Corrective Action Plans

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Management concurs with recommendation. Staffing issues contributed to this condition. Management has developed more breadth of staff to prepare and review reports. This includes the program manager of Lead Safe Roanoke, the Housing Programs and Policy Officer and the Project Grants Manager. Going f...
Management concurs with recommendation. Staffing issues contributed to this condition. Management has developed more breadth of staff to prepare and review reports. This includes the program manager of Lead Safe Roanoke, the Housing Programs and Policy Officer and the Project Grants Manager. Going forward, the City will ensure that reports are prepared, reviewed and approved by someone other than the preparer and submitted in a timely manner.
Management concurs with recommendation. Staffing issues contributed to this condition. Management has developed more breadth of staff to prepare and review reports. This includes the program manager of Lead Safe Roanoke, the Hous ing Programs and Policy Officer and the Project Grants Manager. Going ...
Management concurs with recommendation. Staffing issues contributed to this condition. Management has developed more breadth of staff to prepare and review reports. This includes the program manager of Lead Safe Roanoke, the Hous ing Programs and Policy Officer and the Project Grants Manager. Going forward, the City will ensure that reports are prepared and reviewed by separate qualified individuals and that such review is documented.
Finding ref number: 2025-001 Finding caption: The Authority did not have adequate internal controls and did not comply with federal wage rate requirements. Name, address, and telephone of Authority contact person: Monica Lough, Director of Finance 285 Technology Center Way, Suite 202 Wenatchee, WA 9...
Finding ref number: 2025-001 Finding caption: The Authority did not have adequate internal controls and did not comply with federal wage rate requirements. Name, address, and telephone of Authority contact person: Monica Lough, Director of Finance 285 Technology Center Way, Suite 202 Wenatchee, WA 98801 (509) 884-4700 Corrective action the auditee plans to take in response to the finding: (If the auditee does not concur with the finding, the auditee must list the reasons for disagreement). The Port Authority will strengthen its internal controls over compliance with Davis-Bacon and other federal prevailing wage requirements for federally funded construction projects. The Port Authority has hired a Contract Specialist with experience in federal contracting and compliance. This position will provide an internal compliance function for federally funded projects and will assist in ensuring that required documentation is obtained, reviewed, and retained regardless of whether certain project administration responsibilities are delegated to an engineer, architect, construction manager, or other consultant. The Port Authority is also developing written procedures for federal prevailing wage compliance. At a minimum, the procedures will establish the following controls: • Clearly identify responsibility for Davis-Bacon and other applicable federal labor compliance requirements at the beginning of each federally funded project, including responsibilities assigned to consultants and Port Authority staff. • Require timely collection of certified payroll reports from contractors and all applicable subcontractors for each week in which covered work is performed. • Establish a documented process for reviewing certified payroll reports for completeness and compliance with applicable wage determinations and federal requirements. • Maintain a tracking system identifying required certified payroll reports, reports received, reports reviewed, outstanding documentation, and follow-up performed. • Require Port Authority oversight of compliance activities performed by contracted engineers, architects, construction managers, or other consultants rather than relying solely on the consultant’s project files or representations. • Incorporate compliance verification into the payment process so that outstanding certified payroll or other required documentation is identified and addressed before applicable contractor payments are approved. • Maintain prevailing wage and federal compliance documentation in a centralized Port Authority project file that is accessible for grant monitoring and audit purposes. • Provide appropriate training to Port Authority employees responsible for administering or overseeing federally funded projects. For the projects included in the 2025 audit, the Port Authority has subsequently obtained the outstanding prevailing wage documentation. Based on the documentation collected and reviewed, no workers have been identified as having been paid less than the applicable prevailing wage requirements. These corrective measures are intended to ensure that the Port Authority maintains direct oversight and sufficient documentation to demonstrate compliance with federal wage requirements throughout the life of a federally funded project, including when specific compliance functions are delegated to outside consultants. Anticipated date to complete the corrective action: December 31, 2026
2025-002: Reporting Type of Finding: Noncompliance, Material Weakness Condition: The School did submit their audit for the fiscal year ending June 30, 2025 timely. The audit was submitted September 15, 2026, which was 168 days past the March 31, 2026 deadline. Action plan in response to the finding:...
