Audit 365464

FY End
2024-09-30
Total Expended
$15.02B
Findings
10
Programs
349
Organization: State of Alabama (AL)
Year: 2024 Accepted: 2025-09-03

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
575415 2024-002 Significant Deficiency - AB
575416 2024-002 Significant Deficiency - AB
575417 2024-002 Significant Deficiency - AB
575418 2024-003 Material Weakness Yes AB
575419 2024-003 Material Weakness Yes AB
1151857 2024-002 Significant Deficiency - AB
1151858 2024-002 Significant Deficiency - AB
1151859 2024-002 Significant Deficiency - AB
1151860 2024-003 Material Weakness Yes AB
1151861 2024-003 Material Weakness Yes AB

Programs

ALN Program Spent Major Findings
93.778 Medical Assistance Program $6.78B Yes 1
10.555 National School Lunch Program $384.11M - 0
84.010 Title I Grants to Local Educational Agencies $293.66M - 0
93.767 Children's Health Insurance Program $268.28M Yes 0
21.027 Coronavirus State and Local Fiscal Recovery Funds $202.38M Yes 0
17.225 Unemployment Insurance $143.42M Yes 0
10.553 School Breakfast Program $119.63M - 0
93.575 Child Care and Development Block Grant $91.00M - 0
93.558 Temporary Assistance for Needy Families $89.19M - 0
84.126 Rehabilitation Services Vocational Rehabilitation Grants to States $81.26M - 0
10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $75.03M Yes 0
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $71.13M Yes 0
12.401 National Guard Military Operations and Maintenance (o&m) Projects $62.14M - 0
96.001 Social Security Disability Insurance $58.21M - 0
10.558 Child and Adult Care Food Program $56.28M - 0
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $53.49M - 0
93.596 Child Care Mandatory and Matching Funds of the Child Care and Development Fund $49.72M - 0
64.015 Veterans State Nursing Home Care $47.77M Yes 0
93.563 Child Support Services $47.46M Yes 0
84.367 Supporting Effective Instruction State Grants (formerly Improving Teacher Quality State Grants) $37.34M - 0
93.659 Adoption Assistance $35.95M - 0
93.667 Social Services Block Grant $33.62M - 0
10.569 Emergency Food Assistance Program (food Commodities) $32.18M - 0
93.658 Foster Care Title IV-E $30.14M Yes 0
84.425 Education Stabilization Fund $29.80M - 0
93.268 Immunization Cooperative Agreements $25.35M Yes 1
16.575 Crime Victim Assistance $24.79M - 0
84.048 Career and Technical Education -- Basic Grants to States $22.87M - 0
84.424 Student Support and Academic Enrichment Program $22.52M - 0
20.933 National Infrastructure Investments $21.43M - 0
87.052 Gulf Coast Ecosystem Restoration Council Oil Spill Impact Program $18.84M Yes 0
93.069 Public Health Emergency Preparedness $18.61M - 0
15.252 Abandoned Mine Land Reclamation (amlr) $16.73M - 0
84.287 Twenty-First Century Community Learning Centers $16.52M - 0
15.611 Wildlife Restoration and Basic Hunter Education and Safety $15.78M Yes 0
93.788 Opioid Str $15.06M - 0
93.569 Community Services Block Grant $13.88M - 0
21.015 Resources and Ecosystems Sustainability, Tourist Opportunities, and Revived Economies of the Gulf Coast States $12.92M - 0
17.259 Wioa Youth Activities $12.46M Yes 0
93.391 Activities to Support State, Tribal, Local and Territorial (stlt) Health Department Response to Public Health Or Healthcare Crises $11.89M - 0
93.917 Hiv Care Formula Grants $11.41M Yes 0
93.959 Block Grants for Prevention and Treatment of Substance Abuse $11.30M - 0
66.605 Performance Partnership Grants $11.05M - 0
93.354 Public Health Emergency Response: Cooperative Agreement for Emergency Response: Public Health Crisis Response $11.04M - 0
20.218 Motor Carrier Safety Assistance $10.56M - 0
93.600 Head Start $10.53M - 0
17.258 Wioa Adult Program $10.29M Yes 0
93.556 Marylee Allen Promoting Safe and Stable Families Program $10.21M - 0
93.994 Maternal and Child Health Services Block Grant to the States $10.13M - 0
17.207 Employment Service/wagner-Peyser Funded Activities $8.98M - 0
17.278 Wioa Dislocated Worker Formula Grants $8.98M Yes 0
93.777 State Survey and Certification of Health Care Providers and Suppliers (title Xviii) Medicare $8.60M Yes 1
20.205 Highway Planning and Construction $8.59M - 0
10.559 Summer Food Service Program for Children $8.50M - 0
10.664 Cooperative Forestry Assistance $8.17M - 0
23.002 Appalachian Area Development $7.89M - 0
64.005 Grants to States for Construction of State Home Facilities $7.80M - 0
93.940 Hiv Prevention Activities Health Department Based $7.79M - 0
81.042 Weatherization Assistance for Low-Income Persons $7.75M Yes 0
93.870 Maternal, Infant and Early Childhood Home Visiting Grant $7.55M - 0
97.067 Homeland Security Grant Program $7.25M - 0
10.542 Pandemic Ebt Food Benefits $7.23M - 0
20.513 Enhanced Mobility of Seniors and Individuals with Disabilities $7.10M - 0
93.243 Substance Abuse and Mental Health Services Projects of Regional and National Significance $7.00M - 0
20.600 State and Community Highway Safety $6.63M Yes 0
93.090 Guardianship Assistance $6.22M - 0
97.042 Emergency Management Performance Grants $6.14M - 0
15.605 Sport Fish Restoration $6.00M Yes 0
14.228 Community Development Block Grants/state's Program and Non-Entitlement Grants in Hawaii $5.86M Yes 0
93.283 Centers for Disease Control and Prevention Investigations and Technical Assistance $5.65M - 0
10.560 State Administrative Expenses for Child Nutrition $5.44M - 0
93.217 Family Planning Services $5.27M - 0
84.358 Rural Education $5.24M - 0
84.027 Special Education Grants to States $5.18M - 0
16.738 Edward Byrne Memorial Justice Assistance Grant Program $4.97M - 0
84.365 English Language Acquisition State Grants $4.83M - 0
10.565 Commodity Supplemental Food Program $4.62M - 0
93.791 Money Follows the Person Rebalancing Demonstration $4.59M - 0
93.499 Low Income Household Water Assistance Program $4.36M - 0
20.200 Highway Research and Development Program $4.36M - 0
10.182 Pandemic Relief Activities: Local Food Purchase Agreements with States, Tribes, and Local Governments $4.35M - 0
93.045 Special Programs for the Aging, Title Iii, Part C, Nutrition Services $4.24M - 0
84.369 Grants for State Assessments and Related Activities $4.21M - 0
87.051 Gulf Coast Ecosystem Restoration Council Comprehensive Plan Component Program $4.14M - 0
97.045 Cooperating Technical Partners $4.10M - 0
11.035 Broadband Equity, Access, and Deployment Program $4.09M - 0
10.475 Cooperative Agreements with States for Intrastate Meat and Poultry Inspection $3.91M - 0
10.582 Fresh Fruit and Vegetable Program $3.88M - 0
93.136 Injury Prevention and Control Research and State and Community Based Programs $3.80M - 0
20.507 Federal Transit Formula Grants $3.76M - 0
20.526 Buses and Bus Facilities Formula, Competitive, and Low Or No Emissions Programs $3.75M - 0
39.003 Donation of Federal Surplus Personal Property $3.58M - 0
93.434 Every Student Succeeds Act/preschool Development Grants $3.53M - 0
10.568 Emergency Food Assistance Program (administrative Costs) $3.45M - 0
93.044 Special Programs for the Aging, Title Iii, Part B, Grants for Supportive Services and Senior Centers $3.34M - 0
20.509 Formula Grants for Rural Areas and Tribal Transit Program $3.24M - 0
97.047 Bric: Building Resilient Infrastructure and Communities $3.19M - 0
20.616 National Priority Safety Programs $3.14M Yes 0
93.747 Elder Abuse Prevention Interventions Program $3.13M - 0
93.889 National Bioterrorism Hospital Preparedness Program $2.87M - 0
45.310 Grants to States $2.86M - 0
93.967 Centers for Disease Control and Prevention Collaboration with Academia to Strengthen Public Health $2.82M - 0
93.053 Nutrition Services Incentive Program $2.82M - 0
93.674 John H. Chafee Foster Care Program for Successful Transition to Adulthood $2.72M - 0
17.801 Jobs for Veterans State Grants $2.69M - 0
16.554 National Criminal History Improvement Program (nchip) $2.67M - 0
