Audit 368997

FY End
2024-12-31
Total Expended
$17.31M
Findings
5
Programs
30
Organization: Highmark Health (PA)
Year: 2024 Accepted: 2025-09-30

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
1156638 2024-002 Material Weakness Yes N
1156639 2024-001 Material Weakness Yes N
1156640 2024-002 Material Weakness Yes N
1156641 2024-001 Material Weakness Yes N
1156642 2024-002 Material Weakness Yes N

Programs

ALN Program Spent Major Findings
93.767 Children's Health Insurance Program ("chp") $9.22M Yes 0
84.268 Federal Direct Student Loans $1.59M Yes 2
93.493 Congressional Directives $782,269 Yes 0
84.063 Federal Pell Grant Program $701,232 Yes 2
93.247 Advanced Nursing Education Workforce Grant Program $649,480 Yes 0
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $603,457 Yes 0
93.959 Covid-19 Block Grants for Prevention and Treatment of Substance Abuse $249,666 Yes 0
93.121 Oral Diseases and Disorders Research $189,292 Yes 0
93.211 Telehealth Programs $179,068 Yes 0
93.351 Research Infrastructure Programs $161,193 Yes 0
93.136 Injury Prevention and Control Research and State and Community Based Programs $96,382 Yes 0
93.350 National Center for Advancing Translational Sciences $92,128 Yes 0
21.027 Covid-19 Coronavirus State and Local Fiscal Recovery Funds $87,006 Yes 0
93.364 Nursing Student Loans $57,250 Yes 0
93.279 Drug Abuse and Addiction Research Programs $48,106 Yes 0
93.837 Cardiovascular Diseases Research $47,775 Yes 0
93.242 Mental Health Research Grants $39,031 Yes 0
93.286 Discovery and Applied Research for Technological Innovations to Improve Human Health $36,694 Yes 0
93.847 Diabetes, Digestive, and Kidney Diseases Extramural Research $34,864 Yes 0
93.853 Extramural Research Programs in the Neurosciences and Neurological Disorders $27,067 Yes 0
84.007 Federal Supplemental Educational Opportunity Grants $25,650 Yes 1
47.074 Biological Sciences $15,365 Yes 0
12.420 Military Medical Research and Development $12,353 Yes 0
93.243 Substance Abuse and Mental Health Services Projects of Regional and National Significance $11,626 Yes 0
93.395 Cancer Treatment Research $6,900 Yes 0
93.838 Lung Disease Research $6,022 Yes 0
93.393 Cancer Cause and Prevention Research $5,663 Yes 0
93.394 Cancer Detection and Diagnosis Research $5,236 Yes 0
93.865 Child Health and Human Development Extramural Research $3,171 Yes 0
14.231 Covid-19 Emergency Solutions Grant Program $-16,946 Yes 0

Contacts

Name Title Type
YACNK6XX6XV1 Matthew Bazzani Auditee
4125448338 Keith Hubert Auditor
No contacts on file

Notes to SEFA

The accompanying Schedule of Expenditures of Federal Awards (the “Schedule”) presents the activity of federal financial assistance programs of Highmark Health (the “Corporation”) for the year ended December 31, 2024. Federal awards received directly from federal agencies as well as federal awards passed through other prime recipients are included in the accompanying Schedule.
The Schedule is presented on the accrual basis of accounting. Negative expenditures detailed in the Schedule result from current year adjustments to prior year award amounts. The Corporation charges indirect costs to federal awards based on negotiated rates as defined in each grant award. The information in this Schedule is presented in accordance with the requirements of Title 2, U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (“Uniform Guidance”). Therefore, some of the amounts presented in this schedule may differ from amounts presented in, or used in the preparation of, the basic consolidated financial statements. Because the Schedule presents only a selected portion of the activities of the Corporation, it is not intended to, and does not, present either the financial position, results of operations, or cash flows of the Corporation.
The CHP program (Assistance Listing Number (“ALN”) 93.767) in New York offers free or low-cost health insurance to uninsured children from birth through 18 years old. Highmark NY currently administers CHP (through a management contractor, Wellpoint Partnership Plan) to over 6,200 children in 8 counties across western New York. The CHP program provides eligibility, enrollment, education and outreach functions. Additionally, Highmark NY, provides insurance coverage and retains all insurance obligations. The CHP program in New York is funded by the New York State Department of Health, which receives federal funding
AHN administers the Federal Nursing Student Loan Program (ALN 93.364). Net loans outstanding at the beginning of the year and loans made during the year under this program are included in the Schedule. The net loans outstanding at December 31, 2024 under this program were $371,648.