2025-002: Reporting Type of Finding: Noncompliance, Material Weakness Condition: The School did submit their audit for the fiscal year ending June 30, 2025 timely. The audit was submitted September 15, 2026, which was 168 days past the March 31, 2026 deadline. Action plan in response to the finding: The Principal will ensure that all required audit documentation is organized, complete, and readily available to the auditors upon request. This includes maintaining updated financial records, supporting documents, reconciliations, and schedules throughout the fiscal year so that materials can be provided promptly during the audit process. To support timely completion of the annual audit, the Principal will formally request the 2026 audit to be completed by March 31, 2027. This timeline allows adequate opportunity for fieldwork, review, and finalization of the audit report. The Principal will monitor progress, respond quickly to auditor inquiries, and verify that the final audit report is submitted within the required timeframe. Repeat Finding: No. Planned completion date for a corrective action plan: For the period ending June 30, 2026. Name of the contact person responsible for corrective action: Marie Rose, Principal | Ard Bizahaloni, Acting Business Manager
CASEFILE REVIEW (PRIOR YEAR 2024-005) Federal Agency: U.S. Department of Health and Human Services Federal Program Name: Medical Assistance Program (Medicaid Cluster) Assistance Listing Number: 93.778 Pass-Through Agency: Minnesota Department of Human Services and the Aitkin-Itasca-Koochiching Commu...
CASEFILE REVIEW (PRIOR YEAR 2024-005) Federal Agency: U.S. Department of Health and Human Services Federal Program Name: Medical Assistance Program (Medicaid Cluster) Assistance Listing Number: 93.778 Pass-Through Agency: Minnesota Department of Human Services and the Aitkin-Itasca-Koochiching Community Health Board Federal Award Identification Number and Pass-Through Number: 2405MN5ADM, 2405MN5MAP Compliance Requirement Affected: Eligibility Award Period: Year Ended December 31, 2025 Type of Finding: Material Weakness in Internal Control over Compliance Recommendation: We recommend the County review case files on a periodic basis throughout the year and document the review. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The County will begin reviewing case files and documenting their review. Name of the contact person responsible for corrective action: Eric Villeneuve, Health and Human Services Director Planned completion date for corrective action plan: December 31, 2025
To resolve the specific deficiencies identified in the audit, OH will first request documentation from each property owner by 9/18/2026 showing that the identified health and safety deficiencies have been corrected. OH will obtain and retain this documentation in the property files. OH will then eva...
To resolve the specific deficiencies identified in the audit, OH will first request documentation from each property owner by 9/18/2026 showing that the identified health and safety deficiencies have been corrected. OH will obtain and retain this documentation in the property files. OH will then evaluate the documentation received to determine the current compliance status of each deficiency and to identify which items are confirmed corrected and which require further verification. Regardless of the documentation received, OH will complete an on-site reinspection of the affected properties who did not respond, in October 2026 to verify and document their current condition. OH has engaged a qualified third-party housing inspection consultant to perform these reinspections, and OH will address any deficiencies identified in accordance with applicable HOME requirements. As a lasting internal control, OH will adopt a written follow-up and escalation procedure for health and safety deficiencies. Under this procedure, OH will confirm that property owners correct health and safety deficiencies immediately (within 24 hours) and provide evidence of correction within 72 hours, consistent with HOME requirements and City policy. When an owner does not provide evidence within the required timeframe, the matter will be escalated to OH management for enforcement action under the applicable HOME agreement, and the deficiency will remain open and actively tracked until OH has verified and documented its correction. The Asset Management Division Manager is responsible for implementing and maintaining this procedure, as well as overseeing the follow-up with the inspectors to reinspect within a timeline approved by HUD.
