Finding Text
Finding No. 2023‐001: Allowable activities – Significant deficiency in internal control over compliance.
Criteria: PPGT’s internal control procedures over compliance specify that eligibility screening forms are completed and kept on file for all Title X clients.
Condition: During allowable activities testing for Title X, 1 out of 60 client encounters tested were missing eligibility screening forms.
Cause: Staff at patient care locations did not scan the forms into the program software, resulting in lack of documentation.
Effect: Internal control over allowable activities was not effectively implemented to prevent noncompliance.
Recommendation: Staff should be trained on the importance of maintaining eligibility documentation in accordance with PPGT’s policies.
Management’s Response: See corrective action plan.