Finding 1179753 (2025-055)

Material Weakness Repeat Finding
Requirement
N
Questioned Costs
-
Year
2025
Accepted
2026-03-16
Audit: 392165
Organization: State of Nebraska (NE)

AI Summary

  • Core Issue: One managed care organization's (MCO) financial report for 2024 was not compliant with generally accepted accounting principles (GAAP), repeating a previous audit finding.
  • Impacted Requirements: Federal regulations mandate that MCOs submit audited financial reports in accordance with GAAP, which was not met, increasing the risk of fraud or errors.
  • Recommended Follow-Up: Ensure all MCO contracts explicitly require financial statements to be prepared in accordance with GAAP and monitor compliance closely.

Finding Text

Program: AL 93.778 – Grants to States for Medicaid; AL 93.767 – Children’s Health Insurance Program (CHIP) – Special Tests and Provisions Grant Number & Year: All open, including 2505NE5MAP, FFY 2025; 2505NE5021, FFY 2025 Federal Grantor Agency: U.S. Department of Health and Human Services Criteria: Per 42 CFR§ 438.3(m) (October 1, 2024): The contract must require MCOs [managed care organizations], PIHPs [prepaid inpatient health plans], and PAHPs [prepaid ambulatory health plans] to submit audited financial reports specific to the Medicaid contract on an annual basis. The audit must be conducted in accordance with generally accepted accounting principles and generally accepted auditing standards. Amendment One of the contract between the Agency and the MCOs under Section V.P.1.g. states, “The MCO must audit financial reports in accordance with generally accepted accounting principles (GAAP).” A good internal control plan requires policies and procedures to ensure that mandatory financial audits are completed in accordance with Federal regulations. Condition: One of three managed care organizations’ (MCO) audited financial reports for the year ended December 31, 2024, was not in accordance with generally accepted accounting principles (GAAP). A similar finding was noted in the prior audit. Repeat Finding: 2024-056 Questioned Costs: Unknown Statistical Sample: No Context: One MCO had an audit performed in accordance with generally accepted auditing standards; however, the financial statements were not in accordance with GAAP. The financial statement for the MCO was prepared using “accounting practices prescribed or permitted by the Nebraska Department of Insurance, which is a basis of accounting other than U.S. generally accepted accounting principles.” The Department of Insurance has adopted the Statement of Statutory Accounting Principles (SSAP) found in the National Association of Insurance Commissioners’ (NAIC) manual. Cause: The audited financial reports for one MCO was completed for the Nebraska Department of Insurance, which did not require the financial statements to be in accordance with GAAP. Effect: When the financial audits completed by the MCOs are not presented in accordance with GAAP, the Agency is not in compliance with Federal regulations, and there is an increased risk for fraud or errors. Recommendation: We recommend the Agency require the MCO financial statements to be presented in accordance with GAAP. Management Response: The Agency partially agrees. MCO contracts have been amended to require financial audits on the basis of GAAP (generally accepted accounting principles). The requirement has been reiterated to the MCO who did not do a separate GAAP audit and instead completed the audit in a manner that has been determined sufficient with Medicare and in other state Medicaid programs.

