Corrective Action Plans

Finding 43005 (2022-008)

Significant Deficiency 2022

NC

Eligibility Reporting

Finding: 2022-008 Name of contact person: Carolyn Lewellen, Medicaid Program Manager Corrective action: Adult and Family Medicaid Supervisors will immediately begin to keep an SSI Termination log to be reviewed monthly. SSI termination cases will be assigned to ...

Finding: 2022-008 Name of contact person: Carolyn Lewellen, Medicaid Program Manager Corrective action: Adult and Family Medicaid Supervisors will immediately begin to keep an SSI Termination log to be reviewed monthly. SSI termination cases will be assigned to staff to evaluate for continued eligibility. Proposed completion date: Training was completed on 10/26/2022 for Adult Medicaid and will be completed by 12/15/2022 for Family Medicaid. Training logs will be available. Supervisors will review SSI Termination log each month to ensure cases were reviewed timely.

View Audit 39106

Finding 43004 (2022-007)

Significant Deficiency 2022

Scotland County of North Carolina

NC

Eligibility

Finding: 2022-007 Name of contact person: Carolyn Lewellen, Medicaid Program Manager Corrective action: Adult Medicaid Supervisor will train staff on the importance of obtaining and entering the correct resources for clients. Targeted reviews will be completed b...

Finding: 2022-007 Name of contact person: Carolyn Lewellen, Medicaid Program Manager Corrective action: Adult Medicaid Supervisor will train staff on the importance of obtaining and entering the correct resources for clients. Targeted reviews will be completed by the Adult Medicaid Supervisor for 3 months, 2 reviews for each staff member. Proposed completion date: Training was completed on 10/26/2022. Training logs are available. Targeted reviews began on 12/1/2022 and will end on 2/28/2023 if no errors were documented. Review logs will document those targeted reviews. Quality Assurance staff will review findings, recommendations, and make any adjustments needed to 2nd party forms.

View Audit 39106

Finding 43003 (2022-006)

Significant Deficiency 2022

Scotland County of North Carolina

NC

Eligibility Internal Control / Segregation of Duties

Finding: 2022-006 Name of contact person: Carolyn Lewellen, Medicaid Program Manager Corrective action: Adult and Family Medicaid Supervisors will train staff on the importance of entering the correct information, so that the case is processed correctly. Targete...

Finding: 2022-006 Name of contact person: Carolyn Lewellen, Medicaid Program Manager Corrective action: Adult and Family Medicaid Supervisors will train staff on the importance of entering the correct information, so that the case is processed correctly. Targeted reviews will be completed by both Medicaid Supervisors for 3 months, 2 reviews for each staff member. Proposed completion date: Training was completed on 9/20/2022 for Family Medicaid and 10/26/2022 for Adult Medicaid. Adult Medicaid also trained on the 1/3 reduction on 11/9/2022. Training logs are available. Targeted reviews began on 12/1/2022 and will end on 2/28/2023 if improvements are noted and no further errors noted. Review logs will document those targeted reviews. Quality Assurance staff will review findings, recommendations, and make any adjustments needed to 2nd party forms.

View Audit 39106

Finding 43002 (2022-005)

Significant Deficiency 2022

Scotland County of North Carolina

NC

Eligibility

Finding: 2022-005 Name of contact person: Carolyn Lewellen, Medicaid Program Manager Corrective action: Family Medicaid Supervisor has trained staff on when completing a child support referral is required. Targeted reviews will be completed by the Family Medicai...

Finding: 2022-005 Name of contact person: Carolyn Lewellen, Medicaid Program Manager Corrective action: Family Medicaid Supervisor has trained staff on when completing a child support referral is required. Targeted reviews will be completed by the Family Medicaid Supervisor for 3 months, 2 reviews for each staff member. Proposed completion date: Training was completed on 9/20/2022 with Medicaid staff. Training logs available. Targeted reviews began on 12/1/2022 and end on 2/28/2023, if appropriate referrals were made and documented. Review logs will document those targeted reviews. Quality Assurance staff will review findings, recommendations, and make any adjustments needed to 2nd party forms.