84.411 Education Innovation and Research (formerly Investing in Innovation (i3) Fund) $2.54M - 0
84.011 Migrant Education State Grant Program $2.54M - 0
93.958 Block Grants for Community Mental Health Services $2.52M - 0
16.588 Violence Against Women Formula Grants $2.48M - 0
66.475 Geographic Programs – Gulf of Mexico Program $2.29M - 0
10.025 Plant and Animal Disease, Pest Control, and Animal Care $2.22M - 0
10.572 Wic Farmers' Market Nutrition Program (fmnp) $2.12M - 0
97.039 Hazard Mitigation Grant $1.97M - 0
84.196 Education for Homeless Children and Youth $1.90M - 0
93.991 Preventive Health and Health Services Block Grant $1.89M - 0
20.219 Recreational Trails Program $1.89M - 0
10.185 Local Food for Schools Cooperative Agreement Program $1.88M - 0
93.977 Sexually Transmitted Diseases (std) Prevention and Control Grants $1.88M - 0
10.551 Supplemental Nutrition Assistance Program $1.80M Yes 0
11.419 Coastal Zone Management Administration Awards $1.66M - 0
10.665 Schools and Roads - Grants to States $1.66M - 0
90.404 Hava Election Security Grants $1.66M - 0
10.904 Watershed Protection and Flood Prevention $1.54M - 0
15.250 Regulation of Surface Coal Mining and Surface Effects of Underground Coal Mining $1.53M - 0
64.014 Veterans State Domiciliary Care $1.52M - 0
16.741 Dna Backlog Reduction Program $1.50M - 0
93.645 Stephanie Tubbs Jones Child Welfare Services Program $1.47M - 0
93.686 Ending the Hiv Epidemic: A Plan for America — Ryan White Hiv/aids Program Parts A and B $1.40M - 0
97.012 Boating Safety Financial Assistance $1.32M - 0
93.305 Pphf 2018: Office of Smoking and Health-National State-Based Tobacco Control Programs-Financed in Part by 2018 Prevention and Public Health Funds (pphf) $1.29M - 0
15.916 Outdoor Recreation Acquisition, Development and Planning $1.27M - 0
95.001 High Intensity Drug Trafficking Areas Program $1.24M - 0
93.775 State Medicaid Fraud Control Units $1.23M Yes 1
16.838 Comprehensive Opioid, Stimulant, and Other Substances Use Program $1.22M - 0
84.187 Supported Employment Services for Individuals with the Most Significant Disabilities $1.20M - 0
17.235 Senior Community Service Employment Program $1.19M - 0
17.002 Labor Force Statistics $1.18M - 0
10.579 Child Nutrition Discretionary Grants Limited Availability $1.13M - 0
84.184 School Safely National Activities $1.12M - 0
20.505 Metropolitan Transportation Planning and State and Non-Metropolitan Planning and Research $1.07M - 0
11.420 Coastal Zone Management Estuarine Research Reserves $1.06M - 0
93.669 Child Abuse and Neglect State Grants $1.04M - 0
84.181 Special Education-Grants for Infants and Families $1.03M - 0
93.103 Food and Drug Administration Research $979,345 - 0
45.025 Promotion of the Arts Partnership Agreements $969,625 - 0
17.277 Wioa National Dislocated Worker Grants / Wia National Emergency Grants $965,251 - 0
93.U02 Tobacco Inspections Contract $938,076 - 0
93.116 Project Grants and Cooperative Agreements for Tuberculosis Control Programs $927,855 - 0
15.437 Minerals Leasing Act $890,345 - 0
11.434 Cooperative Fishery Statistics $889,258 - 0
20.232 Commercial Driver's License Program Implementation Grant $887,013 - 0
64.203 Veterans Cemetery Grants Program $876,394 - 0
20.700 Pipeline Safety Program State Base Grant $874,100 - 0
15.634 State Wildlife Grants $868,507 - 0
66.804 Underground Storage Tank (ust) Prevention, Detection, and Compliance Program $867,180 - 0
16.922 Equitable Sharing Program $839,657 - 0
84.013 Title I State Agency Program for Neglected and Delinquent Children and Youth $811,060 - 0
20.224 Federal Lands Access Program $808,711 - 0
93.671 Family Violence Prevention and Services/domestic Violence Shelter and Supportive Services $798,435 - 0
94.006 Americorps State and National 94.006 $790,195 - 0
17.245 Trade Adjustment Assistance $768,659 - 0
93.630 Developmental Disabilities Basic Support and Advocacy Grants $763,845 - 0
64.012 Veterans Prescription Service $753,584 - 0
93.235 Title V State Sexual Risk Avoidance Education (title V State Srae) Program $743,336 - 0
81.041 State Energy Program $733,516 - 0
93.052 National Family Caregiver Support, Title Iii, Part E $715,110 - 0
66.805 Leaking Underground Storage Tank Trust Fund Corrective Action Program $704,416 - 0
10.574 Team Nutrition Grants $702,042 - 0
93.110 Maternal and Child Health Federal Consolidated Programs $666,697 - 0
10.934 Feral Swine Eradication and Control Pilot Program $659,646 - 0
84.173 Special Education Preschool Grants $658,659 - 0
16.754 Harold Rogers Prescription Drug Monitoring Program $625,429 - 0
11.032 State Digital Equity Planning and Capacity Grant $619,899 - 0
10.652 Forestry Research $617,655 - 0
16.017 Sexual Assault Services Formula Program $615,131 - 0
93.072 Lifespan Respite Care Program $606,364 - 0
16.576 Crime Victim Compensation $600,000 - 0
10.169 Specialty Crop Block Grant Program $590,488 - 0
93.464 Acl Assistive Technology $587,466 - 0
12.107 Navigation Projects $586,918 - 0
93.071 Medicare Enrollment Assistance Program $586,311 - 0
93.944 Human Immunodeficiency Virus (hiv)/acquired Immunodeficiency Virus Syndrome (aids) Surveillance $576,716 - 0
84.177 Rehabilitation Services Independent Living Services for Older Individuals Who Are Blind $575,889 - 0
16.540 Juvenile Justice and Delinquency Prevention $563,408 - 0
66.034 Surveys, Studies, Research, Investigations, Demonstrations, and Special Purpose Activities Relating to the Clean Air Act $560,047 - 0
15.615 Cooperative Endangered Species Conservation Fund $535,847 - 0
62.U01 Other Federal Assistance - Tva $501,632 - 0
16.543 Missing Children's Assistance $498,972 - 0
93.586 State Court Improvement Program $493,651 - 0
93.436 Well-Integrated Screening and Evaluation for Women Across the Nation (wisewoman) $492,442 - 0
93.150 Projects for Assistance in Transition From Homelessness (path) $484,570 - 0
20.703 Interagency Hazardous Materials Public Sector Training and Planning Grants $476,646 - 0
93.241 State Rural Hospital Flexibility Program $473,836 - 0
93.639 Section 9813: State Planning Grants for Qualifying Community-Based Mobile Crisis Intervention Services $470,686 - 0
66.802 Superfund State, Political Subdivision, and Indian Tribe Site-Specific Cooperative Agreements $462,019 - 0
15.608 Fish and Aquatic Conservation - Aquatic Invasive Species $461,642 - 0
93.U03 Clia $447,355 - 0
10.680 Forest Health Protection $443,249 - 0
93.092 Affordable Care Act (aca) Personal Responsibility Education Program $412,847 - 0
93.603 Adoption and Legal Guardianship Incentive Payments Program $402,546 - 0
93.336 Behavioral Risk Factor Surveillance System $389,414 - 0
10.902 Soil and Water Conservation $382,181 - 0
93.301 Small Rural Hospital Improvement Grant Program $375,620 - 0
11.307 Economic Adjustment Assistance $373,793 - 0
23.003 Appalachian Development Highway System $373,109 - 0
93.829 Section 223 Demonstration Programs to Improve Community Mental Health Services $364,826 - 0
14.171 Manufactured Housing $363,569 - 0
66.454 Water Quality Management Planning $357,463 - 0
84.323 Special Education - State Personnel Development $352,528 - 0
66.817 State and Tribal Response Program Grants $339,888 - 0
84.372 Statewide Longitudinal Data Systems $333,620 - 0
16.828 Swift, Certain, and Fair Supervision Program: Applying the Principles Behind Project Hope $331,020 - 0
93.497 Family Violence Prevention and Services/ Sexual Assault/rape Crisis Services and Supports $329,961 - 0
93.566 Refugee and Entrant Assistance State/replacement Designee Administered Programs $326,166 - 0
11.407 Interjurisdictional Fisheries Act of 1986 $323,022 - 0
94.003 Americorps State Commissions Support Grant $322,768 - 0
93.599 Chafee Education and Training Vouchers Program (etv) $321,670 - 0
