Corrective Action Plans

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Identifying Number: 2023-003 Finding: Timely Submission of the Data Collection Form Corrective Actions Taken or Planned: Management’s Response to Audit Finding on Timely Submission of the Data Collection Form During the 2023 calendar year, AACAP (The Academy) did not submit the 2022 data collect...
Identifying Number: 2023-003 Finding: Timely Submission of the Data Collection Form Corrective Actions Taken or Planned: Management’s Response to Audit Finding on Timely Submission of the Data Collection Form During the 2023 calendar year, AACAP (The Academy) did not submit the 2022 data collection form within nine months after the end of the audit period. Management takes this deficiency seriously and is committed to improving the timeliness of accounting functions. The following procedures are being implemented: 1. An outsourced accounting and consulting firm provided 2023 financial services to the Academy and worked in conjunction with a federal grant consultant bring federal reports current. Additionally, the Academy hired in-house financial staff with experience in federal grant reporting to oversee the process. We expect that 2023 and future federal reports will be filed on a timely basis. Name of Responsible Person: Heidi Fordi, Executive Director/CEO Projected Date of Completion: September 23, 2024
Finding ref number: 2023-002 Finding caption: The City did not have adequate internal controls for ensuring compliance with federal suspension and debarment requirements. Name, address, and telephone of City contact person: Maria Simons, Financial Services Officer 129 N. 2nd Street, Yakima, WA 98901...
Finding ref number: 2023-002 Finding caption: The City did not have adequate internal controls for ensuring compliance with federal suspension and debarment requirements. Name, address, and telephone of City contact person: Maria Simons, Financial Services Officer 129 N. 2nd Street, Yakima, WA 98901 (509) 575-6070 Corrective action the auditee plans to take in response to the finding: 1. Create a pre-bid checklist for City staff to use to vet potential sources of supply; 2. Add suspension and debarment verification to the Bidder Responsibility Criteria Form; 3. Add a clause or condition into contracts that state the contractor is not suspended or debarred; 4. Work with Information Technology on the possibility to update the Cayenta system to require requestor indicate on purchase requisition if proposed purchase is federally funded. Anticipated date to complete the corrective action: 1. Create a pre-bid checklist for City staff to use to vet potential sources of supply; by 12/31/2024 2. Add suspension and debarment verification to the Bidder Responsibility Criteria Form; Completed 8/30/2024 3. Add a clause or condition into contracts that state the contractor is not suspended or debarred; Completed 8/30/2024 4. Work with Information Technology on the possibility to update the Cayenta system to require requestor indicate on purchase requisition if proposed purchase is federally funded; by 12/31/2024
Name(s) of the contact person(s) responsible for corrective action: Richard Marshall Planned completion date for corrective action plan: 12/31/2025 2023-002 Housing Voucher Cluster – Assistance Listing No. 14.871/14.879 – Rent Reasonableness Recommendation: We recommend management to implement contr...
Name(s) of the contact person(s) responsible for corrective action: Richard Marshall Planned completion date for corrective action plan: 12/31/2025 2023-002 Housing Voucher Cluster – Assistance Listing No. 14.871/14.879 – Rent Reasonableness Recommendation: We recommend management to implement controls over the recertification and rent change process to ensure determination of reasonable rent is performed prior to processing of the move in. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Continue to perform quality control on files and note any pattern that develops for the same type of errors and take corrective action if a pattern develops. Name(s) of the contact person(s) responsible for corrective action: Richard Marshall Planned completion date for corrective action plan: 12/31/2025
Housing Voucher Cluster – Assistance Listing No. 14.871 / 14.879 – Eligibility Recommendation: We recommend management to implement controls and policies to ensure compliance with eligibility requirements. Additional training for housing specialists would also improve accuracy. Explanation of disagr...
Housing Voucher Cluster – Assistance Listing No. 14.871 / 14.879 – Eligibility Recommendation: We recommend management to implement controls and policies to ensure compliance with eligibility requirements. Additional training for housing specialists would also improve accuracy. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Monitor and quality control documents as required by HUD. If quality control determines there is a pattern of the same type of discrepancy, then corrective actions will be taken. The finding is based on 2 late reexaminations and failure to automatically identify a client as disabled. This is marked as a repeat finding in the same category, but is not the same type of finding as last year.
