Corrective Action Plans

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Finding 24569 (2022-023)
Significant Deficiency 2022
Finding 2022-023 Medicaid Cluster, ALN 93.775, 93.777, and 93.778 and Children's Health Insurance Program, ALN 93.767 - Refunding of Federal Share of Overpayments Management Views MDHHS agrees with the finding. Planned Corrective Action For parts a., b., d., and e., CHAMPS enhancements were imp...
Finding 2022-023 Medicaid Cluster, ALN 93.775, 93.777, and 93.778 and Children's Health Insurance Program, ALN 93.767 - Refunding of Federal Share of Overpayments Management Views MDHHS agrees with the finding. Planned Corrective Action For parts a., b., d., and e., CHAMPS enhancements were implemented into production during fiscal year 2023 to correct the reporting of quarterly expenditures. MDHHS is currently finalizing updates to rules within CHAMPS. MDHHS is currently working with the Adult Services Authorized Payments (ASAP) system vendor to correct the reports used for the preparation of the quarterly statement of expenditures report (CMS-64) report. For part c., MDHHS will explore system enhancements to identify overpayments returned late and to calculate the corresponding interest due to the Centers for Medicare and Medicaid Services. Anticipated Completion Date a., b., d., and e. MDHHS expects CHAMPS updates to be finalized by June 30, 2023, and ASAP reports to be corrected by July 31, 2023. c. MDHHS does not yet have an estimated completion date for the system enhancements related to the calculation of interest. Responsible Individual(s) Gina Fleury, MDHHS Carol O?Callaghan, MDHHS Darryl Walker, MDHHS
View Audit 20093 Questioned Costs: $1
Finding 24568 (2022-022)
Significant Deficiency 2022
Finding 2022-022 Medicaid Cluster, ALN 93.775, 93.777, and 93.778 and Children's Health Insurance Program, ALN 93.767 - Provider Eligibility Management Views MDHHS agrees with the finding. Planned Corrective Action MDHHS will amend the managed care contracts to require that signatures are obtained...
Finding 2022-022 Medicaid Cluster, ALN 93.775, 93.777, and 93.778 and Children's Health Insurance Program, ALN 93.767 - Provider Eligibility Management Views MDHHS agrees with the finding. Planned Corrective Action MDHHS will amend the managed care contracts to require that signatures are obtained on the Provider Screening Information Collection Tool (PSICT) forms when contracts and waivers are renewed and extended. Annually, MDHHS will send a reminder to the managed care entities to report any change in ownership to MDHHS within 35 days. In addition, MDHHS has incorporated a review of provider agreements as part of their monitoring process conducted for all MI Choice Waiver Program (MI Choice) entities. Anticipated Completion Date MDHHS will send the annual reminder to managed care entities beginning August 2023. MDHHS anticipates that signatures will be obtained on the PSICTs effective October 2023 for the fiscal year 2024 contract cycle. MDHHS expects to complete its current review of provider agreements for MI Choice entities by July 2023 and reviews will be ongoing. Responsible Individual(s) Elizabeth Gallagher, MDHHS Latina McCausey, MDHHS
Finding 2022-017 MDHHS - FFATA Reporting Management Views MDHHS agrees with the finding. Planned Corrective Action MDHHS has submitted all outstanding FFATA reports. MDHHS provided additional instruction to the individuals responsible for providing account code and funding source information relat...
Finding 2022-017 MDHHS - FFATA Reporting Management Views MDHHS agrees with the finding. Planned Corrective Action MDHHS has submitted all outstanding FFATA reports. MDHHS provided additional instruction to the individuals responsible for providing account code and funding source information related to FFATA submissions. Anticipated Completion Date Completed Responsible Individual(s) Jeanette Hensler, MDHHS Chad Dzingleski, MDHHS
Finding 24541 (2022-002)
Significant Deficiency 2022
COVID-19 Coronavirus State and Local Fiscal Recovery Funds ? Assistance Listing No. 20.027 Recommendation: We recommend all reports submitted to grantors be reviewed by knowledgeable personnel before submittal. A copy of the review, approval, approval date, and submittal date should be maintained as...
