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Finding Number 2025-219: The Department could not provide sufficient documentation to demonstrate compliance with provider eligibility requirements for managed care network providers. Federal Programs: 93.777 - State Survey and Certification of Health Care Providers and Suppliers (Title XVIII) Medic...
Finding Number 2025-219: The Department could not provide sufficient documentation to demonstrate compliance with provider eligibility requirements for managed care network providers. Federal Programs: 93.777 - State Survey and Certification of Health Care Providers and Suppliers (Title XVIII) Medicare 93.778 - Grants to States for Medicaid 93.767 - Children's Health Insurance Program Related to Prior Finding: 2024-217 Agency’s view: The agency agrees with the finding. Corrective Action: The Department will work to enhance its oversight of the Managed Care Organizations (MCOs). Current contract requirements state ‘submit documentation requested by IDHW within three (3) business days for standard requests, and within ten (10) business days for requests that require significant preparation, or a mutually agreed upon date.’ One MCO, Molina, did not fulfill the data requests in a timely manner in accordance with their contract. The Department will impose all available liquidated damage remedies in the current contract for this delay from the MCO. This will be completed by December 31, 2026. Medicaid is in process of writing contract language that will be implemented in the next amendment cycle before the end of the fiscal year. The amended contract language will state that information related to audits will need to be supplied within one (1) business day for urgent, three (3) business days for expedited, and five (5) for average. The Department will work with the Division of Purchasing to determine if it is possible to amend the liquidated damage section to ensure that we can hold the MCO vendors accountable for providing information during such audits in the future. Anticipated Corrective Action Date: June 30, 2027 Responsible for Corrective Action: Sasha O’Connell, Deputy Director Sasha.OConnell@dhw.idaho.gov (208) 334-5500
Finding Number 2025-217: The Department lacked documented evidence of monitoring over provider screening and enrollment activities performed by the Department’s service organization for the Medicaid and CHIP programs. Federal Programs: 93.777 - State Survey and Certification of Health Care Providers...
Finding Number 2025-217: The Department lacked documented evidence of monitoring over provider screening and enrollment activities performed by the Department’s service organization for the Medicaid and CHIP programs. Federal Programs: 93.777 - State Survey and Certification of Health Care Providers and Suppliers (Title XVIII) Medicare 93.778 - Grants to States for Medicaid 93.767 - Children's Health Insurance Program Related to Prior Finding: N/A Agency’s view: The agency agrees with the finding. Corrective Action: The department routinely identifies, evaluates, and addresses areas of deficiency through its established oversight processes for our enrollment and credentialling contractor, Gainwell Technologies. The department reviews and documents, on a monthly basis, the contractor’s performance on 175 measures. The department and Gainwell representatives also participate in five (5) weekly, one (1) biweekly, and two (2) monthly meetings to facilitate issue identification, resolution, and monitoring of contractual performance related to enrollment and credentialling. While there were no providers found to be inappropriately enrolled or credentialled, the department understands that there are outstanding concerns regarding the state’s oversight. The department will coordinate with the Centers for Medicare and Medicaid Services (CMS) to identify gaps between current practices and CMS expectations establish a plan to address the auditors' concerns regarding compliance. The department anticipates completing this plan by January 1, 2027. Anticipated Corrective Action Date: January 1, 2027 Responsible for Corrective Action: Sasha O’Connell, Deputy Director Sasha.OConnell@dhw.idaho.gov (208) 334-5500
Management will review and improve controls in the patient intake process to ensure that information necessary to document sliding fee discount program eligibility is being obtained from patients and retained as determined necessary to meet the requirements health centers program.Person(s) Responsib...
Management will review and improve controls in the patient intake process to ensure that information necessary to document sliding fee discount program eligibility is being obtained from patients and retained as determined necessary to meet the requirements health centers program.Person(s) Responsible: Katrina King, CFO Timing for Implementation: December 31, 2026
Plan: Implement a policy to ensure appropriate review process and documentation for each application is obtained. Implement internal control that management signs off on all applications, verifying that appropriate documentation is present and noting what funding the applicant qualifies for. Impleme...
Plan: Implement a policy to ensure appropriate review process and documentation for each application is obtained. Implement internal control that management signs off on all applications, verifying that appropriate documentation is present and noting what funding the applicant qualifies for. Implementation Date: Beginning of Fiscal Year 26- July 1, 2025 Responsible Party: Melissa Goodman, VP of Reentry Services will oversee the manager of the Work for Success program and ensure that these internal controls are taking place.