View Audit 39106

Finding 42970 (2022-002)

Significant Deficiency 2022

Feeding South Florida, Inc.

FL

Procurement, Suspension & Debarment Eligibility

2021-01: Food Distribution Cluster ? ALN 10.565, 10.568, 10.569 Condition and Criteria: During the year, there was an increase in demand for food assistance in the community due to COVID-19. Due to staffing shortages and social distancing, the Organization implemented a simplified process to determ...

2021-01: Food Distribution Cluster ? ALN 10.565, 10.568, 10.569 Condition and Criteria: During the year, there was an increase in demand for food assistance in the community due to COVID-19. Due to staffing shortages and social distancing, the Organization implemented a simplified process to determine TEFAP eligibility for drive-through no-touch food distribution sites that distributed food from both governmental and other (donated or purchased) sources. Cause: The Organization has procedures in place to determine eligibility for TEFAP food recipients, however, the simplified application was not required for each participant receiving food from the drive through sites, and in some instances may not have collected enough information to determine eligibility in accordance with the income eligibility criteria established by the state agency. Effect: There is a risk that TEFAP food commodities were distributed to recipients who were not eligible to receive TEFAP foods. Recommendation: We recommend that the Organization implement a control process to ensure that the Organization?s forms contain sufficient information to determine eligibility in accordance with the criteria established by the state agency. Management?s Response: Drive through food recipients who did not declare TEFAP eligibility information or provided incomplete eligibility information on the simplified applications were provided food from other non-governmental sources. During fiscal year 2022, approximately 52 million of the 64 million pounds of food distributed was donated or purchased food. Effective October 2022, access to TEFAP food under the CARES Act was eliminated and the territories currently assigned to the Organization for TEFAP that contained mass distributions were also eliminated. This will remain the case for fiscal year 2023 and beyond.

View Audit 45461

Finding 42953 (2022-001)

Material Weakness 2022

Blossom Village Housing Development Fund Corporation

NY

HUD Housing Programs Eligibility Reporting

2022-001: Section 811, Assistance Listing No. 14.181 Three tenant files were selected for testing and the required documentation to determine eligibility, as required by the HUD regulations, could not be located as follows: ? 2 files were missing Form HUD-50059, Owner?s Certification of Compliance...

2022-001: Section 811, Assistance Listing No. 14.181 Three tenant files were selected for testing and the required documentation to determine eligibility, as required by the HUD regulations, could not be located as follows: ? 2 files were missing Form HUD-50059, Owner?s Certification of Compliance ? 2 files were missing the move-in and move-out inspection forms Recommendation: We recommend the Corporation establish procedures for maintaining tenant files to comply with HUD requirements for verification of tenant information, as required. Action Taken: Management agrees with the recommendation and will establish procedures with the managing agent to ensure all tenant files are maintained in accordance with HUD regulations.

View Audit 39685

Finding 42831 (2022-005)

Material Weakness 2022

Tule River Indian Health Center INC

CA

Eligibility Material Weakness Significant Deficiency

Persons responsible for corrective action plan: Resty Rios, Staff Accountant Resty.rios@crihb.org Adrianna Davisson, Grants Manager Adrianna.davisson@crihb.org The Clinic will review all participant files to ensure all applicable documentation is located within each file. The Clinic will also i...

Persons responsible for corrective action plan: Resty Rios, Staff Accountant Resty.rios@crihb.org Adrianna Davisson, Grants Manager Adrianna.davisson@crihb.org The Clinic will review all participant files to ensure all applicable documentation is located within each file. The Clinic will also implement an approval process for new participants to ensure participant eligibility is reviewed and approved prior to providing services. The anticipated completion date is 6/30/2023.

