Corrective Action Plans

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Program: AL 93.778 ? Medical Assistance Program ? Special Tests and Provisions Corrective Action Plan: MCO Financial Audits are currently being completed by a third party vendor for the three HH MCOs and the Dental PAPH. The department is holding regular meetings with the vendor to ensure that thes...
Program: AL 93.778 ? Medical Assistance Program ? Special Tests and Provisions Corrective Action Plan: MCO Financial Audits are currently being completed by a third party vendor for the three HH MCOs and the Dental PAPH. The department is holding regular meetings with the vendor to ensure that these are completed in SFY2023. The project Plan projects final audit reports to be provided to the state in May 2023, for posting during SFY2023. Additionally, the Agency will amend the contracts to ensure the MCO and PAHP audited financial reports are conducted in accordance with generally accepted accounting principles (GAAP). Contact: Jeremy Brunssen Anticipated Completion Date: 6/30/2023
View Audit 55212 Questioned Costs: $1
Program: AL 93.778 ? Medical Assistance Program; AL 93.778 ? COVID-19 Medical Assistance Program ? Allowability Corrective Action Plan: Service District Administrators (SDAs) have been communicating expectations to their teammates to prevent future findings. In addition, Districts 1, 2, and 4 SDAs ...
Program: AL 93.778 ? Medical Assistance Program; AL 93.778 ? COVID-19 Medical Assistance Program ? Allowability Corrective Action Plan: Service District Administrators (SDAs) have been communicating expectations to their teammates to prevent future findings. In addition, Districts 1, 2, and 4 SDAs plan to cover this with all teammates during their 4th quarter?s meeting and District 3?s SDA will send out communication to all teammates that reminds teammates of the expectations. Contact: Tony Green Anticipated Completion Date: 12/30/2022
View Audit 55212 Questioned Costs: $1
Finding 59836 (2022-041)
Significant Deficiency 2022
Program: AL 93.778 ? Medical Assistance Program ? Special Tests and Provisions Corrective Action Plan: Myers & Stauffer is currently in the process of completing Field audits for 2018-2021 Cost reports with an expected completion date of 12/15/22. Myers & Stauffer will identify high risk facilities...
Program: AL 93.778 ? Medical Assistance Program ? Special Tests and Provisions Corrective Action Plan: Myers & Stauffer is currently in the process of completing Field audits for 2018-2021 Cost reports with an expected completion date of 12/15/22. Myers & Stauffer will identify high risk facilities for the 2022 Cost report by 3/15/2023 and Field Audit work on 2022 Cost Reports has an anticipated completion date of 6/30/2023. Contact: Jerry Vanderbeek; Danny Vanourney Anticipated Completion Date: 06/30/2023
View Audit 55212 Questioned Costs: $1
Finding 59835 (2022-040)
Significant Deficiency 2022
Program: AL 93.778 ? Medical Assistance Program; AL 93.778 ? COVID-19 Medical Assistance Program ? Allowability and Eligibility Corrective Action Plan: The agency will review training materials and tip sheets regarding these topics. The agency will review the errors with the staff who made them an...
Program: AL 93.778 ? Medical Assistance Program; AL 93.778 ? COVID-19 Medical Assistance Program ? Allowability and Eligibility Corrective Action Plan: The agency will review training materials and tip sheets regarding these topics. The agency will review the errors with the staff who made them and provide any additional training needed. Contact: Catherine Gekas Steeby Anticipated Completion Date: 10/31/2023
View Audit 55212 Questioned Costs: $1
Finding 59834 (2022-039)
Significant Deficiency 2022
Program: AL 93.778 ? Medical Assistance Program; AL 93.778 ? COVID-19 Medical Assistance Program ? Allowability Corrective Action Plan: Training materials will continue to be updated and made available to assist providers with EVV and for submitting accurate billing. Training will be at least annua...
