Corrective Action Plans

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Program: AL 93.658 – Foster Care Title IV-E – Allowable Costs/Cost Principles Corrective Action Plan: Program will review training manual and update as necessary. The Agency will also communicate the importance of utilizing the master case file to correctly determine survey selections. Contact...
Program: AL 93.658 – Foster Care Title IV-E – Allowable Costs/Cost Principles Corrective Action Plan: Program will review training manual and update as necessary. The Agency will also communicate the importance of utilizing the master case file to correctly determine survey selections. Contact: Patrick Werner Anticipated Completion Date: 6/30/2025
View Audit 348113 Questioned Costs: $1
Program: AL 93.575 – COVID-19 Child Care and Development Block Grant – Allowability & Period of Performance Corrective Action Plan: The Agency is in the process of developing a subrecipient monitoring tool to ensure effective controls and processes for uniform oversight of subawards across the pr...
Program: AL 93.575 – COVID-19 Child Care and Development Block Grant – Allowability & Period of Performance Corrective Action Plan: The Agency is in the process of developing a subrecipient monitoring tool to ensure effective controls and processes for uniform oversight of subawards across the program. Additionally, the Agency had not conducted an internal audit of programs supported by American Rescue Plan Act (APRA) funds at the time of this audit. The program is in the process of preparing and completing the audit to assess and strengthen compliance measures and ensure these funds are utilized appropriately. Future audits and reviews will be conducted periodically to ensure ongoing oversight and adherence to regulations. Contact: Nicole Vint Anticipated Completion Date: 6/30/2025
View Audit 348113 Questioned Costs: $1
Program: AL 93.575 – COVID-19 Child Care and Development Block Grant – Period of Performance Corrective Action Plan: The Agency will work with Federal Partners to determine allowability of these claims. Contact: Heather Arnold Anticipated Completion Date: 6/30/2025
Program: AL 93.575 – COVID-19 Child Care and Development Block Grant – Period of Performance Corrective Action Plan: The Agency will work with Federal Partners to determine allowability of these claims. Contact: Heather Arnold Anticipated Completion Date: 6/30/2025
View Audit 348113 Questioned Costs: $1
Finding 530020 (2024-046)
Significant Deficiency 2024
Program: AL 93.575 and 93.596 – CCDF Cluster – Special Tests and Provisions Corrective Action Plan: An inspection of the Family Child Care Home I license was completed for 2024 on December 13, 2024. The following procedure will be followed in cases in which Children’s Services Licensing inspecto...
Program: AL 93.575 and 93.596 – CCDF Cluster – Special Tests and Provisions Corrective Action Plan: An inspection of the Family Child Care Home I license was completed for 2024 on December 13, 2024. The following procedure will be followed in cases in which Children’s Services Licensing inspectors are unable to conduct an inspection of a licensed provider. Whenever a Child Care Inspection Specialist (CCIS) attempts to conduct a Provisional to Operating, annual, or semi-annual inspection to a Family Child Care Home I or II, Child Care Center, School Age Only Center, or Preschool and the child care/preschool facility is not open, the CCIS must follow this procedure. CCIS will: • Leave his/her business card in/on/under the door of the child care program • Before leaving the child care facility, call the licensee and leave a message asking the licensee to contact the CCIS within five (5) working days • If no contact from the licensee within five working days, send a letter or email giving the licensee fifteen calendar days from date of letter/email before further action is initiated. Copy Child Care Licensing Supervisor (CCLS) on letter. • Inform CCL Supervisor if no contact from licensee after fifteen calendar days from date of letter. • If licensee contacts CCIS within five working days of attempt to conduct inspection, or within fifteen calendar days from date of letter, CCIS identifies days/times in the following weeks the licensee will be available to conduct an unannounced inspection and conducts the inspection. • If the licensee does NOT contact CCIS within fifteen calendar days of the date of the letter, Children’s Services Licensing will pursue a Disciplinary Notice of Suspension of the license. The licensee will have fifteen business days to respond to the Notice of Suspension prior to the Suspension becoming effective. The Notice of Suspension will be withdrawn if the licensee: 1. Contacts the Department prior to the effective date of the Suspension; 2. Explains why s/he did not respond to the phone call and letter; 3. Agrees to an unannounced inspection; and 4. Is available when the CCIS conducts the inspection. When the licensee does not contact the Department in time for an inspection to be conducted prior to the effective date of the suspension, the licensee should be advised to appeal the Notice of Suspension. When the licensee does not contact the Department until