Corrective Action Plans

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Doane has reviewed the finding and is researching ways to improve the process.
Doane has reviewed the finding and is researching ways to improve the process.
The Financial Aid team is conducting staff training regarding return to Title IV calculations and compliance led by the Financial Aid Director. This includes all return to Title IV calculations being reviewed by the Financial Aid Director before final submission.
The Financial Aid team is conducting staff training regarding return to Title IV calculations and compliance led by the Financial Aid Director. This includes all return to Title IV calculations being reviewed by the Financial Aid Director before final submission.
View Audit 293420 Questioned Costs: $1
Management is responsible for establishing a comprehensive information security policy to safeguard sensitive data. Personnel Responsible for Corrective Action: Tonya Mourning, Chief Financial Officer, and Mike Pepple, Student Financial Services Director. Anticipated Completion Date: Corrective act...
Management is responsible for establishing a comprehensive information security policy to safeguard sensitive data. Personnel Responsible for Corrective Action: Tonya Mourning, Chief Financial Officer, and Mike Pepple, Student Financial Services Director. Anticipated Completion Date: Corrective action plan will be implemented by June 30, 2024. Corrective Action Plan: Management will continue to implement the remaining compliance requirements into a comprehensive policy.
Federal Direct Loan and Pell disbursement dates per the University's billing system did not agree with the reported dates per the Common Origination Disbursement (COD) records. Additionally, Pell award amount did not agree between the students' file and COD records. Personnel Responsible for Correct...
Federal Direct Loan and Pell disbursement dates per the University's billing system did not agree with the reported dates per the Common Origination Disbursement (COD) records. Additionally, Pell award amount did not agree between the students' file and COD records. Personnel Responsible for Corrective Action: Tonya Mourning, Chief Financial Officer, and Mike Pepple, Student Financial Services Director. Anticipated Completion Date: Corrective action plan will be implemented by June 30, 2024. Corrective Action Plan: Pell and Direct Loan origination records and disbursement records are submitted to the Common Origination Disbursement (COD) either same business day, or next business day. Formal reconciliation process is now completed every month in order to verify disbursement dates and amounts in COD.
Finding 372099 (2023-001)
Significant Deficiency 2023
Enrollment information was not submitted accurately or within the required timeframe by the University. Personnel Responsible for Corrective Action: Tonya Mourning, Chief Financial Officer, and Mike Pepple, Student Financial Services Director. Anticipated Completion Date: Corrective action plan will...
Enrollment information was not submitted accurately or within the required timeframe by the University. Personnel Responsible for Corrective Action: Tonya Mourning, Chief Financial Officer, and Mike Pepple, Student Financial Services Director. Anticipated Completion Date: Corrective action plan will be implemented by June 30, 2024. Corrective Action Plan: Management has hired a new Student Financial Services Director and is aware of the federal regulations surrounding enrollment information that must be reported to the NSLDS. Given the complexity of the reporting, management has established additional policies and procedures to address the errors related to enrollment reporting to the NSLDS in a timely and accurate manner.
CORONAVIRUS STATE AND LOCAL RECOVERY FUNDS, ASSISTANCE LISTING 21.027 : INELIGIBLE COSTS / UNIFORM GUIDANCE 2 CFR PART 200 UNIFORM ADMINISTRATIVE REQUIREMENTS, COST PRINCIPLES, AND AUDIT REQUIREMENTS FOR FEDERAL AWARDS, SUBPART E: COST PRINCIPLES SECTION 200.403(F) STATE "EXCEPT WHERE OTHERWISE AUTH...
