Corrective Action Plans

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Finding 42101 (2022-006)
Significant Deficiency 2022
Finding 2022-006 Name of contact person: Goldie Davis, IM Program Manager Corrective Action: "Resource refresher training will be completed. The training will include appropriate verification methods for countable and non-countable resources. Second Party reviews will c...
Finding 2022-006 Name of contact person: Goldie Davis, IM Program Manager Corrective Action: "Resource refresher training will be completed. The training will include appropriate verification methods for countable and non-countable resources. Second Party reviews will continue to be completed. Management will continue to monitor the progress of this issue and modify the controls as needed." Proposed Completion Date: November 30, 2022.
Finding 42100 (2022-005)
Significant Deficiency 2022
Finding 2022-005 Name of contact person: Goldie Davis, IM Program Manager Corrective Action: "Documentation Checklist Template will be revised to include the date property, vehicles, Register of Deeds, and the Work Number are run/verified. Medicaid caseworkers will rec...
Finding 2022-005 Name of contact person: Goldie Davis, IM Program Manager Corrective Action: "Documentation Checklist Template will be revised to include the date property, vehicles, Register of Deeds, and the Work Number are run/verified. Medicaid caseworkers will receive additional training on the revised Documentation Checklist template. Supervisors will continue to complete second party reviews to determine accuracy of evidence entered into NCFAST and to ensure new Documentation Checklist is being utilized correctly. Management will continue to monitor the progress of this issue and modify controls as needed. " Proposed Completion Date: November 30, 2022.
Finding 42099 (2022-004)
Significant Deficiency 2022
Finding 2022-004 Name of contact person: Goldie Davis, IM Program Manager Corrective Action: Refresher training for staff will be conducted on when a IV-D referral is required. Documentation Template revised to indicate the reason a IV-D referral was not sent. P...
Finding 2022-004 Name of contact person: Goldie Davis, IM Program Manager Corrective Action: Refresher training for staff will be conducted on when a IV-D referral is required. Documentation Template revised to indicate the reason a IV-D referral was not sent. Proposed Completion Date: Training will be completed by 12/31/2022.
Oversight Agency for Audit, Edward M. Marx Apartments, Inc., respectfully submits the following corrective action plan for the year ended June 30, 2022. Name and address of independent public accounting firm: Bellows Associates, P.A., 5401 N University Drive, Suite 201, Coral Springs, Florida 3306...
Oversight Agency for Audit, Edward M. Marx Apartments, Inc., respectfully submits the following corrective action plan for the year ended June 30, 2022. Name and address of independent public accounting firm: Bellows Associates, P.A., 5401 N University Drive, Suite 201, Coral Springs, Florida 33067 Audit period: July 1, 2021, through June 30, 2022 The findings from the June 30, 2022, schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. SECTION III ? FINDINGS AND QUESTIONED COSTS ? MAJOR FEDERAL AWARD PROGRAMS AUDITFINDING No. 2022-002: Section 202 Supportive Housing for the Elderly, CFDA No. 14.157 Recommendation: Management should implement procedures to ensure that the Project verifies tenant income through the EIV system in a timely manner and maintain all required documentation and perform background checks prior to tenant acceptance. Action Taken: Training classes are planned and will be conducted on running EIV reports and performing tenant background checks. In addition, tenant files will be selected for review, at random, to ensure these items are completed in a timely manner. If the audit Oversight Agency has questions regarding these plans, please call Christine Harris at 954-835-9200. Sincerely yours, Christine Harris Accounting Manager
CORRECTIVE ACTION PLAN June 22, 2023 Department of the Treasury - CDFI Fund Grant River City Federal Credit Union respectfully submits the following corrective action plan for the year ended December 31, 2022. Name and address of independent public accounting firm: Doeren Mayhew 305 West Big Beave...