Finding 2025-002 Federal Agency: U.S. Department of Housing and Urban Development Federal Program Titles: Public and Indian Housing Program Federal Catalog Numbers: 14.850 Non Compliance - E. Eligibility - Tenant Files Non Compliance Material to the Financial Statements: No Significant Deficiency in...
Finding 2025-002 Federal Agency: U.S. Department of Housing and Urban Development Federal Program Titles: Public and Indian Housing Program Federal Catalog Numbers: 14.850 Non Compliance - E. Eligibility - Tenant Files Non Compliance Material to the Financial Statements: No Significant Deficiency in Internal Control over Compliance for Eligibility Criteria: Tenant Files. The PHA must do the following: As a condition of admission or continued occupancy, require the tenant and other family member to provide necessary information, documentation, and releases for the PHA to verify income eligibility (24 CFR sections 5.230, 5.609, and 982.516). These files are required to be maintained and available for examination at the time of audit. Condition: Based upon inspection of the Authority’s files and on discussion with management, a tenant's rent payment was calculated incorrectly. Context: There are approximately 1,804 units. Of a sample size of thirty-one (31) tenant files, tenant rent was calculated incorrectly in one (1) file. Our sample size is statistically valid. Known Questioned Costs: $940* *Represents HAP attributable to one (1) tenant file for which the Authority could not demonstrate compliance with eligibility requirements. The questioned costs do not represent amounts determined to be ineligible but rather costs associated with miscalculation for verification of income. Cause: There is a significant deficiency in internal controls over the compliance for the eligibility type of compliance related to the maintenance of tenant files. Net income was used in error when calculating the tenant's rent instead of gross income. Effect: The Public and Indian Housing Program is in non-compliance with the eligibility type of compliance related to the maintenance of tenant files. Recommendation: We recommend that the Authority implement a process whereby Authority personnel properly trained on tenant recertification processes to ensure compliance with the Uniform Guidance and the compliance supplement. Views of responsible officials and planned corrective action: The Authority has recognized the deficiencies in the Public and Indian Housing Program and has implemented a quality control program. The Authority will continue to train staff on proper tenant recertification processes and implement additional internal control procedures, such as utilizing AI, that will ensure compliance with federal regulations. Ms. Chasity Jackson, Director of Asset Management, will be responsible to implement this corrective action by December 31, 2026.
Suspension and Debarment – Assistance Listing Number 14.251 Recommendation: We recommend that management establish and implement policies and procedures for internal staff to monitor all vendors for suspension and debarment. Explanation of disagreement with audit finding: There is no disagreement wi...
Suspension and Debarment – Assistance Listing Number 14.251 Recommendation: We recommend that management establish and implement policies and procedures for internal staff to monitor all vendors for suspension and debarment. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Organization will establish and implement policies and procedures for internal staff to monitor all vendors for suspension and debarment. Name of the contact person responsible for corrective action: Joel Bailey Planned completion date for corrective action plan: December 31, 2026
ecommendation: We recommend management implement and enforce standardized payroll controls to ensure time punch cards or equivalent timekeeping documentation are completed, reviewed, and retained. Management should also ensure employee pay rates, whether salary or hourly, are authorized, supported i...
