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Finding 45923 (2022-005)
Significant Deficiency 2022
Lee County
NC
Eligibility
Finding 2022-005 IV-D Cooperation with Child Support Name of contact person: Sabrina Magedanz, Medicaid Program Manager Corrective Action: Training was conducted on the IV-D Cooperation with Child Support topic concerning IV-D referral completion, documentation a...
Finding 2022-005 IV-D Cooperation with Child Support Name of contact person: Sabrina Magedanz, Medicaid Program Manager Corrective Action: Training was conducted on the IV-D Cooperation with Child Support topic concerning IV-D referral completion, documentation and appropriate follow up procedures with staff. Second party reviews will be enhanced to ensure those conducting the review ensure that proper procedures are being followed with regard to this policy. Proposed completion date: 11/16/2022
View Audit 40693
Finding 45922 (2022-004)
Significant Deficiency 2022
Lee County
NC
Eligibility
Finding 2022-004 Inadequate Request for Information Name of contact person: Sabrina Magedanz, Medicaid Program Manager Corrective Action: Training was conducted on the Inadequate Request for Information topic with staff specifically concerning finding areas of Th...
Finding 2022-004 Inadequate Request for Information Name of contact person: Sabrina Magedanz, Medicaid Program Manager Corrective Action: Training was conducted on the Inadequate Request for Information topic with staff specifically concerning finding areas of The Work Number and OVS being run as required by policy, property checks being completed at application and review, and documentation being completed concerning the responsibility for shelter costs as it pertains to In-Kind and 1/3 Reduction policies. Second party reviews will be enhanced to ensure those conducting the review ensure that proper procedures are being followed with regard to these policies. Proposed completion date: 11/16/2022
View Audit 40693
Finding 45921 (2022-003)
Significant Deficiency 2022
Lee County
NC
Eligibility
Finding 2022-003 Inaccurate Resources Entry Name of contact person: Sabrina Magedanz, Medicaid Program Manager Corrective Action: Training was conducted on the Inaccurate Resource topic with staff specifically concerning finding areas of correct determination an...
Finding 2022-003 Inaccurate Resources Entry Name of contact person: Sabrina Magedanz, Medicaid Program Manager Corrective Action: Training was conducted on the Inaccurate Resource topic with staff specifically concerning finding areas of correct determination and entry of vehicles including updating of vehicle values, ensuring all vehicles are addressed and documented appropriately at application and redetermination and rebuttals are documented and entered appropriately. Training was also conducted concerning appropriate documentation and verification of assets such as bank accounts are completed and entered appropriately. Second party reviews will be enhanced to ensure those conducting the review ensure that proper procedures are being followed with regard to these policies. Proposed completion date: 11/16/2022 and 11/17/2022
View Audit 40693
Finding 45920 (2022-002)
Significant Deficiency 2022
Lee County
NC
Eligibility Significant Deficiency Internal Control / Segregation of Duties
Finding 2022-002 Inaccurate Information Entry Name of contact person: Sabrina Magedanz, Medicaid Program Manager Corrective Action: Training was conducted on the Inaccurate information topic with staff specifically concerning finding areas of correct determinati...
Finding 2022-002 Inaccurate Information Entry Name of contact person: Sabrina Magedanz, Medicaid Program Manager Corrective Action: Training was conducted on the Inaccurate information topic with staff specifically concerning finding areas of correct determination, documentation and entry of income and appropriate determination, documentation and entry of household composition are completed. Second party reviews will be enhanced to ensure those conducting the review ensure that proper procedures are being followed with regard to these policies. Proposed completion date: 11/16/2022
View Audit 40693
Finding 45915 (2022-001)
Significant Deficiency 2022
Dutchess County Boces
NY
Eligibility
Finding 2022-001: It was noted that BOCES allowed an adult student to take classes who was not eligible to take the class. Recommendation: To prevent future occurrences of this deficiency, we recommend that management begin to follow all aspects of their eligibility checklist to ensure all proper do...
