Corrective Action Plans

Finding 478600 (2023-008)

Significant Deficiency 2023

Hertford County

NC

Eligibility Internal Control / Segregation of Duties

Finding 2023-006 Untimely Adoption of Policy Name of contact person: Corrective Action: Proposed completion date: Finding 2023-007 Untimely Review of SSI Termination Name of contact person: Corrective Action: Proposed completion date: Finding 2023-008 Inaccurate Information Entry Name of contact per...

Finding 2023-006 Untimely Adoption of Policy Name of contact person: Corrective Action: Proposed completion date: Finding 2023-007 Untimely Review of SSI Termination Name of contact person: Corrective Action: Proposed completion date: Finding 2023-008 Inaccurate Information Entry Name of contact person: Corrective Action: Immediately Leslie Edwards, Finance Director The Finance Office is currently fully staffed, the Finance Director and the County Manager will work together to ensure proper policies are completed and up to date for federal awards. The fiance director will ensure that policies needed for federal grant awards are in place. The policies were adopted in FY2023 and the finding should be eliminated in FY24. Section III - Federal Award Findings and Question Costs (continued) Regular review intervals will be established to ensure that these critical tasks are being addressed promptly and efficiently, minimizing the risk of delays in case processing. Prioritizing tasks according to urgency and compliance requirements. Focusing on terminated cases to prevent any potential service disruption to clients. Regular reminders will be issued to staff to review and work on their tasks according to the established guidelines. Management monitor daily to track progress of this issue and modify the controls as needed. All staff must use the provided checklists to review their work prior to submission or finalization. Staff are required to review the determination history to verify accuracy in household composition and income details. After completing a manual budget, workers must compare their results with the NCFAST-generated budget to confirm accuracy in budgeting and program eligibility. Training sessions include knowledge checks to validate understanding and retention of correct income entry methods. Engaging in peer reviews where feasible to promote a culture of accuracy and mutual accountability. Brenda Brown, Director; Melissa Castelow, Medicaid Supervisor; Satonya Gonzales, Medicaid Supervisor Brenda Brown, Director; Melissa Castelow, Medicaid Supervisor; Satonya Gonzales, Medicaid Supervisor

View Audit 315224

Finding 478599 (2023-007)

Significant Deficiency 2023

Hertford County

NC

Internal Control / Segregation of Duties Eligibility Reporting

Finding 2023-006 Untimely Adoption of Policy Name of contact person: Corrective Action: Proposed completion date: Finding 2023-007 Untimely Review of SSI Termination Name of contact person: Corrective Action: Proposed completion date: Finding 2023-008 Inaccurate Information Entry Name of contact per...

Finding 2023-006 Untimely Adoption of Policy Name of contact person: Corrective Action: Proposed completion date: Finding 2023-007 Untimely Review of SSI Termination Name of contact person: Corrective Action: Proposed completion date: Finding 2023-008 Inaccurate Information Entry Name of contact person: Corrective Action: Immediately Leslie Edwards, Finance Director The Finance Office is currently fully staffed, the Finance Director and the County Manager will work together to ensure proper policies are completed and up to date for federal awards. The fiance director will ensure that policies needed for federal grant awards are in place. The policies were adopted in FY2023 and the finding should be eliminated in FY24. Section III - Federal Award Findings and Question Costs (continued) Regular review intervals will be established to ensure that these critical tasks are being addressed promptly and efficiently, minimizing the risk of delays in case processing. Prioritizing tasks according to urgency and compliance requirements. Focusing on terminated cases to prevent any potential service disruption to clients. Regular reminders will be issued to staff to review and work on their tasks according to the established guidelines. Management monitor daily to track progress of this issue and modify the controls as needed. All staff must use the provided checklists to review their work prior to submission or finalization. Staff are required to review the determination history to verify accuracy in household composition and income details. After completing a manual budget, workers must compare their results with the NCFAST-generated budget to confirm accuracy in budgeting and program eligibility. Training sessions include knowledge checks to validate understanding and retention of correct income entry methods. Engaging in peer reviews where feasible to promote a culture of accuracy and mutual accountability. Brenda Brown, Director; Melissa Castelow, Medicaid Supervisor; Satonya Gonzales, Medicaid Supervisor Brenda Brown, Director; Melissa Castelow, Medicaid Supervisor; Satonya Gonzales, Medicaid Supervisor