after the effective date of the suspension and does not appeal, the license will be suspended. Through the SFM, DHHS will have further communication with the delegated authorities to clarify the expectations and timeframes for fire inspections in child care programs. Through the Nebraska Department of Environment and Energy (NDEE) Agency, DHHS will have further communication with the delegated authorities to clarify the expectations and timeframes for sanitation inspections in child care programs. DHHS will continue to implement policies and procedures for file reviews by CCSL and fire and sanitation inspection referrals. DHHS will continue to complete the statutory child care inspection requirements. DHHS continue to explore statutory, regulatory and/or contract options to place more accountability on the licensee and referred agencies for maintaining current fire and sanitation approvals. In 2025, DHHS will continue to communicate with SFM, NDEE, and delegated authorities regarding expectations and timeframes for fire and sanitation inspections. DHHS Child Care Inspection Specialists conduct inspections that occur annually at a minimum and which address regulatory requirements that address a healthy and safe child care environment. If serious fire and sanitation concerns are observed at any inspection that may endanger the health and safety of children in care, DHHS will work with the appropriate authority to request an immediate inspection. SFM, NDEE, or delegated authorities always respond timely to these requests. DHHS is establishing quarterly meetings with SFM, NDEE, and delegated authorities to review overdue routine inspections, address issues, and collaborate on best practices. Quarterly meetings have been established with NDEE as of January 2025. DHHS will have a Program Specialist create a report specifically for tracking overdue fire and sanitation inspections by the months they have been overdue, which will allow SFM, NDEE, and delegated authorities to prioritize those outstanding routine inspections. DHHS will explore entering into a contract with SFM, NDEE and delegated authorities to pay for timely fire and sanitation inspections and services contingent on available funding. Contact: Matthew Hayden; Lindsy Braddock Anticipated Completion Date: 7/1/2025
View Audit 348113 Questioned Costs: $1
Program: AL 93.575 and 93.596 – CCDF Cluster; AL 93.575 – COVID-19 Child Care and Development Block Grant – Allowability & Eligibility & Matching Corrective Action Plan: In response to previous concerns identified with this process, edits were made in December 2024 to the child care billing porta...
Program: AL 93.575 and 93.596 – CCDF Cluster; AL 93.575 – COVID-19 Child Care and Development Block Grant – Allowability & Eligibility & Matching Corrective Action Plan: In response to previous concerns identified with this process, edits were made in December 2024 to the child care billing portal which now suspends claims submitted by providers with multiple service authorizations, duplicated claims, incorrect age categories, and claims with high hours billed. The Agency will review daily reports of these suspensions and take appropriate actions. Resource Developers (RD) will increase initial and annual billing trainings with child care subsidy providers and assist them with any billing needs they have. The RD supervisor will review a percentage of new and renewed enrollments targeting provider rates. Duplicate Claims: The department will work with the ACF to adjust the support for claims that were inadvertently duplicated in our journal entry. We revised our process in 2024 to ensure that we do not tag the same claims again for federal claiming. There was an issue with our database that helped us identify already claimed entries; it was not functioning correctly. This issue has been identified and resolved. The journal entries in question were made before the implementation of the updated process. Contact: Nicole Vint; Snita Soni Anticipated Completion Date: 6/30/2025
View Audit 348113 Questioned Costs: $1
Program: AL 93.566 – Refugee and Entrant Assistance State/Replacement Designee Administered Programs – Allowability & Subrecipient Monitoring Corrective Action Plan: The Refugee Resettlement Program is implementing a personnel report requirement for all subrecipients. According to federal guidel...
Program: AL 93.566 – Refugee and Entrant Assistance State/Replacement Designee Administered Programs – Allowability & Subrecipient Monitoring Corrective Action Plan: The Refugee Resettlement Program is implementing a personnel report requirement for all subrecipients. According to federal guidelines, personnel reports will show the time allocated to grants and the percentage related to all grants and include the corresponding timesheets or time records. Contact: Sara Bockelman Anticipated Completion Date: 10/1/2025
View Audit 348113 Questioned Costs: $1
Program: AL 93.566 – Refugee and Entrant Assistance State/Replacement Designee Administered Programs – Allowability & Eligibility Corrective Action Plan: The department will retrain staff on OEA requirements to run SAVE and provide documentation in NFOCUS. The department will also provide reeduc...
