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Management concurs with Finding 2025 - 4 and acknowledges that controls over the review and approval of timecards for federally funded staff were not consistently applied. In response, we will reinforce timekeeping expectations, clarify roles, and ensure that policies and procedures are aligned with...
Management concurs with Finding 2025 - 4 and acknowledges that controls over the review and approval of timecards for federally funded staff were not consistently applied. In response, we will reinforce timekeeping expectations, clarify roles, and ensure that policies and procedures are aligned with 2 CFR § 200.430. We will conduct targeted training for supervisors to reinforce expectations. Central office monitoring will now include quarterly internal audit reviews and follow-up, creating a continuous feedback loop that supports compliance. These enhancements reflect management’s commitment to ensuring that payroll charges to federal programs are accurate, well supported, and reliably documented going forward.
Significant Deficiency
Significant Deficiency
Finding No. 2025-002
Finding No. 2025-002
U.S. Department of Health and Human Services
U.S. Department of Health and Human Services
Passed-through State of Hawaii Department of Health
Passed-through State of Hawaii Department of Health
HIV CARE Formula Grants
HIV CARE Formula Grants
Federal Assistance Listing Number 93.917
Federal Assistance Listing Number 93.917
During our audit, we selected a sample of 60 clients receiving assistance under the RWB program to ascertain whether those clients met the RWB program eligibility requirements. We noted that documentation supporting compliance with eligibility requirements for certain clients were incorrect, incompl...
During our audit, we selected a sample of 60 clients receiving assistance under the RWB program to ascertain whether those clients met the RWB program eligibility requirements. We noted that documentation supporting compliance with eligibility requirements for certain clients were incorrect, incomplete, or not provided. Specifically, we found that:
· For three of the 60 clients selected, incomplete or no documentation were provided to verify income determination.
· For three of the 60 clients selected, incomplete or no documentation were provided to verify income determination.
· For one of the 60 clients selected, the document used to verify Hawaii residency was a rental agreement whose initial term expired prior to re-certification date. No documentation was provided to verify continued residency.
· For one of the 60 clients selected, the document used to verify Hawaii residency was a rental agreement whose initial term expired prior to re-certification date. No documentation was provided to verify continued residency.
· For one for the 60 clients selected, the annual certification form could not be located. However, supporting documents evidencing compliance with the other RWB eligibility requirements were retained and verified.
· For one for the 60 clients selected, the annual certification form could not be located. However, supporting documents evidencing compliance with the other RWB eligibility requirements were retained and verified.
Clients receiving assistance under the RWB program are subject to eligibility requirements contained in the Health Resources and Services Administration’s HIV/AIDS Bureau Policy Clarification Notice No. 13-02 Clarifications on Ryan White Program Client Eligibility Determinations and Recertification ...
Clients receiving assistance under the RWB program are subject to eligibility requirements contained in the Health Resources and Services Administration’s HIV/AIDS Bureau Policy Clarification Notice No. 13-02 Clarifications on Ryan White Program Client Eligibility Determinations and Recertification Requirements. To be eligible, clients must have a medical diagnosis of HIV/AIDS and be (a) a low-income individual, (b) a resident of the state, and (c) uninsured or underinsured, as defined by the state. Eligibility determination is required before participation in the RWB program during the in-take process. Re-assessments are performed at least once every 12 months thereafter
Per HHHRC’s Ryan White Eligibility Policy, these eligibility criteria are to be documented in their Annual Certification forms. Residency must be documented with a State ID card or a driver’s license, lease agreement, utility bill, official government mail, bank statement, pay stub, or a verificatio...
Per HHHRC’s Ryan White Eligibility Policy, these eligibility criteria are to be documented in their Annual Certification forms. Residency must be documented with a State ID card or a driver’s license, lease agreement, utility bill, official government mail, bank statement, pay stub, or a verification letter from an agency providing the client with housing. Income levels must be documented with the most recent pay stubs covering 30 consecutive days, benefit statements, IRS tax transcripts, or a signed statement from the client attesting to no income or very low income.
Additionally, costs associated with clients determined to be ineligible to receive assistance under the RWB program are unallowable.
Additionally, costs associated with clients determined to be ineligible to receive assistance under the RWB program are unallowable.
HHHRC did not adhere to established policies and procedures requiring the maintenance of appropriate documentation supporting compliance with the RWB program eligibility requirements.
HHHRC did not adhere to established policies and procedures requiring the maintenance of appropriate documentation supporting compliance with the RWB program eligibility requirements.
HHHRC did not comply with the RWB program eligibility requirements for the five instances noted above.
HHHRC did not comply with the RWB program eligibility requirements for the five instances noted above.
Identification of a Repeat Finding
Identification of a Repeat Finding
This finding was reported as a federal award finding in the immediate previous audit as Finding No. 2024-001.
This finding was reported as a federal award finding in the immediate previous audit as Finding No. 2024-001.
Recommendation
Recommendation
We again recommend that HHHRC adhere to established policies and procedures to ensure that all required forms and documents are received from clients and maintained by HHHRC to support compliance with the RWB program eligibility requirements.
We again recommend that HHHRC adhere to established policies and procedures to ensure that all required forms and documents are received from clients and maintained by HHHRC to support compliance with the RWB program eligibility requirements.
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