CORRECTIVE ACTION PLAN FOR FINDINGS REPORTED UNDER UNIFORM GUIDANCE City of Spokane January 1, 2023 through December 31, 2023 This schedule presents the corrective action the City of Spokane is planning to take for findings included in this report in accordance with Title 2 U.S. Code of Federal Reg...
CORRECTIVE ACTION PLAN FOR FINDINGS REPORTED UNDER UNIFORM GUIDANCE City of Spokane January 1, 2023 through December 31, 2023 This schedule presents the corrective action the City of Spokane is planning to take for findings included in this report in accordance with Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). Finding ref number: 2023-001 Finding caption: The City did not have adequate internal controls for ensuring compliance with federal suspension and debarment requirements. Name, address, and telephone of City of Spokane contact person: Michelle Murray, Director of Accounting & Grants W 808 Spokane Falls Blvd Spokane, WA 99201 (509) 625-6320 Corrective action the auditee plans to take in response to the finding: The City currently has a robust process to verify and document its contractors, consultants and vendors are neither debarred nor suspended. This process adds required certification language to all City agreements to document compliance. While two of these contracts were reviewed and the compliant status of the providers were verified through the existing cooperative agreement, unfortunately the City’s process did not capture the needed requirement to verify at the lower tier. The City is now putting into place a requirement that all subawards, purchase agreements and contracts involving federal funds over $25,000 will include the required certification even if the contract is derived from “piggy backing” and includes suspension and debarment language. The City will also add measures to our existing process and enhance training to capture such agreements that were not initially identified as federal funding and later classified as such to include additional steps to ensure the required certification language is included to correct this oversight. Anticipated date to complete the corrective action: Immediately
Finding 498487 (2023-002)
Significant Deficiency 2023
Corrective Action Plan 2023-002: EnterpriseKC has conducted the suspension and debarment checks and has included those checks in the contract files for all covered transactions and has also updated its procedures to ensure those checks are conducted and added to the contract file at or before the co...
Corrective Action Plan 2023-002: EnterpriseKC has conducted the suspension and debarment checks and has included those checks in the contract files for all covered transactions and has also updated its procedures to ensure those checks are conducted and added to the contract file at or before the contract effective date. Completion Date: August 2024 Contact Person: Jay Konomos, Pillar Leader
Finding 498486 (2023-001)
Significant Deficiency 2023
Corrective Action Plan 2023-001: Management will implement a comprehensive time tracking review process that also extends to reviewing time for employees that choose to work remotely and will ensure that time not allocated to the grant is not included in the costs allocated to the grant. Management ...
Corrective Action Plan 2023-001: Management will implement a comprehensive time tracking review process that also extends to reviewing time for employees that choose to work remotely and will ensure that time not allocated to the grant is not included in the costs allocated to the grant. Management will revise the fringe benefit rate that gets charged to the hourly rates to ensure that none of the costs included in the fringe benefits are also direct expenses billed to the grant. The unallowable costs will be redirected to other allowable grant costs in 2024. Anticipated Completion Date: September 2024 Contact Person: Jay Konomos, Pillar Leader
View Audit 321192 Questioned Costs: $1
Finding 498474 (2023-002)
Material Weakness 2023
The Board acknowledges the finding related to the evaluation of potential contractors for debarment and suspension under Finding 2023-002. We understand the importance of ensuring that contractors paid with federal dollars are not suspended or debarred to maintain compliance with federal requirement...
The Board acknowledges the finding related to the evaluation of potential contractors for debarment and suspension under Finding 2023-002. We understand the importance of ensuring that contractors paid with federal dollars are not suspended or debarred to maintain compliance with federal requirement. We will establish a procedure to review the System for Award Management (sam.gov) for debarment, suspension, or exclusion status for all potential contractors before entering into contract. The Board will train relevant procurement staff on the new procedure to ensure consistent application and understanding of the debarment verification process.
Finding 498473 (2023-001)
Material Weakness 2023
The Board acknowledges the finding related to procurement practices under Finding 2023-001. We recognize the importance of adhering to federal procurement requirements, specifically those outlined in 2 CFR 200.319(d), to ensure compliance and maintain the integrity of federal funds. Management will ...
The Board acknowledges the finding related to procurement practices under Finding 2023-001. We recognize the importance of adhering to federal procurement requirements, specifically those outlined in 2 CFR 200.319(d), to ensure compliance and maintain the integrity of federal funds. Management will review and update policies to ensure they align with federal regulations specified in 2 CFR 200.319(d) and will provide training to relevant personnel on federal procurement requirements.