CORONAVIRUS STATE AND LOCAL RECOVERY FUNDS, ASSISTANCE LISTING 21.027 : INELIGIBLE COSTS / UNIFORM GUIDANCE 2 CFR PART 200 UNIFORM ADMINISTRATIVE REQUIREMENTS, COST PRINCIPLES, AND AUDIT REQUIREMENTS FOR FEDERAL AWARDS, SUBPART E: COST PRINCIPLES SECTION 200.403(F) STATE "EXCEPT WHERE OTHERWISE AUTHORIZED BY STATUTE, COSTS MUST MEET THE FOLLOWING CRITERIA IN ORDER TO BE ALLOWABLE UNDER FEDERAL AWARDS: (F) NOT BE INCLUDED AS A COST OR USED TO MEET COST SHARING OR MATCHING REQUIREMENTS OF ANY OTHER FEDERALLY-FINANCED PROGRAM IN EITHER THE CURRENT OR PRIOR PERIOD. / THE CITY OF EAST PRAIRIE RECEIVED ARPA FUNDS THROUGH MISSISSIPPI COUNTY, MISSOURI FOR THE REMOVAL OF ASBESTOS AND DEMOLITION OF A HAZARDOUS SCHOOL STRUCTURE IN ORDER TO FACILITATE THE CONSTRUCTION OF A PUBLIC HEALTH FACILITY IN AUGUST AND SEPTEMBER, 2022. IN DECEMBER OF THE SAME YEAR, THE CITY RECEIVED WAS AWARDED AND ARPA GRANT AND FUNDS THROUGH THE MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION FOR THE SAME PROJECT. THIS WAS A DUPLICATION OF ARPA FUNDS DUE TO THE CITY NOT BEING FULLY AWARE OF THE COST STANDARDS OF UNIFORM GUIDANCE AND A MISCOMMUNICATION REGARDING ELIGIBILITY OF COSTS. / THE CITY OF EAST PRAIRIE HAS CONTACTED MISSISSIPPI COUNTY AND WILL BE RECEIVING AUTHORIZATION FROM THE MISSISSIPPI COUNTY COMMISSION TO RE-ALLOCATE THOSE FUNDS FOR THE SAME PUBLIC HEALTH FACILITY PROJECT. WE ARE ALSO DEVELOPING A WRITTEN POLICY AND PROCEDURE MANUAL CONFORMING TO UNIFORM GUIDANCE.
View Audit 293337 Questioned Costs: $1
Enrollment Reporting Name of contact person responsible for Corrective Action Plan: Whitney Costner, Registrar Corrective Action Plan: We concur with the finding. The University is currently implementing additional controls and procedures to ensure that all student roster files are reviewed, updated...
Enrollment Reporting Name of contact person responsible for Corrective Action Plan: Whitney Costner, Registrar Corrective Action Plan: We concur with the finding. The University is currently implementing additional controls and procedures to ensure that all student roster files are reviewed, updated, and submitted in accordance with applicable compliance requirements. Anticipated Completion Date: January 2024
Finding Number: 2023-006 Condition: Of the 9 students selected for enrollment reporting testing, the Seminary did not properly update student enrollment Information for 1 student in a timely manner. Planned Corrective Action: For students who finish their degree in December, they are reported as "wi...
Finding Number: 2023-006 Condition: Of the 9 students selected for enrollment reporting testing, the Seminary did not properly update student enrollment Information for 1 student in a timely manner. Planned Corrective Action: For students who finish their degree in December, they are reported as "withdrawn" as there is no option to confer in December (institutional policy). The student status is updated to "graduated" and reported to Clearinghouse in May when students are conferred. Contact person responsible for corrective action: Vince McGlothin-Eller, Registrar Anticipated Completion Date: 05/31/2024
Finding Number: 2023-005 Condition: During our review of internal controls and testing procedures, it was noted that no reconciliations could be provided. In addition, the Seminary does not have a quality assurance system in place. Planned Corrective Action: Within 1-2 weeks of each month's end, the...
Finding Number: 2023-005 Condition: During our review of internal controls and testing procedures, it was noted that no reconciliations could be provided. In addition, the Seminary does not have a quality assurance system in place. Planned Corrective Action: Within 1-2 weeks of each month's end, the Financial Aid Director requests a report from COD (US Department of Education Common Origination & Disbursement) for Direct Loans disbursed that month. That report is retrieved through EDConnect and reviewed. Financial Aid Director generates a report from Jenzabar Financial Aid system of Direct Loans disbursed for that month. The Financial Aid Director also retrieves a report of Direct Loans applied to students' accounts for that month from Business Office Senior Accountant. These three reports are then compared and reconciled for each month. Contact person responsible for corrective action: Ashley Schreiner, Director of Financial Aid Anticipated Completion Date: Beginning 10/1/2023 (after first month of disbursement)
Finding Number: 2023-004 Condition: The Seminary did not maintain appropriate documentation to substantiate the allowable charges on the student's ledger account to identity whether credit balances were created and required additional documentation from the student to hold the credit balance Planned...