Finding 2025-005: Temporary Assistance for Needy Families, Assistance Listing No. 93.558, U.S. Department of Health and Human Services Passed through Colorado Department of Human Services Compliance Requirement: Special Tests and Provisions Grant No.: Not applicable Type of Finding: Internal Control...
Finding 2025-005: Temporary Assistance for Needy Families, Assistance Listing No. 93.558, U.S. Department of Health and Human Services Passed through Colorado Department of Human Services Compliance Requirement: Special Tests and Provisions Grant No.: Not applicable Type of Finding: Internal Control (material weakness) and Compliance (noncompliance) Recommendation: The County should strengthen internal controls over TANF case file monitoring and documentation to ensure initial assessments and roadmaps are completed and reviewed within the required 30-day timeframes in compliance with federal special tests and provisions requirements. Management should implement supervisory review or other monitoring controls to verify that work-eligible participant progress is monitored and documented and that sanctions or benefit terminations are applied and documented timely in accordance with the Penalty for Refusal to Work special tests and provisions compliance requirement. Action Taken: Action Taken: Our office has experienced significant turnover over the past year, and we are now operating under new management with several new staff members. We are currently in the middle of our DEWS ME Review and are working closely with the State to bring all policies and procedures into full compliance. In addition, we are conducting monthly quality assurance pulls on cases to ensure accuracy and provide ongoing oversight. This process gives us a clearer understanding of case trends and helps strengthen our internal operations.
Finding 2025-004: Temporary Assistance for Needy Families, Assistance Listing No. 93.558, U.S. Department of Health and Human Services Passed through Colorado Department of Human Services Compliance Requirement: Activities Allowed and Unallowed, Allowable Costs/Cost Principles, Eligibility Grant No....
Finding 2025-004: Temporary Assistance for Needy Families, Assistance Listing No. 93.558, U.S. Department of Health and Human Services Passed through Colorado Department of Human Services Compliance Requirement: Activities Allowed and Unallowed, Allowable Costs/Cost Principles, Eligibility Grant No.: Not applicable Type of Finding: Internal Control (material weakness) and Compliance (material noncompliance) Recommendation: The County should strengthen internal controls over TANF-funded contracts to ensure costs charged to TANF are allowable and adequately supported. The County should establish and enforce contractor documentation requirements and contract terms sufficient to demonstrate TANF eligibility and allowable services, implement monitoring procedures to verify support before payment or reimbursement, and retain required records in accordance with applicable retention requirements. Action Taken: Action Taken: Our office has experienced significant turnover over the past year, and this contract was established under the previous Director. Since then, we have updated our procedures for TANF-funded contracts. All TANF contracts are now reviewed by the Department of Social Services Attorney and by the State before our office enters into any agreement with outside agencies.
Finding 2025-003: Local Assistance and Tribal Consistency Fund, Assistance Listing No. 21.032, U.S. Department of Treasury Compliance Requirement: Reporting Grant No.: Not applicable Type of Finding: Internal Control (material weakness) and Compliance (material noncompliance) Recommendation: The Cou...
