Corrective Action Plans

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Finding 2025-001: Allocation of Payroll Costs - Significant Deficiency in Internal Control Over Compliance and Instance of Noncompliance – Allowable Costs/Cost Principles Program: U.S. Department of Health and Human Services – Medicaid Cluster Response and Corrective Action Plan: Management acknowle...
Finding 2025-001: Allocation of Payroll Costs - Significant Deficiency in Internal Control Over Compliance and Instance of Noncompliance – Allowable Costs/Cost Principles Program: U.S. Department of Health and Human Services – Medicaid Cluster Response and Corrective Action Plan: Management acknowledges that documentation supporting payroll allocations for PATH CITED-related activities did not fully align with Uniform Guidance expectations for federal awards. The Organization was not aware that PATH CITED funding constituted federal assistance during FY2025 due to the absence of federal identifiers in grant documentation and related communications from DHCS. As such, payroll costs were managed under the Organization’s standard operational practices rather than federal compliance-specific requirements. The Organization applied a reasonable and consistent allocation methodology based on supervisory oversight and expected levels of effort, which management believes appropriately reflected the work performed, given the nature of the program at that time. Upon confirmation of the federal nature of the funding, management will take the following corrective actions which includes enhancing a time attestation/time studies process for personnel working on federal awards and strengthening policies requiring periodic after-the-fact review of payroll allocations and documentation retention requirements for supervisory approvals. Anticipated Completion Date: by June 30, 2026 Responsible Person: Virginia Lui, VP, Controller
Management takes the finding seriously and is committed to remediating the identified material weakness by strengthening internal controls, enhancing compliance processes, and supporting sustained adherence to all applicable federal program requirements and regulations. This was a pilot grant progra...
Management takes the finding seriously and is committed to remediating the identified material weakness by strengthening internal controls, enhancing compliance processes, and supporting sustained adherence to all applicable federal program requirements and regulations. This was a pilot grant program. While all grant deliverables were met and intended programmatic outcomes achieved, certain cost allocation processes evolved as program operations progressed, presenting challenges in the tracking and allocation of certain shared costs across funding sources. Corrective actions have already begun in response to the specific audit finding and to further strengthen our continued effective administration of federally funded programs.
CORRECTIVE ACTION PLAN U.S. Department of State Near East Foundation and Subsidiaries (the “Foundation”) respectfully submits the following corrective action plan for the year ended June 30, 2025. Name and address of independent public accounting firm: Bonadio & Co., LLP 432 North Franklin Street #6...
CORRECTIVE ACTION PLAN U.S. Department of State Near East Foundation and Subsidiaries (the “Foundation”) respectfully submits the following corrective action plan for the year ended June 30, 2025. Name and address of independent public accounting firm: Bonadio & Co., LLP 432 North Franklin Street #60 Syracuse, New York 13204 Audit period: July 1, 2024 – June 30, 2025 The findings from the 2025 schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FINDINGS – FINANCIAL STATEMENT AUDIT MATERIAL WEAKNESS 2025-001 Books and records Recommendation: Our auditors recommend that we strengthen the financial close process by establishing and maintaining a structured closing timeline, ensuring timely preparation and review of key account reconciliations, and evaluating staffing levels and resources within the finance function to support timely and accurate financial reporting. Action Taken: The Foundation is actively addressing staffing and capacity considerations within the finance department and is implementing enhancements to strengthen the timeliness and efficiency of the close process. These efforts include engaging outsourced resources to assist in completing outstanding reconciliations and stabilizing the overall close cycle. Name(s) of Contact Person(s) Responsible for Corrective Action: John Ashby, CEO, (315) 428-8670. Anticipated Completion Date: May 2026 FINDINGS – FEDERAL AWARD PROGRAM AUDIT None
Finding 1214780 (2025-001)
Material Weakness 2025
Sanford
SD
As it relates to Research milestone billing for the PASC grant, procedures were revised in 2025 after the 2024 Audit. Upon receipt of invoice and payment from PASC, the Research Billing team will review and provide notification to Research Director and Research Manager via email if the invoice and p...
