."
Cause: As related to ALN 10.582 and 10.555, TDA reports expenditures at the end of the subaward period rather
than reporting subawards over $30,000 by the last day of the month following the month in which the subaward/
subaward amendment obligation was made or the subcontract award/subcontract modification was made. This
was due to the nature of the subaward agreements, where subaward amounts are not specified in the agreement
and subrecipients are reimbursed based on actual expenditures incurred each month. As related to subawards
not reported for ALN 10.555, TDA did not attempt to report subawards during the fiscal year due to significant
technical difficulties encountered uploading subaward data into the FSRS in previous periods. As related to
14.228, reports were submitted late due to management oversight.
Effect: Failure to report all subawards $30,000 or greater in FSRS will result in noncompliance with terms of the
federal grant guidelines.
Repeat Finding: No
Recommendation: TDA should revise its current policies and procedures to ensure all subaward/ subaward
amendment obligations over $30,000 are identified and submitted in FSRS by the last day of the month following
the month in which the subaward/ subaward amendment obligation was made or the subcontract
award/subcontract modification was made. Additionally, TDA should attempt to submit subaward information as
required. If unsuccessful due to technical matters related to FSRS, TDA should retain documentation of the
resolution efforts and submit subaward information immediately after the matter has been resolved.
Views of responsible officials:
CNC – TDA FND agrees with the CLA’s recommendation.
CDBG – TDA agrees with the finding. TDA acknowledges the FFATA reports were not submitted timely.
Reporting – FFATA Federal Agency: U.S. Department of Agriculture U.S. Department of Housing and Urban Development Federal Program Title: Child Nutrition Cluster (CNC) Community Development Block Grants/State’s Program and Non-Entitlement Grants in Hawaii (CDBG) ALN: 10.553, 10.555, 10.556, 10.559, 10.582 14.228 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: CNC 236TX332N1099, 236TX332N1199, 236TX375L1603 October 1, 2022 – September 30, 2023 CDBG B-21-DC-48-0001, B-22-DC-48-0001 September 1, 2021 – September 1, 2028, September 1, 2021 – September 1, 2028, September 1, 2022 – September 1, 2029 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework,” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Under the requirements of the Federal Funding Accountability and Transparency Act (FFATA) (Pub. L. No. 109- 282), as amended by Section 6202 of Public Law 110-252, recipients (i.e., direct recipients) of grants or cooperative agreements are required to report first-tier subawards of $30,000 or more to the Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS) no later than the last day of the month following the month in which the subaward/subaward amendment obligation was made or the subcontract award/subcontract modification was made. Condition: Texas Department of Agriculture (TDA) is responsible for submitting all required subawards in the
Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS).
During our testing, we noted the following compliance exceptions:
Child Nutrition Cluster- Fresh Fruit and Vegetable Program (ALN 10.582)
See chart or table in the Schedule of Findings and Questioned Costs.
Child Nutrition Cluster- National School Lunch Program (ALN 10.555)
See chart or table in the Schedule of Findings and Questioned Costs.
Community Development Block Grant (ALN 14.228)
See chart or table in the Schedule of Findings and Questioned Costs.
Questioned costs: None.
Context: See "Condition."
Cause: As related to ALN 10.582 and 10.555, TDA reports expenditures at the end of the subaward period rather
than reporting subawards over $30,000 by the last day of the month following the month in which the subaward/
subaward amendment obligation was made or the subcontract award/subcontract modification was made. This
was due to the nature of the subaward agreements, where subaward amounts are not specified in the agreement
and subrecipients are reimbursed based on actual expenditures incurred each month. As related to subawards
not reported for ALN 10.555, TDA did not attempt to report subawards during the fiscal year due to significant
technical difficulties encountered uploading subaward data into the FSRS in previous periods. As related to
14.228, reports were submitted late due to management oversight.
Effect: Failure to report all subawards $30,000 or greater in FSRS will result in noncompliance with terms of the
federal grant guidelines.
Repeat Finding: No
Recommendation: TDA should revise its current policies and procedures to ensure all subaward/ subaward
amendment obligations over $30,000 are identified and submitted in FSRS by the last day of the month following
the month in which the subaward/ subaward amendment obligation was made or the subcontract
award/subcontract modification was made. Additionally, TDA should attempt to submit subaward information as
required. If unsuccessful due to technical matters related to FSRS, TDA should retain documentation of the
resolution efforts and submit subaward information immediately after the matter has been resolved.
Views of responsible officials:
CNC – TDA FND agrees with the CLA’s recommendation.
CDBG – TDA agrees with the finding. TDA acknowledges the FFATA reports were not submitted timely.
Reporting – FFATA Federal Agency: U.S. Department of Agriculture U.S. Department of Housing and Urban Development Federal Program Title: Child Nutrition Cluster (CNC) Community Development Block Grants/State’s Program and Non-Entitlement Grants in Hawaii (CDBG) ALN: 10.553, 10.555, 10.556, 10.559, 10.582 14.228 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: CNC 236TX332N1099, 236TX332N1199, 236TX375L1603 October 1, 2022 – September 30, 2023 CDBG B-21-DC-48-0001, B-22-DC-48-0001 September 1, 2021 – September 1, 2028, September 1, 2021 – September 1, 2028, September 1, 2022 – September 1, 2029 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non_x0002_Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework,” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Under the requirements of the Federal Funding Accountability and Transparency Act (FFATA) (Pub. L. No. 109- 282), as amended by Section 6202 of Public Law 110-252, recipients (i.e., direct recipients) of grants or cooperative agreements are required to report first-tier subawards of $30,000 or more to the Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS) no later than the last day of the month following the month in which the subaward/subaward amendment obligation was made or the subcontract award/subcontract modification was made. Condition: Texas Department of Agriculture (TDA) is responsible for submitting all required subawards in the
Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS).
During our testing, we noted the following compliance exceptions:
Child Nutrition Cluster- Fresh Fruit and Vegetable Program (ALN 10.582)
See chart or table in the Schedule of Findings and Questioned Costs.
Child Nutrition Cluster- National School Lunch Program (ALN 10.555)
See chart or table in the Schedule of Findings and Questioned Costs.
Community Development Block Grant (ALN 14.228)
See chart or table in the Schedule of Findings and Questioned Costs.
Questioned costs: None.
Context: See "Condition."
Cause: As related to ALN 10.582 and 10.555, TDA reports expenditures at the end of the subaward period rather
than reporting subawards over $30,000 by the last day of the month following the month in which the subaward/
subaward amendment obligation was made or the subcontract award/subcontract modification was made. This
was due to the nature of the subaward agreements, where subaward amounts are not specified in the agreement
and subrecipients are reimbursed based on actual expenditures incurred each month. As related to subawards
not reported for ALN 10.555, TDA did not attempt to report subawards during the fiscal year due to significant
technical difficulties encountered uploading subaward data into the FSRS in previous periods. As related to
14.228, reports were submitted late due to management oversight.
Effect: Failure to report all subawards $30,000 or greater in FSRS will result in noncompliance with terms of the
federal grant guidelines.
Repeat Finding: No
Recommendation: TDA should revise its current policies and procedures to ensure all subaward/ subaward
amendment obligations over $30,000 are identified and submitted in FSRS by the last day of the month following
the month in which the subaward/ subaward amendment obligation was made or the subcontract
award/subcontract modification was made. Additionally, TDA should attempt to submit subaward information as
required. If unsuccessful due to technical matters related to FSRS, TDA should retain documentation of the
resolution efforts and submit subaward information immediately after the matter has been resolved.
Views of responsible officials:
CNC – TDA FND agrees with the CLA’s recommendation.
CDBG – TDA agrees with the finding. TDA acknowledges the FFATA reports were not submitted timely.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Special Tests and Provisions – ADP Risk Analysis and System Security Review – Information Technology – Lack of Risk Assessments Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Medicaid Cluster CFDA Number: 93.775, 93.777, 93.778 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). State agencies must establish and maintain a program for conducting periodic risk analyses to ensure that appropriate, cost-effective safeguards are incorporated into new and existing systems. State agencies must perform risk analyses whenever significant system changes occur. State agencies shall review the ADP system security installations involved in the administration of Health and Human Services (HHS) programs on a biennial basis. At a minimum, the reviews shall include an evaluation of physical and data security operating procedures and personnel practices. The State agency shall maintain reports on its biennial ADP system security reviews, together with pertinent supporting documentation, for HHS on-site reviews (45 CFR section 95.621). Condition: HHSC has a total of 62 in-house and third-party systems that are used in the administration of Medicaid, which are required to be reviewed each biennial period. During the fiscal year 2022-2023 biennial, only five risk assessments were executed based on internal methodology or third-party assessments. HHSC did not perform risk assessments over the remaining 57 systems during the two-year period. Questioned costs: None. Context: See “Condition.” Cause: HHSC is not adhering to its’ current policies and procedures regarding completion of the biennial ADP system security reviews. Effect: Failure to perform risk analyses increases the risk that safeguards will not be in place over physical and data security. Repeat finding: No Recommendation: HHSC should ensure all systems are reviewed in a two-year period. HHSC should also
implement oversight controls to ensure progress toward the plan is executed during the two-year period, including
resolution of remediation items.