93.197 Childhood Lead Poisoning Prevention Projects, State and Local Childhood Lead Poisoning Prevention and Surveillance of Blood Lead Levels in Children $320,266 - 0
93.043 Special Programs for the Aging, Title Iii, Part D, Disease Prevention and Health Promotion Services $312,650 - 0
93.643 Children's Justice Grants to States $308,532 - 0
16.609 Project Safe Neighborhoods $296,761 - 0
64.101 Burial Expenses Allowance for Veterans $295,056 - 0
16.750 Support for Adam Walsh Act Implementation Grant Program $293,474 - 0
16.742 Paul Coverdell Forensic Sciences Improvement Grant Program $291,500 - 0
15.808 U.s. Geological Survey Research and Data Collection $291,035 - 0
10.578 Wic Grants to States (wgs) $290,941 - 0
15.069 Zoonotic Disease Initiative $287,036 - 0
11.U01 Joint Enforcement Contract (noaa) $284,801 - 0
10.525 Farm and Ranch Stress Assistance Network Competitive Grants Program $283,451 - 0
97.023 Community Assistance Program State Support Services Element (cap-Ssse) $278,387 - 0
17.280 Wioa Dislocated Worker National Reserve Demonstration Grants $276,312 - 0
81.089 Fossil Energy Research and Development $266,924 - 0
93.U05 Tennessee Valley Authority-Contact Tv-62313a $252,080 - 0
16.839 Stop School Violence $250,846 - 0
20.530 Public Transportation Innovation $239,642 - 0
16.550 State Justice Statistics Program for Statistical Analysis Centers $234,492 - 0
10.435 State Mediation Grants $231,391 - 0
64.053 Payments to States for Programs to Promote the Hiring and Retention of Nurses at State Veterans Homes $224,912 - 0
93.913 Grants to States for Operation of State Offices of Rural Health $224,135 - 0
15.904 Historic Preservation Fund Grants-in-Aid $223,956 - 0
66.040 Diesel Emissions Reduction Act (dera) State Grants $219,495 - 0
16.831 Children of Incarcerated Parents $215,462 - 0
93.367 Flexible Funding Model - Infrastructure Development and Maintenance for State Manufactured Food Regulatory Programs $208,987 - 0
14.913 Healthy Homes Production Program $207,480 - 0
17.273 Temporary Labor Certification for Foreign Workers $207,368 - 0
20.215 Highway Training and Education $202,550 - 0
66.U01 Cooperative Pesticide Recordkeeping $201,482 - 0
10.557 Wic Special Supplemental Nutrition Program for Women, Infants, and Children $198,387 - 0
96.008 Social Security - Work Incentives Planning and Assistance Program $195,093 - 0
93.251 Early Hearing Detection and Intervention $193,679 - 0
16.320 Services for Trafficking Victims $191,424 - 0
66.046 Climate Pollution Reduction Grants $191,153 - 0
93.130 Cooperative Agreements to States/territories for the Coordination and Development of Primary Care Offices $185,058 - 0
16.593 Residential Substance Abuse Treatment for State Prisoners $166,383 - 0
20.614 National Highway Traffic Safety Administration (nhtsa) Discretionary Safety Grants and Cooperative Agreements $166,027 - 0
97.056 Port Security Grant Program $161,034 - 0
93.597 Grants to States for Access and Visitation Programs $155,319 - 0
10.912 Environmental Quality Incentives Program $150,335 - 0
15.957 Emergency Supplemental Historic Preservation Fund $140,923 - 0
17.285 Registered Apprenticeship $139,787 - 0
15.810 National Cooperative Geologic Mapping $138,896 - 0
66.032 State and Tribal Indoor Radon Grants $133,912 - 0
17.005 Compensation and Working Conditions $132,639 - 0
11.463 Habitat Conservation $128,448 - 0
93.946 Cooperative Agreements to Support State-Based Safe Motherhood and Infant Health Initiative Programs $128,046 - 0
11.435 Southeast Area Monitoring and Assessment Program $125,074 - 0
93.U07 Behavioral Health Services Information System (bhsis) $124,993 - 0
10.697 State & Private Forestry Hazardous Fuel Reduction Program $117,279 - 0
93.234 Traumatic Brain Injury State Demonstration Grant Program $115,410 - 0
11.473 Office for Coastal Management $113,740 - 0
59.061 State Trade Expansion $112,464 - 0
93.853 Extramural Research Programs in the Neurosciences and Neurological Disorders $107,680 - 0
14.267 Continuum of Care Program $106,457 - 0
15.814 National Geological and Geophysical Data Preservation $103,566 - 0
16.U01 Drug Enforcement Agency Cooperative Agreements $103,181 - 0
10.575 Farm to School Grant Program $99,996 - 0
10.190 Resilient Food System Infrastructure Program $99,745 - 0
10.676 Forest Legacy Program $96,161 - 0
97.137 State and Local Cybersecurity Grant Program Tribal Cybersecurity Grant Program $95,883 - 0
14.231 Emergency Solutions Grant Program $95,674 - 0
93.041 Special Programs for the Aging, Title Vii, Chapter 3, Programs for Prevention of Elder Abuse, Neglect, and Exploitation $91,426 - 0
16.816 John R. Justice Prosecutors and Defenders Incentive Act $89,050 - 0
16.111 Joint Law Enforcement Operations (jleo) $87,508 - 0
94.008 Americorps Commission Investment Fund 94.008 $86,311 - 0
81.106 Transport of Transuranic Wastes to the Waste Isolation Pilot Plant: States and Tribal Concerns, Proposed Solutions $84,194 - 0
66.444 Voluntary School and Child Care Lead Testing and Reduction Grant Program (sdwa 1464(d)) $83,901 - 0
10.069 Conservation Reserve Program $78,946 - 0
16.U03 United States Marshals $69,191 - 0
15.616 Clean Vessel Act $69,022 - 0
97.U01 Usdhs/us Immingration and Customs Enforcement (ice) $65,981 - 0
93.048 Special Programs for the Aging, Title Iv, and Title Ii, Discretionary Projects $64,032 - 0
81.128 Energy Efficiency and Conservation Block Grant Program (eecbg) $61,638 - 0
93.568 Low-Income Home Energy Assistance $57,124 Yes 0
17.270 Reentry Employment Opportunities $56,265 - 0
93.324 State Health Insurance Assistance Program $55,911 - 0
93.369 Acl Independent Living State Grants $55,860 - 0
11.441 Regional Fishery Management Councils $55,694 - 0
10.721 Infrastructure Investment and Jobs Act Temporary Bridge Program $55,327 - 0
93.928 Special Projects of National Significance $52,727 - 0
84.144 Migrant Education Coordination Program $50,540 - 0
93.470 Alzheimer’s Disease Program Initiative (adpi) $50,124 - 0
16.812 Second Chance Act Reentry Initiative $48,488 - 0
15.073 Earth Mapping Resources Initiative $48,080 - 0
93.982 Mental Health Disaster Assistance and Emergency Mental Health $46,844 - 0
93.127 Emergency Medical Services for Children $42,271 - 0
15.660 Candidate Species Conservation $39,167 - 0
20.240 Fuel Tax Evasion-Intergovernmental Enforcement Effort $36,569 - 0
16.607 Bulletproof Vest Partnership Program $35,604 - 0
15.657 Endangered Species Recovery Implementation $34,251 - 0
10.163 Market Protection and Promotion $34,000 - 0
93.042 Special Programs for the Aging, Title Vii, Chapter 2, Long Term Care Ombudsman Services for Older Individuals $32,693 - 0
10.727 Inflation Reduction Act Urban & Community Forestry Program $30,450 - 0
93.U04 Mammography Quality Standards-Hhs Contract 223-95-4400 $29,613 - 0
90.705 Southeast Crescent Regional Commission - Economic and Infrastructure Development Grants $29,153 - 0
66.809 Superfund State and Indian Tribe Core Program Cooperative Agreements $27,544 - 0
66.312 Environmental Justice Government-to-Government (ejg2g) Program $23,352 - 0
66.204 Multipurpose Grants to States and Tribes $21,645 - 0
66.701 Toxic Substances Compliance Monitoring Cooperative Agreements $21,590 - 0
16.U02 Federal Bureau of Investigation $20,974 - 0
10.645 Farm to School State Formula Grant $20,143 - 0
93.334 The Healthy Brain Initiative: Technical Assistance to Implement Public Health Actions Related to Cognitive Health, Cognitive Impairment, and Caregiving at the State and Local Levels $19,549 - 0
15.980 National Ground-Water Monitoring Network $18,767 - 0
66.419 Water Pollution Control State, Interstate, and Tribal Program Support $17,934 - 0
93.U01 Bse Inspections Contract $16,155 - 0
20.725 Phmsa Pipeline Safety Underground Natural Gas Storage Grant $14,088 - 0