Finding 2025-003: Local Assistance and Tribal Consistency Fund, Assistance Listing No. 21.032, U.S. Department of Treasury Compliance Requirement: Reporting Grant No.: Not applicable Type of Finding: Internal Control (material weakness) and Compliance (material noncompliance) Recommendation: The County should continue to strengthen its internal controls over federal reporting, including reconciliation and review procedures, to ensure LATCF reports are submitted timely and accurately in accordance with LATCF Reporting requirements. Action Taken: Saguache County has taken corrective action to strengthen internal controls over federal grant reporting and specifically address the reporting requirements associated with the Local Assistance and Tribal Consistency Fund (LATCF). The County has implemented procedures requiring federal grant activity to be reconciled to the County's financial records prior to the preparation and submission of required federal reports. Grant expenditures, revenues, supporting documentation, and applicable reporting requirements will be reviewed to ensure that information reported to the federal awarding agency is complete and accurate. The County has also strengthened its review process by requiring appropriate County personnel to review federal grant reports for accuracy, completeness, and compliance with applicable reporting requirements prior to submission. Reporting deadlines will be monitored to ensure required reports are submitted within the established federal reporting periods. Administration, Finance, and the applicable Grant Manager or Department Head will coordinate responsibility for monitoring federal grant requirements and maintain documentation supporting reconciliations, reviews, and report submissions. The County has also implemented cross-training procedures to provide continuity in grant administration and reporting responsibilities when the primary employee responsible for a grant is unavailable. These corrective measures are intended to ensure that federal grant reports are properly reconciled, independently reviewed, accurately reported, and submitted within required deadlines, thereby strengthening the County's compliance with federal grant requirements.
Name of Contact Person: Rhys Winter, Manager Corrective Action Plan: The Borough continues to implement controls to ensure that all sub awards over $30,000 are properly and timely reported. Completion Date: March 30, 2027
Name of Contact Person: Rhys Winter, Manager Corrective Action Plan: The Borough continues to implement controls to ensure that all sub awards over $30,000 are properly and timely reported. Completion Date: March 30, 2027
1. MISSING INVOICES During a change of fee accounts, invoices for January, February, & March 2025 were lost in mail. We now scan all invoices directly to accountant.
1. MISSING INVOICES During a change of fee accounts, invoices for January, February, & March 2025 were lost in mail. We now scan all invoices directly to accountant.
Condition: The Organization does not maintain formal written policies governing several key compliance areas required under Uniform Guidance, including financial management, procurement, conflict of interest, and travel costs. Management Response: Management concurs with the finding. The Organizatio...
Condition: The Organization does not maintain formal written policies governing several key compliance areas required under Uniform Guidance, including financial management, procurement, conflict of interest, and travel costs. Management Response: Management concurs with the finding. The Organization recognizes that it has historically relied on established practices and institutional knowledge rather than formally documented policies and procedures governing Federal award compliance. Management acknowledges that written policies are necessary to establish consistent expectations, clearly assign responsibilities, and strengthen internal controls over compliance with Uniform Guidance requirements. Planned Corrective Action: To address this finding, management will develop, approve, and implement formal written policies and procedures addressing significant Uniform Guidance compliance requirements applicable to the Organization’s Federal awards. The process will require: 1. The Organization to develop written policies and procedures addressing applicable Federal award compliance requirements, including financial management, procurement, conflict of interest, travel costs, and other significant areas applicable to the Organization’s Federal awards. 2. The policies and procedures to establish clear requirements for approvals, supporting documentation, record retention, responsible personnel, and compliance monitoring. 3. Management to review the policies and procedures to ensure they are consistent with applicable Uniform Guidance requirements, Federal award terms and conditions, and the Organization’s current practices. 4. The policies and procedures to be formally approved by management and communicated to employees and other individuals responsible for administering or expending Federal award funds. 5. Appropriate training or guidance to be provided to personnel responsible for Federal award activities to promote consistent application of the policies and procedures. 6. Management to periodically review the policies and procedures and update them, as necessary, when Federal regulations, Uniform Guidance requirements, Federal award terms and conditions, or organizational practices change. The Organization will also assess staffing responsibilities to ensure that appropriate responsibility for implementing, maintaining, and monitoring compliance with the written policies is assigned despite limited personnel. Responsible Party: Robert L. Grossman, Managing Director Anticipated Completion Date: August 28, 2026
The City of Portsmouth, Virginia respectfully submits the following corrective action plan for the year ended June 30, 2025. Audit period: July 01, 2024 - June 30, 2025 The finding from the schedule of findings and questioned costs are discussed below. FINDINGS—FEDERAL AWARD PROGRAMS AUDITS U.S. Dep...