Finding 2022-001: It was noted that BOCES allowed an adult student to take classes who was not eligible to take the class. Recommendation: To prevent future occurrences of this deficiency, we recommend that management begin to follow all aspects of their eligibility checklist to ensure all proper documentation is gathered and retained and determination is made and if student is ineligible they are not enrolled. Corrective Action Plan: Effective immediately (3/23/23), BOCES will review policies and procedures to ensure only eligible students are enrolled in the program. Adult Ed Coordinator will communicate to the staff the importance of only having eligible students in the program and adjust the existing checklist accordingly to ensure accuracy of use. Clerical staff will follow the approved checklist system to ensure that students meet all eligibility requirements prior to acceptance into the program
View Audit 39738
Monmouth College
IL
Questioned Costs Student Financial Aid Eligibility
2022-002 Student Financial Aid Cluster ? (a) Federal Supplemental Educational Opportunity Grant (b) Federal Work Study Program (c) Federal Perkins Loan Program (d) Federal Pell Grant Program (e) Federal Direct Student Loans (f) Teacher Education Assistance for College and Higher Education Grants, As...
2022-002 Student Financial Aid Cluster ? (a) Federal Supplemental Educational Opportunity Grant (b) Federal Work Study Program (c) Federal Perkins Loan Program (d) Federal Pell Grant Program (e) Federal Direct Student Loans (f) Teacher Education Assistance for College and Higher Education Grants, Assistance Listing No. (a) 84.007 (b) 84.033 (c) 84.038 (d) 84.063 (e) 84.268 (f) 84.379 ? Year Ended June 30, 2022. Condition: In one of the 40 student files tested (2.5%), Subsidized and Unsubsidized Direct loans we not properly awarded. The College under awarded the student $5,500 in Subsidized loans and over awarded the student by $5,500 in Unsubsidized loans. Corrective Action Plan: Jayne Schreck has reviewed the student?s file and the circumstances surrounding the instance of non-compliance. The college does have systematic policies and procedures in place to properly evaluate a student?s file and determine the proper levels of Subsidized and Unsubsidized Loan. The systems used did calculate the loan split properly as documented in the student?s paper file. The error was a human error caused when keying the amounts and codes into the computer system. Jayne has asked her staff to split duties whenever possible. For example, one person may calculate the package but a different person should key the information into the computer system. Human error is human error, it can happen, but having two sets of eyes on each file might help to minimize the risk of error. Responsible Person for Corrective Action Plan: Jayne Schreck, Associate VP for Student Financial Planning Implementation Date for Corrective Action Plan: September 2022
View Audit 40648 Questioned Costs: $1
Finding 45876 (2022-001)
Significant Deficiency 2022
Oakland Livingston Human Service Agency
MI
Subrecipient Monitoring Eligibility Significant Deficiency
View of Responsible Officials and Corrective Action Plan ? Although the Organization has a secondary review process and a checklist in place to assure that clients are eligible and all required documentation is in place prior to authorizing payment assistance, the review processes will be corrected ...
View of Responsible Officials and Corrective Action Plan ? Although the Organization has a secondary review process and a checklist in place to assure that clients are eligible and all required documentation is in place prior to authorizing payment assistance, the review processes will be corrected and improved in the following way: 1. Supervisor(s) will verify on the checklist that they have opened, viewed, and scrutinized all uploaded verifications to assure that the documentation meets funding source criteria and complies with eligibility standards set by the funding source, not simply note the presence of an uploaded document or concur that the client is eligible. 2. Another review of each file will be completed prior to any financial assistance payments being processed by the Associate Director for Housing. The purpose of this tertiary review is to monitor compliance with the updated checklist and approval process. Any errors will be noted and discussed with both the case manager and the supervisor. A log of the approvals and denials will be maintained and used to plan future training to ensure compliance. 3. When proof of eligibility is uploaded in a third-party system (such as the MSHDA CERA portal), OLHSA will retain the documentation in its local databases as well and a supervisor be required to indicate on the checklist that this step has been completed.
View Audit 40297
Finding 45823 (2022-003)
Significant Deficiency 2022
Project Safeguard
CO
Eligibility Subrecipient Monitoring Allowable Costs / Cost Principles
Planned Corrective Action: Once Project Safeguard realized that the organization didn?t have a copy of the file from the Board of Directors from the Executive Director having been hired in 2013, Project Safeguard has rectified the situation by replacing the missing i-9 with an updated i-9 with attes...