15.631 Partners for Fish and Wildlife $13,668 - 0
12.005 Conservation and Rehabilitation of Natural Resources on Military Installations $13,075 - 0
66.920 Solid Waste Infrastructure for Recycling Infrastructure Grants $12,975 - 0
10.556 Special Milk Program for Children $12,778 - 0
15.684 White-Nose Syndrome National Response Implementation $9,785 - 0
20.301 Railroad Safety $8,300 - 0
20.721 Phmsa Pipeline Safety Program One Call Grant $8,000 - 0
15.981 Water Use and Data Research $7,311 - 0
93.U06 Food Inspections-Contract 223-96-4036 $5,829 - 0
14.241 Housing Opportunities for Persons with Aids $5,472 - 0
66.486 Underground Injection Control Program Grants: Class Vi Carbon Sequestration Wells $3,032 - 0
90.200 Delta Regional Authority $2,862 - 0
15.424 Marine Minerals Activities $2,692 - 0
10.731 Inflation Reduction Act Landscape Scale Restoration $2,415 - 0
10.691 Good Neighbor Authority $2,396 - 0
10.734 Inflation Reduction Act - Forest Legacy Program $2,142 - 0
97.082 Earthquake State Assistance $1,643 - 0
10.028 Wildlife Services $780 - 0
17.274 Youthbuild $3 - 0
93.665 Emergency Grants to Address Mental and Substance Use Disorders During Covid-19 $-2,068 - 0
21.019 Coronavirus Relief Fund $-32,000 - 0
97.050 Presidential Declared Disaster Assistance to Individuals and Households - Other Needs $-207,871 - 0
81.U01 Petroleum Violation Escrow $-559,156 - 0

Contacts

Name Title Type
G3BHWLLFFLD4 Dr. Kathleen Baxter Auditee
3342424857 James Hall Auditor
No contacts on file

Notes to SEFA

Title: Note 1 - Purpose of Schedule Accounting Policies: Note 2 - Significant Accounting Policies A. Reporting Entity - The accompanying schedule includes federal award programs administered by the State of Alabama for the fiscal year ended September 30, 2024. State agencies that receive separate audits in accordance with the Uniform Guidance and federal awards received by state colleges and universities are not included in the schedule. B. Basis of Presentation - The information in the accompanying Schedule of Expenditures of Federal Awards is presented in accordance with the requirements of Title 2 of the U. S. Code of Federal Regulations Part 200 (Uniform Guidance). 1. Federal Financial Assistance - Pursuant to the Single Audit Act Amendments of 1996 and the Uniform Guidance, federal financial assistance is defined as assistance that non-federal entities receive or administer in the form of grants, loans, loan guarantees, property (including donated surplus property), cooperative agreements, interest subsidies, insurance, food commodities, direct appropriations, and other assistance. C. Basis of Accounting - The information presented in the Schedule of Expenditures of Federal Awards is presented on the cash basis of accounting, which is consistent with the other federal grant reports. Under this basis, expenditures are recorded when paid, and revenues are recognized when received. Such expenditures are recognized following, as applicable, either the cost principles in Office of Management and Budget Circular A-87, Cost Principles for State, Local and Indian Tribal Governments, or the cost principles contained in Title 2 U. S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance), wherein certain types of expenditures are not allowable or are limited as to reimbursement. Therefore, some amounts presented in this schedule may differ from amounts presented in or used in the preparation of the basic financial statements. D. Expenditures and Expenses - When monies are received by one state agency and transferred to another state agency either for final expenditure or as a reimbursement for services, the federal financial assistance is reflected in the primary receiving/expending state agency's accounts. This is to avoid duplication and the overstatement of the aggregate level of federal financial assistance expended by the State of Alabama. De Minimis Rate Used: Both Rate Explanation: The State of Alabama elected to use the 10-percent de minimis indirect cost rate as allowed in the Uniform Guidance for the following federal programs: ALN 10.934- Feral Swine Eradication and Control Pilot Program Title 2 U. S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance), requires a Schedule of Expenditures of Federal Awards showing total expenditures for each federal award program identified by its federal Assistance Listing Number (ALN). Because the Schedule presents only a selected portion of the operations of the State of Alabama, it is not intended to and does not present the financial position, changes in net position or cash flows of the State of Alabama.
Title: Note 3 - Other Accounting Policies: Note 2 - Significant Accounting Policies A. Reporting Entity - The accompanying schedule includes federal award programs administered by the State of Alabama for the fiscal year ended September 30, 2024. State agencies that receive separate audits in accordance with the Uniform Guidance and federal awards received by state colleges and universities are not included in the schedule. B. Basis of Presentation - The information in the accompanying Schedule of Expenditures of Federal Awards is presented in accordance with the requirements of Title 2 of the U. S. Code of Federal Regulations Part 200 (Uniform Guidance). 1. Federal Financial Assistance - Pursuant to the Single Audit Act Amendments of 1996 and the Uniform Guidance, federal financial assistance is defined as assistance that non-federal entities receive or administer in the form of grants, loans, loan guarantees, property (including donated surplus property), cooperative agreements, interest subsidies, insurance, food commodities, direct appropriations, and other assistance. C. Basis of Accounting - The information presented in the Schedule of Expenditures of Federal Awards is presented on the cash basis of accounting, which is consistent with the other federal grant reports. Under this basis, expenditures are recorded when paid, and revenues are recognized when received. Such expenditures are recognized following, as applicable, either the cost principles in Office of Management and Budget Circular A-87, Cost Principles for State, Local and Indian Tribal Governments, or the cost principles contained in Title 2 U. S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance), wherein certain types of expenditures are not allowable or are limited as to reimbursement. Therefore, some amounts presented in this schedule may differ from amounts presented in or used in the preparation of the basic financial statements. D. Expenditures and Expenses - When monies are received by one state agency and transferred to another state agency either for final expenditure or as a reimbursement for services, the federal financial assistance is reflected in the primary receiving/expending state agency's accounts. This is to avoid duplication and the overstatement of the aggregate level of federal financial assistance expended by the State of Alabama. De Minimis Rate Used: Both Rate Explanation: The State of Alabama elected to use the 10-percent de minimis indirect cost rate as allowed in the Uniform Guidance for the following federal programs: ALN 10.934- Feral Swine Eradication and Control Pilot Program A.    Commodities included in the National School Lunch Program (ALN 10.555), Summer Food Service Program for Children (ALN 10.559), Commodity Supplemental Food Program (ALN 10.565), and the Emergency Food Assistance Program (ALN 10.569) are included in the definition of federal financial assistance for the purpose of the accompanying schedule. Commodities, totaling $72,120,602 were reported in accordance with GASB Statement Number 24 in the basic financial statements of the State of Alabama for the fiscal year ended September 30, 2024.