Views of responsible officials: HHSC concurs with the finding.
Special Tests and Provisions – Provider Eligibility – Lack of Documentation Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Medicaid Cluster ALN: 93.775, 93.777, 93.778 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Material Weakness in Internal Control over Compliance and Material Noncompliance Criteria or specific requirement: Per 2 CFR 200.303, a non-Federal entity must: Establish and maintain effective internal controls over federal awards that provide reasonable assurance they are managing federal awards in compliance with federal statutes, regulations, and the provisions of contracts or grant agreements that could have a material effect on each of its federal programs. Per 2 CFR 200.334, financial records, supporting documents, statistical records, and all other non-Federal entity records pertinent to a Federal award must be retained for a period of three years from the date of submission of the final expenditure report or, for Federal awards that are renewed quarterly or annually, from the date of the submission of the quarterly or annual financial report, respectively, as reported to the Federal awarding agency or pass-through entity in the case of a subrecipient. Federal awarding agencies and pass-through entities must not impose any other record retention requirements upon non-Federal entities. In order to comply with federal provider eligibility requirements, HHSC must adhere to various subsections of 42
CFR Section 455 including but not limited to:
§ 455.104 – HHSC must require that disclosing entities, fiscal agents, and managed care entities provide the
following disclosures:
The name and address of any person (individual or corporation) with an ownership or control interest in
the disclosing entity, fiscal agent, or managed care entity. The address for corporate entities must include
as applicable primary business address, every business location, and P.O. Box address.
Date of birth and Social Security Number (in the case of an individual)
Other tax identification number (in the case of a corporation) with an ownership or control interest in the
disclosing entity (or fiscal agent or managed care entity) or in any subcontractor in which the disclosing
entity (or fiscal agent or managed care entity) has a 5 percent or more interest.
Whether the person (individual or corporation) with an ownership or control interest in the disclosing entity
(or fiscal agent or managed care entity) is related to another person with ownership or control interest in
the disclosing entity as a spouse, parent, child, or sibling; or whether the person (individual or
corporation) with an ownership or control interest in any subcontractor in which the disclosing entity (or
fiscal agent or managed care entity) has a 5 percent or more interest is related to another person with
ownership or control interest in the disclosing entity as a spouse, parent, child, or sibling.
The name of any other disclosing entity (or fiscal agent or managed care entity) in which an owner of the
disclosing entity (or fiscal agent or managed care entity) has an ownership or control interest.
The name, address, date of birth, and Social Security Number of any managing employee of the
disclosing entity (or fiscal agent or managed care entity).
§ 455.105 – HHSC must enter into an agreement with each provider under which the provider agrees to furnish to
it the following information related to business transactions within 35 days of request:
The ownership of any subcontractor with whom the provider has had business transactions totaling more
than $25,000 during the 12-month period ending on the date of the request; and
Any significant business transactions between the provider and any wholly owned supplier, or between
the provider and any subcontractor, during the 5-year period ending on the date of the request.
§ 455.106 – Before HHSC enters into or renews a provider agreement, or at any time upon written request by
HHSC, the provider must disclose to HHSC the identity of any person who:
Has ownership or control interest in the provider, or is an agent or managing employee of the provider;
and
Has been convicted of a criminal offense related to that person's involvement in any program under
Medicare, Medicaid, or the title XX services program since the inception of those programs.
§ 455.410 – HHSC must require all ordering or referring physicians or other professionals providing services
under the State plan or under a waiver of the plan to be enrolled as participating providers.
§ 455.412 – HHSC must:
Have a method for verifying that any provider purporting to be licensed in accordance with the laws of any
State is licensed by such State.
Confirm that the provider's license has not expired and that there are no current limitations on the
provider's license.
§ 455.414 – HHSC must revalidate the enrollment of all providers regardless of provider type at least every five
years.
§ 455.432 – HHSC must:
Conduct pre-enrollment and post-enrollment site visits of providers who are designated as “moderate” or
“high” categorical risks to the Medicaid program.
Require any enrolled provider to permit CMS, its agents, its designated contractors, or HHSC to conduct
unannounced on-site inspections of any and all provider locations.
§ 455.434 – HHSC must:
Require providers to consent to criminal background checks including fingerprinting when required to do
so under State law or by the level of screening based on risk of fraud, waste or abuse as determined for
that category of provider.
Establish categorical risk levels for providers and provider categories who pose an increased financial risk
of fraud, waste or abuse to the Medicaid program.
o Upon HHSC determining that a provider, or a person with a 5 percent or more direct or indirect
ownership interest in the provider, meets HHSC's criteria hereunder for criminal background
checks as a “high” risk to the Medicaid program, HHSC will require that each such provider or
person submit fingerprints, in a form and manner to be determined by HHSC, within 30 days upon
request from CMS or HHSC.
§ 455.436 – HHSC must confirm the identity and determine the exclusion status of providers and any person with
an ownership or control interest or who is an agent or managing employee of the provider through routine checks
of Federal databases. Upon enrollment and reenrollment, HHSC must check the Social Security Administration's
Death Master File (SSADMF), the National Plan and Provider Enumeration System (NPPES), the List of Excluded
Individuals/Entities (LEIE), the Excluded Parties List System (EPLS), and any such other databases as the
Secretary may prescribe. During the period the provider is enrolled, HHSC must check the LEIE and EPLS no
less frequently than monthly.
§ 455.434 – HHSC must screen all initial applications, including applications for a new practice location, and any
applications received in response to a re-enrollment or revalidation of enrollment request based on a categorical
risk level of “limited,” “moderate,” or “high.” If a provider could fit within more than one risk level described in this
section, the highest level of screening is applicable.
Condition: Various departments within and contractors of HHSC are responsible for ensuring medical providers
are properly licensed, screened, and enrolled in the Medicaid Program including Contract Administration and
Provider Monitoring (CAPM), Access and Eligibility Services (AES), Procurement and Contracting Services, and
the Texas Medicaid and Healthcare Partnership.
Audit procedures included a review of 60 providers each for Medicaid, which resulted in the following (sampled
exceptions noted in parentheses):
A copy of the completed application was not included in the file. (9 providers)
Enrollment of the provider was not completed within the last 5 years. (7 providers)
Verification of the provider’s license was not included in the file. (7 providers)
Required information on ownership and control was not disclosed. (11 providers)
Supporting documentation was not included in the file indicating the provider consented to a criminal
background check. (9 providers)
Supporting documentation was not included in the file indicating the SSADMF database was checked at
the time of the most recent enrollment. (12 providers)
Supporting documentation was not included in the file indicating the NPPES database was checked at the
time of the most recent enrollment. (12 providers)
Supporting documentation was not included in the file indicating the LEIE database was checked at the
time of the most recent enrollment. (12 providers)
Supporting documentation was not included in the file indicating the EPLS database was checked at the
time of the most recent enrollment. (12 providers)
Supporting documentation was not included in the file indicating the provider was categorized during
screening as limited, moderate, or high risk. (13 providers)
A copy of the provider agreement was not included in the files. (13 providers)
Supporting documentation was not included indicating a pre- or post-enrollment site visit was conducted
as required for providers designated as moderate or high risk. (13 providers)
Supporting documentation was not included indicating the provider disclosed the identity of any person
who had been convicted of a criminal offense related to that person's involvement in any program under
Medicare, Medicaid, or the Title XX services program since the inception of those programs. (9 providers)
Questioned costs: None.
Context: See “Condition.”
Cause: HHSC does not have adequate procedures in place to ensure required documentation is obtained and
maintained to comply with federal provider eligibility requirements.
Effect: Failure to obtain and maintain adequate documentation during the provider screening and enrollment
process may result in otherwise ineligible or fraudulent providers receiving Medicaid funds.
Repeat finding: 2022-014, 2021-008
Recommendation: HHSC should implement controls to ensure:
Documentation is maintained for at least the length of the providers’ current enrollment period or three
years, whichever is greater in accordance with 2 CFR 200.334.
Provider licenses are verified during enrollment.
Providers are re-enrolled at least once every five years.
Provider agreements are obtained, and the proper disclosures are made.
Providers are categorized according to risk level and pre- and post-enrollment site visits are conducted as
required for those deemed moderate or high risk.
Relevant federal databases are checked during initial enrollment and at least monthly for all providers
currently enrolled in Medicaid.