Corrective Action Plan

Program: AL 93.778 – Grants to States for Medicaid; AL 93.767 – Children’s Health Insurance Program – Special Tests and Provisions Corrective Action Plan: The Agency will continue to reiterate the requirement in the contract with the MCO and will review and reject any audit submitted that does not meet the GAAP requirement. Contact: Jeremy Brunssen Anticipated Completion Date: June 30, 2026

Categories

Special Tests & Provisions Internal Control / Segregation of Duties

Other Findings in this Audit

  • 1179690 2025-025
    Material Weakness Repeat
  • 1179691 2025-026
    Material Weakness Repeat
  • 1179692 2025-020
    Material Weakness Repeat
  • 1179693 2025-020
    Material Weakness Repeat
  • 1179694 2025-018
    Material Weakness Repeat
  • 1179695 2025-020
    Material Weakness Repeat
  • 1179696 2025-020
    Material Weakness Repeat
  • 1179697 2025-020
    Material Weakness Repeat
  • 1179698 2025-061
    Material Weakness Repeat
  • 1179699 2025-021
    Material Weakness Repeat
  • 1179700 2025-022
    Material Weakness Repeat
  • 1179701 2025-023
    Material Weakness Repeat
  • 1179702 2025-024
    Material Weakness Repeat
  • 1179703 2025-026
    Material Weakness Repeat
  • 1179704 2025-025
    Material Weakness Repeat
  • 1179705 2025-026
    Material Weakness Repeat
  • 1179706 2025-030
    Material Weakness Repeat
  • 1179707 2025-025
    Material Weakness Repeat
  • 1179708 2025-026
    Material Weakness Repeat
  • 1179709 2025-025
    Material Weakness Repeat
  • 1179710 2025-026
    Material Weakness Repeat
  • 1179711 2025-031
    Material Weakness Repeat
  • 1179712 2025-032
    Material Weakness Repeat
  • 1179713 2025-033
    Material Weakness Repeat
  • 1179714 2025-034
    Material Weakness Repeat
  • 1179715 2025-035
    Material Weakness Repeat
  • 1179716 2025-036
    Material Weakness Repeat
  • 1179717 2025-037
    Material Weakness Repeat
  • 1179718 2025-025
    Material Weakness Repeat
  • 1179719 2025-026
    Material Weakness Repeat
  • 1179720 2025-029
    Material Weakness Repeat
  • 1179721 2025-038
    Material Weakness Repeat
  • 1179722 2025-041
    Material Weakness Repeat
  • 1179723 2025-039
    Material Weakness Repeat
  • 1179724 2025-040
    Material Weakness Repeat
  • 1179725 2025-038
    Material Weakness Repeat
  • 1179726 2025-041
    Material Weakness Repeat
  • 1179727 2025-025
    Material Weakness Repeat
  • 1179728 2025-026
    Material Weakness Repeat
  • 1179729 2025-027
    Material Weakness Repeat
  • 1179730 2025-028
    Material Weakness Repeat
  • 1179731 2025-042
    Material Weakness Repeat
  • 1179732 2025-043
    Material Weakness Repeat
  • 1179733 2025-044
    Material Weakness Repeat
  • 1179734 2025-025
    Material Weakness Repeat
  • 1179735 2025-026
    Material Weakness Repeat