Program: AL 93.778 ? Medical Assistance Program; AL 93.778 ? COVID-19 Medical Assistance Program ? Allowability Corrective Action Plan: Training materials will continue to be updated and made available to assist providers with EVV and for submitting accurate billing. Training will be at least annually for direct staff involved with assisting providers. EVV website to be kept updated with program guidelines and regulations. DHHS will engage the vendor to explore technical options to resolve any technical related issues identified in the report, and develop any additional quality assurance measures necessary when a technical solution is not achievable in the short term. Contact: Kathy Scheele Anticipated Completion Date: 06/30/2023
View Audit 55212 Questioned Costs: $1
Program: Various, including AL 93.778 ? Medical Assistance Program ? Allowable Costs/Cost Principles Corrective Action Plan: The Print Shop will complete a detailed analysis on the analyzed data, and update rates. State Accounting will offset rates to spend down its fund balance to a 60-day operat...
Program: Various, including AL 93.778 ? Medical Assistance Program ? Allowable Costs/Cost Principles Corrective Action Plan: The Print Shop will complete a detailed analysis on the analyzed data, and update rates. State Accounting will offset rates to spend down its fund balance to a 60-day operating level. Contact: Philip Olsen / Ann Martinez Anticipated Completion Date: June 30, 2025
View Audit 55212 Questioned Costs: $1
Program: AL 93.778 ? Medical Assistance Program; AL 93.767 ? Children?s Health Insurance Program (CHIP) ? Special Tests and Provisions Corrective Action Plan: The Provider Relations team will do the following to mitigate the finding: 1. Develop educational materials about the requirements to disc...
Program: AL 93.778 ? Medical Assistance Program; AL 93.767 ? Children?s Health Insurance Program (CHIP) ? Special Tests and Provisions Corrective Action Plan: The Provider Relations team will do the following to mitigate the finding: 1. Develop educational materials about the requirements to disclose managing employees and post to the DHHS webpage. 2. Identify up to 25 providers that have not listed any managing employees and educate them directly about the need to review the federal law, determine if they have managing employees, and update their provider agreement. 3. Randomly select 25 providers and review the managing employee information they have disclosed. Direct the provider to correct their provider agreement when necessary. Contact: Anne Harvey; Zac Ross; Melinda Abbott Anticipated Completion Date: 06/30/2023
View Audit 55212 Questioned Costs: $1
Finding 59830 (2022-018)
Significant Deficiency 2022
Program: Various, including AL 93.767 ? Children's Health Insurance Program, AL 93.778 ? Medical Assistance Program ? Reporting Corrective Action Plan: State Accounting will continue to work with State agencies on correct coding and business unit setup in an effort to reduce agency errors. Contact...
Program: Various, including AL 93.767 ? Children's Health Insurance Program, AL 93.778 ? Medical Assistance Program ? Reporting Corrective Action Plan: State Accounting will continue to work with State agencies on correct coding and business unit setup in an effort to reduce agency errors. Contact: Philip Olsen Anticipated Completion Date: Ongoing
Program: AL 93.575 ? COVID-19 Child Care and Development Block Grant ? Special Tests and Provisions Corrective Action Plan: DHHS will enhance current controls and procedures related to stabilization and other grant programs, that use ARP Act funds. Contact: Nicole Vint Anticipated Completion Date...
Program: AL 93.575 ? COVID-19 Child Care and Development Block Grant ? Special Tests and Provisions Corrective Action Plan: DHHS will enhance current controls and procedures related to stabilization and other grant programs, that use ARP Act funds. Contact: Nicole Vint Anticipated Completion Date: 6/30/2024
View Audit 55212 Questioned Costs: $1
Program: AL 93.575 and 93.596 ? CCDF Cluster ? Special Tests and Provisions Corrective Action Plan: The Agency continues to work on written internal policy regarding expectations for timeliness of investigations involving Child Care Subsidy. We are also working to improve the existing risk assessme...