View Audit 38903

Finding 42804 (2022-010)

None 2022

Seda Council of Governments

PA

Questioned Costs Subrecipient Monitoring Eligibility

U.S. DEPARTMENT OF TREASURY 2022-010. COVID-19 Coronavirus State and Local Fiscal Recovery Fund - Assistance Listing 21.027; Passed through Centre County PA Grant Period - Fiscal Year Ended June 30, 2022 Recommendation: SEDA-COG should follow the guidelines outlined in the OMB Compliance Supplement ...

U.S. DEPARTMENT OF TREASURY 2022-010. COVID-19 Coronavirus State and Local Fiscal Recovery Fund - Assistance Listing 21.027; Passed through Centre County PA Grant Period - Fiscal Year Ended June 30, 2022 Recommendation: SEDA-COG should follow the guidelines outlined in the OMB Compliance Supplement and the sub-recipient agreement. Management Response: Management agrees with finding. Planned Corrective Action: SEDA-COG employees will review the OMB Compliance Supplement and sub-recipient agreement prior to completion of work. Once work is completed, a second designated employee will review the work for accuracy and compliance. Persons Responsible: Project Coordinator Assigned to Oversight; Jamie Carnes, Fiscal Controller Anticipation Completion Date: April 30th, 2023

View Audit 39992 Questioned Costs: $1

Finding 42803 (2022-009)

None 2022

Seda Council of Governments

PA

Subrecipient Monitoring Eligibility

U.S. DEPARTMENT OF TREASURY 2022-009. COVID-19 Coronavirus State and Local Fiscal Recovery Fund - Assistance Listing 21.027; Passed through Centre County PA Grant Period - Fiscal Year Ended June 30, 2022 Recommendation: SEDA-COG should follow the guidelines outlined in the OMB Compliance Supplement ...

U.S. DEPARTMENT OF TREASURY 2022-009. COVID-19 Coronavirus State and Local Fiscal Recovery Fund - Assistance Listing 21.027; Passed through Centre County PA Grant Period - Fiscal Year Ended June 30, 2022 Recommendation: SEDA-COG should follow the guidelines outlined in the OMB Compliance Supplement and the sub-recipient agreement. Management Response: Management agrees with finding. Planned Corrective Action: SEDA-COG employees will review the OMB Compliance Supplement and sub-recipient agreement prior to completion of work. Once work is completed, a second designated employee will review the work for accuracy and compliance. Persons Responsible: Project Coordinator Assigned to Oversight; Jamie Carnes, Fiscal Controller Anticipation Completion Date: April 30th, 2023

View Audit 39992

Finding 42786 (2022-003)

Significant Deficiency 2022

Chicago State University

IL

Allowable Costs / Cost Principles Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties § 200.303

The University will review processes to ensure that adequate internal control exists to mitigate risks related to collection of required verification documents are collected. 1) Ensure that staff are trained on the required verification documents to be collected. 2) Perform periodic review of studen...

The University will review processes to ensure that adequate internal control exists to mitigate risks related to collection of required verification documents are collected. 1) Ensure that staff are trained on the required verification documents to be collected. 2) Perform periodic review of student files to verify completeness of records.

View Audit 39988

Finding 42749 (2022-001)

Significant Deficiency 2022

Greater Lawrence Community Action Council, Inc.

MA

Questioned Costs Eligibility Internal Control / Segregation of Duties

Significant Deficiency 2022-001 Condition: Benefits paid to or on behalf of the individuals were not calculated using the correct annualized income. Three of the 60 client files tested had income improperly calculated, two of which resulted in incorrect benefit payment amounts. Recommendation: Grea...