Title: Note 3 - Other Accounting Policies: Note 2 - Significant Accounting Policies A. Reporting Entity - The accompanying schedule includes federal award programs administered by the State of Alabama for the fiscal year ended September 30, 2024. State agencies that receive separate audits in accordance with the Uniform Guidance and federal awards received by state colleges and universities are not included in the schedule. B. Basis of Presentation - The information in the accompanying Schedule of Expenditures of Federal Awards is presented in accordance with the requirements of Title 2 of the U. S. Code of Federal Regulations Part 200 (Uniform Guidance). 1. Federal Financial Assistance - Pursuant to the Single Audit Act Amendments of 1996 and the Uniform Guidance, federal financial assistance is defined as assistance that non-federal entities receive or administer in the form of grants, loans, loan guarantees, property (including donated surplus property), cooperative agreements, interest subsidies, insurance, food commodities, direct appropriations, and other assistance. C. Basis of Accounting - The information presented in the Schedule of Expenditures of Federal Awards is presented on the cash basis of accounting, which is consistent with the other federal grant reports. Under this basis, expenditures are recorded when paid, and revenues are recognized when received. Such expenditures are recognized following, as applicable, either the cost principles in Office of Management and Budget Circular A-87, Cost Principles for State, Local and Indian Tribal Governments, or the cost principles contained in Title 2 U. S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance), wherein certain types of expenditures are not allowable or are limited as to reimbursement. Therefore, some amounts presented in this schedule may differ from amounts presented in or used in the preparation of the basic financial statements. D. Expenditures and Expenses - When monies are received by one state agency and transferred to another state agency either for final expenditure or as a reimbursement for services, the federal financial assistance is reflected in the primary receiving/expending state agency's accounts. This is to avoid duplication and the overstatement of the aggregate level of federal financial assistance expended by the State of Alabama. De Minimis Rate Used: Both Rate Explanation: The State of Alabama elected to use the 10-percent de minimis indirect cost rate as allowed in the Uniform Guidance for the following federal programs: ALN 10.934- Feral Swine Eradication and Control Pilot Program B.    During the fiscal year ended September 30, 2024, the Alabama Department of Public Health received $38,142,709 in cash rebates from infant formula manufacturers on sales of formula to participants in the Special Supplemental Nutrition Program for Women, Infants and Children (WIC) Program (ALN 10.557). Rebate contracts with infant formula manufacturers are authorized by 7 CFR 246.16(m) as a cost containment measure. Rebates represent a reduction of expenditures previously incurred for WIC food benefits costs. The rebate contracts allowed the Department to serve 36,009 more persons during the 2023-2024 fiscal year. This number is based on an average gross food package cost of $88.05.
Title: Note 3 - Other Accounting Policies: Note 2 - Significant Accounting Policies A. Reporting Entity - The accompanying schedule includes federal award programs administered by the State of Alabama for the fiscal year ended September 30, 2024. State agencies that receive separate audits in accordance with the Uniform Guidance and federal awards received by state colleges and universities are not included in the schedule. B. Basis of Presentation - The information in the accompanying Schedule of Expenditures of Federal Awards is presented in accordance with the requirements of Title 2 of the U. S. Code of Federal Regulations Part 200 (Uniform Guidance). 1. Federal Financial Assistance - Pursuant to the Single Audit Act Amendments of 1996 and the Uniform Guidance, federal financial assistance is defined as assistance that non-federal entities receive or administer in the form of grants, loans, loan guarantees, property (including donated surplus property), cooperative agreements, interest subsidies, insurance, food commodities, direct appropriations, and other assistance. C. Basis of Accounting - The information presented in the Schedule of Expenditures of Federal Awards is presented on the cash basis of accounting, which is consistent with the other federal grant reports. Under this basis, expenditures are recorded when paid, and revenues are recognized when received. Such expenditures are recognized following, as applicable, either the cost principles in Office of Management and Budget Circular A-87, Cost Principles for State, Local and Indian Tribal Governments, or the cost principles contained in Title 2 U. S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance), wherein certain types of expenditures are not allowable or are limited as to reimbursement. Therefore, some amounts presented in this schedule may differ from amounts presented in or used in the preparation of the basic financial statements. D. Expenditures and Expenses - When monies are received by one state agency and transferred to another state agency either for final expenditure or as a reimbursement for services, the federal financial assistance is reflected in the primary receiving/expending state agency's accounts. This is to avoid duplication and the overstatement of the aggregate level of federal financial assistance expended by the State of Alabama. De Minimis Rate Used: Both Rate Explanation: The State of Alabama elected to use the 10-percent de minimis indirect cost rate as allowed in the Uniform Guidance for the following federal programs: ALN 10.934- Feral Swine Eradication and Control Pilot Program C.    Total expenditures for the Unemployment Insurance Program (ALN 17.225) include state and federal amounts of $85,392,173 and $58,028,730 respectively. The state portion of expenditures includes regular unemployment compensation. The federal portion includes administrative costs and unemployment compensation for ex-service members, former federal employees, and extended benefits for eligible individuals who have exhausted their regular unemployment compensation.
Title: Note 3 - Other Accounting Policies: Note 2 - Significant Accounting Policies A. Reporting Entity - The accompanying schedule includes federal award programs administered by the State of Alabama for the fiscal year ended September 30, 2024. State agencies that receive separate audits in accordance with the Uniform Guidance and federal awards received by state colleges and universities are not included in the schedule. B. Basis of Presentation - The information in the accompanying Schedule of Expenditures of Federal Awards is presented in accordance with the requirements of Title 2 of the U. S. Code of Federal Regulations Part 200 (Uniform Guidance). 1. Federal Financial Assistance - Pursuant to the Single Audit Act Amendments of 1996 and the Uniform Guidance, federal financial assistance is defined as assistance that non-federal entities receive or administer in the form of grants, loans, loan guarantees, property (including donated surplus property), cooperative agreements, interest subsidies, insurance, food commodities, direct appropriations, and other assistance. C. Basis of Accounting - The information presented in the Schedule of Expenditures of Federal Awards is presented on the cash basis of accounting, which is consistent with the other federal grant reports. Under this basis, expenditures are recorded when paid, and revenues are recognized when received. Such expenditures are recognized following, as applicable, either the cost principles in Office of Management and Budget Circular A-87, Cost Principles for State, Local and Indian Tribal Governments, or the cost principles contained in Title 2 U. S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance), wherein certain types of expenditures are not allowable or are limited as to reimbursement. Therefore, some amounts presented in this schedule may differ from amounts presented in or used in the preparation of the basic financial statements. D. Expenditures and Expenses - When monies are received by one state agency and transferred to another state agency either for final expenditure or as a reimbursement for services, the federal financial assistance is reflected in the primary receiving/expending state agency's accounts. This is to avoid duplication and the overstatement of the aggregate level of federal financial assistance expended by the State of Alabama. De Minimis Rate Used: Both Rate Explanation: The State of Alabama elected to use the 10-percent de minimis indirect cost rate as allowed in the Uniform Guidance for the following federal programs: ALN 10.934- Feral Swine Eradication and Control Pilot Program D.    Donation of Federal Surplus Personal Property (ALN 39.003) is valued at 23.34% of the acquisition costs in accordance with a directive from the U. S. General Services Administration.