CORRECTIVE ACTION PLAN June 22, 2023 Department of the Treasury - CDFI Fund Grant River City Federal Credit Union respectfully submits the following corrective action plan for the year ended December 31, 2022. Name and address of independent public accounting firm: Doeren Mayhew 305 West Big Beaver Rd., Ste. 200 Troy, MI 48084 Audit period: January 1, 2022- December 31, 2022 The findings from the December 31, 2022, schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FINDINGS-FEDERAL AWARD PROGRAMS AUDITS DEPARTMENT OF TREASURY CDFI Program - CFDA No. 21.024 Significant Deficiency: See Finding 2022-001. Recommendation: Complete established procedures to identify and track eligible loans deployed during the RRP grant performance period and reconcile the totals to the underlying loan data. Action Taken: Management already has an established process to internally track eligible loans deployed during the RRP grant performance, some of the data compilation is automated and some require manual updating. Management has already replaced manual processes with excel functions like vlookup to reduce errors identified by Doeren. However, management has used this conservative process year after year and is confident with the method based on third party verification from Inclusiv, who reports annual data to the CDFI Fund, and acceptance by the CDFI Fund on an annual basis and by an additional independent 3rd party who reports annual grant requirements to the CDFI fund. Management is also confident that this current process appropriately tracks deployed loans required under the RRP Grant performance based on the sheer volume of loans granted annually. With under $2M in loans needed to satisfy the grant requirement in 2022, the credit union has identified a minimum of $20 million in eligible loans in eligible markets, well above the grant performance requirements. The current process would require a significant error rate of over 80% to fail in meeting grant performance requirement. Management does not agree with Doeren auditors' assessment of noncompliance based on the auditors performing a lin1ited scope, only reviewing 40 of the 3,676 loans funded in 2022. The 1.1% of loan evaluated is in1material and gives a false impression of the true effectiveness of the overall internal control process. With 2 errors identified in the sample of 40, Doreen auditors use this as a basis to recognize a significant deficiency- an evaluation management does not concur with. Doreen's evaluation was based on guidance for control-based auditing that is standard in the industry. Doreen's evaluation was also based on an assessment of the credit union's specific target markets, not in accordance with the grant agreement, which allows financial products in any eligible CDFI market and/or the credit union's approved target market. This generic industry standard assessment fails to consider household size in income evaluations and fails to consider underserved racial groups prevalent in Bexar County and identified as eligible CDFI targeted populations. Management is confident in its internal controls and welcomes the Department of Treasury to review its 2022 loan data and internal process by doing an in-depth analysis on a significant percentage of its total loans to verify internal controls are valid and acceptable to meet the grant performance in any eligible CDFI markets and the credit union's approved target market. If the Department of Treasury has questions regarding this plan, please call Michael Quintanilla, Chief Financial Officer at (210) 225-6866.
State Agency: Department of Labor Single Audit Contact: Samantha Doran Title: Auditor 3 Telephone: 518-457-9475 E-mail Address: Samantha.Doran@labor.ny.gov Federal Program(s) (ALN # [s]): Unemployment Insurance (ALN 17.225) Audit Report Reference: 2022-006 Anticipated Completion Date: 12/1/2023 Corr...
State Agency: Department of Labor Single Audit Contact: Samantha Doran Title: Auditor 3 Telephone: 518-457-9475 E-mail Address: Samantha.Doran@labor.ny.gov Federal Program(s) (ALN # [s]): Unemployment Insurance (ALN 17.225) Audit Report Reference: 2022-006 Anticipated Completion Date: 12/1/2023 Corrective Action Planned: Corrective action is in progress. NYSDOL is currently engaged in a multi-year project to update the Unemployment Insurance system. The modernized system will assist in future implementation of temporary federal programs and strengthen internal controls over the payment process.
View Audit 49189 Questioned Costs: $1
State Agency: Department of Labor Single Audit Contact: Samantha Doran Title: Auditor 3 Telephone: 518-457-9475 E-mail Address: Samantha.Doran@labor.ny.gov Federal Program(s) (ALN # [s]): Unemployment Insurance (ALN 17.225) Audit Report Reference: 2022-005 Anticipated Completion Date: 12/1/2023 Corr...
State Agency: Department of Labor Single Audit Contact: Samantha Doran Title: Auditor 3 Telephone: 518-457-9475 E-mail Address: Samantha.Doran@labor.ny.gov Federal Program(s) (ALN # [s]): Unemployment Insurance (ALN 17.225) Audit Report Reference: 2022-005 Anticipated Completion Date: 12/1/2023 Corrective Action Planned: Corrective Action is in progress. NYSDOL is currently engaged in a multi-year project to update the Unemployment Insurance system. The modernized system will assist in future implementation of temporary federal programs and strengthen internal controls over the payment process.