View Audit 315224

Finding 478393 (2023-005)

None 2023

Oregon College of Oriental Medicine

OR

Special Tests & Provisions Student Financial Aid Eligibility

Finding: 2023-005 Special Tests and Provisions Department’s Response: We concur Corrective Action: This issue occurred as employee files and onboarding are managed by the Human Resources department, which had also been running payroll. The matter has since been resolved as the accounting depart...

Finding: 2023-005 Special Tests and Provisions Department’s Response: We concur Corrective Action: This issue occurred as employee files and onboarding are managed by the Human Resources department, which had also been running payroll. The matter has since been resolved as the accounting department reassumed responsibility for running payroll and is serving as a cross check to ensure that all necessary documentation has been verified as collected by the Human Resources department at the time of onboarding. The responsibility of the Human Resources department remains to ensure that all employee onboarding files are available for review while accounting as the payroll processor shall confirm that student work study hours have been documented and approved by the appropriate supervisor. Contact: Katrina Hitzeman Anticipated Completion Date: Immediately

View Audit 315065

Finding 478391 (2023-003)

None 2023

Oregon College of Oriental Medicine

OR

Student Financial Aid Eligibility Matching / Level of Effort / Earmarking

Finding: 2023-003 Reporting Department’s Response: We concur Corrective Action: This issue occurred while the Director of Financial Aid was out of the office on Leave. This issue was caused by an issue in Populi’s system and a replacement Financial Aid Officer did not know who all was supposed...

Finding: 2023-003 Reporting Department’s Response: We concur Corrective Action: This issue occurred while the Director of Financial Aid was out of the office on Leave. This issue was caused by an issue in Populi’s system and a replacement Financial Aid Officer did not know who all was supposed to be included in the disbursement batch. The process will be updated so that a list of all students who are meant to be in a batch will be listed on a report as their requests come in, then the report will be referenced when creating a disbursement batch to make sure no students are missing. Contact: Katrina Hitzeman Anticipated Completion Date: Summer 2024

View Audit 315065

Finding 478371 (2023-001)

Significant Deficiency 2023

Boston Tremont Housing Development Fund Corporation

NY

Eligibility HUD Housing Programs Reporting

Corrective Action Plan Project Legal Name: Boston Tremont Housing Development Fund Corporation HUD Project Nos.: NY 36L000080 and NY 36L000081 Audit Firm: CohnReznick LLP Period covered by the audit: December 31, 2023 Corrective Action Plan prepared by: Name: Lukeman Ogunyinka Position: Chief Financ...

Corrective Action Plan Project Legal Name: Boston Tremont Housing Development Fund Corporation HUD Project Nos.: NY 36L000080 and NY 36L000081 Audit Firm: CohnReznick LLP Period covered by the audit: December 31, 2023 Corrective Action Plan prepared by: Name: Lukeman Ogunyinka Position: Chief Financial Officer Telephone Number: (212) 243-9090 The following is a recommended format to be followed by the auditee for preparing a corrective action plan: A. Current Findings on the Schedule of Findings, Questioned Costs and Recommendations 1. Finding 2023-1 a. Comments on the Finding and Each Recommendation 4 out of 26 tenants tested did not have an annual tenant recertification Form HUD 50059 completed timely. Moving forward, management will follow established procedures and monitor compliance with those procedures to ensure that the determination of tenant eligibility and the maintenance of lease files are in accordance with the guidelines specified by HUD. b. Action(s) Taken or Planned on the Finding Management has addressed the issue by recertifying the tenant and does not expect a late recertification to occur again based on procedures in place.

View Audit 315050

Finding 478354 (2023-001)

Significant Deficiency 2023

Food Bank of South Jersey, INC

NJ

Subrecipient Monitoring Eligibility

The Organization has established procedures to set consistent dates for annual in-person trainings and signing of contracts. The Organization will set up a schedule in excel with expiring dates to ensure no TEFAP food is distributed without a contract.