Planned Corrective Action: Once Project Safeguard realized that the organization didn?t have a copy of the file from the Board of Directors from the Executive Director having been hired in 2013, Project Safeguard has rectified the situation by replacing the missing i-9 with an updated i-9 with attestation in accordance to guidance from UCIS . All I-9s are completed and maintained in a separate file as soon as employment begins and E-verify is completed within three days of employment as stated in the Project Safeguard policies. Name of Contact Person: BethAnne O?keefe, Finance Director Anticipated completion date: This was completed and the updated I-9 with attestation as soon as the I-9 documents were requested on 03/08/2023.
View Audit 41506
Finding 45780 (2022-003)
Material Weakness 2022
Catholic Community Services of the Mid-Willamette Valley, INC
OR
Eligibility Internal Control / Segregation of Duties § 200.303
Recommendation: The Organization should implement internal controls to monitor the activities and third-party providers to ensure the services being provided are in compliance with Federal Statues. Action: The Organization has scheduled regular meetings (twice per month) with the property management...
Recommendation: The Organization should implement internal controls to monitor the activities and third-party providers to ensure the services being provided are in compliance with Federal Statues. Action: The Organization has scheduled regular meetings (twice per month) with the property management company to monitor the activities of the provider to ensure we are in compliance with Federal Statues.
View Audit 41632
Catholic Community Services of the Mid-Willamette Valley, INC
OR
Eligibility
Recommendation: The Organization should perform annual recertifications timely. Action: Effective February 1, 2023, the Organization has engaged with a different property management company with expertise in the HOME program. We are currently working a corrective action plan with 30-, 60- and 90-day...
Recommendation: The Organization should perform annual recertifications timely. Action: Effective February 1, 2023, the Organization has engaged with a different property management company with expertise in the HOME program. We are currently working a corrective action plan with 30-, 60- and 90-day deliverables.
View Audit 41632
Finding 45755 (2022-002)
Significant Deficiency 2022
Housing Initiatives, INC
WI
Eligibility Internal Control / Segregation of Duties
2022-002 Department of Housing and Urban Development, Assistance Listing Number 14.239, Home Investment Partnership Program and 14.267 Continuum of Care Program: Control Deficiency Criteria: To meet the various aspects of program compliance, tenant files should have documentation that includes inco...
2022-002 Department of Housing and Urban Development, Assistance Listing Number 14.239, Home Investment Partnership Program and 14.267 Continuum of Care Program: Control Deficiency Criteria: To meet the various aspects of program compliance, tenant files should have documentation that includes income verification, eligibility determination and current rental agreements. Condition: Tests of tenant files identified instances .where not all documentation was able to be located. Cause: Housing Initiatives, Inc. does not have a consistent process and recordkeeping system that ensures all tenant files are complete or that all applicable records are available timely. Effect: Without the necessary documentation to verify that tenants meet the various compliance requirements, there may be instances of noncompliance. Recommendation: We recommend that Housing Initiative develop processes and procedures to ensure that all tenant files are complete and include all necessary documentation to verify compliance. Response: Housing Initiative, Inc. is aware of the compliance requirements and the importance of complete tenant files. We have been working towards updating records and utilizing electronic records systems which may have resulted in not being able to find the documentation during testing. We feel tenant files and records should be complete in the future. Housing Initiatives, Inc.'s Corrective Action Plan: Regarding financial reporting finding, Housing Initiatives staff will continue to work with the same auditing firm to ensure that reporting for the current year is in line with GAAP requirements. In part, this will involve strengthening the agency's relationship with a third-party accounting firm. A recent merger involving the firm that Housing Initiatives used for the past several years provides an opportunity to involve a different firm. As regards the second finding, Housing Initiatives recognizes the importance and requirement of maintaining all required documentation for clients served. A review of all files will be implemented to reveal any incomplete documentation, and then steps taken to address any omissions.
