Audit 53638

FY End
2022-06-30
Total Expended
$38.24B
Findings
54
Programs
941
Organization: State of North Carolina (NC)
Year: 2022 Accepted: 2023-03-29

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
40126 2022-002 Significant Deficiency - ABH
40127 2022-003 Material Weakness Yes M
40128 2022-004 Significant Deficiency Yes AB
40129 2022-008 Material Weakness - L
40130 2022-009 Material Weakness - M
40131 2022-010 Material Weakness - M
40132 2022-011 Material Weakness Yes L
40133 2022-012 Material Weakness Yes M
40134 2022-013 Material Weakness - L
40135 2022-014 Material Weakness - M
40136 2022-015 Significant Deficiency - AB
40137 2022-016 Significant Deficiency - L
40138 2022-017 Significant Deficiency - E
40139 2022-018 Significant Deficiency - L
40140 2022-019 Significant Deficiency - L
40141 2022-020 Significant Deficiency - L
40142 2022-021 Significant Deficiency - M
40143 2022-024 Significant Deficiency - BG
40144 2022-025 Significant Deficiency - BH
40145 2022-026 Material Weakness - L
40146 2022-027 Material Weakness - M
50058 2022-022 Significant Deficiency Yes ABE
50059 2022-023 Significant Deficiency Yes E
50060 2022-005 Significant Deficiency - N
50061 2022-006 Significant Deficiency - N
50062 2022-007 Significant Deficiency - N
50063 2022-001 Significant Deficiency - N
616568 2022-002 Significant Deficiency - ABH
616569 2022-003 Material Weakness Yes M
616570 2022-004 Significant Deficiency Yes AB
616571 2022-008 Material Weakness - L
616572 2022-009 Material Weakness - M
616573 2022-010 Material Weakness - M
616574 2022-011 Material Weakness Yes L
616575 2022-012 Material Weakness Yes M
616576 2022-013 Material Weakness - L
616577 2022-014 Material Weakness - M
616578 2022-015 Significant Deficiency - AB
616579 2022-016 Significant Deficiency - L
616580 2022-017 Significant Deficiency - E
616581 2022-018 Significant Deficiency - L
616582 2022-019 Significant Deficiency - L
616583 2022-020 Significant Deficiency - L
616584 2022-021 Significant Deficiency - M
616585 2022-024 Significant Deficiency - BG
616586 2022-025 Significant Deficiency - BH
616587 2022-026 Material Weakness - L
616588 2022-027 Material Weakness - M
626500 2022-022 Significant Deficiency Yes ABE
626501 2022-023 Significant Deficiency Yes E
626502 2022-005 Significant Deficiency - N
626503 2022-006 Significant Deficiency - N
626504 2022-007 Significant Deficiency - N
626505 2022-001 Significant Deficiency - N

Programs

ALN Program Spent Major Findings
93.778 Medical Assistance Program $13.06B Yes 2
10.551 Supplemental Nutrition Assistance Program $3.19B - 0
10.551 Covid-19 - Supplemental Nutrition Assistance Program $1.63B - 0
93.778 Covid-19 - Medical Assistance Program $1.49B Yes 0
21.027 Covid-19 - Coronavirus State and Local Fiscal Recovery Funds $1.18B Yes 0
84.268 Federal Direct Student Loans $1.07B Yes 0
17.225 Covid-19 - Unemployment Insurance $1.00B Yes 0
84.425 Covid-19 - Education Stabilization Fund - Elementary and Secondary School Emergency Relief (esser) Fund $880.17M Yes 2
84.425 Covid-19 - Education Stabilization Fund - American Rescue Plan Elementary and Secondary School Emergency Relief (arp Esser) Fund $821.30M Yes 2
21.023 Covid-19 - Emergency Rental Assistance Program $788.29M Yes 1
10.555 National School Lunch Program $711.91M - 0
93.575 Covid-19 - Child Care and Development Block Grant $708.99M - 0
84.063 Federal Pell Grant Program $634.34M Yes 3
93.323 Covid-19 - Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $621.65M Yes 0
93.767 Children's Health Insurance Program $602.24M - 0
10.542 Covid-19 - Pandemic Ebt Food Benefits $589.99M - 0
84.010 Title I Grants to Local Educational Agencies $474.64M - 0
84.425 Covid-19 - Education Stabilization Fund - Higher Education Emergency Relief Fund (heerf) Student Aid Portion $422.14M Yes 0
84.425 Covid-19 - Education Stabilization Fund - Higher Education Emergency Relief Fund (heerf) Institutional Aid Portion $389.98M Yes 0
97.036 Covid-19 Disaster Grants - Public Assistance (presidentially Declared Disasters) $324.35M - 0
17.225 Unemployment Insurance $279.74M Yes 1
10.553 School Breakfast Program $197.92M - 0
10.557 Wic Special Supplemental Nutrition Program for Women, Infants, and Children $162.02M - 0
93.268 Immunization Cooperative Agreements $157.04M Yes 0
93.596 Child Care Mandatory and Matching Funds of the Child Care and Development Fund $128.50M - 0
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $127.61M - 0
14.228 Community Development Block Grants/state's Program and Non-Entitlement Grants in Hawaii $121.96M - 0
93.563 Child Support Enforcement $116.96M - 0
93.658 Foster Care Title IV-E $103.72M - 0
84.126 Rehabilitation Services Vocational Rehabilitation Grants to States $101.24M - 0
93.268 Covid-19 - Immunization Cooperative Agreements $98.51M Yes 2
93.568 Low-Income Home Energy Assistance $94.50M - 0
10.558 Child and Adult Care Food Program $85.31M - 0
84.425 Covid-19 - Education Stabilization Fund - Higher Education Emergency Relief Fund (heerf) Historically Black Colleges and Universities (hbcus) $79.18M Yes 0
93.667 Social Services Block Grant $71.48M Yes 2
93.568 Covid-19 - Low-Income Home Energy Assistance $69.86M - 0
16.575 Crime Victim Assistance $69.54M - 0
93.659 Adoption Assistance $67.72M - 0
96.001 Social Security Disability Insurance $64.36M Yes 0
84.425 Covid-19 - Education Stabilization Fund - Governors Emergency Education Relief (geer) Fund $61.20M Yes 1
84.367 Supporting Effective Instruction State Grants (formerly Improving Teacher Quality State Grants) $55.80M Yes 2
10.559 Summer Food Service Program for Children $47.36M - 0
93.767 Covid-19 - Children's Health Insurance Program $44.57M - 0
84.287 Twenty-First Century Community Learning Centers $43.84M - 0
93.917 Hiv Care Formula Grants $43.38M Yes 0
93.788 Opioid Str $41.33M - 0
12.401 National Guard Military Operations and Maintenance (o&m) Projects $39.58M - 0
84.425 Covid-19 - Education Stabilization Fund - Coronavirus Response and Relief Supplemental Appropriations Act, 2021emergency Assistance for Non-Public Schools (crrsa Eans) $35.08M Yes 0
10.569 Emergency Food Assistance Program (food Commodities) $33.67M - 0
20.509 Covid-19 - Formula Grants for Rural Areas and Tribal Transit Program $33.28M - 0
84.424 Student Support and Academic Enrichment Program $33.09M - 0
14.231 Covid-19 - Emergency Solutions Grant Program $29.25M Yes 1
66.458 Capitalization Grants for Clean Water State Revolving Funds $28.68M - 0
84.048 Career and Technical Education - Basic Grants to States $28.37M - 0
20.933 National Infrastructure Investments $25.74M Yes 0
17.207 Employment Service/wagner-Peyser Funded Activities $25.22M - 0
23.003 Appalachian Development Highway System $25.15M - 0
84.038 Federal Perkins Loan Program Federal Capital Contributions $23.96M Yes 0
93.569 Community Services Block Grant $22.60M - 0
20.509 Formula Grants for Rural Areas and Tribal Transit Program $22.07M - 0
93.044 Special Programs for the Aging, Title Iii, Part B, Grants for Supportive Services and Senior Centers $21.36M Yes 0
84.002 Adult Education - Basic Grants to States $20.61M - 0
84.007 Federal Supplemental Educational Opportunity Grants $19.78M Yes 0
93.777 State Survey and Certification of Health Care Providers and Suppliers (title Xviii) Medicare $17.81M Yes 0
84.027 Covid-19 - Special Education Grants to States $17.15M - 0
93.994 Maternal and Child Health Services Block Grant to the States $16.47M - 0
93.498 Covid-19 - Provider Relief Fund $15.61M - 0
84.365 English Language Acquisition State Grants $14.70M - 0
93.069 Public Health Emergency Preparedness $14.26M - 0
84.425 Covid-19 - Education Stabilization Fund - Higher Education Emergency Relief Fund (heerf) Strengthening Institutions Program (sip) $14.22M Yes 0
84.181 Special Education-Grants for Infants and Families $13.48M - 0
84.033 Federal Work-Study Program $13.17M Yes 0
93.045 Special Programs for the Aging, Title Iii, Part C, Nutrition Services $13.06M Yes 0
20.106 Airport Improvement Program $12.78M - 0
10.568 Emergency Food Assistance Program (administrative Costs) $12.29M - 0
93.434 Every Student Succeeds Act/preschool Development Grants $12.18M - 0
93.940 Hiv Prevention Activities Health Department Based $12.07M - 0
15.605 Sport Fish Restoration $11.98M - 0
14.228 Covid-19 - Community Development Block Grants/state's Program and Non-Entitlement Grants in Hawaii $11.62M - 0
93.045 Covid-19 - Special Programs for the Aging, Title Iii, Part C, Nutrition Services $11.36M Yes 0
10.178 Trade Mitigation Program Eligible Recipient Agency Operational Funds $11.14M - 0
93.499 Low Income Household Water Assistance Program $11.08M - 0
84.173 Special Education Preschool Grants $10.30M - 0
93.136 Covid-19 - Injury Prevention and Control Research and State and Community Based Programs $10.29M - 0
84.042 Trio Student Support Services $10.25M - 0
93.645 Stephanie Tubbs Jones Child Welfare Services Program $10.12M - 0
20.218 Motor Carrier Safety Assistance $10.00M - 0
10.560 State Administrative Expenses for Child Nutrition $9.91M - 0
93.556 Marylee Allen Promoting Safe and Stable Families Program $9.49M - 0
20.205 Covid-19 - Highway Planning and Construction $9.47M - 0
84.369 Grants for State Assessments and Related Activities $9.45M - 0
93.674 Covid-19 - John H. Chafee Foster Care Program for Successful Transition to Adulthood $9.03M - 0
93.461 Covid-19 Testing for the Uninsured $8.91M - 0
10.557 Covid-19 Wic Special Supplemental Nutrition Program for Women, Infants, and Children $8.86M - 0
97.042 Emergency Management Performance Grants $8.74M - 0
10.561 Covid-19 - State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $8.66M - 0
93.558 Covid-19 - Temporary Assistance for Needy Families $8.54M Yes 0
66.419 Water Pollution Control State, Interstate, and Tribal Program Support $8.22M - 0
10.203 Payments to Agricultural Experiment Stations Under the Hatch Act $8.18M - 0
20.600 State and Community Highway Safety $7.83M - 0
93.889 National Bioterrorism Hospital Preparedness Program $7.73M - 0
93.791 Money Follows the Person Rebalancing Demonstration $7.69M - 0
93.217 Family Planning Services $7.65M - 0
16.738 Edward Byrne Memorial Justice Assistance Grant Program $7.51M - 0
45.310 Grants to States $7.45M - 0
64.005 Grants to States for Construction of State Home Facilities $7.13M - 0
97.039 Hazard Mitigation Grant $6.98M - 0
17.801 Jobs for Veterans State Grants $6.91M - 0
90.404 2018 Hava Election Security Grants $6.75M - 0
84.282 Charter Schools $6.66M - 0
10.649 Covid-19 - Pandemic Ebt Administrative Costs $6.65M - 0
93.566 Refugee and Entrant Assistance State/replacement Designee Administered Programs $6.39M - 0
10.558 Covid-19 - Child and Adult Care Food Program $6.23M - 0
84.047 Trio Upward Bound $6.15M - 0
93.775 State Medicaid Fraud Control Units $5.99M Yes 0
10.475 Cooperative Agreements with States for Intrastate Meat and Poultry Inspection $5.97M - 0
20.616 National Priority Safety Programs $5.97M - 0
17.503 Occupational Safety and Health State Program $5.93M - 0
81.042 Weatherization Assistance for Low-Income Persons $5.71M - 0
93.659 Covid-19 - Adoption Assistance $5.71M - 0
93.391 Covid-19 - Activities to Support State, Tribal, Local and Territorial (stlt) Health Department Response to Public Health Or Healthcare Crises $5.44M - 0
84.425 Covid-19 - Education Stabilization Fund - Higher Education Emergency Relief Fund (heerf) Supplemental Assistance to Institutions of Higher Education (saihe) Program $5.36M Yes 0
93.052 National Family Caregiver Support, Title Iii, Part E $5.35M - 0
93.569 Covid-19 - Community Services Block Grant $5.32M - 0
10.565 Commodity Supplemental Food Program $5.31M - 0
59.075 Shuttered Venue Operators Grant Program $5.26M - 0
45.310 Covid-19 - Grants to States $5.26M - 0
84.011 Migrant Education State Grant Program $5.15M - 0
14.871 Section 8 Housing Choice Vouchers $5.01M - 0
84.425 Covid-19 - Education Stabilization Fund - American Rescue Plan Emergency Assistance to Non-Public Schools (arp Eans) $4.91M Yes 0
16.588 Violence Against Women Formula Grants $4.87M - 0
97.029 Flood Mitigation Assistance $4.79M - 0
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $4.61M - 0
10.582 Fresh Fruit and Vegetable Program $4.56M - 0
11.454 Unallied Management Projects $4.48M - 0
14.231 Emergency Solutions Grant Program $4.38M Yes 0
12.404 National Guard Challenge Program $4.28M - 0
66.432 State Public Water System Supervision $3.96M - 0
93.342 Health Professions Student Loans, Including Primary Care Loans/loans for Disadvantaged Students $3.94M Yes 0
66.460 Nonpoint Source Implementation Grants $3.92M - 0
84.044 Trio Talent Search $3.67M - 0
14.241 Housing Opportunities for Persons with Aids $3.63M - 0
93.991 Preventive Health and Health Services Block Grant $3.60M - 0
93.224 Health Center Program (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $3.60M - 0
84.358 Rural Education $3.59M - 0
93.671 Family Violence Prevention and Services/domestic Violence Shelter and Supportive Services $3.57M - 0
20.513 Enhanced Mobility of Seniors and Individuals with Disabilities $3.47M - 0
93.053 Nutrition Services Incentive Program $3.44M Yes 0
93.870 Maternal, Infant and Early Childhood Home Visiting Grant $3.36M - 0
93.044 Covid-19 - Special Programs for the Aging, Title Iii, Part B, Grants for Supportive Services and Senior Centers $3.28M Yes 0
11.419 Coastal Zone Management Administration Awards $3.25M - 0
17.245 Trade Adjustment Assistance $3.21M - 0
20.526 Buses and Bus Facilities Formula, Competitive, and Low Or No Emissions Programs $3.11M - 0
84.425 Covid-19 - Education Stabilization Fund - Higher Education Emergency Relief Fund (heerf) Minority Serving Institutions (msis) $3.11M Yes 0
93.674 John H. Chafee Foster Care Program for Successful Transition to Adulthood $3.10M - 0
66.805 Leaking Underground Storage Tank Trust Fund Corrective Action Program $3.09M - 0
20.505 Metropolitan Transportation Planning and State and Non-Metropolitan Planning and Research $3.06M - 0
93.925 Scholarships for Health Professions Students From Disadvantaged Backgrounds $3.00M Yes 0
93.103 Food and Drug Administration Research $2.97M - 0
97.045 Cooperating Technical Partners $2.95M - 0
84.325 Special Education - Personnel Development to Improve Services and Results for Children with Disabilities $2.81M - 0
93.977 Sexually Transmitted Diseases (std) Prevention and Control Grants $2.80M - 0
93.658 Covid-19 - Foster Care Title IV-E $2.75M - 0
16.034 Coronavirus Emergency Supplemental Funding Program $2.73M - 0
97.067 Homeland Security Grant Program $2.64M - 0
10.664 Cooperative Forestry Assistance $2.61M - 0
93.982 Covid-19 - Mental Health Disaster Assistance and Emergency Mental Health $2.58M - 0
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $2.56M Yes 0
84.196 Education for Homeless Children and Youth $2.48M - 0
93.387 National and State Tobacco Control Program $2.40M - 0
20.507 Covid-19 - Federal Transit Formula Grants $2.38M - 0
93.926 Healthy Start Initiative $2.25M - 0
93.959 Covid-19 - Block Grants for Prevention and Treatment of Substance Abuse $2.25M Yes 0
10.025 Plant and Animal Disease, Pest Control, and Animal Care $2.24M - 0
66.801 Hazardous Waste Management State Program Support $2.21M - 0
93.630 Developmental Disabilities Basic Support and Advocacy Grants $2.18M - 0
84.425 Covid-19 - Education Stabilization Fund - Discretionary Grants: Rethink K-12 Education Models Grants $2.15M Yes 0
10.206 Grants for Agricultural Research Competitive Research Grants $2.14M - 0
93.426 Improving the Health of Americans Through Prevention and Management of Diabetes and Heart Disease and Stroke $2.14M - 0
11.300 Investments for Public Works and Economic Development Facilities $2.13M - 0
20.106 Covid-19 - Airport Improvement Program $2.05M - 0
84.377 School Improvement Grants $2.04M - 0
16.576 Crime Victim Compensation $2.04M - 0
66.001 Air Pollution Control Program Support $2.01M - 0
20.319 High-Speed Rail Corridors and Intercity Passenger Rail Service Capital Assistance Grants $1.97M - 0
17.281 Wioa Dislocated Worker National Reserve Technical Assistance and Training $1.96M - 0
84.382 Strengthening Minority-Serving Institutions $1.94M - 0
93.354 Covid-19 - Public Health Emergency Response: Cooperative Agreement for Emergency Response: Public Health Crisis Response $1.92M - 0
93.958 Covid-19 - Block Grants for Community Mental Health Services $1.83M - 0
20.219 Recreational Trails Program $1.81M - 0
15.904 Historic Preservation Fund Grants-in-Aid $1.77M - 0
17.235 Senior Community Service Employment Program $1.73M - 0
97.012 Boating Safety Financial Assistance $1.71M - 0
17.277 Covid-19 - Wioa National Dislocated Worker Grants / Wia National Emergency Grants $1.71M - 0
93.732 Mental and Behavioral Health Education and Training Grants $1.64M - 0
84.173 Covid-19 - Special Education Preschool Grants $1.57M - 0
16.741 Dna Backlog Reduction Program $1.56M - 0
45.025 Promotion of the Arts Partnership Agreements $1.54M - 0
17.504 Consultation Agreements $1.54M - 0
84.066 Trio Educational Opportunity Centers $1.53M - 0
17.261 Wioa Pilots, Demonstrations, and Research Projects $1.53M - 0
84.411 Education Innovation and Research (formerly Investing in Innovation (i3) Fund) $1.50M - 0
93.092 Affordable Care Act (aca) Personal Responsibility Education Program $1.48M - 0
17.002 Labor Force Statistics $1.47M - 0
12.U01 U. S. Department of Defense $1.45M - 0
39.003 Donation of Federal Surplus Personal Property $1.43M - 0
93.116 Project Grants and Cooperative Agreements for Tuberculosis Control Programs $1.41M - 0
93.052 Covid-19 - National Family Caregiver Support, Title Iii, Part E $1.41M - 0
15.820 National and Regional Climate Adaptation Science Centers $1.40M - 0
15.634 State Wildlife Grants $1.35M - 0
66.802 Superfund State, Political Subdivision, and Indian Tribe Site-Specific Cooperative Agreements $1.29M - 0
93.071 Medicare Enrollment Assistance Program $1.27M - 0
93.324 State Health Insurance Assistance Program $1.26M - 0
97.056 Port Security Grant Program $1.24M - 0
93.645 Covid-19 - Stephanie Tubbs Jones Child Welfare Services Program $1.23M - 0
84.425 Covid-19 - Education Stabilization Fund -American Rescue Plan Elementary and Secondary School Emergency Relief Homeless Children and Youth $1.22M Yes 0
93.590 Community-Based Child Abuse Prevention Grants $1.21M - 0
93.107 Area Health Education Centers $1.16M - 0
10.U01 U. S. Department of Agriculture $1.15M - 0
17.287 Job Corps Experimental Projects and Technical Assistance $1.15M - 0
10.170 Specialty Crop Block Grant Program - Farm Bill $1.14M - 0
17.285 Apprenticeship USA Grants $1.13M - 0
20.200 Highway Research and Development Program $1.13M - 0
16.922 Equitable Sharing Program $1.12M - 0
16.710 Public Safety Partnership and Community Policing Grants $1.11M - 0
84.323 Special Education - State Personnel Development $1.08M - 0
93.359 Nurse Education, Practice Quality and Retention Grants $1.07M - 0
10.202 Cooperative Forestry Research $1.06M - 0
84.217 Trio McNair Post-Baccalaureate Achievement $1.04M - 0
93.155 Rural Health Research Centers $1.03M - 0
15.957 Emergency Supplemental Historic Preservation Fund $1.02M - 0
93.599 Chafee Education and Training Vouchers Program (etv) $1.02M - 0
81.041 State Energy Program $993,582 - 0
93.224 Covid-19 - Health Center Program (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $985,056 - 0
17.273 Temporary Labor Certification for Foreign Workers $941,287 - 0
81.123 National Nuclear Security Administration (nnsa) Minority Serving Institutions (msi) Program $939,496 - 0
17.268 H-1b Job Training Grants $936,285 - 0
12.400 Military Construction, National Guard $927,943 - 0
16.540 Juvenile Justice and Delinquency Prevention $923,277 - 0
45.025 Covid-19 - Promotion of the Arts Partnership Agreements $902,300 - 0
93.048 Covid-19 - Special Programs for the Aging, Title Iv, and Title Ii, Discretionary Projects $899,444 - 0
10.923 Emergency Watershed Protection Program $893,895 - 0
10.519 Equipment Grants Program (egp) $853,860 - 0
15.812 Cooperative Research Units $850,425 - 0
93.435 Innovative State and Local Public Health Strategies to Prevent and Manage Diabetes and Heart Disease and Stroke- $848,024 - 0
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $816,044 - 0
10.680 Forest Health Protection $799,947 - 0
84.177 Rehabilitation Services Independent Living Services for Older Individuals Who Are Blind $796,508 - 0
20.507 Federal Transit Formula Grants $794,980 - 0
11.420 Coastal Zone Management Estuarine Research Reserves $786,091 - 0
84.013 Title I State Agency Program for Neglected and Delinquent Children and Youth $782,634 - 0
11.307 Economic Adjustment Assistance $767,830 - 0
10.934 Feral Swine Eradication and Control Pilot Program $764,990 - 0
66.456 National Estuary Program $758,565 - 0
84.129 Rehabilitation Long-Term Training $749,771 - 0
66.605 Performance Partnership Grants $748,644 - 0
93.436 Well-Integrated Screening and Evaluation for Women Across the Nation (wisewoman) $740,469 - 0
20.109 Air Transportation Centers of Excellence $724,967 - 0
93.685 Drug Vial Size Report $718,324 - 0
16.543 Missing Children's Assistance $712,828 - 0
93.043 Special Programs for the Aging, Title Iii, Part D, Disease Prevention and Health Promotion Services $710,511 - 0
93.U02 U. S. Department of Health and Human Services $701,787 - 0
93.982 Mental Health Disaster Assistance and Emergency Mental Health $701,038 - 0
66.804 Underground Storage Tank (ust) Prevention, Detection, and Compliance Program $691,366 - 0
97.050 Presidential Declared Disaster Assistance to Individuals and Households - Other Needs $688,351 - 0
93.247 Advanced Nursing Education Workforce Grant Program $688,050 - 0
93.264 Nurse Faculty Loan Program (nflp) $677,854 Yes 0
84.938 Disaster Recovery Assistance for Education $675,857 - 0
93.439 State Physical Activity and Nutrition (span $668,980 - 0
21.016 Equitable Sharing $664,844 - 0
17.271 Work Opportunity Tax Credit Program (wotc) $657,699 - 0
93.241 State Rural Hospital Flexibility Program $650,950 - 0
66.444 Lead Testing in School and Child Care Program Drinking Water (sdwa 1464(d)) $644,851 - 0
12.355 Pest Management and Vector Control Research $636,628 - 0
93.632 University Centers for Excellence in Developmental Disabilities Education, Research, and Service $621,993 - 0
93.800 Organized Approaches to Increase Colorectal Cancer Screening $620,496 - 0
20.700 Pipeline Safety Program State Base Grant $603,696 - 0
93.283 Centers for Disease Control and Prevention Investigations and Technical Assistance $597,245 - 0
64.124 All-Volunteer Force Educational Assistance $587,135 - 0
93.235 Title V State Sexual Risk Avoidance Education (title V State Srae) Program $585,092 - 0
10.524 Scholarships for Students at 1890 Institutions $573,852 - 0
66.034 Surveys, Studies, Research, Investigations, Demonstrations, and Special Purpose Activities Relating to the Clean Air Act $557,960 - 0
93.829 Section 223 Demonstration Programs to Improve Community Mental Health Services $555,772 - 0
93.150 Projects for Assistance in Transition From Homelessness (path) $554,152 - 0
93.981 Improving Student Health and Academic Achievement Through Nutrition, Physical Activity and the Management of Chronic Conditions in Schools $548,729 - 0
93.090 Guardianship Assistance $546,887 - 0
84.224 Assistive Technology $535,108 - 0
84.426 Covid-19 - Randolph-Sheppard Financial Relief and Restoration Payments $532,578 - 0
84.169 Independent Living State Grants $531,942 - 0
93.211 Telehealth Programs $527,341 - 0
