Finding 1160034 (2022-007)

Material Weakness Repeat Finding
Requirement
E
Questioned Costs
-
Year
2022
Accepted
2025-10-06

AI Summary

  • Core Issue: UHU could not verify participant eligibility due to missing documentation.
  • Impacted Requirements: Compliance with U.S. Department of Health and Human Services eligibility criteria was not met.
  • Recommended Follow-Up: UHU should create policies for document management to ensure eligibility records are accessible and compliant.

Finding Text

Finding 2022-007: Eligibility Criteria or Specific Requirement: The U.S Department of Health and Human Services requires certain requirements for participants to be eligible to participate in the program. Condition: We were unable to verify eligibility of some of the participants selected for testwork. Context: UHU was unable to provide documentation that participants met certain eligibility requirements specified under the program. Cause: UHU did not have a proper storage and filing system in place for documents. Effect or Potential Effect: UHU was not in compliance with this regulation. Questioned Costs: Indeterminable. Identification as a Repeat Finding: 2021-007 Recommendation: We recommend that UHU develops internal policies and procedures as it relates to eligibility. UHU needs to acquire and maintain the eligibility documents so they are easily accessible to ensure compliance with requirements sent forth under Uniform Guidance, CFR §200 subpart D.

Corrective Action Plan

Views of Responsible Officials and Corrective Action: To address this issue and ensure future compliance, we have implemented the following measures: • Eligibility Verification Protocols: We have developed and implemented standardized eligibility screening procedures for all HHS-funded programs. These protocols include: • Clear definitions of eligibility criteria based on program guidelines. • Required documentation (e.g., income verification, residency, age, or disability status). • A checklist to ensure all required documents are collected and reviewed. • Documentation Standards: All eligibility determinations are now documented and retained in participant files. We have adopted a secure digital system to store and manage these records, ensuring they are accessible for audit and monitoring purposes . • Staff Training: Program staff have received training on eligibility requirements and documentation standards. Training materials include examples of acceptable documentation and instructions for handling incomplete or missing information. Monitoring and Oversight • We have instituted periodic internal audits to review participant files for compliance with eligibility documentation requirements. • Supervisors are required to review and approve eligibility determinations before services are rendered. Policy Updates Our program policies have been updated to include: • Mandatory eligibility screening and documentation procedures. • Retention requirements aligned with 2 CFR § 200.334. • Procedures for handling exceptions and documenting justifications. Commitment to Compliance We are committed to ensuring that all participants in HHS-funded programs meet the required eligibility criteria and that our documentation practices fully comply with Federal regulations. We appreciate the audit team's diligence and will continue to cooperate fully to resolve this finding.

Categories

Eligibility

Other Findings in this Audit

  • 1160007 2022-001
    Material Weakness Repeat
  • 1160008 2022-002
    Material Weakness Repeat
  • 1160009 2022-003
    Material Weakness Repeat
  • 1160010 2022-004
    Material Weakness Repeat
  • 1160011 2022-005
    Material Weakness Repeat
  • 1160012 2022-006
    Material Weakness Repeat
  • 1160013 2022-007
    Material Weakness Repeat
  • 1160014 2022-001
    Material Weakness Repeat
  • 1160015 2022-002
    Material Weakness Repeat
  • 1160016 2022-003
    Material Weakness Repeat
  • 1160017 2022-004
    Material Weakness Repeat
  • 1160018 2022-005
    Material Weakness Repeat
  • 1160019 2022-006
    Material Weakness Repeat
  • 1160020 2022-007
    Material Weakness Repeat
  • 1160021 2022-001
    Material Weakness Repeat
  • 1160022 2022-002
    Material Weakness Repeat
  • 1160023 2022-003
    Material Weakness Repeat
  • 1160024 2022-004
    Material Weakness Repeat
  • 1160025 2022-005
    Material Weakness Repeat
  • 1160026 2022-006
    Material Weakness Repeat
  • 1160027 2022-007
    Material Weakness Repeat
  • 1160028 2022-001
    Material Weakness Repeat
  • 1160029 2022-002
    Material Weakness Repeat
  • 1160030 2022-003
    Material Weakness Repeat
  • 1160031 2022-004
    Material Weakness Repeat
  • 1160032 2022-005
    Material Weakness Repeat
  • 1160033 2022-006
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.914 Hiv Emergency Relief Project Grants $805,140
93.136 Injury Prevention and Control Research and State and Community Based Programs $338,862
93.242 Mental Health Research Grants $206,233
19.029 Economic Injury Disaster Loan $150,000
93.917 Hiv Care Formula Grants $98,670
93.939 Hiv Prevention Activities Non-Governmental Organization Based $74,518
93.279 Drug Use and Addiction Research Programs $67,974
93.940 Hiv Prevention Activities Health Department Based $64,381
93.243 Substance Abuse and Mental Health Services Projects of Regional and National Significance $62,499