Significant Deficiency 2022-001 Condition: Benefits paid to or on behalf of the individuals were not calculated using the correct annualized income. Three of the 60 client files tested had income improperly calculated, two of which resulted in incorrect benefit payment amounts. Recommendation: Greater Lawrence Community Action Council, Inc. provides additional staff training and implements additional internal control procedures to ensure that benefit payments made on behalf of the clients participating in the program are made in accordance with program regulations. Corrective Action: Greater Lawrence Community Action Council, Inc. agrees with the finding. To tighten the quality control process, the LIHEAP program continues to offer on-going training to all staffs on the application review and approval process. Additionally, two staff members have been assigned quality control duties and are tasked with performing detailed reviews of all client applications, and paying close attention to income verification documentation.

View Audit 50172 Questioned Costs: $1

Finding 42746 (2022-003)

Material Weakness 2022

Three Rivers Regional Commission

GA

Subrecipient Monitoring Eligibility Internal Control / Segregation of Duties

2022-003 Noncompliance with Eligibility for Individuals ? Senior Community Service Employment Program Name of Contact Person: Kim Bennett, Interim Finance Director Recommendation: We recommend that employees receive training on the documentation requirements for the Senior Community Service E...

2022-003 Noncompliance with Eligibility for Individuals ? Senior Community Service Employment Program Name of Contact Person: Kim Bennett, Interim Finance Director Recommendation: We recommend that employees receive training on the documentation requirements for the Senior Community Service Employment Program with low-income eligibility requirements and develop the appropriate annual management monitoring procedures to ensure that the program participant files contain the proper documentation for low-income eligibility requirements. Corrective Action: Management concurs with the finding and changes have been made to ensure eligibility requirements are met by each participant. Anticipated Completion Date: June 30, 2023

View Audit 47043

Finding 42679 (2022-007)

Material Weakness 2022

Reorganized School District R-II of Cape Girardeau County

MO

School Nutrition Programs Procurement, Suspension & Debarment Subrecipient Monitoring

Name of Contact Person: Matt Lacy, Chief Financial Officer Recommendation: We recommend the District verify a vendor?s status by checking the System for Award Management (SAM) maintained by the General Services Administration before making purchases expected to exceed $25,000. Corrective Action:...

Name of Contact Person: Matt Lacy, Chief Financial Officer Recommendation: We recommend the District verify a vendor?s status by checking the System for Award Management (SAM) maintained by the General Services Administration before making purchases expected to exceed $25,000. Corrective Action: We will verify all vendors? status using the System for Award Management (SAM) maintained by the General Services Administration before making purchases expected to exceed $25,000. Proposed Completion Date: Immediately

View Audit 54519

Finding 42656 (2022-001)

Material Weakness 2022

Corn Hill Housing Development Fund Corporation

NY

HUD Housing Programs Eligibility Reporting

2022-001: Section 811, Assistance Listing No. 14.181 One tenant file was selected for testing. However, this tenant file could not be located. As a result, the following documentation could not be located to determine eligibility, as required by the HUD regulations: ? Form HUD-50059, Owner?s Ce...

2022-001: Section 811, Assistance Listing No. 14.181 One tenant file was selected for testing. However, this tenant file could not be located. As a result, the following documentation could not be located to determine eligibility, as required by the HUD regulations: ? Form HUD-50059, Owner?s Certification of Compliance ? A completed and signed application ? The signed lease agreement ? The move-in and move-out inspection forms Recommendation: We recommend the Corporation establish procedures for maintaining tenant files to comply with HUD requirements for verification of tenant information, as required. Action Taken: Management agrees with the recommendation and will establish procedures with the managing agent to ensure all tenant files are maintained in accordance with HUD regulations.

View Audit 53271

Finding 42647 (2022-002)

Material Weakness 2022

D H, Incorporated

OR

HUD Housing Programs Eligibility Material Weakness

Management?s Response and Planned Corrective Actions: 1. The name of the contact person(s) responsible for the corrective action a. Kathleen Broadhurst, Finance Director/ShelterCare 2. The corrective action planned: a. Pinehurst Management is the management agent overseeing property through 4/30/202...