Program: AL 93.566 – Refugee and Entrant Assistance State/Replacement Designee Administered Programs – Allowability & Eligibility Corrective Action Plan: The department will retrain staff on OEA requirements to run SAVE and provide documentation in NFOCUS. The department will also provide reeducation on status verification documentation requirements. Contact: Sara Bockelman Anticipated Completion Date: 12/31/2025
View Audit 348113 Questioned Costs: $1
Program: AL 93.558 – Temporary Assistance for Needy Families (TANF) – Allowability & Subrecipient Monitoring Corrective Action Plan: The agency will develop a monitoring plan to utilize for subrecipient monitoring. Contact: Matt Thomsen Anticipated Completion Date: 7/31/2025
Program: AL 93.558 – Temporary Assistance for Needy Families (TANF) – Allowability & Subrecipient Monitoring Corrective Action Plan: The agency will develop a monitoring plan to utilize for subrecipient monitoring. Contact: Matt Thomsen Anticipated Completion Date: 7/31/2025
View Audit 348113 Questioned Costs: $1
Program: AL 84.126 – Rehabilitation Services Vocational Rehabilitation Grants to States – Period of Performance Corrective Action Plan: A validation will be added into the case management system (QE2) that prevents an obligation from being created in a federal fiscal year with a service start dat...
Program: AL 84.126 – Rehabilitation Services Vocational Rehabilitation Grants to States – Period of Performance Corrective Action Plan: A validation will be added into the case management system (QE2) that prevents an obligation from being created in a federal fiscal year with a service start date in a previous federal fiscal year. Contact: Cathy Callaway Anticipated Completion Date: April 1, 2025
View Audit 348113 Questioned Costs: $1
Program: AL 84.048 – Career and Technical Education – Basic Grants to States – Allowability Corrective Action Plan: The Nebraska Department of Education’s Office of Career, Technical, and Adult Education will carry out the following actions to improve procedures to ensure that all payments are su...
Program: AL 84.048 – Career and Technical Education – Basic Grants to States – Allowability Corrective Action Plan: The Nebraska Department of Education’s Office of Career, Technical, and Adult Education will carry out the following actions to improve procedures to ensure that all payments are supported by adequate documentation: Provide ongoing technical assistance to subrecipients and NDE staff to ensure they are familiar with and fully informed on the documentation necessary to process reimbursement for all types of expenditures. Ensure all subrecipients have a stipend policy in writing. Conduct regular desk audits to ensure subrecipients are adhering to all applicable state and federal laws and regulations. Contact: Katie Graham, Sydney Kobza, Teri Sloup Anticipated Completion Date: June 2025
View Audit 348113 Questioned Costs: $1
Program: AL 93.778 - Medical Assistance Program; AL 93.959 - Block Grants for Prevention and Treatment of Substance Abuse; AL 93.767 - Children’s Health Insurance Program; AL 93.575 – Child Care and Development Block Grant; AL 10.561 – State Administrative Matching Grants for the Supplemental Nutri...
Program: AL 93.778 - Medical Assistance Program; AL 93.959 - Block Grants for Prevention and Treatment of Substance Abuse; AL 93.767 - Children’s Health Insurance Program; AL 93.575 – Child Care and Development Block Grant; AL 10.561 – State Administrative Matching Grants for the Supplemental Nutrition Assistance Program – Allowable Costs/Cost Principles Corrective Action Plan: The entire payroll process is being reviewed and changes will be made. Contact: Heather Arnold Anticipated Completion Date: 12/30/2025
View Audit 348113 Questioned Costs: $1
Finding 529992 (2024-038)
Significant Deficiency 2024
Program: AL 93.558 – Temporary Assistance for Needy Families; AL 93.563 – Child Support Services; AL 93.566 – Refugee and Entrant Assistance; AL 93.568 – Low Income Home Energy Assistance (LIHEAP); AL 93.575 – Child Care and Development Block Grant; AL 93.658 – Foster Care Title IV-E; AL 93.659 – A...