View Audit 315000

Finding 478277 (2023-003)

Significant Deficiency 2023

Crookston Housing and Economic Development Authority

MN

HUD Housing Programs Eligibility Significant Deficiency

1. Correcting Plan CHEDA staff are aware of income eligibility documentation and will implement an internal control process. 2. Explanation of Disagreement with the Audit Finding There is essentially no disagreement with the finding. 3. Official Responsible for Ensuring CAP Karie Kirschbaum – Execut...

1. Correcting Plan CHEDA staff are aware of income eligibility documentation and will implement an internal control process. 2. Explanation of Disagreement with the Audit Finding There is essentially no disagreement with the finding. 3. Official Responsible for Ensuring CAP Karie Kirschbaum – Executive Director 4. Planned Completion Date for CAP Immediately. 5. Plan to Monitor Completion of CAP The Executive Director will monitor completion of the CAP.

View Audit 314956

Finding 478275 (2023-001)

Significant Deficiency 2023

Watertown Housing Authority

MA

Eligibility HUD Housing Programs Allowable Costs / Cost Principles

Name of Auditee: Watertown Housing Authority Name of Audit Firm: EFPR Group, CPAs, PLLC Period Covered by the Audit: December 31, 2023 CAP Prepared by: Michael Lara, Executive Director Phone: (617) 923-3950 (A) Current Findings on the Schedule of Findings and Questioned Costs (1) Finding 2023-001 (a...

Name of Auditee: Watertown Housing Authority Name of Audit Firm: EFPR Group, CPAs, PLLC Period Covered by the Audit: December 31, 2023 CAP Prepared by: Michael Lara, Executive Director Phone: (617) 923-3950 (A) Current Findings on the Schedule of Findings and Questioned Costs (1) Finding 2023-001 (a) Comments on the finding and recommendation - The Authority agrees with the finding. The Authority also agrees with the recommendation, please see below for action taken. (b) Action taken - The Authority’s HCV program coordinator will review records in each tenant’s file to ensure all required documents are present. (c) Planned implementation date of corrective action - Completed by December 31, 2024.

View Audit 314952

Finding 478227 (2023-001)

Significant Deficiency 2023

Planned Parenthood of Greater Texas, Inc.

TX

Allowable Costs / Cost Principles Eligibility Significant Deficiency

Annual Title X training will be provided to staff Title X centers in early July 2024. The training will include expanded direction and provide clarity for the staff regarding the expectations around eligibility forms. This includes the need for eligibility forms for supply-only encounters. The Sr. ...

Annual Title X training will be provided to staff Title X centers in early July 2024. The training will include expanded direction and provide clarity for the staff regarding the expectations around eligibility forms. This includes the need for eligibility forms for supply-only encounters. The Sr. Grants Project Manager, Metzli Gonzales, performs bi-annual chart audits across all Title X sites to assess compliance with the Title X program. The audits review ten charts from each Title X center, chosen at random. The criteria include looking for evidence demonstrating compliance with the requirement that an eligibility Form is completed with income information and signed by the patient.

View Audit 314903

Finding 478187 (2023-003)

Material Weakness 2023

Jackson Housing Commission

MI

HUD Housing Programs Allowable Costs / Cost Principles Eligibility

Finding 2023-003 - Lack of Data Available to Audit Federal Compliance Requirements Applicable to the Section 8 Housing Choice Program (Material Weakness, Potential Material Noncompliance) Public Housing Program -Assistance Listing No. 14.871; Grant period - fiscal year ended March 31,2023 Condition:...