17.270 Reentry Employment Opportunities $527,246 - 0
16.017 Sexual Assault Services Formula Program $525,576 - 0
20.615 E-911 Grant Program $522,022 - 0
66.707 Tsca Title IV State Lead Grants Certification of Lead-Based Paint Professionals $518,233 - 0
93.070 Environmental Public Health and Emergency Response $516,171 - 0
11.RD U. S. Department of Commerce $514,722 - 0
12.006 National Defense Education Program $510,707 - 0
94.003 State Commissions $510,700 - 0
84.120 Minority Science and Engineering Improvement $505,429 - 0
10.525 Farm and Ranch Stress Assistance Network Competitive Grants Program $500,000 - 0
93.734 Empowering Older Adults and Adults with Disabilities Through Chronic Disease Self-Management Education Programs Financed by Prevention and Public Health Funds (pphf) $495,578 - 0
84.187 Supported Employment Services for Individuals with the Most Significant Disabilities $490,579 - 0
10.652 Forestry Research $483,978 - 0
20.237 Motor Carrier Safety Assistance High Priority Activities Grants and Cooperative Agreements $476,913 - 0
93.944 Human Immunodeficiency Virus (hiv)/acquired Immunodeficiency Virus Syndrome (aids) Surveillance $470,290 - 0
97.008 Non-Profit Security Program $462,677 - 0
93.855 Allergy and Infectious Diseases Research $457,424 - 0
97.023 Community Assistance Program State Support Services Element (cap-Ssse) $455,431 - 0
93.059 Training in General, Pediatric, and Public Health Dentistry $454,763 - 0
81.117 Energy Efficiency and Renewable Energy Information Dissemination, Outreach, Training and Technical Analysis/assistance $453,985 - 0
17.274 Youthbuild $450,434 - 0
16.593 Residential Substance Abuse Treatment for State Prisoners $441,863 - 0
93.478 Preventing Maternal Deaths: Supporting Maternal Mortality Review Committees $441,460 - 0
84.141 Migrant Education High School Equivalency Program $440,907 - 0
93.197 Childhood Lead Poisoning Prevention Projects, State and Local Childhood Lead Poisoning Prevention and Surveillance of Blood Lead Levels in Children $430,996 - 0
20.314 Railroad Development $423,139 - 0
20.701 University Transportation Centers Program $421,615 - 0
16.742 Paul Coverdell Forensic Sciences Improvement Grant Program $417,353 - 0
97.043 State Fire Training Systems Grants $409,508 - 0
93.117 Preventive Medicine Residency $407,658 - 0
10.579 Child Nutrition Discretionary Grants Limited Availability $397,111 - 0
12.600 Community Investment $377,838 - 0
84.200 Graduate Assistance in Areas of National Need $376,788 - 0
81.121 Nuclear Energy Research, Development and Demonstration $375,564 - 0
93.042 Special Programs for the Aging, Title Vii, Chapter 2, Long Term Care Ombudsman Services for Older Individuals $374,592 - 0
84.403 Consolidated Grant to the Outlying Areas $367,732 - 0
93.048 Special Programs for the Aging, Title Iv, and Title Ii, Discretionary Projects $364,580 - 0
93.643 Children's Justice Grants to States $363,785 - 0
94.011 Foster Grandparent Program $362,589 - 0
84.326 Special Education Technical Assistance and Dissemination to Improve Services and Results for Children with Disabilities $360,509 - 0
93.336 Behavioral Risk Factor Surveillance System $356,795 - 0
93.364 Nursing Student Loans $354,119 Yes 0
94.006 Americorps $353,963 - 0
93.378 Integrated Care for Kids Model $353,480 - 0
97.041 National Dam Safety Program $344,979 - 0
17.259 Wioa Youth Activities $344,427 - 0
23.002 Appalachian Area Development $339,011 - 0
94.016 Senior Companion Program $338,361 - 0
84.336 Teacher Quality Partnership Grants $335,303 - 0
59.044 Veterans Outreach Program $332,951 - 0
12.740 Past Conflict Accounting $330,270 - 0
12.357 Rotc Language and Culture Training Grants $327,358 - 0
20.528 Rail Fixed Guideway Public Transportation System State Safety Oversight Formula Grant Program $323,449 - 0
84.299 Indian Education - Special Programs for Indian Children $322,452 - 0
12.550 The Language Flagship Grants to Institutions of Higher Education $319,420 - 0
93.270 Viral Hepatitis Prevention and Control $316,875 - 0
10.855 Distance Learning and Telemedicine Loans and Grants $310,729 - 0
84.161 Rehabilitation Services Client Assistance Program $310,495 - 0
97.062 Scientific Leadership Awards $310,439 - 0
17.265 Native American Employment and Training $308,584 - 0
43.U07 U. S. National Aeronautics and Space Administration $304,088 - 0
93.080 Blood Disorder Program: Prevention, Surveillance, and Research $303,486 - 0
15.626 Enhanced Hunter Education and Safety $301,070 - 0
93.810 Paul Coverdell National Acute Stroke Program National Center for Chronic Disease Prevention and Health Promotion $300,000 - 0
15.615 Cooperative Endangered Species Conservation Fund $299,877 - 0
94.021 Volunteer Generation Fund $298,999 - 0
23.001 Appalachian Regional Development (see Individual Appalachian Programs) $294,645 - 0
11.020 Cluster Grants $293,834 - 0
93.042 Covid-19 - Special Programs for the Aging, Title Vii, Chapter 2, Long Term Care Ombudsman Services for Older Individuals $293,538 - 0
93.913 Grants to States for Operation of State Offices of Rural Health $292,902 - 0
15.423 Bureau of Ocean Energy Management (boem) Environmental Studies (es) $292,427 - 0
47.075 Social, Behavioral, and Economic Sciences $291,420 - 0
11.478 Center for Sponsored Coastal Ocean Research Coastal Ocean Program $290,900 - 0
66.203 Environmental Finance Center Grants $289,609 - 0
66.454 Water Quality Management Planning $288,056 - 0
66.472 Beach Monitoring and Notification Program Implementation Grants $285,648 - 0
93.586 State Court Improvement Program $274,758 - 0
93.086 Healthy Marriage Promotion and Responsible Fatherhood Grants $273,960 - 0
15.945 Cooperative Research and Training Programs Resources of the National Park System $272,804 - 0
47.U01 U. S. National Science Foundation $271,414 - 0
84.379 Teacher Education Assistance for College and Higher Education Grants (teach Grants) $270,073 Yes 0
93.597 Grants to States for Access and Visitation Programs $267,742 - 0
93.791 Covid-19 - Money Follows the Person Rebalancing Demonstration $267,662 - 0
93.884 Grants for Primary Care Training and Enhancement $266,450 - 0
93.074 Hospital Preparedness Program (hpp) and Public Health Emergency Preparedness (phep) Aligned Cooperative Agreements $260,490 - 0
15.980 National Ground-Water Monitoring Network $259,141 - 0
16.560 National Institute of Justice Research, Evaluation, and Development Project Grants $258,232 - 0
93.191 Graduate Psychology Education $254,901 - 0
93.499 Covid-19 - Low Income Household Water Assistance Program $250,866 - 0
12.598 Centers for Academic Excellence $249,665 - 0
93.U01 U. S. Department of Health and Human Services $245,289 - 0
12.910 Research and Technology Development $240,827 - 0
93.301 Small Rural Hospital Improvement Grant Program $240,156 - 0
96.008 Social Security - Work Incentives Planning and Assistance Program $236,777 - 0
66.040 State Clean Diesel Grant Program $236,309 - 0
12.901 Mathematical Sciences Grants $234,728 - 0
10.216 1890 Institution Capacity Building Grants $230,883 - 0
93.236 Grants to States to Support Oral Health Workforce Activities $228,648 - 0
93.145 Hiv-Related Training and Technical Assistance $228,357 - 0
93.130 Cooperative Agreements to States/territories for the Coordination and Development of Primary Care Offices $226,788 - 0
93.113 Environmental Health $223,234 - 0
21.U01 U. S. Department of the Treasury $219,636 - 0
15.810 National Cooperative Geologic Mapping $218,729 - 0
11.303 Economic Development Technical Assistance $218,250 - 0
93.072 Lifespan Respite Care Program $216,296 - 0
14.906 Healthy Homes Technical Studies Grants $215,509 - 0
10.576 Senior Farmers Market Nutrition Program $212,301 - 0
45.312 National Leadership Grants $210,241 - 0
93.747 Elder Abuse Prevention Interventions Program $209,975 - 0
64.028 Post-9/11 Veterans Educational Assistance $209,797 - 0
16.812 Second Chance Act Reentry Initiative $209,415 - 0
43.008 Office of Stem Engagement (ostem) $206,655 - 0
20.500 Federal Transit Capital Investment Grants $206,478 - 0
93.172 Human Genome Research $206,025 - 0
93.846 Arthritis, Musculoskeletal and Skin Diseases Research $205,956 - 0
93.530 Teaching Health Center Graduate Medical Education Payment $205,703 - 0
11.435 Southeast Area Monitoring and Assessment Program $203,692 - 0
16.752 Economic, High-Tech, and Cyber Crime Prevention $203,615 - 0
81.057 University Coal Research $203,576 - 0
81.U13 U. S. Department of Energy $202,985 - 0
93.876 Antimicrobial Resistance Surveillance in Retail Food Specimens $197,635 - 0
16.839 Stop School Violence $196,362 - 0
59.037 Small Business Development Centers $194,055 - 0
84.U03 U. S. Department of Education $192,379 - 0
81.U21 U. S. Department of Energy $189,720 - 0
93.959 Block Grants for Prevention and Treatment of Substance Abuse $188,565 Yes 0
20.703 Interagency Hazardous Materials Public Sector Training and Planning Grants $187,966 - 0
15.678 Cooperative Ecosystem Studies Units $186,492 - 0
93.856 Microbiology and Infectious Diseases Research $185,125 - 0
14.171 Manufactured Home Dispute Resolution $184,938 - 0
14.506 General Research and Technology Activity $182,417 - 0
93.251 Early Hearing Detection and Intervention $181,958 - 0
10.604 Technical Assistance for Specialty Crops Program $181,164 - 0
10.250 Agricultural and Rural Economic Research, Cooperative Agreements and Collaborations $180,416 - 0
17.005 Compensation and Working Conditions $180,322 - 0
84.423 Supporting Effective Educator Development Program $178,546 - 0
84.324 Research in Special Education $176,580 - 0
66.032 State Indoor Radon Grants $176,115 - 0
12.903 Gencyber Grants Program $174,345 - 0
93.240 State Capacity Building $174,067 - 0
93.310 Trans-Nih Research Support $173,008 - 0
93.178 Nursing Workforce Diversity $167,375 - 0
84.022 Overseas Programs - Doctoral Dissertation Research Abroad $166,297 - 0
93.879 Medical Library Assistance $166,166 - 0
81.124 Predictive Science Academic Alliance Program $165,604 - 0
97.010 Citizenship Education and Training $165,497 - 0
81.113 Defense Nuclear Nonproliferation Research $162,016 - 0
66.204 Multipurpose Grants to States and Tribes $161,789 - 0
94.009 Training and Technical Assistance $160,845 - 0
93.186 National Research Service Award in Primary Care Medicine $159,653 - 0
93.686 Ending the Hiv Epidemic: A Plan for America Ryan White Hiv/aids Program Parts A and B $159,412 - 0
15.657 Endangered Species Recovery Implementation $158,396 - 0
93.350 National Center for Advancing Translational Sciences $156,833 - 0
66.424 Surveys, Studies, Investigations, Demonstrations, and Training Grants - Section 1442 of the Safe Drinking Water Act $156,748 - 0
17.280 Wioa Dislocated Worker National Reserve Demonstration Grants $156,697 - 0
93.647 Social Services Research and Demonstration $155,466 - 0
10.207 Animal Health and Disease Research $151,535 - 0
81.U12 U. S. Department of Energy $151,135 - 0
93.073 Birth Defects and Developmental Disabilities - Prevention and Surveillance $150,868 - 0
10.674 Wood Utilization Assistance $148,354 - 0
10.699 Partnership Agreements $146,707 - 0
10.435 State Mediation Grants $145,615 - 0
93.867 Vision Research $145,583 - 0
11.472 Unallied Science Program $145,063 - 0
17.600 Mine Health and Safety Grants $144,141 - 0
93.566 Covid-19 - Refugee and Entrant Assistance State/replacement Designee Administered Programs $144,108 - 0
15.663 Nfwf-Usfws Conservation Partnership $141,864 - 0
17.258 Wioa Adult Program $141,361 - 0
10.351 Rural Business Development Grant $140,771 - 0
11.473 Office for Coastal Management $140,038 - 0
17.278 Wioa Dislocated Worker Formula Grants $139,087 - 0
10.479 Food Safety Cooperative Agreements $137,476 - 0
93.391 Activities to Support State, Tribal, Local and Territorial (stlt) Health Department Response to Public Health Or Healthcare Crises $136,599 - 0
93.945 Assistance Programs for Chronic Disease Prevention and Control $135,418 - 0
66.433 State Underground Water Source Protection $135,344 - 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 $135,225 - 0
81.U19 U. S. Department of Energy $135,217 - 0
12.900 Language Grant Program $135,190 - 0
20.215 Highway Training and Education $134,983 - 0
15.630 Coastal $133,472 - 0
47.074 Biological Sciences $130,819 - 0
11.434 Cooperative Fishery Statistics $130,328 - 0
66.462 National Wetland Program Development Grants and Five-Star Restoration Training Grant $130,266 - 0
11.805 Mbda Business Center $127,990 - 0
10.175 Farmers Market and Local Food Promotion Program $125,280 - 0
93.041 Special Programs for the Aging, Title Vii, Chapter 3, Programs for Prevention of Elder Abuse, Neglect, and Exploitation $125,019 - 0
45.309 Museum Grants for African American History and Culture $123,571 - 0
93.234 Traumatic Brain Injury State Demonstration Grant Program $123,143 - 0
45.149 Promotion of the Humanities Division of Preservation and Access $123,104 - 0
10.572 Wic Farmers' Market Nutrition Program (fmnp) $122,867 - 0
97.047 Pre-Disaster Mitigation $122,545 - 0
93.079 Cooperative Agreements to Promote Adolescent Health Through School-Based Hiv/std Prevention and School-Based Surveillance $122,348 - 0
10.210 Higher Education Graduate Fellowships Grant Program $122,272 - 0
10.212 Small Business Innovation Research $120,673 - 0
93.631 Developmental Disabilities Projects of National Significance $120,613 - 0
14.401 Fair Housing Assistance Program State and Local $119,704 - 0
12.800 Air Force Defense Research Sciences Program $118,948 - 0
12.U18 U. S. Department of Defense $118,077 - 0
93.276 Drug-Free Communities Support Program Grants $117,462 - 0
84.U01 U. S. Department of Education $116,851 - 0
47.049 Mathematical and Physical Sciences $115,478 - 0
12.U19 U. S. Department of Defense $114,304 - 0
10.177 Regional Food System Partnerships $113,438 - 0
64.RD U. S. Department of Veterans Affairs $110,559 - 0
20.614 National Highway Traffic Safety Administration (nhtsa) Discretionary Safety Grants and Cooperative Agreements $108,426 - 0
90.500 International Broadcasting Independent Grantee Organizations $106,742 - 0
81.137 Minority Economic Impact $105,616 - 0
15.608 Fish and Wildlife Management Assistance $102,714 - 0
81.RD U. S. Department of Energy $102,594 - 0
93.526 Grants for Capital Development in Health Centers $102,468 - 0
10.514 Expanded Food and Nutrition Education Program $101,555 - 0
93.353 21st Century Cures Act - Beau Biden Cancer Moonshot $100,302 - 0
93.250 Geriatric Academic Career Awards Department of Health and Human Services $98,946 - 0
43.U05 U. S. National Aeronautics and Space Administration $98,818 - 0
97.061 Centers for Homeland Security $98,755 - 0
10.163 Market Protection and Promotion $97,534 - 0
11.609 Measurement and Engineering Research and Standards $95,762 - 0
19.900 Aeeca/esf Pd Programs $95,626 - 0
66.708 Pollution Prevention Grants Program $95,315 - 0
20.U02 U. S. Department of Transportation $92,529 - 0
47.078 Polar Programs $92,487 - 0
11.439 Marine Mammal Data Program $92,144 - 0
47.079 Office of International Science and Engineering $91,829 - 0
12.U23 U. S. Department of Defense $89,277 - 0
84.031 Higher Education Institutional Aid $87,439 - 0
93.421 Strengthening Public Health Systems and Services Through National Partnerships to Improve and Protect the Nations Health $87,362 - 0
10.533 Snap-Ed Toolkit $86,864 - 0
10.309 Specialty Crop Research Initiative $86,677 - 0
93.558 Temporary Assistance for Needy Families $86,653 Yes 0
12.U13 U. S. Department of Defense $86,190 - 0
10.678 Forest Stewardship Program $85,219 - 0
12.560 Dod, Ndep, Dotc-Stem Education Outreach Implementation $84,056 - 0
43.012 Space Technology $83,672 - 0
12.750 Uniformed Services University Medical Research Projects $82,878 - 0
94.002 Retired and Senior Volunteer Program $82,633 - 0
93.083 Prevention of Disease, Disability, and Death Through Immunization and Control of Respiratory and Related Diseases $80,485 - 0
12.U17 U. S. Department of Defense $80,479 - 0
93.242 Mental Health Research Grants $80,418 - 0
84.373 Special Education Technical Assistance on State Data Collection $79,186 - 0
93.365 Sickle Cell Treatment Demonstration Program $78,789 - 0
45.169 Promotion of the Humanities Office of Digital Humanities $78,617 - 0
81.U14 U. S. Department of Energy $78,324 - 0
10.675 Urban and Community Forestry Program $77,725 - 0
93.088 Advancing System Improvements for Key Issues in Women's Health $77,599 - 0
11.431 Climate and Atmospheric Research $76,611 - 0
84.327 Special Education Educational Technology Media, and Materials for Individuals with Disabilities $75,713 - 0
13.RD U.s. Central Intelligence Agency $75,544 - 0
93.590 Covid-19 - Community-Based Child Abuse Prevention Grants $75,480 - 0
16.838 Comprehensive Opioid, Stimulant, and Substance Abuse Program $73,172 - 0
11.463 Habitat Conservation $72,902 - 0
43.U02 U. S. National Aeronautics and Space Administration $72,795 - 0
10.903 Soil Survey $71,951 - 0
84.116 Fund for the Improvement of Postsecondary Education $71,695 - 0
99.U01 Miscellaneous $71,615 - 0
12.U26 U. S. Department of Defense $70,579 - 0
16.827 Justice Reinvestment Initiative $70,151 - 0
84.017 International Research and Studies $68,438 - 0
12.360 Research on Chemical and Biological Defense $67,524 - 0
93.314 Early Hearing Detection and Intervention Information System (ehdi-Is) Surveillance Program $67,288 - 0
93.153 Coordinated Services and Access to Research for Women, Infants, Children, and Youth $66,286 - 0
93.165 Grants to States for Loan Repayment $65,451 - 0
12.351 Scientific Research - Combating Weapons of Mass Destruction $64,091 - 0
81.U15 U. S. Department of Energy $63,772 - 0
43.U01 U. S. National Aeronautics and Space Administration $63,750 - 0
97.005 State and Local Homeland Security National Training Program $63,325 - 0
93.261 Scaling the National Diabetes Prevention Program to Priority Populations $63,294 - 0
16.820 Postconviction Testing of Dna Evidence $63,226 - 0
32.006 Covid-19 Telehealth Program $63,066 - 0
84.027 Special Education Grants to States $62,088 - 0
93.939 Hiv Prevention Activities Non-Governmental Organization Based $61,993 - 0
93.433 Acl National Institute on Disability, Independent Living, and Rehabilitation Research $61,913 - 0
16.585 Drug Court Discretionary Grant Program $61,578 - 0
93.142 Niehs Hazardous Waste Worker Health and Safety Training $61,484 - 0
64.034 Va Grants for Adaptive Sports Programs for Disabled Veterans and Disabled Members of the Armed Forces $60,487 - 0
12.U08 U. S. Department of Defense $60,085 - 0
10.556 Special Milk Program for Children $60,077 - 0
15.684 White-Nose Syndrome National Response Implementation $60,009 - 0
21.019 Covid-19 - Coronavirus Relief Fund $60,000 Yes 0
45.162 Promotion of the Humanities Teaching and Learning Resources and Curriculum Development $59,804 - 0
15.232 Joint Fire Science Program $59,248 - 0
93.630 Covid-19 - Developmental Disabilities Basic Support and Advocacy Grants $59,070 - 0
98.RD U. S. Agency for International Development $58,975 - 0
11.012 Integrated Ocean Observing System (ioos) $57,485 - 0
12.U29 U. S. Department of Defense $57,442 - 0
15.U01 U. S. Department of Interior $57,010 - 0
16.745 Criminal and Juvenile Justice and Mental Health Collaboration Program $56,715 - 0
15.U02 U. S. Department of Interior $56,164 - 0
11.433 Marine Fisheries Initiative $55,850 - 0
93.326 Strengthening Public Health Through Surveillance, Epidemiologic Research, Disease Detection and Prevention $55,508 - 0
15.808 U.s. Geological Survey Research and Data Collection $55,394 - 0
15.616 Clean Vessel Act $55,305 - 0
10.200 Grants for Agricultural Research, Special Research Grants $55,159 - 0
93.090 Covid-19 - Guardianship Assistance $55,117 - 0
93.327 Demonstration Grants for Domestic Victims of Human Trafficking $54,623 - 0
45.313 Laura Bush 21st Century Librarian Program $53,857 - 0
11.620 Science, Technology, Business And/or Education Outreach $53,752 - 0
16.836 Indigent Defense $53,465 - 0
10.902 Soil and Water Conservation $52,869 - 0
93.137 Community Programs to Improve Minority Health Grant Program $52,648 - 0
77.008 U.s. Nuclear Regulatory Commission Scholarship and Fellowship Program $52,607 - 0
43.007 Space Operations $52,552 - 0
93.127 Emergency Medical Services for Children $52,048 - 0
66.511 Office of Research and Development Consolidated Research/training/fellowships $51,994 - 0
20.224 Federal Lands Access Program $51,698 - 0
12.330 Science, Technology, Engineering & Mathematics (stem) Education, Outreach and Workforce Program $51,122 - 0
93.273 Alcohol Research Programs $51,108 - 0
81.U02 U. S. Department of Energy $49,444 - 0
81.U18 U. S. Department of Energy $49,124 - 0
93.307 Minority Health and Health Disparities Research $48,827 - 0
93.761 Evidence-Based Falls Prevention Programs Financed Solely by Prevention and Public Health Funds (pphf) $48,299 - 0
11.407 Interjurisdictional Fisheries Act of 1986 $48,153 - 0
81.135 Advanced Research Projects Agency - Energy $47,853 - 0
81.U04 U. S. Department of Energy $47,260 - 0
12.431 Basic Scientific Research $46,485 - 0
12.U02 U. S. Department of Defense $46,284 - 0
81.U17 U. S. Department of Energy $46,075 - 0
10.230 Farm of the Future $44,949 - 0
93.969 Pphf Geriatric Education Centers $44,088 - 0
16.525 Grants to Reduce Domestic Violence, Dating Violence, Sexual Assault, and Stalking on Campus $43,733 - 0
81.U11 U. S. Department of Energy $43,531 - 0
84.374 Teacher and School Leader Incentive Grants (formerly the Teacher Incentive Fund) $43,184 - 0
97.044 Assistance to Firefighters Grant $42,845 - 0
12.U09 U. S. Department of Defense $42,795 - 0
19.040 Public Diplomacy Programs $42,753 - 0
12.617 Economic Adjustment Assistance for State Governments $42,688 - 0
10.147 Outreach Education and Technical Assistance $42,467 - 0
93.978 Sexually Transmitted Diseases (std) Provider Education Grants $42,453 - 0
16.751 Edward Byrne Memorial Competitive Grant Program $42,334 - 0
30.U01 U. S. Equal Employment Opportunity Commission $41,400 - 0
81.119 State Energy Program Special Projects $41,295 - 0
12.U32 U. S. Department of Defense $41,245 - 0
20.514 Public Transportation Research, Technical Assistance, and Training $41,047 - 0
64.054 Research and Development $40,993 - 0
10.303 Integrated Programs $40,947 - 0
16.554 National Criminal History Improvement Program (nchip) $40,701 - 0
84.133 National Institute on Disability and Rehabilitation Research $40,462 - 0
10.219 Biotechnology Risk Assessment Research $40,230 - 0
20.U01 U. S. Department of Transportation $40,166 - 0
93.583 Refugee and Entrant Assistance Wilson/fish Program $39,550 - 0
43.009 Cross Agency Support $39,181 - 0
66.701 Toxic Substances Compliance Monitoring Cooperative Agreements $39,000 - 0
12.U27 U. S. Department of Defense $38,646 - 0
10.443 Outreach and Assistance for Socially Disadvantaged and Veteran Farmers and Ranchers $38,298 - 0
93.286 Discovery and Applied Research for Technological Innovations to Improve Human Health $37,839 - 0
45.160 Promotion of the Humanities Fellowships and Stipends $37,387 - 0
81.086 Conservation Research and Development $37,354 - 0
84.144 Migrant Education Coordination Program $37,320 - 0
97.RD U. S. Department of Homeland Security $37,307 - 0
45.164 Promotion of the Humanities Public Programs $36,777 - 0
11.468 Applied Meteorological Research $36,456 - 0
93.799 Cara Act Comprehensive Addiction and Recovery Act of 2016 $36,290 - 0
66.U02 U. S. Environmental Protection Agency $35,997 - 0
93.U07 U. S. Department of Health and Human Services $35,619 - 0
12.420 Military Medical Research and Development $35,426 - 0