View Audit 321176 Questioned Costs: $1
Finding 498472 (2023-002)
Significant Deficiency 2023
The City will review the wage-rate testing prepared by the consultant and formally document their review
The City will review the wage-rate testing prepared by the consultant and formally document their review
Finding 498471 (2023-001)
Significant Deficiency 2023
The City will review the reports prepared by the consultant and formally document their review
The City will review the reports prepared by the consultant and formally document their review
The County of Fulton, Pennsylvania, respectfully submits the following corrective action plan for the year ended December 31, 2023. Name and address of independent public accounting firm: RKL, LLP 1800 Fruitivlle Pike P.O. Box 8408 Lancaster, PA 17601 Audit period: Year Ending December 31, 2023 The ...
The County of Fulton, Pennsylvania, respectfully submits the following corrective action plan for the year ended December 31, 2023. Name and address of independent public accounting firm: RKL, LLP 1800 Fruitivlle Pike P.O. Box 8408 Lancaster, PA 17601 Audit period: Year Ending December 31, 2023 The findings from the December 31, 2023 Schedule of Fundings and Questioned Costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FINDINGS - FEDERAL AWARD FINDINGS Finding 2023-001: Eligibility for Individuals and Inventory Records CFDA#10.568/10.569 Food Nutrition Cluster Date for Completion: December 31, 2024 Recommendation: The County should maintain documents and records to ensure compliance with the audit requirements of the OMB Compliance Supplement to demonstrate that they serve predominately needy persons, maintain receipts, usage/distribution, losses and ending inventory, and perform an annual physical inventory observation. County Response: The County met with the subrecipient after the prior finding was issued ot review the OMB Compliance Supplement and requirements for individual eligibility along with requirements to document and maintain inventory records. The County will revisit these requirements with the subrecipient to ensure that changes are made timely to ensure compliance. If there are any questions regarding this corrective action plan, please contact the Fulton County Business Office. Sincerely yours, Michael Lamb, CPA, CGFM Chief Financial Officer
Finding Number: 2023-002 Compliance Requirement: Reporting Programs: United States Department of the Treasury ALN Number: 21.019 ALN Name: Coronavirus Relief Fund Contract Periods: June 16, 2023 – June 16, 2024 (City of New Orleans, Louisiana) Planned Corrective Action: The Organization is committed...
Finding Number: 2023-002 Compliance Requirement: Reporting Programs: United States Department of the Treasury ALN Number: 21.019 ALN Name: Coronavirus Relief Fund Contract Periods: June 16, 2023 – June 16, 2024 (City of New Orleans, Louisiana) Planned Corrective Action: The Organization is committed to improving its timeliness of reporting, and is developing a plan to align and adhere to all grantor’s reporting requirements. The Organization is also hiring several new staff to ensure adequate internal capacity to deliver in a timely manner. Person Responsible: Chief Operating Officer (performance reporting) and Vice President, Finance & Administration (fiscal reporting) Expected Completion Date: October 31, 2024
Finding Number: 2023-001 Compliance Requirement: Activities Allowed or Unallowed; Allowable Costs/Cost Principles Programs: United States Department of the Treasury ALN Number: 21.019 ALN Name: Coronavirus Relief Fund Contract Periods: August 9, 2022 – December 31, 2024 (County of Cook, Illinois); J...
Finding Number: 2023-001 Compliance Requirement: Activities Allowed or Unallowed; Allowable Costs/Cost Principles Programs: United States Department of the Treasury ALN Number: 21.019 ALN Name: Coronavirus Relief Fund Contract Periods: August 9, 2022 – December 31, 2024 (County of Cook, Illinois); June 16, 2023 – June 16, 2024 (City of New Orleans, Louisiana) Planned Corrective Action: In order to ensure that retroactive personnel costs are allocated to grants appropriately, the following measures are being implemented: 1. Effective October 1, 2024, Medical Debt Resolution, Inc. (the Organization) is transitioning to a common-date annual review including a common annual salary adjustment date for all personnel. This will ensure a timely administration of personnel compensation adjustments, thus eliminating the need for retroactive pay. 2. In the unlikely event of a retrospective pay need in the future, the Organization will develop and implement a new standard operating procedure for Allocation of Retrospective Pay which will provide guidelines for how to appropriately allocate the cost across funds if multiple periods are involved. 3. The Organization is thoroughly reviewing all retrospective payments made in 2023 and 2024 YTD and will be issuing an adjustment to all grants, as applicable, by October 31, 2024. Person Responsible: Vice President, Finance & Administration Expected Completion Date: October 31, 2024
View Audit 321164 Questioned Costs: $1
Management’s response and corrective action is as follows: To improve the accuracy of ITA tracking, a revised ITA tracking system will be implemented. This will include data entry fields to capture all necessary information for each ITA payment, minimizing errors and omissions. Reconciliation wi...