As it relates to Research milestone billing for the PASC grant, procedures were revised in 2025 after the 2024 Audit. Upon receipt of invoice and payment from PASC, the Research Billing team will review and provide notification to Research Director and Research Manager via email if the invoice and payment received matches to what is shown as owed in our systems. The Corrective Action Plan from the 2024 Audit was already put into place however this is a repeat finding due to the timing of the 2024 finding. Responsible Party: Stephanie Swanson, Director of Insurance Anticipated completion date: Already Complete
Management’s Views and Corrective Action Plan: Management’s Views: Management agrees with the finding. While the hours charged to the federal programs were reasonable and supported, the lack of timely supervisory approval represents a breakdown in the District’s established internal control procedur...
Management’s Views and Corrective Action Plan: Management’s Views: Management agrees with the finding. While the hours charged to the federal programs were reasonable and supported, the lack of timely supervisory approval represents a breakdown in the District’s established internal control procedures over payroll processing. Management acknowledges the importance of ensuring that all payroll charges to federal awards are properly reviewed and approved in accordance with District policy and federal requirements. Corrective Action: The District’s Human Resource Department will verify timecard approvals on Mondays. If Monday falls on a holiday, approvals will be verified on the Friday before. Human Resources will verify that each employee has approved his or her timecard for the prior week and that the employee’s Supervisor or Director has also approved the timecard. For timecards not approved by the employee, an email will be sent to the employee and the Supervisor or Director will be included. For timecards not approved by the Supervisor or Director, an email will be sent to the Supervisor or Director requesting approval, and the CEO will be included. Prior policy did not specify actions when timecards are not approved. Responsible Party: The District’s Human Resources Director and Department Directors Implementation Date: June 1, 2026 Monitoring Procedures: The Human Resources Director will maintain documentation of the weekly review process, including any follow-up communications. Compliance with the timecard approval policy will be periodically reviewed to ensure the control is operating effectively. Any recurring issues will be communicated to executive management for further action. Monitoring procedures were not included in prior policy.
U.S. Department of Justice Assistance Listing-No. 16.320 Recommendation: Management should implement review procedures to ensure that all expenses submitted for reimbursement are incurred within the approved grant period prior to submission. Explanation of disagreement with audit finding: There is n...
U.S. Department of Justice Assistance Listing-No. 16.320 Recommendation: Management should implement review procedures to ensure that all expenses submitted for reimbursement are incurred within the approved grant period prior to submission. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Catholic Charities of the Diocese of Palm Beach is strengthening reimbursement review controls for the U.S. Department of Justice program by implementing review procedures to verify that all expenses submitted for reimbursement were incurred within the approved grant period. Prior to submission of reimbursement requests, finance personnel will review invoices and service dates supporting each expenditure to confirm allowability within the grant period. In addition, reimbursement packages will require documented review and approval by both finance and program personnel prior to submission. These procedures are intended to improve compliance with grant period requirements and reduce the risk of ineligible costs being submitted for reimbursement. Name(s) of the contact person(s) responsible for corrective action: Carol Rodriguez, Program Development & Quality Director; Marc Hopin, Finance Director; and Sandra Perez, Program Director Planned completion date for corrective action plan: June 30, 2026
U.S. Department of Health and Human Services-Assistance Listing No. 93.558 Recommendation: Management should ensure that all payroll costs charged to the program are supported by adequate documentation demonstrating that the costs were incurred and allocable to the Homeless Challenge Grant. Explanat...
U.S. Department of Health and Human Services-Assistance Listing No. 93.558 Recommendation: Management should ensure that all payroll costs charged to the program are supported by adequate documentation demonstrating that the costs were incurred and allocable to the Homeless Challenge Grant. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Catholic Charities of the Diocese of Palm Beach is strengthening payroll allocation controls for the Homeless Challenge Grant by implementing enhanced documentation and review procedures for payroll costs charged to the program. Management will require supporting documentation sufficient to demonstrate that payroll costs charged to the grant were incurred, allocable, and properly supported in accordance with grant requirements. This process will include supervisory review of payroll allocations, reconciliation of payroll charges to supporting records, and periodic assessment of payroll allocations to confirm continued appropriateness. Adjustments will be made as necessary to maintain accurate grant reporting and cost allocation. Name(s) of the contact person(s) responsible for corrective action: Carol Rodriguez, Program Development & Quality Director; Marc Hopin, Finance Director; and Rocio Lopez, Program Director Planned completion date for corrective action plan: June 30, 2026
Condition: Tests indicated that seven employees did not have propery time and effort documentation. Upon further examination, it was determined that the salary and wages for these employees were charged to a federal program when they should not have been. Recommendation: We recommend that the School...