Management?s Response and Planned Corrective Actions: 1. The name of the contact person(s) responsible for the corrective action a. Kathleen Broadhurst, Finance Director/ShelterCare 2. The corrective action planned: a. Pinehurst Management is the management agent overseeing property through 4/30/2023. A new management agent will be identified to take over the property after 4/30/2023. b. Ensure that the new managing agent employs an onsite manager with HUD compliance experience. c. Currently prioritizing recertifications by oldest first. d. Monthly review of TRACS reports to ensure recertifications are being completed in a timely manner. 3. The anticipated completion date: a. New processes will be implemented by 5/1/2023.

View Audit 50186

Finding 42574 (2022-001)

Significant Deficiency 2022

Harlem United Community Aids Center, Inc. and Affiliates

NY

Eligibility

U.S. Department of Health and Human Services Harlem United Community AIDS Center, Inc. and Affiliates respectfully submits the following corrective action plan for the year ended June 30, 2022. CohnReznick LLP 1301 Avenue of the Americas New York, NY 10019 Audit Period: June 30, 2022 The findin...

U.S. Department of Health and Human Services Harlem United Community AIDS Center, Inc. and Affiliates respectfully submits the following corrective action plan for the year ended June 30, 2022. CohnReznick LLP 1301 Avenue of the Americas New York, NY 10019 Audit Period: June 30, 2022 The findings from the June 30, 2022 schedule of findings and questioned costs is discussed below. The findings are numbered consistently with the number in the schedule. FINDING - FEDERAL AWARDS PROGRAM AUDIT U.S. Department of Health and Human Services, Temporary Assistance For Needy Families (TANF): Assistance Listing Number 93.558 SIGNIFICANT DEFICIENCIES Finding 2022-001 - Eligibility Recommendation: We recommend that management implement controls to maintain all the documentation required for determining eligibility of supportive housing clients. These documents should, at a minimum, include the referral letter from Human Resource Administration or Department of Homeless Services, completed intake assessment package that show client's income, status as to whether they are veteran or not, medically eligible, homeless or at risk of being homeless, or families with children, and an independent living plan. Action Taken Harlem United has ensured that under the new management team at the New Broadway shelter, all required documentation is being maintained and filed on-site, including referral letters, completed intake assessments, and independent living plans. To ensure compliance, Harlem United is conducting regular self-audits, to occur at least quarterly, to verify that these documents have been completed and are readily available for all active clients. In addition, management is scanning these required documents and saving them to an internal shared drive for easy access. Completion Date July 1, 2022 If the U.S Department of Health and Human Services has questions regarding this plan, please call Laura Grund at 646-462-8298.

View Audit 39680

Finding 42566 (2022-003)

Material Weakness 2022

Ahoskie Housing Authority

NC

Eligibility HUD Housing Programs Material Weakness

Corrective Action Plan For the year ended June 30, 2022 Section II - Financial Statement Findings Section III - Federal Award Findings and Questioned Costs Finding 2022-002 Name of Contact Person: Tarsha Dudley, Executive Director Corrective Action: We will review our intake and rec...

Corrective Action Plan For the year ended June 30, 2022 Section II - Financial Statement Findings Section III - Federal Award Findings and Questioned Costs Finding 2022-002 Name of Contact Person: Tarsha Dudley, Executive Director Corrective Action: We will review our intake and recertification procedures. We will also review our tenant file monitoring procedures. Proposed Completion Date: Immediately

View Audit 38348

Finding 42550 (2022-008)

Significant Deficiency 2022

Granville County, North Carolina

NC

Eligibility Reporting

Finding 2022-008 Untimely Review of SSI Termination Name of contact person: Vanness Taylor, Adult Income Maintenance Supervisor II Corrective Action: Error cited was untimely SSI exparte due to termination of SSI benefits. Caseworkers are to review the OVS (SDX)...