Views of responsible officials: HHSC concurs with this repeat finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Special Tests and Provisions – ADP Risk Analysis and System Security Review – Information Technology – Lack of Risk Assessments Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Medicaid Cluster CFDA Number: 93.775, 93.777, 93.778 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). State agencies must establish and maintain a program for conducting periodic risk analyses to ensure that appropriate, cost-effective safeguards are incorporated into new and existing systems. State agencies must perform risk analyses whenever significant system changes occur. State agencies shall review the ADP system security installations involved in the administration of Health and Human Services (HHS) programs on a biennial basis. At a minimum, the reviews shall include an evaluation of physical and data security operating procedures and personnel practices. The State agency shall maintain reports on its biennial ADP system security reviews, together with pertinent supporting documentation, for HHS on-site reviews (45 CFR section 95.621). Condition: HHSC has a total of 62 in-house and third-party systems that are used in the administration of Medicaid, which are required to be reviewed each biennial period. During the fiscal year 2022-2023 biennial, only five risk assessments were executed based on internal methodology or third-party assessments. HHSC did not perform risk assessments over the remaining 57 systems during the two-year period. Questioned costs: None. Context: See “Condition.” Cause: HHSC is not adhering to its’ current policies and procedures regarding completion of the biennial ADP system security reviews. Effect: Failure to perform risk analyses increases the risk that safeguards will not be in place over physical and data security. Repeat finding: No Recommendation: HHSC should ensure all systems are reviewed in a two-year period. HHSC should also
implement oversight controls to ensure progress toward the plan is executed during the two-year period, including
resolution of remediation items.
Views of responsible officials: HHSC concurs with the finding.
Special Tests and Provisions – Provider Eligibility – Lack of Documentation Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Medicaid Cluster ALN: 93.775, 93.777, 93.778 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Material Weakness in Internal Control over Compliance and Material Noncompliance Criteria or specific requirement: Per 2 CFR 200.303, a non-Federal entity must: Establish and maintain effective internal controls over federal awards that provide reasonable assurance they are managing federal awards in compliance with federal statutes, regulations, and the provisions of contracts or grant agreements that could have a material effect on each of its federal programs. Per 2 CFR 200.334, financial records, supporting documents, statistical records, and all other non-Federal entity records pertinent to a Federal award must be retained for a period of three years from the date of submission of the final expenditure report or, for Federal awards that are renewed quarterly or annually, from the date of the submission of the quarterly or annual financial report, respectively, as reported to the Federal awarding agency or pass-through entity in the case of a subrecipient. Federal awarding agencies and pass-through entities must not impose any other record retention requirements upon non-Federal entities. In order to comply with federal provider eligibility requirements, HHSC must adhere to various subsections of 42
CFR Section 455 including but not limited to:
§ 455.104 – HHSC must require that disclosing entities, fiscal agents, and managed care entities provide the
following disclosures:
The name and address of any person (individual or corporation) with an ownership or control interest in
the disclosing entity, fiscal agent, or managed care entity. The address for corporate entities must include
as applicable primary business address, every business location, and P.O. Box address.
Date of birth and Social Security Number (in the case of an individual)
Other tax identification number (in the case of a corporation) with an ownership or control interest in the
disclosing entity (or fiscal agent or managed care entity) or in any subcontractor in which the disclosing
entity (or fiscal agent or managed care entity) has a 5 percent or more interest.
Whether the person (individual or corporation) with an ownership or control interest in the disclosing entity
(or fiscal agent or managed care entity) is related to another person with ownership or control interest in
the disclosing entity as a spouse, parent, child, or sibling; or whether the person (individual or
corporation) with an ownership or control interest in any subcontractor in which the disclosing entity (or
fiscal agent or managed care entity) has a 5 percent or more interest is related to another person with
ownership or control interest in the disclosing entity as a spouse, parent, child, or sibling.
The name of any other disclosing entity (or fiscal agent or managed care entity) in which an owner of the
disclosing entity (or fiscal agent or managed care entity) has an ownership or control interest.
The name, address, date of birth, and Social Security Number of any managing employee of the
disclosing entity (or fiscal agent or managed care entity).
§ 455.105 – HHSC must enter into an agreement with each provider under which the provider agrees to furnish to
it the following information related to business transactions within 35 days of request:
The ownership of any subcontractor with whom the provider has had business transactions totaling more
than $25,000 during the 12-month period ending on the date of the request; and
Any significant business transactions between the provider and any wholly owned supplier, or between
the provider and any subcontractor, during the 5-year period ending on the date of the request.
§ 455.106 – Before HHSC enters into or renews a provider agreement, or at any time upon written request by
HHSC, the provider must disclose to HHSC the identity of any person who:
Has ownership or control interest in the provider, or is an agent or managing employee of the provider;
and
Has been convicted of a criminal offense related to that person's involvement in any program under
Medicare, Medicaid, or the title XX services program since the inception of those programs.
§ 455.410 – HHSC must require all ordering or referring physicians or other professionals providing services
under the State plan or under a waiver of the plan to be enrolled as participating providers.
§ 455.412 – HHSC must:
Have a method for verifying that any provider purporting to be licensed in accordance with the laws of any
State is licensed by such State.
Confirm that the provider's license has not expired and that there are no current limitations on the
provider's license.
§ 455.414 – HHSC must revalidate the enrollment of all providers regardless of provider type at least every five
years.
§ 455.432 – HHSC must:
Conduct pre-enrollment and post-enrollment site visits of providers who are designated as “moderate” or
“high” categorical risks to the Medicaid program.
Require any enrolled provider to permit CMS, its agents, its designated contractors, or HHSC to conduct
unannounced on-site inspections of any and all provider locations.
§ 455.434 – HHSC must:
Require providers to consent to criminal background checks including fingerprinting when required to do
so under State law or by the level of screening based on risk of fraud, waste or abuse as determined for
that category of provider.
Establish categorical risk levels for providers and provider categories who pose an increased financial risk
of fraud, waste or abuse to the Medicaid program.
o Upon HHSC determining that a provider, or a person with a 5 percent or more direct or indirect
ownership interest in the provider, meets HHSC's criteria hereunder for criminal background
checks as a “high” risk to the Medicaid program, HHSC will require that each such provider or
person submit fingerprints, in a form and manner to be determined by HHSC, within 30 days upon
request from CMS or HHSC.
§ 455.436 – HHSC must confirm the identity and determine the exclusion status of providers and any person with
an ownership or control interest or who is an agent or managing employee of the provider through routine checks
of Federal databases. Upon enrollment and reenrollment, HHSC must check the Social Security Administration's
Death Master File (SSADMF), the National Plan and Provider Enumeration System (NPPES), the List of Excluded
Individuals/Entities (LEIE), the Excluded Parties List System (EPLS), and any such other databases as the
Secretary may prescribe. During the period the provider is enrolled, HHSC must check the LEIE and EPLS no
less frequently than monthly.
§ 455.434 – HHSC must screen all initial applications, including applications for a new practice location, and any
applications received in response to a re-enrollment or revalidation of enrollment request based on a categorical
risk level of “limited,” “moderate,” or “high.” If a provider could fit within more than one risk level described in this
section, the highest level of screening is applicable.
Condition: Various departments within and contractors of HHSC are responsible for ensuring medical providers
are properly licensed, screened, and enrolled in the Medicaid Program including Contract Administration and
Provider Monitoring (CAPM), Access and Eligibility Services (AES), Procurement and Contracting Services, and
the Texas Medicaid and Healthcare Partnership.
Audit procedures included a review of 60 providers each for Medicaid, which resulted in the following (sampled
exceptions noted in parentheses):
A copy of the completed application was not included in the file. (9 providers)
Enrollment of the provider was not completed within the last 5 years. (7 providers)
Verification of the provider’s license was not included in the file. (7 providers)
Required information on ownership and control was not disclosed. (11 providers)
Supporting documentation was not included in the file indicating the provider consented to a criminal
background check. (9 providers)
Supporting documentation was not included in the file indicating the SSADMF database was checked at
the time of the most recent enrollment. (12 providers)
Supporting documentation was not included in the file indicating the NPPES database was checked at the
time of the most recent enrollment. (12 providers)
Supporting documentation was not included in the file indicating the LEIE database was checked at the
time of the most recent enrollment. (12 providers)
Supporting documentation was not included in the file indicating the EPLS database was checked at the
time of the most recent enrollment. (12 providers)
Supporting documentation was not included in the file indicating the provider was categorized during
screening as limited, moderate, or high risk. (13 providers)
A copy of the provider agreement was not included in the files. (13 providers)
Supporting documentation was not included indicating a pre- or post-enrollment site visit was conducted
as required for providers designated as moderate or high risk. (13 providers)
Supporting documentation was not included indicating the provider disclosed the identity of any person
who had been convicted of a criminal offense related to that person's involvement in any program under
Medicare, Medicaid, or the Title XX services program since the inception of those programs. (9 providers)
Questioned costs: None.
Context: See “Condition.”
Cause: HHSC does not have adequate procedures in place to ensure required documentation is obtained and
maintained to comply with federal provider eligibility requirements.
Effect: Failure to obtain and maintain adequate documentation during the provider screening and enrollment
process may result in otherwise ineligible or fraudulent providers receiving Medicaid funds.
Repeat finding: 2022-014, 2021-008
Recommendation: HHSC should implement controls to ensure:
Documentation is maintained for at least the length of the providers’ current enrollment period or three
years, whichever is greater in accordance with 2 CFR 200.334.
Provider licenses are verified during enrollment.
Providers are re-enrolled at least once every five years.
Provider agreements are obtained, and the proper disclosures are made.
Providers are categorized according to risk level and pre- and post-enrollment site visits are conducted as
required for those deemed moderate or high risk.
Relevant federal databases are checked during initial enrollment and at least monthly for all providers
currently enrolled in Medicaid.