View Audit 49189 Questioned Costs: $1
Finding 41996 (2022-004)
Significant Deficiency 2022
State Agency: Department of Labor Single Audit Contact: Samantha Doran Title: Auditor 3 Telephone: 518-457-9475 E-mail Address: Samantha.Doran@labor.ny.gov Federal Program(s) (ALN # [s]): Unemployment Insurance (ALN 17.225) Audit Report Reference: 2022-004 Anticipated Completion Date: 12/1/2023 Corr...
State Agency: Department of Labor Single Audit Contact: Samantha Doran Title: Auditor 3 Telephone: 518-457-9475 E-mail Address: Samantha.Doran@labor.ny.gov Federal Program(s) (ALN # [s]): Unemployment Insurance (ALN 17.225) Audit Report Reference: 2022-004 Anticipated Completion Date: 12/1/2023 Corrective Action Planned: NYSDOL expects this issue will be resolved with the implementation of a modernized Unemployment Insurance System. The modernized system will include improved data marker capabilities for any future temporary benefit programs that need to be implemented; therefore, the BAM sample selection will only include appropriate cases. Additionally, the time lapse requirement will be improved in upcoming fiscal year as staff resources will not be diverted to pandemic efforts and work will be monitored to ensure that time lapse requirements are met.
Sacred Heart University Corrective Action Plan Year ended June 30, 2022 Finding 2022-001: Significant Deficiency and Noncompliance: Special Tests and Provisions ? Enrollment Reporting Corrective Action Planned Sacred Heart University has implemented a corrective action plan which involved collab...
Sacred Heart University Corrective Action Plan Year ended June 30, 2022 Finding 2022-001: Significant Deficiency and Noncompliance: Special Tests and Provisions ? Enrollment Reporting Corrective Action Planned Sacred Heart University has implemented a corrective action plan which involved collaboration with our enterprise resource provider, Ellucian, the Registrar?s Office, and the Department of Information Technology (IT). Sacred Heart University acknowledges that published program lengths reported on National Student Loan Data System (NSLDS) records did not conform with reporting requirements. The University?s ERP, Ellucian, provided instruction on updating the code for programs with ?years to complete,? which enabled the IT department to identify and correct existing active programs. To prevent future errors the Registrar?s Office can access the mnemonic (screen) to code new program records in ?years to complete.? Sacred Heart University processed and submitted the first two branches, 00 and 81, on 3/24/23, and Clearinghouse took steps to update the records. Sacred Heart University acknowledges incorrectly reporting the Graduated status effective date as the last day of classes instead of the last day of final exams at the NSLDS program level for two students sampled during our FY22 Federal Single audit. The University has amended its procedures to avoid potential errors causing nonconformities. The updated procedures will ensure the utilization of the last day of final exams as the Graduated status effective date at the program level and strengthen the review of the graduate file before submitting it to the Clearinghouse. Sacred Heart University acknowledges incorrectly reporting the student program begin date for one student sampled during our FY22 Federal Single audit. The University reported the student in the incorrect branch, discovered the error upon graduation, and moved the student to the correct branch. As a result of the branch correction, the University reported to the NSLDS the start date of the student?s last trimester instead of the actual program start date. The Registrar?s office, working with the Clearinghouse, is taking steps to correct the branch reporting which will fix the reported program start date for this particular student. The University is amending its procedures to prevent further noncompliance. The Registrar?s office is amending the report used to ensure students are selected and reported in the correct branches. The Registrar is also enhancing the report to include data identifying potential erroneous reporting before enrollment data is reported to the Clearinghouse. Contact Person(s) Responsible for Corrective Action Angela Pitcher, University Registrar Lori Jo McEwan, Senior Systems Analyst Anticipated Completion Date April 25, 2023
Finding 2022-013 Personnel Responsible for Corrective Action: Director of Financial Aid, James Green Anticipated Completion Date: June 2023 Corrective Action Plan: The Financial Aid staff will ensure systems are setup to prevent the over award of federal financial aid. The financial aid counse...