ecommendation: We recommend management implement and enforce standardized payroll controls to ensure time punch cards or equivalent timekeeping documentation are completed, reviewed, and retained. Management should also ensure employee pay rates, whether salary or hourly, are authorized, supported in personnel files, and agree to payroll system rates. Additionally, management should ensure hours are accurately applied between regular and overtime categories, and that supporting payroll documentation is retained in accordance with the Authority’s record retention policy and applicable requirements. Further internal controls have been implemented through the migration to iSolved software as part of MRI implementation for both housing software and fee accounting services. These additional changes are as follows: • Each employee must review and verify their entire timecard in the system after the pay period and prior to payroll processing. The supervisor must subsequently verify the timecard after the employee has done so. The timecard and these verifications are retained in the automated system indefinitely. • If an employee punches outside the geofenced work location, the supervisor must enter a note in the automated system explaining why this occurred and whether the punch was allowed within policy or not. Additionally, the geolocation of the punch is retained by the system indefinitely. • If an employee misses a punch, the supervisor must be the one to enter the correction and must enter a note regarding the reason for the error. These records are retained in the system indefinitely. • After payroll records are verified by the employee and supervisor, the Executive Director prints timecard reports for all employees and attaches supporting documentation for any extraordinary pay events, such as a pay rate change, mileage reimbursement, Medicare stipend, bereavement leave, etc. • These reports and documentation are forwarded to the Compliance Officer who reviews all records in accordance with a payroll processing checklist. This checklist ensures the supervisor has completed all steps listed above, and that all required supporting documentation are included with the timecard record and reflect correctly in the pre-payment pay register. • After Compliance Officer reviews pre-payment records, the Financial Specialist completes a second review using a second checklist, verifying all direct deposit information is correct, withholdings and benefits reflect correctly, and supporting documentation is included. Once all records are verified, the Financial Specialist executes payroll. • After Payroll is executed, records are returned to supervisor to file all documents back in each employee folder for retention with the employee’s permanent employee file. Corrective Action: Upon taking the position, and prior to this audit, the new Executive Director implemented an automated timekeeping system, eliminating the complicated hand-punch clock system. This first step eliminated hours of follow-up work needed by the bookkeeper. The new system required staff to be within a geo-fenced area when punching and provides management with a mapped location for every punch. Responsible Party: Executive Director Anticipated Completion Date: Complete
2025-005: Inadequate Monitoring of Tenant End-of-Participation Status Recommendation: We recommend management implement and enforce standardized procedures to (1) promptly identify and document tenant move-outs, (2) complete and retain end-of-participation documentation timely, and (3) ensure HAP pa...
2025-005: Inadequate Monitoring of Tenant End-of-Participation Status Recommendation: We recommend management implement and enforce standardized procedures to (1) promptly identify and document tenant move-outs, (2) complete and retain end-of-participation documentation timely, and (3) ensure HAP payments are discontinued effective the appropriate date. Management should also perform periodic supervisory reviews of tenant status changes to help ensure program records are accurate and current. Corrective Action: Upon taking the position, and prior to this audit, the new Executive Director (ED), began the transition away from the current housing software and has settled on PHA Pro as the replacement system. The new system will ensure standardized procedures for identifying move outs, verifying documentation, and ensuring HAP payments are discontinued in a timely manner with the appropriate move-out date. Additionally, the software provides tools for management, compliance staff, and outside agencies to review detailed work of HCV staff and run reports to confirm close-out actions are up to date. Responsible Party: Executive Director Anticipated Completion Date: November 30, 2026 Responsible Contact: Pamela Flowers, Executive Director Phone Number: 970-565-3831, ext 2270 Email Address: pflowers@mc-ha.org
urrent Year Finding 2025-002: Controls over cash disbursements Recommendation: We recommend management implement and enforce standardized cash disbursement controls requiring invoices to be reviewed and approved prior to payment. At a minimum, controls should include (1) documented evidence of revie...
urrent Year Finding 2025-002: Controls over cash disbursements Recommendation: We recommend management implement and enforce standardized cash disbursement controls requiring invoices to be reviewed and approved prior to payment. At a minimum, controls should include (1) documented evidence of review and approval (e.g., signature/initials and date or electronic approval), (2) segregation of duties between invoice approval and payment processing, and (3) retention of invoice approval documentation in accordance with the Authority’s document retention policy and applicable regulatory requirements. Corrective Action: Upon taking the position, and prior to this audit, the new Executive Director (ED) divided duties between general staff, the Financial Specialist (FS), the Deputy Director (DD), and herself to ensure several levels of review were required prior to payment of any invoices. The procedure is as follows: 1. All purchases must be approved by the ED prior to purchase. If the purchase is above her authority ($15K) she will seek approval from the Board Chairman or the full Board as appropriate. 2. After purchase, the staff will direct the invoice to the DD for review. The DD will ensure documentation of the prior ED approval is included with the invoice before it is brought forward for payment approval. Once all documentation is gathered, it is forwarded to the ED for approval. 3. The ED will review the approval package and stamp the invoice with the date of approval and sign or initial with her approval. Then the approved invoice and all supporting documentation are forwarded to FS for payment. 4. The FS puts all supporting documentation together, enters all information in the accounting system (QB), and executes final payment method with ED additional approval.This process will become even more protected and easily audited by the board and others in the coming months as we begin operations with a payment processor, AvidXchange. This processor’s system will automate the payment of well over 98% of our invoices, retaining all these records in an online system that will link to our new financial software (Lindsey) for highly transparent and detailed audit trail of all cash disbursement activities. All required approvals will still occur but will be facilitated electronically rather than in a paper system. Responsible Party: Executive Director Anticipated Completion Date: Complete
2025-003: Inadequate Documentation of Board Meeting Minutes Recommendation: We recommend management implement and enforce standardized procedures to ensure Board of Commissioner meeting minutes are prepared, reviewed, approved, and retained in a timely manner. Additionally, the Authority should main...