Condition: Tests indicated that seven employees did not have propery time and effort documentation. Upon further examination, it was determined that the salary and wages for these employees were charged to a federal program when they should not have been. Recommendation: We recommend that the School District implement procedures to improve communication between the special education director and the director of business services. Furthermore, we recommend that the School District implement procedures that better monitor which employees are being paid out of which fund. Corrective Action Taken: Management has agreed with the recommendations and procedures have been implemented to ensure that better communication takes place.
Condition: The Town has not documented in writing its policies regarding federal awards. Corrective Action Planned: The Town is currently working on the policy. Anticipated Completion Date: Fiscal year 2027 Contact: Fred Aponte, Town Accountant
Condition: The Town has not documented in writing its policies regarding federal awards. Corrective Action Planned: The Town is currently working on the policy. Anticipated Completion Date: Fiscal year 2027 Contact: Fred Aponte, Town Accountant
Condition: The Town’s files for a project totaling $90,550 that was obligated at December 31, 2024 only contained quotes and not documentation that showed that an obligation to pay was incurred at December 31, 2024. Corrective Action Planned: The Town will implement enhanced controls and documentati...
Condition: The Town’s files for a project totaling $90,550 that was obligated at December 31, 2024 only contained quotes and not documentation that showed that an obligation to pay was incurred at December 31, 2024. Corrective Action Planned: The Town will implement enhanced controls and documentation standards to ensure that all reported obligations are based on correct and legal documentation. The Town will require that all obligations be supported by executed contracts, purchase orders, or other legally binding agreements clearly dated prior to the reporting cutoff. Anticipated Completion Date: Fiscal year 2026 Contact: Fred Aponte, Town Accountant
Material Weakness: As identified in finding 2025-001, the City’s reconciliation of bank balances continues to contain unreconciled differences and unrecorded transactions. This has continued to be a material weakness regarding internal control over financial reporting for a number of years with the ...
Material Weakness: As identified in finding 2025-001, the City’s reconciliation of bank balances continues to contain unreconciled differences and unrecorded transactions. This has continued to be a material weakness regarding internal control over financial reporting for a number of years with the City not taking effective corrective actions to resolve the issues. Although the City’s classification and reporting of allowable costs with respects to the Federal grants tested continues to be reasonable and in compliance with grant terms, without proper control over reconciliation procedures, the control over allowable costs and the reporting of allowable costs could be compromised. The City must continue to improve their bank reconciliation procedures.
COMMONWEALTH OF PUERTO RICO MUNICIPALITY OF COAMO Corrective Action Plan For the Fiscal Year Ended June 30, 2025 _____________________________________________________________________________________________________________________ Audit Report: Reports on Compliance and Internal Control in Accordanc...
COMMONWEALTH OF PUERTO RICO MUNICIPALITY OF COAMO Corrective Action Plan For the Fiscal Year Ended June 30, 2025 _____________________________________________________________________________________________________________________ Audit Report: Reports on Compliance and Internal Control in Accordance with Government Auditing Standards and OMB Super Circular Uniform Guidance Audit Period: July 1, 2024 – June 30, 2025 Fiscal Year: 2024-2025 Principal Executive: Hon. Juan C. García Padilla, Mayor Contact Person: Mrs. Miraisa David Esparra, Finance and Budget Director Phone: (787) 825-1150 Original Finding Number: 2025-005 Statement of Concurrence or Non concurrence: We concur with the finding. Corrective Action: We concur with the audit finding. The Municipality did not comply with the required direct service spending percentage due to the limited availability of direct service providers under the program’s Child Care Network (Red de Cuido) division. As a result, only 10 children were enrolled, compared to the 18 originally budgeted. This situation ultimately led to the elimination of the Child Care Network division in the 2025-2026 proposal, as the program required a minimum of 10 service providers, a threshold that could not be met due to the lack of available personnel. Implementation Date: June 30, 2026 Responsible Person: Mr. Hector R. Sanjurjo Rodríguez Federal Programs Director
In Response to Single Audit Findings for September 30, 2025 Primary Contact Persons: Wally Tablit, Executive Director, wallyt@dr-wa.org and Justin Gifford, Fiscal Specialist, justing@dr-wa.org Findings: Finding 2025-001: Significant deficiency in internal controls over compliance related to allowabl...