Program: AL 93.558 – Temporary Assistance for Needy Families; AL 93.563 – Child Support Services; AL 93.566 – Refugee and Entrant Assistance; AL 93.568 – Low Income Home Energy Assistance (LIHEAP); AL 93.575 – Child Care and Development Block Grant; AL 93.658 – Foster Care Title IV-E; AL 93.659 – Adoption Assistance; AL 93.667 – Social Services Block Grant; AL 93.767 – Children’s Health Insurance Program; AL 93.778 – Medical Assistance Program; AL 10.561 – State Administrative Matching Grants for the Supplemental Nutrition Assistance Program – Allowable Costs/Cost Principles Corrective Action Plan: Time and Effort: Agency has submitted retroactive PACAP amendment (complete). For the IST Fiscal Projects Admin cost center, a time study will no longer be utilized, and the hours will be treated as General IST Administration without direct grant allocations. RMTS Allocations: Agency has clarified with staff what the “Non-DHHS Activities” selection pertains to (complete). Labor Hours Statistics: This was the first audit cycle of the new Cost Allocation system. DHHS will create a checklist of items for the new system that will be reviewed prior to completion of the quarterly cost allocation compilation. This checklist will address specific issues presented during this audit cycle. Recipient Counts: This was the first audit cycle of the new Cost Allocation system. DHHS will create a checklist of items for the new system that will be reviewed prior to completion of the quarterly cost allocation compilation. This checklist will address specific issues presented during this audit cycle. Contact: Patrick Werner Anticipated Completion Date: 6/30/2025
View Audit 348113 Questioned Costs: $1
Finding 529991 (2024-037)
Significant Deficiency 2024
Program: AL 93.558 – Temporary Assistance for Needy Families; AL 93.566 – Refugee and Entrant Assistance; AL 93.568 – Low Income Home Energy Assistance (LIHEAP); AL 93.575 – Child Care and Development Block Grant; AL 93.658 – Foster Care Title IV-E; AL 93.659 – Adoption Assistance; AL 93.667 – Soci...
Program: AL 93.558 – Temporary Assistance for Needy Families; AL 93.566 – Refugee and Entrant Assistance; AL 93.568 – Low Income Home Energy Assistance (LIHEAP); AL 93.575 – Child Care and Development Block Grant; AL 93.658 – Foster Care Title IV-E; AL 93.659 – Adoption Assistance; AL 93.667 – Social Services Block Grant; AL 93.778 – Medical Assistance Program; AL 10.561 – State Administrative Matching Grants for the Supplemental Nutrition Assistance Program – Allowable Costs/Cost Principles Corrective Action Plan: This was the first audit cycle of the new Cost Allocation system. DHHS will create a checklist of items for the new system that will be reviewed prior to completion of the quarterly cost allocation compilation. This checklist will address specific issues presented during this audit cycle. Contact: Patrick Werner Anticipated Completion Date: 6/30/2025
View Audit 348113 Questioned Costs: $1
Management’s Response and Corrective Action Plan: Alpine Achievers Initiative acknowledges the finding and recommendation. Charging of unallowable costs and activities occurred due to a staff error and the final review of all expenditures prior to submitting report/reimbursement requests did not ide...
Management’s Response and Corrective Action Plan: Alpine Achievers Initiative acknowledges the finding and recommendation. Charging of unallowable costs and activities occurred due to a staff error and the final review of all expenditures prior to submitting report/reimbursement requests did not identify and correct this issue as it was included as part of payroll. Management will continue to strengthen financial oversight to prevent similar errors in the future. Since the audit finding, management has engaged a CPA firm with expertise in federal grants to provide bookkeeping and CPA services. This firm is well-versed in federal grant regulations and would have identified the AmeriCorps Education Award charge as unallowable before submission. Additionally, management has taken proactive measures to cross-train staff on this error, ensuring that multiple team members are aware of the restrictions on charging such costs to the grant. This training ensures that, should a similar unusual circumstance arise in the future, staff will recognize the issue and flag it before submission. Moving forward, Alpine Achievers Initiative will implement enhanced review processes to verify that all expenditures align with the Uniform Guidance and grant guidelines before reimbursement requests are submitted. Contact and Completion Date: Megan Strauss (megan@alpineachievers.org) is the primary contact, and the Executive Director at Alpine Achievers Initiative The correction action is expected to be resolved before the end of the next fiscal year-end of July 31, 2025.
View Audit 348100 Questioned Costs: $1
Finding 529965 (2024-004)
Significant Deficiency 2024
Student Financial Aid Cluster – Verification Assistance Listing No. 84.063, 84.268, 84.033 Recommendation: The College should review the procedures surrounding the verification process to ensure all necessary support and documentation is obtained and retained in the student files. Explanation of dis...
