Finding 1171947 (2024-004)

Material Weakness Repeat Finding
Requirement
N
Questioned Costs
-
Year
2024
Accepted
2026-02-02

AI Summary

  • Core Issue: There is a material weakness in the internal control over special tests, specifically regarding the documentation for sliding scale fee applications.
  • Impacted Requirements: The District failed to maintain proper records for three out of sixty patients, indicating a deficiency in record retention and compliance with federal guidelines.
  • Recommended Follow-Up: Implement a formal review process to ensure all documentation is maintained and properly reviewed to prevent future issues.

Finding Text

2024-004 Material Weakness in Internal Control Over Special Tests – Health Center Program (93.224) Criteria: The District’s internal control structure should ensure that patients whom have filled out a sliding scale fee application were charged the appropriate rate. Condition: During the audit, it was identified three out of sixty tested patients were determined to be a full discount eligibility, self-pay patients but the associated support documents could not be located. This testing focused on the Special Tests and Provisions regarding how the District maintains program documentation for federal compliance; the missing records represent a control deficiency in record retention rather than a direct impact on expenditures. Cause: The District lacks a formal review of maintaining all of the associated documentation. This deficiency was compounded by the significant turnover in key accounting and finance personnel identified in the prior year, which prevented the District to properly review the processes. Effect: Any incorrect calculated self pay patients discount could be not properly identified. Recommendation: We recommend that the District develop and implement a formal review process. Management’s Response: Management acknowledges the finding and is committed to strengthening its review process. Questioned Costs: None. While the documentation was missing, there was no evidence that the services provided were unallowable or that the lack of documentation resulted in an overpayment of federal funds. Recurring Finding: Yes. (A similar deficiency regarding sliding scale fee overrides was identified in the prior year as Finding 2023-002).

Corrective Action Plan

Finding: 2024-004 Material Weakness in Internal Control Over Special Tests – Health Center Program (93.224) Corrective Action: We will develop a checklist for patient discount documentation and implement a control requiring supervisor approval for overrides. We will also perform monthly file audits and report exceptions to the appropriate personnel. Proposed Completion Date: February 28, 2026 Name of Contact Person: Lane Baker, CHW Chief Operating Officer

Categories

Allowable Costs / Cost Principles Internal Control / Segregation of Duties Special Tests & Provisions Eligibility Material Weakness

Other Findings in this Audit

  • 1171944 2024-002
    Material Weakness Repeat
  • 1171945 2024-004
    Material Weakness Repeat
  • 1171946 2024-002
    Material Weakness Repeat
  • 1171948 2024-002
    Material Weakness Repeat
  • 1171949 2024-003
    Material Weakness Repeat
  • 1171950 2024-002
    Material Weakness Repeat
  • 1171951 2024-003
    Material Weakness Repeat
  • 1171952 2024-002
    Material Weakness Repeat
  • 1171953 2024-003
    Material Weakness Repeat
  • 1171954 2024-002
    Material Weakness Repeat
  • 1171955 2024-003
    Material Weakness Repeat
  • 1171956 2024-002
    Material Weakness Repeat
  • 1171957 2024-003
    Material Weakness Repeat
  • 1171958 2024-002
    Material Weakness Repeat
  • 1171959 2024-003
    Material Weakness Repeat
  • 1171960 2024-005
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.224 HEALTH CENTER PROGRAM (COMMUNITY HEALTH CENTERS, MIGRANT HEALTH CENTERS, HEALTH CARE FOR THE HOMELESS, AND PUBLIC HOUSING PRIMARY CARE) $1.53M
10.557 WIC SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN $1.18M
21.027 CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS $544,070
93.354 PUBLIC HEALTH EMERGENCY RESPONSE: COOPERATIVE AGREEMENT FOR EMERGENCY RESPONSE: PUBLIC HEALTH CRISIS RESPONSE $400,352
93.977 SEXUALLY TRANSMITTED DISEASES (STD) PREVENTION AND CONTROL GRANTS $363,296
93.268 IMMUNIZATION COOPERATIVE AGREEMENTS $317,717
93.323 EPIDEMIOLOGY AND LABORATORY CAPACITY FOR INFECTIOUS DISEASES (ELC) $303,340
93.967 CENTERS FOR DISEASE CONTROL AND PREVENTION COLLABORATION WITH ACADEMIA TO STRENGTHEN PUBLIC HEALTH $275,041
93.940 HIV PREVENTION ACTIVITIES HEALTH DEPARTMENT BASED $273,444
93.991 PREVENTIVE HEALTH AND HEALTH SERVICES BLOCK GRANT $181,490
93.994 MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT TO THE STATES $80,055
93.069 PUBLIC HEALTH EMERGENCY PREPAREDNESS $51,905
93.391 ACTIVITIES TO SUPPORT STATE, TRIBAL, LOCAL AND TERRITORIAL (STLT) HEALTH DEPARTMENT RESPONSE TO PUBLIC HEALTH OR HEALTHCARE CRISES $50,868
66.034 SURVEYS, STUDIES, RESEARCH, INVESTIGATIONS, DEMONSTRATIONS, AND SPECIAL PURPOSE ACTIVITIES RELATING TO THE CLEAN AIR ACT $49,709
10.561 STATE ADMINISTRATIVE MATCHING GRANTS FOR THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM $45,227
93.116 PROJECT GRANTS AND COOPERATIVE AGREEMENTS FOR TUBERCULOSIS CONTROL PROGRAMS $42,776
93.008 MEDICAL RESERVE CORPS SMALL GRANT PROGRAM $13,258
66.472 BEACH MONITORING AND NOTIFICATION PROGRAM IMPLEMENTATION GRANTS $7,774
97.091 HOMELAND SECURITY BIOWATCH PROGRAM $6,641
66.605 PERFORMANCE PARTNERSHIP GRANTS $1,912