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Corrective Action Plans

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Finding 382448 (2023-052)
Significant Deficiency 2023
State of Nebraska
NE
Questioned Costs Special Tests & Provisions Procurement, Suspension & Debarment
Program: AL 93.778 – Medical Assistance Program – Special Tests and Provisions Corrective Action Plan: DHHS will update desk audit procedures to ensure the desk audits are completed with a reasonable assurance of accurate cost reporting. Contact: Jerry Vanderbeek; Danny Vanourney Anticipated C...
Program: AL 93.778 – Medical Assistance Program – Special Tests and Provisions Corrective Action Plan: DHHS will update desk audit procedures to ensure the desk audits are completed with a reasonable assurance of accurate cost reporting. Contact: Jerry Vanderbeek; Danny Vanourney Anticipated Completion Date: 12/31/2024
View Audit 296116 Questioned Costs: $1
Finding 382447 (2023-051)
Significant Deficiency 2023
State of Nebraska
NE
Questioned Costs Eligibility Matching / Level of Effort / Earmarking
Program: AL 93.778 – Medical Assistance Program; AL 93.778 – COVID-19 Medical Assistance Program – Allowability & Eligibility Corrective Action Plan: User guides and training materials will be reviewed and updated if deemed necessary for clarity. Individual staff who made the errors will be follo...
Program: AL 93.778 – Medical Assistance Program; AL 93.778 – COVID-19 Medical Assistance Program – Allowability & Eligibility Corrective Action Plan: User guides and training materials will be reviewed and updated if deemed necessary for clarity. Individual staff who made the errors will be followed up with to ensure they understand the policies going forward. Contact: Catherine Gekas Steeby Anticipated Completion Date: 6/30/2024
View Audit 296116 Questioned Costs: $1
Finding 382446 (2023-050)
Significant Deficiency 2023
State of Nebraska
NE
Questioned Costs Allowable Costs / Cost Principles Cash Management
Program: AL 93.778 – Medical Assistance Program; AL 93.778 – COVID-19 Medical Assistance Program - Allowability Corrective Action Plan: DHHS will work in collaboration with the APA to improve prevention of improper payments and to implement processes to improve the identification of and actions t...
Program: AL 93.778 – Medical Assistance Program; AL 93.778 – COVID-19 Medical Assistance Program - Allowability Corrective Action Plan: DHHS will work in collaboration with the APA to improve prevention of improper payments and to implement processes to improve the identification of and actions taken against potential fraud, waste, and abuse. In addition, DHHS has established recurring meetings to review each of the conditions in depth and identify mitigation strategies to implement. This could include a combination of policy, business rules, and technology changes, as well as interim and long-term mitigation strategies. Contact: Kathy Scheele Anticipated Completion Date: 12/31/2024
View Audit 296116 Questioned Costs: $1
Finding 382444 (2023-030)
Significant Deficiency 2023
State of Nebraska
NE
Questioned Costs Allowable Costs / Cost Principles
Program: Various, including AL 93.778 – Medical Assistance Program – Allowable Costs/Cost Principles Corrective Action Plan: Time and Effort Report Allocations: Communication to involved parties reminding of the importance of completing RPAs timely and accurately. RMTS Allocations: RMTS procedur...
Program: Various, including AL 93.778 – Medical Assistance Program – Allowable Costs/Cost Principles Corrective Action Plan: Time and Effort Report Allocations: Communication to involved parties reminding of the importance of completing RPAs timely and accurately. RMTS Allocations: RMTS procedures will be updated. Labor Hours Statistics: Cost Allocation instructions will be reviewed and updated as necessary. Recipient Counts: Review of Cost Allocation instructions will be performed and additional clarification within instructions will be made as necessary. Contact: Patrick Werner Anticipated Completion Date: 6/30/2024
View Audit 296116 Questioned Costs: $1
State of Nebraska
NE
Questioned Costs Allowable Costs / Cost Principles Special Tests & Provisions
Program: AL 93.778 – Medical Assistance Program; AL 93.767 – Children’s Health Insurance Program (CHIP) – Special Tests and Provisions Corrective Action Plan: DHHS is working with the provider enrollment vendor to modify the system to require that the provider must disclose at least one managing ...