Finding Number: 2023-004 Condition: The Seminary did not maintain appropriate documentation to substantiate the allowable charges on the student's ledger account to identity whether credit balances were created and required additional documentation from the student to hold the credit balance Planned Corrective Action: Beginning with the Fall 2023 term, Title IV credit balances are no longer held past the 14 days with authorization from the student. The Financial Aid Director implemented a new policy where students cannot request that these funds are retained beyond 14 days. There is a shared list where the Business Office enters the date that the students’ credit balance was released to verify that process happens within 14 days. Contact person responsible for corrective action: Ashley Schreiner, Director of Financial Aid Anticipated Completion Date: 09/20/2023 (first day of Fall disbursement)
Finding Number: 2023-002 Condition: Of the 19 students who received disbursements selected for testing, the Seminary did not notify any of the students or parents, as applicable, that received direct federal loans within the required 30 days. Planned Corrective Action: Directly after a students’ Dir...
Finding Number: 2023-002 Condition: Of the 19 students who received disbursements selected for testing, the Seminary did not notify any of the students or parents, as applicable, that received direct federal loans within the required 30 days. Planned Corrective Action: Directly after a students’ Direct Loan is disbursed, Financial Aid Director manually sends the loan disbursement notification email to the student (through the Jenzabar financial aid system), which specifies the amount that they borrowed for the term and the right to cancel the loan within 14 days by emailing the Financial Aid Office. This email is recorded in the Jenzabar Financial Aid system. The Financial Aid Director also created a spreadsheet to track Direct Loan disbursements and notifications each term. Contact person responsible for corrective action: Ashley Schreiner, Director of Financial Aid Anticipated Completion Date: 09/20/2023 (first day of Fall disbursement)
Finding Number: 2023-007 Condition: The Seminary did not identify or provide the appropriate notification to a student that was not meeting the Seminary's policy on satisfactory academic progress (SAP). Planned Corrective Action: Satisfactory academic progress is now being monitored more carefully. ...
Finding Number: 2023-007 Condition: The Seminary did not identify or provide the appropriate notification to a student that was not meeting the Seminary's policy on satisfactory academic progress (SAP). Planned Corrective Action: Satisfactory academic progress is now being monitored more carefully. The Satisfactory academic progress report is run out of the student financial aid system. The internally generated report is reviewed by the Registrar and Financial Aid Director to confirm that student satisfactory academic progress statuses are correct. Once the appropriate status is confirmed, the Financial Aid Director will document students who are not in compliance with the institution’s policy and provide notifications to each student through email. The emails are recorded in the students' Jenzabar financial aid account. Contact person responsible for corrective action: Ashley Schreiner, Director of Financial Aid Anticipated Completion Date: 06/01/2024
Finding Number: 2023-003 Condition: The Seminary did not have controls in place to identify and document the students who have withdrawn and the applicability of performing a return of Title IV funds. Planned Corrective Action: Financial Aid Director has established a procedure to ensure that R2T4 c...
Finding Number: 2023-003 Condition: The Seminary did not have controls in place to identify and document the students who have withdrawn and the applicability of performing a return of Title IV funds. Planned Corrective Action: Financial Aid Director has established a procedure to ensure that R2T4 calculations are completed and any funds due to be returned are sent back to the Department of Education within 45 days of the date of the student's withdrawal. The Financial Aid Director created a listing to track all student withdrawals (including details of withdrawal). The Registrar sends an email to the Financial Aid Director notifying when a student has withdrawn from the institution, which gets entered onto the list. The Financial Aid Director set up the Department of Education's R2T4 calculator for the 2023-2024 academic year. R2T4 calculations are completed for any student withdrawn and if necessary, funds are returned to the Department of Education. Contact person responsible for corrective action: Ashley Schreiner, Director of Financial Aid Anticipated Completion Date: 09/05/2023 (beginning of Fall 2023 term)
View Audit 293235 Questioned Costs: $1
Finding 371924 (2023-009)
Significant Deficiency 2023
The City agrees with the finding. The Grant Administrator will work with City departments with construction contracts subject to wage rate requirements to ensure policies and procedures are documented and that a monitoring process is implemented to ensure adherence to established policies and granto...