84.408 Postsecondary Education Scholarships for Veteran's Dependents $35,403 Yes 0
84.334 Gaining Early Awareness and Readiness for Undergraduate Programs $35,249 - 0
10.220 Higher Education - Multicultural Scholars Grant Program $35,207 - 0
93.279 Drug Abuse and Addiction Research Programs $34,835 - 0
15.926 American Battlefield Protection $34,279 - 0
15.631 Partners for Fish and Wildlife $33,883 - 0
12.300 Basic and Applied Scientific Research $33,712 - 0
10.336 Veterinary Services Grant Program $33,697 - 0
14.RD U. S. Department of Housing and Urban Development $33,420 - 0
47.084 Nsf Technology, Innovation, and Partnerships $33,087 - 0
12.U25 U. S. Department of Defense $32,930 - 0
10.176 Dairy Business Innovation Initiatives $32,548 - 0
93.600 Head Start $32,438 - 0
93.639 Aca-Transforming Clinical Practice Initiative: Support and Alignment Networks (sans) $32,316 - 0
12.905 Cybersecurity Core Curriculum $32,110 - 0
84.305 Education Research, Development and Dissemination $31,976 - 0
93.143 Niehs Superfund Hazardous Substances Basic Research and Education $31,829 - 0
66.608 Environmental Information Exchange Network Grant Program and Related Assistance $31,521 - 0
91.RD U. S. Institute of Peace $31,515 - 0
11.474 Atlantic Coastal Fisheries Cooperative Management Act $31,401 - 0
10.868 Rural Energy for America Program $31,350 - 0
11.467 Meteorologic and Hydrologic Modernization Development $30,883 - 0
16.831 Children of Incarcerated Parents $30,624 - 0
84.407 Transition Programs for Students with Intellectual Disabilities Into Higher Education $30,574 - 0
93.121 Oral Diseases and Disorders Research $30,224 - 0
93.U06 U. S. Department of Health and Human Services $30,064 - 0
11.477 Fisheries Disaster Relief $29,880 - 0
93.243 Substance Abuse and Mental Health Services Projects of Regional and National Significance $29,519 - 0
84.RD U. S. Department of Education $28,928 - 0
93.124 Nurse Anesthetist Traineeship $28,222 - 0
42.011 Library of Congress Grants $28,214 - 0
93.516 Public Health Training Centers Program $28,141 - 0
81.U20 U. S. Department of Energy $28,070 - 0
10.541 Child Nutrition-Technology Innovation Grant $27,918 - 0
10.217 Higher Education - Institution Challenge Grants Program $27,828 - 0
45.301 Museums for America $27,789 - 0
93.240 Covid-19 - State Capacity Building $27,379 - 0
12.632 Legacy Resource Management Program $27,184 - 0
81.U05 U. S. Department of Energy $27,176 - 0
16.550 State Justice Statistics Program for Statistical Analysis Centers $27,018 - 0
93.859 Biomedical Research and Research Training $27,014 - 0
47.050 Geosciences $26,641 - 0
15.805 Assistance to State Water Resources Research Institutes $26,485 - 0
66.129 Southeast New England Coastal Watershed Restoration $26,442 - 0
93.351 Research Infrastructure Programs $26,365 - 0
10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $26,345 - 0
20.RD U. S. Department of Transportation $26,279 - 0
81.U16 U. S. Department of Energy $26,134 - 0
12.U03 U. S. Department of Defense $25,636 - 0
81.089 Fossil Energy Research and Development $25,424 - 0
93.881 The Health Insurance Enforcement and Consumer Protections Grant Program $25,055 - 0
12.U20 U. S. Department of Defense $24,857 - 0
47.U06 U. S. National Science Foundation $24,857 - 0
66.RD U. S. Environmental Protection Agency $24,083 - 0
10.290 Agricultural Market and Economic Research $23,488 - 0
12.U31 U. S. Department of Defense $23,398 - 0
10.228 Alaska Native Serving and Native Hawaiian Serving Institutions Education Grants $23,354 - 0
66.436 Surveys, Studies, Investigations, Demonstrations, and Training Grants and Cooperative Agreements - Section 104(b)(3) of the Clean Water Act $23,206 - 0
47.070 Computer and Information Science and Engineering $23,085 - 0
97.083 Staffing for Adequate Fire and Emergency Response (safer) $22,943 - 0
45.161 Promotion of the Humanities Research $22,915 - 0
47.U09 U. S. National Science Foundation $22,909 - 0
84.283 Comprehensive Centers $22,878 - 0
10.575 Farm to School Grant Program $22,869 - 0
10.777 Norman E. Borlaug International Agricultural Science and Technology Fellowship $22,630 - 0
15.664 Fish and Wildlife Coordination and Assistance $22,329 - 0
11.451 Gulf Coast Ecosystem Restoration Science, Observation, Monitoring, and Technology $21,927 - 0
15.807 Earthquake Hazards Program Assistance $21,921 - 0
12.630 Basic, Applied, and Advanced Research in Science and Engineering $21,656 - 0
93.396 Cancer Biology Research $21,489 - 0
66.461 Regional Wetland Program Development Grants $21,222 - 0
47.U05 U. S. National Science Foundation $20,764 - 0
12.U11 U. S. Department of Defense $20,584 - 0
97.082 Earthquake Consortium $20,508 - 0
93.603 Adoption and Legal Guardianship Incentive Payments $20,408 - 0
66.468 Capitalization Grants for Drinking Water State Revolving Funds $20,248 - 0
19.415 Professional and Cultural Exchange Programs - Citizen Exchanges $19,958 - 0
15.611 Wildlife Restoration and Basic Hunter Education $19,567 - 0
17.502 Occupational Safety and Health Susan Harwood Training Grants $19,439 - 0
43.002 Aeronautics $19,342 - 0
66.716 Research, Development, Monitoring, Public Education, Outreach, Training, Demonstrations, and Studies $18,650 - 0
96.RD U. S. Social Security Administration $18,538 - 0
10.912 Environmental Quality Incentives Program $18,483 - 0
64.U03 U. S. Department of Veterans Affairs $18,382 - 0
93.865 Child Health and Human Development Extramural Research $18,176 - 0
93.397 Cancer Centers Support Grants $17,791 - 0
93.297 Teenage Pregnancy Prevention Program $17,619 - 0
20.530 Public Transportation Innovation $17,527 - 0
12.U12 U. S. Department of Defense $17,395 - 0
12.U21 U. S. Department of Defense $17,250 - 0
43.RD U. S. National Aeronautics and Space Administration $17,233 - 0
15.654 National Wildlife Refuge System Enhancements $17,032 - 0
89.003 National Historical Publications and Records Grants $17,003 - 0
66.717 Source Reduction Assistance $16,564 - 0
19.009 Academic Exchange Programs - Undergraduate Programs $16,548 - 0
84.335 Child Care Access Means Parents in School $16,221 - 0
93.839 Blood Diseases and Resources Research $16,017 - 0
10.U04 U. S. Department of Agriculture $15,957 - 0
47.U08 U. S. National Science Foundation $15,920 - 0
43.U06 U. S. National Aeronautics and Space Administration $15,867 - 0
10.320 Sun Grant Program $15,736 - 0
10.319 Farm Business Management and Benchmarking Competitive Grants Program $15,688 - 0
45.U02 U. S. National Foundation on the Arts and the Humanities $15,532 - 0
20.205 Highway Planning and Construction $15,409 - 0
19.400 Academic Exchange Programs - Graduate Students $15,247 - 0
93.575 Child Care and Development Block Grant $15,055 - 0
11.459 Weather and Air Quality Research $15,043 - 0
10.215 Sustainable Agriculture Research and Education $14,865 - 0
16.320 Services for Trafficking Victims $14,814 - 0
12.610 Community Economic Adjustment Assistance for Compatible Use and Joint Land Use Studies $14,740 - 0
93.389 National Center for Research Resources $14,678 - 0
99.U02 Miscellaneous $14,621 - 0
10.523 Centers of Excellence at 1890 Institutions $14,541 - 0
93.958 Block Grants for Community Mental Health Services $14,340 - 0
81.U01 U. S. Department of Energy $14,132 - 0
93.087 Enhance Safety of Children Affected by Substance Abuse $13,778 - 0
11.021 Noaa Small Business Innovation Research (sbir) Program $13,731 - 0
93.U03 U. S. Department of Health and Human Services $13,606 - 0
93.U08 U. S. Department of Health and Human Services $13,546 - 0
93.866 Aging Research $12,965 - 0
19.021 Investing in People in the Middle East and North Africa $12,776 - 0
93.U05 U. S. Department of Health and Human Services $12,365 - 0
12.U07 U. S. Department of Defense $12,324 - 0
12.RD U. S. Department of Defense $12,300 - 0
15.U03 U. S. Department of Interior $11,807 - 0
16.833 National Sexual Assault Kit Initiative $11,378 - 0
81.049 Office of Science Financial Assistance Program $11,347 - 0
19.017 Environmental and Scientific Partnerships and Programs $11,328 - 0
84.U02 U. S. Department of Education $11,196 - 0
93.315 Rare Disorders: Research, Surveillance, Health Promotion, and Education $11,082 - 0
12.U04 U. S. Department of Defense $10,944 - 0
10.500 Cooperative Extension Service $10,856 - 0
81.U10 U. S. Department of Energy $10,828 - 0
45.U01 U. S. National Foundation on the Arts and the Humanities $10,800 - 0
10.311 Beginning Farmer and Rancher Development Program $10,614 - 0
16.735 Prea Program: Strategic Support for Prea Implementation $10,561 - 0
12.U30 U. S. Department of Defense $10,505 - 0
15.669 Cooperative Landscape Conservation $10,390 - 0
10.229 Extension Collaborative on Immunization Teaching & Engagement $10,070 - 0
93.068 Chronic Diseases: Research, Control, and Prevention $10,051 - 0
43.U03 U. S. National Aeronautics and Space Administration $9,827 - 0
10.527 New Beginnings for Tribal Students $9,737 - 0
16.026 Ovw Research and Evaluation Program $9,384 - 0
10.225 Community Food Projects $9,174 - 0
93.213 Research and Training in Complementary and Integrative Health $9,047 - 0
19.U05 U. S. Department of State $9,015 - 0
10.U06 U. S. Department of Agriculture $8,920 - 0
12.U14 U. S. Department of Defense $8,886 - 0
93.877 Autism Collaboration, Accountability, Research, Education, and Support $8,750 - 0
12.U28 U. S. Department of Defense $8,714 - 0
12.902 Information Security Grants $8,647 - 0
16.726 Juvenile Mentoring Program $8,580 - 0
11.022 Bipartisan Budget Act of 2018 $8,330 - 0
20.232 Commercial Driver's License Program Implementation Grant $8,296 - 0
12.U05 U. S. Department of Defense $8,167 - 0
10.168 Farmers Market Promotion Program $8,119 - 0
16.582 Crime Victim Assistance/discretionary Grants $8,104 - 0
10.307 Organic Agriculture Research and Extension Initiative $7,931 - 0
12.014 Onrampii $7,900 - 0
93.840 Translation and Implementation Science Research for Heart, Lung, Blood Diseases, and Sleep Disorders $7,856 - 0
10.U03 U. S. Department of Agriculture $7,848 - 0
10.515 Renewable Resources Extension Act and National Focus Fund Projects $7,687 - 0
66.951 Environmental Education Grants $7,566 - 0
16.830 Girls in the Juvenile Justice System $7,502 - 0
19.015 Cultural, Technical and Educational Centers $7,500 - 0
93.077 Family Smoking Prevention and Tobacco Control Act Regulatory Research $7,372 - 0
15.650 Research Grants (generic) $7,332 - 0
10.304 Homeland Security Agricultural $7,304 - 0
98.001 Usaid Foreign Assistance for Programs Overseas $7,275 - 0
15.931 Conservation Activities by Youth Service Organizations $7,237 - 0
43.001 Science $7,218 - 0
93.067 Global Aids $6,918 - 0
17.277 Wioa National Dislocated Worker Grants / Wia National Emergency Grants $6,836 - 0
19.408 Academic Exchange Programs - Teachers $6,755 - 0
15.628 Multistate Conservation Grant $6,670 - 0
45.024 Promotion of the Arts Grants to Organizations and Individuals $6,563 - 0
81.U09 U. S. Department of Energy $6,436 - 0
15.939 Heritage Partnership $6,408 - 0
16.609 Project Safe Neighborhoods $6,397 - 0
84.016 Undergraduate International Studies and Foreign Language Programs $6,304 - 0
47.RD U. S. National Science Foundation $6,223 - 0
10.310 Agriculture and Food Research Initiative (afri) $6,143 - 0
14.879 Mainstream Vouchers $5,953 - 0
47.U02 U. S. National Science Foundation $5,673 - 0
81.112 Stewardship Science Grant Program $5,548 - 0
93.136 Injury Prevention and Control Research and State and Community Based Programs $5,496 - 0
93.300 National Center for Health Workforce Analysis $5,408 - 0
97.077 Homeland Security Research, Development, Testing, Evaluation, and Demonstration of Technologies Related to Nuclear Threat Detection $5,404 - 0
10.522 Food and Agriculture Service Learning Program $5,278 - 0
64.U01 U. S. Department of Veterans Affairs $5,252 - 0
43.U04 U. S. National Aeronautics and Space Administration $5,217 - 0
16.816 John R. Justice Prosecutors and Defenders Incentive Act $5,200 - 0
11.417 Sea Grant Support $5,085 - 0
93.398 Cancer Research Manpower $5,076 - 0
10.153 Market News $5,000 - 0
47.U03 U. S. National Science Foundation $5,000 - 0
23.011 Appalachian Research, Technical Assistance, and Demonstration Projects $4,709 - 0
77.U01 U. S. Nuclear Regulatory Commission $4,601 - 0
81.U07 U. S. Department of Energy $4,582 - 0
93.266 Health Systems Strengthening and Hiv/aids Prevention, Care and Treatment Under the President's Emergency Plan for Aids Relief $4,569 - 0
93.262 Occupational Safety and Health Program $4,538 - 0
19.U02 U. S. Department of State $4,357 - 0
64.U02 U. S. Department of Veterans Affairs $4,157 - 0
93.RD U. S. Department of Health and Human Services $4,140 - 0
66.516 P3 Award: National Student Design Competition for Sustainability $4,139 - 0
10.RD U. S. Department of Agriculture $3,954 - 0
10.960 Technical Agricultural Assistance $3,939 - 0
15.923 National Center for Preservation Technology and Training $3,842 - 0
10.684 International Forestry Programs $3,781 - 0
93.084 Prevention of Disease, Disability, and Death by Infectious Diseases $3,727 - 0
47.041 Engineering $3,661 - 0
45.129 Promotion of the Humanities Federal/state Partnership $3,500 - 0
64.027 Post-9/11 Veterans Educational Assistance $3,407 - 0
84.417 Directed Grants and Awards $3,062 - 0
10.326 Capacity Building for Non-Land Grant Colleges of Agriculture (nlgca) $3,015 - 0
93.928 Special Projects of National Significance $2,980 - 0
47.U04 U. S. National Science Foundation $2,957 - 0
20.301 Railroad Safety $2,869 - 0
84.184 School Safety National Activities (formerly, Safe and Drug-Free Schools and Communities-National Programs) $2,828 - 0
93.317 Emerging Infections Programs $2,763 - 0
11.427 Fisheries Development and Utilization Research and Development Grants and Cooperative Agreements Program $2,737 - 0
11.619 Arrangements for Interdisciplinary Research Infrastructure $2,591 - 0
19.U01 U. S. Department of State $2,449 - 0
66.509 Science to Achieve Results (star) Research Program $2,431 - 0
47.076 Education and Human Resources $2,290 - 0
12.U10 U. S. Department of Defense $2,288 - 0
10.001 Agricultural Research Basic and Applied Research $2,271 - 0
10.U05 U. S. Department of Agriculture $2,209 - 0
96.001 Covid-19 - Social Security Disability Insurance $2,033 Yes 0
84.351 Arts in Education $2,033 - 0
15.946 Cultural Resources Management $2,005 - 0
93.393 Cancer Cause and Prevention Research $1,971 - 0
10.U02 U. S. Department of Agriculture $1,890 - 0
47.083 Integrative Activities $1,795 - 0
66.U01 U. S. Environmental Protection Agency $1,766 - 0
93.610 Health Care Innovation Awards (hcia) $1,717 - 0
10.329 Crop Protection and Pest Management Competitive Grants Program $1,706 - 0
10.253 Consumer Data and Nutrition Research $1,583 - 0
10.318 Women and Minorities in Science, Technology, Engineering, and Mathematics Fields $1,500 - 0
81.U08 U. S. Department of Energy $1,443 - 0
10.328 National Food Safety Training, Education, Extension, Outreach, and Technical Assistance Competitive Grants Program $1,437 - 0
14.218 Community Development Block Grants/entitlement Grants $1,312 - 0
12.U15 U. S. Department of Defense $1,264 - 0
93.495 Community Health Workers for Public Health Response and Resilient $1,235 - 0
81.087 Renewable Energy Research and Development $1,014 - 0
10.545 Farmers Market Supplemental Nutrition Assistance Program Support Grants $1,000 - 0
93.669 Child Abuse and Neglect State Grants $985 - 0
93.110 Maternal and Child Health Federal Consolidated Programs $864 - 0
93.726 Arra Accelerating Adoption of Comparative Effectiveness Research (cer $700 - 0
93.847 Diabetes, Digestive, and Kidney Diseases Extramural Research $644 - 0
93.809 National Organizations for Chronic Disease Prevention and Health Promotion $614 - 0
11.432 National Oceanic and Atmospheric Administration (noaa) Cooperative Institutes $609 - 0
93.817 Hospital Preparedness Program (hpp) Ebola Preparedness and Response Activities $456 - 0
93.989 International Research and Research Training $431 - 0
15.RD U. S. Department of Interior $376 - 0
12.U16 U. S. Department of Defense $356 - 0
12.U24 U. S. Department of Defense $279 - 0
47.U07 U. S. National Science Foundation $273 - 0
08.RD U. S. Peace Corps $221 - 0
84.425 Covid-19 - Education Stabilization Fund - Higher Education Emergency Relief Fund (heerf) Fund for the Improvement of Postsecondary Education (fipse) Formula Grant $209 Yes 0
93.399 Cancer Control $203 - 0
15.506 Water Desalination Research and Development $176 - 0
93.853 Extramural Research Programs in the Neurosciences and Neurological Disorders $111 - 0
45.RD U. S. Federal Council on the Arts and the Humanities $110 - 0
12.U06 U. S. Department of Defense $98 - 0
93.394 Cancer Detection and Diagnosis Research $92 - 0
93.424 Non-Aca/pphfbuilding Capacity of the Public Health System to Improve Population Health Through National Nonprofit Organizations $74 - 0
93.118 Acquired Immunodeficiency Syndrome (aids) Activity $65 - 0
12.U22 U. S. Department of Defense $54 - 0
84.015 National Resource Centers Program for Foreign Language and Area Studies Or Foreign Language and International Studies Program and Foreign Language and Area Studies Fellowship Program $53 - 0
93.838 Lung Diseases Research $29 - 0
93.135 Centers for Research and Demonstration for Health Promotion and Disease Prevention $16 - 0
19.U04 U. S. Department of State $16 - 0
93.173 Research Related to Deafness and Communication Disorders $13 - 0
81.U06 U. S. Department of Energy $12 - 0
10.707 Research Joint Venture and Cost Reimbursable Agreements $6 - 0
85.002 McC Foreign Assistance for Overseas Programs $6 - 0
93.742 Pphf: Early Childcare and Education Obesity Prevention Program - Obesity Prevention in Young Children - Financed Solely by Public Prevention and Health Funds $1 - 0
93.395 Cancer Treatment Research $-1 - 0
98.U01 U. S. Agency for International Development $-25 - 0
93.941 Hiv Demonstration, Research, Public and Professional Education Projects $-60 - 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) $-72 - 0
93.U04 U. S. Department of Health and Human Services $-75 - 0
93.226 Research on Healthcare Costs, Quality and Outcomes $-175 - 0
93.292 National Public Health Improvement Initiative $-177 - 0
11.611 Manufacturing Extension Partnership $-197 - 0
66.514 Science to Achieve Results (star) Fellowship Program $-213 - 0
93.512 Affordable Care Act (aca) Personal and Home Care Aide State Training Program (phcast) $-323 - 0
93.837 Cardiovascular Diseases Research $-419 - 0
93.361 Nursing Research $-460 - 0
93.184 Disabilities Prevention $-494 - 0
66.500 Environmental Protection Consolidated Research Grants $-653 - 0
93.560 Payments to Territories Adults $-3,318 - 0
81.U03 U. S. Department of Energy $-3,391 - 0
19.U03 U. S. Department of State $-4,016 - 0
81.128 Energy Efficiency and Conservation Block Grant Program (eecbg) $-9,411 - 0
43.003 Exploration $-32,960 - 0

Contacts

Name Title Type
QLXXU1SV4MM8 Alisha Moore Auditee
9197070668 Katina Bell Auditor
No contacts on file

Notes to SEFA

Title: Loan/loan guarantee outstanding balances Accounting Policies: A. Basis of Presentation The accompanying Schedule of Expenditures of Federal Awards is presented in accordance with requirements of Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). The Schedule appears in three formats: ? Summary The summary schedule reports expenditures of federal awards by program or program cluster. ? Detail The detail schedule presents federal programs by federal agency and lists individual programs within program clusters. ? By State Agency The schedule by state agency presents expenditures of federal awards by state agency and by program. In some instances, federal funds have been transferred from one state agency to another to be expended in the same program. When this is the case, the expenditure of federal awards has been reported under the organization which received the funds directly from the federal government. Federal Assistance Listing Numbers (ALN) is a government-wide compendium of individual federal programs where each program is assigned a five-digit program identification number (ALN) and program name. The accompanying schedules reflect the program names and ALN assigned by the https:sam.gov website. Programs without an ALN are presented with the federal agencys two-digit prefix followed by U with a two-digit number. If the federal program is part of the Research and Development (R&D) cluster and the extension is not known, RD is placed in the three-digit extension field. B. Reporting Entity The State of North Carolina financial reporting entity is fully described in Note 1 to the financial statements. The financial reporting entity includes (1) the primary government, (2) organizations for which the primary government is financially accountable, and (3) other organizations for which the nature and significance of their relationship with the primary government are such that exclusion would cause the primary government's financial statements to be misleading or incomplete. The accompanying Schedule of Expenditures of Federal Awards includes all federal programs administered by the state financial reporting entity except the programs of the State Education Assistance Authority, North Carolina Housing Finance Agency, Economic Development Partnership of North Carolina, Inc., UNC Rockingham Health Care, Inc., Caldwell Memorial Hospital, Inc., Chatham Hospital, Inc., UNC Physicians Network LLC, and Rex Hospital. These agencies issue separate reports for their programs. C. Basis of Accounting An award is considered expended when the activity related to the award occurs. The activity generally pertains to events requiring compliance with laws, regulations, and the provisions of contract and grant agreements. Specific transaction types have been recognized as follows: Direct Costs: Direct costs have been recognized on the cash basis of accounting, that is, when cash is disbursed rather than when the charge is incurred. Indirect costs: Indirect costs are recovered from the federal government by applying a federally approved indirect cost rate or by allocating these costs among benefiting programs in accordance with a federally approved plan. Each programs share of indirect costs is recognized on the accompanying Schedule of Expenditures of Federal Awards. The State of North Carolina has elected not to use the 10% de minimus indirect cost rate as allowed under the Uniform Guidance. Loan and loan guarantee transactions: ? Federal Perkins Loan Program -Federal Capital Contributions (ALN 84.038), Nurse Faculty Loan Program (ALN 93.264), Health Professions Student Loans, Including Primary Care Loans/Loans for Disadvantaged Students (ALN 93.342), Nursing Student Loans (ALN 93.364) Expenditures of federal awards in the accompanying Schedule of Expenditures of Federal Awards include the value of new loans made during the year, the balance of loans from previous See Package De Minimis Rate Used: N Rate Explanation: The auditee did not use the de minimis cost rate. FEDERAL PERKINS LOAN PROGRAM FEDERAL CAPITAL CONTRIBUTIONS (84.038) - Balances outstanding at the end of the audit period were 20550471. NURSE FACULTY LOAN PROGRAM (NFLP) (93.264) - Balances outstanding at the end of the audit period were 669354. HEALTH PROFESSIONS STUDENT LOANS, INCLUDING PRIMARY CARE LOANS/LOANS FOR DISADVANTAGED STUDENTS (93.342) - Balances outstanding at the end of the audit period were 3941998. NURSING STUDENT LOANS (93.364) - Balances outstanding at the end of the audit period were 348470.
