Finding 1141821 (2023-001)

Material Weakness
Requirement
L
Questioned Costs
-
Year
2023
Accepted
2025-06-19
Audit: 359232
Organization: Arisa Health INC (AR)

AI Summary

  • Core Issue: The Corporation misreported $375,083 in provider relief payments, incorrectly attributing them to unreimbursed expenses instead of lost revenue.
  • Impacted Requirements: Reporting must be accurate and submitted on time as per 45 CFR 75.342; internal controls failed to catch reporting errors.
  • Recommended Follow-Up: Implement stronger controls to ensure accurate reporting and conduct thorough reviews before submission of future PRF reports.

Finding Text

U.S. Department of Health and Human Services Federal Assistance Listing Number 93.498 COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Criteria: Reporting (45 CFR 75.342) The Corporation is required to prepare and submit period four provider relief fund report to the U.S. Department of Health and Human Services. This report is to be prepared using accurate financial information and submitted by the deadline established. Condition: The Corporation incorrectly reported provider relief payments were applied to unreimbursed expenses attributable to COVID-19 instead of lost revenue in the HHS Provider Relief Fund (PRF) portal. Total expenditures reported had not been incurred by the Corporation. Cause: The Corporation’s internal controls were not adequate to detect errors in reporting lost revenue. Effect or Potential Effect: Expenses and lost revenues were improperly reported in the PRF portal. Questioned Costs: Unknown. Context: The Corporation inaccurately reported for period four $375,083 of Total Other PRF Expenses. Actual expenses incurred were $0. The Corporation should have reported all provider relief payments were applied against lost revenues. Identification as a Repeat Finding, if Applicable: Not a repeat finding. Recommendation: We recommend implementing controls to ensure amounts reported are accurate, complete and reviewed. Views of Responsible Officials and Planned Corrective Actions: Management concurs with the finding. This report was prepared by the Vice President of Accounting and reviewed and approved prior to submission by the Chief Financial Officer. The approval process is deemed to be adequate by management but failed in this case due to the preparer and approver committing the same misinterpretation and overlooking the accounting provided in the ‘Other PRF Summary’ section of the report. The preparer and approver will both apply a corrected understanding and perform a more thorough review of future PRF reports.

Categories

Reporting Internal Control / Segregation of Duties

Other Findings in this Audit

  • 565379 2023-001
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.958 Block Grants for Community Mental Health Services $4.92M
93.829 Section 223 Demonstration Programs to Improve Community Mental Health Services $4.35M
93.498 Covid-19 Provider Relief Fund and American Rescue Plan (arp) Rural Distribution $2.71M
93.658 Foster Care Title IV-E $848,950
93.959 Block Grants for Prevention and Treatment of Substance Abuse $805,651
93.959 Covid-19 Block Grants for Prevention and Treatment of Substance Abuse $707,178
93.667 Social Services Block Grant $325,634
10.558 Child and Adult Care Food Program $307,906
93.558 Temporary Assistance for Needy Families $163,415
16.575 Crime Victim Assistance $117,311
93.150 Projects for Assistance in Transition From Homelessness (path) $105,486
93.243 Substance Abuse and Mental Health Services Projects of Regional and National Significance $70,567
93.575 Covid-19 Child Care and Development Block Grant $63,000
16.585 Treatment Court Discretionary Grant Program $28,489
93.575 Child Care and Development Block Grant $20,000
93.686 Ending the Hiv Epidemic: A Plan for America Ryan White Hiv/aids Program Parts A and B $833