Program: AL 93.778 – Medical Assistance Program; AL 93.767 – Children’s Health Insurance Program (CHIP) – Special Tests and Provisions Corrective Action Plan: DHHS is working with the provider enrollment vendor to modify the system to require that the provider must disclose at least one managing employee when they enroll. DHHS also plans to begin performing retro audits of enrolled providers to update information about owners/managing employees. Contact: Melinda Abbott; Zac Ross Anticipated Completion Date: 6/30/2024
View Audit 296116 Questioned Costs: $1
Finding 382440 (2023-049)
Material Weakness 2023
State of Nebraska
NE
Questioned Costs Reporting Matching / Level of Effort / Earmarking
Program: AL 93.659 – Adoption Assistance – Reporting Corrective Action Plan: DHHS has implemented procedures to ensure reports are accurate and reconcile to the accounting system. The procedures have been updated to include reconciling the FFR to the accounting system on a quarterly basis. Conta...
Program: AL 93.659 – Adoption Assistance – Reporting Corrective Action Plan: DHHS has implemented procedures to ensure reports are accurate and reconcile to the accounting system. The procedures have been updated to include reconciling the FFR to the accounting system on a quarterly basis. Contact: Ann Murphy Anticipated Completion Date: 6/30/2024
View Audit 296116 Questioned Costs: $1
State of Nebraska
NE
Questioned Costs Internal Control / Segregation of Duties Student Financial Aid
Program: AL 93.658 – Foster Care Title IV-E; AL 93.658 – COVID-19 Foster Care Title IV-E – Allowability Corrective Action Plan: The Agency will update where necessary policies and procedures to ensure adequate documentation be maintained to support that expenditures are allowable and proper in ac...
Program: AL 93.658 – Foster Care Title IV-E; AL 93.658 – COVID-19 Foster Care Title IV-E – Allowability Corrective Action Plan: The Agency will update where necessary policies and procedures to ensure adequate documentation be maintained to support that expenditures are allowable and proper in accordance with State and Federal regulations. Contact: Andrew Keck Anticipated Completion Date: 6/30/2024
View Audit 296116 Questioned Costs: $1
Finding 382436 (2023-047)
Significant Deficiency 2023
State of Nebraska
NE
Questioned Costs Reporting Matching / Level of Effort / Earmarking
Program: AL 93.658 – Foster Care Title IV-E – Reporting Corrective Action Plan: DHHS has implemented procedures to ensure reports are accurate and reconcile to the accounting system. The procedures have been updated to include reconciling the FFR to the accounting system on a quarterly basis. Co...
Program: AL 93.658 – Foster Care Title IV-E – Reporting Corrective Action Plan: DHHS has implemented procedures to ensure reports are accurate and reconcile to the accounting system. The procedures have been updated to include reconciling the FFR to the accounting system on a quarterly basis. Contact: Ann Murphy Anticipated Completion Date: 6/30/2024
View Audit 296116 Questioned Costs: $1
Finding 382430 (2023-046)
Significant Deficiency 2023
State of Nebraska
NE
Questioned Costs Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties
Program: AL 93.575 – COVID-19 Child Care and Development Block Grant – Allowability Corrective Action Plan: DHHS will create better processes and controls with future vendors who are managing a project for DHHS. DHHS will request vendors document all contacts with any customers and provide DHHS w...
Program: AL 93.575 – COVID-19 Child Care and Development Block Grant – Allowability Corrective Action Plan: DHHS will create better processes and controls with future vendors who are managing a project for DHHS. DHHS will request vendors document all contacts with any customers and provide DHHS with all records. Contact: Nicole Vint Anticipated Completion Date: 6/30/2024
View Audit 296116 Questioned Costs: $1
Finding 382429 (2023-045)
Significant Deficiency 2023
State of Nebraska
NE
Questioned Costs Period of Performance Internal Control / Segregation of Duties
Program: AL 93.575 – Child Care and Development Block Grant – Period of Performance Corrective Action Plan: This finding was a result of staff turnover. The Agency completed a journal entry to move payroll costs to the correct grant year. Contact: Ann Murphy Anticipated Completion Date: Comp...
Program: AL 93.575 – Child Care and Development Block Grant – Period of Performance Corrective Action Plan: This finding was a result of staff turnover. The Agency completed a journal entry to move payroll costs to the correct grant year. Contact: Ann Murphy Anticipated Completion Date: Complete
View Audit 296116 Questioned Costs: $1
State of Nebraska
NE
Special Tests & Provisions Internal Control / Segregation of Duties
Program: AL 93.575 and 93.596 – CCDF Cluster – Special Tests and Provisions Corrective Action Plan: 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 Dep...