Title: Note 3 - Other Accounting Policies: Note 2 - Significant Accounting Policies A. Reporting Entity - The accompanying schedule includes federal award programs administered by the State of Alabama for the fiscal year ended September 30, 2024. State agencies that receive separate audits in accordance with the Uniform Guidance and federal awards received by state colleges and universities are not included in the schedule. B. Basis of Presentation - The information in the accompanying Schedule of Expenditures of Federal Awards is presented in accordance with the requirements of Title 2 of the U. S. Code of Federal Regulations Part 200 (Uniform Guidance). 1. Federal Financial Assistance - Pursuant to the Single Audit Act Amendments of 1996 and the Uniform Guidance, federal financial assistance is defined as assistance that non-federal entities receive or administer in the form of grants, loans, loan guarantees, property (including donated surplus property), cooperative agreements, interest subsidies, insurance, food commodities, direct appropriations, and other assistance. C. Basis of Accounting - The information presented in the Schedule of Expenditures of Federal Awards is presented on the cash basis of accounting, which is consistent with the other federal grant reports. Under this basis, expenditures are recorded when paid, and revenues are recognized when received. Such expenditures are recognized following, as applicable, either the cost principles in Office of Management and Budget Circular A-87, Cost Principles for State, Local and Indian Tribal Governments, or the cost principles contained in Title 2 U. S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance), wherein certain types of expenditures are not allowable or are limited as to reimbursement. Therefore, some amounts presented in this schedule may differ from amounts presented in or used in the preparation of the basic financial statements. D. Expenditures and Expenses - When monies are received by one state agency and transferred to another state agency either for final expenditure or as a reimbursement for services, the federal financial assistance is reflected in the primary receiving/expending state agency's accounts. This is to avoid duplication and the overstatement of the aggregate level of federal financial assistance expended by the State of Alabama. De Minimis Rate Used: Both Rate Explanation: The State of Alabama elected to use the 10-percent de minimis indirect cost rate as allowed in the Uniform Guidance for the following federal programs: ALN 10.934- Feral Swine Eradication and Control Pilot Program E. Interest Income of $228,603 was earned on the Help America Vote Act Title I funds (ALN 90.404). Interest income of $23,597 was earned on Help America Vote Act Title II funds (ALN 90.401). These amounts, as well as proceeds from the sale or salvage of unused HAVA equipment of $7,821 (ALN 90.401), are reported as receipts on the schedule.
Title: Note 3 - Other Accounting Policies: Note 2 - Significant Accounting Policies A. Reporting Entity - The accompanying schedule includes federal award programs administered by the State of Alabama for the fiscal year ended September 30, 2024. State agencies that receive separate audits in accordance with the Uniform Guidance and federal awards received by state colleges and universities are not included in the schedule. B. Basis of Presentation - The information in the accompanying Schedule of Expenditures of Federal Awards is presented in accordance with the requirements of Title 2 of the U. S. Code of Federal Regulations Part 200 (Uniform Guidance). 1. Federal Financial Assistance - Pursuant to the Single Audit Act Amendments of 1996 and the Uniform Guidance, federal financial assistance is defined as assistance that non-federal entities receive or administer in the form of grants, loans, loan guarantees, property (including donated surplus property), cooperative agreements, interest subsidies, insurance, food commodities, direct appropriations, and other assistance. C. Basis of Accounting - The information presented in the Schedule of Expenditures of Federal Awards is presented on the cash basis of accounting, which is consistent with the other federal grant reports. Under this basis, expenditures are recorded when paid, and revenues are recognized when received. Such expenditures are recognized following, as applicable, either the cost principles in Office of Management and Budget Circular A-87, Cost Principles for State, Local and Indian Tribal Governments, or the cost principles contained in Title 2 U. S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance), wherein certain types of expenditures are not allowable or are limited as to reimbursement. Therefore, some amounts presented in this schedule may differ from amounts presented in or used in the preparation of the basic financial statements. D. Expenditures and Expenses - When monies are received by one state agency and transferred to another state agency either for final expenditure or as a reimbursement for services, the federal financial assistance is reflected in the primary receiving/expending state agency's accounts. This is to avoid duplication and the overstatement of the aggregate level of federal financial assistance expended by the State of Alabama. De Minimis Rate Used: Both Rate Explanation: The State of Alabama elected to use the 10-percent de minimis indirect cost rate as allowed in the Uniform Guidance for the following federal programs: ALN 10.934- Feral Swine Eradication and Control Pilot Program F.    Expenditures reported on the schedule include $5,534,132 of Social Security Administration reimbursements under the Rehabilitation Services - Vocational Rehabilitation Grants to States Program (ALN 84.126).
Title: Note 3 - Other Accounting Policies: Note 2 - Significant Accounting Policies A. Reporting Entity - The accompanying schedule includes federal award programs administered by the State of Alabama for the fiscal year ended September 30, 2024. State agencies that receive separate audits in accordance with the Uniform Guidance and federal awards received by state colleges and universities are not included in the schedule. B. Basis of Presentation - The information in the accompanying Schedule of Expenditures of Federal Awards is presented in accordance with the requirements of Title 2 of the U. S. Code of Federal Regulations Part 200 (Uniform Guidance). 1. Federal Financial Assistance - Pursuant to the Single Audit Act Amendments of 1996 and the Uniform Guidance, federal financial assistance is defined as assistance that non-federal entities receive or administer in the form of grants, loans, loan guarantees, property (including donated surplus property), cooperative agreements, interest subsidies, insurance, food commodities, direct appropriations, and other assistance. C. Basis of Accounting - The information presented in the Schedule of Expenditures of Federal Awards is presented on the cash basis of accounting, which is consistent with the other federal grant reports. Under this basis, expenditures are recorded when paid, and revenues are recognized when received. Such expenditures are recognized following, as applicable, either the cost principles in Office of Management and Budget Circular A-87, Cost Principles for State, Local and Indian Tribal Governments, or the cost principles contained in Title 2 U. S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance), wherein certain types of expenditures are not allowable or are limited as to reimbursement. Therefore, some amounts presented in this schedule may differ from amounts presented in or used in the preparation of the basic financial statements. D. Expenditures and Expenses - When monies are received by one state agency and transferred to another state agency either for final expenditure or as a reimbursement for services, the federal financial assistance is reflected in the primary receiving/expending state agency's accounts. This is to avoid duplication and the overstatement of the aggregate level of federal financial assistance expended by the State of Alabama. De Minimis Rate Used: Both Rate Explanation: The State of Alabama elected to use the 10-percent de minimis indirect cost rate as allowed in the Uniform Guidance for the following federal programs: ALN 10.934- Feral Swine Eradication and Control Pilot Program G.   The amount reported as expenditures for the Immunization Cooperative Agreements (ALN 93.268) includes the value of immunization vaccines received and distributed in the amount of $87,271,029 during the 2023-2024 fiscal year.

Finding Details

Finding: The Uniform Guidance, 2 CFR Part 200, Appendix XI Compliance Supplement, dated May 2024, stipulates for a cost to be allowable under federal awards certain general criteria must be met, including costs that are adequately documented and necessary and reasonable for the performance of the federal award. The Alabama Medicaid Agency (“AMA”) operates a Non-Emergency Transportation (“NET”) program for individuals who are eligible for Medicaid benefits. This program helps eligible recipients pay for rides to dental and doctor offices, hospitals and other medical facilities when the service is also covered by Medicaid and the costs are paid with federal Medicaid program monies. Eligible recipients can request and receive reimbursements for the costs of utilizing the NET program. Subsequent to the payments of certain NET claims, AMA received information alleging that falsified information related to certain NET expenditures was being submitted and approved on behalf of a specific recipient. Upon receipt of these allegations, AMA initiated a review of the supporting documentation which had been submitted and approved. The review consisted of a detailed examination of all NET claims associated with the recipient. The results of the examination revealed that an AMA employee was entering and approving falsified information on behalf of a recipient. We reviewed, recalculated and verified information provided to us by AMA and did not note any differences. For the fiscal year ended September 30, 2024, there were 347 NET reimbursement requests totaling $30,501.75 submitted in the name of the specific recipient and of those, all 347 reimbursement requests were based on falsified non-existent documentation. The Alabama Medicaid Agency reimbursed the recipient based on falsified reimbursement requests and, therefore, improperly expended Medicaid Cluster federal award program funds. Recommendation: The Alabama Medicaid Agency should take actions to ensure that all reimbursements of expenses are adequately documented, based on true and accurate supporting documentation, and to ensure costs are allowable under the federal award. Views of Responsible Officials of the Auditee: The Alabama Medicaid Agency agrees witht the above recommendation. Medicaid immediately took action when it discovered an employee was defrauding the program by approving falsified claims. The immediate actions included terminating the employee, referring the employee for criminal prosecution, and making corrective actions.