COVID-19 Coronavirus State and Local Fiscal Recovery Funds ? Assistance Listing No. 20.027 Recommendation: We recommend all reports submitted to grantors be reviewed by knowledgeable personnel before submittal. A copy of the review, approval, approval date, and submittal date should be maintained as evidence. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action planned in response to finding: Staff will ensure that all reports submitted to grantors be reviewed by knowledgeable personnel before submitting. A copy of the review, approval, approval date, and submittal date will be maintained as evidence. Name(s) of the contact person(s) responsible for corrective action: Budget and Grants Director Johnathan Blanco. Planned completion date for corrective action plan: September 30, 2023.
Finding #2022-001: Pacific understands finding #2022-001 and we agree that the University will modify internal controls to ensure accurate and timely reporting of student status changes to the National Student Loan Data System (NSLDS). The University has adjusted the completion/graduation process an...
Finding #2022-001: Pacific understands finding #2022-001 and we agree that the University will modify internal controls to ensure accurate and timely reporting of student status changes to the National Student Loan Data System (NSLDS). The University has adjusted the completion/graduation process and procedure to capture students (within the 60 days required to transmit status change to NSLDS) whose degree have been awarded. The university will correct error reports within the 10-day period to ensure the student status is updated within the 60-day requirement to transmit status change to NSLDS. Finding #2022-001 Action: The Office of the Registrar concurs with the audit test work of enrollment reporting which noted while there is a process in place to correctly submit information to NSLDS, during the audit test work the engagement team noted that three student's information was inaccurately reported to NSLDS. The University's control failed in detecting that inaccurate information was reported to NSLDS. It was discovered in December 2022 that the Registrar staff did not review the error report from the clearinghouse to ensure students? final status to NSLDS during the required reporting period. Per the 2022 Enrollment Reporting Guide, ?After the institution submits the Enrollment Reporting roster to NSLDS, NSLDS evaluates the enrollment Reporting roster and provides the institution an Error/Acknowledgement file. If errors are identified, institutions have 10 days to correct the errors and resubmit to NSLDS.? While the University acknowledges the critical nature of taking corrective action on this finding, it also notes incorrect reporting of ?G ? for ?W? statuses results in no harm to individual students in their loan repayment start dates nor financial loss to the U.S. Department of Education?s federal loan program. The University agrees with this statement and, as of July 2022, has adjusted the completion/graduation process and procedure to capture students (within the 60 days required to transmit status change to NSLDS) who have been awarded their degree but files appear in the clearinghouse error report. The University will correct error report and resubmit within 10-days and ensure in NSLDS that the update is complete. Person(s) responsible: Karen Johnson University Registrar
Finding 24447 (2022-016)
Significant Deficiency 2022
Finding 2022-016 MDE - FFATA Reporting Management Views MDE agrees with the finding. Planned Corrective Action With current capacity, MDE is unable to devote additional resources to submitting a new report each month. MDE is coordinating with the program offices to improve the Federal Funding Ac...
Finding 2022-016 MDE - FFATA Reporting Management Views MDE agrees with the finding. Planned Corrective Action With current capacity, MDE is unable to devote additional resources to submitting a new report each month. MDE is coordinating with the program offices to improve the Federal Funding Accountability and Transparency Act (FFATA) reporting process in order to submit subaward information in accordance with FFATA and federal guidance either by the program office staff or by securing additional resources. Anticipated Completion Date The enhanced process is anticipated to begin with October 1, 2024 grants. Responsible Individual(s) Spencer Simmons, MDE
Finding 24413 (2022-065)
Significant Deficiency 2022
Finding 2022-065 Unemployment Insurance, ALN 17.225 See Department of Labor and Economic Opportunity, Unemployment Insurance Agency, Unemployment Administration Fund, Report on Expenditure of Federal Awards, Year Ended September 30, 2022, Corrective Action Plan, Finding 2022-001.
Finding 2022-065 Unemployment Insurance, ALN 17.225 See Department of Labor and Economic Opportunity, Unemployment Insurance Agency, Unemployment Administration Fund, Report on Expenditure of Federal Awards, Year Ended September 30, 2022, Corrective Action Plan, Finding 2022-001.