Finding 2022-008 Untimely Review of SSI Termination Name of contact person: Vanness Taylor, Adult Income Maintenance Supervisor II Corrective Action: Error cited was untimely SSI exparte due to termination of SSI benefits. Caseworkers are to review the OVS (SDX) and policy manual to properly ensure that the case is evaluated and showing correctly per timely processing standards set by the State Medicaid Policies. Adult Medicaid Lead workers, Michelle Ogle and Delta Elliott, and Supervisor, Vanness Taylor, will conduct second-party reviews on caseworkers. The supervisor will go over errors found by second parties during their team monthly meetings. The supervisor will hold individual performance meetings if cited for the same error. Lead Workers and Supervisor will conduct 100% second parties on caseworkers in their probationary period of 6 months unless extended by the Supervisor due to performance and 5 applications and redeterminations on all other caseworkers per month. The supervisor will also ensure that caseworkers are up to date on changes that may come up and ensure that they give proper instruction when needed. The Supervisor will schedule and hold a meeting to inform Program Administrator, Heather Hayes, each month of the repetitive second-party findings and provide a copy of the individual?s performance meeting held with the worker. Proposed completion date: To ensure that the caseworkers do not repeat these errors, the following action was taken: policy training was held on Adult Medicaid section MA-2352 on November 29, 2022.

View Audit 38513

Finding 42549 (2022-007)

Significant Deficiency 2022

Granville County, North Carolina

NC

Eligibility Internal Control / Segregation of Duties

Finding 2022-007 Inaccurate Information Entry Name of contact person: Kim Grissom, Income Maintenance Supervisor II, Shelia Morton, Income Maintenance Supervisor II, and Vanness Taylor, Adult Income Maintenance Supervisor II Corrective Action: Errors cited were ...

Finding 2022-007 Inaccurate Information Entry Name of contact person: Kim Grissom, Income Maintenance Supervisor II, Shelia Morton, Income Maintenance Supervisor II, and Vanness Taylor, Adult Income Maintenance Supervisor II Corrective Action: Errors cited were incorrect income and incorrect household composition due to inaccurate information being entered into NCFAST. Caseworkers are to review the determinations tab and policy manual to properly ensure that the case is showing correctly. Adult Medicaid Lead workers, Michelle Ogle and Delta Elliott, and Supervisor, Vanness Taylor, will conduct second-party reviews on caseworkers. Family and Children Medicaid Lead Workers, Lisa Kornegay and Sherry Stainback, and the Supervisors Kim Grissom and Sheila Morton, will conduct second-party reviews on caseworkers. Both Adult Medicaid and Family and Children Medicaid supervisors will go over errors found by second parties during their team monthly meetings. The supervisors will hold individual performance meetings if cited for the same error. Lead Workers and Supervisors will conduct 100% second parties on caseworkers in their probationary period of 6 months unless extended by Supervisors due to performance and 5 applications and redeterminations on all other caseworkers per month. The supervisors will also ensure that caseworkers are up to date on changes that may come up and ensure that they give proper instruction when needed. Supervisors will schedule and hold a meeting to inform Program Administrator, Heather Hayes, each month of the repetitive second-party findings and provide a copy of the individual?s performance meeting held with the worker. Proposed completion date: To ensure that the caseworkers do not repeat these errors, the following action was taken: policy training was held on Adult Medicaid section MA-2250 on November 29, 2022, and for Family and Children Medicaid sections MA-3305, MA-3310, and MA-3300 on November 30, 2022.

View Audit 38513

Finding 42548 (2022-006)

Significant Deficiency 2022

Granville County, North Carolina

NC

Eligibility

Finding 2022-006 Inadequate Request for Information Name of contact person: Vanness Taylor, Adult Income Maintenance Supervisor II Corrective Action: Errors cited were inadequate information was requested at applications and/or redeterminations. Caseworkers did not verify ...