In Response to Single Audit Findings for September 30, 2025 Primary Contact Persons: Wally Tablit, Executive Director, wallyt@dr-wa.org and Justin Gifford, Fiscal Specialist, justing@dr-wa.org Findings: Finding 2025-001: Significant deficiency in internal controls over compliance related to allowable costs/cost principles compliance requirements. Corrective Action: DRW revised its allocation methods and approval processes during Fiscal Year 2025. This method will continue to be consistently applied to all transactions and will periodically be reviewed for accuracy and supporting documentation. Steps: 1. Continue to implement the revised allocation method which consistently uses staff hours recorded to each grant to determine allocation percentages for both payroll and non-payroll expenditures. 2. Ongoing review of current policies, procedures, and internal control documentation. 3. Ongoing review of agency cost allocation method and implementation as well as supporting records, level of effort and timekeeping systems to ensure proper level of documentation. 4. Review of Federal draw downs on at least a quarterly basis to ensure that sufficient documentation is available to justify expenditures and that approval flows are appropriately documented. 5. The process will be implemented by the Fiscal Manager, Fiscal Specialist, a third-party professional services consultant and overseen by the Executive Director. Anticipated Completion: May 2026
Federal regulations, Title 2 U.S. Code of Federal Regulations §200.511 states, “At the completion of the audit, the auditee must prepare, in a document separate from the auditor's findings described in §200.516 Audit findings, a corrective action plan to address each audit finding included in the cu...
Federal regulations, Title 2 U.S. Code of Federal Regulations §200.511 states, “At the completion of the audit, the auditee must prepare, in a document separate from the auditor's findings described in §200.516 Audit findings, a corrective action plan to address each audit finding included in the current year auditor's reports.” See Correction Action Plan for table/chart.
2025-003. Allowable Costs/Cost Principles – (Ineligible Security Payroll Costs) United States of Department of Education, Passed Through New York State, Department of Education: COVID-19: American Rescue Plan - Elementary and Secondary School Emergency Relief ALN: 84.425U Pass-through Entity Number:...
2025-003. Allowable Costs/Cost Principles – (Ineligible Security Payroll Costs) United States of Department of Education, Passed Through New York State, Department of Education: COVID-19: American Rescue Plan - Elementary and Secondary School Emergency Relief ALN: 84.425U Pass-through Entity Number: 5882-21-1490 Condition: Payroll expenditures charged to the grant for employees performing security guard duties were incorrectly reported as salaries for professional staff. These positions were not included in the approved grant budget. Recommendation: The District should strengthen its internal controls over payroll coding and grant expenditure review procedures to ensure that employee classifications accurately reflect actual job duties and are properly aligned with approved grant budgets. Specifically, the District should implement a secondary review process to verify that positions charged to federal awards are consistent with the approved budget prior to posting payroll. In addition, we recommend that the District review payroll coding across all Education Stabilization Fund programs to identify and correct any similar misclassifications. Finally, we recommend that the District reimburse NYSED for the $9,343 in unallowable costs charged to the ARP Summer Learning grant. Planned Corrective Action: The District will strengthen internal controls over payroll coding and grant expenditure reporting to ensure that all personnel costs charged to grants are accurate, properly classified, and aligned with the approved grant budget. Employee roles charged to federal programs will be reviewed to confirm that job duties and position classifications are consistent with budgeted categories prior to payroll posting. A secondary review process will be implemented whereby payroll entries related to grant funding are reviewed and approved by a designated supervisor before submission. This review will specifically verify that positions charged to grants are allowable, correctly coded, and included in the approved budget. The District will conduct a comprehensive review of payroll coding across all Education Stabilization Fund (ESF) programs to identify and correct any similar misclassifications. Any discrepancies identified will be promptly adjusted in the accounting records. To address the identified issue, the Assistant Business Administrator will contact the New York State Education Department (NYSED) to determine the appropriate process for refunding or adjusting the $9,343 in unallowable costs charged to the ARP Summer Learning grant and will complete the required reimbursement in a timely manner. This is expected to be completed by June 30, 2026. Documentation of all corrective actions and communications will be maintained. Responsible Contact Person: Mr. Idowu K. Ogundipe, CPA Assistant Superintendent for Business Freeport Union Free School District 235 North Ocean Avenue Freeport, New York 11520 Tel: (516) 867-5212 Email: iogundipe@freeportschools.org Anticipated Completion Date: June 30, 2026
2025-002. Allowable Costs/Cost Principles – (Excess Reimbursement Due to Inaccurate Final Expenditure Reporting) United States of Department of Education, Passed Through New York State, Department of Education: COVID-19: Elementary and Secondary School Emergency Relief Fund ALN: 84.425D Pass-through...