The City of Portsmouth, Virginia respectfully submits the following corrective action plan for the year ended June 30, 2025. Audit period: July 01, 2024 - June 30, 2025 The finding from the schedule of findings and questioned costs are discussed below. FINDINGS—FEDERAL AWARD PROGRAMS AUDITS U.S. Department of Housing and Urban Development Community Development Block Grant Program – Assistance Listing No. 14.218 Recommendation: We recommend the City establish procedures and internal controls to ensure that all required sub awards are reported timely and accurately to FSRS no later than the end of the month following the month of issuance of each sub award.. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Review City’s policy, procedures, and internal controls to ensure the required sub awards and reported timely and accurately to FSRS.. Name(s) of the contact person(s) responsible for corrective action: Jeffrey Crimer, Patrick Fletcher, & Kyera Pope. Planned completion date for corrective action plan: 06/30/26 .
SHR will correct the identified non-Ryan White Part B (RWB) patients who were incorrectly included in the RWB program income. The corrective action consists of generating a report of all RWB patients and matching this report to a separate report listing patient receipts collected. This process will ...
SHR will correct the identified non-Ryan White Part B (RWB) patients who were incorrectly included in the RWB program income. The corrective action consists of generating a report of all RWB patients and matching this report to a separate report listing patient receipts collected. This process will occur on a monthly basis, with RW program collections being posted as community income. This process will also include reconciling the results with an independent report generated by our external collection agency. This QA procedure will ensure that patients included in the RWB program income report are appropriately classified as RWB patients and are not community clinic patients who are not eligible for inclusion in RWB program income. SHR will continue to monitor the effectiveness of these controls and will make additional adjustments as necessary to ensure that RWB program income is accurately classified, recorded, and reported in accordance with applicable program requirements.
Finding 2025.002 - Special Tests and Provisions - Sliding Fee Scale Documentation Recommendation The Center should establish a system of internal controls to ensure that all sliding fee discounts are properly calculated and supported based on family size and income. Action Taken This was also a find...
Finding 2025.002 - Special Tests and Provisions - Sliding Fee Scale Documentation Recommendation The Center should establish a system of internal controls to ensure that all sliding fee discounts are properly calculated and supported based on family size and income. Action Taken This was also a finding in the 2023 Audit and again in 2024. In response to the audit finding, I worked directly with the Director of Clinical Operations and the Patient Service Representative Manager to conduct a comprehensive review of the health center's existing sliding fee scale policy to ensure alignment with federal guidelines and best practices, including clarification of documentation requirements, acceptable forms of income verification, and the definition of family size. We developed and implemented a step-by-step standard operating procedure (SOP) for Patient Service Representative (PSR) staff to consistently assess and apply sliding fee discounts. The SOP includes clear instructions for verifying documentation, calculating discount eligibility, and recording determinations in the patient's record. The Clinical Operations Director's management team will conduct quarterly spot audits of a sample of sliding fee files to verify correct application and documentation. The managers will report the findings to leadership, provide corrective follow-up, and provide any needed training for PSR personnel on the updated policy and procedures. I reported all identified and assessed changes to the health center's board of directors or its audit committee for review and oversight. The board verified that appropriate corrective action was being taken regarding internal controls. Waikiki Health is also considering engaging an outside firm to assist with streamlining the sliding fee scale process and strengthening related internal controls.
FINDING 2025-003 Finding Subject: Federal Award Findings and Questioned Costs Contact Person Responsible for Corrective Action: Sarah Rice Contact Phone Number and Email Address: 765-855-5515, srice@town.centerville.in.us Views of Responsible Officials: Option 1: “We concur with the finding.”  Drin...