Views of responsible officials: HHSC concurs with this repeat finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Special Tests and Provisions – ADP Risk Analysis and System Security Review – Information Technology – Lack of Risk Assessments Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Medicaid Cluster CFDA Number: 93.775, 93.777, 93.778 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). State agencies must establish and maintain a program for conducting periodic risk analyses to ensure that appropriate, cost-effective safeguards are incorporated into new and existing systems. State agencies must perform risk analyses whenever significant system changes occur. State agencies shall review the ADP system security installations involved in the administration of Health and Human Services (HHS) programs on a biennial basis. At a minimum, the reviews shall include an evaluation of physical and data security operating procedures and personnel practices. The State agency shall maintain reports on its biennial ADP system security reviews, together with pertinent supporting documentation, for HHS on-site reviews (45 CFR section 95.621). Condition: HHSC has a total of 62 in-house and third-party systems that are used in the administration of Medicaid, which are required to be reviewed each biennial period. During the fiscal year 2022-2023 biennial, only five risk assessments were executed based on internal methodology or third-party assessments. HHSC did not perform risk assessments over the remaining 57 systems during the two-year period. Questioned costs: None. Context: See “Condition.” Cause: HHSC is not adhering to its’ current policies and procedures regarding completion of the biennial ADP system security reviews. Effect: Failure to perform risk analyses increases the risk that safeguards will not be in place over physical and data security. Repeat finding: No Recommendation: HHSC should ensure all systems are reviewed in a two-year period. HHSC should also
implement oversight controls to ensure progress toward the plan is executed during the two-year period, including
resolution of remediation items.
Views of responsible officials: HHSC concurs with the finding.
Special Tests and Provisions – Provider Eligibility – Lack of Documentation Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Medicaid Cluster ALN: 93.775, 93.777, 93.778 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Material Weakness in Internal Control over Compliance and Material Noncompliance Criteria or specific requirement: Per 2 CFR 200.303, a non-Federal entity must: Establish and maintain effective internal controls over federal awards that provide reasonable assurance they are managing federal awards in compliance with federal statutes, regulations, and the provisions of contracts or grant agreements that could have a material effect on each of its federal programs. Per 2 CFR 200.334, financial records, supporting documents, statistical records, and all other non-Federal entity records pertinent to a Federal award must be retained for a period of three years from the date of submission of the final expenditure report or, for Federal awards that are renewed quarterly or annually, from the date of the submission of the quarterly or annual financial report, respectively, as reported to the Federal awarding agency or pass-through entity in the case of a subrecipient. Federal awarding agencies and pass-through entities must not impose any other record retention requirements upon non-Federal entities. In order to comply with federal provider eligibility requirements, HHSC must adhere to various subsections of 42
CFR Section 455 including but not limited to:
§ 455.104 – HHSC must require that disclosing entities, fiscal agents, and managed care entities provide the
following disclosures:
The name and address of any person (individual or corporation) with an ownership or control interest in
the disclosing entity, fiscal agent, or managed care entity. The address for corporate entities must include
as applicable primary business address, every business location, and P.O. Box address.
Date of birth and Social Security Number (in the case of an individual)
Other tax identification number (in the case of a corporation) with an ownership or control interest in the
disclosing entity (or fiscal agent or managed care entity) or in any subcontractor in which the disclosing
entity (or fiscal agent or managed care entity) has a 5 percent or more interest.
Whether the person (individual or corporation) with an ownership or control interest in the disclosing entity
(or fiscal agent or managed care entity) is related to another person with ownership or control interest in
the disclosing entity as a spouse, parent, child, or sibling; or whether the person (individual or
corporation) with an ownership or control interest in any subcontractor in which the disclosing entity (or
fiscal agent or managed care entity) has a 5 percent or more interest is related to another person with
ownership or control interest in the disclosing entity as a spouse, parent, child, or sibling.
The name of any other disclosing entity (or fiscal agent or managed care entity) in which an owner of the
disclosing entity (or fiscal agent or managed care entity) has an ownership or control interest.
The name, address, date of birth, and Social Security Number of any managing employee of the
disclosing entity (or fiscal agent or managed care entity).
§ 455.105 – HHSC must enter into an agreement with each provider under which the provider agrees to furnish to
it the following information related to business transactions within 35 days of request:
The ownership of any subcontractor with whom the provider has had business transactions totaling more
than $25,000 during the 12-month period ending on the date of the request; and
Any significant business transactions between the provider and any wholly owned supplier, or between
the provider and any subcontractor, during the 5-year period ending on the date of the request.
§ 455.106 – Before HHSC enters into or renews a provider agreement, or at any time upon written request by
HHSC, the provider must disclose to HHSC the identity of any person who:
Has ownership or control interest in the provider, or is an agent or managing employee of the provider;
and
Has been convicted of a criminal offense related to that person's involvement in any program under
Medicare, Medicaid, or the title XX services program since the inception of those programs.
§ 455.410 – HHSC must require all ordering or referring physicians or other professionals providing services
under the State plan or under a waiver of the plan to be enrolled as participating providers.
§ 455.412 – HHSC must:
Have a method for verifying that any provider purporting to be licensed in accordance with the laws of any
State is licensed by such State.
Confirm that the provider's license has not expired and that there are no current limitations on the
provider's license.
§ 455.414 – HHSC must revalidate the enrollment of all providers regardless of provider type at least every five
years.
§ 455.432 – HHSC must:
Conduct pre-enrollment and post-enrollment site visits of providers who are designated as “moderate” or
“high” categorical risks to the Medicaid program.
Require any enrolled provider to permit CMS, its agents, its designated contractors, or HHSC to conduct
unannounced on-site inspections of any and all provider locations.
§ 455.434 – HHSC must:
Require providers to consent to criminal background checks including fingerprinting when required to do
so under State law or by the level of screening based on risk of fraud, waste or abuse as determined for
that category of provider.
Establish categorical risk levels for providers and provider categories who pose an increased financial risk
of fraud, waste or abuse to the Medicaid program.
o Upon HHSC determining that a provider, or a person with a 5 percent or more direct or indirect
ownership interest in the provider, meets HHSC's criteria hereunder for criminal background
checks as a “high” risk to the Medicaid program, HHSC will require that each such provider or
person submit fingerprints, in a form and manner to be determined by HHSC, within 30 days upon
request from CMS or HHSC.
§ 455.436 – HHSC must confirm the identity and determine the exclusion status of providers and any person with
an ownership or control interest or who is an agent or managing employee of the provider through routine checks
of Federal databases. Upon enrollment and reenrollment, HHSC must check the Social Security Administration's
Death Master File (SSADMF), the National Plan and Provider Enumeration System (NPPES), the List of Excluded
Individuals/Entities (LEIE), the Excluded Parties List System (EPLS), and any such other databases as the
Secretary may prescribe. During the period the provider is enrolled, HHSC must check the LEIE and EPLS no
less frequently than monthly.
§ 455.434 – HHSC must screen all initial applications, including applications for a new practice location, and any
applications received in response to a re-enrollment or revalidation of enrollment request based on a categorical
risk level of “limited,” “moderate,” or “high.” If a provider could fit within more than one risk level described in this
section, the highest level of screening is applicable.
Condition: Various departments within and contractors of HHSC are responsible for ensuring medical providers
are properly licensed, screened, and enrolled in the Medicaid Program including Contract Administration and
Provider Monitoring (CAPM), Access and Eligibility Services (AES), Procurement and Contracting Services, and
the Texas Medicaid and Healthcare Partnership.
Audit procedures included a review of 60 providers each for Medicaid, which resulted in the following (sampled
exceptions noted in parentheses):
A copy of the completed application was not included in the file. (9 providers)
Enrollment of the provider was not completed within the last 5 years. (7 providers)
Verification of the provider’s license was not included in the file. (7 providers)
Required information on ownership and control was not disclosed. (11 providers)
Supporting documentation was not included in the file indicating the provider consented to a criminal
background check. (9 providers)
Supporting documentation was not included in the file indicating the SSADMF database was checked at
the time of the most recent enrollment. (12 providers)
Supporting documentation was not included in the file indicating the NPPES database was checked at the
time of the most recent enrollment. (12 providers)
Supporting documentation was not included in the file indicating the LEIE database was checked at the
time of the most recent enrollment. (12 providers)
Supporting documentation was not included in the file indicating the EPLS database was checked at the
time of the most recent enrollment. (12 providers)
Supporting documentation was not included in the file indicating the provider was categorized during
screening as limited, moderate, or high risk. (13 providers)
A copy of the provider agreement was not included in the files. (13 providers)
Supporting documentation was not included indicating a pre- or post-enrollment site visit was conducted
as required for providers designated as moderate or high risk. (13 providers)
Supporting documentation was not included indicating the provider disclosed the identity of any person
who had been convicted of a criminal offense related to that person's involvement in any program under
Medicare, Medicaid, or the Title XX services program since the inception of those programs. (9 providers)
Questioned costs: None.
Context: See “Condition.”
Cause: HHSC does not have adequate procedures in place to ensure required documentation is obtained and
maintained to comply with federal provider eligibility requirements.
