1. The CEO and Controller will continue to review and approve all procurement actions above the micro-purchase threshold, ensuring compliance with policy and federal regulations.
1. The CEO and Controller will continue to review and approve all procurement actions above the micro-purchase threshold, ensuring compliance with policy and federal regulations.
3. SCMRC will include procurement compliance in the annual fiscal compliance review and maintain documentation for all purchases in accordance with the updated policy.
3. SCMRC will include procurement compliance in the annual fiscal compliance review and maintain documentation for all purchases in accordance with the updated policy.
1. Policy Adoption: A formal disbursement approval policy was adopted in 2024. The policy defines required documentation, establishes tiered approval thresholds, and assigns authorization responsibility based on role.
1. Policy Adoption: A formal disbursement approval policy was adopted in 2024. The policy defines required documentation, establishes tiered approval thresholds, and assigns authorization responsibility based on role.
2. System Controls: SCMRC’s accounting system was configured to require digital documentation of disbursement approvals. All disbursements are now traceable to authorized personnel.
2. System Controls: SCMRC’s accounting system was configured to require digital documentation of disbursement approvals. All disbursements are now traceable to authorized personnel.
3. Routine Oversight: The CEO and contract accountant conduct quarterly sampling of disbursement activity to verify proper documentation and authorization.
3. Routine Oversight: The CEO and contract accountant conduct quarterly sampling of disbursement activity to verify proper documentation and authorization.
4. Board Involvement: SCMRC’s Finance Committee reviews disbursement policies and internal controls annually as part of the broader fiscal oversight process.
4. Board Involvement: SCMRC’s Finance Committee reviews disbursement policies and internal controls annually as part of the broader fiscal oversight process.
1. Committee Oversight: Credentialing and privileging files are reviewed quarterly by the Board’s Compliance Committee, with findings and approval status documented in meeting minutes.
1. Committee Oversight: Credentialing and privileging files are reviewed quarterly by the Board’s Compliance Committee, with findings and approval status documented in meeting minutes.
2. Internal Logs: The CEO and Compliance Officer maintain credentialing logs, including license verification, expiration tracking, and privileging status.
2. Internal Logs: The CEO and Compliance Officer maintain credentialing logs, including license verification, expiration tracking, and privileging status.
3. Primary Source Verification: Credentialing files are reviewed for completeness and accuracy using primary source verification in accordance with HRSA and internal policy.
3. Primary Source Verification: Credentialing files are reviewed for completeness and accuracy using primary source verification in accordance with HRSA and internal policy.
4. Policy Review Cycle: SCMRC will re-evaluate whether full Board approval should be required and formally included in policy during the next revision cycle.
4. Policy Review Cycle: SCMRC will re-evaluate whether full Board approval should be required and formally included in policy during the next revision cycle.