  • 1179736 2025-045
    Material Weakness Repeat
  • 1179737 2025-046
    Material Weakness Repeat
  • 1179738 2025-025
    Material Weakness Repeat
  • 1179739 2025-026
    Material Weakness Repeat
  • 1179740 2025-054
    Material Weakness Repeat
  • 1179741 2025-055
    Material Weakness Repeat
  • 1179742 2025-017
    Material Weakness Repeat
  • 1179743 2025-025
    Material Weakness Repeat
  • 1179744 2025-026
    Material Weakness Repeat
  • 1179745 2025-047
    Material Weakness Repeat
  • 1179746 2025-048
    Material Weakness Repeat
  • 1179747 2025-049
    Material Weakness Repeat
  • 1179748 2025-050
    Material Weakness Repeat
  • 1179749 2025-051
    Material Weakness Repeat
  • 1179750 2025-052
    Material Weakness Repeat
  • 1179751 2025-053
    Material Weakness Repeat
  • 1179752 2025-054
    Material Weakness Repeat
  • 1179754 2025-056
    Material Weakness Repeat
  • 1179755 2025-057
    Material Weakness Repeat
  • 1179756 2025-033
    Material Weakness Repeat
  • 1179757 2025-058
    Material Weakness Repeat
  • 1179758 2025-059
    Material Weakness Repeat
  • 1179759 2025-060
    Material Weakness Repeat
  • 1179760 2025-062
    Material Weakness Repeat
  • 1179761 2025-063
    Material Weakness Repeat
  • 1179762 2025-018
    Material Weakness Repeat
  • 1179763 2025-064
    Material Weakness Repeat
  • 1179764 2025-065
    Material Weakness Repeat
  • 1179765 2025-066
    Material Weakness Repeat
  • 1179766 2025-019
    Material Weakness Repeat
  • 1179767 2025-067
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
10.551 SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM $332.35M
21.027 CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS $260.39M
84.010 TITLE I GRANTS TO LOCAL EDUCATIONAL AGENCIES $107.69M
84.027 SPECIAL EDUCATION GRANTS TO STATES $95.25M
66.468 DRINKING WATER STATE REVOLVING FUND $53.69M
10.557 WIC SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN $38.86M
10.561 STATE ADMINISTRATIVE MATCHING GRANTS FOR THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM $36.43M
12.401 NATIONAL GUARD MILITARY OPERATIONS AND MAINTENANCE (O&M) PROJECTS $35.91M
93.659 ADOPTION ASSISTANCE $29.62M
10.558 CHILD AND ADULT CARE FOOD PROGRAM $28.22M
64.015 VETERANS STATE NURSING HOME CARE $27.96M
93.563 CHILD SUPPORT SERVICES $27.53M
10.553 SCHOOL BREAKFAST PROGRAM $27.26M
93.596 CHILD CARE MANDATORY AND MATCHING FUNDS OF THE CHILD CARE AND DEVELOPMENT FUND $24.99M
10.646 SUMMER ELECTRONIC BENEFIT TRANSFER PROGRAM FOR CHILDREN $23.96M
97.036 DISASTER GRANTS - PUBLIC ASSISTANCE (PRESIDENTIALLY DECLARED DISASTERS) $22.63M
21.023 EMERGENCY RENTAL ASSISTANCE PROGRAM $22.21M
21.029 CORONAVIRUS CAPITAL PROJECTS FUND $22.19M
93.323 EPIDEMIOLOGY AND LABORATORY CAPACITY FOR INFECTIOUS DISEASES (ELC) $21.75M
66.458 CLEAN WATER STATE REVOLVING FUND $17.14M