Program: AL 93.575 and 93.596 – CCDF Cluster – Special Tests and Provisions Corrective Action Plan: 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. In 2024, DHHS will explore statutory, regulatory and/or contract options to place more accountability on the licensee and referred agencies for maintaining current fire and sanitation approvals. Contact: Matthew Hayden Anticipated Completion Date: 07/01/2024
View Audit 296116
Finding 382427 (2023-043)
Material Weakness 2023
State of Nebraska
NE
Questioned Costs Allowable Costs / Cost Principles Eligibility
Program: AL 93.575 and 93.596 – CCDF Cluster – Allowability & Eligibility Corrective Action Plan: The CCDF program team will continue to review monthly reports with high billed hours. Resource Developers staff will increase initial and annual billing trainings with subsidy, and assist with any bi...
Program: AL 93.575 and 93.596 – CCDF Cluster – Allowability & Eligibility Corrective Action Plan: The CCDF program team will continue to review monthly reports with high billed hours. Resource Developers staff will increase initial and annual billing trainings with subsidy, and assist with any billing needs providers may have. A new provider handbook was launched in October 2023, which also has billing resources in it. DHHS changed the current billing structure from hours and days to partial days and full days, this launched July 2023. This should simplify billing and calculation errors. DHHS also launched a new billing portal in January 2024. Contact: Nicole Vint Anticipated Completion Date: 06/30/2024
View Audit 296116 Questioned Costs: $1
State of Nebraska
NE
Subrecipient Monitoring Reporting
Program: AL 93.568 – Low-Income Home Energy Assistance (LIHEAP) - Reporting Corrective Action Plan: The issue regarding the household income levels from the prior year was discussed with the Federal funding agency/Federal funding agency’s data contractor prior to the submission of the Federal Fis...
Program: AL 93.568 – Low-Income Home Energy Assistance (LIHEAP) - Reporting Corrective Action Plan: The issue regarding the household income levels from the prior year was discussed with the Federal funding agency/Federal funding agency’s data contractor prior to the submission of the Federal Fiscal Year (FFY) 2022 Household Report. The Department of Health and Human Services (DHHS) was advised to submit the report with the data that was available and to identify the issue in the comments. DHHS identified the issue in the comments of the Household Report that was submitted to the Federal funding agency, and it was accepted. DHHS will work with technical staff to revise the report to ensure data is accurately reported. As of FFY 2024, the Federal funding agency revised the Household Report to no longer require applicant data. Thus, no further action is necessary regarding the applicant information. Contact: Matt Thomsen Anticipated Completion Date: 12/31/2024
View Audit 296116
Finding 382422 (2023-041)
Material Weakness 2023
State of Nebraska
NE
Questioned Costs Subrecipient Monitoring Allowable Costs / Cost Principles
Program: AL 93.566 – Refugee and Entrant Assistance State/Replacement Designee Administered Programs – Allowability & Subrecipient Monitoring Corrective Action Plan: The Refugee Resettlement Program has implemented procedures to ensure invoicing is accurate and appropriate. All subrecipient quart...
Program: AL 93.566 – Refugee and Entrant Assistance State/Replacement Designee Administered Programs – Allowability & Subrecipient Monitoring Corrective Action Plan: The Refugee Resettlement Program has implemented procedures to ensure invoicing is accurate and appropriate. All subrecipient quarterly invoices will be audited with required backup documentation. Contact: Sara Bockelman Anticipated Completion Date: 6/2/2024
View Audit 296116 Questioned Costs: $1
Finding 382421 (2023-040)
Significant Deficiency 2023
State of Nebraska
NE
Questioned Costs Eligibility Matching / Level of Effort / Earmarking
Program: AL 93.566 – Refugee and Entrant Assistance State/Replacement Designee Administered Programs – Allowability & Eligibility Corrective Action Plan: Re-training will occur for the Eligibility team working with RCA and RMA benefits. The Eligibility team will follow existing policies and proce...
Program: AL 93.566 – Refugee and Entrant Assistance State/Replacement Designee Administered Programs – Allowability & Eligibility Corrective Action Plan: Re-training will occur for the Eligibility team working with RCA and RMA benefits. The Eligibility team will follow existing policies and procedures to gather documentation needed from SAVE. Contact: Sara Bockelman & Dinah Wetindi Anticipated Completion Date: 6/2/2024
View Audit 296116 Questioned Costs: $1
State of Nebraska
NE
Questioned Costs Allowable Costs / Cost Principles § 200.403 § 200.405 § 200.444
Program: Various, including AL 93.778 – Medical Assistance Program (Medicaid), and AL 93.563 – Child Support Enforcement – Allowable Costs/Cost Principles Corrective Action Plan: The OCIO is currently setting rates for the fiscal year 2026 - 2027 biennium. We are developing standard operating pro...