Finding 2023-003 - Lack of Data Available to Audit Federal Compliance Requirements Applicable to the Section 8 Housing Choice Program (Material Weakness, Potential Material Noncompliance) Public Housing Program -Assistance Listing No. 14.871; Grant period - fiscal year ended March 31,2023 Condition: We did not attain sufficient supporting data in order to audit the Commission's compliance with the Allowable Activities, Allowable Costs , Eligibility, Reporting and Special Tests and Provisions compliance requirements applicable to the Section 8 Housing Choice Voucher Program. Contact person responsible for corrective action: Arturo Puckerin Corrective action planned: The authority hired a new financial fee accountant to review the internal controls and the state of the Authority's financials as of fiscal year 2023 forward. The authority was able to correct the HUD REAC Financial Data Schedule for the audited financials for fiscal year 2023, record the pension and other post-retirement employment benefits balances and begin work on reconstructing the capital asset register. The authority has integrated proper financial and accounting internal controls through the accounts payable, cash receipts, payroll and accounting entries during fiscal year 2024. The authority has the financial fee accountant work with accounting and program staff to ensure the financials are materially stated monthly, hud reporting is completed on a timely basis with materially stated financial and operational information and the executive staff is reviewing the appropriate financial information. The board approved the fiscal year 2025 budget which was in balance and set the course for continued improvement of financial reporting and proper internal controls over financial reporting. The Authority has reconciled the (HCVP) activities to the account ledgers for program, housing assistance payments, subsidies received by type and other income through fiscal year-end 2024 and forward. Anticipated completion date: March 31, 2024

View Audit 314861

Finding 478185 (2023-002)

Material Weakness 2023

Jackson Housing Commission

MI

HUD Housing Programs Special Tests & Provisions Procurement, Suspension & Debarment

Finding 2023-002 - Lack of Data Available to Audit Federal Compliance Requirements Applicable to the Public Housing Program (Material Weakness, Potential Material Noncompliance) - Continued Corrective action planned: The authority hired a new financial fee accountant to review the internal controls ...

Finding 2023-002 - Lack of Data Available to Audit Federal Compliance Requirements Applicable to the Public Housing Program (Material Weakness, Potential Material Noncompliance) - Continued Corrective action planned: The authority hired a new financial fee accountant to review the internal controls and the state of the Authority's financials as of fiscal year 2023 forward. The authority was able to correct the HUD REAC Financial Data Schedule for the audited financials for fiscal year 2023, record the pension and other post-retirement employment benefits balances and begin work on reconstructing the capital asset register. The authority has integrated proper financial and accounting internal controls through the accounts payable, cash receipts, payroll and accounting entries during fiscal year 2024. The authority has the financial fee accountant work with accounting and program staff to ensure the financials are materially stated monthly, hud reporting is completed on a timely basis with materially stated financial and operational information and the executive staff is reviewing the appropriate financial information. The board approved the fiscal year 2025 budget which was in balance and set the course for continued improvement of financial reporting and proper internal controls over financial reporting. Anticipated completion date: March 31, 2024

View Audit 314861

Finding 478180 (2023-001)

None 2023

Plainfield Housing Authority

CT

HUD Housing Programs Subrecipient Monitoring Eligibility

When this finding was brought to my attention, I made an immediate attempt to rectify this issue by having form 52675 signed and dated by tenants being recertified for continued assistance and have included this form in tenants' recertification packets. As of November 2024, Form 52675 will be in all...

When this finding was brought to my attention, I made an immediate attempt to rectify this issue by having form 52675 signed and dated by tenants being recertified for continued assistance and have included this form in tenants' recertification packets. As of November 2024, Form 52675 will be in all tenant files.

View Audit 314846

Finding 478117 (2023-001)

Significant Deficiency 2023

U4i

CA

Subrecipient Monitoring Internal Control / Segregation of Duties Procurement, Suspension & Debarment

Managements response: Beginning in early 2023, the Organization implemented a new vetting monitoring system and procedure. All contractors and employees submitted for hire by the Program Managers, or the Executive Director, are referred via a Job Proposal automated task document approval to the Man...