Effect: Failure to obtain and maintain adequate documentation during the provider screening and enrollment
process may result in otherwise ineligible or fraudulent providers receiving Medicaid funds.
Repeat finding: 2022-014, 2021-008
Recommendation: HHSC should implement controls to ensure:
Documentation is maintained for at least the length of the providers’ current enrollment period or three
years, whichever is greater in accordance with 2 CFR 200.334.
Provider licenses are verified during enrollment.
Providers are re-enrolled at least once every five years.
Provider agreements are obtained, and the proper disclosures are made.
Providers are categorized according to risk level and pre- and post-enrollment site visits are conducted as
required for those deemed moderate or high risk.
Relevant federal databases are checked during initial enrollment and at least monthly for all providers
currently enrolled in Medicaid.
Views of responsible officials: HHSC concurs with this repeat finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Special Tests and Provisions – ADP Risk Analysis and System Security Review – Information Technology – Lack of Risk Assessments Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Medicaid Cluster CFDA Number: 93.775, 93.777, 93.778 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). State agencies must establish and maintain a program for conducting periodic risk analyses to ensure that appropriate, cost-effective safeguards are incorporated into new and existing systems. State agencies must perform risk analyses whenever significant system changes occur. State agencies shall review the ADP system security installations involved in the administration of Health and Human Services (HHS) programs on a biennial basis. At a minimum, the reviews shall include an evaluation of physical and data security operating procedures and personnel practices. The State agency shall maintain reports on its biennial ADP system security reviews, together with pertinent supporting documentation, for HHS on-site reviews (45 CFR section 95.621). Condition: HHSC has a total of 62 in-house and third-party systems that are used in the administration of Medicaid, which are required to be reviewed each biennial period. During the fiscal year 2022-2023 biennial, only five risk assessments were executed based on internal methodology or third-party assessments. HHSC did not perform risk assessments over the remaining 57 systems during the two-year period. Questioned costs: None. Context: See “Condition.” Cause: HHSC is not adhering to its’ current policies and procedures regarding completion of the biennial ADP system security reviews. Effect: Failure to perform risk analyses increases the risk that safeguards will not be in place over physical and data security. Repeat finding: No Recommendation: HHSC should ensure all systems are reviewed in a two-year period. HHSC should also
implement oversight controls to ensure progress toward the plan is executed during the two-year period, including
resolution of remediation items.
Views of responsible officials: HHSC concurs with the finding.
Special Tests and Provisions – Provider Eligibility – Lack of Documentation Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Medicaid Cluster ALN: 93.775, 93.777, 93.778 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Material Weakness in Internal Control over Compliance and Material Noncompliance Criteria or specific requirement: Per 2 CFR 200.303, a non-Federal entity must: Establish and maintain effective internal controls over federal awards that provide reasonable assurance they are managing federal awards in compliance with federal statutes, regulations, and the provisions of contracts or grant agreements that could have a material effect on each of its federal programs. Per 2 CFR 200.334, financial records, supporting documents, statistical records, and all other non-Federal entity records pertinent to a Federal award must be retained for a period of three years from the date of submission of the final expenditure report or, for Federal awards that are renewed quarterly or annually, from the date of the submission of the quarterly or annual financial report, respectively, as reported to the Federal awarding agency or pass-through entity in the case of a subrecipient. Federal awarding agencies and pass-through entities must not impose any other record retention requirements upon non-Federal entities. In order to comply with federal provider eligibility requirements, HHSC must adhere to various subsections of 42
CFR Section 455 including but not limited to:
§ 455.104 – HHSC must require that disclosing entities, fiscal agents, and managed care entities provide the
following disclosures:
The name and address of any person (individual or corporation) with an ownership or control interest in
the disclosing entity, fiscal agent, or managed care entity. The address for corporate entities must include
as applicable primary business address, every business location, and P.O. Box address.
Date of birth and Social Security Number (in the case of an individual)
Other tax identification number (in the case of a corporation) with an ownership or control interest in the
disclosing entity (or fiscal agent or managed care entity) or in any subcontractor in which the disclosing
entity (or fiscal agent or managed care entity) has a 5 percent or more interest.
Whether the person (individual or corporation) with an ownership or control interest in the disclosing entity
(or fiscal agent or managed care entity) is related to another person with ownership or control interest in
the disclosing entity as a spouse, parent, child, or sibling; or whether the person (individual or
corporation) with an ownership or control interest in any subcontractor in which the disclosing entity (or
fiscal agent or managed care entity) has a 5 percent or more interest is related to another person with
ownership or control interest in the disclosing entity as a spouse, parent, child, or sibling.
The name of any other disclosing entity (or fiscal agent or managed care entity) in which an owner of the
disclosing entity (or fiscal agent or managed care entity) has an ownership or control interest.
The name, address, date of birth, and Social Security Number of any managing employee of the
disclosing entity (or fiscal agent or managed care entity).
§ 455.105 – HHSC must enter into an agreement with each provider under which the provider agrees to furnish to
it the following information related to business transactions within 35 days of request:
The ownership of any subcontractor with whom the provider has had business transactions totaling more
than $25,000 during the 12-month period ending on the date of the request; and
Any significant business transactions between the provider and any wholly owned supplier, or between
the provider and any subcontractor, during the 5-year period ending on the date of the request.
§ 455.106 – Before HHSC enters into or renews a provider agreement, or at any time upon written request by
HHSC, the provider must disclose to HHSC the identity of any person who:
Has ownership or control interest in the provider, or is an agent or managing employee of the provider;
and
Has been convicted of a criminal offense related to that person's involvement in any program under
Medicare, Medicaid, or the title XX services program since the inception of those programs.
§ 455.410 – HHSC must require all ordering or referring physicians or other professionals providing services
under the State plan or under a waiver of the plan to be enrolled as participating providers.
§ 455.412 – HHSC must:
Have a method for verifying that any provider purporting to be licensed in accordance with the laws of any
State is licensed by such State.
Confirm that the provider's license has not expired and that there are no current limitations on the
provider's license.
§ 455.414 – HHSC must revalidate the enrollment of all providers regardless of provider type at least every five
years.
§ 455.432 – HHSC must:
Conduct pre-enrollment and post-enrollment site visits of providers who are designated as “moderate” or
“high” categorical risks to the Medicaid program.
Require any enrolled provider to permit CMS, its agents, its designated contractors, or HHSC to conduct
unannounced on-site inspections of any and all provider locations.
§ 455.434 – HHSC must:
Require providers to consent to criminal background checks including fingerprinting when required to do
so under State law or by the level of screening based on risk of fraud, waste or abuse as determined for
that category of provider.
Establish categorical risk levels for providers and provider categories who pose an increased financial risk
of fraud, waste or abuse to the Medicaid program.
o Upon HHSC determining that a provider, or a person with a 5 percent or more direct or indirect
ownership interest in the provider, meets HHSC's criteria hereunder for criminal background
checks as a “high” risk to the Medicaid program, HHSC will require that each such provider or
person submit fingerprints, in a form and manner to be determined by HHSC, within 30 days upon
request from CMS or HHSC.
§ 455.436 – HHSC must confirm the identity and determine the exclusion status of providers and any person with
an ownership or control interest or who is an agent or managing employee of the provider through routine checks
of Federal databases. Upon enrollment and reenrollment, HHSC must check the Social Security Administration's
Death Master File (SSADMF), the National Plan and Provider Enumeration System (NPPES), the List of Excluded
Individuals/Entities (LEIE), the Excluded Parties List System (EPLS), and any such other databases as the
Secretary may prescribe. During the period the provider is enrolled, HHSC must check the LEIE and EPLS no
less frequently than monthly.
§ 455.434 – HHSC must screen all initial applications, including applications for a new practice location, and any
applications received in response to a re-enrollment or revalidation of enrollment request based on a categorical
risk level of “limited,” “moderate,” or “high.” If a provider could fit within more than one risk level described in this
section, the highest level of screening is applicable.
Condition: Various departments within and contractors of HHSC are responsible for ensuring medical providers
are properly licensed, screened, and enrolled in the Medicaid Program including Contract Administration and
Provider Monitoring (CAPM), Access and Eligibility Services (AES), Procurement and Contracting Services, and
the Texas Medicaid and Healthcare Partnership.
Audit procedures included a review of 60 providers each for Medicaid, which resulted in the following (sampled
exceptions noted in parentheses):
A copy of the completed application was not included in the file. (9 providers)
Enrollment of the provider was not completed within the last 5 years. (7 providers)
Verification of the provider’s license was not included in the file. (7 providers)
Required information on ownership and control was not disclosed. (11 providers)
Supporting documentation was not included in the file indicating the provider consented to a criminal
background check. (9 providers)
Supporting documentation was not included in the file indicating the SSADMF database was checked at
the time of the most recent enrollment. (12 providers)
Supporting documentation was not included in the file indicating the NPPES database was checked at the
time of the most recent enrollment. (12 providers)
Supporting documentation was not included in the file indicating the LEIE database was checked at the
time of the most recent enrollment. (12 providers)
Supporting documentation was not included in the file indicating the EPLS database was checked at the
time of the most recent enrollment. (12 providers)
Supporting documentation was not included in the file indicating the provider was categorized during
screening as limited, moderate, or high risk. (13 providers)
A copy of the provider agreement was not included in the files. (13 providers)
Supporting documentation was not included indicating a pre- or post-enrollment site visit was conducted
as required for providers designated as moderate or high risk. (13 providers)
Supporting documentation was not included indicating the provider disclosed the identity of any person
who had been convicted of a criminal offense related to that person's involvement in any program under
Medicare, Medicaid, or the Title XX services program since the inception of those programs. (9 providers)
Questioned costs: None.