15.611 WILDLIFE RESTORATION AND BASIC HUNTER EDUCATION AND SAFETY $15.26M
10.555 NATIONAL SCHOOL LUNCH PROGRAM $14.44M
96.001 SOCIAL SECURITY DISABILITY INSURANCE $13.47M
84.367 SUPPORTING EFFECTIVE INSTRUCTION STATE GRANTS (FORMERLY IMPROVING TEACHER QUALITY STATE GRANTS) $13.27M
93.575 CHILD CARE AND DEVELOPMENT BLOCK GRANT $12.75M
12.400 MILITARY CONSTRUCTION, NATIONAL GUARD $12.69M
93.566 REFUGEE AND ENTRANT ASSISTANCE STATE/REPLACEMENT DESIGNEE ADMINISTERED PROGRAMS $11.85M
93.667 SOCIAL SERVICES BLOCK GRANT $11.18M
93.917 HIV CARE FORMULA GRANTS $9.99M
84.287 TWENTY-FIRST CENTURY COMMUNITY LEARNING CENTERS $8.40M
84.048 CAREER AND TECHNICAL EDUCATION -- BASIC GRANTS TO STATES $8.24M
84.011 MIGRANT EDUCATION STATE GRANT PROGRAM $8.14M
10.569 EMERGENCY FOOD ASSISTANCE PROGRAM (FOOD COMMODITIES) $7.62M
16.575 CRIME VICTIM ASSISTANCE $7.49M
15.605 SPORT FISH RESTORATION $7.24M
84.365 ENGLISH LANGUAGE ACQUISITION STATE GRANTS $6.51M
64.203 VETERANS CEMETERY GRANTS PROGRAM $6.51M
15.018 ENERGY COMMUNITY REVITALIZATION PROGRAM (ECRP) $6.06M
93.558 TEMPORARY ASSISTANCE FOR NEEDY FAMILIES $6.02M
93.569 COMMUNITY SERVICES BLOCK GRANT $5.58M
93.268 IMMUNIZATION COOPERATIVE AGREEMENTS $5.36M
97.067 HOMELAND SECURITY GRANT PROGRAM $5.25M
17.207 EMPLOYMENT SERVICE/WAGNER-PEYSER FUNDED ACTIVITIES $4.98M
84.181 SPECIAL EDUCATION-GRANTS FOR INFANTS AND FAMILIES $4.87M
93.069 PUBLIC HEALTH EMERGENCY PREPAREDNESS $4.59M
84.126 REHABILITATION SERVICES VOCATIONAL REHABILITATION GRANTS TO STATES $4.52M
93.354 PUBLIC HEALTH EMERGENCY RESPONSE: COOPERATIVE AGREEMENT FOR EMERGENCY RESPONSE: PUBLIC HEALTH CRISIS RESPONSE $4.43M
14.239 HOME INVESTMENT PARTNERSHIPS PROGRAM $4.35M
20.616 NATIONAL PRIORITY SAFETY PROGRAMS $4.17M
10.559 SUMMER FOOD SERVICE PROGRAM FOR CHILDREN $4.17M
93.568 LOW-INCOME HOME ENERGY ASSISTANCE $4.11M
20.218 MOTOR CARRIER SAFETY ASSISTANCE $4.08M
15.916 OUTDOOR RECREATION ACQUISITION, DEVELOPMENT AND PLANNING $3.72M
20.600 STATE AND COMMUNITY HIGHWAY SAFETY $3.71M
16.554 NATIONAL CRIMINAL HISTORY IMPROVEMENT PROGRAM (NCHIP) $3.71M
20.513 ENHANCED MOBILITY OF SENIORS AND INDIVIDUALS WITH DISABILITIES $3.69M
93.788 OPIOID STR $3.59M
97.042 EMERGENCY MANAGEMENT PERFORMANCE GRANTS $3.49M
97.047 BRIC: BUILDING RESILIENT INFRASTRUCTURE AND COMMUNITIES $3.48M
93.994 MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT TO THE STATES $3.40M
81.042 WEATHERIZATION ASSISTANCE FOR LOW-INCOME PERSONS $3.26M
84.002 ADULT EDUCATION - BASIC GRANTS TO STATES $3.23M
93.243 SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE $3.20M
93.136 INJURY PREVENTION AND CONTROL RESEARCH AND STATE AND COMMUNITY BASED PROGRAMS $3.19M
84.369 GRANTS FOR STATE ASSESSMENTS AND RELATED ACTIVITIES $3.11M
93.556 MARYLEE ALLEN PROMOTING SAFE AND STABLE FAMILIES PROGRAM $3.05M