Finding 2022-006 Inadequate Request for Information Name of contact person: Vanness Taylor, Adult Income Maintenance Supervisor II Corrective Action: Errors cited were inadequate information was requested at applications and/or redeterminations. Caseworkers did not verify with Electronic Source prior to requesting information from clients. Caseworkers are to run online data, the work number, and AVS and review the policy manual to properly ensure that the case is evaluated correctly per timely processing standards set by the State Medicaid Policies. Adult Medicaid Lead workers, Michelle Ogle and Delta Elliott, and Supervisor, Vanness Taylor, will conduct second-party reviews on caseworkers. The supervisor will go over errors found by second parties during their team monthly meetings. The supervisor will hold individual performance meetings if cited for the same error. Lead Workers and Supervisor will conduct 100% second parties on caseworkers in their probationary period of 6 months unless extended by the Supervisor due to performance and 5 applications and redeterminations on all other caseworkers per month. The supervisor will also ensure that caseworkers are up to date on changes that may come up and ensure that they give proper instruction when needed. The Supervisor will schedule and hold a meeting to inform the Program Administrator, Heather Hayes, each month of the repetitive second-party findings and provide a copy of the individual?s performance meeting held with the worker. Proposed completion date: To ensure that the caseworkers do not repeat these errors, the following action was taken: policy training was held on Adult Medicaid section MA-2300 on November 29, 2022.

View Audit 38513

Finding 42547 (2022-005)

Significant Deficiency 2022

Granville County, North Carolina

NC

Eligibility

Finding 2022-005 Inaccurate Resources Entry Name of contact person: Vanness Taylor, Adult Income Maintenance Supervisor II Corrective Action: Errors cited were incorrect resources due to inaccurate information being entered into NCFAST. Caseworkers are to review...

Finding 2022-005 Inaccurate Resources Entry Name of contact person: Vanness Taylor, Adult Income Maintenance Supervisor II Corrective Action: Errors cited were incorrect resources due to inaccurate information being entered into NCFAST. Caseworkers are to review the determinations tab and policy manual to properly ensure that the case is showing correctly. Adult Medicaid Lead workers, Michelle Ogle and Delta Elliott, and Supervisor, Vanness Taylor, will conduct second-party reviews on caseworkers. The supervisor will go over errors found by second parties during their team monthly meetings. The supervisor will hold individual performance meetings if cited for the same error. Lead Workers and Supervisor will conduct 100% second parties on caseworkers in their probationary period of 6 months unless extended by the Supervisor due to performance and 5 applications and redeterminations on all other caseworkers per month. The supervisor will also ensure that caseworkers are up to date on changes that may come up and ensure that they give proper instruction when needed. The Supervisor will schedule and hold a meeting to inform Program Administrator, Heather Hayes, each month of the repetitive second-party findings and provide a copy of the individual?s performance meeting held with the worker. Proposed completion date: To ensure that the caseworkers do not repeat these errors, the following action was taken: policy training was held on Adult Medicaid section MA-2230 on November 29, 2022.

View Audit 38513

Finding 42546 (2022-004)

Significant Deficiency 2022

Granville County, North Carolina

NC

Eligibility

Finding 2022-004 IV-D Cooperation with Child Support Name of contact person: Kim Grissom, Income Maintenance Supervisor I and Shelia Morton, Income Maintenance Supervisor I Corrective Action: Error cited was caseworkers not properly sending IV-D referrals to the Child Supp...