Management’s response and corrective action is as follows: To improve the accuracy of ITA tracking, a revised ITA tracking system will be implemented. This will include data entry fields to capture all necessary information for each ITA payment, minimizing errors and omissions. Reconciliation with MUNIS on a monthly basis to identify any discrepancies. Additionally, mandatory training on the revised ITA Tracking system will be conducted for relevant staff members to ensure continuity. Expected Implementation Date: July 202 Contact person: Amanda Stanley, Chief WIOA Administrator, EmployBR
Management’s response and corrective action is as follows: To improve the accuracy and timeliness of payroll processing, a revised payroll procedures manual will be developed and disseminated to all staff responsible for time approval. Additionally, mandatory training on the ExecuTime system will ...
Management’s response and corrective action is as follows: To improve the accuracy and timeliness of payroll processing, a revised payroll procedures manual will be developed and disseminated to all staff responsible for time approval. Additionally, mandatory training on the ExecuTime system will be conducted for these staff members to ensure they have the necessary skills for proper and timely time sheet approvals. Expected Implementation Date: June 2024 Contact person: Amanda Stanley, Chief WIOA Administrator, EmployBR
Management’s response and corrective action is as follows: The responsibility to monitor projects in the affordability period recently transferred to the City-Parish. However, our office has had insufficient capacity thus far to inspect all projects within their 20-year affordability period. We ha...
Management’s response and corrective action is as follows: The responsibility to monitor projects in the affordability period recently transferred to the City-Parish. However, our office has had insufficient capacity thus far to inspect all projects within their 20-year affordability period. We have prioritized inspection of projects currently under construction to ensure that our office can continues to meet our community’s affordable housing needs. Our team has worked diligently with the Finance Department, the Human Resources Department, and the Mayor-President’s Office to create an expanded organizational chart and capacity plan. That plan was approved by the EBR Metro Council earlier this year and hiring activities are ongoing. Simultaneously, we have procured additional consultant support to provide technical expertise throughout this monitoring. Expected Implementation Date: December 2024 Contact person: Marlee Pittman Miller, Director, Mayor-President’s Office of Community Development
Management’s response and corrective action is as follows: The Office of Community Development utilizes a loan service agency to manage, administer and oversee the funds for the loan program. Requests for loan forgiveness are submitted to the OCD by the loan service agency monthly for staff approv...
Management’s response and corrective action is as follows: The Office of Community Development utilizes a loan service agency to manage, administer and oversee the funds for the loan program. Requests for loan forgiveness are submitted to the OCD by the loan service agency monthly for staff approval. The OCD staff then reconciles this income monthly and submits the monthly report to the Finance Department for processing. Loan balances are not only altered by program income but also through loan forgiveness offered to low-to-moderate income residents. All loans are reviewed for forgiveness in compliance with the Code of Federal Regulations and are approved by the OCD before being executed by the Parish Attorney’s Office to provide multiple layers of review. Case files are maintained at the OCD and documentation of monthly reconciling has been provided along with an accounting ledger. The OCD is working to improve monthly reconciling templates to include incurred fees from the loan servicing agency as well as forgiveness events to provide an accurate gross revenue. Expected Implementation Date: June 2024 Contact person: Marlee Pittman Miller, Director, Mayor-President’s Office of Community Development
View Audit 321162 Questioned Costs: $1
Management’s response and corrective action is as follows: Architect certification is not required by the Department of Housing and Urban Development nor our policies and procedures. It is listed in our contracts as one of the many different types of reimbursement documentation our office will acc...