Context: See “Condition.”
Cause: HHSC does not have adequate procedures in place to ensure required documentation is obtained and
maintained to comply with federal provider eligibility requirements.
Effect: Failure to obtain and maintain adequate documentation during the provider screening and enrollment
process may result in otherwise ineligible or fraudulent providers receiving Medicaid funds.
Repeat finding: 2022-014, 2021-008
Recommendation: HHSC should implement controls to ensure:
Documentation is maintained for at least the length of the providers’ current enrollment period or three
years, whichever is greater in accordance with 2 CFR 200.334.
Provider licenses are verified during enrollment.
Providers are re-enrolled at least once every five years.
Provider agreements are obtained, and the proper disclosures are made.
Providers are categorized according to risk level and pre- and post-enrollment site visits are conducted as
required for those deemed moderate or high risk.
Relevant federal databases are checked during initial enrollment and at least monthly for all providers
currently enrolled in Medicaid.
Views of responsible officials: HHSC concurs with this repeat finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Special Tests and Provisions – ADP Risk Analysis and System Security Review – Information Technology – Lack of Risk Assessments Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Medicaid Cluster CFDA Number: 93.775, 93.777, 93.778 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). State agencies must establish and maintain a program for conducting periodic risk analyses to ensure that appropriate, cost-effective safeguards are incorporated into new and existing systems. State agencies must perform risk analyses whenever significant system changes occur. State agencies shall review the ADP system security installations involved in the administration of Health and Human Services (HHS) programs on a biennial basis. At a minimum, the reviews shall include an evaluation of physical and data security operating procedures and personnel practices. The State agency shall maintain reports on its biennial ADP system security reviews, together with pertinent supporting documentation, for HHS on-site reviews (45 CFR section 95.621). Condition: HHSC has a total of 62 in-house and third-party systems that are used in the administration of Medicaid, which are required to be reviewed each biennial period. During the fiscal year 2022-2023 biennial, only five risk assessments were executed based on internal methodology or third-party assessments. HHSC did not perform risk assessments over the remaining 57 systems during the two-year period. Questioned costs: None. Context: See “Condition.” Cause: HHSC is not adhering to its’ current policies and procedures regarding completion of the biennial ADP system security reviews. Effect: Failure to perform risk analyses increases the risk that safeguards will not be in place over physical and data security. Repeat finding: No Recommendation: HHSC should ensure all systems are reviewed in a two-year period. HHSC should also
implement oversight controls to ensure progress toward the plan is executed during the two-year period, including
resolution of remediation items.
Views of responsible officials: HHSC concurs with the finding.
Special Tests and Provisions – Provider Eligibility – Lack of Documentation Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Medicaid Cluster ALN: 93.775, 93.777, 93.778 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Material Weakness in Internal Control over Compliance and Material Noncompliance Criteria or specific requirement: Per 2 CFR 200.303, a non-Federal entity must: Establish and maintain effective internal controls over federal awards that provide reasonable assurance they are managing federal awards in compliance with federal statutes, regulations, and the provisions of contracts or grant agreements that could have a material effect on each of its federal programs. Per 2 CFR 200.334, financial records, supporting documents, statistical records, and all other non-Federal entity records pertinent to a Federal award must be retained for a period of three years from the date of submission of the final expenditure report or, for Federal awards that are renewed quarterly or annually, from the date of the submission of the quarterly or annual financial report, respectively, as reported to the Federal awarding agency or pass-through entity in the case of a subrecipient. Federal awarding agencies and pass-through entities must not impose any other record retention requirements upon non-Federal entities. In order to comply with federal provider eligibility requirements, HHSC must adhere to various subsections of 42
CFR Section 455 including but not limited to:
§ 455.104 – HHSC must require that disclosing entities, fiscal agents, and managed care entities provide the
following disclosures:
The name and address of any person (individual or corporation) with an ownership or control interest in
the disclosing entity, fiscal agent, or managed care entity. The address for corporate entities must include
as applicable primary business address, every business location, and P.O. Box address.
Date of birth and Social Security Number (in the case of an individual)
Other tax identification number (in the case of a corporation) with an ownership or control interest in the
disclosing entity (or fiscal agent or managed care entity) or in any subcontractor in which the disclosing
entity (or fiscal agent or managed care entity) has a 5 percent or more interest.
Whether the person (individual or corporation) with an ownership or control interest in the disclosing entity
(or fiscal agent or managed care entity) is related to another person with ownership or control interest in
the disclosing entity as a spouse, parent, child, or sibling; or whether the person (individual or
corporation) with an ownership or control interest in any subcontractor in which the disclosing entity (or
fiscal agent or managed care entity) has a 5 percent or more interest is related to another person with
ownership or control interest in the disclosing entity as a spouse, parent, child, or sibling.
The name of any other disclosing entity (or fiscal agent or managed care entity) in which an owner of the
disclosing entity (or fiscal agent or managed care entity) has an ownership or control interest.
The name, address, date of birth, and Social Security Number of any managing employee of the
disclosing entity (or fiscal agent or managed care entity).
§ 455.105 – HHSC must enter into an agreement with each provider under which the provider agrees to furnish to
it the following information related to business transactions within 35 days of request:
The ownership of any subcontractor with whom the provider has had business transactions totaling more
than $25,000 during the 12-month period ending on the date of the request; and
Any significant business transactions between the provider and any wholly owned supplier, or between
the provider and any subcontractor, during the 5-year period ending on the date of the request.
§ 455.106 – Before HHSC enters into or renews a provider agreement, or at any time upon written request by
HHSC, the provider must disclose to HHSC the identity of any person who:
Has ownership or control interest in the provider, or is an agent or managing employee of the provider;
and
Has been convicted of a criminal offense related to that person's involvement in any program under
Medicare, Medicaid, or the title XX services program since the inception of those programs.
§ 455.410 – HHSC must require all ordering or referring physicians or other professionals providing services
under the State plan or under a waiver of the plan to be enrolled as participating providers.
§ 455.412 – HHSC must:
Have a method for verifying that any provider purporting to be licensed in accordance with the laws of any
State is licensed by such State.
Confirm that the provider's license has not expired and that there are no current limitations on the
provider's license.
§ 455.414 – HHSC must revalidate the enrollment of all providers regardless of provider type at least every five
years.
§ 455.432 – HHSC must:
Conduct pre-enrollment and post-enrollment site visits of providers who are designated as “moderate” or
“high” categorical risks to the Medicaid program.
Require any enrolled provider to permit CMS, its agents, its designated contractors, or HHSC to conduct
unannounced on-site inspections of any and all provider locations.
§ 455.434 – HHSC must:
Require providers to consent to criminal background checks including fingerprinting when required to do
so under State law or by the level of screening based on risk of fraud, waste or abuse as determined for
that category of provider.
Establish categorical risk levels for providers and provider categories who pose an increased financial risk
of fraud, waste or abuse to the Medicaid program.
o Upon HHSC determining that a provider, or a person with a 5 percent or more direct or indirect
ownership interest in the provider, meets HHSC's criteria hereunder for criminal background
checks as a “high” risk to the Medicaid program, HHSC will require that each such provider or
person submit fingerprints, in a form and manner to be determined by HHSC, within 30 days upon
request from CMS or HHSC.
§ 455.436 – HHSC must confirm the identity and determine the exclusion status of providers and any person with
an ownership or control interest or who is an agent or managing employee of the provider through routine checks
of Federal databases. Upon enrollment and reenrollment, HHSC must check the Social Security Administration's
Death Master File (SSADMF), the National Plan and Provider Enumeration System (NPPES), the List of Excluded
Individuals/Entities (LEIE), the Excluded Parties List System (EPLS), and any such other databases as the
Secretary may prescribe. During the period the provider is enrolled, HHSC must check the LEIE and EPLS no
less frequently than monthly.
§ 455.434 – HHSC must screen all initial applications, including applications for a new practice location, and any
applications received in response to a re-enrollment or revalidation of enrollment request based on a categorical
risk level of “limited,” “moderate,” or “high.” If a provider could fit within more than one risk level described in this
section, the highest level of screening is applicable.
Condition: Various departments within and contractors of HHSC are responsible for ensuring medical providers
are properly licensed, screened, and enrolled in the Medicaid Program including Contract Administration and
Provider Monitoring (CAPM), Access and Eligibility Services (AES), Procurement and Contracting Services, and
the Texas Medicaid and Healthcare Partnership.