Finding 2022-013 Personnel Responsible for Corrective Action: Director of Financial Aid, James Green Anticipated Completion Date: June 2023 Corrective Action Plan: The Financial Aid staff will ensure systems are setup to prevent the over award of federal financial aid. The financial aid counselor will prepare and award the student. Upon completion, the financial aid counselor will submit the file to the Director of Financial Aid for the second review. The University Financial Aid officers will undergo a series of trainings and certifications through the National Association of Student Financial Aid Administrators to assist with understanding aggregate limits for federal student aid.
Finding 2022-006 Personnel Responsible for Corrective Action: Director of the TRIO Program ? Jasmine Lewis Anticipated Completion Date: June 2023 Corrective Action Plan: The University's TRIO Division has implemented a process across all three programs in which Educational Advisors provide broc...
Finding 2022-006 Personnel Responsible for Corrective Action: Director of the TRIO Program ? Jasmine Lewis Anticipated Completion Date: June 2023 Corrective Action Plan: The University's TRIO Division has implemented a process across all three programs in which Educational Advisors provide brochures which outline eligibility requirements as well as the services offered to student participants. Educational Advisors also track services provided to program participants through participant sign-in. At the conclusion of each grant year, the Executive Director will solicit the services of a third-party to conduct an external review to ensure the program's compliance.
Finding 2022-005 Personnel Responsible for Corrective Action: Director of the TRIO Program ? Jasmine Lewis Anticipated Completion Date: June 2023 Corrective Action Plan: The University's TRIO Division has implemented a process which consists of the Educational Advisors for each program (Educati...
Finding 2022-005 Personnel Responsible for Corrective Action: Director of the TRIO Program ? Jasmine Lewis Anticipated Completion Date: June 2023 Corrective Action Plan: The University's TRIO Division has implemented a process which consists of the Educational Advisors for each program (Educational Talent Search, Upward Bound, and Student Support Services) creates a file which includes documents to determine student participant eligibility for their respective programs. Once the student participants complete all required forms from the checklist, the Educational Advisors then determine the students eligibility for the program. Once eligibility has been established the file is escalated to the Director of the respective programs for a 2nd review for accuracy. At the conclusion of each grant year, the Executive Director will solicit the services of a third-party to conduct an external review to ensure the program's compliance.
Finding 41798 (2022-001)
Significant Deficiency 2022
Holy Family University respectfully submits the following corrective action plan for the year ended June 30, 2022. Name and address of independent public accounting firm: Baker Tilly US, LLP 1650 Market Street, Suite 4500 Philadelphia, Pennsylvania 19103 Audit period: June 30, 2022 The findings from...
Holy Family University respectfully submits the following corrective action plan for the year ended June 30, 2022. Name and address of independent public accounting firm: Baker Tilly US, LLP 1650 Market Street, Suite 4500 Philadelphia, Pennsylvania 19103 Audit period: June 30, 2022 The findings from the June 30, 2022 schedule of findings and questioned costs are discussed below. Finding 2022-001: Special Tests and Provisions - Gramm-Leach Bliley Act (?GLBA?) 84.268 Federal Direct Loan Program; 84.063 Federal Pell Grant Program, 84.033 Federal Work Study Program, 84.007 Federal Supplemental Education Opportunity Grant; 84.038 Federal Perkins Loan Program Recommendation: The University should perform and document an annual risk assessment to determine the University's specific risks relevant to protecting consumer nonpublic personal information. At a minimum, the University should have at least one risk statement aligned or referenced to each of the three required areas noted in the GLBA law at 16 CFR 314.4 (b). Finally, the University should identify and document at least one safeguard (i.e., control) for each of the risks identified and document in the risk assessment. Each control should be aligned or referenced to the risk(s) to which the safeguard applies. Action Taken: The institution acknowledges and understands the requirements set forth by the Gramm-Leach-Bliley Act (GLBA) and is in the process of selecting a qualified individual for the partner role. Our team is actively developing a timeline to ensure full compliance with GLBA by June 9, 2023. In order to prioritize our efforts, we have identified areas of risk and implemented risk-based priorities to strengthen our network security, including firewalls, email access with Multi-Factor Authentication (MFA), applications, and policies/procedures. As part of our compliance efforts, our team will conduct a risk assessment to address three areas of concern, including 1. employee training and management 2. information systems (including network and software design 3. as well as information processing, storage, transmission, and disposal), and detecting, preventing and responding to attacks, intrusions, or other systems failures. We will document safeguards for identified risks by June 30, 2023. Name(s) of Contact Person(s) Responsible for Corrective Action: Mark Green, Associate Vice President Institutional Effectiveness, IT, and Innovation Anticipated Completion Date: June 9, 2023 If there are any questions regarding this corrective action plan please contact Eric Nelson, Vice President for Finance & Administration, at enelson@holyfamily.edu.