Title: Note 3: Unemployment Insurance Accounting Policies: A. Basis of Presentation The accompanying Schedule of Expenditures of Federal Awards is presented in accordance with requirements of Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). The Schedule appears in three formats: ? Summary The summary schedule reports expenditures of federal awards by program or program cluster. ? Detail The detail schedule presents federal programs by federal agency and lists individual programs within program clusters. ? By State Agency The schedule by state agency presents expenditures of federal awards by state agency and by program. In some instances, federal funds have been transferred from one state agency to another to be expended in the same program. When this is the case, the expenditure of federal awards has been reported under the organization which received the funds directly from the federal government. Federal Assistance Listing Numbers (ALN) is a government-wide compendium of individual federal programs where each program is assigned a five-digit program identification number (ALN) and program name. The accompanying schedules reflect the program names and ALN assigned by the https:sam.gov website. Programs without an ALN are presented with the federal agencys two-digit prefix followed by U with a two-digit number. If the federal program is part of the Research and Development (R&D) cluster and the extension is not known, RD is placed in the three-digit extension field. B. Reporting Entity The State of North Carolina financial reporting entity is fully described in Note 1 to the financial statements. The financial reporting entity includes (1) the primary government, (2) organizations for which the primary government is financially accountable, and (3) other organizations for which the nature and significance of their relationship with the primary government are such that exclusion would cause the primary government's financial statements to be misleading or incomplete. The accompanying Schedule of Expenditures of Federal Awards includes all federal programs administered by the state financial reporting entity except the programs of the State Education Assistance Authority, North Carolina Housing Finance Agency, Economic Development Partnership of North Carolina, Inc., UNC Rockingham Health Care, Inc., Caldwell Memorial Hospital, Inc., Chatham Hospital, Inc., UNC Physicians Network LLC, and Rex Hospital. These agencies issue separate reports for their programs. C. Basis of Accounting An award is considered expended when the activity related to the award occurs. The activity generally pertains to events requiring compliance with laws, regulations, and the provisions of contract and grant agreements. Specific transaction types have been recognized as follows: Direct Costs: Direct costs have been recognized on the cash basis of accounting, that is, when cash is disbursed rather than when the charge is incurred. Indirect costs: Indirect costs are recovered from the federal government by applying a federally approved indirect cost rate or by allocating these costs among benefiting programs in accordance with a federally approved plan. Each programs share of indirect costs is recognized on the accompanying Schedule of Expenditures of Federal Awards. The State of North Carolina has elected not to use the 10% de minimus indirect cost rate as allowed under the Uniform Guidance. Loan and loan guarantee transactions: ? Federal Perkins Loan Program -Federal Capital Contributions (ALN 84.038), Nurse Faculty Loan Program (ALN 93.264), Health Professions Student Loans, Including Primary Care Loans/Loans for Disadvantaged Students (ALN 93.342), Nursing Student Loans (ALN 93.364) Expenditures of federal awards in the accompanying Schedule of Expenditures of Federal Awards include the value of new loans made during the year, the balance of loans from previous See Package De Minimis Rate Used: N Rate Explanation: The auditee did not use the de minimis cost rate. State unemployment tax revenues and payments in lieu of taxes are combined with federal funds and used to pay benefits under the Unemployment Insurance program (ALN 17.225). The state and federal portions of the total expenditures reported on the Schedule were $177,780,284 and $1,105,059,335 respectively.
Title: Note 4: Pass-Through Awards Accounting Policies: A. Basis of Presentation The accompanying Schedule of Expenditures of Federal Awards is presented in accordance with requirements of Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). The Schedule appears in three formats: ? Summary The summary schedule reports expenditures of federal awards by program or program cluster. ? Detail The detail schedule presents federal programs by federal agency and lists individual programs within program clusters. ? By State Agency The schedule by state agency presents expenditures of federal awards by state agency and by program. In some instances, federal funds have been transferred from one state agency to another to be expended in the same program. When this is the case, the expenditure of federal awards has been reported under the organization which received the funds directly from the federal government. Federal Assistance Listing Numbers (ALN) is a government-wide compendium of individual federal programs where each program is assigned a five-digit program identification number (ALN) and program name. The accompanying schedules reflect the program names and ALN assigned by the https:sam.gov website. Programs without an ALN are presented with the federal agencys two-digit prefix followed by U with a two-digit number. If the federal program is part of the Research and Development (R&D) cluster and the extension is not known, RD is placed in the three-digit extension field. B. Reporting Entity The State of North Carolina financial reporting entity is fully described in Note 1 to the financial statements. The financial reporting entity includes (1) the primary government, (2) organizations for which the primary government is financially accountable, and (3) other organizations for which the nature and significance of their relationship with the primary government are such that exclusion would cause the primary government's financial statements to be misleading or incomplete. The accompanying Schedule of Expenditures of Federal Awards includes all federal programs administered by the state financial reporting entity except the programs of the State Education Assistance Authority, North Carolina Housing Finance Agency, Economic Development Partnership of North Carolina, Inc., UNC Rockingham Health Care, Inc., Caldwell Memorial Hospital, Inc., Chatham Hospital, Inc., UNC Physicians Network LLC, and Rex Hospital. These agencies issue separate reports for their programs. C. Basis of Accounting An award is considered expended when the activity related to the award occurs. The activity generally pertains to events requiring compliance with laws, regulations, and the provisions of contract and grant agreements. Specific transaction types have been recognized as follows: Direct Costs: Direct costs have been recognized on the cash basis of accounting, that is, when cash is disbursed rather than when the charge is incurred. Indirect costs: Indirect costs are recovered from the federal government by applying a federally approved indirect cost rate or by allocating these costs among benefiting programs in accordance with a federally approved plan. Each programs share of indirect costs is recognized on the accompanying Schedule of Expenditures of Federal Awards. The State of North Carolina has elected not to use the 10% de minimus indirect cost rate as allowed under the Uniform Guidance. Loan and loan guarantee transactions: ? Federal Perkins Loan Program -Federal Capital Contributions (ALN 84.038), Nurse Faculty Loan Program (ALN 93.264), Health Professions Student Loans, Including Primary Care Loans/Loans for Disadvantaged Students (ALN 93.342), Nursing Student Loans (ALN 93.364) Expenditures of federal awards in the accompanying Schedule of Expenditures of Federal Awards include the value of new loans made during the year, the balance of loans from previous See Package De Minimis Rate Used: N Rate Explanation: The auditee did not use the de minimis cost rate. Uniform Guidance defines a subrecipient as an entity that expends federal awards that are received from a pass-through entity to carry out a federal program. The total amount provided to subrecipients from each federal program is separately identified in the accompanying Summary and Federal Detail Schedule of Expenditures of Federal Awards. Note: Certain transactions relating to federal financial assistance may appear in the records of more than one state recipient agency. To avoid duplication and the overstatement of the aggregate level of federal financial assistance expended by the State of North Carolina, when federal financial assistance is received by one state recipient agency and redistributed to another state agency (i.e., a pass-through of funds by the primary recipient state agency to a subrecipient state agency), the federal financial assistance will be reflected as expenditures by the primary recipient state agency.

Finding Details

Administration Funds Used for Unallowable Activities The Department of Commerce (Department) incorrectly used $18,028 of Unemployment Insurance (UI) administration award funds. During the audit period, the Department spent $116.8 million to administer the UI program. To administer the UI program, funds are allowed for both automation and nonautomation expenditures for the first 15 months of the award period and only automation expenditures for the remaining 21 months of the award period. Auditors tested 26 out of 1,750 UI expenditures, totaling $5.9 million, related to awards that were in the automation only period and found 4 errors totaling $18,028 that were not allowed. As a result, the $18,028 is considered questioned costs and the Department may be required to pay the funds back to the federal government. Furthermore, the funds could have been used for automation activities such as purchasing new computers and software for the UI program. According to Department management, reviews over the expenditures were not detailed enough to ensure only allowable expenditures were charged to the award during the automation period. Federal regulations require costs to conform to limitations and exclusions that apply to the federal award. Federal Award Information: Federal Awarding Agency: U.S. Department of Labor; Assistance Listing Number (title): 17.225 (Unemployment Insurance); Federal Award Identification Number (award period): UI-35666-21-55-A-37(October 1, 2020 ? December 31, 2023). Recommendation: Department management should develop and implement detailed review procedures over expenditures to ensure compliance with federal award requirements. Views of Responsible Officials of the Auditee: The Division of Employment Security agrees with this finding and has implemented corrective actions to strengthen internal controls and help prevent future errors of this nature. See Schedule of Findings and Questioned Costs for footnote.
Inadequate Monitoring of Coronavirus Relief Funds The North Carolina Pandemic Recovery Office (NCPRO), a division of the Office of State Budget and Management, did not adequately monitor $159.9 million in federal funds used for expenditures incurred due to the COVID-19 pandemic. Auditors reviewed the monitoring procedures over subrecipients of state agencies that expended coronavirus relief funds. NCPRO?s monitoring procedures required monthly reviews of these subrecipients? expenditure reports. However, auditors found no evidence of this review. In addition, auditors tested a sample of 40 direct expenditures of state agencies and found no evidence of review of supporting documentation. Lastly, auditors reviewed the risk assessment procedures over all subrecipients. NCPRO?s monitoring plan required additional monitoring activities for all subrecipients assessed as high-risk. Auditors reviewed all 23 subrecipients that were assessed as high-risk and found that these additional monitoring activities were not completed for 9 (39%) of the subrecipients. Inadequate monitoring increases the risk that federal funds may not be used in accordance with the federal requirements, which may have reduced funding available to respond to the COVID-19 pandemic. According to NCPRO management, the agency did not have sufficient personnel to complete the monitoring procedures established at the inception of the program. Subsequent legislation identified NCPRO as responsible for the administration of additional federal COVID-19 programs, and management did not revise existing monitoring procedures to reflect these additional responsibilities. Furthermore, monitoring procedures in place did not require that the results of reviews or other monitoring activities be documented. Federal regulations require NCPRO to: ? Establish and maintain effective internal control over the federal award that provides reasonable assurance that the entity is managing the award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. ? Monitor the activities of the subrecipient as necessary to ensure that the subaward is used for authorized purposes, in compliance with federal statutes, regulations, and the terms and conditions of the subaward. This finding was previously reported in the 2021 Statewide Single Audit as finding number 2021-001. Federal Award Information: Federal Awarding Agency: U.S. Department of the Treasury; Assistance Listing Number (title): 21.019 (Coronavirus Relief Fund); Federal Award Identification Numbers (award periods): SLT0025 (March 1, 2020 - December 31, 2021) and SLT0237 (March 1, 2020 - December 31, 2021). Recommendation: NCPRO management should review and revise monitoring procedures over future federal programs as necessary in response to changes in operations, including evaluating the feasibility of procedures given the available personnel. In addition, NCPRO management should ensure that monitoring procedures over future federal programs include a requirement that personnel document completion of the procedures. Views of Responsible Officials of the Auditee: The Office of State Budget and Management and the North Carolina Pandemic Recovery Office accept the finding and have made improvements to ensure future federal funds are adequately monitored. See Schedule of Findings and Questioned Costs for footnote.
Errors in Program Spending The Department of Public Safety (Department) made $486,807 in overpayments of rent and utility assistance from the Emergency Rental Assistance program. During the audit period, the Department processed approximately 159,000 individual household applications totaling $635 million in rent and utility assistance payments. Auditors recalculated the $635 million rent and utility assistance payments to determine if the payment amounts were within the maximum thresholds established by the Department. The Department?s policy states that payment amounts should be the lesser of the established threshold or the amount that is owed by the applicant. Auditors found 25 overpayments totaling $27,015. Auditors then tested 95 individual household applications totaling $923,000 in rent and utility payments and found that documentation for three (3%) applications did not support the amount paid, resulting in overpayments totaling $26,530. Lastly, auditors reviewed the number of months of financial assistance that were provided to an individual household since the inception of the Emergency Rental Assistance program. The Department?s policy states that financial assistance for an individual household may not exceed 15 months. Auditors analyzed the database of approximately 114,000 households and identified 37,762 households that could have received more months of financial assistance than allowed. From the 37,762 households identified above, auditors tested 151 households that received $1.8 million in financial assistance. Auditors found that 84 (56%) households received one to 15 more months of financial assistance than allowed, resulting in overpayments totaling $433,262. As a result, the $486,807 in overpayments is considered questioned costs and the Department may be required to pay the funds back to the federal government. Furthermore, the overspent funds could have been used to provide rent and utility assistance to other eligible households in need. According to Department management, rent and utility payments were calculated using incorrect thresholds due to either a system programming code error or system malfunction. In addition, staff did not follow policies and procedures during the review and approval of financial assistance applications. Federal regulations require that costs be adequately documented and consistent with the program regulations that apply to the federal award. In addition, federal regulations and Department policy limit the financial assistance an eligible household may receive to 15 months. Certain aspects of aspects of this finding were previously reported in the 2021 Statewide Single Audit as finding number 2021-002. Federal Award Information: Federal Awarding Agency: U.S. Department of the Treasury; Assistance Listing Number (title): 21.023 (Emergency Rental Assistance); Federal Award Identification Numbers (award periods): ERA0019 (COVID-19) (January 11, 2021 ? December 31, 2022) and ERAE0098 (COVID-19) (May 5, 2021- September 30, 2025). Recommendation: Department management should analyze the payment calculation errors to identify and make the necessary updates to the system. Until the system issues are resolved, Department management should design and implement alternative procedures to ensure financial assistance payments are calculated correctly. In addition, Department management should develop additional training for staff or establish additional monitoring procedures over the application review and approval process. Views of Responsible Officials of the Auditee: The North Carolina Office of Recovery and Resiliency (NCORR) accepts the Auditor?s finding that the Department made errors in program spending. NCORR?s Compliance and Business Systems Department are actively working to reconcile the population of awards impacted by the errors identified. NCORR previously began recapture efforts on many of the awards identified during this audit, however, any remaining erroneous awards identified will immediately enter the recapture process. In the event any recaptured amounts enter default, NCORR reserves the right to engage federal partners and additional resources, such as collections agencies, to recover the funds. See Schedule of Findings and Questioned Costs for footnote.
Errors in FFATA Reporting The Department of Public Instruction (Department) did not submit complete, accurate, and timely Federal Funding Accountability and Transparency Act (FFATA) reporting for the Education Stabilization Fund - Elementary and Secondary School Emergency Relief (ESSER) and Supporting Effective Instruction (SEI) programs. Auditors reviewed all 298 SEI subawards totaling $60.9 million that were required to be reported to the FFATA Subaward Reporting System (FSRS) during the audit period and found that none were reported as required. Auditors also reviewed all 1,716 ESSER subawards totaling $3.3 billion that were required to be reported to the FSRS during the audit period and found that the Department stopped FFATA reporting on ESSER in December 2021. As a result, 1,291 subawards totaling $230.1 million made during 2022 were not reported. Auditors then tested a sample of 60 ESSER subawards that were reported and found one or more errors. Specifically: ? 51 subawards totaling $760.1 million did not include required information on how the funds were utilized. ? 30 subawards totaling $732 million were reported 47-61 days late. ? 6 subawards totaling $8.2 million were reported with either the wrong subrecipient or federal award information. ? 5 subawards totaling $1.1 million were reported twice. ? 9 subawards totaling $1.1 million were not reported at all. ? 38 subawards totaling $757 million did not agree to supporting documentation by a total of $805 thousand. The FFATA was enacted to help reduce wasteful spending in government by empowering every American citizen with the ability to hold the government accountable for each spending decision. When subaward information is not reported to the FSRS or when it is reported incorrectly, citizens do not have complete and accurate information about how federal funds are being used in their communities. According to Department management: ? The errors found in the ESSER subawards that were reported occurred due to limited staffing resources. ? Additionally, Department management stopped entering ESSER subawards into FSRS in December 2021 due to technical difficulties experienced. ? Lastly, due to the difficulties experienced with entering the ESSER subawards into FSRS, the Department did not attempt to report any subawards for the SEI program. The FFATA requires direct recipients of grants or cooperative agreements to report first-tier subawards of $30,000 or more to the FSRS no later than the end of the month following the month in which the obligation was made. Federal Award Information: Federal Awarding Agency: U.S. Department of Education; Assistance Listing Number (title): 84.425D (Elementary and Secondary School Emergency Relief Fund); Federal Award Identification Numbers (award periods): S425D200037 (COVID-19) (May 11, 2020 - September 30, 2021) and S425D210037 (COVID-19) (January 5, 2021 - September 30, 2022). Federal Award Information: Federal Awarding Agency: U.S. Department of Education; Assistance Listing Number (title): 84.425U (American Rescue Plan - Elementary and Secondary School Emergency Relief Fund); Federal Award Identification Number (award period): S425U210037 (COVID-19) (March 24, 2021 - September 30, 2023). Federal Award Information: Federal Awarding Agency: U.S. Department of Education; Assistance Listing Number (title): 84.367 (Supporting Effective Instruction State Grants); Federal Award Identification Number (award period): S367A210032 (July 1, 2021 - September 30, 2022). Recommendation: Department management should prioritize seeking solutions from the federal oversight agency on technical difficulties. In addition, Department management should ensure staff are available to complete FFATA reporting as required. Views of Responsible Officials of the Auditee: The Department of Public Instruction (DPI) concurs with the finding and recommendation. While additional resources were commissioned to complete FFATA reporting requirements, technical considerations in the FFATA system remain problematic. The system restricts the number of entries per month, which makes it impossible for DPI to report awards within the required time limit. The Office of Federal Programs has continued to make requests to the federal oversight agency for technical assistance with the system. See Schedule of Findings and Questioned Costs for footnote.