Audit procedures included a review of 60 providers each for Medicaid, which resulted in the following (sampled
exceptions noted in parentheses):
A copy of the completed application was not included in the file. (9 providers)
Enrollment of the provider was not completed within the last 5 years. (7 providers)
Verification of the provider’s license was not included in the file. (7 providers)
Required information on ownership and control was not disclosed. (11 providers)
Supporting documentation was not included in the file indicating the provider consented to a criminal
background check. (9 providers)
Supporting documentation was not included in the file indicating the SSADMF database was checked at
the time of the most recent enrollment. (12 providers)
Supporting documentation was not included in the file indicating the NPPES database was checked at the
time of the most recent enrollment. (12 providers)
Supporting documentation was not included in the file indicating the LEIE database was checked at the
time of the most recent enrollment. (12 providers)
Supporting documentation was not included in the file indicating the EPLS database was checked at the
time of the most recent enrollment. (12 providers)
Supporting documentation was not included in the file indicating the provider was categorized during
screening as limited, moderate, or high risk. (13 providers)
A copy of the provider agreement was not included in the files. (13 providers)
Supporting documentation was not included indicating a pre- or post-enrollment site visit was conducted
as required for providers designated as moderate or high risk. (13 providers)
Supporting documentation was not included indicating the provider disclosed the identity of any person
who had been convicted of a criminal offense related to that person's involvement in any program under
Medicare, Medicaid, or the Title XX services program since the inception of those programs. (9 providers)
Questioned costs: None.
Context: See “Condition.”
Cause: HHSC does not have adequate procedures in place to ensure required documentation is obtained and
maintained to comply with federal provider eligibility requirements.
Effect: Failure to obtain and maintain adequate documentation during the provider screening and enrollment
process may result in otherwise ineligible or fraudulent providers receiving Medicaid funds.
Repeat finding: 2022-014, 2021-008
Recommendation: HHSC should implement controls to ensure:
Documentation is maintained for at least the length of the providers’ current enrollment period or three
years, whichever is greater in accordance with 2 CFR 200.334.
Provider licenses are verified during enrollment.
Providers are re-enrolled at least once every five years.
Provider agreements are obtained, and the proper disclosures are made.
Providers are categorized according to risk level and pre- and post-enrollment site visits are conducted as
required for those deemed moderate or high risk.
Relevant federal databases are checked during initial enrollment and at least monthly for all providers
currently enrolled in Medicaid.
Views of responsible officials: HHSC concurs with this repeat finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Special Tests and Provisions – ADP Risk Analysis and System Security Review – Information Technology – Lack of Risk Assessments Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Medicaid Cluster CFDA Number: 93.775, 93.777, 93.778 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that it is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). State agencies must establish and maintain a program for conducting periodic risk analyses to ensure that appropriate, cost-effective safeguards are incorporated into new and existing systems. State agencies must perform risk analyses whenever significant system changes occur. State agencies shall review the ADP system security installations involved in the administration of Health and Human Services (HHS) programs on a biennial basis. At a minimum, the reviews shall include an evaluation of physical and data security operating procedures and personnel practices. The State agency shall maintain reports on its biennial ADP system security reviews, together with pertinent supporting documentation, for HHS on-site reviews (45 CFR section 95.621). Condition: HHSC has a total of 62 in-house and third-party systems that are used in the administration of Medicaid, which are required to be reviewed each biennial period. During the fiscal year 2022-2023 biennial, only five risk assessments were executed based on internal methodology or third-party assessments. HHSC did not perform risk assessments over the remaining 57 systems during the two-year period. Questioned costs: None. Context: See “Condition.” Cause: HHSC is not adhering to its’ current policies and procedures regarding completion of the biennial ADP system security reviews. Effect: Failure to perform risk analyses increases the risk that safeguards will not be in place over physical and data security. Repeat finding: No Recommendation: HHSC should ensure all systems are reviewed in a two-year period. HHSC should also
implement oversight controls to ensure progress toward the plan is executed during the two-year period, including
resolution of remediation items.
Views of responsible officials: HHSC concurs with the finding.
Special Tests and Provisions – Provider Eligibility – Lack of Documentation Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Medicaid Cluster ALN: 93.775, 93.777, 93.778 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Material Weakness in Internal Control over Compliance and Material Noncompliance Criteria or specific requirement: Per 2 CFR 200.303, a non-Federal entity must: Establish and maintain effective internal controls over federal awards that provide reasonable assurance they are managing federal awards in compliance with federal statutes, regulations, and the provisions of contracts or grant agreements that could have a material effect on each of its federal programs. Per 2 CFR 200.334, financial records, supporting documents, statistical records, and all other non-Federal entity records pertinent to a Federal award must be retained for a period of three years from the date of submission of the final expenditure report or, for Federal awards that are renewed quarterly or annually, from the date of the submission of the quarterly or annual financial report, respectively, as reported to the Federal awarding agency or pass-through entity in the case of a subrecipient. Federal awarding agencies and pass-through entities must not impose any other record retention requirements upon non-Federal entities. In order to comply with federal provider eligibility requirements, HHSC must adhere to various subsections of 42
CFR Section 455 including but not limited to:
§ 455.104 – HHSC must require that disclosing entities, fiscal agents, and managed care entities provide the
following disclosures:
The name and address of any person (individual or corporation) with an ownership or control interest in
the disclosing entity, fiscal agent, or managed care entity. The address for corporate entities must include
as applicable primary business address, every business location, and P.O. Box address.
Date of birth and Social Security Number (in the case of an individual)
Other tax identification number (in the case of a corporation) with an ownership or control interest in the
disclosing entity (or fiscal agent or managed care entity) or in any subcontractor in which the disclosing
entity (or fiscal agent or managed care entity) has a 5 percent or more interest.
Whether the person (individual or corporation) with an ownership or control interest in the disclosing entity
(or fiscal agent or managed care entity) is related to another person with ownership or control interest in
the disclosing entity as a spouse, parent, child, or sibling; or whether the person (individual or
corporation) with an ownership or control interest in any subcontractor in which the disclosing entity (or
fiscal agent or managed care entity) has a 5 percent or more interest is related to another person with
ownership or control interest in the disclosing entity as a spouse, parent, child, or sibling.
The name of any other disclosing entity (or fiscal agent or managed care entity) in which an owner of the
disclosing entity (or fiscal agent or managed care entity) has an ownership or control interest.
The name, address, date of birth, and Social Security Number of any managing employee of the
disclosing entity (or fiscal agent or managed care entity).
§ 455.105 – HHSC must enter into an agreement with each provider under which the provider agrees to furnish to
it the following information related to business transactions within 35 days of request:
The ownership of any subcontractor with whom the provider has had business transactions totaling more
than $25,000 during the 12-month period ending on the date of the request; and
Any significant business transactions between the provider and any wholly owned supplier, or between
the provider and any subcontractor, during the 5-year period ending on the date of the request.
§ 455.106 – Before HHSC enters into or renews a provider agreement, or at any time upon written request by
HHSC, the provider must disclose to HHSC the identity of any person who:
Has ownership or control interest in the provider, or is an agent or managing employee of the provider;
and
Has been convicted of a criminal offense related to that person's involvement in any program under
Medicare, Medicaid, or the title XX services program since the inception of those programs.
§ 455.410 – HHSC must require all ordering or referring physicians or other professionals providing services
under the State plan or under a waiver of the plan to be enrolled as participating providers.
§ 455.412 – HHSC must:
Have a method for verifying that any provider purporting to be licensed in accordance with the laws of any
State is licensed by such State.
Confirm that the provider's license has not expired and that there are no current limitations on the
provider's license.
§ 455.414 – HHSC must revalidate the enrollment of all providers regardless of provider type at least every five
years.
§ 455.432 – HHSC must:
Conduct pre-enrollment and post-enrollment site visits of providers who are designated as “moderate” or
“high” categorical risks to the Medicaid program.
Require any enrolled provider to permit CMS, its agents, its designated contractors, or HHSC to conduct
unannounced on-site inspections of any and all provider locations.
§ 455.434 – HHSC must:
Require providers to consent to criminal background checks including fingerprinting when required to do
so under State law or by the level of screening based on risk of fraud, waste or abuse as determined for
that category of provider.
Establish categorical risk levels for providers and provider categories who pose an increased financial risk
of fraud, waste or abuse to the Medicaid program.
o Upon HHSC determining that a provider, or a person with a 5 percent or more direct or indirect
ownership interest in the provider, meets HHSC's criteria hereunder for criminal background
checks as a “high” risk to the Medicaid program, HHSC will require that each such provider or
person submit fingerprints, in a form and manner to be determined by HHSC, within 30 days upon
request from CMS or HHSC.
§ 455.436 – HHSC must confirm the identity and determine the exclusion status of providers and any person with
an ownership or control interest or who is an agent or managing employee of the provider through routine checks
of Federal databases. Upon enrollment and reenrollment, HHSC must check the Social Security Administration's
Death Master File (SSADMF), the National Plan and Provider Enumeration System (NPPES), the List of Excluded
Individuals/Entities (LEIE), the Excluded Parties List System (EPLS), and any such other databases as the
Secretary may prescribe. During the period the provider is enrolled, HHSC must check the LEIE and EPLS no
less frequently than monthly.