Federal Awards Finding 2022-007 - Emergency Rental Assistance Eligibility Corrective Action Plan: Please see responses to 2022-002, 2022-004, and 2022-005. Responsible Official: Devon Manning, Director of Policy & Planning and Brian Rossello, Director of Housing Finance Completion Date: August 20...
Federal Awards Finding 2022-007 - Emergency Rental Assistance Eligibility Corrective Action Plan: Please see responses to 2022-002, 2022-004, and 2022-005. Responsible Official: Devon Manning, Director of Policy & Planning and Brian Rossello, Director of Housing Finance Completion Date: August 2021
View Audit 39256 Questioned Costs: $1
Federal Awards Finding 2022-006 - Emergency Rental Assistance Eligibility Corrective Action Plan: Please see responses to 2022-002, 2022-004, and 2022-005. Responsible Official: Devon Manning, Director of Policy & Planning and Brian Rossello, Director of Housing Finance Completion Date: August 20...
Federal Awards Finding 2022-006 - Emergency Rental Assistance Eligibility Corrective Action Plan: Please see responses to 2022-002, 2022-004, and 2022-005. Responsible Official: Devon Manning, Director of Policy & Planning and Brian Rossello, Director of Housing Finance Completion Date: August 2021 Financial Statement Finding 2022-002 - Internal Control Over Compliance - United States Emergency Rental Assistance Program Corrective Action Plan: DSHA has implemented a Corrective Action Plan which it believes fully addresses the internal control weaknesses identified in connection with the audit finding of a material weakness related to DSHA?s operation of the Emergency Rental Assistance (?ERA?) program. The Corrective Action Plan is comprised of three key elements: 1. Implementation of a new software system that fully addresses certain process issues encountered with its existing software application. 2. Implementation of new process workflows and approvals performed by DSHA personnel to ensure proper approval of case applications and payment of approved applications to proper vendors. 3. Engaging an external consultant to analyze, verify and remediate, as required, applications processed in the predecessor software system. Each of these three elements is further discussed below. In August 2021, DSHA implemented a new software application to accept and process applications for the ERA program and replace its existing application. DSHA implemented this system as a means to correct and resolve the issues it was experiencing with respect to timely and accurate payment processing. The new system included significant improvements in workflow related to payment processing and account verification, as well as other needed program features. With the new software application, one of the root causes of DSHA?s application payment issues was immediately addressed, by eliminating the need to manually upload vendor payment information from its predecessor application to DSHA?s accounting system for payment. The prior manual upload process resulted in various vendor payment issues and erroneous payments. The new software application is a completely self-contained application, with workflow approvals that span from application submittal and approval to vendor payment. Each week all approved applications are automatically batched and sent to DSHA for approval prior to payment. This workflow has resolved previous issues where payments were not made timely for approved applications. The new software application incorporates significant improvements to payment processing and account verification. As mentioned above, there is no need to transfer or upload data between new software application and the accounting system to effect payments of approved applications. The new software application includes a verification process whereby the vendor ACH information is verified by a ?penny test? or small deposit that the user must verify. ACH payments can only be made to accounts that are verified. Once payments are made through new software application, batch details are imported to the accounting software via a custom interface for accounting system transaction reporting. Implementation of New Process Workflows, Approvals and Verifications by DSHA Coupled with the new software application implementation, DSHA implemented updated ERA Program Guidelines and new internal policy and process manuals to ensure its internal controls and processes appropriately addressed the compliance requirements of the ERA program and to ensure properly approved applications are paid to proper vendors. All cases in Approved Status are batched each week by the new software application and sent to DSHA for approval. DSHA reviews each of the approved applications within the batch and approves the batch once verified. At that point, requested funds are wired and payments issued by the new software application. This process has resolved