Managements response: Beginning in early 2023, the Organization implemented a new vetting monitoring system and procedure. All contractors and employees submitted for hire by the Program Managers, or the Executive Director, are referred via a Job Proposal automated task document approval to the Managing Director. The Managing Director is the agreed-upon point of contact with the federal agency to determine if the proposed new hire needs to be vetted based on the criteria set by the federal agency. If the Managing Director deems necessary that the hire needs to be vetted, a vetting task and confirmation of receipt are sent by the system to the Operations Associate. The Operations Associate oversees maintaining the RAM system and submitting new vetting requests. Once the vetting has been approved or declined, the Operations Associate enters the information into U4I’s relational database, and only at this point can the hiring process move forward, provided RAM approves the vetting. The new system has automated alarm notifications and emails monthly reports based on the “date of last vetting,” calculating the “date of new vetting” automatically for a list of over 85 employees and contractors. Remedy - We have introduced a backup Vetting POC in our vetting process moving forward to prevent this type of occurrence during transitions. If the Managing Director is unavailable, and a confirmation of the vetting task is not received, the Co-Director acting as interim Vetting POC will be asked to assume the role and evaluate the hires and vetting. The FIN/OPS team overseeing the new vetting procedure and added control steps, will make sure that all vendors, contractors and employees, without exclusions and regardless of any subjective levels of mutual trust and regardless the length of existing relationships, are run through the Job Proposal and Vetting Procedure and that the contractual process will be stopped unless there is a RAM record to consider the hire.

View Audit 314823

Finding 478074 (2023-003)

Significant Deficiency 2023

Western Sierra Medical Clinic, Inc.

CA

Subrecipient Monitoring Eligibility Internal Control / Segregation of Duties

Finding Reference #: 2023‐003 Sliding Fee Scale; AL#: 93.224 and 93.527; Program: Health Center Cluster Description of Finding: Errors in the sliding fee category ‐ 1 patient was improperly billed for as compared to the sliding fee level they were properly approved for based on support provided with...

Finding Reference #: 2023‐003 Sliding Fee Scale; AL#: 93.224 and 93.527; Program: Health Center Cluster Description of Finding: Errors in the sliding fee category ‐ 1 patient was improperly billed for as compared to the sliding fee level they were properly approved for based on support provided with their application. Corrective Action: The Center has made it mandatory that two staff members verify the application and supporting documents to ensure patients are placed on the appropriate sliding fee scale discount level; secondarily the practice management system is verified to ensure the software is assigning the correct sliding fee scale and billing the patient correctly. The Center has been conducting an internal audit on a quarterly basis of five random applications to ensure that the patient has been entered into the correct sliding fee discount level and is billed correctly. The Center will increase the quarterly internal audit to 40 random applications. Name of Responsible Person: Taneia Gatchell, Controller Projected Completion Date: Completed at time of report.

View Audit 314797

Finding 477969 (2023-004)

Significant Deficiency 2023

Washington County, Minnesota

MN

Eligibility Significant Deficiency Internal Control / Segregation of Duties

Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Temporary Assistance for Needy Families Assistance Listing Number: 93.558 Pass-Through Agency: Minnesota Department of Health and Human Services Pass-Through Numbers: 2001MNTANF Award Period: Year-Ended December 31, ...

Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Temporary Assistance for Needy Families Assistance Listing Number: 93.558 Pass-Through Agency: Minnesota Department of Health and Human Services Pass-Through Numbers: 2001MNTANF Award Period: Year-Ended December 31, 2023 Type of Finding: Significant Deficiency in Internal Control over Compliance and Other Matter Recommendation: It is recommended the County implement procedures to ensure more internal casefile reviews for the amount of cases that they have. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The County is going to plan to do training to ensure they do an appropriate amount of casefile reviews based on the amount of cases that they have. Name of the contact person responsible for corrective action plan: Cat Piepho, Director Accounting and Finance Planned completion date for corrective action plan: December 31, 2024.

View Audit 314669

Finding 477968 (2023-003)

Significant Deficiency 2023

Washington County, Minnesota

MN

Eligibility Significant Deficiency Internal Control / Segregation of Duties

Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Temporary Assistance for Needy Families Assistance Listing Number: 93.558 Pass-Through Agency: Minnesota Department of Health and Human Services Pass-Through Numbers: 2001MNTANF Award Period: Year-Ended December 31, ...

Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Temporary Assistance for Needy Families Assistance Listing Number: 93.558 Pass-Through Agency: Minnesota Department of Health and Human Services Pass-Through Numbers: 2001MNTANF Award Period: Year-Ended December 31, 2023 Type of Finding: Significant Deficiency in Internal Control over Compliance and Other Matter Recommendation: It is recommended the County implement procedures to ensure all eligibility case applications are doublechecked for a minor child in the home to be eligible for the federal program. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The County is going to plan a training and informational session with those involved reporting to ensure policies and procedures are followed around eligibility. Name of the contact person responsible for corrective action plan: Cat Piepho, Director Accounting and Finance Planned completion date for corrective action plan: December 31, 2024.

View Audit 314669

Finding 477967 (2023-002)

Significant Deficiency 2023

Washington County, Minnesota

MN

Eligibility Significant Deficiency Internal Control / Segregation of Duties

Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Temporary Assistance for Needy Families Assistance Listing Number: 93.558 Pass-Through Agency: Minnesota Department of Health and Human Services Pass-Through Numbers: 2001MNTANF Award Period: Year-Ended December 31, ...

Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Temporary Assistance for Needy Families Assistance Listing Number: 93.558 Pass-Through Agency: Minnesota Department of Health and Human Services Pass-Through Numbers: 2001MNTANF Award Period: Year-Ended December 31, 2023 Type of Finding: Significant Deficiency in Internal Control over Compliance and Other Matter Recommendation: It is recommended the County implement procedures to ensure all eligibility case applications are doublechecked for an agency signature. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The County is going to plan a training and informational session with those involved reporting to ensure policies and procedures are followed around eligibility. Name of the contact person responsible for corrective action plan: Cat Piepho, Director Accounting and Finance Planned completion date for corrective action plan: December 31, 2024.

View Audit 314669

Finding 477939 (2023-003)

Significant Deficiency 2023

Warren County Community Housing Agency, Inc.

IA

Internal Control / Segregation of Duties Allowable Costs / Cost Principles Eligibility

The Agency has attempted to segregate accounting duties by having a person who does not initiate, prepare or post disbursements review the bank statements and co-sign all checks. The Agency will continue to monitor its policies and procedures in an effort to improve control efficiencies, however, a...

The Agency has attempted to segregate accounting duties by having a person who does not initiate, prepare or post disbursements review the bank statements and co-sign all checks. The Agency will continue to monitor its policies and procedures in an effort to improve control efficiencies, however, at this time, the Agency has determined that the cost of eliminating this material weakness in internal control would exceed its benefit.

View Audit 314636

Finding 477913 (2023-003)

Material Weakness 2023

Aransas Pass Housing Authority

TX

Questioned Costs HUD Housing Programs Eligibility

Views of responsible officials and planned corrective action: The Authority accepts the recommendation of the auditor. The Authority will increase oversight in the Section 8 Housing Choice Vouchers program to ensure that established internal control policies are being followed on a timely basis. Ms...

Views of responsible officials and planned corrective action: The Authority accepts the recommendation of the auditor. The Authority will increase oversight in the Section 8 Housing Choice Vouchers program to ensure that established internal control policies are being followed on a timely basis. Ms. Christina Beard will be responsible to implement this corrective action by March 31, 2024.

View Audit 314613 Questioned Costs: $1

Finding 477905 (2023-001)

None 2023

Lutheran Family & Children's Services of Missouri, INC

MO

Allowable Costs / Cost Principles Eligibility Internal Control / Segregation of Duties

Management agrees with the finding and the recommended procedures have been implemented. Supervisors will ensure that all client files have proof of eligibility during quarterly file reviews.

View Audit 314556

Finding 477876 (2023-004)

Significant Deficiency 2023

The Jane Goodall Institute for Wildlife Research, Education and Conser

DC

Subrecipient Monitoring Procurement, Suspension & Debarment Eligibility

Views of Responsible Officials: Management agrees with the observations from the audit firm. The requirements of 2 CFR Part 170 have been incorporated into our Subaward Manual, which was revised in June 2024. The Prime (JGI-Tanzania) will register in the Federal Funding Accountability and Transparen...