Finding Details

2024-001 – Non-compliance with Enrollment Reporting Requirements Grantor: U.S. Department of Education Program Name: Student Financial Assistance Cluster Award Names: Federal Pell Grant Program and Federal Direct Student Loans Award Year: 1/1/2024 - 12/31/2024 Award Number: Not applicable Assistance Listing Numbers: 84.063 and 84.268 Criteria: In accordance with 34 CFR 690.83(b)(2) and 685.309, institutions are required to report enrollment information under the Federal Pell Grant and Federal Direct Loan programs through NSLDS. The enrollment information, inclusive of Campus Level and Program Level data, must be reviewed, updated and validated by the institution in a timely manner. Furthermore, specific to the Federal Direct Loan program, for a student that received a Direct Loan and was enrolled or accepted for enrollment at the institution, and the student had ceased to be enrolled on at least a half-time basis or failed to enroll on at least a half-time basis for the period for which the loan was intended, the institution must report the change within 60 days from which the change was identified. Condition: We reviewed a sample of twenty-five students enrolled at the AHN Schools of Nursing who received either Pell and/or Direct Loans and had a change of enrollment status during the fiscal year. Of the twenty-five students tested, one student was reported to NSLDS with an inaccurate enrollment status. Specifically, the incorrect date of withdrawal was reported for both the campus and program levels; however, the change was reported to NSLDS within the required 60-day timeframe. Cause: The root cause for the improper reporting was due to a manual process resulting in the clerical error and related improper reporting. Effect: A student’s enrollment status determines eligibility for in-school status, deferment, and grace periods, as well as for the payment of interest subsidies all of which are impacted by inaccurate reporting. Questioned Costs (If applicable): None Recommendation: We recommend the AHN Schools of Nursing perform the following: • Update the enrollment status for this particular student; • Ensure all individuals involved in processing student enrollment changes are aware of the School’s policies and procedures to process that change accurately and timely; • Review procedures and controls to ensure accurate enrollment reporting; and • Establish appropriate segregation of duties. Management’s Response: Management Response and Corrective Action Plan is included at the end of this report after the summary schedule of prior audit findings and status.
2024-002 – Non-compliance with Disbursements to or on behalf of students Grantor: U.S. Department of Education Program Name: Student Financial Assistance Cluster Award Names: Federal Supplemental Educational Opportunity Grants (FSEOG), Federal Pell Grant Program and Federal Direct Student Loans Award Year: 1/1/2024 - 12/31/2024 Award Number: Not applicable Assistance Listing Numbers: 84.007, 84.063 and 84.268 Criteria: 34 CFR 668.165 which requires the institution, in advance of disbursement, to provide a general notification to all students receiving Title IV program funds including (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 loan disbursement; 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. 34 CFR 668.165 (a)(6)(i) which defines affirmative confirmation as a process under which an institution obtains written confirmation of the types and amounts of Title IV program loans that a student needs for the period of enrollment. Electronic Signatures in Global and National Commerce Act (E-Sign Act) which requires that a school must obtain a student's voluntary consent to participate in electronic transactions. Condition: Based on our testing, we noted the following: • For 16 students of the 25 sampled, we noted there was no evidence of the school notifying the borrower in writing (paper or electronically) of 1) anticipated date and amount of the disbursement; 2) student's or parent's right to cancel all or a portion of a loan, loan disbursement, TEACH Grant, or TEACH Grant disbursement and have the loan proceeds or TEACH Grant proceeds returned to the Department; and 3) procedures and deadlines by which the student or parent must notify the school that he or she wishes to cancel the loan, loan disbursement, TEACH Grant, or TEACH Grant disbursement. • For 1 student of the 25 sampled, we noted there was no acceptance timestamp for the disbursement showing the disbursement notification was sent to the student within the proper timeline and received affirmative confirmation. • For 1 student of the 25 sampled, we noted there was no signed handbook attestation available to verify the school obtained the student’s voluntary consent to participate in electronic transactions. Cause: Individuals involved in the process did not maintain documentation to evidence that proper notifications were sent to borrowers, nor that consent for participation in electronic transactions was obtained. Effect: A lack of disbursement notifications, affirmative confirmation and student consent to participate in electronic transactions may result in less aid awarded to the School based on noncompliance with this requirement from the Department of Education. Questioned Costs (if applicable): None Recommendation: The AHN Schools of Nursing should enhance their current controls in place to ensure that sufficient documentation is retained to meet all compliance requirements, such as the following: • Establish a process for the School to receive a copy of the notification sent to the borrower receiving Title IV program funds • Establish a process that prevents the disbursement of funds until notifications are validated and approved as per the student account file • Establish a process that prompts students to voluntarily consent to participate in electronic transactions at the time of loan acceptance Management’s Response: Management Response and Corrective Action Plan is included at the end of this report after the summary schedule of prior audit findings and status