FINDING 2025-003 Finding Subject: Federal Award Findings and Questioned Costs Contact Person Responsible for Corrective Action: Sarah Rice Contact Phone Number and Email Address: 765-855-5515, srice@town.centerville.in.us Views of Responsible Officials: Option 1: “We concur with the finding.”  Drinking Water State Revolving Fund – Written Policies/Procedures to Determine Allowability of Costs using Federal Grant Funds- I will be getting in touch with our council president to make sure we come up with a policy on how to use federal funding with clear guidance on what costs are constituted as direct and indirect charges. Anticipated Completion Date: February 28, 2027 INDIANA
Management will reconfigure the system to require after-the-fact entry of actual hours worked and to restrict advance entry and approval, reinforce supervisory review procedures to ensure timely and accurate approval of timecards, and provide training to employees and supervisors on federal timekeep...
Management will reconfigure the system to require after-the-fact entry of actual hours worked and to restrict advance entry and approval, reinforce supervisory review procedures to ensure timely and accurate approval of timecards, and provide training to employees and supervisors on federal timekeeping requirements under 2 CFR 200.430. These actions will strengthen internal controls and ensure payroll costs charged to federal awards accurately reflect work performed going forward.
State of Missouri Single Audit Corrective Action Plan Year Ended June 30, 2025 State Agency: Department of Social Services – MO HealthNet Division Audit Finding Number: 2025-005 - Medicaid and CHIP Receipt Controls Name of the contact person responsible for corrective action: Andrea Smith Anticipate...
State of Missouri Single Audit Corrective Action Plan Year Ended June 30, 2025 State Agency: Department of Social Services – MO HealthNet Division Audit Finding Number: 2025-005 - Medicaid and CHIP Receipt Controls Name of the contact person responsible for corrective action: Andrea Smith Anticipated completion date for corrective action: March 31, 2026 Recommendation: The DSS through the MHD continue to review, strengthen, and enforce internal controls over Medicaid and CHIP receipts. The MHD should restrict user access within the MMIS for FORU accounting personnel and adequately segregate asset custody and receipt recording duties from accounts receivable duties or perform documented supervisory reviews of MMIS entries and changes made by employees whose duties are not segregated. In addition, the MHD should establish procedures to account for all cash control numbers to ensure all receipts are deposited or returned to senders. DSS Response: DSS agrees with the auditor’s recommendation. The Corrective Action Plan includes the department’s planned actions to address the finding. Corrective action planned is as follows: MHD has implemented a process to document supervisory reviews of the Finance Manual Checks Quarterly Report to ensure segregation of duties in HealthTrack/AHS relating to premium payments. This process was implemented in August 2024 with additional information added to the Finance Manual Checks Quarterly Report and activated in July 2025. Effective for quarter ending, March 2026, the FORU Manager/Senior Accountant will review the report to ensure team members are following appropriate practices. The Director of Fiscal Policy will populate the report for an independent review of actions performed by the FORU Manager/Senior Accountant. MHD will continue to perform the audit of clerk ID ad hoc reports to review any segregation of duties within the MMIS. All reports will be sent from the MMIS analyst to the FORU Manager/Senior Accountant to review team member’s actions and to the Director of Fiscal Policy to review the FORU Manager/Senior Accountant’s actions within MMIS. MHD implemented a process establishing a new cash control number (CCN) sequence, exclusive to manual checks logged within the FORU, in August 2024. This resolved the issue of CCNs for participant checks occurring out of sequence due to AHS running files in the background. During the FY25 audit, MHD received further clarification and is implementing a review a Manual Checks Monthly report to verify there are no missing or unused CCNs for participant checks in HealthTrack. In the event there are any discrepancies, information will be notated accordingly on the report. MHD continues to review provider checks in MMIS for any unused or skipped CCNs in MMIS. This is completed by FORU staff comparing a spreadsheet updated by the Accounts Assistant with the daily CCNs used with a quarterly report received from MMIS/Wipro to document reasons for any unused or skipped CCNs.
State of Missouri Single Audit Corrective Action Plan Year Ended June 30, 2025 State Agency: Department of Social Services (DSS) – MO HealthNet Division (MHD) and Family Support Division (FSD) Audit Finding Number: 2025-004 - Medicaid and CHIP Eligibility Determination Timeliness Name of the contact...