Views of Responsible Officials: Management agrees with the observations from the audit firm. The requirements of 2 CFR Part 170 have been incorporated into our Subaward Manual, which was revised in June 2024. The Prime (JGI-Tanzania) will register in the Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS) and report existing and future first tier subawards in excess of $30,000.

View Audit 314509

Finding 477869 (2023-012)

Significant Deficiency 2023

Vance County

NC

Eligibility

Finding 2023-009 Name of contact person: Corrective Action: Proposed Completion Date: Finding 2023-010 Name of contact person: Corrective Action: Proposed Completion Date: Finding 2023-011 Name of contact person: Corrective Action: Proposed Completion Date: Finding 2023-012 Name of contact person: C...

Finding 2023-009 Name of contact person: Corrective Action: Proposed Completion Date: Finding 2023-010 Name of contact person: Corrective Action: Proposed Completion Date: Finding 2023-011 Name of contact person: Corrective Action: Proposed Completion Date: Finding 2023-012 Name of contact person: Corrective Action: Proposed Completion Date: Corrective Action Plan for Finding 2023-008, 2023-009, 2023-010, 2023-011, 2023-012 also apply to State Awards findings. Refresher training on required verification at recertification for Adult and Family & Children process will be completed. The training will include specifically when to send 20020 for Family & Children’s Medicaid. 2nd Party reviews will continue to be completed. February 28, 2024 and ongoing. March 31, 2024 and ongoing. Section IV - State Award Findings and Question Costs Aggressive monitoring of SSI Term Report. Management will continue to monitor the progress of this issue and modify the controls as needed. Goldie Davis, IM Program Manager Goldie Davis, IM Program Manager Goldie Davis, IM Program Manager Goldie Davis, IM Program Manager Training on resources policy and correct entry of evidence in NCFAST. Continued 2nd parties by supervisor. One-on-one supervisory conferences. Monthly refresher trainings in unit meetings addressing error trends. February 20, 2024 and ongoing. Refresher training for staff will be conducted on correct completion of Documentation Template ensuring information verified is documented correctly and evidence updated accurately on case. Continued 2nd parties by supervisor. One-on-one supervisory conferences. Monthly refresher trainings in unit meetings addressing error trends.

View Audit 314504

Finding 477868 (2023-011)

Significant Deficiency 2023

Vance County

NC

Eligibility Reporting

Finding 2023-009 Name of contact person: Corrective Action: Proposed Completion Date: Finding 2023-010 Name of contact person: Corrective Action: Proposed Completion Date: Finding 2023-011 Name of contact person: Corrective Action: Proposed Completion Date: Finding 2023-012 Name of contact person: C...

Finding 2023-009 Name of contact person: Corrective Action: Proposed Completion Date: Finding 2023-010 Name of contact person: Corrective Action: Proposed Completion Date: Finding 2023-011 Name of contact person: Corrective Action: Proposed Completion Date: Finding 2023-012 Name of contact person: Corrective Action: Proposed Completion Date: Corrective Action Plan for Finding 2023-008, 2023-009, 2023-010, 2023-011, 2023-012 also apply to State Awards findings. Refresher training on required verification at recertification for Adult and Family & Children process will be completed. The training will include specifically when to send 20020 for Family & Children’s Medicaid. 2nd Party reviews will continue to be completed. February 28, 2024 and ongoing. March 31, 2024 and ongoing. Section IV - State Award Findings and Question Costs Aggressive monitoring of SSI Term Report. Management will continue to monitor the progress of this issue and modify the controls as needed. Goldie Davis, IM Program Manager Goldie Davis, IM Program Manager Goldie Davis, IM Program Manager Goldie Davis, IM Program Manager Training on resources policy and correct entry of evidence in NCFAST. Continued 2nd parties by supervisor. One-on-one supervisory conferences. Monthly refresher trainings in unit meetings addressing error trends. February 20, 2024 and ongoing. Refresher training for staff will be conducted on correct completion of Documentation Template ensuring information verified is documented correctly and evidence updated accurately on case. Continued 2nd parties by supervisor. One-on-one supervisory conferences. Monthly refresher trainings in unit meetings addressing error trends.