previous instances of non-payment of approved cases. DSHA has developed new Case Auditor and Case Supervisor Process Guides and Checklists, which now standardize the processes used to review, verify and approve applications prior to payment. The new software application case management workflow requires separate Case Auditor and Case Supervisor verification of program requirements and payments prior to approval and payment of an application. Remediation of Prior Case Applications Processed in the predecessor application DSHA has engaged a third-party external consultant to assist it in ensuring that the applications processed in the predecessor application system resulted in payments to appropriate vendors for proper, compliant applications. The objective of this assessment is to identify any applications processed within predecessor application that resulted in either over or under payment to the vendor recipient. Once identified, these over and/or under payments will be remediated. These action plans have been implemented beginning August 2021 for the 2022 Fiscal Year and will remain in effect going forward. Responsible Official: Marlena Gibson, Director of Policy and Planning. Responsible Official: Marlena Gibson, Director of Policy and Planning. Financial Statement Finding 2022-004 ? Internal Control Over Compliance ? United States Emergency Rental Assistance Program Corrective Action Plan: DSHA will take these recommendations under advisement, and review program policies and procedures to ensure they are in accordance with statutory requirements. DSHA will ensure that staff responsible for processing DEHAP applications are training effectively in how to interpret and apply program policies and procedures, and will clearly communicate the expectation that review staff adhere to program policies and procedures consistently. DSHA would like to request clarification on Belfint's interpretation of the statutory requirement around security deposits. To our knowledge, UST has suggested applying a limit of one month's rent as guidance, but has not made this an actual requirement of the federal Emergency Rental Assistance Program. Responsible Official: Marlena Gibson, Director of Policy and Planning.
View Audit 39256 Questioned Costs: $1
COUNTY OF BERNALILLO CORRECTIVE ACTION PLAN YEAR ENDED JUNE 30, 2022 United States Department of Housing and Urban Development The County of Bernalillo respectfully submits the following corrective action plan for the year ended June 30, 2022. Audit period: July 1, 2021 ? June 30, 2022 The findings...
COUNTY OF BERNALILLO CORRECTIVE ACTION PLAN YEAR ENDED JUNE 30, 2022 United States Department of Housing and Urban Development The County of Bernalillo respectfully submits the following corrective action plan for the year ended June 30, 2022. Audit period: July 1, 2021 ? June 30, 2022 The findings from the schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FINDINGS?FEDERAL AWARD PROGRAMS AUDITS UNITED STATES DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT 2022-002 Section 8 Housing Choice Vouchers ? Assistance Listing Number 14.871 Recommendation: The County continue to review internal processes and policies to better ensure compliance with HUD requirements for participant eligibility. Staff should be trained to better ensure consistency in program participant file documentation and compliance with documentation required by HUD. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: All program staff will attend a HUD approved HCV and rent calculation training to ensure compliance with all HUD regulations including EIV and rent calculations. In addition, staff will be trained on our internal checklist to ensure consistency of documentation retained in each client?s file. Name(s) of the contact person(s) responsible for corrective action: Betty Valdez, Housing Director Planned completion date for corrective action plan: June 2023 If the Department of Housing and Urban Development has questions regarding this plan, please call Betty Valdez, Housing Director, at 505-314-0235.
View Audit 38699 Questioned Costs: $1
Finding 41746 (2022-006)
Significant Deficiency 2022
Finding 2022-006 Name of contact person: Lyn Saunders- IMC Supervisor II Corrective Action: Training to be provided to all caseworkers to include review of SSI Medicaid- County DSS Responsibility Policy Section MA-1100 during November 2022 monthly meeting and caseworker s...
Finding 2022-006 Name of contact person: Lyn Saunders- IMC Supervisor II Corrective Action: Training to be provided to all caseworkers to include review of SSI Medicaid- County DSS Responsibility Policy Section MA-1100 during November 2022 monthly meeting and caseworker sign off sheet for timely review of SSI Termination. Proposed completion date: Ongoing ? Management will continue to monitor progress of SSI Termination Review process.