The City agrees with the finding. The Grant Administrator will work with City departments with construction contracts subject to wage rate requirements to ensure policies and procedures are documented and that a monitoring process is implemented to ensure adherence to established policies and grantor requirements. This will be complete by June 30, 2024.
Finding 371921 (2023-007)
Significant Deficiency 2023
The City agrees with the finding. Over the past several years, the City has developed a significant number of guidance documents and trainings in the area of federal procurement. All of the guidance documents for Central Purchasing are housed in the Purchasing SharePoint site. The guidance and train...
The City agrees with the finding. Over the past several years, the City has developed a significant number of guidance documents and trainings in the area of federal procurement. All of the guidance documents for Central Purchasing are housed in the Purchasing SharePoint site. The guidance and training have in the past been directed at the members of the Purchasing Liaison User Group, but given the continued findings, the City intends to reach out to a much broader group to ensure compliance, including Directors, Deputy Directors, and program representatives. This will be complete by June 30, 2024.
Finding 371920 (2023-006)
Significant Deficiency 2023
The City agrees with the finding. Over the past several years, the City has developed a significant number of guidance documents and trainings in the area of federal procurement. All of the guidance documents for Central Purchasing are housed in the Purchasing SharePoint site. The guidance and train...
The City agrees with the finding. Over the past several years, the City has developed a significant number of guidance documents and trainings in the area of federal procurement. All of the guidance documents for Central Purchasing are housed in the Purchasing SharePoint site. The guidance and training have in the past been directed at the members of the Purchasing Liaison User Group, but given the continued findings, the City intends to reach out to a much broader group to ensure compliance, including Directors, Deputy Directors, and program representatives. In addition, during Fiscal Year 2023 the City implemented a new system, Contracts Life :Management (CUA), which includes an intake form in the federal funding section. The intake form includes the question "Is the supplier suspended or debarred?" The user is required to upload the result of the SAMS check search, regardless of the status of the contractor. When the answer is yes, the contract process is not allowed to proceed. The system is set up for social services and professional services only at this time, with a slow rollout of the rest of the types of City contracts over the next year or so. This system did not go-live with the existing professional services contracts until the end of the Fiscal Year and management believes that, with sufficient time and build out of the system, this system will help to reduce the exceptions noted above. In addition, as discussed above, management will review and revise internal policies and procedures as appropriate and ensure changes are communicated to departments. This will be completed by June 30, 2024.
The City agrees with the finding. The Treasury Portal automatically fills in the amounts for revenue loss for 2022 with amounts reported in 2020. The Treasury portal has many flaws that would cause errors in reporting. In addition, the portal has changed every quarter, which makes it challenging to ...
The City agrees with the finding. The Treasury Portal automatically fills in the amounts for revenue loss for 2022 with amounts reported in 2020. The Treasury portal has many flaws that would cause errors in reporting. In addition, the portal has changed every quarter, which makes it challenging to report accurately. The City will implement controls to ensure that a second review is completed prior to certification of the report. Additionally, the Grant Administrator will work with department staff responsible for reporting and ensure that each report's supporting documentation is complete and ties to underlying subrecipient reports, the general ledger and grantor reports. All supporting documentation, along with a copy of the submitted report, will be stored in a central location to ensure that they are available for subsequent reviews and audits. This will be completed by June 30, 2024.
The City agrees with the finding. The City will ensure that the federal report preparers reconcile all entries to program limitations prior to having the report submitted for final certification. This will be complete by June 30, 2024.
The City agrees with the finding. The City will ensure that the federal report preparers reconcile all entries to program limitations prior to having the report submitted for final certification. This will be complete by June 30, 2024.
Finding 2023-004 Internal control deficiency and noncompliance over Activities Allowed or Unallowed, Allowable Costs/Cost Principles, and Reporting related to expenses attributable to coronavirus reported in the provider relief fund reports. The entity has excess lost revenues to cover all payment...