Finding 2022-064 Unemployment Insurance, ALN 17.225 See Department of Labor and Economic Opportunity, Unemployment Insurance Agency, Unemployment Compensation Fund, Report on Expenditure of Federal Awards, Year Ended September 30, 2022, Corrective Action Plan, Finding 2022-003.
Finding 2022-064 Unemployment Insurance, ALN 17.225 See Department of Labor and Economic Opportunity, Unemployment Insurance Agency, Unemployment Compensation Fund, Report on Expenditure of Federal Awards, Year Ended September 30, 2022, Corrective Action Plan, Finding 2022-003.
Finding 2022-062 Unemployment Insurance, ALN 17.225 See Department of Labor and Economic Opportunity, Unemployment Insurance Agency, Unemployment Compensation Fund, Report on Expenditure of Federal Awards, Year Ended September 30, 2022, Corrective Action Plan, Finding 2022-001.
Finding 2022-062 Unemployment Insurance, ALN 17.225 See Department of Labor and Economic Opportunity, Unemployment Insurance Agency, Unemployment Compensation Fund, Report on Expenditure of Federal Awards, Year Ended September 30, 2022, Corrective Action Plan, Finding 2022-001.
View Audit 20093 Questioned Costs: $1
Description of Finding: The University publicly posted the required institutional reports for HEERF to their website using actual grants disbursed to student data, rather than disbursement only reimbursed by the G5 draw downs during the quarters. No other issues were noted with the accuracy of the...
Description of Finding: The University publicly posted the required institutional reports for HEERF to their website using actual grants disbursed to student data, rather than disbursement only reimbursed by the G5 draw downs during the quarters. No other issues were noted with the accuracy of the reports. However, the University also did not post all of the required information in the student reports for HEERF. Statement of Concurrence or Nonconcurrence: Management agrees these reports were incomplete due to lack of uncertainty with the HEERF reporting requirements and disbursements made in the current accounting system. Corrective Action: Management will adjust reports noting the required quarterly reports on the website and only use quarterly funds received for providing all of the student report information for HEERF. Name of Contact Person: Julee Sherman, VP for Finance and Administration, Fayette MO 660-248-6203. Projected Completion Date: May 2023.
Finding 24396 (2022-001)
Significant Deficiency 2022
The following corrective measures have been implemented: The Director of Financial Aid requests the amounts and number of students who received HEERF funding from the Business Office at the end of each quarter and reviews, confirms, and documents the date of request and review. A log of the website ...
The following corrective measures have been implemented: The Director of Financial Aid requests the amounts and number of students who received HEERF funding from the Business Office at the end of each quarter and reviews, confirms, and documents the date of request and review. A log of the website updates is maintained to document timely submission of data. The website was revamped to include all necessary reporting requirements including the number of eligible students for CRSSA HEERF II and ARP HEERF III. This updated process was implemented upon identification of the prior year finding, which occurred after the first quarterly report for fiscal year 2022 was posted.
Midland County Hospital District Single Audit Report FY2022 Corrective Action Plan Finding 2022-002 - Management agrees with the finding. We have developed policies and procedures over financial reporting to ensure patient service revenue includes Medicaid supplemental payments in all lost revenue t...
Midland County Hospital District Single Audit Report FY2022 Corrective Action Plan Finding 2022-002 - Management agrees with the finding. We have developed policies and procedures over financial reporting to ensure patient service revenue includes Medicaid supplemental payments in all lost revenue that fall under the Federal assistance guidelines and ensure that total revenues are reconciled to the general ledger account balances and supporting information. net revenue was corrected for this issue dure the PRF Reporting Period #3 that was submitted September 29, 2022. Internal controls have been enacted and the Executive Director of Fiscal Services/Controller, Rebbecca Richey will be responsible to ensure all future periods will accurately reflect the lost revenues for the Hospital District. This corrective action plan was implemented on September 29, 2022.