Program: AL 93.575 and 93.596 ? CCDF Cluster ? Special Tests and Provisions Corrective Action Plan: The Agency continues to work on written internal policy regarding expectations for timeliness of investigations involving Child Care Subsidy. We are also working to improve the existing risk assessment tool for provider referral for investigations. In addition, the SIU manager will review open Child Care Subsidy investigations on a monthly basis to ensure they are being actively worked. SIU manager is also reminding staff of expectations to retain documentation of casework. Contact: Cari Crosby Anticipated Completion Date: 4/30/2023
View Audit 55212 Questioned Costs: $1
Finding 59822 (2022-036)
Significant Deficiency 2022
Program: AL 93.575 ? Child Care and Development Block Grant ? Period of Performance Corrective Action Plan: DHHS has already taken steps to prevent this from occurring again with NSP. DHHS also worked with the Office of Child Care (OCC), after last year?s finding, and corrected both the 2021 and 2...
Program: AL 93.575 ? Child Care and Development Block Grant ? Period of Performance Corrective Action Plan: DHHS has already taken steps to prevent this from occurring again with NSP. DHHS also worked with the Office of Child Care (OCC), after last year?s finding, and corrected both the 2021 and 2022 findings. The use of funds to pay agency employee payroll has already been corrected. DHHS will use allowable obligation and liquidation schedules when contracting with other state entities and paying state employees. Contact: Nicole Vint; Rebecca Kempkes Anticipated Completion Date: 12/12/2022
View Audit 55212 Questioned Costs: $1
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 2022, 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: Lindsy Braddock; Becky Wisell Anticipated Completion Date: 7/1/2023
Program: AL 93.575 and 93.596 ? CCDF Cluster ? Allowability & Eligibility Corrective Action Plan: The CCDF program team will continue to work with the training team and the program accuracy team to create `quick tips? and tools addressing these eligibility issues for field staff. CCDF program staf...
Program: AL 93.575 and 93.596 ? CCDF Cluster ? Allowability & Eligibility Corrective Action Plan: The CCDF program team will continue to work with the training team and the program accuracy team to create `quick tips? and tools addressing these eligibility issues for field staff. CCDF program staff are reviewing monthly reviews with high billed hours. Resource Developer (RD) staff will increase initial and annual billing trainings with subsidy providers. A new provider handbook is being created and slated to be completed and launched summer 2023. DHHS is also changing the current billing structure from hours and days to half-days and full-days. This should simplify billing and calculation errors. This is scheduled to be completed by May 2023. Contact: Nicole Vint Anticipated Completion Date: 06/30/2023
View Audit 55212 Questioned Costs: $1
Program: AL 93.575 ? Child Care and Development Block Grant - Allowable Costs/Cost Principles Corrective Action Plan: The Agency will review procedures and ensure that all cost centers are properly reconciled. Contact: Rebecca Kempkes Anticipated Completion Date: 6/30/2023
Program: AL 93.575 ? Child Care and Development Block Grant - Allowable Costs/Cost Principles Corrective Action Plan: The Agency will review procedures and ensure that all cost centers are properly reconciled. Contact: Rebecca Kempkes Anticipated Completion Date: 6/30/2023
View Audit 55212 Questioned Costs: $1
Program: AL 93.568 ? Low-Income Home Energy Assistance (LIHEAP) ? Reporting Corrective Action Plan: The Agency will develop a process with the Nebraska Department of Environment and Energy to communicate with LIHEAP Staff when they have awarded LIHEAP funds to subrecipients. The process will includ...
