Finding 1056142 (2022-003)

Federal agency: U.S. Department of Health and Human Services Other Programs Federal program title: Provider Relief Funding Federal Assistance Listing Number: 93.498 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Period: Period 4 Type of Finding: Significant Deficiency in Internal Control in and over Compliance Compliance Requirement: Reporting Criteria or specific requirement: Surrounding reporting activities, the Medical Center’s internal controls should be designed to assure all reporting completed under program guidelines. Condition: During our testing, we identified the Medical Center did not have internal controls in place to ensure reporting was completed in accordance with HHS guidelines. Questioned costs: None Context: During our testing, it was identified that the Medical Center reported to HHS for Period 4 funds subsequent to the required reporting deadline date and no documentation was maintained on approval of an extension. Cause: The Medical Center required additional time to gather the necessary documentation for reporting. Effect: The Medical Center did not comply with the reporting timelines required by HRSA. Repeat Finding: N/A Recommendation: We recommend the Medical Center design controls to ensure that reporting is completing in accordance with latest HHS guidelines. Views of responsible officials: There is no disagreement with the audit finding.