17.259 WIOA YOUTH ACTIVITIES $3.00M
93.991 PREVENTIVE HEALTH AND HEALTH SERVICES BLOCK GRANT $2.91M
20.509 FORMULA GRANTS FOR RURAL AREAS AND TRIBAL TRANSIT PROGRAM $2.86M
93.391 ACTIVITIES TO SUPPORT STATE, TRIBAL, LOCAL AND TERRITORIAL (STLT) HEALTH DEPARTMENT RESPONSE TO PUBLIC HEALTH OR HEALTHCARE CRISES $2.78M
10.582 FRESH FRUIT AND VEGETABLE PROGRAM $2.64M
20.106 AIRPORT IMPROVEMENT PROGRAM, INFRASTRUCTURE INVESTMENT AND JOBS ACT PROGRAMS, AND COVID-19 AIRPORTS PROGRAMS $2.38M
66.460 NONPOINT SOURCE IMPLEMENTATION GRANTS $2.36M
84.173 SPECIAL EDUCATION PRESCHOOL GRANTS $2.36M
94.006 AMERICORPS STATE AND NATIONAL 94.006 $2.16M
84.425 EDUCATION STABILIZATION FUND $2.14M
93.898 CANCER PREVENTION AND CONTROL PROGRAMS FOR STATE, TERRITORIAL AND TRIBAL ORGANIZATIONS $2.06M
11.035 BROADBAND EQUITY, ACCESS, AND DEPLOYMENT PROGRAM $2.03M
97.045 COOPERATING TECHNICAL PARTNERS $2.02M
17.278 WIOA DISLOCATED WORKER FORMULA GRANTS $2.00M
10.565 COMMODITY SUPPLEMENTAL FOOD PROGRAM $1.95M
93.967 CENTERS FOR DISEASE CONTROL AND PREVENTION COLLABORATION WITH ACADEMIA TO STRENGTHEN PUBLIC HEALTH $1.94M
93.645 STEPHANIE TUBBS JONES CHILD WELFARE SERVICES PROGRAM $1.93M
45.310 GRANTS TO STATES $1.90M
17.258 WIOA ADULT PROGRAM $1.85M
93.434 EVERY STUDENT SUCCEEDS ACT/PRESCHOOL DEVELOPMENT GRANTS $1.67M
84.421 DISABILITY INNOVATION FUND (DIF) $1.63M
64.014 VETERANS STATE DOMICILIARY CARE $1.59M
93.658 FOSTER CARE TITLE IV-E $1.55M
93.959 BLOCK GRANTS FOR PREVENTION AND TREATMENT OF SUBSTANCE ABUSE $1.52M
93.301 SMALL RURAL HOSPITAL IMPROVEMENT GRANT PROGRAM $1.51M
97.008 NON-PROFIT SECURITY PROGRAM $1.50M
14.275 HOUSING TRUST FUND $1.50M
84.368 COMPETITIVE GRANTS FOR STATE ASSESSMENTS $1.42M
93.045 SPECIAL PROGRAMS FOR THE AGING, TITLE III, PART C, NUTRITION SERVICES $1.39M
15.615 COOPERATIVE ENDANGERED SPECIES CONSERVATION FUND $1.32M
93.044 SPECIAL PROGRAMS FOR THE AGING, TITLE III, PART B, GRANTS FOR SUPPORTIVE SERVICES AND SENIOR CENTERS $1.31M
93.889 NATIONAL BIOTERRORISM HOSPITAL PREPAREDNESS PROGRAM $1.30M
16.813 NICS ACT RECORD IMPROVEMENT PROGRAM $1.24M
20.224 FEDERAL LANDS ACCESS PROGRAM $1.23M
11.307 ECONOMIC ADJUSTMENT ASSISTANCE $1.15M
93.110 MATERNAL AND CHILD HEALTH FEDERAL CONSOLIDATED PROGRAMS $1.13M
15.669 COOPERATIVE LANDSCAPE CONSERVATION $1.10M
15.634 STATE WILDLIFE GRANTS $1.07M
10.170 SPECIALTY CROP BLOCK GRANT PROGRAM - FARM BILL $1.07M
95.001 HIGH INTENSITY DRUG TRAFFICKING AREAS PROGRAM $1.03M
20.219 RECREATIONAL TRAILS PROGRAM $1.03M
15.904 HISTORIC PRESERVATION FUND GRANTS-IN-AID $1.01M
93.775 STATE MEDICAID FRAUD CONTROL UNITS $1.01M
17.801 JOBS FOR VETERANS STATE GRANTS $1.00M
84.424 STUDENT SUPPORT AND ACADEMIC ENRICHMENT PROGRAM $987,519
93.387 NATIONAL AND STATE TOBACCO CONTROL PROGRAM $987,304
16.588 VIOLENCE AGAINST WOMEN FORMULA GRANTS $986,721
93.241 STATE RURAL HOSPITAL FLEXIBILITY PROGRAM $985,269