2025-003: Inadequate Documentation of Board Meeting Minutes Recommendation: We recommend management implement and enforce standardized procedures to ensure Board of Commissioner meeting minutes are prepared, reviewed, approved, and retained in a timely manner. Additionally, the Authority should maintain a centralized filing system, either electronic or physical, to ensure minutes are complete, safeguarded, and readily available for audit and regulatory review. Corrective Action: Upon taking the position, and prior to this audit, the new Executive Director (ED) implemented use of the shared data folders on the network drives for storage of important historic and auditable records. This is a highly secure method due to daily backups of the network drives and access controls for the folders within the drives. Among the files created is a folder at the address Admin (T:)\7. Board of Commissioners which contains sub folders organized by year. Within each year, there are folders labeled by meeting date and type of meeting, (i.e. “2026.01.22 Jan Regular Meeting”). Within this folder are all draft documents used to prepare for the meeting and a folder which contains all final documents contained in the published Agenda Packet. The final thing placed in this folder is the .pdf scan of the signed meeting minutes for that meeting after they are approved and signed at the subsequent board meeting. This has ensured an available copy of all approved and signed board meeting minutes is available for all meetings this year to date, and will ensure so in the future, regardless of board or staff turnover. Responsible Party: Executive Director Anticipated Completion Date: Complete
2025-004: Housing Choice Voucher (CFDA 14.871) [REPEAT] Recommendation: We recommend the Authority provide training to Housing Choice Voucher program staff emphasizing the importance of maintaining complete and accurate eligibility documentation. Additionally, the Authority should evaluate the implem...
2025-004: Housing Choice Voucher (CFDA 14.871) [REPEAT] Recommendation: We recommend the Authority provide training to Housing Choice Voucher program staff emphasizing the importance of maintaining complete and accurate eligibility documentation. Additionally, the Authority should evaluate the implementation of an electronic document management system to improve file organization, reduce the risk of misplacement, and ensure timely access to required records for compliance and audit purposes. Corrective Action: Upon taking the position, and prior to this audit, the new Executive Director (ED) hired a new Voucher Specialist. That specialist attended training and received a Certification as an Occupancy Specialist Voucher on January 23, 2026. In addition, the Housing Authority began the transition away from the current housing software and has settled on PHA Pro as the replacement system. This software will provide electronic documents and file management eliminating paper case files upon its implementation. This will allow wider audit capability and ensure tighter controls over processing timelines, ensuring compliance can be more readily verified by management and other agencies. Responsible Party: Executive Director Anticipated Completion Date: November 30, 2026
Finding 2025-003 Federal Agency: U.S. Department of Housing and Urban Development Federal Program Titles: Housing Voucher Cluster Federal Assistance Listing Numbers: 14.871 and 14.879 Noncompliance - N. Special Tests and Provisions - Selection from the Waiting List Non Compliance Material to the Fin...