Finding 2022-004 IV-D Cooperation with Child Support Name of contact person: Kim Grissom, Income Maintenance Supervisor I and Shelia Morton, Income Maintenance Supervisor I Corrective Action: Error cited was caseworkers not properly sending IV-D referrals to the Child Support office. Family and Children Medicaid Lead Workers, Lisa Kornegay and Sherry Stainback, and the Supervisors Kim Grissom and Sheila Morton, will conduct second-party reviews on caseworkers. The supervisors will go over errors found by second parties during their team monthly meetings. The supervisors will hold individual performance meetings if cited for the same error. Lead Workers and Supervisors will conduct 100% second parties on caseworkers in their probationary period of 6 months unless extended by Supervisors due to performance and 5 applications and redeterminations on all other caseworkers per month. The supervisors will also ensure that caseworkers are up to date on changes that may come up and ensure that they give proper instruction when needed. Supervisors will schedule and hold a meeting to inform Program Administrator, Heather Hayes, each month of the repetitive second-party findings and provide a copy of the individual?s performance meeting held with the worker. Proposed completion date: To ensure that the caseworkers do not repeat these errors, the following action was taken: policy training was held on November 30, 2022, for Family and Children Medicaid section MA-3365.

View Audit 38513

Finding 42544 (2022-001)

Significant Deficiency 2022

United Community Schools, Inc.

NY

Allowable Costs / Cost Principles Cash Management Eligibility

The Organization agrees with the recommendation. An internal review is currently in process to evaluate and update policies as needed to address the use of federal funds.

View Audit 38334

Finding 42529 (2022-001)

Significant Deficiency 2022

North County Health Project, Inc. D/b/a Truecare

CA

Special Tests & Provisions Eligibility

2022-001 Sliding Fee Discount Determination Name of Contact Person: Kathy Martinez, CFO Correction Action: ? Redesign of FACT sheet for ease of use when entering data into electronic health records. ? Immediately retrain staff involved in Sliding Fee Discount Program on proper documentation re...

2022-001 Sliding Fee Discount Determination Name of Contact Person: Kathy Martinez, CFO Correction Action: ? Redesign of FACT sheet for ease of use when entering data into electronic health records. ? Immediately retrain staff involved in Sliding Fee Discount Program on proper documentation requirements and implementation of sliding fee determination and billing including scanning of documentation into our OCHIN Epic electronic health records system. ? Work with OCHIN to create documentation storage at guarantor level and patient linking options to easily access sliding fee documentation within the system. ? In collaboration with OCHIN develop a charge review workque in which the billing team will manually audit the slide for accounts in which documentation adjustments were made after patient check in. ? Perform monthly internal audits of sliding fee documentation and transactions and provide continual training to ensure compliance. Proposed Completion Date: June 30, 2023

View Audit 40020

Finding 42514 (2022-002)

None 2022

Mutual Hsg Assoc of So Central Ct Dba Neighborworks New Horizons

CT

Subrecipient Monitoring Eligibility Reporting

CORRECTIVE ACTION PLAN Audit Finding Reference: 2022-001 Planned Corrective Action: The Finance Department will work with a consultant to update the Policies and Procedures manual to be in line with best practices. We have implemented additional software modules to improve accuracy and efficiency ...

CORRECTIVE ACTION PLAN Audit Finding Reference: 2022-001 Planned Corrective Action: The Finance Department will work with a consultant to update the Policies and Procedures manual to be in line with best practices. We have implemented additional software modules to improve accuracy and efficiency in financial reporting. Finance added new hires towards the latter part of 2022 and management will provide training and professional development for the team. We are planning on completing a hard close for the period ending June 2023 and will consult with Cohn Reznick upon completion in Fall 2023. Our long-term goals are to conduct monthly and quarterly closes on all properties going forward. Name of Contact Person: Arlene Lawrence, CFO, arlene@nwnh.net, 203-562-4514 Anticipated completion date: November 2023 Audit Finding Reference: 2022-002 Planned Corrective Action: Our Property Management team worked with the tenant to bring the recertifications up to date. The recertification is now in compliance with the HOME Investment Partnerships Program. Name of Contact Person: Tom Cruess, President/CEO, tom@nwnh.net, 203-562-4514 Anticipated completion date: July 12, 2023

View Audit 38691

Corrective Action Plans

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