View Audit 40729
Finding 45722 (2022-004)
Material Weakness 2022
City of Albemarle
NC
Questioned Costs Special Tests & Provisions Eligibility
Name of Contact Person: Dr. Kim Scott, Director of Public Housing Corrective Action/Management?s Response: The issues regarding applicant files was one of the first control issues identified when I came to the City. A written action plan has been developed with the approval of our local Housing and ...
Name of Contact Person: Dr. Kim Scott, Director of Public Housing Corrective Action/Management?s Response: The issues regarding applicant files was one of the first control issues identified when I came to the City. A written action plan has been developed with the approval of our local Housing and Urban Development field office. Each applicant is being reviewed at their anniversary date to obtain complete records of documentation to support eligibility. Proposed Completion Date: Immediately and ongoing.
View Audit 40270 Questioned Costs: $1
Finding 45688 (2022-004)
Material Weakness 2022
Blackburn University Dba Blackburn College
IL
Student Financial Aid Eligibility Material Weakness
Condition: The College did not report actual loan disbursement dates to the Common Origination and Disbursement (COD) system for 23 of the 40 students in the sample (57.5%). We consider this condition to be a material weakness in internal control over compliance relating to the Eligibility complianc...
Condition: The College did not report actual loan disbursement dates to the Common Origination and Disbursement (COD) system for 23 of the 40 students in the sample (57.5%). We consider this condition to be a material weakness in internal control over compliance relating to the Eligibility compliance requirement and is a repeat finding shown in Section IV of this report as prior year finding 2021-003. Statistical sampling was not used in making sample selections. Corrective Action Plan: It is important to note that the entire 2021/2022 award year was processed by 3rd party servicer, Fully Disbursed. The current Financial Aid staff at Blackburn College started in October of 2021 but the processing was conducted by Fully Disbursed as they were under contract with Blackburn College for all 2021-2022 processing and packaging until August 2022 at the completion of the summer semester. The Financial Aid Office must emphasize the importance of accurate record-keeping in financial transactions. As a department we will continue to work closely with the Business office to ensure that every drawdown is properly documented and matches the corresponding dates and amounts. Additionally, we will continue to perform monthly reconciliations to ensure that any discrepancies are identified and addressed promptly. This process helps to minimize errors and maintain transparency in our overall financial aid operations. Responsible Person for Correction Action Plan: Alexis Brown, Director of Financial Aid Implementation Date for Corrective Action Plan: Fall 2022
View Audit 40629
Finding 45687 (2022-003)
Significant Deficiency 2022
Blackburn University Dba Blackburn College
IL
Questioned Costs Student Financial Aid Cash Management
Condition: Two of the 40 student files (5%) we examined, we noted the students were not properly awarded Direct loans. Further, we noted two of the 40 students (5%) were not properly awarded Pell. Corrective Action Plan: It is important to note that the entire 2021/2022 award year was processed by 3...
Condition: Two of the 40 student files (5%) we examined, we noted the students were not properly awarded Direct loans. Further, we noted two of the 40 students (5%) were not properly awarded Pell. Corrective Action Plan: It is important to note that the entire 2021/2022 award year was processed by 3rd party servicer, Fully Disbursed. The current Financial Aid staff at Blackburn College started in October of 2021 but the processing was conducted by Fully Disbursed as they were under contract with Blackburn College for all 2021-2022 processing and packaging until August 2022 at the completion of the summer semester. The Financial Aid Office at Blackburn has evaluated and revised policies and procedures to ensure students receive the proper amount of Title IV Aid. Reconciling each month is necessary to ensure we catch any and all discrepancies that may occur. We will continue to utilize all available software to assist with packaging and that will allow all financial aid, including Title IV funds, to be reviewed frequently by both the Director of Financial Aid and the Assistant Director of Financial Aid. Responsible Person for Correction Action Plan: Alexis Brown, Director of Financial Aid Implementation Date for Corrective Action Plan: April 2023
View Audit 40629 Questioned Costs: $1
Finding 45683 (2022-009)
Significant Deficiency 2022
Community College of Beaver County
PA
Student Financial Aid Eligibility Significant Deficiency
Finding 2022-009: Eligibility-Significant Deficiency and Noncompliance Condition: For three of the twenty-five students selected for testing, the Pell Award calculation was not correctly performed, and the students did not receive an adequate amount of Pell Award for the period under audit. Responsi...