2025-002. Allowable Costs/Cost Principles – (Excess Reimbursement Due to Inaccurate Final Expenditure Reporting) United States of Department of Education, Passed Through New York State, Department of Education: COVID-19: Elementary and Secondary School Emergency Relief Fund ALN: 84.425D Pass-through Entity Number: 5891-21-1490 COVID-19: American Rescue Plan - Elementary and Secondary School Emergency Relief ALN: 84.425U Pass-through Entity Number: 5880-21-1490 COVID-19: American Rescue Plan - Elementary and Secondary School Emergency Relief ALN: 84.425U Pass-through Entity Number: 5884-21-1490 Condition: The District submitted Form FS-10F final expenditure reports that included amounts for open encumbrances that were not fully expended after the final reports’ submission; the cumulative expenditures in the District’s accounting records for two of the Education Stabilization Fund (ESF) grants (CRRSA ESSER II, pass-through entity number 5891-21-1490, and ARP ESSER III, pass-through entity number 5880-21-1490) were less than the amounts claimed by the District on the FS-10Fs. The FS-10F for a third ESF grant (ARP SLR Learning Loss, pass-through entity number 5884-21-1490) included a duplicated amount for purchased services that was the result of a duplicated journal entry in the District’s accounting records. As a result, the expenditures reported on the FS-10F final expenditure reports exceeded the actual expenditures incurred and recorded by the District, and the District received reimbursements from the pass-through entity, New York State Education Department (NYSED) for expenditures it did not incur. Recommendation: The District should strengthen its internal controls over grant reporting and reimbursement processes to ensure that expenditures reported on the FS-10F final expenditure reports are accurate, allowable, and fully supported by the accounting records. Journal entries affecting federal grants expenditures The District should perform a comprehensive reconciliation of the FS-10F to the general ledger prior to submission, and again after the grant period ends to confirm all reported amounts were ultimately expended, and establish a formal process to review and clear outstanding encumbrances included in grant reports, ensuring any amounts not realized as expenditures are removed or adjusted. Additionally, the District should develop procedures to identify and track subsequent adjustments, including reclassifications of unallowable costs, and ensure that such changes are timely communicated and corrected with the New York State Education Department, and to require documented supervisory review and approval of all final expenditure reports and their subsequent reconciliations with supporting documentation and final accounting records. Planned Corrective Action: The District will strengthen internal controls over grant reporting to ensure that all expenditures reported on Form FS-10F are accurate, fully expended, and supported by the general ledger. Prior to submission, the District will perform a detailed reconciliation between the FS-10F and accounting records, verifying that only actual expenditures—not open encumbrances—are reported. A post-period reconciliation will also be conducted to confirm that all reported amounts were ultimately realized as expenditures. The District will establish a process to identify and track subsequent adjustments, including reclassifications or corrections, and will promptly communicate any necessary amendments to the New York State Education Department (NYSED). Starting from the next grant final cost submission, effective May 1, 2026, a structured review and approval process will be enforced: the Administrative Assistant responsible for grants will serve as the first-level reviewer during FS-10F preparation, and the Financial Officer will serve as the second-level reviewer prior to final submission. All final reports will require documented supervisory approval and supporting documentation, including actual invoices and purchase order amounts, to ensure accuracy and compliance. Responsible Contact Person: Mr. Idowu K. Ogundipe, CPA Assistant Superintendent for Business Freeport Union Free School District 235 North Ocean Avenue Freeport, New York 11520 Tel: (516) 867-5212 Email: iogundipe@freeportschools.org Anticipated Completion Date: May 1, 2026
Finding 2025-003 Federal Agency Name – Department of Housing and Urban Development Assistance Listing Number – 14.871 & 14.879 Program Name – Housing Voucher Cluster Finding Summary: The Commission has a process in place for employees to track hours worked to federal and non-federal programs but pay...