Finding 2025-003 Federal Agency: U.S. Department of Housing and Urban Development Federal Program Titles: Housing Voucher Cluster Federal Assistance Listing Numbers: 14.871 and 14.879 Noncompliance - N. Special Tests and Provisions - Selection from the Waiting List Non Compliance Material to the Financial Statements: Yes Material Weakness in Internal Control over Compliance for Special Tests and Provisions Criteria: Selections from the Waiting List. The PHA must have written policies in its Section 8 Administrative Plan for selecting applicants from the waiting list and PHA documentation must show that the PHA follows these policies when selecting applicants from the waiting list. Except for as provided in 24 CFR section 982.203 (Special admission (non-waiting list), all families admitted to the program must be selected from the waiting list. “Selection” from the waiting list generally occurs when the PHA notifies a family whose name reaches the top of the waiting list to come in to verify eligibility for admission (24CFR sections 5.410, 982.54(d), and 982.201 through 982.207). Condition: Based upon inspection of the waiting list provided to us during the time of audit, the new move-in list and discussions with management, it could not be determined with any certainty that certain new move-ins to the Housing Voucher Cluster Programs were selected from the wait list in an order that is in accordance with the Authority’s Section 8 Administrative Plan. Context: Of a sample size of twenty (20) new move-ins, seven (7) could not be determined to be housed in proper order from the Authority's waiting list. Our sample size is statistically valid. Known Questioned Costs: $169,991* *Represents HAP attributable to seven (7) new move-ins for which the Authority could not demonstrate compliance with the selection from the waiting list requirements. The questioned costs do not represent amounts determined to be ineligible but rather costs associated with the new move-ins that may not have been housed in compliance with the selection from the waiting list requirements. Cause: There is a material weakness in internal controls over the compliance for the special tests and provisions type of compliance related to selection from the waiting list. The Authority has not retained records to support proper selection from the waiting list. Effect: The Housing Voucher Program is in material non-compliance with the special tests and provisions type of compliance related to selection from the waiting list. Recommendation: We recommend that the Authority implement a process whereby Authority personnel are hired and trained on properly housing applicants from the Authority's waiting list that will reasonably assure compliance with the Uniform Guidance and the compliance supplement. Views of responsible officials and planned corrective action: The Authority has recognized the deficiencies in the Housing Voucher Cluster Programs and will train staff to properly house applicants and implement internal control procedures that will ensure compliance with federal regulations. Melena Nelson, Director of Finance, will be responsible to implement this corrective action by December 31, 2026.
Finding 2025-002 Federal Agency: U.S. Department of Housing and Urban Development Federal Program Titles: Housing Voucher Cluster Federal Assistance Listing Numbers: 14.871 & 14.879 Noncompliance - E. Eligibility - Tenant Files Non Compliance Material to the Financial Statements: No Significant Defi...
Finding 2025-002 Federal Agency: U.S. Department of Housing and Urban Development Federal Program Titles: Housing Voucher Cluster Federal Assistance Listing Numbers: 14.871 & 14.879 Noncompliance - E. Eligibility - Tenant Files Non Compliance Material to the Financial Statements: No Significant Deficiency in Internal Control over Compliance for Eligibility Criteria: Tenant Files. The PHA must do the following: As a condition of admission or continued occupancy, require the tenant and other family member to provide necessary information, documentation, and releases for the PHA to verify income eligibility (24 CFR sections 5.230, 5.609, and 982.516). These files are required to be maintained and available for examination at the time of audit. Condition: Based upon inspection of the Authority’s files and on discussion with management, there were documents that were unavailable for examination at the time of audit. Context: There are approximately 1,225 units Housing Voucher Cluster units. Of a sample size of twenty-five (25) tenant files, the following information was unavailable for examination at the time of audit: • Original application was missing in one (1) file • Citizenship declaration was missing in one (1) file • HUD-9887 form was missing in one (1) file • Lead based paint forms were missing or not signed by the lessee in eight (8) files • Verification of income and assets was missing in one (1) file Our sample size is statistically valid. Known Questioned Costs: $13,908* *Represents HAP attributable to one (1) tenant file for which the Authority could not demonstrate compliance with eligibility requirements. The questioned costs do not represent amounts determined to be ineligible but rather costs associated with HAP that the Authority could not substantiate since there were no supporting documents on file. Cause: There is a significant deficiency in internal controls over the compliance for the eligibility type of compliance related to the maintenance of tenant files. The Authority has not properly considered, designed, implemented, maintained and monitored a system of internal controls that reasonably assures the program is in compliance. Effect: The Housing Voucher Cluster is in non-compliance with the eligibility type of compliance related to the maintenance of tenant files. Recommendation: We recommend that the Authority implement a process whereby Authority personnel are properly trained on tenant recertification processes to ensure compliance with the Uniform Guidance and the compliance supplement. Views of responsible officials and planned corrective action: The Authority accepts the recommendation of the auditor. The Authority will increase oversight in the Housing Voucher Cluster to ensure that established internal control policies are being followed on a timely basis. Melena Nelson, Director of Finance, will be responsible to implement this corrective action by December 31, 2026.
Special Programs for the Aging, Title III, Part C, Nutrition Services - Assistance Listing No. 93.045 Nutrition Services Incentive Program – Assistance Listing No. 93.053 Recommendation: Management should strengthen controls over Community Dining participant tracking to ensure participant records ar...