Finding 2023-004 Internal control deficiency and noncompliance over Activities Allowed or Unallowed, Allowable Costs/Cost Principles, and Reporting related to expenses attributable to coronavirus reported in the provider relief fund reports. The entity has excess lost revenues to cover all payments received (excluding the expenses submitted). Therefore, no refund is required for any payments received. Since the program has ended, the management has implemented the following procedures for future grants: 1) An education session occurred on February 15, 2024, with the relevant parties across Huntington Health entities to formally implement a review process whereby the Controller will review the support files prior to filings being made related to grant applications/programs across any of Huntington’s entities. Documentation of this review will be retained in the central file repository. These steps and controls will be updated and documented in the departmental policy. 2) A central folder on the Huntington Hospital’s main accounting drive has been created. This folder will be populated with all support for filed figures related to grant applications/programs across the hospital’s various entities. The support will be validated as having been placed into this folder as part of the reporting out process by the accounting manager and Controller handling the reporting. Files will be retained in this central drive for a minimum of 7 years. These steps and controls will be updated and documented in the departmental policy. Contact Person: Byron Davis, Controller and Steven Mohr, Senior Vice President and Chief Financial Officer, Huntington Hospital Anticipated Completion Date: Completed
View Audit 293159 Questioned Costs: $1
Finding 2023-001 Internal control deficiency and noncompliance over Activities Allowed or Unallowed and Allowable Costs/Cost Principles related to salary cap limitation. In response to this finding management will implement the following: We are revising our internal controls to more frequently p...
Finding 2023-001 Internal control deficiency and noncompliance over Activities Allowed or Unallowed and Allowable Costs/Cost Principles related to salary cap limitation. In response to this finding management will implement the following: We are revising our internal controls to more frequently perform our salary cap reconciliation ensuring the appropriate sponsor invoicing for employees who are over the salary cap limitation. For the salary cap variances that were identified through the previous reconciliation process, they will be adjusted and posted by the close of our March 2024 accounting period. Lastly, we will offset our cash for the March 2024 letter of credit draw down process in the Payment Management System, and incorporate adjustments in our March 2024 invoices for federal pass-thru awards. In addition, the salary cap adjustment program in our new ERP system was designed to remove the defect experienced in our legacy system. Contact Person: Nicole Anderson Leonard, Vice President, Research and Vice Dean Anticipated Completion Date: March 31, 2024
INTERNAL CONTROLS OVER ALLOWABILITY West Virginia Military Authority (the Authority) Assistance Listing Number 97.036, COVID-19 97.036 The Authority is working internally to establish appropriate internal controls to document the review and approval of all West Virginia National Guard members’ ti...
INTERNAL CONTROLS OVER ALLOWABILITY West Virginia Military Authority (the Authority) Assistance Listing Number 97.036, COVID-19 97.036 The Authority is working internally to establish appropriate internal controls to document the review and approval of all West Virginia National Guard members’ timecard records to ensure that the members’ time is accurately reported and entered into the Oasis payroll system at the correct pay rates and amounts. The new internal controls will be implemented by April 1, 2024.
SPECIAL TESTS AND PROVISIONS – ADP RISK ANALYSIS & SYSTEM SECURITY REVIEW Department of Health and Human Resources (DHHR) Assistance Listing Number 93.775, 93.777, COVID-19 93.777, 93.778, ARRA 93.778 The Condition section within prior year finding 2022-037 recognized that the DHHR has policies an...