Finding 2022-009: Eligibility-Significant Deficiency and Noncompliance Condition: For three of the twenty-five students selected for testing, the Pell Award calculation was not correctly performed, and the students did not receive an adequate amount of Pell Award for the period under audit. Responsible for the Plan: Janet Davidson, Director of Financial Aid Planned completion date: June 30, 2023 Corrective Action Plan: To ensure compliance with eligibility requirements the college will adopt the following procedure: ? The Financial Aid Assistant/Loan Officer will review the daily registration changes report to determine the students enrollment status for each term and then set the appropriate class load in Powerfaids in the POE screen. ? Powerfaids uses that class load screen and the Pell payment schedules to determine the students pell grant award. ? The Director of Financial Aid will work with IT/IR to create a report that details the pell load in Powerfaids to match it against current credit load in Jenzabar to ensure that the student has the appropriate credit load in Powerfaids and the appropriate Pell awards are disbursed.
View Audit 52943
Finding 45645 (2022-001)
Significant Deficiency 2022
The Carmelite System, Inc.
NY
Internal Control / Segregation of Duties Procurement, Suspension & Debarment Eligibility
Management agrees that they submitted the same invoice twice. The amount of the invoice was $700. They also believe that there were many expenses incurred of which they could have submitted and therefore have not used the grant monies inappropriately. We agree that a more in-depth review could be do...
Management agrees that they submitted the same invoice twice. The amount of the invoice was $700. They also believe that there were many expenses incurred of which they could have submitted and therefore have not used the grant monies inappropriately. We agree that a more in-depth review could be done for future submissions.
View Audit 51311
Finding 45638 (2022-001)
Significant Deficiency 2022
Community Housing Ii, Inc. the Maples II Apartments
OR
HUD Housing Programs Eligibility
Finding 2022-001 ? Federal Assistance Listing Number 14.157 Statement of Condition: In connection with our lease file review, we noted: 1. One instance of one tenant tested where management did not maintain move-out inspection forms in the lease file. 2. One out of one tenant tested income verifi...
Finding 2022-001 ? Federal Assistance Listing Number 14.157 Statement of Condition: In connection with our lease file review, we noted: 1. One instance of one tenant tested where management did not maintain move-out inspection forms in the lease file. 2. One out of one tenant tested income verification was not performed with the use of the HUD enterprise Income Verification ("EIV") or other verification methods. 3. One out of two tenants tested recertification was not performed timely. Corrective Action: Due to either tenant non-compliance or challenges with scheduling meetings with tenants or obtaining verifications, some recertifications were completed late. REACH has policies in place to complete recertifications timely, and will be providing ongoing training and guidance to staff to make sure the policies are being followed. Management has a policy for conducting move-out inspections and completing the move-out form, and will review this policy and procedure with staff to make sure it?s followed on all move-outs.
View Audit 47415
Finding 45630 (2022-003)
Significant Deficiency 2022
Marion Street Apartments, Inc.
OR
HUD Housing Programs Eligibility
Finding No. 2022-003; Federal Assistance Listing Number 99.999 Statement of Condition: In connection with our lease file review we noted that one out of two tenants tested did not have income verification in connection with the preparation of the recertification. Corrective Action: Due to either ten...
Finding No. 2022-003; Federal Assistance Listing Number 99.999 Statement of Condition: In connection with our lease file review we noted that one out of two tenants tested did not have income verification in connection with the preparation of the recertification. Corrective Action: Due to either tenant non-compliance or challenges with scheduling meetings with tenants or obtaining verifications, some recertifications were completed late. REACH has policies in place to complete recertifications timely, and will be providing ongoing training and guidance to staff to make sure the policies are being followed.
View Audit 47410
Wingate University
NC
Student Financial Aid Eligibility Internal Control / Segregation of Duties
Name of Responsible Individual: Jenn Hall, Director of Financial Planning Corrective Action: The Financial Planning Office has reviewed its policies surrounding FSEOG awarding and added additional quality control measures for the 2022-2023 award cycle so that FSEOG funding is provided solely to PE...