State of Missouri Single Audit Corrective Action Plan Year Ended June 30, 2025 State Agency: Department of Social Services (DSS) – MO HealthNet Division (MHD) and Family Support Division (FSD) Audit Finding Number: 2025-004 - Medicaid and CHIP Eligibility Determination Timeliness Name of the contact person responsible for corrective action: Stacy Kaylor Anticipated completion date for corrective action: 12/31/2027 Recommendation: The DSS through the MHD and the FSD continue to review, strengthen, and enforce internal controls to ensure participant eligibility is determined within the required timeframes. DSS Response: The DSS agrees with this finding. DSS has made significant progress in reducing the backlog of applications. DSS continues to develop and implement technologies intended to assist the department and participants with necessary actions such as submitting applications, verifying income and resources, and providing required information. The estimated implementation date of this technology is December 31, 2027. Corrective action planned is as follows: The DSS will continue to work towards completing applications within the established timeframes outlined in 42 CFR 435.912(c)(3) and 42 CFR 457.340(d).
State of Missouri Single Audit Corrective Action Plan Year Ended June 30, 2025 State Agency: Department of Social Services (DSS) – MO HealthNet Division (MHD) and Family Support Division (FSD) Audit Finding Number: 2025-001 – Medicaid and CHIP Eligibility System Internal Controls Name of the contact...
State of Missouri Single Audit Corrective Action Plan Year Ended June 30, 2025 State Agency: Department of Social Services (DSS) – MO HealthNet Division (MHD) and Family Support Division (FSD) Audit Finding Number: 2025-001 – Medicaid and CHIP Eligibility System Internal Controls Name of the contact person responsible for corrective action: Stacy Kaylor Anticipated completion date for corrective action: 4/1/26 Recommendation: The DSS through the MHD and the FSD strengthen internal controls to timely prevent, detect, and correct improper dual enrollments in the MEDES and the FAMIS for participants of the Medicaid program and the CHIP. The DSS should review the dual enrollments for the participants identified in this finding, correct any improper enrollments in the applicable eligibility system(s), and recoup any related improper payments and claims. DSS Response: The DSS agrees with this finding. Corrective action planned is as follows: A report was developed in October 2025 to identify individuals with multiple active Medicaid Eligibility (ME) Codes that include different coverage types. The report is filtered through the FAMIS system to ensure both levels of coverage are active when the report is worked. Staff began working this report manually in Spring of 2025 and they identified higher priority tasks such as closing Adult Expansion Group (AEG) coverage for individuals who have been determined eligible for a mandatory Non-MAGI coverage type. Staff have significantly reduced the number of individuals with dual coverage as of Spring 2026. Please note that there are certain ME Codes that can run concurrently with other coverage. In order to reduce staff burden and improve efficiency, program staff will work with system staff to automate the manual processes that are done with this report to ensure dual coverage is closed in a timely manner. There is no estimated completion date at this time, but the DSS hopes to have some level of automation by December 31, 2027.
FINDING 2025-002 Finding Subject: COVID-19 - Coronavirus State and Local Fiscal Recovery Funds - Reporting Contact Person Responsible for Corrective Action: Michael A. Watkins, Auditor Contact Phone Number and Email Address: 812-385-4927 / mwatkins@gibsoncounty-in.gov Views of Responsible Officials:...
FINDING 2025-002 Finding Subject: COVID-19 - Coronavirus State and Local Fiscal Recovery Funds - Reporting Contact Person Responsible for Corrective Action: Michael A. Watkins, Auditor Contact Phone Number and Email Address: 812-385-4927 / mwatkins@gibsoncounty-in.gov Views of Responsible Officials: We concur with the finding. Description of Corrective Action Plan: The Deputy Auditor will prepare the report using the financial information available in LOW, and the Auditor will review and approve it before submitting it to the U.S. Treasury. Moving forward, the County Auditor will strengthen internal control procedures to ensure compliance with 2 CFR 200.303. These improvements will include protocols for communicating with the U.S. Treasury whenever system issues arise that could affect timely or accurate reporting. Anticipated Completion Date: January 1, 2027
The corrective action plan for the internal control material weakness, timely reporting (2025-003), is summarized as follows: Corrective Action Planned: The previous auditor was not responsive and the organization had to engage with a new auditor. Going forward, the League has a process in place for...