SPECIAL TESTS AND PROVISIONS – ADP RISK ANALYSIS & SYSTEM SECURITY REVIEW Department of Health and Human Resources (DHHR) Assistance Listing Number 93.775, 93.777, COVID-19 93.777, 93.778, ARRA 93.778 The Condition section within prior year finding 2022-037 recognized that the DHHR has policies and procedures in place for performing periodic risk assessments and security reviews over the Recipient Automated Payment and Information Data System (RAPIDS), which is an internal system; however, the Condition section also proclaimed that the DHHR does not have policies and procedures to perform periodic risk assessments and security reviews over the Medicaid Management Information System (MMIS). The first sentence of the corrective action plan for prior year finding 2022-037 indicates that the MMIS is designed, developed, implemented, and operated by an external service organization. Within the last two paragraphs of the corrective action plan for prior year finding 2022-037, the DHHR opined that it was in compliance with 45 CFR 95.621 since it receives the SOC 1 Type 2 report from the MMIS service organization and since the report documents that the service organization establishes and maintains a program for conducting periodic risk analyses to ensure appropriate, cost effective safeguards are incorporated into new and existing systems or whenever significant system changes occur, as required per 45 CFR 95.621. However, the DHHR also recognized the underlying concern expressed within the finding, in that the DHHR does not include the SOC 1 Type 2 report as part of its own policies and procedures for ADP security over the MMIS. To enhance its controls, the DHHR Bureau for Medical Services (BMS) was going to develop a policy and procedures to document MMIS compliance with 45 CFR 95.621. The procedures were to include but not be limited to a requirement to review and approve the SOC 1 Type 2 report from the MMIS service organization and document the review and approval process (e.g., for such matters as the service organization’s assertions, descriptions of its systems and controls, control objectives, and related controls, and the service auditor’s description of tests of controls and results). Although the DHHR BMS has not developed a comprehensive policy or any written procedures to date, they have developed a form to document internal review of the SOC 1 Type 2 report for such matters as the control environment, systems development and maintenance, logical security, physical access, computer operations, and input controls. The BMS has also discussed this issue with an independent consulting firm that is under contract with the BMS for Medicaid expertise and performs existing services related to information technology and security; modernization and planning for the overall Medicaid Enterprise Systems (MES); organization development, including alignment strategies; project management; and data architecture and governance, which includes managing the availability, usability, integrity, and security of data with comprehensive standards and policies. The BMS and its independent consulting firm will work together to develop a statement of work for an independent review of the existing control environment, if deemed necessary, and any additional services that might need performed in order to ensure the DHHR maintains full compliance with 45 CFR 95.621 and can document compliance for future HHS reviewers, independent auditors, or other authorized officials.
SPECIAL TESTS AND PROVISIONS – FRAUD DETECTION AND REPAYMENT West Virginia Department of Health and Human Resources (DHHR) Assistance Listing Number 93.575, 93.596, COVID-19 93.575 Per 45 CFR 98.68(b)(2), there is no requirement for lead agencies to recoup Child Care and Development Fund overpaym...
SPECIAL TESTS AND PROVISIONS – FRAUD DETECTION AND REPAYMENT West Virginia Department of Health and Human Resources (DHHR) Assistance Listing Number 93.575, 93.596, COVID-19 93.575 Per 45 CFR 98.68(b)(2), there is no requirement for lead agencies to recoup Child Care and Development Fund overpayments, except in instances of fraud as defined by the lead agency. Within the State of West Virginia, the lead agency is the DHHR. As indicated in Section 8.1.6 of the CCDF [State] Plan for West Virginia for Federal fiscal years 2022-2024, the DHHR Office of Inspector General (OIG) is responsible for pursuing fraud and overpayments. As indicated in Section 1.1.2 of the CCDF [State] Plan, the Division of Early Care and Education within the DHHR Bureau for Family Assistance (BFA) administers the CCDF program. Accordingly, the OIG and BFA strive to work as a unified team within the DHHR and State as a whole to identify and prevent fraud or intentional program violations; to identify and recover misspent funds as a result of fraud; and to otherwise fight fraud and ensure program integrity. As the lead agency, and as necessary to ensure program integrity, the DHHR has policies and procedures in place to define fraud and to identify and recover payments resulting from fraud, as the auditors indicated within the condition and recommendation sections of this finding and to track referrals and determinations from beginning to end (i.e., beginning in the year of identification and continuing through resolution or the establishment and enforcement of repayment agreements). The policies and procedures are specifically referenced in Chapter 8 of the BFA’s “Child Care Subsidy Policy and Procedures Manual.” Chapter 8 of the manual is titled, “Improper Payments: Prevention, Identification, Measurement and Recoupment.” Improper Payments Per Chapter 8 of the manual, an improper payment occurs when the funds go to the wrong recipient, the recipient receives the incorrect amount of funds, or the recipient obtains or uses the funds in an improper manner. Improper payments include 1) worker error in determining eligibility, authorizing care, or paying for care; 2) misrepresentation on the part of the parent or provider; and 3) programmatic infractions by parents or providers. 