Incomplete Monitoring The Department of Public Instruction (Department) did not complete all planned monitoring activities for 329 public school units (PSUs) that received $1.77 billion in federal funding from three programs during the audit period. Auditors reviewed the Department?s fiscal monitoring plan over all three programs which required site visits at 20 PSUs. However, auditors found that the Department did not complete site visits for 10 (50%) PSUs that received $34.1 million in funding. Inadequate monitoring increases the risk that federal funds may not be used in accordance with the federal requirements, which may reduce the funding available for addressing the impacts of the COVID-19 pandemic on public education and providing services to public educators to improve student academic achievement. According to Department management, monitoring activities could not be completed as originally planned due to prioritizing other activities such as assisting external agencies with investigations of PSU?s and performing additional work related to closeout reviews for multiple Charter Schools that closed during the year. Furthermore, staffing issues continued to be a concern and vacancies required management to prioritize the investigations and Charter School closings over fiscal monitoring. Federal regulations require the Department to monitor the activities of the subrecipient as necessary to ensure that the subaward is used for authorized purposes in compliance with federal statutes, regulations, and the terms and conditions of the subaward, and that subaward performance goals are achieved. Federal Award Information: Federal Awarding Agency: U.S. Department of Education; Assistance Listing Number (title): 84.425C (Governor?s Emergency Education Relief Fund); Federal Award Identification Numbers (award periods): S425C200034 (COVID-19) (June 1, 2020 - September 30, 2021) and S425C210034 (COVID-19) (January 8, 2021 - September 30, 2022). Federal Award Information: Federal Awarding Agency: U.S. Department of Education; Assistance Listing Number (title): 84.425D (Elementary and Secondary School Emergency Relief Fund); Federal Award Identification Numbers (award periods): S425D200037 (COVID-19) (May 11, 2020 ? September 30, 2021) and S425D210037 (COVID-19) (January 5, 2021 - September 30, 2022). Federal Award Information: Federal Awarding Agency: U.S. Department of Education; Assistance Listing Number (title): 84.425U (American Rescue Plan - Elementary and Secondary School Emergency Relief Fund); Federal Award Identification Number (award period): S425U210037 (COVID-19) (March 24, 2021 - September 30, 2023). Federal Award Information: Federal Awarding Agency: U.S. Department of Education; Assistance Listing Number (title): 84.367 (Supporting Effective Instruction State Grants); Federal Award Identification Number (award period): S367A210032 (July 1, 2021 - September 30, 2022). Recommendation: Department management should review and revise monitoring procedures as necessary in response to changes in operations. In addition, Department management should prioritize the development of a contingency plan to ensure monitoring is completed when employee turnover occurs. Views of Responsible Officials of the Auditee: The Department of Public Instruction (DPI) concurs with the finding and recommendation. As noted in the finding, ongoing investigations involving external agencies and reviews requiring expanded scope have demanded significantly more time than anticipated by any of the parties involved. Some of this work is ongoing and will continue to impact fiscal monitoring work for the Monitoring and Compliance section within the Office of School Business Services. Other factors impacted the ability of Monitoring and Compliance to complete fiscal monitoring reviews during fiscal year 2022, including staffing issues and multiple Charter School closings, which added complexity to the closure workload and necessitated additional resources. Staffing has been an issue at DPI, but also within the PSUs (Public School Units) selected for monitoring. Vacancies and turnover within PSU positions such as CFO and Director of Federal Programs, resulted in delays throughout the monitoring process. The complexity of various Pandemic Relief funding streams has burdened other agencies with additional audit procedures which required interaction with the monitoring team as they serve as a conduit for other state agencies unfamiliar with PSUs. Monitoring and Compliance serves in this role to lessen the burden and help to facilitate audit work. See Schedule of Findings and Questioned Costs for footnote.
Incomplete Monitoring The Department of Public Instruction (Department) did not complete all planned monitoring activities for 329 public school units (PSUs) that received $1.77 billion in federal funding from three programs during the audit period. See finding 2022-009 for a description.
Errors in FFATA Reporting The Department of Public Instruction (Department) did not submit complete, accurate, and timely Federal Funding Accountability and Transparency Act (FFATA) reporting for the Education Stabilization Fund - Elementary and Secondary School Emergency Relief (ESSER) and Supporting Effective Instruction (SEI) programs. See finding 2022-008 for a description. This finding was previously reported in the 2021 Statewide Single Audit as finding number 2021-015.
Incomplete Monitoring The Department of Public Instruction (Department) did not complete all planned monitoring activities for 329 public school units (PSUs) that received $1.77 billion in federal funding from three programs during the audit period. See finding 2022-009 for a description. This finding was previously reported in the 2021 Statewide Single Audit as finding number 2021-016.
Errors in FFATA Reporting The Department of Public Instruction (Department) did not submit complete, accurate, and timely Federal Funding Accountability and Transparency Act (FFATA) reporting for the Education Stabilization Fund - Elementary and Secondary School Emergency Relief (ESSER) and Supporting Effective Instruction (SEI) programs. See finding 2022-008 for a description.
Incomplete Monitoring The Department of Public Instruction (Department) did not complete all planned monitoring activities for 329 public school units (PSUs) that received $1.77 billion in federal funding from three programs during the audit period. See finding 2022-009 for a description.
Immunization Funds Used for Unallowable Activities The Department of Health and Human Services (Department) incorrectly used $127,676 of Immunization Cooperative Agreements (Immunization) program funds. During the audit period, the Department spent $101.2 million in Immunization funds to establish and maintain health services programs for vaccine-preventable diseases. The Department entered into contracts with vendors and subrecipients (collectively called agreements), to administer the Immunization program. Auditors tested 26 of the 145 agreements that had expenditures totaling $13.3 million and found one (4%) agreement that used the funds on activities not allowed by the Immunization program. As a result, the $127,626 is considered questioned costs and the Department may be required to pay the funds back to the federal government. In addition, the funds could have been used on activities that help control the spread of infectious diseases through immunization. According to Department management, unallowable activities were charged to the Immunization program because a purchase order was mistakenly issued using the incorrect funding source and it was not detected during the review and approval process. Federal regulations require Immunization program funds be used by states to assist them in meeting the costs of establishing and maintaining preventive health service programs. In addition, federal regulations require costs to be necessary and reasonable; authorized; adequately documented, and consistent with the program regulations that apply to the federal award. Federal Award Information: Federal Awarding Agency: U.S. Department of Health and Human Services; Assistance Listing Number (title): 93.268 (Immunization Cooperation Agreements); Federal Award Identification Number (award period): 6NH231P922624 (COVID-19) (July 1, 2019 - June 30, 2024). Recommendation: Department management should ensure that staff responsible for reviewing and approving program spending have a clear understanding of the funding sources that can be used. Views of Responsible Officials of the Auditee: The Department agrees with this finding regarding the SFY 22 audit of Immunization funds that found that $127,626 was expended against the Immunization grant for consulting services in error. These expenditures were reclassified in September 2022 (SFY 23), which is after the audit period. The Department, in responding to a once-in-a-lifetime, global pandemic, was engaged in multiple cross-departmental functions and activities; including contracts necessary to address the needs of the state throughout the pandemic. This included a significant number of contracts and purchases which had to be completed very quickly. We will ensure that staff responsible for reviewing and approving program spending have a clear understanding of the funding sources that can be used. See Schedule of Findings and Questioned Costs for footnote.
Errors in FFATA Reporting The Department of Health and Human Services (Department) did not report complete and accurate subaward information for some subrecipients of the Immunization Cooperative Agreements grant to the Federal Funding Accountability and Transparency Act (FFATA) Subaward Reporting System (FSRS). Auditors reviewed all 186 subawards totaling $42.9 million that were required to be reported to the FSRS during the audit period and found the following errors: ? 74 subawards totaling $17.2 million were not reported at all. ? Two subawards totaling $200,419 were overreported by $171,081 because they were reported with incorrect amounts. The FFATA was enacted to help reduce wasteful spending in government by empowering every American citizen with the ability to hold the government accountable for each spending decision. When subaward information is not reported to the FSRS or when it is reported incorrectly, citizens do not have complete and accurate information about how federal funds are being used in their communities. According to Department management, the incomplete and inaccurate reporting occurred because staff prioritized vaccine allocation, distribution, and utilization over FFATA reporting requirements. The FFATA requires direct recipients of grants or cooperative agreements to report first-tier subawards of $30,000 or more to the FSRS. Federal Award Information: Federal Awarding Agency: U.S. Department of Health and Human Services; Assistance Listing Number (title): 93.268 (Immunization Cooperative Agreements) Federal Award Identification Numbers (award periods): 6NH23IP922624 (COVID-19) (July 1, 2019 ? June 20, 2024) and 5NH23IP922624-03 (July 1, 2021 ? June 30, 2022). Recommendation: Department management should develop a contingency plan to ensure FFATA reporting is completed and reviewed for accuracy when priorities need to be shifted to meet other demands. Views of Responsible Officials of the Auditee: The Department agrees with the finding and is developing plans to ensure accurate and complete reporting in accordance with the Federal Funding Accountability and Transparency Act (FFATA), specifically during times of business disruption such as a public health emergency. Division of Public Health (DPH) staff were responding to a once-in-a-lifetime, global pandemic and were engaged in the largest mass vaccination efforts in modern public health history. The goal of the DPH Immunization Branch was to implement the COVID-19 Vaccination Program as a critical component to reduce COVID-19-related illnesses, hospitalizations, and deaths and to help restore societal functioning. As such, incomplete reporting occurred because DPH prioritized its limited staff and resources on vaccine allocation, distribution, and utilization over FFATA reporting requirements. Vaccines are one of the greatest success stories in public health and the COVID-19 vaccine is still a critical component of the United States' strategy to address the COVID-19 pandemic. See Schedule of Findings and Questioned Costs for footnote.
Deficiencies in the TANF Eligibility Determination Process The Department of Health and Human Services (Department) paid Temporary Assistance for Needy Families (TANF) benefits to ineligible families based on inaccurate and inadequately documented eligibility determinations. During the audit period, approximately 56,600 families received $129.3 million in TANF benefits. The task of determining eligibility for the TANF program has been delegated to the county departments of social services (DSS). However, the Department was responsible for ensuring compliance with the eligibility requirements, establishing eligibility determination policies, maintaining NC FAST , and facilitating training. Auditors redetermined eligibility for a sample of 93 families that had benefits totaling $212,647 paid to or on their behalf during the audit period. Auditors found two (2.2%) families to be ineligible for cash assistance during the coverage period. Payments totaling $4,935 were paid to these ineligible families. In addition to the eligibility errors noted above, auditors also identified 10 families whose income calculations were inaccurate or whose case files were missing some of the required eligibility documentation. Examples of missing information included kinship verifications, required child custody statements, and online verification documentation. However, when auditors redetermined eligibility using the correct information, the families were found to be eligible. As a result, there is an increased cost to the TANF program, and the funds could have been used to provide benefits to other eligible families. Even though the tests identified only $4,935 that was paid to the ineligible families, if tests were extended to the entire population, questioned costs could be greater than $25,000. According to Department management, the errors occurred because of inaccurate application of established eligibility policies by the county DSS staff. Federal regulations state that recipients are only eligible if they meet the requirements of a financially needy family with children. Further, state eligibility manuals require documentation to support eligibility determinations. Federal Award Information: Federal Awarding Agency: U.S. Department of Health and Human Services; Assistance Listing Number (title): 93.558 (Temporary Assistance for Needy Families); Federal Award Identification Numbers (award periods): 2101NCTANF (October 1, 2020 to September 30, 2022) and 2201NCTANF (October 1, 2021 to September 30, 2023). Recommendation: Department management should analyze each error to specifically identify why the errors occurred and develop additional training for county DSS staff or establish other procedures as necessary to prevent future errors from occurring. Views of Responsible Officials of the Auditee: Management agrees with this finding and will implement a correction action plan to appropriately assess the issue. See Schedule of Findings and Questioned Costs for footnote.
FFATA Reporting Not Completed The Department of Health and Human Services (Department) did not complete the Federal Funding Accountability and Transparency Act (FFATA) reporting for the Temporary Assistance for Needy Families (TANF) program. Auditors reviewed all 270 subawards totaling $166.8 million that were required to be reported to the FFATA Subaward Reporting System (FSRS) during the audit period and found that none were reported as required. The FFATA was enacted to help reduce wasteful spending in government by empowering every American citizen with the ability to hold the government accountable for each spending decision. When subaward information is not reported to the FSRS, citizens do not have complete and accurate information about how federal funds are being used in their communities. The TANF subawards were administered by two divisions within the Department and according to Department management, ? The Division of Social Services (DSS) did not complete the FFATA reporting for 182 subawards totaling $98.5 million because significant turnover during the audit period reduced the number of staff available to carry out the FFATA reporting requirements. ? The Division of Child Development and Early Education (DCDEE) did not complete the FFATA reporting for the remaining 88 subawards totaling $68.3 million because there was a misunderstanding as to who was responsible for completing the FFATA reporting. The FFATA requires direct recipients of grants or cooperative agreements to report first-tier subawards of $30,000 or more to the FSRS. Federal Award Information: Federal Awarding Agency: U.S. Department of Health and Human Services; Assistance Listing Number (title): 93.558 (Temporary Assistance for Needy Families); Federal Award Identification Numbers (award periods): 2101NCTANF (October 1, 2020 ? September 30, 2022) and 2201NCTANF (October 1, 2021 - September 30, 2023). Recommendation: Department management should prioritize the development of a contingency plan to ensure FFATA reporting is completed when employee turnover occurs. Additionally, Department management should provide clear guidance about FFATA reporting responsibilities to all Department divisions. Views of Responsible Officials of the Auditee: The Department agrees with the finding and is prioritizing the development of plans to ensure FFATA reporting compliance. See Schedule of Findings and Questioned Costs for footnote.
Inaccurate TANF Data on Families Was Submitted to the Federal Government The Department of Health and Human Services (Department) submitted inaccurate Temporary Assistance for Needy Families (TANF) data to the U.S. Department of Health and Human Services? Administration for Children and Families (ACF). During the reporting period, approximately 10,600 families received approximately $26.3 million in cash assistance from the TANF program. Auditors tested a sample of case files for 60 families from the quarterly performance reports that were submitted for the reporting period and found 10 (17%) cases where the number of months the participant received assistance was reported incorrectly. In addition, the Department over-reported the total number of families receiving assistance by approximately 2,900 (27%) families. The Department?s failure to submit accurate data could lead to penalties. A penalty of 4% of the adjusted State Family Assistance Grant (SFAG) can be imposed for each quarter the Department fails to submit an accurate, complete, and timely report. Based on the federal fiscal year 2021 SFAG, the penalty could be up to $10.2 million. Furthermore, inaccurate data could impact the Department?s Work Participation Rate (WPR) calculation. The data collected in the quarterly performance report is used by ACF to determine whether the Department achieved the WPR. Failure to achieve the WPR could also result in additional penalties. According to Department management, the quarterly performance reports submitted for federal fiscal year 2021 were not accurate due to a programming code error as well as programming code changes needed after the transition to NC FAST , which occurred in state fiscal year 2015. The Division of Social Services (DSS) is aware of the code changes needed and has been working with the Department?s NC FAST and IT staff to correct coding, criteria, and conversion issues related to the transition to NC FAST. However, they were unable to resolve all issues before submitting the federal fiscal year 2021 reports. Federal regulations require the Department to submit quarterly performance reports with data on the families receiving TANF assistance. Federal Award Information: Federal Awarding Agency: U.S. Department of Health and Human Services; Assistance Listing Number (title): 93.558 (Temporary Assistance for Needy Families); Federal Award Identification Number (period): 2101NCTANF (October 1, 2020 ? September 30, 2022). Recommendation: Department management should continue working with the NC FAST and IT staff to identify and correct unresolved programming code issues to ensure accurate reports are submitted. In addition, until the programming code issues are resolved, Department management should design and implement alternative procedures to ensure accurate data is reported. Views of Responsible Officials of the Auditee: Management agrees with this finding. The inaccurate reporting of a recipient?s number of months received is a known issue and is a result of coding changes needed after the transition to NC FAST. NC FAST has created a 60 Month Time Clock table to capture this data, and the division is aware of the coding changes needed to use this table for reporting. This coding change is already on the ACF-199 project list, but was unable to be completed prior to the submission of the FFY 21 data. The inaccurate reporting regarding the number of families was due to a programming code error in which cases were not deduplicated for each report month. The incorrect code has been identified and will be corrected to ensure cases are only counted once per month. See Schedule of Findings and Questioned Costs for footnote.
FFATA Reporting Not Completed The Department of Health and Human Services (Department) did not complete the Federal Funding Accountability and Transparency Act (FFATA) reporting for the Social Services Block Grant (SSBG). Auditors reviewed all 240 subawards totaling $55.7 million that were required to be reported to the FFATA Subaward Reporting System (FSRS) during the audit period and found that none were reported as required. The FFATA was enacted to help reduce wasteful spending in government by empowering every American citizen with the ability to hold the government accountable for each spending decision. When subaward information is not reported to the FSRS, citizens do not have complete and accurate information about how federal funds are being used in their communities. The SSBG subawards were administered by two divisions within the Department and according to Department management, ? The Division of Social Services (DSS) did not complete the FFATA reporting for 230 subawards totaling $41.3 million because significant turnover during the audit period reduced the number of staff available to carry out the FFATA reporting requirements. ? The Division of Mental Health, Developmental Disabilities and Substance Abuse Services (DMH/DD/SAS) did not complete the FFATA reporting for the remaining 10 subawards totaling $14.4 million due to essential staff turnover across the Division. The FFATA requires direct recipients of grants or cooperative agreements to report first-tier subawards of $30,000 or more to the FSRS. Federal Award Information: Federal Awarding Agency: U.S. Department of Health and Human Services; Assistance Listing Number (title): 93.667 (Social Services Block Grant); Federal Award Identification Numbers (award periods): 2101NCSOSR (October 1, 2020 ? September 30, 2022) and 2201NCSOSR (October 1, 2021 - September 30, 2023). Recommendation: Department management should prioritize the development of a contingency plan to ensure FFATA reporting is completed when employee turnover occurs. Views of Responsible Officials of the Auditee: The Department agrees with the finding and is prioritizing the development of plans to ensure FFATA reporting compliance. See Schedule of Findings and Questioned Costs for footnote.
Inadequate Subrecipient Monitoring The Department of Health and Human Services (Department) did not adequately monitor subrecipients that received $57.5 million in Social Services Block Grant (SSBG) funds during the audit period. SSBG is administered by three divisions within the Department and each division is responsible for monitoring the subrecipients that received SSBG funds. Auditors reviewed the monitoring activities over 28 of the 63 subrecipients and found that no monitoring was completed for 7 (25%) subrecipients that received $3.6 million in SSBG funds. Inadequate monitoring increases the risk that federal funds may not be used in accordance with federal requirements, which may reduce the funding available for providing essential services to individuals and families that help reduce dependency and promote self-sufficiency, and protect children and adults from neglect, abuse, and exploitation. According to Department management, the seven subrecipients were not monitored because the Division of Mental Health, Developmental Disabilities, and Substance Abuse Services implemented a pause in monitoring the Local Management Entity/Managed Care Organizations (LME/MCO?s) due to the coronavirus pandemic; however, management did not get approval from the federal oversight agency. In addition, vacancies in positions responsible for overseeing the monitoring process prevented management from developing alternative monitoring methods during the pause. Federal regulations require the Department to monitor the activities of the subrecipient as necessary to ensure that the subaward is used for authorized purposes, in compliance with federal statutes, regulations, and the terms and conditions of the subaward; and that subaward performance goals are achieved. Federal Award Information: Federal Awarding Agency: U.S. Department of Health and Human Services; Assistance Listing Number (title): 93.667 (Social Services Block Grant) Federal Award Identification Numbers (award periods): 2101NCSOSR (October 1, 2020 - September 30, 2022); 2201NCSOSR (October 1, 2021 ? September 30, 2023). Recommendation: Department management should obtain federal agency oversight approval to deviate from required processes and procedures. In addition, Department management should establish contingency plans to ensure monitoring activities are completed during employee turnover. Views of Responsible Officials of the Auditee: Management agrees with the finding and recommendation. The seven subrecipients were not monitored because the Division of Mental Health, Developmental Disabilities, and Substance Abuse Services prioritized support of the Department?s ongoing response to the global COVID-19 pandemic (e.g., outreach, prevention, testing, vaccination). This resulted in a pause in monitoring the Local Management Entity/Managed Care Organizations (LME/MCO?s); In addition, vacancies in positions responsible for overseeing the monitoring process prevented management from developing alternative monitoring methods during the pause. See Schedule of Findings and Questioned Costs for footnote.
Funds Not Used on Primary Prevention Programs The Department of Health and Human Services (Department) did not allocate and use $84,279 of Substance Abuse Block Grant (SABG) funds for primary prevention programs as required. During the federal award period, the Department was required to allocate and use $9.1 million (20%) of the $45.4 million received for SABG on primary prevention programs designed to reduce the risk of substance abuse. However, the Department only allocated and used 19.82%. As a result, $84,279 is considered questioned costs and the Department may be required to pay the funds back to the federal government. In addition, the funds were not used on prevention strategies as intended, which aim to reduce the impact of substance abuse such as awareness and education to individuals. According to Department management, the error occurred because the staff responsible for award spending misunderstood the calculation requirements for determining the amount required for primary prevention programs. Federal regulations require that no less than 20% of SABG funds be spent on primary prevention programs to educate and counsel individuals to reduce the risk of substance abuse. Federal Award Information: Federal Awarding Agency: U.S. Department of Health and Human Services; Assistance Listing Number (title): 93.959 (Block Grants for Prevention and Treatment of Substance Abuse); Federal Award Identification Number (award period): B08TI083050 (October 1, 2019 ? September 30, 2021). Recommendation: Department management should ensure that staff responsible for determining award spending have a clear understanding of the calculation requirements. Views of Responsible Officials of the Auditee: Management agrees with the finding and recommendation. The Division of Mental Health, Developmental Disabilities, and Substance Use Services (DMH/DD/SUS) is updating and strengthening its grant financial monitoring policies and processes. See Schedule of Findings and Questioned Costs for footnote.
Funds Spent After Award Ended The Department of Health and Human Services (Department) incorrectly used $317,153 of Substance Abuse Block Grant (SABG) funds from an award that ended. During the award period, the Department spent $45.4 million in SABG funds to provide treatment and prevention services for substance abuse. The Department?s 2020 SABG award period ended on September 30, 2021 and the Department had 90 days after the award ended to pay for expenditures that were incurred during the award period. Auditors tested $2.9 million SABG expenditures that were paid after the award ended and found that expenditures totaling $317,153 (11%) were outside the period of performance. As a result, the Department may be required to pay $317,153 back to the federal government. Furthermore, using grant expenditures outside the award period prevents the Department from monitoring and budgeting program activities, which could put future funding available for additional program activities at risk for reversion to the federal government. According to Department management, expenditures are reclassified to prior award periods to help ensure full utilization of grant funds; however, reviews over the reclassified expenditures were not detailed enough to ensure expenditures were within the period of performance. Federal regulations require the Department to charge the federal award for allowable costs incurred during the period of performance (award period). Federal Award Information: Federal Awarding Agency: U.S. Department of Health and Human Services; Assistance Listing Number (title): 93.959 (Block Grants for Prevention and Treatment of Substance Abuse); Federal Award Identification Number (award period): B08TI083050 (October 1, 2019 ? September 30, 2021). Recommendation: Department management should develop and implement detailed review procedures over grant expenditures to ensure compliance with period of performance requirements. Views of Responsible Officials of the Auditee: Management agrees with the finding and recommendation. The Division of Mental Health, Developmental Disabilities, and Substance Use Services is updating and strengthening its grant financial monitoring policies and processes. See Schedule of Findings and Questioned Costs for footnote.
Errors in FFATA Reporting The Department of Health and Human Services (Department) did not report complete and accurate subaward information for some subrecipients of the Substance Abuse Block Grant (SABG) to the Federal Funding Accountability and Transparency Act (FFATA) Subaward Reporting System (FSRS). Auditors reviewed all 19 subawards totaling $47.8 million that were required to be reported to the FSRS during the audit period and found the following errors: ? 14 subawards totaling $47.3 million were not reported at all. ? 1 subaward totaling $311,000 was overreported by $165,926 because it was reported with the incorrect amount. In addition, auditors found that the Department reported $1.2 million in expenditures for five subrecipients in the wrong period. The FFATA was enacted to help reduce wasteful spending in government by empowering every American citizen with the ability to hold the government accountable for each spending decision. When subaward information is not reported to the FSRS, citizens do not have complete and accurate information about how federal funds are being used in their communities. According to Department management, the incomplete and inaccurate reporting occurred because of essential staff turnover during the year. The FFATA requires direct recipients of grants or cooperative agreements to report first-tier subawards of $30,000 or more to the FSRS. Federal Award Information: Federal Awarding Agency: U.S. Department of Health and Human Services; Assistance Listing Number (title): 93.959 (Block Grants for Prevention and Treatment of Substance Abuse); Federal Award Identification Numbers (award periods): B08TI083050 (October 1, 2019 ? September 30, 2021), B08TI083468 (October 1, 2020 - September 30, 2022), and B08TI083540 (March 15, 2021 ? March 14, 2023). Recommendation: Department management should prioritize the development of a contingency plan to ensure FFATA reporting is completed and reviewed for accuracy when employee turnover occurs. Views of Responsible Officials of the Auditee: Management agrees with the finding and recommendation. The Federal Funding Accountability and Transparency Act (FFATA) reporting was not completed correctly as available staff prioritized support of the Department?s ongoing response to the global COVID-19 pandemic (e.g., outreach, prevention, testing, vaccination). Available staff were not adequately trained in FFATA reporting which led to over-reporting the subaward totaling $311,000 by $165,926 due to a duplication error on the FFATA award worksheet for one Local Management Entity/Managed Care Organizations. See Schedule of Findings and Questioned Costs for footnote.