Management’s response and corrective action is as follows: Architect certification is not required by the Department of Housing and Urban Development nor our policies and procedures. It is listed in our contracts as one of the many different types of reimbursement documentation our office will accept. For many projects, an architect certification for each draw would be financially prohibitive and would likely reduce the financial viability of affordable housing developments. Our office does conduct intermittent on-site or desktop monitoring throughout the course of the project to ensure evidence activities. Additionally, all construction projects must complete permit requirements to ensure housing quality. Evidence of monitoring or activity was provided to the auditors. Expected Implementation Date: October 2024 Contact person: Marlee Pittman Miller, Director, Mayor-President’s Office of Community Development
Management’s response and corrective action is as follows: Purchasing Department has implemented the following corrective actions to avoid this in the future: requisition checklist outlining guideline for compliance; creating standard operating procedure for purchase of vehicles for City-Parish Ag...
Management’s response and corrective action is as follows: Purchasing Department has implemented the following corrective actions to avoid this in the future: requisition checklist outlining guideline for compliance; creating standard operating procedure for purchase of vehicles for City-Parish Agencies; conduct routine departmental training; ensure that supervisor approvals prior to bid release. Expected Implementation Date: June 2024 Contact person: Paul Narcisse, Purchasing Director, Office of Purchasing
View Audit 321162 Questioned Costs: $1
Management’s response and corrective action is as follows: After reviewing the condition, cause, and effect of the presented Finding, the City-Parish finds it important to clarify that the duplicative charges were initially identified and documented as a self-reported finding. This discrepancy was...
Management’s response and corrective action is as follows: After reviewing the condition, cause, and effect of the presented Finding, the City-Parish finds it important to clarify that the duplicative charges were initially identified and documented as a self-reported finding. This discrepancy was discovered during the subrecipient monitoring component of this award and was promptly reported and reconciled prior to being presented as an audit finding. Upon identification of the duplicative charges, totaling approximately $22,000, immediate corrective action was taken to address the non-compliance. Dated January 5, 2024, a memorandum was filed disclosing the duplicative reimbursements, documenting the actions taken to rectify these charges, and recommending further steps to enhance the internal controls of the non-profit organization. The following information summarizes the East Baton Rouge City-Parish American Rescue Plan Act (ARPA): Duplication of Benefits - Findings and Corrective Action Memorandum: This memorandum documents the incidental reimbursement of multiple duplicative items associated with the subrecipient’s grant agreement and the corrective actions undertaken to resolve these findings, ensuring compliance with the terms of this award. During the routine subrecipient monitoring reviews, it was discovered that duplicate reimbursements occurred for 12 items between separate federal awards (American Rescue Plan Act SLFRF and CARES Act). In accordance with 2 CFR 200.522(c), a corrective action plan was provided to resolve the non-compliance. To address this, the following actions were taken: 1) Reconciliation of Duplicate Reimbursements: The non-profit entity has since reconciled the total value of $22,222.98 in duplicate reimbursements with an equivalent value of eligible expenses, including all necessary backup documentation to satisfy existing procurement and reimbursement requirements. 2) Development of a Duplication of Benefits Policy: It was recommended that the non-profit entity develop a comprehensive duplication of benefits policy to strengthen their internal controls further. These additional safeguards are considered best practices and are intended to minimize the risk of future non-compliance. Additionally, a comprehensive, grant specific, financial management policy template was provided to support the non-profits action to adopt and implement an appropriate standard of internal controls. The City-Parish is committed to maintaining robust internal controls and ensuring compliance with federal regulations. Immediate corrective measures were proactively taken to address these duplicative charges. Additionally, the City-Parish's third-party grants manager has established recurring weekly monitoring meetings with the non-profit entity to support the development and implementation of an adequate system of internal controls. Continuous efforts are being made to improve these processes to prevent such issues in the future. Expected Implementation Date: January 2024 Contact person: Courtney Scott, Assistant Chief Administrative Officer, Mayor-President’s Office
View Audit 321162 Questioned Costs: $1
Management’s response and corrective action is as follows: The volume, complexity, and rapid pace needed to provide benefits inherently results in higher risk of fraud. The City-Parish's policies and procedures detected the fraud as required by program guidance. Additional restrictions were impleme...
Management’s response and corrective action is as follows: The volume, complexity, and rapid pace needed to provide benefits inherently results in higher risk of fraud. The City-Parish's policies and procedures detected the fraud as required by program guidance. Additional restrictions were implemented to further protect the program from fraud including no longer allowing any exceptions to homestead, not allowing any single-room rentals, and requiring a landlord provide documentation of 3 months of rental payments/deposits—no handwritten receipts accepted. The City-Parish also sent an email blast out to applicants to ensure they understood the additional documentation requirements. Consultants for the City-Parish provided a fraud detection tip sheet to case managers, consolidating previously given guidance, to assist them in determining potential incidents of fraud. There have been no instances of suspected fraud since July 2023 due to these measures. Expected Implementation Date: June 2024 Contact person: Dante Bidwell, Chief Administrative Officer, Office of the Mayor-President
View Audit 321162 Questioned Costs: $1
FINDING 2023-003 COMPLETION AND TIMELY FILING OF SINGLE AUDIT REPORTS Effect and recommendation The Hospital implemented a new accounting and electronic health record (EHR) system in May of 2023 and incurred significant issues with the implementation resulting in both the financial statement and co...