Student Financial Aid Cluster – Verification Assistance Listing No. 84.063, 84.268, 84.033 Recommendation: The College should review the procedures surrounding the verification process to ensure all necessary support and documentation is obtained and retained in the student files. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: A procedure was implemented for a staff member to review completed verifications prior to disbursement of Title IV aid. WASHINGTON COLLEGE CORRECTIVE ACTION PLAN YEAR ENDED JUNE 30, 2024 (56) Name(s) of the contact person(s) responsible for corrective action: Jennifer Gallagher Planned completion date for corrective action plan: February 2025 U.S.
View Audit 348052 Questioned Costs: $1
Finding 529949 (2024-001)
Significant Deficiency 2024
Enhance Student Withdrawal Notification System • La Roche University has an automatic notification system in place that notifies necessary parties of when a student withdrawals or takes a leave of absence (LOA). The notification of withdrawals and LOA is currently directed to the general financial ...
Enhance Student Withdrawal Notification System • La Roche University has an automatic notification system in place that notifies necessary parties of when a student withdrawals or takes a leave of absence (LOA). The notification of withdrawals and LOA is currently directed to the general financial aid email. We will add the Financial Aid Counselor to the notification system to receive the notifications directly in addition to the general financial aid email. Conduct a Comprehensive Review of Past R2T4 Transactions • Conduct a Comprehensive Review of Past R2T4 Transactions over the current academic year to ensure correctly processed R2T4 calculations and accuracy of returns. Assign a designated compliance officer and backup within the Financial Aid Office to oversee R2T4 calculations. • Office of Financial Aid will designate one person to complete all R2T4 calculations for process continuity. • Designate a financial aid staff backup to perform in absence of designated staff member Conduct mandatory training for all financial aid, student accounts, and registrar staff on Title IV compliance requirements. Revise internal Financial Aid Policies and Procedures
View Audit 348023 Questioned Costs: $1
Condition: Costs were charged to the grants for payroll and related benefits earned prior to the start of the grant period. Corrective Action Planned: We had budgeted the full cost of one teacher and four teaching assistances in the IDEA 240 grant for 2024. The approval process for the grant too...
Condition: Costs were charged to the grants for payroll and related benefits earned prior to the start of the grant period. Corrective Action Planned: We had budgeted the full cost of one teacher and four teaching assistances in the IDEA 240 grant for 2024. The approval process for the grant took longer than expected, our intent was always to comply, but we do realize we should have waited for the approval to be in place prior to charging the costs of these employees to the grant. In the future we will wait for the approval process to be complete and will then charge the employees there. Anticipated Completion Date: July 1, 2025 Contact: Martin Anguelov, Chief Financial Officer for Nantucket Public Schools and Deb Gately, Director of Special Education for Nantucket Public Schools
View Audit 347918 Questioned Costs: $1
Condition: Time and effort certifications were not maintained for grant employees. Corrective Action Planned: We will utilize the template provided by the auditors to ensure time and effort certifications are maintained going forward. Anticipated Completion Date: July 1, 2025 Contact: Martin ...
Condition: Time and effort certifications were not maintained for grant employees. Corrective Action Planned: We will utilize the template provided by the auditors to ensure time and effort certifications are maintained going forward. Anticipated Completion Date: July 1, 2025 Contact: Martin Anguelov, Chief Financial Officer for Nantucket Public Schools and Deb Gately, Director of Special Education for Nantucket Public Schools
View Audit 347918 Questioned Costs: $1
Condition: Four vendors were awarded a contract without a competitive procurement process. Corrective Action Planned: We acknowledge the finding and will ensure to attempt to secure three quotes for such services going forward. It is extremely difficult, however, as operating on Nantucket presen...
Condition: Four vendors were awarded a contract without a competitive procurement process. Corrective Action Planned: We acknowledge the finding and will ensure to attempt to secure three quotes for such services going forward. It is extremely difficult, however, as operating on Nantucket presents unique challenges. We will ensure going forward to obtain quotes for every professional services contract we apply to federal grants and will follow the federal office guidelines closely going forward. Anticipated Completion Date: July 1, 2025 Contact: Martin Anguelov, Chief Financial Officer for Nantucket Public Schools and Deb Gately, Director of Special Education for Nantucket Public Schools
View Audit 347918 Questioned Costs: $1
Responsible personnel will ensure required prior approval for all projects involving federal funds is obtained prior to moving forward with all federally funded projects.
