Finding 1159877 (2024-002)

Material Weakness Repeat Finding
Requirement
AB
Questioned Costs
$1
Year
2024
Accepted
2025-10-03

AI Summary

  • Core Issue: The District charged unallowable meal costs to the grant, totaling $4,579.
  • Impacted Requirements: Grant expenditures must only include allowable costs as per the grant agreement.
  • Recommended Follow-Up: Review all expenses charged to federal awards to ensure compliance and provide training for grant managers on allowable costs.

Finding Text

Mental and Behavioral Health Education and Training Grants Assistance Listing No. 93.732 U.S. Department of Health and Human Services Program Year 2024 Criteria or Specific Requirement – Activities Allowed/Unallowed and Allowable Costs/Cost Principles (Pub. L. No. 116-136, 134 Stat. 563 and Pub. L. No. 116-139, 134 Stat. 622 and 623) Condition – The District should only charge and be reimbursed by the grant for allowable expenditures based on the grant agreement. Questioned Costs – $4,579 – calculated as expenditures tested related to unallowable meal costs. Context – During the year, the District held a conference which was primarily funded by the grant. Included in conference expenditures charged to the grant were meal catering costs which are not allowable based on grant requirements. Effect – The District charged unallowable costs to the grant. Cause – The District included meal cost as grant expenditures which were incurred through a conference primarily funded by the grant. Identification as a repeat finding – N/A Recommendation – Expenses directly charged to a federal award should be reviewed to ensure costs are allowable. Views of Responsible Officials and Planned Corrective Actions – Responsible Official: Aaron Davis, VP & Chief Experience Officer Planned Corrective Actions: We were using verbal guidance around meals, specifically page 84 of HHS Grants Policy Statement which states as follows under Consumer/ Provider Board Participation: “Allowable in accordance with applicable program regulations. When not specifically authorized by program regulations, only the following costs are allowable with OPDIV prior approval: The reasonable costs of necessary meals furnished by the recipient to consumer or provider participants during scheduled meetings if not reimbursed to participants as per diem or otherwise.” The conference in question was held outside some participants shift time so light refreshments were provided. However, in order to ensure compliance with the Notice of Award Terms and Conditions Grant Specific Term #5, the University Medical Center will not submit unallowable meal costs and provide refresher for existing grant Program Managers to ensure they understand the terms and conditions to avoid unallowable costs and discuss the terms and conditions with the HRSA Grants Management Specialist and Project Officer if questions arise.

Corrective Action Plan

Finding 2024-002 Information on the federal program: Federal Program Name: Mental and Behavioral Health Education and Training Grants Federal Agency: U.S. Department of Health and Human Services Federal Assistant Listing and Title Number: 93.732 Award Year: January 1, 2024 to December 31, 2024 Criteria or Specific Requirement: Activities Allowed/Unallowed and Allowable Costs/Cost Principles (Pub. L. No. 116-136, 134 Stat. 563 and Pub. L. No. 116-139, 134 Stat. 622 and 623) Condition: The District should only charge and be reimbursed by the grant for allowable expenditures based on the grant agreement. Correction Action Planned: We were using verbal guidance around meals, specifically page 84 of HHS Grants Policy Statement which states as follows under Consumer/ Provider Board Participation: “Allowable in accordance with applicable program regulations. When not specifically authorized by program regulations, only the following costs are allowable with OPDIV prior approval: The reasonable costs of necessary meals furnished by the recipient to consumer or provider participants during scheduled meetings if not reimbursed to participants as per diem or otherwise.” The conference in question was held outside some participants shift time so light refreshments were provided. However, in order to ensure compliance with the Notice of Award Terms and Conditions Grant Specific Term #5, the University Medical Center will not submit unallowable meal costs and provide refresher for existing grant Program Managers to ensure they understand the terms and conditions to avoid unallowable costs and discuss the terms and conditions with the HRSA Grants Management Specialist and Project Officer if questions arise. Contact Person (s) Responsible for Corrective Action: Aaron Davis, VP & Chief Experience Officer Anticipated Completion Date: The Corrective Action will be implemented by October 31, 2025 in response to the auditors’ recommendation.

Categories

Questioned Costs Allowable Costs / Cost Principles

Other Findings in this Audit

  • 1159876 2024-001
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.732 Mental and Behavioral Health Education and Training Grants $488,877
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $293,981