Finding 2025-003 Federal Agency Name – Department of Housing and Urban Development Assistance Listing Number – 14.871 & 14.879 Program Name – Housing Voucher Cluster Finding Summary: The Commission has a process in place for employees to track hours worked to federal and non-federal programs but payroll allocations are made based on budgets expectations, not actual, and review is not occurring to determine if allocations need to be updated throughout the Responsible Individuals: Brett Bill, Executive Director Corrective Action Plan: Processes will be updated to ensure that payroll allocations are being compared to allocations to ensure they are correctly allocated. Anticipated Completion Date: 5/1/2026
To prevent future occurrences, Genesee Health Plan has updated its payroll allocation procedures, and employees now track time directly through the payroll system.
To prevent future occurrences, Genesee Health Plan has updated its payroll allocation procedures, and employees now track time directly through the payroll system.
View of Responsible Officials and Planned Corrective Actions: Management agrees with the finding. Management notes that it did not previously have controls in place to timely file its financial statements. Management will institute procedures to ensure that the financial statements are electronicall...
View of Responsible Officials and Planned Corrective Actions: Management agrees with the finding. Management notes that it did not previously have controls in place to timely file its financial statements. Management will institute procedures to ensure that the financial statements are electronically filed with the Federal Audit Clearinghouse within the earlier of 30 days from the audit report date or within 9 months of year-end.
View of Responsible Officials and Planned Corrective Actions: Management agrees with the finding. Management notes that it did not previously have controls in place to timely file its financial statements. Management will institute procedures to ensure that the financial statements are electronicall...
View of Responsible Officials and Planned Corrective Actions: Management agrees with the finding. Management notes that it did not previously have controls in place to timely file its financial statements. Management will institute procedures to ensure that the financial statements are electronically filed with the Federal Audit Clearinghouse within the earlier of 30 days from the audit report date or within 9 months of year-end. Contact Person Responsible: R.B. Coats, III, President
CORRECTIVE ACTION PLAN For the Year Ended September 30, 2025 Finding No. 2025-001: Allowable Costs – Significant Deficiency – Internal Control and Compliance Finding ALN 93.068 – Chronic Diseases: Research, Control, and Prevention, Grant Number 5NU58DP006907-04-00, Grant Period: September 30, 2020 t...
CORRECTIVE ACTION PLAN For the Year Ended September 30, 2025 Finding No. 2025-001: Allowable Costs – Significant Deficiency – Internal Control and Compliance Finding ALN 93.068 – Chronic Diseases: Research, Control, and Prevention, Grant Number 5NU58DP006907-04-00, Grant Period: September 30, 2020 to September 29, 2025 Corrective Action Plan 1. Planned Corrective Actions Management has implemented and will formalize the following procedures to ensure compliance with federal salary limitation requirements: A. Formal Salary Cap Calculation Control • Establish a documented procedure requiring calculation of the Executive Level II salary cap annually and whenever updated by HHS. • Maintain written documentation of the capped rate calculation for each employee whose compensation exceeds the threshold. B. Payroll Allocation Review Control • Require a secondary review by the Controller (or designated finance personnel independent of the preparer) of all payroll allocations charged to federal awards for employees subject to the salary cap. • Review will confirm that capped salary, related fringe benefits, and indirect costs are properly calculated prior to posting to the general ledger. C. Grant Compliance Checklist • Implement a standardized federal grant compliance checklist to be completed monthly prior to drawdowns. This checklist will include verification of salary cap compliance. D. Staff Training • Provide targeted training to finance and payroll staff regarding: o Executive Level II compensation limits o 2 CFR §200.430 (Compensation—personal services) o Federal cost allowability requirements 2. Implementation Timeline All corrective procedures were implemented as of February 2026, with formal documentation completed no later than March 31, 2026. Sincerely, Cynthia R. Meekins, MBA Chief Financial Officer Direct: 202.349.1141
Allowable Costs and Activities – Assistance Listing No. 21.027 Recommendation: Management should ensure that all disbursements are reviewed and approved in accordance with established policies prior to payment and that evidence of such approvals is properly documented and retained in the audit trail...
Allowable Costs and Activities – Assistance Listing No. 21.027 Recommendation: Management should ensure that all disbursements are reviewed and approved in accordance with established policies prior to payment and that evidence of such approvals is properly documented and retained in the audit trail. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Organization will review our procedures surrounding ensuring that the proper review and approval is obtained for all disbursements prior to payment, and will establish policies, procedures, and internal controls to retain these approvals as part of the audit trail. Name of the contact person responsible for corrective action: Lindsay Hicks Planned completion date for corrective action plan: June 30, 2026
Federal Award Findings and Questioned Costs Item 2025-002 Name of Federal Agency: U.S. Department of Housing and Urban Development Federal Program Name: Supportive Housing for Persons with Disabilities Program Federal Assistance Listing Number: 14.181 Recommendation: Management should review the HUD...