Finding: The Uniform Guidance, 2 CFR Part 200, Appendix XI Compliance Supplement, dated May 2024, stipulates for a cost to be allowable under federal awards certain general criteria must be met, including costs that are adequately documented and necessary and reasonable for the performance of the federal award. The Alabama Medicaid Agency (“AMA”) operates a Non-Emergency Transportation (“NET”) program for individuals who are eligible for Medicaid benefits. This program helps eligible recipients pay for rides to dental and doctor offices, hospitals and other medical facilities when the service is also covered by Medicaid and the costs are paid with federal Medicaid program monies. Eligible recipients can request and receive reimbursements for the costs of utilizing the NET program. Subsequent to the payments of certain NET claims, AMA received information alleging that falsified information related to certain NET expenditures was being submitted and approved on behalf of a specific recipient. Upon receipt of these allegations, AMA initiated a review of the supporting documentation which had been submitted and approved. The review consisted of a detailed examination of all NET claims associated with the recipient. The results of the examination revealed that an AMA employee was entering and approving falsified information on behalf of a recipient. We reviewed, recalculated and verified information provided to us by AMA and did not note any differences. For the fiscal year ended September 30, 2024, there were 347 NET reimbursement requests totaling $30,501.75 submitted in the name of the specific recipient and of those, all 347 reimbursement requests were based on falsified non-existent documentation. The Alabama Medicaid Agency reimbursed the recipient based on falsified reimbursement requests and, therefore, improperly expended Medicaid Cluster federal award program funds. Recommendation: The Alabama Medicaid Agency should take actions to ensure that all reimbursements of expenses are adequately documented, based on true and accurate supporting documentation, and to ensure costs are allowable under the federal award. Views of Responsible Officials of the Auditee: The Alabama Medicaid Agency agrees witht the above recommendation. Medicaid immediately took action when it discovered an employee was defrauding the program by approving falsified claims. The immediate actions included terminating the employee, referring the employee for criminal prosecution, and making corrective actions.
Finding: The Uniform Guidance, 2 CFR Part 200, Appendix XI Compliance Supplement, dated May 2024, stipulates for a cost to be allowable under federal awards certain general criteria must be met, including costs that are adequately documented and necessary and reasonable for the performance of the federal award. The Alabama Medicaid Agency (“AMA”) operates a Non-Emergency Transportation (“NET”) program for individuals who are eligible for Medicaid benefits. This program helps eligible recipients pay for rides to dental and doctor offices, hospitals and other medical facilities when the service is also covered by Medicaid and the costs are paid with federal Medicaid program monies. Eligible recipients can request and receive reimbursements for the costs of utilizing the NET program. Subsequent to the payments of certain NET claims, AMA received information alleging that falsified information related to certain NET expenditures was being submitted and approved on behalf of a specific recipient. Upon receipt of these allegations, AMA initiated a review of the supporting documentation which had been submitted and approved. The review consisted of a detailed examination of all NET claims associated with the recipient. The results of the examination revealed that an AMA employee was entering and approving falsified information on behalf of a recipient. We reviewed, recalculated and verified information provided to us by AMA and did not note any differences. For the fiscal year ended September 30, 2024, there were 347 NET reimbursement requests totaling $30,501.75 submitted in the name of the specific recipient and of those, all 347 reimbursement requests were based on falsified non-existent documentation. The Alabama Medicaid Agency reimbursed the recipient based on falsified reimbursement requests and, therefore, improperly expended Medicaid Cluster federal award program funds. Recommendation: The Alabama Medicaid Agency should take actions to ensure that all reimbursements of expenses are adequately documented, based on true and accurate supporting documentation, and to ensure costs are allowable under the federal award. Views of Responsible Officials of the Auditee: The Alabama Medicaid Agency agrees witht the above recommendation. Medicaid immediately took action when it discovered an employee was defrauding the program by approving falsified claims. The immediate actions included terminating the employee, referring the employee for criminal prosecution, and making corrective actions.
Finding: The Uniform Guidance, 2 CFR Part 200, Appendix XI Compliance Supplement dated May 2024, stipulates for a cost to be allowable under federal awards certain general criteria must be met, including costs that are adequately documented and necessary and reasonable for the performance of the federal award. The Alabama Department of Public Health (ADPH) passed through a portion of the Immunization Cooperative Agreement federal award to subrecipients. A total of fourteen subrecipients requested and received reimbursement of program expenses during the fiscal year. Based upon procedures performed, we noted that of the fourteen subrecipients who received federal award reimbursement, three did not provide adequate detailed documentation to support their request for reimbursements. In addition, sixteen of the fifty-four invoices submitted for reimbursement by the subrecipients did not have adequate documentation, resulting in question costs of $5,072,637.00. The documentation which was submitted by the subrecipients and approved by ADPH for payment consisted only of summary information and did not contain detailed information to ensure that reimbursement request costs were necessary and reasonable for the performance of the federal award. The ADPH did not have adequate policies and procedures in place to ensure that all requests for reimbursement were supported by adequate detailed documentation to ensure all costs are allowed under the federal award. Recommendation: The Alabama Department of Public Health should take action to ensure that all reimbursements of expenses are adequately documented, based on true and accurate invoices, and to ensure costs are allowable under the federal award. Views of Responsible Officials of the Auditee: We agree with the Examiners' finding; adequate documentation did not exist at the time of the audit to substantiate payments that resulted in questioned costs and improper payments. To confirm the total amount of questioned costs, ADPH’s Office of Program Integrity initiated its own ongoing investigation. ADPH also requested the Examiners of Public Accounts to conduct a special program audit which is ongoing. As this process continues, ADPH is requesting additional documentation from the subrecipients, which may affect the questioned costs of this program.
Finding: The Uniform Guidance, 2 CFR Part 200, Appendix XI Compliance Supplement dated May 2024, stipulates for a cost to be allowable under federal awards certain general criteria must be met, including costs that are adequately documented and necessary and reasonable for the performance of the federal award. The Alabama Department of Public Health (ADPH) passed through a portion of the Immunization Cooperative Agreement federal award to subrecipients. A total of fourteen subrecipients requested and received reimbursement of program expenses during the fiscal year. Based upon procedures performed, we noted that of the fourteen subrecipients who received federal award reimbursement, three did not provide adequate detailed documentation to support their request for reimbursements. In addition, sixteen of the fifty-four invoices submitted for reimbursement by the subrecipients did not have adequate documentation, resulting in question costs of $5,072,637.00. The documentation which was submitted by the subrecipients and approved by ADPH for payment consisted only of summary information and did not contain detailed information to ensure that reimbursement request costs were necessary and reasonable for the performance of the federal award. The ADPH did not have adequate policies and procedures in place to ensure that all requests for reimbursement were supported by adequate detailed documentation to ensure all costs are allowed under the federal award. Recommendation: The Alabama Department of Public Health should take action to ensure that all reimbursements of expenses are adequately documented, based on true and accurate invoices, and to ensure costs are allowable under the federal award. Views of Responsible Officials of the Auditee: We agree with the Examiners' finding; adequate documentation did not exist at the time of the audit to substantiate payments that resulted in questioned costs and improper payments. To confirm the total amount of questioned costs, ADPH’s Office of Program Integrity initiated its own ongoing investigation. ADPH also requested the Examiners of Public Accounts to conduct a special program audit which is ongoing. As this process continues, ADPH is requesting additional documentation from the subrecipients, which may affect the questioned costs of this program.
Finding: The Uniform Guidance, 2 CFR Part 200, Appendix XI Compliance Supplement, dated May 2024, stipulates for a cost to be allowable under federal awards certain general criteria must be met, including costs that are adequately documented and necessary and reasonable for the performance of the federal award. The Alabama Medicaid Agency (“AMA”) operates a Non-Emergency Transportation (“NET”) program for individuals who are eligible for Medicaid benefits. This program helps eligible recipients pay for rides to dental and doctor offices, hospitals and other medical facilities when the service is also covered by Medicaid and the costs are paid with federal Medicaid program monies. Eligible recipients can request and receive reimbursements for the costs of utilizing the NET program. Subsequent to the payments of certain NET claims, AMA received information alleging that falsified information related to certain NET expenditures was being submitted and approved on behalf of a specific recipient. Upon receipt of these allegations, AMA initiated a review of the supporting documentation which had been submitted and approved. The review consisted of a detailed examination of all NET claims associated with the recipient. The results of the examination revealed that an AMA employee was entering and approving falsified information on behalf of a recipient. We reviewed, recalculated and verified information provided to us by AMA and did not note any differences. For the fiscal year ended September 30, 2024, there were 347 NET reimbursement requests totaling $30,501.75 submitted in the name of the specific recipient and of those, all 347 reimbursement requests were based on falsified non-existent documentation. The Alabama Medicaid Agency reimbursed the recipient based on falsified reimbursement requests and, therefore, improperly expended Medicaid Cluster federal award program funds. Recommendation: The Alabama Medicaid Agency should take actions to ensure that all reimbursements of expenses are adequately documented, based on true and accurate supporting documentation, and to ensure costs are allowable under the federal award. Views of Responsible Officials of the Auditee: The Alabama Medicaid Agency agrees witht the above recommendation. Medicaid immediately took action when it discovered an employee was defrauding the program by approving falsified claims. The immediate actions included terminating the employee, referring the employee for criminal prosecution, and making corrective actions.