Finding 41745 (2022-005)
Significant Deficiency 2022
Finding 2022-005 Name of contact person: Melissa McDaniels ? IMC Supervisor III Corrective Action: "Training to be provided to all caseworkers to include TWN and OVS learning gateway webinars. Review of policy for exparte process and system reviews. Training to include re...
Finding 2022-005 Name of contact person: Melissa McDaniels ? IMC Supervisor III Corrective Action: "Training to be provided to all caseworkers to include TWN and OVS learning gateway webinars. Review of policy for exparte process and system reviews. Training to include retaining manual OLV hits. Including covering in detail the documentation template that is required to be completed for each case. Target 2nd parties will be complete at 2 per worker per week of cases processed within the month. Feedback shared with worker to ensure training was effective" Proposed completion date: Training will occur Nov. 2022, once the training is provided the additional 2nd parties of cases will begin and continue for 2 months into Jan 2023.
Finding 41744 (2022-004)
Significant Deficiency 2022
Finding 2022-004 Name of contact person: Melissa McDaniels ? IMC Supervisor III Corrective Action: "Training to be provided to cover IV-D Referral Policy and Process, this will include OVS ACTS review, review of policy to know when a referral is required to include if a c...
Finding 2022-004 Name of contact person: Melissa McDaniels ? IMC Supervisor III Corrective Action: "Training to be provided to cover IV-D Referral Policy and Process, this will include OVS ACTS review, review of policy to know when a referral is required to include if a client requests to be referred. A laminated desk reference will be provided at the time of training, this will have examples of when a referral is needed along with how to enter the referral within NCFAST. Update documentation template to ensure IV-D referral reason is documented within case notes as to why the referral was needed or not. This will be shared with staff at the training provided and guidelines presented as to how this is a required documentation addition. Medicaid Supervisor, Team Leads and Staff Development will complete target 2nd parties on 2 cases per worker per week that have been processed within the same month to ensure each worker is following the process of reviewing ACTs and submitting IV-D referrals when required. " Proposed completion date: Training will occur Nov. 2022, once the training is provided the additional 2nd parties of cases will begin and continue for 2 months into Jan 2023.
Finding 41743 (2022-003)
Significant Deficiency 2022
Finding 2022-003 Name of contact person: Lyn Saunders- IMC Supervisor II Corrective Action: "Training to be provided to all caseworkers to include AVS and OVS learning gateway webinars. Training will also include Financial Resources Policy and will be provided during Nov....
Finding 2022-003 Name of contact person: Lyn Saunders- IMC Supervisor II Corrective Action: "Training to be provided to all caseworkers to include AVS and OVS learning gateway webinars. Training will also include Financial Resources Policy and will be provided during Nov. 2022 monthly meeting for evidence entry on the dashboard. Accuracy check point will be completed by the caseworker by reviewing the case determinations to ensure correct tax value and liquid resource balance are entered and counted correctly prior to redetermination/application processing is completed. Second Party reviews will continue to be completed to monitor continued progress by caseworkers. " Proposed completion date: Ongoing ? Management will continue to monitor progress of inaccurate information entry.
Finding 41742 (2022-002)
Significant Deficiency 2022
Finding 2022-002 Name of contact person: Melissa McDaniels ? IMC Supervisor III, Lyn Saunders- IMC Supervisor II Corrective Action: "Training to be provided to all caseworkers to include TWN and OVS learning gateway webinars. Review of policy for exparte process and syste...