FINDING 2023-003 COMPLETION AND TIMELY FILING OF SINGLE AUDIT REPORTS Effect and recommendation The Hospital implemented a new accounting and electronic health record (EHR) system in May of 2023 and incurred significant issues with the implementation resulting in both the financial statement and compliance audits being significantly delayed. This resulted in the Hospital’s financial statements and compliance audits for June 30, 2023 reporting period not being filed within the required timeline. Views of responsible officials and planned corrective actions The financial statement and compliance audit will be filed with the Federal Audit Clearinghouse shortly after issuance. Anticipated completion date Ongoing
Section III –Federal Award Findings and Questioned Costs FINDING 2023-002 DEBT SERVICE COVERAGE RATIO COMPLIANCE Effect and recommendation The Hospital implemented a new accounting and electronic health record (EHR) system in May of 2023 and experienced significant delays in being able to bill and...
Section III –Federal Award Findings and Questioned Costs FINDING 2023-002 DEBT SERVICE COVERAGE RATIO COMPLIANCE Effect and recommendation The Hospital implemented a new accounting and electronic health record (EHR) system in May of 2023 and experienced significant delays in being able to bill and process claims. The delays had a negative impact on overall operating results as additional accounts receivable allowances for both contractual adjustments and bad debts were necessary at June 30, 2023. The negative impact on overall operations resulted in the Hospital not meeting the required debt service coverage ratio of 1.5. The Hospital did receive a waiver from the USDA regarding this noncompliance matter. Views of responsible officials and planned corrective actions The implementation of the new electronic health records created a delay in operational workflow processes which required vendor modifications and corrections to the system. This delayed submitting insurance claims for reimbursement which continued throughout fiscal year 2024. Operations have now stabilized and the debt service coverage ratio is expected to be in compliance in fiscal year 2025. Anticipated completion date Ongoing
Finding 498441 (2023-014)
Significant Deficiency 2023
State of Missouri Single Audit Corrective Action Plan Year Ended June 30, 2023 State Agency: Department of Health and Senior Services (DHSS) Audit Finding Number: 2023-014 Medicaid SPPC Participant Choice Agreements Name of the contact person responsible for corrective action: Kim To...
State of Missouri Single Audit Corrective Action Plan Year Ended June 30, 2023 State Agency: Department of Health and Senior Services (DHSS) Audit Finding Number: 2023-014 Medicaid SPPC Participant Choice Agreements Name of the contact person responsible for corrective action: Kim Toebben, Deputy Division Director, Division of Senior and Disability Services (DSDS) Anticipated completion date for corrective action: March 2025 Corrective action planned is as follows: The Division of Senior and Disability Services will implement the following actions to ensure a signed Participant Choice Agreement is completed and retained for all participants of the State Plan Personal Care program: • DSDS is developing additional training for staff completing the Participant Choice Statement. Staff historically received formal training regarding the use of the Participant Choice Statement at new employee training. Now form completion will be a component of both ongoing in-service trainings offered throughout the year to experienced staff and a component of a new training track designed specifically for those who have been employed 6-9 months. The goals of these new trainings will be to reiterate the importance of form completion at each assessment. • DSDS will include education on form completion at the twice annual provider update meeting that is required for all providers to attend. • DSDS continues to work closely with the current Case Management System vendor, Conduent. In the fall of 2023, enhancements were completed to the system to address issues related to attaching documents. • DSDS is actively developing a new Case Management System to replace the legacy system. The system is anticipated to go live in early 2025. This system will provide additional checks and balances to ensure forms are uploaded for each case completed. Regarding the recommendation to identify and replace all missing Participant Choice Agreements with newly completed agreements: While manually checking participant records creates an extreme administrative burden on staff already at full workload capacity, the DSDS Special Projects Team will begin working to identify and remediate missing documents. Remediation will also occur at regularly scheduled reassessments.
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