Federal Award Findings and Questioned Costs Item 2025-002 Name of Federal Agency: U.S. Department of Housing and Urban Development Federal Program Name: Supportive Housing for Persons with Disabilities Program Federal Assistance Listing Number: 14.181 Recommendation: Management should review the HUD-52670 and HUD-52670-A every month to ensure that it contains the correct tenants and amounts requested. Action Taken: REACH has policies in place to ensure that HAP funds received are only for current tenants. Due to staffing issues there was a delay in updating the HAP contract. All excess funds received will be returned to HUD.
2025-033 Medicaid Cluster 93.775, 93.777, 93.778 Recommendation: The Department should enhance its procedures and internal controls to ensure it maintains documentation that claims are paid only to eligible providers and that documentation is readily available for audit. Action taken in response to ...
2025-033 Medicaid Cluster 93.775, 93.777, 93.778 Recommendation: The Department should enhance its procedures and internal controls to ensure it maintains documentation that claims are paid only to eligible providers and that documentation is readily available for audit. Action taken in response to finding: MassHealth plans to run a quarterly report to identify dental providers who are 3 months away from revalidation. MassHealth plans to share the report with DentaQuest to ensure that the revalidation process begins in a timely manner. Additionally, MassHealth has streamlined the maintenance of revalidation documentation by requiring DentaQuest to upload the documentation directly into MassHealth’s Medicaid Management Information System (MMIS). MassHealth has updated its provider agreement processing procedures and now requires DentaQuest to upload executed provider agreements directly into MassHealth’s MMIS. MassHealth plans to identify any additional dental providers (if any) who may be overdue for revalidation and share such information with DentaQuest and plans to instruct DentaQuest to reach out to the identified providers in order to begin the revalidation process. MassHealth instructed DentaQuest to: (1) generate revalidation letters; and (2) send providers revalidation letters, as appropriate, via email. Name(s) of the contact person(s) responsible for corrective action: Tuyen Vu, Deputy Director, Dental Planned completion date for corrective action plan: MassHealth anticipates implementing the above updated processes in the second quarter of calendar year 2026.
2025-032 Children's Health Insurance Program (CHIP) 93.767 Recommendation: The Department should enhance its procedures and internal controls to ensure it maintains documentation that claims are paid only to eligible providers and that documentation is readily available for audit. Action taken in re...
2025-032 Children's Health Insurance Program (CHIP) 93.767 Recommendation: The Department should enhance its procedures and internal controls to ensure it maintains documentation that claims are paid only to eligible providers and that documentation is readily available for audit. Action taken in response to finding: MassHealth instructed the Third-Party Affiliation vendor, DentaQuest to: (1) generate revalidation letters; and (2) send providers revalidation letters, as appropriate, via email. MassHealth plans to run a quarterly report to identify dental providers who are 3 months away from revalidation. MassHealth plans to share the report with DentaQuest to ensure that the revalidation process begins in a timely manner. Additionally, MassHealth has streamlined the maintenance of revalidation documentation by requiring DentaQuest to upload the documentation directly into MassHealth’s Medicaid Management Information System (MMIS). MassHealth plans to identify any additional dental providers (if any) who may be overdue for revalidation and share such information with DentaQuest and plans to instruct DentaQuest to reach out to the identified providers in order to begin the revalidation process. MassHealth has updated its provider agreement processing procedures and now requires DentaQuest to upload executed provider agreements directly into MassHealth’s Medicaid Management Information System (MMIS). MassHealth has instructed DentaQuest to complete sanction verifications for all individuals listed on the disclosure forms. MassHealth has updated its provider agreement processing procedures and now requires DentaQuest to: (1) send provider agreements to MassHealth directly for countersigning; and (2) upload executed provider agreements directly into MassHealth’s MMIS. Name(s) of the contact person(s) responsible for corrective action: Tuyen Vu, Deputy Director, Dental Planned completion date for corrective action plan: MassHealth anticipates implementing the above updated processes in the second quarter of calendar year 2026.
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