Midland County Hospital District Single Audit Report FY2022 Corrective Action Plan Finding 2022-001 - Management agrees with the finding. Period 2 Provider Relief Fund (PRF) report included certain expenses that were also subsequently submitted to another funding source as a request for financial as...
Midland County Hospital District Single Audit Report FY2022 Corrective Action Plan Finding 2022-001 - Management agrees with the finding. Period 2 Provider Relief Fund (PRF) report included certain expenses that were also subsequently submitted to another funding source as a request for financial assistance. Even if these amounts were excluded, our expenses and lost revenue reported exceeded the amount of PRF funding received. These expenses were removed and corrected in the Period 4 PRF report submitted on March 30, 2023 by the Executive Director of Fiscal Services/Controller, Rebbecca Richey. The Executive Director of Fiscal Services/Controller, Rebbecca Richey will be responsible to ensure that future PRF reporting periods will not have overlapping funding source requests. The corrective action plan was implemented on March 30, 2023.
Program Name/Assistance Listing Title: COVID-19 Coronavirus State and Local Fiscal Recovery Funds Assistance Listing Number: 21.027 Contact Person: David Felix, Chief Financial Officer Anticipated Completion Date: May 18, 2023 Planned Corrective Action: When the City received notification of the awa...
Program Name/Assistance Listing Title: COVID-19 Coronavirus State and Local Fiscal Recovery Funds Assistance Listing Number: 21.027 Contact Person: David Felix, Chief Financial Officer Anticipated Completion Date: May 18, 2023 Planned Corrective Action: When the City received notification of the award of CSLFRF funds, the CFO and City Attorney reviewed the law and, based on how it was written, felt that we could apply it to the Fire Department?s salary expenses as over 80% of their calls are for emergency medical services, they are the first responders to a 911 EMS call, and they usually transport the patients to the hospital. Neither in the initial law documentation, nor in the initial application, was there an option to select a $10M de minimus revenue loss option. If this was available, the City would have chosen that up front. We completed the interim report based on data created by inquiries run in our General Ledger on the date we submitted the report. We believed the data was saved on our system, but we can not find the electronic copy of it. As adjustments have been made to the data since then, we are unable to recreate a report that matches the data on the interim report. We can get within $800, but not the exact amount. Going forward, we will ensure the data is saved and put in a place that it is easier to retrieve.
Contact Person Jill Blair Planned Corrective Action June 30, 2023 Planned Completion Date The Superintendent and business manager will work together to ensure all purchases match up with purchase orders and receipts.
Contact Person Jill Blair Planned Corrective Action June 30, 2023 Planned Completion Date The Superintendent and business manager will work together to ensure all purchases match up with purchase orders and receipts.
Finding 2022-013 US Department of Department of Health and Human Services AL No. 21.023 Emergency Rental Assistance Program Significant Deficiency over Reporting Repeat Finding: No Auditee?s Corrective Action Plan: As part of an overall goal of the Mayor?s Office of Children and Family Succe...
Finding 2022-013 US Department of Department of Health and Human Services AL No. 21.023 Emergency Rental Assistance Program Significant Deficiency over Reporting Repeat Finding: No Auditee?s Corrective Action Plan: As part of an overall goal of the Mayor?s Office of Children and Family Success (MOCFS), this leadership is committed to ensuring that grant compliance to all Federal, State, and Local grants are prioritized as the agency is 85% grant funded. The agency is currently implementing internal grants management Standard Operating Process (SOP) that is in-line with the City?s Grants Management policy outlined in AM 413-60 and 413-6. These processes will minimize and ultimately eliminate audit finding as a result of inadequate SOP or lack thereof. Contact Person: Chief Financial Officer ? Unyime Ekpa Completion Date: April 25, 2023
In Finding 2022-003, it was reported that the Uniform Data System report submitted to DHHS for the year ended December 31, 2021, contained incorrect data for expenses. The expenses were overstated on Table 8A of the UDS report by approximately $700,000. Management recognizes the importance of comp...
