Finding 1079027 (2023-007)

Significant Deficiency
Requirement
AB
Questioned Costs
-
Year
2023
Accepted
2024-10-12
Audit: 324580
Organization: Okanogan Behavioral Healthcare (WA)

AI Summary

  • Core Issue: Significant deficiencies in internal controls led to incorrect client service reimbursements charged to the SABG and SOR grants.
  • Impacted Requirements: Internal controls over cash management were not properly followed, resulting in inaccuracies in billing and reimbursement calculations.
  • Recommended Follow-Up: Ensure that service reports are accurate and reviewed before billing, and implement a review process for data used in grant billing calculations.

Finding Text

Federal Agency: U.S. Department of Health and Human Services Federal Program Name: Substance Abuse Prevention and Treatment Block Grant (SABG); SOR Recovery Support Services Assistance Listing Number: 93.959 and 93.788 Federal Award Identification Number and Year: K6103.01 – 2023, K4849-02 – 2022; K6479 - 2023 Pass-Through Agency: Washington State Health Care Authority Pass-Through Number(s): K6103.01 Award Period: July 1, 2022 – June 30, 2023 Type of Finding: Significant Deficiency in Internal Control over Compliance – Allowable Costs and Activities; Other Matters Criteria or specific requirement: Proper internal controls over cash management include the review and approval of grant draws prior to submission to the granting agency, to ensure accuracy of expenditures and client services claimed on the invoices. Condition: Of the six client service reimbursements tested for SABG, three were incorrectly charged to the grant. Of these three, two of the errors were identified by the client in during February 2024 and steps taken with the granting agency to correct these. Of the five client service reimbursements tested for SOR, five were incorrectly charged to the grant. Of these five, three of the errors were identified by the client in September 2023 and steps taken with the granting agency to correct these. Client service reimbursements were calculated using incorrect program service information (i.e., SABG client services were used to determine SOR client service reimbursement amounts),and hours were not supported by the client service data. Questioned costs: None. Context: Three of the six monthly billings for the SABG program had incorrectly calculated client service reimbursement amounts for the Client Service reimbursement, which resulted in an incorrect amount being charged to the grant. Five of the five monthly billings for the SOR program had incorrectly calculated client service reimbursement amounts for the Client Service reimbursement, which resulted in an incorrect amount being charged to the grant. Cause: The service hour support calculations were incorrectly determined, and these incorrect calculations were used to complete the monthly grant billing. Effect: Client service hours were incorrectly charged to the grant. Repeat finding: Not a repeat finding. Recommendation: We recommend grant billers ensure service reports for the proper program and time period are used to calculate the client service billing amount. We also recommend the data used to determine this amount be reviewed and approved during the grant billing review process Views of responsible officials: There is no disagreement with the audit finding

Categories

Cash Management Allowable Costs / Cost Principles Significant Deficiency

Other Findings in this Audit

  • 502571 2023-001
    Significant Deficiency Repeat
  • 502572 2023-002
    Significant Deficiency
  • 502573 2023-003
    Significant Deficiency
  • 502574 2023-004
    Significant Deficiency
  • 502575 2023-005
    Significant Deficiency
  • 502576 2023-006
    Material Weakness
  • 502577 2023-007
    Significant Deficiency
  • 502578 2023-008
    Material Weakness
  • 502579 2023-002
    Significant Deficiency
  • 502580 2023-005
    Significant Deficiency
  • 502581 2023-007
    Significant Deficiency
  • 502582 2023-002
    Significant Deficiency
  • 502583 2023-006
    Material Weakness
  • 502584 2023-002
    Significant Deficiency
  • 502585 2023-007
    Significant Deficiency
  • 502586 2023-008
    Material Weakness
  • 1079013 2023-001
    Significant Deficiency Repeat
  • 1079014 2023-002
    Significant Deficiency
  • 1079015 2023-003
    Significant Deficiency
  • 1079016 2023-004
    Significant Deficiency
  • 1079017 2023-005
    Significant Deficiency
  • 1079018 2023-006
    Material Weakness
  • 1079019 2023-007
    Significant Deficiency
  • 1079020 2023-008
    Material Weakness
  • 1079021 2023-002
    Significant Deficiency
  • 1079022 2023-005
    Significant Deficiency
  • 1079023 2023-007
    Significant Deficiency
  • 1079024 2023-002
    Significant Deficiency
  • 1079025 2023-006
    Material Weakness
  • 1079026 2023-002
    Significant Deficiency
  • 1079028 2023-008
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.788 Opioid Str $407,550
93.498 Provider Relief Fund and American Rescue Plan (arp) Rural Distribution $130,992
14.267 Continuum of Care Program $75,071
93.665 Emergency Grants to Address Mental and Substance Use Disorders During Covid-19 $60,429
93.958 Block Grants for Community Mental Health Services $42,000
93.959 Block Grants for Prevention and Treatment of Substance Abuse $36,000