Name of Responsible Individual: Jenn Hall, Director of Financial Planning Corrective Action: The Financial Planning Office has reviewed its policies surrounding FSEOG awarding and added additional quality control measures for the 2022-2023 award cycle so that FSEOG funding is provided solely to PELL recipients. Anticipated Completion Date: December 31, 2022
View Audit 44558
Finding 45583 (2022-007)
Material Weakness 2022
Department of Human Services
HI
Questioned Costs Eligibility HUD Housing Programs
Finding No. 2022 007: Special Tests and Provisions (Material Weakness) Federal Agency: U.S. Department of Agriculture AL Number and Title: 10.551, 10.561, and COVID 19 ? 10.561 ? Supplemental Nutrition and Assistance (?SNAP?) Cluster Award Number and Award Year: 7HI4004HI, 7HI400HI4, 7HI430HI4, 7...
Finding No. 2022 007: Special Tests and Provisions (Material Weakness) Federal Agency: U.S. Department of Agriculture AL Number and Title: 10.551, 10.561, and COVID 19 ? 10.561 ? Supplemental Nutrition and Assistance (?SNAP?) Cluster Award Number and Award Year: 7HI4004HI, 7HI400HI4, 7HI430HI4, 7HI400HI5, 7HI430HI5, 7HI460HI6, 227HIHI7F1003 Condition During our audit, we selected a non statistical sample of 60 participant files which approximated $50,000 in monthly payments, out of a population of approximately 195,000 participant files which approximated $986 million in total annual benefit payments, for testing and noted exceptions in three case files as follows: ? One case file where manually entered unearned income and medical expense deduction amounts did not agree with the documentation retained in the participant?s case file. ? Two case files where manually entered income information did not agree with the documentation retained in the respective participant?s case files. Views of Responding Officials: The Department agrees with the finding and will implement corrective action. Corrective Action Taken of Planned: Remind eligibility staff to ensure that verification submitted by the household and filed in household?s electronic case folder (ECF) along with documentation on cases through DHS 1006 and/or case notes are consistent with what is processed and recorded in the eligibility system - HAWI, and that processing is completed according to Supplemental Nutrition and Assistance Program (SNAP) policy to ensure that households are receiving the maximum amount of benefits they are eligible to receive. The SNAP office would also coordinate with the Staff Development Office to put an extra emphasis on this area when conducting SNAP basic training for new eligibility workers. Expected Completion Date: September 30, 2023 Responding Official: Manuel Banasihan, Benefit, Employment, and Support Services Division Supplemental Nutrition and Assistance Program Administrator
View Audit 51705 Questioned Costs: $1
Finding 45576 (2022-002)
Material Weakness 2022
Department of Human Services
HI
Questioned Costs Eligibility
Finding No. 2022 002: Special Tests and Provisions (Material Weakness) Federal Agency: Department of Health and Human Services AL Number and Title: 93.777, 93.778, and COVID 19 ? 93.778 ? Medicaid Cluster Award Number and Award Year: 2105HIMAP, 2205HIMAP, 2105HIADM, 2205HIADMN Condition During our ...