Finding: The Uniform Guidance, 2 CFR Part 200, Appendix XI Compliance Supplement, dated May 2024, stipulates for a cost to be allowable under federal awards certain general criteria must be met, including costs that are adequately documented and necessary and reasonable for the performance of the federal award. The Alabama Medicaid Agency (“AMA”) operates a Non-Emergency Transportation (“NET”) program for individuals who are eligible for Medicaid benefits. This program helps eligible recipients pay for rides to dental and doctor offices, hospitals and other medical facilities when the service is also covered by Medicaid and the costs are paid with federal Medicaid program monies. Eligible recipients can request and receive reimbursements for the costs of utilizing the NET program. Subsequent to the payments of certain NET claims, AMA received information alleging that falsified information related to certain NET expenditures was being submitted and approved on behalf of a specific recipient. Upon receipt of these allegations, AMA initiated a review of the supporting documentation which had been submitted and approved. The review consisted of a detailed examination of all NET claims associated with the recipient. The results of the examination revealed that an AMA employee was entering and approving falsified information on behalf of a recipient. We reviewed, recalculated and verified information provided to us by AMA and did not note any differences. For the fiscal year ended September 30, 2024, there were 347 NET reimbursement requests totaling $30,501.75 submitted in the name of the specific recipient and of those, all 347 reimbursement requests were based on falsified non-existent documentation. The Alabama Medicaid Agency reimbursed the recipient based on falsified reimbursement requests and, therefore, improperly expended Medicaid Cluster federal award program funds. Recommendation: The Alabama Medicaid Agency should take actions to ensure that all reimbursements of expenses are adequately documented, based on true and accurate supporting documentation, and to ensure costs are allowable under the federal award. Views of Responsible Officials of the Auditee: The Alabama Medicaid Agency agrees witht the above recommendation. Medicaid immediately took action when it discovered an employee was defrauding the program by approving falsified claims. The immediate actions included terminating the employee, referring the employee for criminal prosecution, and making corrective actions.
Finding: The Uniform Guidance, 2 CFR Part 200, Appendix XI Compliance Supplement, dated May 2024, stipulates for a cost to be allowable under federal awards certain general criteria must be met, including costs that are adequately documented and necessary and reasonable for the performance of the federal award. The Alabama Medicaid Agency (“AMA”) operates a Non-Emergency Transportation (“NET”) program for individuals who are eligible for Medicaid benefits. This program helps eligible recipients pay for rides to dental and doctor offices, hospitals and other medical facilities when the service is also covered by Medicaid and the costs are paid with federal Medicaid program monies. Eligible recipients can request and receive reimbursements for the costs of utilizing the NET program. Subsequent to the payments of certain NET claims, AMA received information alleging that falsified information related to certain NET expenditures was being submitted and approved on behalf of a specific recipient. Upon receipt of these allegations, AMA initiated a review of the supporting documentation which had been submitted and approved. The review consisted of a detailed examination of all NET claims associated with the recipient. The results of the examination revealed that an AMA employee was entering and approving falsified information on behalf of a recipient. We reviewed, recalculated and verified information provided to us by AMA and did not note any differences. For the fiscal year ended September 30, 2024, there were 347 NET reimbursement requests totaling $30,501.75 submitted in the name of the specific recipient and of those, all 347 reimbursement requests were based on falsified non-existent documentation. The Alabama Medicaid Agency reimbursed the recipient based on falsified reimbursement requests and, therefore, improperly expended Medicaid Cluster federal award program funds. Recommendation: The Alabama Medicaid Agency should take actions to ensure that all reimbursements of expenses are adequately documented, based on true and accurate supporting documentation, and to ensure costs are allowable under the federal award. Views of Responsible Officials of the Auditee: The Alabama Medicaid Agency agrees witht the above recommendation. Medicaid immediately took action when it discovered an employee was defrauding the program by approving falsified claims. The immediate actions included terminating the employee, referring the employee for criminal prosecution, and making corrective actions.
Finding: The Uniform Guidance, 2 CFR Part 200, Appendix XI Compliance Supplement dated May 2024, stipulates for a cost to be allowable under federal awards certain general criteria must be met, including costs that are adequately documented and necessary and reasonable for the performance of the federal award. The Alabama Department of Public Health (ADPH) passed through a portion of the Immunization Cooperative Agreement federal award to subrecipients. A total of fourteen subrecipients requested and received reimbursement of program expenses during the fiscal year. Based upon procedures performed, we noted that of the fourteen subrecipients who received federal award reimbursement, three did not provide adequate detailed documentation to support their request for reimbursements. In addition, sixteen of the fifty-four invoices submitted for reimbursement by the subrecipients did not have adequate documentation, resulting in question costs of $5,072,637.00. The documentation which was submitted by the subrecipients and approved by ADPH for payment consisted only of summary information and did not contain detailed information to ensure that reimbursement request costs were necessary and reasonable for the performance of the federal award. The ADPH did not have adequate policies and procedures in place to ensure that all requests for reimbursement were supported by adequate detailed documentation to ensure all costs are allowed under the federal award. Recommendation: The Alabama Department of Public Health should take action to ensure that all reimbursements of expenses are adequately documented, based on true and accurate invoices, and to ensure costs are allowable under the federal award. Views of Responsible Officials of the Auditee: We agree with the Examiners' finding; adequate documentation did not exist at the time of the audit to substantiate payments that resulted in questioned costs and improper payments. To confirm the total amount of questioned costs, ADPH’s Office of Program Integrity initiated its own ongoing investigation. ADPH also requested the Examiners of Public Accounts to conduct a special program audit which is ongoing. As this process continues, ADPH is requesting additional documentation from the subrecipients, which may affect the questioned costs of this program.
Finding: The Uniform Guidance, 2 CFR Part 200, Appendix XI Compliance Supplement dated May 2024, stipulates for a cost to be allowable under federal awards certain general criteria must be met, including costs that are adequately documented and necessary and reasonable for the performance of the federal award. The Alabama Department of Public Health (ADPH) passed through a portion of the Immunization Cooperative Agreement federal award to subrecipients. A total of fourteen subrecipients requested and received reimbursement of program expenses during the fiscal year. Based upon procedures performed, we noted that of the fourteen subrecipients who received federal award reimbursement, three did not provide adequate detailed documentation to support their request for reimbursements. In addition, sixteen of the fifty-four invoices submitted for reimbursement by the subrecipients did not have adequate documentation, resulting in question costs of $5,072,637.00. The documentation which was submitted by the subrecipients and approved by ADPH for payment consisted only of summary information and did not contain detailed information to ensure that reimbursement request costs were necessary and reasonable for the performance of the federal award. The ADPH did not have adequate policies and procedures in place to ensure that all requests for reimbursement were supported by adequate detailed documentation to ensure all costs are allowed under the federal award. Recommendation: The Alabama Department of Public Health should take action to ensure that all reimbursements of expenses are adequately documented, based on true and accurate invoices, and to ensure costs are allowable under the federal award. Views of Responsible Officials of the Auditee: We agree with the Examiners' finding; adequate documentation did not exist at the time of the audit to substantiate payments that resulted in questioned costs and improper payments. To confirm the total amount of questioned costs, ADPH’s Office of Program Integrity initiated its own ongoing investigation. ADPH also requested the Examiners of Public Accounts to conduct a special program audit which is ongoing. As this process continues, ADPH is requesting additional documentation from the subrecipients, which may affect the questioned costs of this program.