The corrective action plan for the internal control material weakness, timely reporting (2025-003), is summarized as follows: Corrective Action Planned: The previous auditor was not responsive and the organization had to engage with a new auditor. Going forward, the League has a process in place for timely audit completion and submission. Anticipated Completion Date: End of audit process, September 2026. Responsible: Management and Board of Directors.
The corrective action plan for the internal control material weakness, noncompliance with Uniform Audit Guidance Subpart E-Cost Principles (2025-002), is summarized as follows: Corrective Action Planned: Management respectfully disagrees with the finding that indirect costs were double charged. The ...
The corrective action plan for the internal control material weakness, noncompliance with Uniform Audit Guidance Subpart E-Cost Principles (2025-002), is summarized as follows: Corrective Action Planned: Management respectfully disagrees with the finding that indirect costs were double charged. The Organization uses the Direct Allocation Method described in Appendix IV to 2 CPR Part 200. Under this method, joint costs are allocated directly to benefiting programs and activities using allocation bases designed to reflect the relative benefits received. General administrative and general expenses are treated as indirect costs. The Organization also elected to use the de minimis indirect cost rate permitted by 2 CPR§ 200.414(f). Management believes the costs allocated directly to the federal award and the costs recovered through application of the de minimis rate represent separate cost categories and that no individual cost was charged to the award both directly and indirectly. Management's allocation methodology and resulting charges were also reviewed and approved by the grantor, and management relied on that approval in determining that its treatment was acceptable. Although management disagrees with the finding, the Organization will review and enhance its written cost-allocation procedures to more clearly identify: • Costs charged directly to each federal award; • Joint costs allocated under the Direct Allocation Method; • General administrative costs treated as indirect costs; and • Controls designed to ensure that costs charged directly are not also recovered through another allocation or reimbursement method. Management will also retain documentation supporting the allocation bases used, the calculation and application of the de minimis rate, and relevant grantor approvals and communications. Anticipated Completion Date: Responsible: Management and Board of Directors.
The corrective action plan for the internal control material weakness, financial statement reorting (2025-0001), is summarized as follows: Corrective Action Planned: The League of Human Dignity elected not to consolidate all related organizations. After considering the nature of the organizations, t...
The corrective action plan for the internal control material weakness, financial statement reorting (2025-0001), is summarized as follows: Corrective Action Planned: The League of Human Dignity elected not to consolidate all related organizations. After considering the nature of the organizations, the needs of financial statement users, and the cost of preparing consolidated financial statements, management elected to continue presenting stand-alone financial statements. Management believes the stand-alone financial statements provide clearer information regarding the League's financial position and activities and has maintained sufficient financial information to evaluate the effect of the entities not consolidated. Management understands that this treatment represents a departure from generally accepted principles. Management and the Board will reevaluate this decision annually, including the relationships among the organizxations, the financial significance of the related entities, and the applicable financial reporting requirements. Anticipated Completion Date: Continuous. Responsible: Management and Board of Directors.
Recommendation: CLA recommended that there is an appropriate reviewer of each claim, and expenditure reconciliation. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action planned/taken in response to finding: County will have someone other than the p...
Recommendation: CLA recommended that there is an appropriate reviewer of each claim, and expenditure reconciliation. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action planned/taken in response to finding: County will have someone other than the preparer review the report prior to submission going forward. Name(s) of the contact person(s) responsible for corrective action: Jason Jerome Planned completion date for corrective action plan: December 31, 2026
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