Inadequate Subrecipient Monitoring The Department of Health and Human Services (Department) did not adequately monitor $47 million in federal funds passed to subrecipients for providing treatment and prevention services for substance abuse. Auditors reviewed the monitoring procedures over subrecipients that received substance abuse block grant (SABG) funds. The Department?s monitoring procedures required reviews over both fiscal and program areas for all subrecipients. However, auditors reviewed all 14 subrecipients and found that no reviews were completed for 12 (86%) subrecipients that received $46.3 million in SABG funds. Inadequate monitoring increases the risk that federal funds may not be used in accordance with the federal requirements, which may reduce the funding available for substance abuse treatment and prevention services. According to Department management, the Department implemented a pause in monitoring due to the coronavirus pandemic; however, management did not get approval from the federal oversight agency. In addition, vacancies in positions responsible for overseeing the monitoring process prevented management from developing alternative monitoring methods during the pause. Federal regulations require the Department to monitor the activities of the subrecipient as necessary to ensure that the subaward is used for authorized purposes, in compliance with federal statutes, regulations, and the terms and conditions of the subaward, and that subaward performance goals are achieved. Federal Award Information: Federal Awarding Agency: U.S. Department of Health and Human Services; Assistance Listing Number (title): 93.959 (Block Grants for Prevention and Treatment of Substance Abuse); Federal Award Identification Numbers (award periods): B08TI084663 (October 1, 2021 ? September 30, 2023), B08TI083468 (October 1, 2020 ? September 30, 2022), B08TI083959 (September 1, 2021 ? September 30, 2025), B08TI084599 (September 1, 2021 ? September 30, 2025), and B08TI083540 (March 15, 2021 ? March 14, 2023). Recommendation: Department management should obtain federal oversight agency approval to deviate from required processes and procedures. In addition, Department management should establish contingency plans to ensure monitoring procedures are completed during employee turnover. Views of Responsible Officials of the Auditee: Management agrees with the finding and recommendation. Subrecipients were not monitored because the Division of Mental Health, Developmental Disabilities, and Substance Abuse Services prioritized support of the Department?s ongoing response to the global COVID-19 pandemic (e.g., outreach, prevention, testing, vaccination). This resulted in a pause in monitoring the Local Management Entity/Managed Care Organizations (LME/MCO?s). See Schedule of Findings and Questioned Costs for footnote.
Errors in Medicaid Billing and Payment Process The Department of Health and Human Services (Department) made overpayments to Medicaid providers during the fiscal year ended June 30, 2022. During that period, the Department processed more than 24 million original fee-for-service claims totaling $8.1 billion in payments. Auditors tested the medical documentation for a sample of 151 original fee-for-service claims totaling approximately $19.0 million in payments and identified 14 (9.3%) claims that contained errors. Specifically: ? Auditors were not able to test six (4.0%) claims because the providers failed to provide the medical documentation to support the services that were billed, resulting in overpayments totaling $11,708 (federal share $8,658). ? The medical documentation provided for eight (5.3%) claims did not support the services billed by the provider, resulting in overpayments totaling $1,469 (federal share $1,085). In addition, auditors recalculated the payments for 87 original fee-for-service claims totaling approximately $18.9 million and identified two (2.3%) maternity event claims that were reimbursed at the incorrect billing rate, resulting in net overpayments totaling $125 (federal share $93). As a result, there is an increased cost to the Medicaid program which is jointly financed by the state and federal government and is administered by the state. In addition, when providers do not provide access to medical documentation or do not maintain documentation to support the services billed, it increases the risk of improper payments for ineligible services. Even though the tests identified only $13,302 in overpayments (federal share $9,836), if tests were extended to the entire population, questioned costs could be greater than $25,000 and the Department may be required to pay the funds back to the federal government. According to Department management, there were several reasons for the errors: ? Providers did not respond to several requests by the Division of Health Benefits to provide the medical documentation for audit purposes. ? Providers did not document and/or maintain adequate medical records to support the services billed in the claim. ? The maternity event claims were reimbursed at the incorrect billing rate because the Department did not provide rate changes to General Dynamics Information Technology (GDIT) to update the claims processing system. Federal regulations require costs to be adequately documented and consistent with program regulations that apply to the federal award. In addition, providers sign an agreement that requires them to maintain records disclosing the extent of services furnished to recipients and, on request, furnish the records to the Department. Furthermore, North Carolina General Statute 108C-11 requires providers to cooperate with all announced and unannounced audits. Providers who fail to grant prompt and reasonable access or who fail to timely provide specifically designated documentation to the Department may be terminated from the North Carolina Medicaid program. This finding was previously reported in the 2021 Statewide Single Audit as finding number 2021-021. Federal Award Information: Federal Awarding Agency: U.S. Department of Health and Human Services; Assistance Listing Number (title): 93.778 (Medical Assistance Program); Federal Award Identification Numbers (award periods): 2105NC5MAP (October 1, 2020 ? September 30, 2021) and 2205NC5MAP (October 1, 2021 ? September 30, 2022). Recommendation: Department management should determine if the failure to submit medical documentation should result in the providers? termination or suspension from participation in the Medicaid program. In addition, Department management should analyze each error and follow-up on the overpaid claims to specifically identify corrective action such as further education of providers and recoupment of costs. Lastly, Department management should work with GDIT to get the claims processing system updated with the correct rates so that the impacted claims can be reprocessed. Views of Responsible Officials of the Auditee: The Division of Health Benefits (DHB) agrees with this finding. DHB is dedicated to claims payment accuracy and continues to work with providers to minimize errors in the claims payment process. DHB will analyze each error and take immediate and appropriate corrective action, including recouping any identified overpayments and emphasizing provider education where necessary. A Tentative Notice of Decision (TND) will be sent to each provider to recoup any overpayment identified. Providers who failed to submit documentation as requested will be reviewed and appropriate corrective action will be taken. DHB will also conduct a six-month post payment review of these providers? fee-for-service paid claims to determine if errors are recurring. See Schedule of Findings and Questioned Costs for footnote.
Deficiencies in the Medicaid Eligibility Determination Process The Department of Health and Human Services (Department) made Medical Assistance Program (Medicaid) payments to providers based on inaccurate and inadequately documented eligibility determinations. During the audit period, approximately 2.2 million beneficiaries received $17.6 billion in Medicaid benefits. The task of determining eligibility for the Medicaid program has been delegated to the county departments of social services (DSS). However, the Department was responsible for ensuring compliance with the eligibility requirements. Auditors redetermined eligibility for a sample of 147 beneficiaries that had benefits totaling $38 million paid on their behalf during the audit period and found two (1.36%) eligibility errors. Specifically: ? One (0.68%) beneficiary was determined eligible for the incorrect Medicaid group, and received services during the coverage period they were not entitled to receive. Payments for those services totaling $846 (federal share $627) were paid on behalf of this beneficiary. ? One (0.68%) beneficiary was found to be ineligible for a portion of the coverage period due to inaccurate eligibility calculations. Payments totaling $92 (federal share $68) were paid on behalf of this beneficiary during the ineligible portion of the coverage period. In addition to the eligibility errors noted above, auditors also identified 32 beneficiaries whose case files were either missing required eligibility documentation, such as self-employment verification, or inaccurate calculations and household composition were used or were missing a completed recertification. However, when auditors redetermined eligibility using the correct information the beneficiaries were found to be eligible. Beneficiaries continued to receive benefits without a completed recertification because of the ongoing coronavirus public health emergency. As a result, there is an increased cost for the Medicaid Program for both the state and federal government. The program is jointly financed by these two governments, and is administered by the state. Even though the tests identified only $938 in overpayments (federal share $695), if tests were extended to the entire population, questioned costs could be greater than $25,000. Although $938 resulted from the errors identified, the amount of Medicaid funds paid on behalf of ineligible beneficiaries is likely greater. Self-attestation by applicants is accepted for certain elements of the Modified Adjusted Gross Income methodology of determining eligibility. Further verification or documentation is not required. Auditors tested participant eligibility using the documentation contained in the case files, which includes self-attested data that could not be verified by the auditors. According to Department management, the errors occurred because of inaccurate application of established eligibility policies by the county DSS staff. The county DSS staff utilize NC FAST to input data and make eligibility determinations; however, the Department is responsible for establishing the eligibility determination policies, maintaining NC FAST, and facilitating training. Federal regulations require that the Department, or its designee, determine eligibility for all individuals applying for or receiving benefits in accordance with eligibility requirements defined in the approved state plan. Further, federal regulations require that documentation be obtained as needed to determine if a beneficiary meets specific income standards and documentation must be maintained to support eligibility determinations. This finding was previously reported in the 2021 Statewide Single Audit as finding number 2021-022. Federal Award Information: Federal Awarding Agency: U.S. Department of Health and Human Services; Assistance Listing Number (title): 93.778 (Medical Assistance Program); Federal Award Identification Numbers (award periods): 2105NC5MAP (October 1, 2020 ?September 30, 2021) and 2205NC5MAP (October 1, 2021 ? September 30, 2022). Recommendation: Department management should analyze each error to specifically identify why the errors occurred and develop additional training or establish other procedures as necessary to prevent future errors from occurring. Views of Responsible Officials of the Auditee: The Department agrees with this finding. As required by the North Carolina Legislature, the Department has delegated the administration of Medicaid eligibility determinations to the 100 local county offices of the Division of Social Services (DSS). The Department provides the NC FAST system, issues eligibility policies, facilitates training and provides technical support to the county DSS? to enable their administration of eligibility determinations. Using the Centers for Medicare and Medicaid Services? (CMS) Payment Error Rate Measurement (PERM) standards as a model, the Department set an acceptable error rate of 3.2% for the accuracy of county eligibility determinations. The Department monitors the accuracy of each county?s eligibility determinations and implements accuracy improvement plans as necessary. As part of the monitoring process, the Department engages with the counties to determine if adjustments are needed to policy, training facilitation or the NC FAST system. The Department has reviewed the specific errors identified in the audit and will take appropriate steps to correct the improper eligibility determinations. See Schedule of Findings and Questioned Costs for footnote.
Enrollment Status Reporting Errors The College did not accurately report enrollment status changes to the National Student Loan Data System (NSLDS) for students who received federal financial assistance. During the audit period, the College disbursed approximately $24.1 million in federal financial assistance funding to 6,930 students subject to this reporting requirement. Auditors tested the enrollment status reporting for a sample of 40 students who received federal financial assistance and whose enrollment status changed. Three (8%) students were reported with an incorrect status change. Failure to report accurate student enrollment status changes to the NSLDS could prevent eligible students from receiving federal financial assistance in the future. Further, reporting inaccurate data could affect decisions made by the federal government regarding the effectiveness of financial assistance programs. According to College management, the College relied on the National Student Clearinghouse, a third-party service provider, to ensure accurate reporting of enrollment status changes. Management did not monitor the information reported to the NSLDS to ensure its agreement with College records. Federal regulations require the College to accurately report student status changes to the NSLDS. In addition, the NSLDS Enrollment Reporting Guide states that the College is ultimately responsible for accurate reporting. Federal Award Information: Federal Awarding Agency: U.S. Department of Education; Assistance Listing Number (title): 84.063 (Federal Pell Grant Program); Federal Award Identification Number (award period): P063P211921 (July 1, 2021 ? June 30, 2022). Recommendation: College management should implement monitoring procedures over information that the National Student Clearinghouse submits to NSLDS to ensure all students with enrollment status changes are accurately reported. Views of Responsible Officials of the Auditee: College management concurs with the finding and recommendation. On September 2, 2022, management corrected the enrollment status for the three students identified with an incorrect status change. The College?s Senior Registrar is implementing an internal audit process in November to ensure all students with enrollment status changes are accurately reported to the National Student Loan Data System (NSLDS). See Schedule of Findings and Questioned Costs for footnote.
Enrollment Status Reporting Errors The College did not accurately report enrollment status changes to the National Student Loan Data System (NSLDS) for students who received federal financial assistance. During the audit period, the College disbursed approximately $3.5 million in federal financial assistance funding to 978 students subject to this reporting requirement. Auditors tested the enrollment status reporting for a sample of 40 students who received federal financial assistance and whose enrollment status changed. Two (5%) students were reported with an incorrect status change. Failure to report accurate student enrollment status changes to the NSLDS could prevent eligible students from receiving federal financial assistance in the future. Further, reporting inaccurate data could affect decisions made by the federal government regarding the effectiveness of financial assistance programs. According to College management, the College relied on the National Student Clearinghouse (Clearinghouse), a third-party service provider, to ensure accurate reporting of enrollment status changes. Management did not monitor the information the Clearinghouse reported to the NSLDS to ensure it agreed with College records. Federal regulations require the College to accurately report student status changes to the NSLDS. In addition, the NSLDS Enrollment Reporting Guide states that the College is ultimately responsible for accurate reporting. Federal Award Information: Federal Awarding Agency: U.S. Department of Education; Assistance Listing Number (title): 84.063 (Federal Pell Grant Program); Federal Award Identification Number (award period): P063P211936 (July 1, 2021 - June 30, 2022). Recommendation: College management should implement monitoring procedures over information that the Clearinghouse submits to NSLDS to ensure all students with enrollment status changes are accurately reported. Views of Responsible Officials of the Auditee: College management agrees with the audit finding and acknowledges that there were deficiencies in their enrollment status reporting process. To address these deficiencies, effective June 30, 2022, additional verification procedures have been implemented that will ensure that the College is routinely monitoring the information reported to NSLDS as compared with the College?s records to ensure that all student status changes are correctly reported to NSLDS per federal regulations. See Schedule of Findings and Questioned Costs for footnote.
Enrollment Status Reporting Errors The College did not accurately report enrollment status changes to the National Student Loan Data System (NSLDS) for students who received federal financial assistance. During the audit period, the College disbursed approximately $2.8 million in federal financial assistance funding to 720 students subject to this reporting requirement. Auditors tested the enrollment status reporting for a sample of 40 students who received federal financial assistance and whose enrollment status changed. Seven (18%) students were not reported. Failure to report accurate student enrollment status changes to the NSLDS could prevent eligible students from receiving federal financial assistance in the future. Further, reporting inaccurate data could affect decisions made by the federal government regarding the effectiveness of financial assistance programs. According to College management, the errors occurred because personnel omitted an enrollment status change report submission in May 2022 and no independent verification was in place to detect the omission. Federal regulations require the College to accurately report student status changes to the NSLDS. Federal Award Information: Federal Awarding Agency: U.S. Department of Education; Assistance Listing Number (title): 84.063 (Federal Pell Grant Program); Federal Award Identification Number (award period): P063P211966 (July 1, 2021 ? June 30, 2022). Recommendation: College management should implement monitoring procedures, such as an independent verification, to ensure all enrollment status change reports are submitted to NSLDS. Views of Responsible Officials of the Auditee: College management agrees with the finding and recommendation. The Enrollment Reporting schedule in the College Registrar?s Office has been updated to ensure that reporting of student enrollment information occurs every month. Enrollment Reports will be shared with the Financial Aid Office to confirm monthly updates in NSLDS. This procedure will ensure that the College submits all student status changes on a monthly basis. See Schedule of Findings and Questioned Costs for footnote.
Subrecipients Were Not Paid Timely The Department of Health and Human Services (Department) paid subrecipients of the Emergency Solutions Grant Program (ESGP) more than 30 days after receiving the payment request. During the audit period, the Department paid $24.2 million to ESGP subrecipients. Auditors tested a sample of 40 subrecipient payments totaling $365,000 and found that 25 (63%) payments were not paid until 31 to 153 days after receiving the payment requests. Subrecipients rely on ESGP funding to improve the number and quality of emergency shelters, provide essential services to shelter residents, re-house homeless individuals and families, and prevent families and individuals from becoming homeless. When subrecipients do not receive grant funds in a timely manner, it could impact their ability to provide these services to some of the states? most vulnerable citizens. According to Department management, subrecipients were not paid timely because of staffing shortages and a significant increase in workload. In addition to the annual ESGP allocation, the Department received additional funding through the Coronavirus Aid, Relief and Economic Security (CARES) Act. The additional funding significantly increased the number of subrecipient payment requests that needed to be processed, and the combination of key staff positions being vacant and the increase in the workload caused delays in processing the payments. Federal regulations require the Department to pay each subrecipient within 30 days after receiving the subrecipient?s payment request. Federal Award Information: Federal Awarding Agency: U.S. Department of Housing and Urban Development; Assistance Listing Number (title): 14.231 (Emergency Solutions Grant Program); Federal Award Identification Numbers (award periods): E-20-DC-37-001 (September 2, 2020 ? September 2, 2022) and E-20-EW-37-001 (COVID-19) (July 8, 2020 ? July 8, 2022). Recommendation: Department management should establish a contingency plan to ensure continuity of operations when workloads increase, and staffing shortages occur. Views of Responsible Officials of the Auditee: Management agrees with this finding. During the time period within the scope of this audit, three-fourths of the Division of Aging and Adult Services Budget Office positions were vacant. This was also the period of time when the COVID-19 pandemic began, and a significant amount of additional grant funding was received for Emergency Solutions Grant (ESG) and other programs. The combination of staff vacancies and the increased workload resulting from the rapid increase in new funding resulted in delays to approving payments to subrecipients. See Schedule of Findings and Questioned Costs for footnote.
Administration Funds Used for Unallowable Activities The Department of Commerce (Department) incorrectly used $18,028 of Unemployment Insurance (UI) administration award funds. During the audit period, the Department spent $116.8 million to administer the UI program. To administer the UI program, funds are allowed for both automation and nonautomation expenditures for the first 15 months of the award period and only automation expenditures for the remaining 21 months of the award period. Auditors tested 26 out of 1,750 UI expenditures, totaling $5.9 million, related to awards that were in the automation only period and found 4 errors totaling $18,028 that were not allowed. As a result, the $18,028 is considered questioned costs and the Department may be required to pay the funds back to the federal government. Furthermore, the funds could have been used for automation activities such as purchasing new computers and software for the UI program. According to Department management, reviews over the expenditures were not detailed enough to ensure only allowable expenditures were charged to the award during the automation period. Federal regulations require costs to conform to limitations and exclusions that apply to the federal award. Federal Award Information: Federal Awarding Agency: U.S. Department of Labor; Assistance Listing Number (title): 17.225 (Unemployment Insurance); Federal Award Identification Number (award period): UI-35666-21-55-A-37(October 1, 2020 ? December 31, 2023). Recommendation: Department management should develop and implement detailed review procedures over expenditures to ensure compliance with federal award requirements. Views of Responsible Officials of the Auditee: The Division of Employment Security agrees with this finding and has implemented corrective actions to strengthen internal controls and help prevent future errors of this nature. See Schedule of Findings and Questioned Costs for footnote.
Inadequate Monitoring of Coronavirus Relief Funds The North Carolina Pandemic Recovery Office (NCPRO), a division of the Office of State Budget and Management, did not adequately monitor $159.9 million in federal funds used for expenditures incurred due to the COVID-19 pandemic. Auditors reviewed the monitoring procedures over subrecipients of state agencies that expended coronavirus relief funds. NCPRO?s monitoring procedures required monthly reviews of these subrecipients? expenditure reports. However, auditors found no evidence of this review. In addition, auditors tested a sample of 40 direct expenditures of state agencies and found no evidence of review of supporting documentation. Lastly, auditors reviewed the risk assessment procedures over all subrecipients. NCPRO?s monitoring plan required additional monitoring activities for all subrecipients assessed as high-risk. Auditors reviewed all 23 subrecipients that were assessed as high-risk and found that these additional monitoring activities were not completed for 9 (39%) of the subrecipients. Inadequate monitoring increases the risk that federal funds may not be used in accordance with the federal requirements, which may have reduced funding available to respond to the COVID-19 pandemic. According to NCPRO management, the agency did not have sufficient personnel to complete the monitoring procedures established at the inception of the program. Subsequent legislation identified NCPRO as responsible for the administration of additional federal COVID-19 programs, and management did not revise existing monitoring procedures to reflect these additional responsibilities. Furthermore, monitoring procedures in place did not require that the results of reviews or other monitoring activities be documented. Federal regulations require NCPRO to: ? Establish and maintain effective internal control over the federal award that provides reasonable assurance that the entity is managing the award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. ? Monitor the activities of the subrecipient as necessary to ensure that the subaward is used for authorized purposes, in compliance with federal statutes, regulations, and the terms and conditions of the subaward. This finding was previously reported in the 2021 Statewide Single Audit as finding number 2021-001. Federal Award Information: Federal Awarding Agency: U.S. Department of the Treasury; Assistance Listing Number (title): 21.019 (Coronavirus Relief Fund); Federal Award Identification Numbers (award periods): SLT0025 (March 1, 2020 - December 31, 2021) and SLT0237 (March 1, 2020 - December 31, 2021). Recommendation: NCPRO management should review and revise monitoring procedures over future federal programs as necessary in response to changes in operations, including evaluating the feasibility of procedures given the available personnel. In addition, NCPRO management should ensure that monitoring procedures over future federal programs include a requirement that personnel document completion of the procedures. Views of Responsible Officials of the Auditee: The Office of State Budget and Management and the North Carolina Pandemic Recovery Office accept the finding and have made improvements to ensure future federal funds are adequately monitored. See Schedule of Findings and Questioned Costs for footnote.
Errors in Program Spending The Department of Public Safety (Department) made $486,807 in overpayments of rent and utility assistance from the Emergency Rental Assistance program. During the audit period, the Department processed approximately 159,000 individual household applications totaling $635 million in rent and utility assistance payments. Auditors recalculated the $635 million rent and utility assistance payments to determine if the payment amounts were within the maximum thresholds established by the Department. The Department?s policy states that payment amounts should be the lesser of the established threshold or the amount that is owed by the applicant. Auditors found 25 overpayments totaling $27,015. Auditors then tested 95 individual household applications totaling $923,000 in rent and utility payments and found that documentation for three (3%) applications did not support the amount paid, resulting in overpayments totaling $26,530. Lastly, auditors reviewed the number of months of financial assistance that were provided to an individual household since the inception of the Emergency Rental Assistance program. The Department?s policy states that financial assistance for an individual household may not exceed 15 months. Auditors analyzed the database of approximately 114,000 households and identified 37,762 households that could have received more months of financial assistance than allowed. From the 37,762 households identified above, auditors tested 151 households that received $1.8 million in financial assistance. Auditors found that 84 (56%) households received one to 15 more months of financial assistance than allowed, resulting in overpayments totaling $433,262. As a result, the $486,807 in overpayments is considered questioned costs and the Department may be required to pay the funds back to the federal government. Furthermore, the overspent funds could have been used to provide rent and utility assistance to other eligible households in need. According to Department management, rent and utility payments were calculated using incorrect thresholds due to either a system programming code error or system malfunction. In addition, staff did not follow policies and procedures during the review and approval of financial assistance applications. Federal regulations require that costs be adequately documented and consistent with the program regulations that apply to the federal award. In addition, federal regulations and Department policy limit the financial assistance an eligible household may receive to 15 months. Certain aspects of aspects of this finding were previously reported in the 2021 Statewide Single Audit as finding number 2021-002. Federal Award Information: Federal Awarding Agency: U.S. Department of the Treasury; Assistance Listing Number (title): 21.023 (Emergency Rental Assistance); Federal Award Identification Numbers (award periods): ERA0019 (COVID-19) (January 11, 2021 ? December 31, 2022) and ERAE0098 (COVID-19) (May 5, 2021- September 30, 2025). Recommendation: Department management should analyze the payment calculation errors to identify and make the necessary updates to the system. Until the system issues are resolved, Department management should design and implement alternative procedures to ensure financial assistance payments are calculated correctly. In addition, Department management should develop additional training for staff or establish additional monitoring procedures over the application review and approval process. Views of Responsible Officials of the Auditee: The North Carolina Office of Recovery and Resiliency (NCORR) accepts the Auditor?s finding that the Department made errors in program spending. NCORR?s Compliance and Business Systems Department are actively working to reconcile the population of awards impacted by the errors identified. NCORR previously began recapture efforts on many of the awards identified during this audit, however, any remaining erroneous awards identified will immediately enter the recapture process. In the event any recaptured amounts enter default, NCORR reserves the right to engage federal partners and additional resources, such as collections agencies, to recover the funds. See Schedule of Findings and Questioned Costs for footnote.