93.940 HIV PREVENTION ACTIVITIES HEALTH DEPARTMENT BASED $959,680
14.231 EMERGENCY SOLUTIONS GRANT PROGRAM $958,676
97.012 BOATING SAFETY FINANCIAL ASSISTANCE $941,020
93.671 FAMILY VIOLENCE PREVENTION AND SERVICES/DOMESTIC VIOLENCE SHELTER AND SUPPORTIVE SERVICES $938,278
45.025 PROMOTION OF THE ARTS PARTNERSHIP AGREEMENTS $927,525
10.025 PLANT AND ANIMAL DISEASE, PEST CONTROL, AND ANIMAL CARE $918,466
14.241 HOUSING OPPORTUNITIES FOR PERSONS WITH AIDS $903,713
93.674 JOHN H. CHAFEE FOSTER CARE PROGRAM FOR SUCCESSFUL TRANSITION TO ADULTHOOD $865,583
10.560 STATE ADMINISTRATIVE EXPENSES FOR CHILD NUTRITION $848,725
84.323 SPECIAL EDUCATION - STATE PERSONNEL DEVELOPMENT $788,487
90.404 HAVA ELECTION SECURITY GRANTS $785,840
17.002 LABOR FORCE STATISTICS $774,870
93.426 THE NATIONAL CARDIOVASCULAR HEALTH PROGRAM $757,573
93.165 GRANTS TO STATES FOR LOAN REPAYMENT $736,787
20.611 INCENTIVE GRANT PROGRAM TO PROHIBIT RACIAL PROFILING $732,286
93.070 ENVIRONMENTAL PUBLIC HEALTH AND EMERGENCY RESPONSE $730,219
84.196 EDUCATION FOR HOMELESS CHILDREN AND YOUTH $716,061
66.817 STATE AND TRIBAL RESPONSE PROGRAM GRANTS $707,374
10.185 LOCAL FOOD FOR SCHOOLS COOPERATIVE AGREEMENT PROGRAM $701,172
14.228 COMMUNITY DEVELOPMENT BLOCK GRANTS/STATE'S PROGRAM AND NON-ENTITLEMENT GRANTS IN HAWAII $690,143
16.741 DNA BACKLOG REDUCTION PROGRAM $687,573
81.041 STATE ENERGY PROGRAM $681,793
17.235 SENIOR COMMUNITY SERVICE EMPLOYMENT PROGRAM $660,221
16.606 STATE CRIMINAL ALIEN ASSISTANCE PROGRAM $656,923
93.053 NUTRITION SERVICES INCENTIVE PROGRAM $647,969
93.103 FOOD AND DRUG ADMINISTRATION RESEARCH $627,246
97.137 STATE AND LOCAL CYBERSECURITY GRANT PROGRAM TRIBAL CYBERSECURITY GRANT PROGRAM $610,562
93.946 COOPERATIVE AGREEMENTS TO SUPPORT STATE-BASED SAFE MOTHERHOOD AND INFANT HEALTH INITIATIVE PROGRAMS $605,912
30.001 EMPLOYMENT DISCRIMINATION TITLE VII OF THE CIVIL RIGHTS ACT OF 1964 $603,784
93.988 COOPERATIVE AGREEMENTS FOR DIABETES CONTROL PROGRAMS $589,026
93.464 ACL ASSISTIVE TECHNOLOGY $587,677
64.005 GRANTS TO STATES FOR CONSTRUCTION OF STATE HOME FACILITIES $563,274
17.504 CONSULTATION AGREEMENTS $562,653
97.052 EMERGENCY OPERATIONS CENTER $562,493
84.372 STATEWIDE LONGITUDINAL DATA SYSTEMS $558,936
20.205 HIGHWAY PLANNING AND CONSTRUCTION $547,290
93.800 ORGANIZED APPROACHES TO INCREASE COLORECTAL CANCER SCREENING $536,823
39.003 DONATION OF FEDERAL SURPLUS PERSONAL PROPERTY $526,470
66.805 LEAKING UNDERGROUND STORAGE TANK TRUST FUND CORRECTIVE ACTION PROGRAM $523,202
17.285 REGISTERED APPRENTICESHIP $518,270
93.586 STATE COURT IMPROVEMENT PROGRAM $515,730
97.039 HAZARD MITIGATION GRANT $513,999
16.754 HAROLD ROGERS PRESCRIPTION DRUG MONITORING PROGRAM $506,780
93.324 STATE HEALTH INSURANCE ASSISTANCE PROGRAM $502,704