Special Programs for the Aging, Title III, Part C, Nutrition Services - Assistance Listing No. 93.045 Nutrition Services Incentive Program – Assistance Listing No. 93.053 Recommendation: Management should strengthen controls over Community Dining participant tracking to ensure participant records are reviewed and supported by appropriate documentation. Management should also implement monitoring procedures to verify that participant counts and listings are complete, accurate, and properly supported. Explanation of disagreement with audit finding: There is no disagreement with the finding. Action taken in response to finding: Sound Generations is updating procedures to strengthen controls over recording participant information, including participant profiles and meal services. Administrative staff will conduct regular site visits to train and monitor site staff and volunteers on these procedures. Name(s) of the contact person(s) responsible for corrective action: Kristina Morgan, Controller, at 206-445-5671. Planned completion date for corrective action plan: June 2027.
The Authority accepts the recommendation of the auditor. The Authority will increase oversight in the Housing Voucher Cluster to ensure that established internal control policies are being followed on a timely basis. Kathleen Wyatt, Director of Housing Operations, will be responsible to implement th...
The Authority accepts the recommendation of the auditor. The Authority will increase oversight in the Housing Voucher Cluster to ensure that established internal control policies are being followed on a timely basis. Kathleen Wyatt, Director of Housing Operations, will be responsible to implement this corrective action by December 31, 2026.
2025-003 Eligibility Housing Voucher Cluster Material Weakness in Internal Control over Compliance Material Noncompliance Condition: Out of an approximate population of 1,500 Housing Voucher Cluster tenants we tested 18 tenants and the following deficiencies were noted: Eighteen files did not have a...
2025-003 Eligibility Housing Voucher Cluster Material Weakness in Internal Control over Compliance Material Noncompliance Condition: Out of an approximate population of 1,500 Housing Voucher Cluster tenants we tested 18 tenants and the following deficiencies were noted: Eighteen files did not have annual recertifications or a required annual certification performed during the year. Auditor’s Recommendations: The Authority should reevaluate their established procedures and controls in place to ensure full compliance in regard to eligibility and the timeliness of recertifications. The Authority needs to correct the deficiencies noted in the tested files and consider the impact to the rest of the population of tenant files that were not selected as part of the auditor’s sample. Action Taken: Management Response / Action Taken The Authority agrees with the finding and acknowledges that timely annual recertifications and certifications are critical to maintaining compliance with program eligibility requirements. During 2026, the Authority implemented enhanced tracking and monitoring procedures for annual recertifications, including management review of outstanding certifications and recertifications, additional staff training regarding compliance requirements, and increased oversight of file processing activities. The Authority will continue to strengthen internal controls and monitoring procedures to ensure annual recertifications and certifications are completed timely and appropriately documented. The Authority is actively working to bring all required recertifications and certifications current and expects to be fully current by December 31, 2026. Management believes the corrective actions implemented during 2026 will be more fully reflected in the results of the 2026 and 2027 compliance audits. Responsible Party: Senior Vice President of Voucher Processing Time Frame: Corrective actions were initiated during 2026 and are ongoing. The Authority expects all required recertifications and certifications to be current by December 31, 2026, with continued monitoring and oversight through 2027. Management expects the full impact of these corrective actions to be reflected in the 2026 and 2027 compliance audits.
2025-001 Condition: Deficiencies Noted in Maintenance of Tenant Files Steps to resolve: Management agrees with the audit finding and the auditor’s recommendation. We will implement procedures and changes to ensure that this finding will be cleared by the subsequent fiscal year audit. Individual resp...
2025-001 Condition: Deficiencies Noted in Maintenance of Tenant Files Steps to resolve: Management agrees with the audit finding and the auditor’s recommendation. We will implement procedures and changes to ensure that this finding will be cleared by the subsequent fiscal year audit. Individual responsible for correction: Mr. Damon Dunbar, Executive Director Timeframe: As of December 31, 2026
Finding 2025-001: Internal controls within the Student Financial Assistance (SFA) IT Systems | Name of Contact Person: Jared Smith, Dean of Student Affairs and Enrollment Management & Amy Brown, Director of Financial Aid | Corrective Action Plan: Carolinas College is implementing PowerFAIDS as its n...