Program: Various, including AL 93.778 – Medical Assistance Program (Medicaid), and AL 93.563 – Child Support Enforcement – Allowable Costs/Cost Principles Corrective Action Plan: The OCIO is currently setting rates for the fiscal year 2026 - 2027 biennium. We are developing standard operating procedures for each rate that is set and charged to customer agencies. In addition, more in-depth documentation will be maintained to justify costs to be recovered and stored in an accessible location for future review. The Print Shop is utilizing a rate setting methodology to develop and substantiate rates at the individual service line level for the fiscal year 2026 – 2027 biennium. Contact: Philip Olsen/Ann Martinez/Noah Finlan Anticipated Completion Date: June 30, 2025
View Audit 296116 Questioned Costs: $1
State of Nebraska
NE
Questioned Costs Subrecipient Monitoring Allowable Costs / Cost Principles
Program: AL 93.558 – Temporary Assistance for Needy Families (TANF) – Allowability & Subrecipient Monitoring Corrective Action Plan: Subrecipient monitoring procedures will be improved by providing guidance to the sub-recipients on the required documentation for documentation of personnel expense...
Program: AL 93.558 – Temporary Assistance for Needy Families (TANF) – Allowability & Subrecipient Monitoring Corrective Action Plan: Subrecipient monitoring procedures will be improved by providing guidance to the sub-recipients on the required documentation for documentation of personnel expenses and operational expenses. In addition, a uniform monitoring tool will be developed for the financial monitoring of all sub-recipients. Contact: Will Varicak Anticipated Completion Date: 3/1/2024
View Audit 296116 Questioned Costs: $1
State of Nebraska
NE
Reporting Internal Control / Segregation of Duties
Program: AL 93.558 – Temporary Assistance for Needy Families (TANF) – Reporting Corrective Action Plan: The Agency is working to make corrections to the ACF-199 -209 reports to ensure accurate information is reported to the Administration for Children and Families. Contact: Will Varicak Antic...
Program: AL 93.558 – Temporary Assistance for Needy Families (TANF) – Reporting Corrective Action Plan: The Agency is working to make corrections to the ACF-199 -209 reports to ensure accurate information is reported to the Administration for Children and Families. Contact: Will Varicak Anticipated Completion Date: 8/1/2024
View Audit 296116
Finding 382415 (2023-037)
Significant Deficiency 2023
State of Nebraska
NE
Questioned Costs Eligibility
Program: AL 93.558 – Temporary Assistance for Needy Families (TANF) – Allowability & Eligibility Corrective Action Plan: The TANF program will request the Program Accuracy Team send out a "Quick Tip” ADC memo to Economic field staff to remind them to verify that a dependent child aged 16 to 18 a...
Program: AL 93.558 – Temporary Assistance for Needy Families (TANF) – Allowability & Eligibility Corrective Action Plan: The TANF program will request the Program Accuracy Team send out a "Quick Tip” ADC memo to Economic field staff to remind them to verify that a dependent child aged 16 to 18 attends school attendance regularly. Contact: Will Varicak Anticipated Completion Date: 03/01/2024
View Audit 296116 Questioned Costs: $1
Finding 382414 (2023-036)
Significant Deficiency 2023
State of Nebraska
NE
Questioned Costs Eligibility Matching / Level of Effort / Earmarking
Program: AL 93.558 – Temporary Assistance for Needy Families (TANF) – Allowability & Eligibility Corrective Action Plan: The Agency is working on a new process to ensure that only eligible claims are charged to the Federal grant. Contact: Snita Soni, Will Varicak Anticipated Completion Date: ...
Program: AL 93.558 – Temporary Assistance for Needy Families (TANF) – Allowability & Eligibility Corrective Action Plan: The Agency is working on a new process to ensure that only eligible claims are charged to the Federal grant. Contact: Snita Soni, Will Varicak Anticipated Completion Date: 6/30/2024
View Audit 296116 Questioned Costs: $1
Finding 382411 (2023-022)
Significant Deficiency 2023
State of Nebraska
NE
Reporting § 200.510 § 200.511
Program: Various, including AL 93.575, 93.596 – CCDF Cluster; AL 93.558 – Temporary Assistance for Needy Families –– Reporting Corrective Action Plan: State Accounting will continue to work with State agencies on correct coding and business unit setup to reduce agency errors. Contact: Philip Ol...