Errors in FFATA Reporting The Department of Public Instruction (Department) did not submit complete, accurate, and timely Federal Funding Accountability and Transparency Act (FFATA) reporting for the Education Stabilization Fund - Elementary and Secondary School Emergency Relief (ESSER) and Supporting Effective Instruction (SEI) programs. Auditors reviewed all 298 SEI subawards totaling $60.9 million that were required to be reported to the FFATA Subaward Reporting System (FSRS) during the audit period and found that none were reported as required. Auditors also reviewed all 1,716 ESSER subawards totaling $3.3 billion that were required to be reported to the FSRS during the audit period and found that the Department stopped FFATA reporting on ESSER in December 2021. As a result, 1,291 subawards totaling $230.1 million made during 2022 were not reported. Auditors then tested a sample of 60 ESSER subawards that were reported and found one or more errors. Specifically: ? 51 subawards totaling $760.1 million did not include required information on how the funds were utilized. ? 30 subawards totaling $732 million were reported 47-61 days late. ? 6 subawards totaling $8.2 million were reported with either the wrong subrecipient or federal award information. ? 5 subawards totaling $1.1 million were reported twice. ? 9 subawards totaling $1.1 million were not reported at all. ? 38 subawards totaling $757 million did not agree to supporting documentation by a total of $805 thousand. The FFATA was enacted to help reduce wasteful spending in government by empowering every American citizen with the ability to hold the government accountable for each spending decision. When subaward information is not reported to the FSRS or when it is reported incorrectly, citizens do not have complete and accurate information about how federal funds are being used in their communities. According to Department management: ? The errors found in the ESSER subawards that were reported occurred due to limited staffing resources. ? Additionally, Department management stopped entering ESSER subawards into FSRS in December 2021 due to technical difficulties experienced. ? Lastly, due to the difficulties experienced with entering the ESSER subawards into FSRS, the Department did not attempt to report any subawards for the SEI program. The FFATA requires direct recipients of grants or cooperative agreements to report first-tier subawards of $30,000 or more to the FSRS no later than the end of the month following the month in which the obligation was made. Federal Award Information: Federal Awarding Agency: U.S. Department of Education; Assistance Listing Number (title): 84.425D (Elementary and Secondary School Emergency Relief Fund); Federal Award Identification Numbers (award periods): S425D200037 (COVID-19) (May 11, 2020 - September 30, 2021) and S425D210037 (COVID-19) (January 5, 2021 - September 30, 2022). Federal Award Information: Federal Awarding Agency: U.S. Department of Education; Assistance Listing Number (title): 84.425U (American Rescue Plan - Elementary and Secondary School Emergency Relief Fund); Federal Award Identification Number (award period): S425U210037 (COVID-19) (March 24, 2021 - September 30, 2023). Federal Award Information: Federal Awarding Agency: U.S. Department of Education; Assistance Listing Number (title): 84.367 (Supporting Effective Instruction State Grants); Federal Award Identification Number (award period): S367A210032 (July 1, 2021 - September 30, 2022). Recommendation: Department management should prioritize seeking solutions from the federal oversight agency on technical difficulties. In addition, Department management should ensure staff are available to complete FFATA reporting as required. Views of Responsible Officials of the Auditee: The Department of Public Instruction (DPI) concurs with the finding and recommendation. While additional resources were commissioned to complete FFATA reporting requirements, technical considerations in the FFATA system remain problematic. The system restricts the number of entries per month, which makes it impossible for DPI to report awards within the required time limit. The Office of Federal Programs has continued to make requests to the federal oversight agency for technical assistance with the system. See Schedule of Findings and Questioned Costs for footnote.
Incomplete Monitoring The Department of Public Instruction (Department) did not complete all planned monitoring activities for 329 public school units (PSUs) that received $1.77 billion in federal funding from three programs during the audit period. Auditors reviewed the Department?s fiscal monitoring plan over all three programs which required site visits at 20 PSUs. However, auditors found that the Department did not complete site visits for 10 (50%) PSUs that received $34.1 million in funding. Inadequate monitoring increases the risk that federal funds may not be used in accordance with the federal requirements, which may reduce the funding available for addressing the impacts of the COVID-19 pandemic on public education and providing services to public educators to improve student academic achievement. According to Department management, monitoring activities could not be completed as originally planned due to prioritizing other activities such as assisting external agencies with investigations of PSU?s and performing additional work related to closeout reviews for multiple Charter Schools that closed during the year. Furthermore, staffing issues continued to be a concern and vacancies required management to prioritize the investigations and Charter School closings over fiscal monitoring. Federal regulations require the Department to monitor the activities of the subrecipient as necessary to ensure that the subaward is used for authorized purposes in compliance with federal statutes, regulations, and the terms and conditions of the subaward, and that subaward performance goals are achieved. Federal Award Information: Federal Awarding Agency: U.S. Department of Education; Assistance Listing Number (title): 84.425C (Governor?s Emergency Education Relief Fund); Federal Award Identification Numbers (award periods): S425C200034 (COVID-19) (June 1, 2020 - September 30, 2021) and S425C210034 (COVID-19) (January 8, 2021 - September 30, 2022). Federal Award Information: Federal Awarding Agency: U.S. Department of Education; Assistance Listing Number (title): 84.425D (Elementary and Secondary School Emergency Relief Fund); Federal Award Identification Numbers (award periods): S425D200037 (COVID-19) (May 11, 2020 ? September 30, 2021) and S425D210037 (COVID-19) (January 5, 2021 - September 30, 2022). Federal Award Information: Federal Awarding Agency: U.S. Department of Education; Assistance Listing Number (title): 84.425U (American Rescue Plan - Elementary and Secondary School Emergency Relief Fund); Federal Award Identification Number (award period): S425U210037 (COVID-19) (March 24, 2021 - September 30, 2023). Federal Award Information: Federal Awarding Agency: U.S. Department of Education; Assistance Listing Number (title): 84.367 (Supporting Effective Instruction State Grants); Federal Award Identification Number (award period): S367A210032 (July 1, 2021 - September 30, 2022). Recommendation: Department management should review and revise monitoring procedures as necessary in response to changes in operations. In addition, Department management should prioritize the development of a contingency plan to ensure monitoring is completed when employee turnover occurs. Views of Responsible Officials of the Auditee: The Department of Public Instruction (DPI) concurs with the finding and recommendation. As noted in the finding, ongoing investigations involving external agencies and reviews requiring expanded scope have demanded significantly more time than anticipated by any of the parties involved. Some of this work is ongoing and will continue to impact fiscal monitoring work for the Monitoring and Compliance section within the Office of School Business Services. Other factors impacted the ability of Monitoring and Compliance to complete fiscal monitoring reviews during fiscal year 2022, including staffing issues and multiple Charter School closings, which added complexity to the closure workload and necessitated additional resources. Staffing has been an issue at DPI, but also within the PSUs (Public School Units) selected for monitoring. Vacancies and turnover within PSU positions such as CFO and Director of Federal Programs, resulted in delays throughout the monitoring process. The complexity of various Pandemic Relief funding streams has burdened other agencies with additional audit procedures which required interaction with the monitoring team as they serve as a conduit for other state agencies unfamiliar with PSUs. Monitoring and Compliance serves in this role to lessen the burden and help to facilitate audit work. See Schedule of Findings and Questioned Costs for footnote.
Incomplete Monitoring The Department of Public Instruction (Department) did not complete all planned monitoring activities for 329 public school units (PSUs) that received $1.77 billion in federal funding from three programs during the audit period. See finding 2022-009 for a description.
Errors in FFATA Reporting The Department of Public Instruction (Department) did not submit complete, accurate, and timely Federal Funding Accountability and Transparency Act (FFATA) reporting for the Education Stabilization Fund - Elementary and Secondary School Emergency Relief (ESSER) and Supporting Effective Instruction (SEI) programs. See finding 2022-008 for a description. This finding was previously reported in the 2021 Statewide Single Audit as finding number 2021-015.
Incomplete Monitoring The Department of Public Instruction (Department) did not complete all planned monitoring activities for 329 public school units (PSUs) that received $1.77 billion in federal funding from three programs during the audit period. See finding 2022-009 for a description. This finding was previously reported in the 2021 Statewide Single Audit as finding number 2021-016.
Errors in FFATA Reporting The Department of Public Instruction (Department) did not submit complete, accurate, and timely Federal Funding Accountability and Transparency Act (FFATA) reporting for the Education Stabilization Fund - Elementary and Secondary School Emergency Relief (ESSER) and Supporting Effective Instruction (SEI) programs. See finding 2022-008 for a description.
Incomplete Monitoring The Department of Public Instruction (Department) did not complete all planned monitoring activities for 329 public school units (PSUs) that received $1.77 billion in federal funding from three programs during the audit period. See finding 2022-009 for a description.
Immunization Funds Used for Unallowable Activities The Department of Health and Human Services (Department) incorrectly used $127,676 of Immunization Cooperative Agreements (Immunization) program funds. During the audit period, the Department spent $101.2 million in Immunization funds to establish and maintain health services programs for vaccine-preventable diseases. The Department entered into contracts with vendors and subrecipients (collectively called agreements), to administer the Immunization program. Auditors tested 26 of the 145 agreements that had expenditures totaling $13.3 million and found one (4%) agreement that used the funds on activities not allowed by the Immunization program. As a result, the $127,626 is considered questioned costs and the Department may be required to pay the funds back to the federal government. In addition, the funds could have been used on activities that help control the spread of infectious diseases through immunization. According to Department management, unallowable activities were charged to the Immunization program because a purchase order was mistakenly issued using the incorrect funding source and it was not detected during the review and approval process. Federal regulations require Immunization program funds be used by states to assist them in meeting the costs of establishing and maintaining preventive health service programs. In addition, federal regulations require costs to be necessary and reasonable; authorized; adequately documented, and consistent with the program regulations that apply to the federal award. Federal Award Information: Federal Awarding Agency: U.S. Department of Health and Human Services; Assistance Listing Number (title): 93.268 (Immunization Cooperation Agreements); Federal Award Identification Number (award period): 6NH231P922624 (COVID-19) (July 1, 2019 - June 30, 2024). Recommendation: Department management should ensure that staff responsible for reviewing and approving program spending have a clear understanding of the funding sources that can be used. Views of Responsible Officials of the Auditee: The Department agrees with this finding regarding the SFY 22 audit of Immunization funds that found that $127,626 was expended against the Immunization grant for consulting services in error. These expenditures were reclassified in September 2022 (SFY 23), which is after the audit period. The Department, in responding to a once-in-a-lifetime, global pandemic, was engaged in multiple cross-departmental functions and activities; including contracts necessary to address the needs of the state throughout the pandemic. This included a significant number of contracts and purchases which had to be completed very quickly. We will ensure that staff responsible for reviewing and approving program spending have a clear understanding of the funding sources that can be used. See Schedule of Findings and Questioned Costs for footnote.
Errors in FFATA Reporting The Department of Health and Human Services (Department) did not report complete and accurate subaward information for some subrecipients of the Immunization Cooperative Agreements grant to the Federal Funding Accountability and Transparency Act (FFATA) Subaward Reporting System (FSRS). Auditors reviewed all 186 subawards totaling $42.9 million that were required to be reported to the FSRS during the audit period and found the following errors: ? 74 subawards totaling $17.2 million were not reported at all. ? Two subawards totaling $200,419 were overreported by $171,081 because they were reported with incorrect amounts. The FFATA was enacted to help reduce wasteful spending in government by empowering every American citizen with the ability to hold the government accountable for each spending decision. When subaward information is not reported to the FSRS or when it is reported incorrectly, citizens do not have complete and accurate information about how federal funds are being used in their communities. According to Department management, the incomplete and inaccurate reporting occurred because staff prioritized vaccine allocation, distribution, and utilization over FFATA reporting requirements. The FFATA requires direct recipients of grants or cooperative agreements to report first-tier subawards of $30,000 or more to the FSRS. Federal Award Information: Federal Awarding Agency: U.S. Department of Health and Human Services; Assistance Listing Number (title): 93.268 (Immunization Cooperative Agreements) Federal Award Identification Numbers (award periods): 6NH23IP922624 (COVID-19) (July 1, 2019 ? June 20, 2024) and 5NH23IP922624-03 (July 1, 2021 ? June 30, 2022). Recommendation: Department management should develop a contingency plan to ensure FFATA reporting is completed and reviewed for accuracy when priorities need to be shifted to meet other demands. Views of Responsible Officials of the Auditee: The Department agrees with the finding and is developing plans to ensure accurate and complete reporting in accordance with the Federal Funding Accountability and Transparency Act (FFATA), specifically during times of business disruption such as a public health emergency. Division of Public Health (DPH) staff were responding to a once-in-a-lifetime, global pandemic and were engaged in the largest mass vaccination efforts in modern public health history. The goal of the DPH Immunization Branch was to implement the COVID-19 Vaccination Program as a critical component to reduce COVID-19-related illnesses, hospitalizations, and deaths and to help restore societal functioning. As such, incomplete reporting occurred because DPH prioritized its limited staff and resources on vaccine allocation, distribution, and utilization over FFATA reporting requirements. Vaccines are one of the greatest success stories in public health and the COVID-19 vaccine is still a critical component of the United States' strategy to address the COVID-19 pandemic. See Schedule of Findings and Questioned Costs for footnote.
Deficiencies in the TANF Eligibility Determination Process The Department of Health and Human Services (Department) paid Temporary Assistance for Needy Families (TANF) benefits to ineligible families based on inaccurate and inadequately documented eligibility determinations. During the audit period, approximately 56,600 families received $129.3 million in TANF benefits. The task of determining eligibility for the TANF program has been delegated to the county departments of social services (DSS). However, the Department was responsible for ensuring compliance with the eligibility requirements, establishing eligibility determination policies, maintaining NC FAST , and facilitating training. Auditors redetermined eligibility for a sample of 93 families that had benefits totaling $212,647 paid to or on their behalf during the audit period. Auditors found two (2.2%) families to be ineligible for cash assistance during the coverage period. Payments totaling $4,935 were paid to these ineligible families. In addition to the eligibility errors noted above, auditors also identified 10 families whose income calculations were inaccurate or whose case files were missing some of the required eligibility documentation. Examples of missing information included kinship verifications, required child custody statements, and online verification documentation. However, when auditors redetermined eligibility using the correct information, the families were found to be eligible. As a result, there is an increased cost to the TANF program, and the funds could have been used to provide benefits to other eligible families. Even though the tests identified only $4,935 that was paid to the ineligible families, if tests were extended to the entire population, questioned costs could be greater than $25,000. According to Department management, the errors occurred because of inaccurate application of established eligibility policies by the county DSS staff. Federal regulations state that recipients are only eligible if they meet the requirements of a financially needy family with children. Further, state eligibility manuals require documentation to support eligibility determinations. Federal Award Information: Federal Awarding Agency: U.S. Department of Health and Human Services; Assistance Listing Number (title): 93.558 (Temporary Assistance for Needy Families); Federal Award Identification Numbers (award periods): 2101NCTANF (October 1, 2020 to September 30, 2022) and 2201NCTANF (October 1, 2021 to September 30, 2023). Recommendation: Department management should analyze each error to specifically identify why the errors occurred and develop additional training for county DSS staff or establish other procedures as necessary to prevent future errors from occurring. Views of Responsible Officials of the Auditee: Management agrees with this finding and will implement a correction action plan to appropriately assess the issue. See Schedule of Findings and Questioned Costs for footnote.
FFATA Reporting Not Completed The Department of Health and Human Services (Department) did not complete the Federal Funding Accountability and Transparency Act (FFATA) reporting for the Temporary Assistance for Needy Families (TANF) program. Auditors reviewed all 270 subawards totaling $166.8 million that were required to be reported to the FFATA Subaward Reporting System (FSRS) during the audit period and found that none were reported as required. The FFATA was enacted to help reduce wasteful spending in government by empowering every American citizen with the ability to hold the government accountable for each spending decision. When subaward information is not reported to the FSRS, citizens do not have complete and accurate information about how federal funds are being used in their communities. The TANF subawards were administered by two divisions within the Department and according to Department management, ? The Division of Social Services (DSS) did not complete the FFATA reporting for 182 subawards totaling $98.5 million because significant turnover during the audit period reduced the number of staff available to carry out the FFATA reporting requirements. ? The Division of Child Development and Early Education (DCDEE) did not complete the FFATA reporting for the remaining 88 subawards totaling $68.3 million because there was a misunderstanding as to who was responsible for completing the FFATA reporting. The FFATA requires direct recipients of grants or cooperative agreements to report first-tier subawards of $30,000 or more to the FSRS. Federal Award Information: Federal Awarding Agency: U.S. Department of Health and Human Services; Assistance Listing Number (title): 93.558 (Temporary Assistance for Needy Families); Federal Award Identification Numbers (award periods): 2101NCTANF (October 1, 2020 ? September 30, 2022) and 2201NCTANF (October 1, 2021 - September 30, 2023). Recommendation: Department management should prioritize the development of a contingency plan to ensure FFATA reporting is completed when employee turnover occurs. Additionally, Department management should provide clear guidance about FFATA reporting responsibilities to all Department divisions. Views of Responsible Officials of the Auditee: The Department agrees with the finding and is prioritizing the development of plans to ensure FFATA reporting compliance. See Schedule of Findings and Questioned Costs for footnote.
Inaccurate TANF Data on Families Was Submitted to the Federal Government The Department of Health and Human Services (Department) submitted inaccurate Temporary Assistance for Needy Families (TANF) data to the U.S. Department of Health and Human Services? Administration for Children and Families (ACF). During the reporting period, approximately 10,600 families received approximately $26.3 million in cash assistance from the TANF program. Auditors tested a sample of case files for 60 families from the quarterly performance reports that were submitted for the reporting period and found 10 (17%) cases where the number of months the participant received assistance was reported incorrectly. In addition, the Department over-reported the total number of families receiving assistance by approximately 2,900 (27%) families. The Department?s failure to submit accurate data could lead to penalties. A penalty of 4% of the adjusted State Family Assistance Grant (SFAG) can be imposed for each quarter the Department fails to submit an accurate, complete, and timely report. Based on the federal fiscal year 2021 SFAG, the penalty could be up to $10.2 million. Furthermore, inaccurate data could impact the Department?s Work Participation Rate (WPR) calculation. The data collected in the quarterly performance report is used by ACF to determine whether the Department achieved the WPR. Failure to achieve the WPR could also result in additional penalties. According to Department management, the quarterly performance reports submitted for federal fiscal year 2021 were not accurate due to a programming code error as well as programming code changes needed after the transition to NC FAST , which occurred in state fiscal year 2015. The Division of Social Services (DSS) is aware of the code changes needed and has been working with the Department?s NC FAST and IT staff to correct coding, criteria, and conversion issues related to the transition to NC FAST. However, they were unable to resolve all issues before submitting the federal fiscal year 2021 reports. Federal regulations require the Department to submit quarterly performance reports with data on the families receiving TANF assistance. Federal Award Information: Federal Awarding Agency: U.S. Department of Health and Human Services; Assistance Listing Number (title): 93.558 (Temporary Assistance for Needy Families); Federal Award Identification Number (period): 2101NCTANF (October 1, 2020 ? September 30, 2022). Recommendation: Department management should continue working with the NC FAST and IT staff to identify and correct unresolved programming code issues to ensure accurate reports are submitted. In addition, until the programming code issues are resolved, Department management should design and implement alternative procedures to ensure accurate data is reported. Views of Responsible Officials of the Auditee: Management agrees with this finding. The inaccurate reporting of a recipient?s number of months received is a known issue and is a result of coding changes needed after the transition to NC FAST. NC FAST has created a 60 Month Time Clock table to capture this data, and the division is aware of the coding changes needed to use this table for reporting. This coding change is already on the ACF-199 project list, but was unable to be completed prior to the submission of the FFY 21 data. The inaccurate reporting regarding the number of families was due to a programming code error in which cases were not deduplicated for each report month. The incorrect code has been identified and will be corrected to ensure cases are only counted once per month. See Schedule of Findings and Questioned Costs for footnote.
FFATA Reporting Not Completed The Department of Health and Human Services (Department) did not complete the Federal Funding Accountability and Transparency Act (FFATA) reporting for the Social Services Block Grant (SSBG). Auditors reviewed all 240 subawards totaling $55.7 million that were required to be reported to the FFATA Subaward Reporting System (FSRS) during the audit period and found that none were reported as required. The FFATA was enacted to help reduce wasteful spending in government by empowering every American citizen with the ability to hold the government accountable for each spending decision. When subaward information is not reported to the FSRS, citizens do not have complete and accurate information about how federal funds are being used in their communities. The SSBG subawards were administered by two divisions within the Department and according to Department management, ? The Division of Social Services (DSS) did not complete the FFATA reporting for 230 subawards totaling $41.3 million because significant turnover during the audit period reduced the number of staff available to carry out the FFATA reporting requirements. ? The Division of Mental Health, Developmental Disabilities and Substance Abuse Services (DMH/DD/SAS) did not complete the FFATA reporting for the remaining 10 subawards totaling $14.4 million due to essential staff turnover across the Division. The FFATA requires direct recipients of grants or cooperative agreements to report first-tier subawards of $30,000 or more to the FSRS. Federal Award Information: Federal Awarding Agency: U.S. Department of Health and Human Services; Assistance Listing Number (title): 93.667 (Social Services Block Grant); Federal Award Identification Numbers (award periods): 2101NCSOSR (October 1, 2020 ? September 30, 2022) and 2201NCSOSR (October 1, 2021 - September 30, 2023). Recommendation: Department management should prioritize the development of a contingency plan to ensure FFATA reporting is completed when employee turnover occurs. Views of Responsible Officials of the Auditee: The Department agrees with the finding and is prioritizing the development of plans to ensure FFATA reporting compliance. See Schedule of Findings and Questioned Costs for footnote.