Finding 2025-001: Internal controls within the Student Financial Assistance (SFA) IT Systems | Name of Contact Person: Jared Smith, Dean of Student Affairs and Enrollment Management & Amy Brown, Director of Financial Aid | Corrective Action Plan: Carolinas College is implementing PowerFAIDS as its new student financial aid management system, with deployment anticipated in August 2027. The new platform is expected to address limitations in the current Jenzabar Financial Aid system related to reporting capabilities, disbursement verification, and record retention. Until implementation is complete, management will utilize supplemental manual procedures, including maintaining supporting documentation and screenshots, to ensure adequate documentation of eligibility determinations, reporting, and disbursement activities. | Proposed Completion Date: Management expects interim remediation through enhanced manual recordkeeping procedures by December 31, 2026. Following the implementation of PowerFAIDS in August of 2027, a full remediation is expected to be completed by December 31, 2027. Due to the academic-year operating cycle, the College is unable to transition financial aid systems during the middle of an active award year, making a phased implementation approach necessary.
Medical Assistance – Assistance Listing No. 93.778 Recommendation: The County should ensure it has controls in place to properly verify assets for cases when required. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding...
Medical Assistance – Assistance Listing No. 93.778 Recommendation: The County should ensure it has controls in place to properly verify assets for cases when required. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Management will ensure the County is properly verifying assets for cases when additional verification is required. Name(s) of the contact person(s) responsible for corrective action: Heather Olson Auditor/Treasurer, Amie Gendron Administrative Services Supervisor Planned completion date for corrective action plan: December 31, 2026
Affordable Care Act: Public Health Training Centers Program – Assistance Listing No. 93.516 Recommendation: CLA recommends that BHT implement formal policies and procedures requiring the review of the U.S. Citizenship or Permanent Resident Status form prior to stipend payment authorization. Explanat...
Affordable Care Act: Public Health Training Centers Program – Assistance Listing No. 93.516 Recommendation: CLA recommends that BHT implement formal policies and procedures requiring the review of the U.S. Citizenship or Permanent Resident Status form prior to stipend payment authorization. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: This contract ended on September 14, 2025. BHT has implemented kick-off meetings any time a new contract is secured. During this meeting all reporting deadlines and contractual obligations are discussed, and if required, new processes are developed to meet contractual obligations. The process includes review of supporting documentation requirements and prerequisites for payment. In the event a contract is amended, the Director of Operations notifies all responsible staff if any changes have been made around reporting requirements. The Director of Operations may schedule a meeting to discuss any new contractual obligations as required by any amendment. Name(s) of the contact person(s) responsible for corrective action: Sarah Bolig Dorn Planned completion date for corrective action plan: May 29, 2026.
Authority Response and Planned Corrective Action: The Authority accepts the recommendation of the auditor. The Authority will increase oversight in the Section 8 Housing Choice Vouchers Program to ensure that established internal control policies are being followed on a timely basis. Jacqueline Lope...
Authority Response and Planned Corrective Action: The Authority accepts the recommendation of the auditor. The Authority will increase oversight in the Section 8 Housing Choice Vouchers Program to ensure that established internal control policies are being followed on a timely basis. Jacqueline Lopez, Interim Executive Director, is responsible for implementing this corrective action by December 31, 2026.
Finding 1239115 (2025-001)
Material Weakness 2025
CAPI USA has developed and implemented formal written subrecipient monitoring procedures, which have been incorporated into the Organization's Financial Handbook. These procedures require verification and documentation that subrecipients are not suspended, debarred, or otherwise excluded from partic...
CAPI USA has developed and implemented formal written subrecipient monitoring procedures, which have been incorporated into the Organization's Financial Handbook. These procedures require verification and documentation that subrecipients are not suspended, debarred, or otherwise excluded from participation in federal programs through review of SAM.gov or other appropriate sources. In addition, the Organization has revised its subaward agreement and related templates to ensure all information required under 2 CFR 200.332(b) is included. The updated subaward agreement has been provided to the current subrecipient for review and execution. To support ongoing compliance with Uniform Guidance requirements, CAPI USA will periodically review its subrecipient monitoring procedures and subaward agreement templates and update them as necessary to reflect regulatory changes and organizational practices. The Financial Handbook and template revisions have been completed as of the date of this corrective action plan. Full implementation of the corrective action will be finalized upon execution of the revised subaward agreement by the subrecipient. The Organization strives to remain compliant with Uniform Guidance in all respects to present both accurate and transparent records. If Minnesota Department of Human Services or U.S. Department of Health and Human Services have questions regarding this plan, please call Mary Niedermeyer, Chief Executive Officer, at 651-392-4069.
The FY 2025 audit identified continuing exceptions involving Housing Voucher participant files, including HUD Form 50058 reporting and income-calculation accuracy. The finding was identified as a repeat compliance matter. HACC agrees with the findings and has strengthened the Housing Choice Voucher ...