Program: AL 93.568 ? Low-Income Home Energy Assistance (LIHEAP) ? Reporting Corrective Action Plan: The Agency will develop a process with the Nebraska Department of Environment and Energy to communicate with LIHEAP Staff when they have awarded LIHEAP funds to subrecipients. The process will include the requirement for LIHEAP Staff to provide the FFATA information to the staff that are responsible for FFATA reporting, so it is submitted timely. In addition, the Agency will revise the logic in the LIHEAP Federal Fiscal Year Report to ensure the data for the Household Report is accurate. Contact: Rebecca Kempkes / Matt Thomsen Anticipated Completion Date: 10/01/2023
Finding 59815 (2022-032)
Significant Deficiency 2022
Program: AL 93.568 ? COVID-19 ? Low-Income Home Energy Assistance (LIHEAP); AL 93.568 ? Low-Income Home Energy Assistance ? Eligibility Corrective Action Plan: The LIHEAP Desk Aid will be revised to a Standard Operating Procedure to assist in providing clear guidance to Eligibility Staff. Contact:...
Program: AL 93.568 ? COVID-19 ? Low-Income Home Energy Assistance (LIHEAP); AL 93.568 ? Low-Income Home Energy Assistance ? Eligibility Corrective Action Plan: The LIHEAP Desk Aid will be revised to a Standard Operating Procedure to assist in providing clear guidance to Eligibility Staff. Contact: Matt Thomsen Anticipated Completion Date: 06/30/2023
View Audit 55212 Questioned Costs: $1
Program: AL 93.558 ? Temporary Assistance for Needy Families (TANF) ? Reporting Management Response: The Agency agrees. Corrective Action Plan: Corrections to the ACF 199/209 reports remain pending. The TANF program will request N-FOCUS to make it a priority project so errors do not occur in the ...
Program: AL 93.558 ? Temporary Assistance for Needy Families (TANF) ? Reporting Management Response: The Agency agrees. Corrective Action Plan: Corrections to the ACF 199/209 reports remain pending. The TANF program will request N-FOCUS to make it a priority project so errors do not occur in the future. Contact: Will Varicak Anticipated Completion Date: 12/31/2023
Program: AL 93.558 ? Temporary Assistance for Needy Families (TANF) ? Allowability & Eligibility Corrective Action Plan: The specific error that occurred does not appear to be widespread since only 1 out of 25 cases were identified to have this error. In addition, the TANF program has information o...
Program: AL 93.558 ? Temporary Assistance for Needy Families (TANF) ? Allowability & Eligibility Corrective Action Plan: The specific error that occurred does not appear to be widespread since only 1 out of 25 cases were identified to have this error. In addition, the TANF program has information on regulations and the policy log that provides guidance on this issue. The Program will follow up with the worker that made the error to ensure it does not happen again. Contact: Will Varicak Anticipated Completion Date: 1/29/2023
View Audit 55212 Questioned Costs: $1
Finding 59810 (2022-029)
Significant Deficiency 2022
Program: AL 93.558 ? Temporary Assistance for Needy Families (TANF) ? Allowability & Eligibility Corrective Action Plan: DHHS will review the underlying coding that pulls this report and make any changes based on findings. Contact: Andrew Keck Anticipated Completion Date: 6/30/2023
Program: AL 93.558 ? Temporary Assistance for Needy Families (TANF) ? Allowability & Eligibility Corrective Action Plan: DHHS will review the underlying coding that pulls this report and make any changes based on findings. Contact: Andrew Keck Anticipated Completion Date: 6/30/2023
View Audit 55212 Questioned Costs: $1
Program: AL 93.558 ? Temporary Assistance for Needy Families (TANF) ? Reporting Corrective Action Plan: The Agency will develop a process to ensure that ACF204 reporting is submitted timely to ACF and in the OLDC portal. In addition, the Agency will develop a process to identify hybrid contracts ...
Program: AL 93.558 ? Temporary Assistance for Needy Families (TANF) ? Reporting Corrective Action Plan: The Agency will develop a process to ensure that ACF204 reporting is submitted timely to ACF and in the OLDC portal. In addition, the Agency will develop a process to identify hybrid contracts to ensure FFATA reporting. Contact: Rebecca Kempkes / Snita Soni Anticipated Completion Date: 10/30/2023
Program: AL 93.323 - COVID-19 Epidemiology & Laboratory Capacity for Infectious Diseases ? Allowability & Subrecipient Monitoring Corrective Action Plan: The Agency had already initiated a process with Ford Storage to resolve contract compliance issues at the time APA began its review and shared t...