Finding No. 2022 002: Special Tests and Provisions (Material Weakness) Federal Agency: Department of Health and Human Services AL Number and Title: 93.777, 93.778, and COVID 19 ? 93.778 ? Medicaid Cluster Award Number and Award Year: 2105HIMAP, 2205HIMAP, 2105HIADM, 2205HIADMN Condition During our audit, we selected a non statistical sample of 60 providers for testing out of a population of approximately 1,800 providers. The providers selected for testing represented approximately $21 million of payments out of a total payment population of $223 million. The results of our testing were as follows: ? Four providers where the DHS Form 1139 was not maintained. ? Eight providers where the DHS Form 1139 did not support revalidation within the most recent five year period. Views of Responding Officials The Department agrees with the finding and will implement corrective action. Corrective Action Taken or Planned The conversion to the HOKU online provider enrollment system in 2020, the staffing and workload impacts of the COVID 19 public health emergency and the inability to fill key provider enrollment section positions have combined to tax the ability of the Department to come into compliance with the stated criteria. These factors have created backlogs in the processing turnaround time for new provider enrollment applications that have been submitted by providers and are waiting to be processed by the Department. These factors have also hampered the Department?s efforts to timely outreach with providers who are at/over the five-year revalidation threshold. The Department was able to fill the section administrator over the provider enrollment section in June 2022, and also fill a key contract specialist position in August 2022. The Department entered into a new provider enrollment staff augmentation contract with Maximus effective January 1, 2023, and initial vendor performance has been promising. New provider enrollment processing time has been reduced to no more than ten days for certain provider types, and Maximus is on track to eliminate the existing provider enrollment application backlog by the third quarter of 2023. The Department is expecting these changes to result in full compliance with the stated criteria by the end of 2023. Expected Completion Date December 31, 2023 Responding Officials Jon Fujii, MED Quest Division Health Care Services Branch Administrator
View Audit 51705 Questioned Costs: $1
Finding 45552 (2022-001)
Significant Deficiency 2022
Mountaineer Community Health Center, INC
WV
Special Tests & Provisions Eligibility HUD Housing Programs
#2022-001 Sliding Fee Discounts Documentation U.S. Department of Health and Human Services Health Center Program Cluster: Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) AL #93.224 Grants for New and Expanded Se...
#2022-001 Sliding Fee Discounts Documentation U.S. Department of Health and Human Services Health Center Program Cluster: Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) AL #93.224 Grants for New and Expanded Services Under the Health Center Program AL #93.527 Recommendation: We recommend the Center provide training to employees to ensure that the sliding fee discounts are being properly applied, supported, and documented. In addition, we recommend the employees administering the sliding fee discounts be properly monitored and supervised to ensure compliance with program documentation. Action Taken: The Mountaineer Community Health Center, Inc.'s management will take the necessary steps to ensure that the sliding fee discounts are being properly applied and documented to support the determination of adjustments to patient charges. Ciro Grassi, Chief Executive Officer is responsible for implementing these procedures by December 31, 2022.
View Audit 46213
Finding 45528 (2022-011)
Material Weakness 2022
Department of Human Services
HI
Questioned Costs Eligibility
Finding No. 2022 011: Eligibility (Material Weakness) Federal Agency: U.S. Department of Health and Human Services AL Number and Title: 93.558 and COVID 19 ? 93.558 ? Temporary Assistance for Needy Families Award Number and Award Year: 1601HITAN3, 2001HITANF, 2101HITANF, 2201HITANF, 2021G990228 Co...
Finding No. 2022 011: Eligibility (Material Weakness) Federal Agency: U.S. Department of Health and Human Services AL Number and Title: 93.558 and COVID 19 ? 93.558 ? Temporary Assistance for Needy Families Award Number and Award Year: 1601HITAN3, 2001HITANF, 2101HITANF, 2201HITANF, 2021G990228 Condition We selected a non statistical sample of 60 participant files, representing approximately $39,000 of benefit payments, out of a population of approximately 8,700 cases, representing approximately $17.8 million of benefit payments, for testing and noted exceptions in 17 case files as follows: ? Nine case files where eligibility redeterminations were not completed in the timeframe required by the State Plan. ? Seven case files where there was no evidence of a TANF case worker?s signature on the eligibility redetermination form. ? One case file where the interview process was not conducted within the forty-five (45) day timeframe required by the State Plan. Views of Responding Officials: The Department agrees with the finding and will implement corrective action. Corrective Action Taken or Planned: Administration for Children and Families (?ACF?) will be notified in writing, within the required timeframe, if additional amendments will be or are made to the current Temporary Assistance for Needy Families State Plan. Expected Completion Date: On-going Responding Official: Catherine Scardino, Benefit, Employment, and Support Services Division Temporary Assistance for Needy Families Program Administrator
View Audit 51705 Questioned Costs: $1
Finding 45527 (2022-010)
Material Weakness 2022
Department of Human Services
HI
Questioned Costs Eligibility
Finding No. 2022 010: Special Tests and Provisions (Material Weakness) Federal Agency: U.S. Department of Health and Human Services AL Number and Title: 93.558 and COVID 19 ? 93.558 ? Temporary Assistance for Needy Families Award Number and Award Year: 1601HITAN3, 2001HITANF, 2101HITANF, 2201HITA...