In Finding 2022-003, it was reported that the Uniform Data System report submitted to DHHS for the year ended December 31, 2021, contained incorrect data for expenses. The expenses were overstated on Table 8A of the UDS report by approximately $700,000. Management recognizes the importance of complying with federal reporting guidelines. In response to Finding 2022-003, efforts will be made to ensure that expenses from all sources are reconciled to the revenue and expenses on the UDS report. This review will be performed by the Chief Executive Officer and completed by June 30, 2022.
Finding 24300 (2022-005)
Significant Deficiency 2022
2022-005 Reporting ? Internal Control and Compliance over Reporting City?s Corrective Action Plan: A recent appointment to the Debt and Treasury department has allowed for restructuring of the processes present within the department. Debt and Treasury personnel have been made aware of the previous ...
2022-005 Reporting ? Internal Control and Compliance over Reporting City?s Corrective Action Plan: A recent appointment to the Debt and Treasury department has allowed for restructuring of the processes present within the department. Debt and Treasury personnel have been made aware of the previous insufficiencies and will work with funding sources to identify which requirements are fulfilled by external project managers and which requirements need to be fulfilled by City staff. Responsible Person: Teri Chapa (Program Manager) Expected Implementation Date: March 2023
Finding 24236 (2022-002)
Significant Deficiency 2022
CORRECTIVE ACTION PLAN For the Year Ended September 30, 2022 January 24, 2023 Move United (the Organization) respectfully submits the following Corrective Action Plan for the year ended September 30, 2022. Name and address of independent public accounting firm: CST Group CPAs, PC 10740 Parkridge Blv...
CORRECTIVE ACTION PLAN For the Year Ended September 30, 2022 January 24, 2023 Move United (the Organization) respectfully submits the following Corrective Action Plan for the year ended September 30, 2022. Name and address of independent public accounting firm: CST Group CPAs, PC 10740 Parkridge Blvd, Fifth Fl Reston, VA 20191 Audit period: 10/1/2021 ? 9/30/2022 The findings from the Schedule of Findings and Questioned Costs for the year ended September 30, 2022 are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. Section III ? Federal Award Findings and Questioned Costs Significant Deficiency: 2022-02 ? Timely Submission of Quarterly SF-425 Report Recommendation: We recommend that the Organization review its monitoring process for the quarterly reporting of SF-425 reports, and ensure reports are filed timely within the requirements of the reporting deadlines. If an extension is necessary for any instances of reporting, a request for extension should be filed with the federal agency, along with a justified explanation for the additional time needed. Otherwise, all quarterly reports should be filed timely no later than 30 days after the end of each calendar quarter. Views of Responsible Officials and Planned Corrective Action: Move United will put in place a three tier redundancy plan for ensuring that filings, both within the VA Salesforce system and within the Payment Management System, are filed prior to or on time each quarter. The Chief Financial Officer, Programs Director and Grants Administrator will work collaboratively to complete the necessary data compilation at least one week prior to the filing deadline. All three individuals will be trained on and have access to the two systems. In the event one individual is incapacitated at the time of filing, one of the other two will complete the filing on time. Person Responsible: Chief Financial & Operating Officer Planned Completion Date: Immediately
1. Develop and implement a schedule. Audit Commencement should be initiated by mid-september following the close of FY. 2. Conduct a weekly follow-up meeting to ensure that all internal and external documents are being produced and supplied to appropriate parties 3. Ensure that all internal personne...
1. Develop and implement a schedule. Audit Commencement should be initiated by mid-september following the close of FY. 2. Conduct a weekly follow-up meeting to ensure that all internal and external documents are being produced and supplied to appropriate parties 3. Ensure that all internal personnel are given the knowledge and resources to mitigate the disruption that may come from any employee transition or turnover. 4. Conclude the audit by the end of December of the following end of the FY.
CORRECTIVE ACTION PLAN October 7, 2022 Kansas State Department of Education and Kansas State Department of Administration Unified School District Number 374 respectfully submits the following corrective action plan for the year ended June 30, 2022. Dirks, Anthony & Duncan, LLC Po Box 885 Ulysses...