Responsible personnel will ensure required prior approval for all projects involving federal funds is obtained prior to moving forward with all federally funded projects.
View Audit 347868 Questioned Costs: $1
Condition: Costs were liquidated after 120 calendar days after the end of the grant period. Corrective Action Planned: The Sandwich Public Schools will implement the following procedures to ensure that the 120 liquidation finding doesn’t happen again. 1. We will make sure that all costs are liqui...
Condition: Costs were liquidated after 120 calendar days after the end of the grant period. Corrective Action Planned: The Sandwich Public Schools will implement the following procedures to ensure that the 120 liquidation finding doesn’t happen again. 1. We will make sure that all costs are liquidated within the 120 day window after the end of the grant period. 2. If we see we are approaching the 120 day limit on a certain expense, we will reach out to DESE to ask for an extension to the 120 day liquidation requirement. 3. We will add these procedures to our Federal Grant Manual so that all are aware of these requirements. Anticipated Completion Date: June 30, 2025 Contact: Michelle Austin, Director of Finance and Business Operations
View Audit 347820 Questioned Costs: $1
Condition: One vendor was awarded a contract without a competitive procurement process. Corrective Action Planned: Accounting will review the Federal procurement requirements and put together a Federal procurement guide that will assist in making sure this does not continue to happen. Anticipate...
Condition: One vendor was awarded a contract without a competitive procurement process. Corrective Action Planned: Accounting will review the Federal procurement requirements and put together a Federal procurement guide that will assist in making sure this does not continue to happen. Anticipated Completion Date: By March 28, 2025 Contact: Caroline Burke, Town Accountant
View Audit 347820 Questioned Costs: $1
Corrective Action: The Business Manager will calculate the indirect \ cost rate using the rate provided by MDE for the expenditures occurred. The calculation will be reviewed and signed off on by the Federal Programs Director and Child Nutrition Director. This calculation will take place at year end...
Corrective Action: The Business Manager will calculate the indirect \ cost rate using the rate provided by MDE for the expenditures occurred. The calculation will be reviewed and signed off on by the Federal Programs Director and Child Nutrition Director. This calculation will take place at year end once expenditures are booked. Avery Johnson, Business Manager Robert Sanders, Superintendent Corrective Action Start Date: February 18, 2025
View Audit 347778 Questioned Costs: $1
Corrective Action: Before any expenditure is obligated, all revisions/amendments will be approved in MCAPS mst. The business Manager, Federal Programs Director, and Superintendentwill ensure MDE's approval is tangible before any obligations. We will implement a tool that allows this process to be me...
Corrective Action: Before any expenditure is obligated, all revisions/amendments will be approved in MCAPS mst. The business Manager, Federal Programs Director, and Superintendentwill ensure MDE's approval is tangible before any obligations. We will implement a tool that allows this process to be measured daily. Responsible Parties: Avery Johnson, Business Manager Robert Sanders, Superintendent Corrective Action Start Date: February 14, 2025
View Audit 347778 Questioned Costs: $1
Finding 529772 (2024-001)
Significant Deficiency 2024
Federal Agency Name: Department of Homeland Security Federal Financial Assistance Listing #97.036 Program Name: COVID-19 Disaster Grants - Public Assistance Finding Summary: Audit testing identified eleven instances where contract labor costs were over claimed under the program due to a calculation...
Federal Agency Name: Department of Homeland Security Federal Financial Assistance Listing #97.036 Program Name: COVID-19 Disaster Grants - Public Assistance Finding Summary: Audit testing identified eleven instances where contract labor costs were over claimed under the program due to a calculation error. Monument Health's methodology for identifying contract labor attributable to COVID to be based upon identifying total contact labor and multiplying by the percentage of COVID patient days as a percentage of total patient days. The methodology also identified certain cost centers were to be excluded from the calculation, including behavioral health and med/surg nursing. Based upon review of management's allocation percentage, it was noted the behavioral health and med/surg nursing COVID patient days were included within the total COVID patient days; therefore, a higher percentage of COVID patient days to total patient days was calculated. The calculation percentage was then utilized to calculate contract labor attributable to COVID for contract labor costs identified from July 2, 2022 through May 11, 2023. Responsible Individuals: Austin Willuweit, Chief Financial Officer Jen Schmaltz, Vice President of Finance Corrective Action Plan: Monument Health will review future calculations for consistency and accuracy. Anticipated Completion Date: June 30, 2025
View Audit 347766 Questioned Costs: $1
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