1. Worker Error – Improper payments due to worker error are defined as payments that should not have been made or that were made in an incorrect amount due to an error in determining and verifying eligibility, calculating the benefit, or entering the data into the eligibility system. Repayment of an improper payment due to worker error is not mandatory regardless of the amount. 2. Misrepresentation – Misrepresentation (i.e., fraud) occurs when a specific section of the child care policy is violated as a result of the information not having been reported by the client or provider or reported falsely. Improper payments made as a result of mis-interpretation must be referred to the OIG when the amount exceeds $1,000.00. If the amount does not exceed $1,000.00, the BFA must initiate repayment procedures. A willfully false statement is one that is deliberately given, with the intent that it be accepted as true, with the knowledge that it is false. It is an essential element in a misrepresentation charge that the client or provider knew the statement was false. 3. Programmatic Infraction – There are times when it is difficult to discern whether an improper payment occurred due to willful misrepresentation or is simply the result of a client or provider’s genuine confusion over subsidy program rules and responsibilities. When the case manager believes that improper payments were the result of the client or provider’s failure to understand, it is considered to be a programmatic infraction; it is the BFA’s responsibility to collect the improper payment in this instance, regardless of the amount. If the case manager is in doubt as to whether an improper payment is a programmatic infraction or is the result of misrepresentation by the client or provider, and the improper payment is less than $1,000.00, the case manager discusses the case with the supervisor and the supervisor subsequently consults with the program director; together, they make the decision whether to pursue repayment. Referrals from the Bureau for Family Assistance to the Office of Inspector General If the overpayment is $1,000.00 or greater and is due to misrepresentation by the client or provider, the case manager prepares a memo explaining the circumstances, the time period, and an estimate of the amount involved; indicates the person(s) who can verify the information within the memo; attaches a copy of all applicable documentation including, but not limited to, the payment form and attendance sheets that help support the complaint; states what corrective actions the case manager has taken on the case; and sends a copy of the memo and supporting documents to the Office of Inspector General, Division of Investigations and Fraud Management. Recovery of Improper Payments Resulting from Misrepresentation (i.e., Fraud) The supervisors within the BFA are responsible for negotiating repayment schedules with providers and clients and completing a Child Care Benefit Repayment Agreement to include the amount to be recovered, the period of recovery, the monthly recovery amount, and the procedure for repayment. If the provider or client is active, the case manager attempts to collect the payment in full; if this is not feasible, the case manager requests that the client or provider be asked to repay the amount in monthly installment payments of approximately 10% of the amount due. If a payment is more than 45 days late (15 days past the due date), the entire unpaid balance becomes due and must be paid in full. Failure to repay the requested amount results in case closure for clients or denial of participation in the certificate system for child care providers. Client services will not be reinstated until full payment is received. There are no policies or procedures to pursue repayments or collection beyond that point. There is no method to recoup overpayments from ongoing benefits, and the CCDF is not subject to the Treasury Offset Program, as other Federal programs are. Corrective Action Plan As previously stated, the OIG and BFA strive to work as a unified team within the DHHR to identify and prevent fraud or intentional program violations; to identify and recover misspent funds as a result of fraud; and to otherwise fight fraud and ensure program integrity. In response to the auditor’s recommendation for this finding, the OIG and BFA will revisit existing policies and procedures over fraud detection and repayment and will attempt to enhance the controls related thereto, particularly in relation to ensuring that all efforts concerning fraud detection and repayment are sufficiently documented, thus demonstrating full compliance with 45 CFR 98.60. Maintaining documentation of the decision-making process, the activities performed, and the results of those activities is of paramount importance in achieving that objective. A high level of documentation is necessary to support that the DHHR has policies and procedures in place and is following those policies and procedures. Maintaining adequate records and other documentary evidence will resolve this audit finding, prevent the occurrence of future audit findings, and provide a means to corroborate statements and assurances provided to regulatory agencies and other authorized individuals with regards to the DHHR’s overall compliance with 45 CFR 98.60. It is not enough to perform the activities; there must be an adequate audit trail to show the “who, what, when, where, and how” of the activities performed. As such, the OIG and BFA will also develop and maintain an appropriate system for categorizing their files and organizing their records, reports, and documents in a systematic and orderly manner to ensure, among other purposes, that they can substantiate their efforts when audited, reviewed, or evaluated by internal staff or authorized external organizations.