CORRECTIVE ACTION PLAN October 7, 2022 Kansas State Department of Education and Kansas State Department of Administration Unified School District Number 374 respectfully submits the following corrective action plan for the year ended June 30, 2022. Dirks, Anthony & Duncan, LLC Po Box 885 Ulysses, KS 67880 Audit Period: June 30, 2022 FINDINGS ? FEDERAL AWARD PROGRAMS AUDIT U.S. Department of Education Passed Through Kansas State Department of Education Program Name: Elementary and Secondary School Emergency Relief Fund II (ESSER) Federal Assistance Listing Numbers: 84.425D Finding 2022-001 Recommendations: The District should have an employee, not in the position of District Secretary, compare the Financial Manager?s ESSER report before its submission to the State of Kansas for its accuracy with board approved financial information. After the approval by the secondary review employee, the report submitted should be printed, initialed by the secondary reviewer, stapled with the information used to compile the report and combined with all financial records for the fiscal year. The District should also ensure that the positions involved with the financial reporting of the ESSER funds have adequate training for the recording and reporting of the federal monies. Action Taken: We agree with the recommendation. Our targeted implementation date is March 2023. If the Kansas State Department of Education and/or Kansas State Department of Administration has questions regarding this plan, please call Rex Richardson at 620-675-2277 Sincerely yours, Rex Richardson Superintendent
The Organization has implemented a full review of the contracts at year end to make sure all expenses are assigned to a funder code in the accounting system. In additional, as a final control procedure, Accounting will run a final report for all contracts that have been identified as federal vs actu...
The Organization has implemented a full review of the contracts at year end to make sure all expenses are assigned to a funder code in the accounting system. In additional, as a final control procedure, Accounting will run a final report for all contracts that have been identified as federal vs actual invoiced expenditures and further compared to what has been expensed per the financial statements and provide to the Chief Program Officer to compare and reconcile to the SEFA. 39
View Audit 20813 Questioned Costs: $1
The Organization has implemented a full review of the contracts at year end to make sure all expenses are assigned to a funder code in the accounting system. In additional, as a final control procedure, Accounting will run a final report for all contracts that have been identified as federal vs actu...
The Organization has implemented a full review of the contracts at year end to make sure all expenses are assigned to a funder code in the accounting system. In additional, as a final control procedure, Accounting will run a final report for all contracts that have been identified as federal vs actual invoiced expenditures and further compared to what has been expensed per the financial statements and provide to the Chief Program Officer to compare and reconcile to the SEFA. 39
View Audit 20813 Questioned Costs: $1
Higher Education Stabilization Fund Reporting Planned Corrective Action: The planned corrective action plan is bifurcated. First, the University will update its website https://anderson.edu/alums/cares-act/ to correct reported counts for HEERF III Emergency Financial Aid to students for the numbe...
Higher Education Stabilization Fund Reporting Planned Corrective Action: The planned corrective action plan is bifurcated. First, the University will update its website https://anderson.edu/alums/cares-act/ to correct reported counts for HEERF III Emergency Financial Aid to students for the number of unduplicated recipients notified and approved for grants. Second, Year 2 Higher Education Emergency Relief Fund (HEERF) Annual Performance Report (APR) will be corrected to properly report the count of unduplicated students and related amount of grants directly disbursed to students and amount applied to student accounts. Person Responsible for Corrective Action Plan: Suahil R. Housholder, Assistant VP for Finance and Assistant Treasurer Anticipated Date of Completion: Website update by 11/14/2022 and Year 2 Higher Education Emergency Relief Fund (HEERF) Annual Performance Report (APR) corrected when the Year 3 Higher Education Emergency Relief Fund (HEERF) Annual Performance Report (APR) reporting period is established by the Department of Education in the year 2023.
The District will enhance inventory records and procedures to ensure that all property items are properly recorded in order to maintain accountability of items purchased with federal funds. Additionally, the District will consult with the grantor agency regarding the allowability of the questioned ...
The District will enhance inventory records and procedures to ensure that all property items are properly recorded in order to maintain accountability of items purchased with federal funds. Additionally, the District will consult with the grantor agency regarding the allowability of the questioned costs.
View Audit 21094 Questioned Costs: $1
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