Federal Program Information
Federal Agencies: Department of Health and Human Services (“HHS”)
Pass-Through Entity: Virginia Department of Health
Pass-Through Entity Number: INORWB611-GY22; INORPS61 1-FY23; INORWB611-GY23
Awards: Assistance Listing Number 93.917 - HIV Emergency Relief
Project Grants ...
Federal Program Information
Federal Agencies: Department of Health and Human Services (“HHS”)
Pass-Through Entity: Virginia Department of Health
Pass-Through Entity Number: INORWB611-GY22; INORPS61 1-FY23; INORWB611-GY23
Awards: Assistance Listing Number 93.917 - HIV Emergency Relief
Project Grants (Part B)
Assistance Listing Number 93.918 - Grants to Provide Outpatient
Early Intervention Services with Respect to HIV Disease (Part C)
Award Periods: April 1, 2022 to March 31, 2023; July 1, 2022 to March 31, 2023; m
April 1, 2023 to March 31, 2024
May 1, 2022 to April 30, 2023; May 1, 2023 to April 30, 2024
Description: Timely Application of Program Income Prior to Requesting
Additional Cash Payments
Type of Finding: Material Weakness in Internal Control Over Compliance
Recommendation: Inova Juniper Program’s existing policies and procedures are not designed to ensure
the program income balance is spent timely. HRSA recommends that recipients and subrecipients strive
to proactively secure and estimate the extent to which program income will be accrued. IJP should
accrue for the anticipated program income to ensure it is disbursed timely.
View of responsible officials: Management concurs with the finding and will implement procedures to
ensure that the appropriate and timely application of program income.
Name(s) of the Contact Person(s) Responsible for Corrective Action:
Mara Carter, Senior Director Community Health, 703-321-2687.
Corrective Action Planned
Cash Management, Program Income: Inova Juniper and Inova Grants & Awards Accounting
will work collaboratively to disburse funds available from program income prior to requesting
additional cash payments from RWHAP funds.
Throughout the fiscal year, the team will make projections for program income for each RWHAP
grant, to create a monthly spending target. The Grants Accounting team will schedule monthly meetings prior to month close/report submission to reconcile and reassign costs to program
income to ensure that it is disbursed timely.
ALN 93.918 - Grants to Provide Outpatient Early Intervention Services with Respect to HIV
Disease (Part C) 340B Program Income: Inova Juniper will update the 340B prescription
process and retrain physicians on process to ensure patient eligibility for each prescribed
medication. The new process will include the following: placing grant designation on each
prescription, 100% confirmation of 340B eligibility by an UP Leader on each prescription, 100%
audit of monthly pharmacy invoice by practice managers, 100% audit of monthly pharmacy
invoice by Visante (external 340B auditors). These new processes will ensure that all patients
who are receiving medications under the RW 340B program are eligible for both initial
prescriptions and refills. Inova Juniper will also explore EPIC capabilities with regards to
recording grant delineations on clients.
Planned Completion Date for Corrective Action Planned:
Ongoing with completion date of December 31, 2024.