§ 455.434 – HHSC must screen all initial applications, including applications for a new practice location, and any
applications received in response to a re-enrollment or revalidation of enrollment request based on a categorical
risk level of “limited,” “moderate,” or “high.” If a provider could fit within more than one risk level described in this
section, the highest level of screening is applicable.
Condition: Various departments within and contractors of HHSC are responsible for ensuring medical providers
are properly licensed, screened, and enrolled in the Medicaid Program including Contract Administration and
Provider Monitoring (CAPM), Access and Eligibility Services (AES), Procurement and Contracting Services, and
the Texas Medicaid and Healthcare Partnership.
Audit procedures included a review of 60 providers each for Medicaid, which resulted in the following (sampled
exceptions noted in parentheses):
A copy of the completed application was not included in the file. (9 providers)
Enrollment of the provider was not completed within the last 5 years. (7 providers)
Verification of the provider’s license was not included in the file. (7 providers)
Required information on ownership and control was not disclosed. (11 providers)
Supporting documentation was not included in the file indicating the provider consented to a criminal
background check. (9 providers)
Supporting documentation was not included in the file indicating the SSADMF database was checked at
the time of the most recent enrollment. (12 providers)
Supporting documentation was not included in the file indicating the NPPES database was checked at the
time of the most recent enrollment. (12 providers)
Supporting documentation was not included in the file indicating the LEIE database was checked at the
time of the most recent enrollment. (12 providers)
Supporting documentation was not included in the file indicating the EPLS database was checked at the
time of the most recent enrollment. (12 providers)
Supporting documentation was not included in the file indicating the provider was categorized during
screening as limited, moderate, or high risk. (13 providers)
A copy of the provider agreement was not included in the files. (13 providers)
Supporting documentation was not included indicating a pre- or post-enrollment site visit was conducted
as required for providers designated as moderate or high risk. (13 providers)
Supporting documentation was not included indicating the provider disclosed the identity of any person
who had been convicted of a criminal offense related to that person's involvement in any program under
Medicare, Medicaid, or the Title XX services program since the inception of those programs. (9 providers)
Questioned costs: None.
Context: See “Condition.”
Cause: HHSC does not have adequate procedures in place to ensure required documentation is obtained and
maintained to comply with federal provider eligibility requirements.
Effect: Failure to obtain and maintain adequate documentation during the provider screening and enrollment
process may result in otherwise ineligible or fraudulent providers receiving Medicaid funds.
Repeat finding: 2022-014, 2021-008
Recommendation: HHSC should implement controls to ensure:
Documentation is maintained for at least the length of the providers’ current enrollment period or three
years, whichever is greater in accordance with 2 CFR 200.334.
Provider licenses are verified during enrollment.
Providers are re-enrolled at least once every five years.
Provider agreements are obtained, and the proper disclosures are made.
Providers are categorized according to risk level and pre- and post-enrollment site visits are conducted as
required for those deemed moderate or high risk.
Relevant federal databases are checked during initial enrollment and at least monthly for all providers
currently enrolled in Medicaid.
Views of responsible officials: HHSC concurs with this repeat finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.
Allowable Costs/Cost Principles – Cost Allocations, Matching, Level of Effort, Earmarking (CHIP Only) Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture U.S. Department of Education Social Security Administration Federal Program Title: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Temporary Assistance for Needy Families (TANF) Social Services Block Grant (SSBG) Children’s Health Insurance Program (CHIP) Block Grants for Community Mental Health Services (MHBG) Block Grants for Prevention and Treatment of Substance Abuse (SABG) Medicaid Cluster Aging Cluster (nonmajor) Disability Insurance/SSI Cluster (nonmajor) Money Follows the Person Rebalancing Demonstration (nonmajor) CCDF Cluster (nonmajor) SNAP Cluster (nonmajor) Special Education-Grants for Infants and Families (nonmajor) ALN: 10.557 93.558 93.667 93.767 93.958 93.959 93.775, 93.777, 93.778 93.044, 93.045, 93.053 (nonmajor) 96.001, 96.006 (nonmajor) 93.791 (nonmajor) 93.575, 93.596, 93.489 (nonmajor) 10.551, 10.561 (nonmajor) 84.181 (nonmajor) Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Number and Period: WIC 6TX700527, 6TX700507 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023, October 1, 2022 – September 30, 2024 TANF 2301TXTANF, 2301TXTAN3, 2201TXTANF, and 2201TXTAN3 October 1, 2022 – September 30, 2023 and October 1, 2021 – September 30, 2022 SSBG 2301TXSOSR, 2201TXSOSR and 2101TXSOSR October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023 CHIP 2105TX5021, 2205TX5021, 2305TX3002, 2305TX5021 October 1, 2020 – September 30, 2022, October 1, 2021 – September 30, 2023, October 1, 2022 – September 30, 2024 MHBG 1B09SM087345, 6B09SM087345-01M001, 6B09SM087345-01M002, 6B09SM087345-01M003, 1B09SM087322-01,1B09SM085994-01, 6B09SM085994-01M001, 6B09SM085994-01M002, 6B09SM085994-01M003, 1B09SM083999 -01, 6B09SM083999-01M001, 1B09SM083830-01, 6B09SM083830- 01M001 October 1, 2022 – September 30, 2024, October 17, 2022 – October 16, 2024, October 1, 2021 – September 30, 2023, March 15, 2021 – March 14, 2024, March 15, 2021 – March 14, 2023, and October 1, 2020 – September 30, 2022 SABG 1B08TI085835-01,6B08TI085835-01M001, 6B08TI084673-01M001, 6B08TI084673-01M002, 1B08TI084673-01, 6B08TI083478-01 6B08TI083478- 01M002, 6B08TI083478-01M003, 6B08TI083478-01M004 October 1, 2022 – September 30, 2024, October 1, 2021 – September 30, 2023, and October 1, 2020 – September 30, 2022 Medicaid Cluster 2205TX5ADM, 2205TX5MAP, 2205TXIMPL; 2305TX5ADM, 2305TX5MAP, 2305TXIMPL October 1, 2021 – September 30, 2022, October 1, 2022 – September 30, 2023 Statistically Valid Sample: No, and not intended to be a statistically valid sample Type of Finding: Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: Per 2 CFR 200.303(a), a non-Federal entity must: Establish and maintain
effective internal control over the Federal award that provides reasonable assurance that it is managing the federal
award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These
internal controls should be in compliance with guidance in the “Internal Control Integrated Framework” issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
Per 45 CFR Section 95.507, the State shall submit a cost allocation plan for the State agency as required below
to the Director, Division of Cost Allocation (DCA), in the appropriate HHS Regional Office. The plan shall describe
the procedures used to identify, measure, and allocate all costs to each of the programs operated by the State
agency. The cost allocation plan shall contain the procedures used to identify, measure, and allocate all costs to
each benefitting program and activity. Per 45 CFR Section 95.509, the State shall promptly amend the cost
allocation plan and submit the amended plan to the Director, DCA, if any of the following events occur, including if
other changes occur which make the allocation basis or procedures in the approval cost allocation plan invalid.
Condition: HHSC’s approved Public Assistance Cost Allocation Plan (PACAP) expenditures and revenues are
initially allocated based on an estimate of Project ID percentages. After actual base statistical data is available,
expenditures are reallocated and adjustments between estimated and actual costs are made. The adjustments
will result in costs claimed for each period being allocated based on actual base statistics for the same period.
Data is updated either by voucher, monthly, quarterly, semi-annually, or annually, depending on the Project ID.
HHSC experienced significant delays in updating factors. By the end of the fiscal year, cost allocations had been
updated only through August 2022.
Although there is no documented policy over when the FMAP should be updated, HHSC will allocate costs at the
FMAP that is in effect at the time of the transaction and will reallocate the transactions using the FMAP in effect at
the time of the reallocation. This procedure was not followed in 2023 when the costs for four of 40 sample
allocations tested in the CHIP program were allocated using a rate other than the current one in effect resulting in
noncompliance with matching requirements.
Questioned costs: Unknown
Context: See “Condition.”
Cause: HHSC’s General Ledger Unit is responsible for cost allocations. At the start of fiscal year 2023, the Unit
suffered a loss of more than half of its staff due to turnover. Additionally, the current Federal Medical Assistance
Percentage (FMAP) rates were in a stepdown process whereby the rate changed quarterly as opposed to yearly
which intensified the workload. In addition, since transformation, the number of Public Assistance Cost Allocation Plan
(PACAP) methodologies (Project IDs) has increased by 243%. These methodologies have become increasingly more
complex, now including over 80 dependent factors of which some comprise more than 100 fund sources each. This
huge increase in both volume and complexity has greatly increased calculation labor and risk of error.
Effect: Failure to update factor allocations timely can result in questioned costs.
Repeat finding: 2022-010, 2021-004, 2020-016, 2019-006, 2018-005, 2017-009, and 2016-024
Recommendation: HHSC should allocate adequate resources to ensure factor allocations are performed and
reallocations are updated timely in order to present accurate information.
Views of responsible officials: HHSC concurs with the finding.