Finding 2022-002 Name of contact person: Melissa McDaniels ? IMC Supervisor III, Lyn Saunders- IMC Supervisor II Corrective Action: "Training to be provided to all caseworkers to include TWN and OVS learning gateway webinars. Review of policy for exparte process and system reviews. Training to also include Income Policy, how to review for self-employment income and utilize the income wizard to enter weekly, bi-weekly and monthly income amounts so the system will calculate the income and leave less room for user error. Documentation of what income is being evaluated to also include why certain incomes are not counted. Training to include review of Household Composition, tax filing status and how to review the determinations of each case before completing/ releasing auto holds. Target 2nd parties will be complete at 2 per worker per week of cases processed within the month. Feedback shared with worker to ensure training was effective. Training to be provided to all caseworkers to include TWN and OVS learning gateway webinars. Training will also include Income Policy and updated Job Aids will be provided during Nov. 2022 monthly meeting for evidence entry on the dashboard. Accuracy check point will be completed by the caseworker by reviewing the case determinations to ensure correct income are entered and counted correctly prior to redetermination/application processing is completed. Second Party reviews will continue to be completed to monitor continued progress by caseworkers. " Proposed completion date: Training will occur Nov. 2022, once the training is provided the additional 2nd parties of cases will begin and continue for 2 months into Jan 2023. Management will continue to monitor progress of inaccurate information entry.
Finding 41737 (2022-004)
Significant Deficiency 2022
2022-004 Eligibility ? Assistance Listing No. 84.063 Recommendation: We recommend the College design controls to ensure an adequate review process is in place to ensure compliance with reporting requirements. Explanation of disagreement with audit finding: There is no disagreement with the audit fin...
2022-004 Eligibility ? Assistance Listing No. 84.063 Recommendation: We recommend the College design controls to ensure an adequate review process is in place to ensure compliance with reporting requirements. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Policy and Procedures of reporting deadlines and requires has been put into action by the director of financial aid. Name(s) of the contact person(s) responsible for corrective action: Grant Pollard, Director of Financial Aid Planned completion date for corrective action plan: 11/1/2022
View Audit 38581 Questioned Costs: $1
Finding 41735 (2022-009)
Significant Deficiency 2022
2022-009 Eligibility ? Assistance Listing No. 84.268 Recommendation: We recommend the College design controls to ensure an adequate review process is in place to ensure compliance with reporting requirements. Explanation of disagreement with audit finding: There is no disagreement with the audit fin...
2022-009 Eligibility ? Assistance Listing No. 84.268 Recommendation: We recommend the College design controls to ensure an adequate review process is in place to ensure compliance with reporting requirements. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Policy and Procedures of reporting deadlines and requires has been put into action by the director of financial aid. Name(s) of the contact person(s) responsible for corrective action: Grant Pollard, Director of Financial Aid Planned completion date for corrective action plan: 11/1/2022
Finding 41730 (2022-003)
Material Weakness 2022
2022-003 Eligibility ? Assistance Listing No. 84.063, 84.268 Recommendation: We recommend the College provide additional resources to ensure all compliance requirements are met. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response ...
2022-003 Eligibility ? Assistance Listing No. 84.063, 84.268 Recommendation: We recommend the College provide additional resources to ensure all compliance requirements are met. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The director of financial aid reviews the funding estimate (award package) put together by the third party servicer and signs/e-signs it to document his review. Name(s) of the contact person(s) responsible for corrective action: Grant Pollard, Director of Financial Aid Planned completion date for corrective action plan: 11/1/2022
Finding 2022-003, Significant Deficiency - Eligibility Corrective Action Plan: Goal: To ensure necessary Medicaid corrections are made by caseworkers in a timely manner and verified as completed by Medicaid management and/or Quality Assurance staff. Plan: The County will include a due date to the au...
Finding 2022-003, Significant Deficiency - Eligibility Corrective Action Plan: Goal: To ensure necessary Medicaid corrections are made by caseworkers in a timely manner and verified as completed by Medicaid management and/or Quality Assurance staff. Plan: The County will include a due date to the auditing tool so that correction tasks request can be tracked and monitored for completion and accurateness. Eligibility errors will be given five business days to be completed by workers and Internal Controls will be completed in 10 business days as they may require streamlining or revamping of internal processes. Performance Improvement Strategies: 1. Training will be given to supervisors, lead workers, and QA staff on proper usage and monitoring of due date requirements added to the audit tool. 2. Copies of reports will be stored in the shared Teams Channel for Medicaid Services. Responsible Parties: Marissa D. Adams, Medicaid Services Division Director Timeframes: Training for the usage of an audit tool is to be held no later than June 30, 2023, and usage of to begin immediately after is completed.
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