Inadequate Subrecipient Monitoring The Department of Health and Human Services (Department) did not adequately monitor subrecipients that received $57.5 million in Social Services Block Grant (SSBG) funds during the audit period. SSBG is administered by three divisions within the Department and each division is responsible for monitoring the subrecipients that received SSBG funds. Auditors reviewed the monitoring activities over 28 of the 63 subrecipients and found that no monitoring was completed for 7 (25%) subrecipients that received $3.6 million in SSBG funds. Inadequate monitoring increases the risk that federal funds may not be used in accordance with federal requirements, which may reduce the funding available for providing essential services to individuals and families that help reduce dependency and promote self-sufficiency, and protect children and adults from neglect, abuse, and exploitation. According to Department management, the seven subrecipients were not monitored because the Division of Mental Health, Developmental Disabilities, and Substance Abuse Services implemented a pause in monitoring the Local Management Entity/Managed Care Organizations (LME/MCO?s) due to the coronavirus pandemic; however, management did not get approval from the federal oversight agency. In addition, vacancies in positions responsible for overseeing the monitoring process prevented management from developing alternative monitoring methods during the pause. Federal regulations require the Department to monitor the activities of the subrecipient as necessary to ensure that the subaward is used for authorized purposes, in compliance with federal statutes, regulations, and the terms and conditions of the subaward; and that subaward performance goals are achieved. Federal Award Information: Federal Awarding Agency: U.S. Department of Health and Human Services; Assistance Listing Number (title): 93.667 (Social Services Block Grant) Federal Award Identification Numbers (award periods): 2101NCSOSR (October 1, 2020 - September 30, 2022); 2201NCSOSR (October 1, 2021 ? September 30, 2023). Recommendation: Department management should obtain federal agency oversight approval to deviate from required processes and procedures. In addition, Department management should establish contingency plans to ensure monitoring activities are completed during employee turnover. Views of Responsible Officials of the Auditee: Management agrees with the finding and recommendation. The seven subrecipients were not monitored because the Division of Mental Health, Developmental Disabilities, and Substance Abuse Services prioritized support of the Department?s ongoing response to the global COVID-19 pandemic (e.g., outreach, prevention, testing, vaccination). This resulted in a pause in monitoring the Local Management Entity/Managed Care Organizations (LME/MCO?s); In addition, vacancies in positions responsible for overseeing the monitoring process prevented management from developing alternative monitoring methods during the pause. See Schedule of Findings and Questioned Costs for footnote.
Funds Not Used on Primary Prevention Programs The Department of Health and Human Services (Department) did not allocate and use $84,279 of Substance Abuse Block Grant (SABG) funds for primary prevention programs as required. During the federal award period, the Department was required to allocate and use $9.1 million (20%) of the $45.4 million received for SABG on primary prevention programs designed to reduce the risk of substance abuse. However, the Department only allocated and used 19.82%. As a result, $84,279 is considered questioned costs and the Department may be required to pay the funds back to the federal government. In addition, the funds were not used on prevention strategies as intended, which aim to reduce the impact of substance abuse such as awareness and education to individuals. According to Department management, the error occurred because the staff responsible for award spending misunderstood the calculation requirements for determining the amount required for primary prevention programs. Federal regulations require that no less than 20% of SABG funds be spent on primary prevention programs to educate and counsel individuals to reduce the risk of substance abuse. Federal Award Information: Federal Awarding Agency: U.S. Department of Health and Human Services; Assistance Listing Number (title): 93.959 (Block Grants for Prevention and Treatment of Substance Abuse); Federal Award Identification Number (award period): B08TI083050 (October 1, 2019 ? September 30, 2021). Recommendation: Department management should ensure that staff responsible for determining award spending have a clear understanding of the calculation requirements. Views of Responsible Officials of the Auditee: Management agrees with the finding and recommendation. The Division of Mental Health, Developmental Disabilities, and Substance Use Services (DMH/DD/SUS) is updating and strengthening its grant financial monitoring policies and processes. See Schedule of Findings and Questioned Costs for footnote.
Funds Spent After Award Ended The Department of Health and Human Services (Department) incorrectly used $317,153 of Substance Abuse Block Grant (SABG) funds from an award that ended. During the award period, the Department spent $45.4 million in SABG funds to provide treatment and prevention services for substance abuse. The Department?s 2020 SABG award period ended on September 30, 2021 and the Department had 90 days after the award ended to pay for expenditures that were incurred during the award period. Auditors tested $2.9 million SABG expenditures that were paid after the award ended and found that expenditures totaling $317,153 (11%) were outside the period of performance. As a result, the Department may be required to pay $317,153 back to the federal government. Furthermore, using grant expenditures outside the award period prevents the Department from monitoring and budgeting program activities, which could put future funding available for additional program activities at risk for reversion to the federal government. According to Department management, expenditures are reclassified to prior award periods to help ensure full utilization of grant funds; however, reviews over the reclassified expenditures were not detailed enough to ensure expenditures were within the period of performance. Federal regulations require the Department to charge the federal award for allowable costs incurred during the period of performance (award period). Federal Award Information: Federal Awarding Agency: U.S. Department of Health and Human Services; Assistance Listing Number (title): 93.959 (Block Grants for Prevention and Treatment of Substance Abuse); Federal Award Identification Number (award period): B08TI083050 (October 1, 2019 ? September 30, 2021). Recommendation: Department management should develop and implement detailed review procedures over grant expenditures to ensure compliance with period of performance requirements. Views of Responsible Officials of the Auditee: Management agrees with the finding and recommendation. The Division of Mental Health, Developmental Disabilities, and Substance Use Services is updating and strengthening its grant financial monitoring policies and processes. See Schedule of Findings and Questioned Costs for footnote.
Errors in FFATA Reporting The Department of Health and Human Services (Department) did not report complete and accurate subaward information for some subrecipients of the Substance Abuse Block Grant (SABG) to the Federal Funding Accountability and Transparency Act (FFATA) Subaward Reporting System (FSRS). Auditors reviewed all 19 subawards totaling $47.8 million that were required to be reported to the FSRS during the audit period and found the following errors: ? 14 subawards totaling $47.3 million were not reported at all. ? 1 subaward totaling $311,000 was overreported by $165,926 because it was reported with the incorrect amount. In addition, auditors found that the Department reported $1.2 million in expenditures for five subrecipients in the wrong period. The FFATA was enacted to help reduce wasteful spending in government by empowering every American citizen with the ability to hold the government accountable for each spending decision. When subaward information is not reported to the FSRS, citizens do not have complete and accurate information about how federal funds are being used in their communities. According to Department management, the incomplete and inaccurate reporting occurred because of essential staff turnover during the year. The FFATA requires direct recipients of grants or cooperative agreements to report first-tier subawards of $30,000 or more to the FSRS. Federal Award Information: Federal Awarding Agency: U.S. Department of Health and Human Services; Assistance Listing Number (title): 93.959 (Block Grants for Prevention and Treatment of Substance Abuse); Federal Award Identification Numbers (award periods): B08TI083050 (October 1, 2019 ? September 30, 2021), B08TI083468 (October 1, 2020 - September 30, 2022), and B08TI083540 (March 15, 2021 ? March 14, 2023). Recommendation: Department management should prioritize the development of a contingency plan to ensure FFATA reporting is completed and reviewed for accuracy when employee turnover occurs. Views of Responsible Officials of the Auditee: Management agrees with the finding and recommendation. The Federal Funding Accountability and Transparency Act (FFATA) reporting was not completed correctly as available staff prioritized support of the Department?s ongoing response to the global COVID-19 pandemic (e.g., outreach, prevention, testing, vaccination). Available staff were not adequately trained in FFATA reporting which led to over-reporting the subaward totaling $311,000 by $165,926 due to a duplication error on the FFATA award worksheet for one Local Management Entity/Managed Care Organizations. See Schedule of Findings and Questioned Costs for footnote.
Inadequate Subrecipient Monitoring The Department of Health and Human Services (Department) did not adequately monitor $47 million in federal funds passed to subrecipients for providing treatment and prevention services for substance abuse. Auditors reviewed the monitoring procedures over subrecipients that received substance abuse block grant (SABG) funds. The Department?s monitoring procedures required reviews over both fiscal and program areas for all subrecipients. However, auditors reviewed all 14 subrecipients and found that no reviews were completed for 12 (86%) subrecipients that received $46.3 million in SABG funds. Inadequate monitoring increases the risk that federal funds may not be used in accordance with the federal requirements, which may reduce the funding available for substance abuse treatment and prevention services. According to Department management, the Department implemented a pause in monitoring due to the coronavirus pandemic; however, management did not get approval from the federal oversight agency. In addition, vacancies in positions responsible for overseeing the monitoring process prevented management from developing alternative monitoring methods during the pause. Federal regulations require the Department to monitor the activities of the subrecipient as necessary to ensure that the subaward is used for authorized purposes, in compliance with federal statutes, regulations, and the terms and conditions of the subaward, and that subaward performance goals are achieved. Federal Award Information: Federal Awarding Agency: U.S. Department of Health and Human Services; Assistance Listing Number (title): 93.959 (Block Grants for Prevention and Treatment of Substance Abuse); Federal Award Identification Numbers (award periods): B08TI084663 (October 1, 2021 ? September 30, 2023), B08TI083468 (October 1, 2020 ? September 30, 2022), B08TI083959 (September 1, 2021 ? September 30, 2025), B08TI084599 (September 1, 2021 ? September 30, 2025), and B08TI083540 (March 15, 2021 ? March 14, 2023). Recommendation: Department management should obtain federal oversight agency approval to deviate from required processes and procedures. In addition, Department management should establish contingency plans to ensure monitoring procedures are completed during employee turnover. Views of Responsible Officials of the Auditee: Management agrees with the finding and recommendation. Subrecipients were not monitored because the Division of Mental Health, Developmental Disabilities, and Substance Abuse Services prioritized support of the Department?s ongoing response to the global COVID-19 pandemic (e.g., outreach, prevention, testing, vaccination). This resulted in a pause in monitoring the Local Management Entity/Managed Care Organizations (LME/MCO?s). See Schedule of Findings and Questioned Costs for footnote.
Errors in Medicaid Billing and Payment Process The Department of Health and Human Services (Department) made overpayments to Medicaid providers during the fiscal year ended June 30, 2022. During that period, the Department processed more than 24 million original fee-for-service claims totaling $8.1 billion in payments. Auditors tested the medical documentation for a sample of 151 original fee-for-service claims totaling approximately $19.0 million in payments and identified 14 (9.3%) claims that contained errors. Specifically: ? Auditors were not able to test six (4.0%) claims because the providers failed to provide the medical documentation to support the services that were billed, resulting in overpayments totaling $11,708 (federal share $8,658). ? The medical documentation provided for eight (5.3%) claims did not support the services billed by the provider, resulting in overpayments totaling $1,469 (federal share $1,085). In addition, auditors recalculated the payments for 87 original fee-for-service claims totaling approximately $18.9 million and identified two (2.3%) maternity event claims that were reimbursed at the incorrect billing rate, resulting in net overpayments totaling $125 (federal share $93). As a result, there is an increased cost to the Medicaid program which is jointly financed by the state and federal government and is administered by the state. In addition, when providers do not provide access to medical documentation or do not maintain documentation to support the services billed, it increases the risk of improper payments for ineligible services. Even though the tests identified only $13,302 in overpayments (federal share $9,836), if tests were extended to the entire population, questioned costs could be greater than $25,000 and the Department may be required to pay the funds back to the federal government. According to Department management, there were several reasons for the errors: ? Providers did not respond to several requests by the Division of Health Benefits to provide the medical documentation for audit purposes. ? Providers did not document and/or maintain adequate medical records to support the services billed in the claim. ? The maternity event claims were reimbursed at the incorrect billing rate because the Department did not provide rate changes to General Dynamics Information Technology (GDIT) to update the claims processing system. Federal regulations require costs to be adequately documented and consistent with program regulations that apply to the federal award. In addition, providers sign an agreement that requires them to maintain records disclosing the extent of services furnished to recipients and, on request, furnish the records to the Department. Furthermore, North Carolina General Statute 108C-11 requires providers to cooperate with all announced and unannounced audits. Providers who fail to grant prompt and reasonable access or who fail to timely provide specifically designated documentation to the Department may be terminated from the North Carolina Medicaid program. This finding was previously reported in the 2021 Statewide Single Audit as finding number 2021-021. Federal Award Information: Federal Awarding Agency: U.S. Department of Health and Human Services; Assistance Listing Number (title): 93.778 (Medical Assistance Program); Federal Award Identification Numbers (award periods): 2105NC5MAP (October 1, 2020 ? September 30, 2021) and 2205NC5MAP (October 1, 2021 ? September 30, 2022). Recommendation: Department management should determine if the failure to submit medical documentation should result in the providers? termination or suspension from participation in the Medicaid program. In addition, Department management should analyze each error and follow-up on the overpaid claims to specifically identify corrective action such as further education of providers and recoupment of costs. Lastly, Department management should work with GDIT to get the claims processing system updated with the correct rates so that the impacted claims can be reprocessed. Views of Responsible Officials of the Auditee: The Division of Health Benefits (DHB) agrees with this finding. DHB is dedicated to claims payment accuracy and continues to work with providers to minimize errors in the claims payment process. DHB will analyze each error and take immediate and appropriate corrective action, including recouping any identified overpayments and emphasizing provider education where necessary. A Tentative Notice of Decision (TND) will be sent to each provider to recoup any overpayment identified. Providers who failed to submit documentation as requested will be reviewed and appropriate corrective action will be taken. DHB will also conduct a six-month post payment review of these providers? fee-for-service paid claims to determine if errors are recurring. See Schedule of Findings and Questioned Costs for footnote.
Deficiencies in the Medicaid Eligibility Determination Process The Department of Health and Human Services (Department) made Medical Assistance Program (Medicaid) payments to providers based on inaccurate and inadequately documented eligibility determinations. During the audit period, approximately 2.2 million beneficiaries received $17.6 billion in Medicaid benefits. The task of determining eligibility for the Medicaid program has been delegated to the county departments of social services (DSS). However, the Department was responsible for ensuring compliance with the eligibility requirements. Auditors redetermined eligibility for a sample of 147 beneficiaries that had benefits totaling $38 million paid on their behalf during the audit period and found two (1.36%) eligibility errors. Specifically: ? One (0.68%) beneficiary was determined eligible for the incorrect Medicaid group, and received services during the coverage period they were not entitled to receive. Payments for those services totaling $846 (federal share $627) were paid on behalf of this beneficiary. ? One (0.68%) beneficiary was found to be ineligible for a portion of the coverage period due to inaccurate eligibility calculations. Payments totaling $92 (federal share $68) were paid on behalf of this beneficiary during the ineligible portion of the coverage period. In addition to the eligibility errors noted above, auditors also identified 32 beneficiaries whose case files were either missing required eligibility documentation, such as self-employment verification, or inaccurate calculations and household composition were used or were missing a completed recertification. However, when auditors redetermined eligibility using the correct information the beneficiaries were found to be eligible. Beneficiaries continued to receive benefits without a completed recertification because of the ongoing coronavirus public health emergency. As a result, there is an increased cost for the Medicaid Program for both the state and federal government. The program is jointly financed by these two governments, and is administered by the state. Even though the tests identified only $938 in overpayments (federal share $695), if tests were extended to the entire population, questioned costs could be greater than $25,000. Although $938 resulted from the errors identified, the amount of Medicaid funds paid on behalf of ineligible beneficiaries is likely greater. Self-attestation by applicants is accepted for certain elements of the Modified Adjusted Gross Income methodology of determining eligibility. Further verification or documentation is not required. Auditors tested participant eligibility using the documentation contained in the case files, which includes self-attested data that could not be verified by the auditors. According to Department management, the errors occurred because of inaccurate application of established eligibility policies by the county DSS staff. The county DSS staff utilize NC FAST to input data and make eligibility determinations; however, the Department is responsible for establishing the eligibility determination policies, maintaining NC FAST, and facilitating training. Federal regulations require that the Department, or its designee, determine eligibility for all individuals applying for or receiving benefits in accordance with eligibility requirements defined in the approved state plan. Further, federal regulations require that documentation be obtained as needed to determine if a beneficiary meets specific income standards and documentation must be maintained to support eligibility determinations. This finding was previously reported in the 2021 Statewide Single Audit as finding number 2021-022. Federal Award Information: Federal Awarding Agency: U.S. Department of Health and Human Services; Assistance Listing Number (title): 93.778 (Medical Assistance Program); Federal Award Identification Numbers (award periods): 2105NC5MAP (October 1, 2020 ?September 30, 2021) and 2205NC5MAP (October 1, 2021 ? September 30, 2022). Recommendation: Department management should analyze each error to specifically identify why the errors occurred and develop additional training or establish other procedures as necessary to prevent future errors from occurring. Views of Responsible Officials of the Auditee: The Department agrees with this finding. As required by the North Carolina Legislature, the Department has delegated the administration of Medicaid eligibility determinations to the 100 local county offices of the Division of Social Services (DSS). The Department provides the NC FAST system, issues eligibility policies, facilitates training and provides technical support to the county DSS? to enable their administration of eligibility determinations. Using the Centers for Medicare and Medicaid Services? (CMS) Payment Error Rate Measurement (PERM) standards as a model, the Department set an acceptable error rate of 3.2% for the accuracy of county eligibility determinations. The Department monitors the accuracy of each county?s eligibility determinations and implements accuracy improvement plans as necessary. As part of the monitoring process, the Department engages with the counties to determine if adjustments are needed to policy, training facilitation or the NC FAST system. The Department has reviewed the specific errors identified in the audit and will take appropriate steps to correct the improper eligibility determinations. See Schedule of Findings and Questioned Costs for footnote.
Enrollment Status Reporting Errors The College did not accurately report enrollment status changes to the National Student Loan Data System (NSLDS) for students who received federal financial assistance. During the audit period, the College disbursed approximately $24.1 million in federal financial assistance funding to 6,930 students subject to this reporting requirement. Auditors tested the enrollment status reporting for a sample of 40 students who received federal financial assistance and whose enrollment status changed. Three (8%) students were reported with an incorrect status change. Failure to report accurate student enrollment status changes to the NSLDS could prevent eligible students from receiving federal financial assistance in the future. Further, reporting inaccurate data could affect decisions made by the federal government regarding the effectiveness of financial assistance programs. According to College management, the College relied on the National Student Clearinghouse, a third-party service provider, to ensure accurate reporting of enrollment status changes. Management did not monitor the information reported to the NSLDS to ensure its agreement with College records. Federal regulations require the College to accurately report student status changes to the NSLDS. In addition, the NSLDS Enrollment Reporting Guide states that the College is ultimately responsible for accurate reporting. Federal Award Information: Federal Awarding Agency: U.S. Department of Education; Assistance Listing Number (title): 84.063 (Federal Pell Grant Program); Federal Award Identification Number (award period): P063P211921 (July 1, 2021 ? June 30, 2022). Recommendation: College management should implement monitoring procedures over information that the National Student Clearinghouse submits to NSLDS to ensure all students with enrollment status changes are accurately reported. Views of Responsible Officials of the Auditee: College management concurs with the finding and recommendation. On September 2, 2022, management corrected the enrollment status for the three students identified with an incorrect status change. The College?s Senior Registrar is implementing an internal audit process in November to ensure all students with enrollment status changes are accurately reported to the National Student Loan Data System (NSLDS). See Schedule of Findings and Questioned Costs for footnote.
Enrollment Status Reporting Errors The College did not accurately report enrollment status changes to the National Student Loan Data System (NSLDS) for students who received federal financial assistance. During the audit period, the College disbursed approximately $3.5 million in federal financial assistance funding to 978 students subject to this reporting requirement. Auditors tested the enrollment status reporting for a sample of 40 students who received federal financial assistance and whose enrollment status changed. Two (5%) students were reported with an incorrect status change. Failure to report accurate student enrollment status changes to the NSLDS could prevent eligible students from receiving federal financial assistance in the future. Further, reporting inaccurate data could affect decisions made by the federal government regarding the effectiveness of financial assistance programs. According to College management, the College relied on the National Student Clearinghouse (Clearinghouse), a third-party service provider, to ensure accurate reporting of enrollment status changes. Management did not monitor the information the Clearinghouse reported to the NSLDS to ensure it agreed with College records. Federal regulations require the College to accurately report student status changes to the NSLDS. In addition, the NSLDS Enrollment Reporting Guide states that the College is ultimately responsible for accurate reporting. Federal Award Information: Federal Awarding Agency: U.S. Department of Education; Assistance Listing Number (title): 84.063 (Federal Pell Grant Program); Federal Award Identification Number (award period): P063P211936 (July 1, 2021 - June 30, 2022). Recommendation: College management should implement monitoring procedures over information that the Clearinghouse submits to NSLDS to ensure all students with enrollment status changes are accurately reported. Views of Responsible Officials of the Auditee: College management agrees with the audit finding and acknowledges that there were deficiencies in their enrollment status reporting process. To address these deficiencies, effective June 30, 2022, additional verification procedures have been implemented that will ensure that the College is routinely monitoring the information reported to NSLDS as compared with the College?s records to ensure that all student status changes are correctly reported to NSLDS per federal regulations. See Schedule of Findings and Questioned Costs for footnote.
Enrollment Status Reporting Errors The College did not accurately report enrollment status changes to the National Student Loan Data System (NSLDS) for students who received federal financial assistance. During the audit period, the College disbursed approximately $2.8 million in federal financial assistance funding to 720 students subject to this reporting requirement. Auditors tested the enrollment status reporting for a sample of 40 students who received federal financial assistance and whose enrollment status changed. Seven (18%) students were not reported. Failure to report accurate student enrollment status changes to the NSLDS could prevent eligible students from receiving federal financial assistance in the future. Further, reporting inaccurate data could affect decisions made by the federal government regarding the effectiveness of financial assistance programs. According to College management, the errors occurred because personnel omitted an enrollment status change report submission in May 2022 and no independent verification was in place to detect the omission. Federal regulations require the College to accurately report student status changes to the NSLDS. Federal Award Information: Federal Awarding Agency: U.S. Department of Education; Assistance Listing Number (title): 84.063 (Federal Pell Grant Program); Federal Award Identification Number (award period): P063P211966 (July 1, 2021 ? June 30, 2022). Recommendation: College management should implement monitoring procedures, such as an independent verification, to ensure all enrollment status change reports are submitted to NSLDS. Views of Responsible Officials of the Auditee: College management agrees with the finding and recommendation. The Enrollment Reporting schedule in the College Registrar?s Office has been updated to ensure that reporting of student enrollment information occurs every month. Enrollment Reports will be shared with the Financial Aid Office to confirm monthly updates in NSLDS. This procedure will ensure that the College submits all student status changes on a monthly basis. See Schedule of Findings and Questioned Costs for footnote.
Subrecipients Were Not Paid Timely The Department of Health and Human Services (Department) paid subrecipients of the Emergency Solutions Grant Program (ESGP) more than 30 days after receiving the payment request. During the audit period, the Department paid $24.2 million to ESGP subrecipients. Auditors tested a sample of 40 subrecipient payments totaling $365,000 and found that 25 (63%) payments were not paid until 31 to 153 days after receiving the payment requests. Subrecipients rely on ESGP funding to improve the number and quality of emergency shelters, provide essential services to shelter residents, re-house homeless individuals and families, and prevent families and individuals from becoming homeless. When subrecipients do not receive grant funds in a timely manner, it could impact their ability to provide these services to some of the states? most vulnerable citizens. According to Department management, subrecipients were not paid timely because of staffing shortages and a significant increase in workload. In addition to the annual ESGP allocation, the Department received additional funding through the Coronavirus Aid, Relief and Economic Security (CARES) Act. The additional funding significantly increased the number of subrecipient payment requests that needed to be processed, and the combination of key staff positions being vacant and the increase in the workload caused delays in processing the payments. Federal regulations require the Department to pay each subrecipient within 30 days after receiving the subrecipient?s payment request. Federal Award Information: Federal Awarding Agency: U.S. Department of Housing and Urban Development; Assistance Listing Number (title): 14.231 (Emergency Solutions Grant Program); Federal Award Identification Numbers (award periods): E-20-DC-37-001 (September 2, 2020 ? September 2, 2022) and E-20-EW-37-001 (COVID-19) (July 8, 2020 ? July 8, 2022). Recommendation: Department management should establish a contingency plan to ensure continuity of operations when workloads increase, and staffing shortages occur. Views of Responsible Officials of the Auditee: Management agrees with this finding. During the time period within the scope of this audit, three-fourths of the Division of Aging and Adult Services Budget Office positions were vacant. This was also the period of time when the COVID-19 pandemic began, and a significant amount of additional grant funding was received for Emergency Solutions Grant (ESG) and other programs. The combination of staff vacancies and the increased workload resulting from the rapid increase in new funding resulted in delays to approving payments to subrecipients. See Schedule of Findings and Questioned Costs for footnote.