Program: AL 93.323 - COVID-19 Epidemiology & Laboratory Capacity for Infectious Diseases ? Allowability & Subrecipient Monitoring Corrective Action Plan: The Agency had already initiated a process with Ford Storage to resolve contract compliance issues at the time APA began its review and shared this with APA, as noted above. The Agency coordinated a full inventory of warehouse supplies and verified the appropriate pallet count payment tier. The Agency will require Ford to repay or credit back $32,200 as a result of this inventory validation, which includes the above questioned costs of $16,100. For LHD, the Agency will formalize its approval of a budget shift to contract services under the subaward via an amendment to the agreement. Other contracts referenced in the finding have since ended, no corrective action plan is necessary. Contact: Ryan Daly, Felicia Quintana-Zinn, Caryn Vincent, Brenda Soto Anticipated Completion Date: 1/31/23
View Audit 55212 Questioned Costs: $1
Finding 59804 (2022-026)
Significant Deficiency 2022
Program: AL 93.069 ? Public Health Emergency Preparedness ?Matching and Reporting Corrective Action Plan: N/A Contact: Lisa Osborne / Ryan Daly Anticipated Completion Date: N/A
Program: AL 93.069 ? Public Health Emergency Preparedness ?Matching and Reporting Corrective Action Plan: N/A Contact: Lisa Osborne / Ryan Daly Anticipated Completion Date: N/A
View Audit 55212 Questioned Costs: $1
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 Department will require subrecipients with inadequate support for costs in APA's sample to par...
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 Department will require subrecipients with inadequate support for costs in APA's sample to participate in technical assistance sessions focused on allocability of costs to federal awards, which appears a common theme in APA's questioned cost sample. Costs within the questions costs total that DHHS determines are unsupported will be disallowed. With staffing resources now in place, the PHEP/HPP cluster will be able to adhere to DHHS monitoring practices. Contact: Lisa Osborne / Ryan Daly Anticipated Completion Date: 06/30/2023
View Audit 55212 Questioned Costs: $1
Program: AL 84.010 ? Title I Grants to Local Educational Agencies ? Allowability and Subrecipient Monitoring Corrective Action Plan: The Department will contact the two subrecipients noted to provide one-on-one technical assistance and will also provide additional technical assistance regarding pro...
Program: AL 84.010 ? Title I Grants to Local Educational Agencies ? Allowability and Subrecipient Monitoring Corrective Action Plan: The Department will contact the two subrecipients noted to provide one-on-one technical assistance and will also provide additional technical assistance regarding proper time and effort documentation to all subrecipients. Additionally, time and effort guidance is available to all subrecipients on the Department?s website, will be discussed at upcoming subrecipient training opportunities and supported by a dedicated Grants Management Training Specialist. The Department will ensure the identified written deficiencies noted in the subrecipient fiscal monitoring exit letter clearly identifies a finding vs. technical assistance needed; whereas a finding is supported by follow-up in accordance with federal UGG regulations and technical assistance provides knowledge of the Department?s training and resources available. Contact: Jen Utemark, Budget and Grants Management Anticipated Completion Date: December 31, 2023
View Audit 55212 Questioned Costs: $1
Program: Various, including AL 84.010 ? Title I Grants to Local Educational Agencies; AL 93.568 ? Low-Income Home Energy Assistance (LIHEAP); and AL 93.659 ? Adoption Assistance ? Cash Management Corrective Action Plan: N/A Contact: Ron Carlson Anticipated Completion Date: N/A
Program: Various, including AL 84.010 ? Title I Grants to Local Educational Agencies; AL 93.568 ? Low-Income Home Energy Assistance (LIHEAP); and AL 93.659 ? Adoption Assistance ? Cash Management Corrective Action Plan: N/A Contact: Ron Carlson Anticipated Completion Date: N/A
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