View Audit 293105 Questioned Costs: $1
ALLOWABILITY AND ELIGIBILITY Department of Health and Human Resources (DHHR) Assistance Listing Number 93.489, 93.575, 93.596, COVID-19 93.575 For the one payment out of 40 whereby the provider requested and was paid for 13 non-traditional days although records indicated that only 11 of the days...
ALLOWABILITY AND ELIGIBILITY Department of Health and Human Resources (DHHR) Assistance Listing Number 93.489, 93.575, 93.596, COVID-19 93.575 For the one payment out of 40 whereby the provider requested and was paid for 13 non-traditional days although records indicated that only 11 of the days were non-traditional, the West Virginia Department of Health and Human Resources, Bureau for Family Assistance (BFA), agrees that the condition resulted in an overpayment of $12.00. The BFA Case Manager entered 13 non-traditional days in the Family and Children Tracking System (FACTS), but the record indicated that only 11 days were non-traditional days. Per WV Child Care Policy and Procedures: 8.3.1. Worker Error Improper payments due to worker error are defined as payments that should not have been made, or that were made in an incorrect amount due to worker error in determining and verifying eligibility, and/or calculation and input of information into the Family and Children’s Tracking System (FACTS). Incorrect amounts include overpayments, underpayments and inappropriate denials of payment. 8.3.1.1. Examples of worker error: A. The child care regulatory specialist enables the “accreditation” box, allowing the provider to receive an extra $4 per day, when the provider has not achieved accreditation, and is not entitled to the enhanced rate. B. The case manager enters an incorrect number of days when entering information from the payment form into FACTS. C. The case manager enters more time on the child care assessment than the client’s work or school schedule supports. D. The case manager fails to verify income, school enrollment, or special needs status. 8.3.1.2. Repayment of an improper payment due to CCR&R worker error is not mandatory regardless of the amount. The BFA Division of Early Care and Education employs Child Care Policy Specialists who visit contracted Resource and Referral Agencies to monitor and audit both electronic and hard records. Training and coaching also takes place during these visits. These visits continued throughout the reporting period. The BFA will evaluate the effectiveness of the current training programs for the use of the FACTS system (and subsequently for the West Virginia People's Access to Help (PATH) system) for CCDF payments. Furthermore, the BFA will follow established policies and procedures to ensure client information is appropriately obtained and maintained and that all data is input accurately. For the payment whereby the $3.00 daily supplement was not included in the calculation or paid, although the documentation in the eligibility system indicated that the child was covered under a CPS Safety Plan, this was not in fact a CPS Safety Plan case. The CPS Safety Plan was being used as a temporary means to address an executive order regarding COVID-19 and grant eligibility to essential workers who would otherwise not have qualified for the child care subsidy assistance due to their monthly income being above the Federal Poverty Level but below 85% of the State Median Income. The payment in question was in March 2023. Via a case assessment on November 1, 2023, this case [and other similar cases] were approved in the eligibility system as formalized Policy Exceptions rather than being selected as part of a CPS Safety Plan.
View Audit 293105 Questioned Costs: $1
TRANSPARENCY ACT REPORTING Department of Health and Human Resources (DHHR) Assistance Listing Number 93.489, 93.575, 93.596, COVID-19 93.575 The DHHR concurs with the Condition section of the finding, in that one report was not submitted timely; however, the DHHR does not agree with the Cause sec...
TRANSPARENCY ACT REPORTING Department of Health and Human Resources (DHHR) Assistance Listing Number 93.489, 93.575, 93.596, COVID-19 93.575 The DHHR concurs with the Condition section of the finding, in that one report was not submitted timely; however, the DHHR does not agree with the Cause section of the finding, which indicates a lack of oversight and adequate review of the FFATA reporting by DHHR Management. The DHHR hereby notes that the report was due on October 31, 2022 but was not submitted until November 1, 2022 (i.e., one day late). Submitting a report one day late is not an indication of a lack of oversight or adequate review of the FFATA reporting requirement. In this case, the report was submitted one day late because the person responsible for submitting the report was working remotely on October 31, 2022 and lost internet connection until November 1, 2022. Although the DHHR strives for perfection, such a condition cannot always be achieved, especially from the perspective of information technology within the rural state of West Virginia. Nonetheless, if the situation repeats in the future, the person responsible for submitting the report will be encouraged to find a location that has an adequate [and secure] internet connection.
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