Program: Various, including AL 93.575, 93.596 – CCDF Cluster; AL 93.558 – Temporary Assistance for Needy Families –– Reporting Corrective Action Plan: State Accounting will continue to work with State agencies on correct coding and business unit setup to reduce agency errors. Contact: Philip Olsen Anticipated Completion Date: Ongoing
View Audit 296116
State of Nebraska
NE
Questioned Costs Subrecipient Monitoring Allowable Costs / Cost Principles
Program: AL 93.323 – COVID-19 Epidemiology & Laboratory Capacity for Infectious Diseases – Allowability & Subrecipient Monitoring Corrective Action Plan: DHHS will work with the Health Center Association of Nebraska (HCAN) to collect complete source documentation from HCAN's subrecipients and sub...
Program: AL 93.323 – COVID-19 Epidemiology & Laboratory Capacity for Infectious Diseases – Allowability & Subrecipient Monitoring Corrective Action Plan: DHHS will work with the Health Center Association of Nebraska (HCAN) to collect complete source documentation from HCAN's subrecipients and subcontractors. In addition, the ordering process has been updated to ensure adequate documentation is maintained, including delivery receipts. Contact: Ryan Daly, Caryn Vincent, Lucas Atkinson Anticipated Completion Date: 6/30/2024
View Audit 296116 Questioned Costs: $1
Finding 382408 (2023-031)
Significant Deficiency 2023
State of Nebraska
NE
Questioned Costs Allowable Costs / Cost Principles
Program: AL 93.268 – Immunization Cooperative Agreements; AL 93.323 – Epidemiology and Laboratory Capacity for Infectious Diseases (ELC); AL 93.558 – Temporary Assistance for Needy Families (TANF); AL 93.563 – Child Support Enforcement; AL 93.778 – Medical Assistance Program – Allowable Costs/Cost ...
Program: AL 93.268 – Immunization Cooperative Agreements; AL 93.323 – Epidemiology and Laboratory Capacity for Infectious Diseases (ELC); AL 93.558 – Temporary Assistance for Needy Families (TANF); AL 93.563 – Child Support Enforcement; AL 93.778 – Medical Assistance Program – Allowable Costs/Cost Principles Corrective Action Plan: Issue stems from RPAs not being submitted/processed timely and by incoming and outgoing supervisors for internal moves. Communication to involved parties reminding of the importance of completing RPAs timely and accurately. Contact: Patrick Werner Anticipated Completion Date: 6/30/2024
View Audit 296116 Questioned Costs: $1
State of Nebraska
NE
Questioned Costs Matching / Level of Effort / Earmarking Reporting
Program: AL 93.069 – Public Health Emergency Preparedness (PHEP); AL 93.889 – National Bioterrorism Hospital Preparedness Program (HPP) – Matching and Reporting Corrective Action Plan: The agency will ensure total reported match is substantiated by source documentation. In addition, DHHS will wor...
Program: AL 93.069 – Public Health Emergency Preparedness (PHEP); AL 93.889 – National Bioterrorism Hospital Preparedness Program (HPP) – Matching and Reporting Corrective Action Plan: The agency will ensure total reported match is substantiated by source documentation. In addition, DHHS will work with Federal Partners to make necessary reporting adjustments to the IDC rate used. Contact: Ryan Daly, Lisa Osborne, Ann Murphy Anticipated Completion Date: 6/30/2024
View Audit 296116 Questioned Costs: $1
Finding 382404 (2023-033)
Significant Deficiency 2023
State of Nebraska
NE
Questioned Costs Allowable Costs / Cost Principles Subrecipient Monitoring
Program: AL 93.069 – Public Health Emergency Preparedness (PHEP); AL 93.889 – National Bioterrorism Hospital Preparedness Program (HPP) – Allowability & Subrecipient Monitoring Corrective Action Plan: The agency will continue to monitor subrecipient expenditures for compliance with applicable fed...
Program: AL 93.069 – Public Health Emergency Preparedness (PHEP); AL 93.889 – National Bioterrorism Hospital Preparedness Program (HPP) – Allowability & Subrecipient Monitoring Corrective Action Plan: The agency will continue to monitor subrecipient expenditures for compliance with applicable federal requirements. Contact: Ryan Daly, Lisa Osborne Anticipated Completion Date: 6/30/2024
View Audit 296116 Questioned Costs: $1
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