Finding No. 2022 010: Special Tests and Provisions (Material Weakness) Federal Agency: U.S. Department of Health and Human Services AL Number and Title: 93.558 and COVID 19 ? 93.558 ? Temporary Assistance for Needy Families Award Number and Award Year: 1601HITAN3, 2001HITANF, 2101HITANF, 2201HITANF, 2021G990228 Condition We selected a non statistical sample of 60 case files for testing and noted 11 instances where the Department?s records did not support the use of the income information obtained through Income Eligibility and Verification System (?IEVS?) to evaluate or re-evaluate the benefit calculation. Views of Responding Officials: The Department agrees with the finding and will implement corrective action. Corrective Action Taken of Planned: It was noted in the Corrective Action Plan, in response to the State fiscal year 2021 audit finding, the DHS 1006 form, ?Eligibility Documentation? (formerly titled ?Interview Documentation?), was revised to require the eligibility of staff to notate the date the Income Eligibility and Verification System (IEVS) query was completed, the findings, and what information was used for eligibility determinations. However, for most of the State fiscal year 2022, the interview requirement for new applicants and annual recertifications for recipients were waived; therefore, the DHS 1006 form was not utilized. Form DHS 1006 will be revised further to create IEVS query fields specifically under Section IX ? Temporary Assistance for Needy Families (TANF) Requirements, and a policy clarification will be issued to remind staff of the IEVS query requirement and instructions on how to complete the DHS 1006 form. Expected Completion Date: September 30, 2023 Responding Official: Catherine Scardino, Benefit, Employment, and Support Services Division Temporary Assistance for Needy Families Program Administrator
View Audit 51705 Questioned Costs: $1
Finding 45525 (2022-004)
Material Weakness 2022
Department of Human Services
HI
Questioned Costs Eligibility
Finding No. 2022 004: Special Tests and Provisions (Material Weakness) Federal Agency: Department of Health and Human Services AL Number and Title: 93.767 ? State Children?s Health Insurance Program Award Number and Award Year: 2105HI5022 Condition During our audit, we selected a non statistical s...
Finding No. 2022 004: Special Tests and Provisions (Material Weakness) Federal Agency: Department of Health and Human Services AL Number and Title: 93.767 ? State Children?s Health Insurance Program Award Number and Award Year: 2105HI5022 Condition During our audit, we selected a non statistical sample of 60 providers for testing out of a population of approximately 1,800 providers. The providers selected for testing represented approximately $240,000 of payments out of a total payment population of $7.2 million. The results of our testing were as follows: ? Four providers where the DHS Form 1139 was not maintained. ? Eight providers where the DHS Form 1139 did not support revalidation within the most recent five year period. Views of Responding Officials The Department agrees with the finding and will implement corrective action. Corrective Action Taken or Planned The conversion to the HOKU online provider enrollment system in 2020, the staffing and workload impacts of the COVID 19 public health emergency and the inability to fill key provider enrollment section positions have combined to tax the ability of the Department to come into compliance with the stated criteria. These factors have created backlogs in the processing turnaround time for new provider enrollment applications that have been submitted by providers and are waiting to be processed by the Department. These factors have also hampered the Department?s efforts to timely outreach with providers who are at/over the five-year revalidation threshold. The Department was able to fill the section administrator over the provider enrollment section in June 2022, and also fill a key contract specialist position in August 2022. The Department entered into a new provider enrollment staff augmentation contract with Maximus effective January 1, 2023, and initial vendor performance has been promising. New provider enrollment processing time has been reduced to no more than ten days for certain provider types, and Maximus is on track to eliminate the existing provider enrollment application backlog by the third quarter of 2023. The Department is expecting these changes to result in full compliance with the stated criteria by the end of 2023. Expected Completion Date December 31, 2023 Responding Officials Jon Fujii, MED Quest Division Health Care Services Branch Administrator
View Audit 51705 Questioned Costs: $1
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