The FY 2025 audit identified continuing exceptions involving Housing Voucher participant files, including HUD Form 50058 reporting and income-calculation accuracy. The finding was identified as a repeat compliance matter. HACC agrees with the findings and has strengthened the Housing Choice Voucher Program's compliance controls. Management Response and Corrective Action 1. Dedicated HCV Compliance Function. HACC has established dedicated compliance oversight for the Housing Choice Voucher Program to provide an additional level of review independent of the staff responsible for processing the underlying transaction. 2. HUD Form 50058 Timeliness Monitoring. HACC will monitor HUD Form 50058 submissions and exception reports to identify late or rejected submissions and require timely correction. 3. Income and Rent Calculation Review. Quality-control reviews will specifically test income calculations, deductions, allowances, tenant rent, utility allowances where applicable, and supporting documentation. 4. File Completion Checklist. HACC will use a standardized HCV file checklist for annual and interim recertifications to verify required documentation is present before the action is considered complete. 5. Retroactive File Review and Correction. HACC will conduct targeted reviews of participant files to identify missing documentation, untimely HUD Form 50058 submissions, and income or rent calculation errors. HACC will correct identified deficiencies and process any required adjustments consistent with HUD requirements. 6. Recurring Quality-Control Reviews. HACC will conduct periodic sample reviews throughout the year. HACC will track results by error type, responsible function, corrective action, and resolution date so management can identify recurring trends. 7. Staff Training and Technical Assistance. HCV staff will receive continuing training regarding eligibility, income calculations, verification requirements, HUD Form 50058 reporting, and applicable HUD requirements. 8. Management Reporting and Accountability. HCV staff will periodically report compliance results to HCV leadership and executive management. Repeated deficiencies will result in targeted retraining, increased supervisory review, and appropriate performance-management measures. 9. Independent Third-Party Quality Control Review. During FY 2026, HACC is engaging an independent third-party quality-control and compliance firm to conduct comprehensive reviews of Housing Choice Voucher participant files. The firm will test file completeness, eligibility documentation, income and rent calculations, HUD Form 50058 accuracy and timeliness, required verifications, utility allowances where applicable, and other HUD compliance requirements. The firm will identify deficiencies and provide corrective recommendations to help HACC strengthen internal controls. Responsible Officials: Vice President of the Housing Choice Voucher Program and designated HCV Compliance staff, under the oversight of the Executive Director/CEO. Implementation Status/Timeline: Corrective actions are underway during FY 2026 and will remain part of HACC's ongoing compliance and quality-control process.
Corrective Action Plan Regarding the child abuse and neglect registry check: Corrective Action Plan: It was found that four case files did not include a printed copy of the child abuse and neglect registry check, a checklist showing it was run was included in the cases. The child abuse and neglect r...
Corrective Action Plan Regarding the child abuse and neglect registry check: Corrective Action Plan: It was found that four case files did not include a printed copy of the child abuse and neglect registry check, a checklist showing it was run was included in the cases. The child abuse and neglect registry check were conducted when the homes were first certified as Foster Homes and were included in the Foster Home case record. Foster Home case records are purged after eight years of the home being a closed Foster Home. Currently the printed child abuse and neglect registry check is included in the Adoption Subsidy case file. Action Date 2022 Final Implementation Date 12/31/2039 Name And Phone No. Of Person Responsible For Implementation Lori Rhein (631) 854-9330
Corrective Action Plan It was found that eight cases did not contain evidence in the case record that would indicate the participant’s categorical eligibility. A memo will be distributed to all staff as a reminder on the need to adequately document the case record to support the eligibility determin...
Corrective Action Plan It was found that eight cases did not contain evidence in the case record that would indicate the participant’s categorical eligibility. A memo will be distributed to all staff as a reminder on the need to adequately document the case record to support the eligibility determination to ensure compliance with state and federal regulations and the need to scan all documents to IEDR in a timely manner. A separate memo will be distributed to all supervisory staff as a reminder on their need to ensure the case is properly documented and stored in IEDR when reviewing the case record for eligibility determination. The agency will monitor training classes offered by OTDA throughout the year to assign staff to attend to reinforce and strengthen their knowledge on properly documenting and determining eligibility for program. Action Date 9/14/2026 Final Implementation Date 9/30/2027 Name And Phone No. Of Person Responsible For Implementation Bryan Bogad – 631-854-9880
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