View Audit 314504

Finding 477867 (2023-010)

Significant Deficiency 2023

Vance County

NC

Eligibility

Finding 2023-009 Name of contact person: Corrective Action: Proposed Completion Date: Finding 2023-010 Name of contact person: Corrective Action: Proposed Completion Date: Finding 2023-011 Name of contact person: Corrective Action: Proposed Completion Date: Finding 2023-012 Name of contact person: C...

Finding 2023-009 Name of contact person: Corrective Action: Proposed Completion Date: Finding 2023-010 Name of contact person: Corrective Action: Proposed Completion Date: Finding 2023-011 Name of contact person: Corrective Action: Proposed Completion Date: Finding 2023-012 Name of contact person: Corrective Action: Proposed Completion Date: Corrective Action Plan for Finding 2023-008, 2023-009, 2023-010, 2023-011, 2023-012 also apply to State Awards findings. Refresher training on required verification at recertification for Adult and Family & Children process will be completed. The training will include specifically when to send 20020 for Family & Children’s Medicaid. 2nd Party reviews will continue to be completed. February 28, 2024 and ongoing. March 31, 2024 and ongoing. Section IV - State Award Findings and Question Costs Aggressive monitoring of SSI Term Report. Management will continue to monitor the progress of this issue and modify the controls as needed. Goldie Davis, IM Program Manager Goldie Davis, IM Program Manager Goldie Davis, IM Program Manager Goldie Davis, IM Program Manager Training on resources policy and correct entry of evidence in NCFAST. Continued 2nd parties by supervisor. One-on-one supervisory conferences. Monthly refresher trainings in unit meetings addressing error trends. February 20, 2024 and ongoing. Refresher training for staff will be conducted on correct completion of Documentation Template ensuring information verified is documented correctly and evidence updated accurately on case. Continued 2nd parties by supervisor. One-on-one supervisory conferences. Monthly refresher trainings in unit meetings addressing error trends.

View Audit 314504

Finding 477866 (2023-009)

Significant Deficiency 2023

Vance County

NC

Eligibility Internal Control / Segregation of Duties

Finding 2023-009 Name of contact person: Corrective Action: Proposed Completion Date: Finding 2023-010 Name of contact person: Corrective Action: Proposed Completion Date: Finding 2023-011 Name of contact person: Corrective Action: Proposed Completion Date: Finding 2023-012 Name of contact person: C...

Finding 2023-009 Name of contact person: Corrective Action: Proposed Completion Date: Finding 2023-010 Name of contact person: Corrective Action: Proposed Completion Date: Finding 2023-011 Name of contact person: Corrective Action: Proposed Completion Date: Finding 2023-012 Name of contact person: Corrective Action: Proposed Completion Date: Corrective Action Plan for Finding 2023-008, 2023-009, 2023-010, 2023-011, 2023-012 also apply to State Awards findings. Refresher training on required verification at recertification for Adult and Family & Children process will be completed. The training will include specifically when to send 20020 for Family & Children’s Medicaid. 2nd Party reviews will continue to be completed. February 28, 2024 and ongoing. March 31, 2024 and ongoing. Section IV - State Award Findings and Question Costs Aggressive monitoring of SSI Term Report. Management will continue to monitor the progress of this issue and modify the controls as needed. Goldie Davis, IM Program Manager Goldie Davis, IM Program Manager Goldie Davis, IM Program Manager Goldie Davis, IM Program Manager Training on resources policy and correct entry of evidence in NCFAST. Continued 2nd parties by supervisor. One-on-one supervisory conferences. Monthly refresher trainings in unit meetings addressing error trends. February 20, 2024 and ongoing. Refresher training for staff will be conducted on correct completion of Documentation Template ensuring information verified is documented correctly and evidence updated accurately on case. Continued 2nd parties by supervisor. One-on-one supervisory conferences. Monthly refresher trainings in unit meetings addressing error trends.

View Audit 314504

Corrective Action Plans

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