93.436 WELL-INTEGRATED SCREENING AND EVALUATION FOR WOMEN ACROSS THE NATION (WISEWOMAN) $501,433
97.041 NATIONAL DAM SAFETY PROGRAM $493,945
93.497 FAMILY VIOLENCE PREVENTION AND SERVICES/ SEXUAL ASSAULT/RAPE CRISIS SERVICES AND SUPPORTS $484,450
59.061 STATE TRADE EXPANSION $473,631
20.505 METROPOLITAN TRANSPORTATION PLANNING AND STATE AND NON-METROPOLITAN PLANNING AND RESEARCH $473,299
93.197 CHILDHOOD LEAD POISONING PREVENTION PROJECTS, STATE AND LOCAL CHILDHOOD LEAD POISONING PREVENTION AND SURVEILLANCE OF BLOOD LEAD LEVELS IN CHILDREN $467,634
66.802 SUPERFUND STATE, POLITICAL SUBDIVISION, AND INDIAN TRIBE SITE-SPECIFIC COOPERATIVE AGREEMENTS $461,707
84.013 TITLE I STATE AGENCY PROGRAM FOR NEGLECTED AND DELINQUENT CHILDREN AND YOUTH $452,817
93.599 CHAFEE EDUCATION AND TRAINING VOUCHERS PROGRAM (ETV) $448,809
15.608 FISH AND AQUATIC CONSERVATION - AQUATIC INVASIVE SPECIES $427,309
15.514 RECLAMATION STATES EMERGENCY DROUGHT RELIEF $384,447
15.524 RECREATION RESOURCES MANAGEMENT $376,066
93.052 NATIONAL FAMILY CAREGIVER SUPPORT, TITLE III, PART E $374,239
84.325 SPECIAL EDUCATION - PERSONNEL DEVELOPMENT TO IMPROVE SERVICES AND RESULTS FOR CHILDREN WITH DISABILITIES $364,006
97.023 COMMUNITY ASSISTANCE PROGRAM STATE SUPPORT SERVICES ELEMENT (CAP-SSSE) $361,142
66.034 SURVEYS, STUDIES, RESEARCH, INVESTIGATIONS, DEMONSTRATIONS, AND SPECIAL PURPOSE ACTIVITIES RELATING TO THE CLEAN AIR ACT $357,567
16.827 JUSTICE REINVESTMENT INITIATIVE $348,564
10.190 RESILIENT FOOD SYSTEM INFRASTRUCTURE PROGRAM $345,061
16.543 MISSING CHILDREN'S ASSISTANCE $344,951
20.700 PIPELINE SAFETY PROGRAM STATE BASE GRANT $342,947
66.920 SOLID WASTE INFRASTRUCTURE FOR RECYCLING INFRASTRUCTURE GRANTS $335,548
96.006 SUPPLEMENTAL SECURITY INCOME $335,377
16.017 SEXUAL ASSAULT SERVICES FORMULA PROGRAM $327,739
93.090 GUARDIANSHIP ASSISTANCE $326,889
66.804 UNDERGROUND STORAGE TANK (UST) PREVENTION, DETECTION, AND COMPLIANCE PROGRAM $326,833
81.128 ENERGY EFFICIENCY AND CONSERVATION BLOCK GRANT PROGRAM (EECBG) $323,693
93.130 COOPERATIVE AGREEMENTS TO STATES/TERRITORIES FOR THE COORDINATION AND DEVELOPMENT OF PRIMARY CARE OFFICES $316,151
10.093 VOLUNTARY PUBLIC ACCESS AND HABITAT INCENTIVE PROGRAM $310,284
93.236 GRANTS TO STATES TO SUPPORT ORAL HEALTH WORKFORCE ACTIVITIES $306,969
97.044 ASSISTANCE TO FIREFIGHTERS GRANT $304,016
93.150 PROJECTS FOR ASSISTANCE IN TRANSITION FROM HOMELESSNESS (PATH) $303,358
66.419 WATER POLLUTION CONTROL STATE, INTERSTATE, AND TRIBAL PROGRAM SUPPORT $301,655
17.273 TEMPORARY LABOR CERTIFICATION FOR FOREIGN WORKERS $300,400
93.747 ELDER ABUSE PREVENTION INTERVENTIONS PROGRAM $300,382
20.933 NATIONAL INFRASTRUCTURE INVESTMENTS $300,249
16.320 SERVICES FOR TRAFFICKING VICTIMS $299,703
94.003 AMERICORPS STATE COMMISSIONS SUPPORT GRANT $294,737
84.177 REHABILITATION SERVICES INDEPENDENT LIVING SERVICES FOR OLDER INDIVIDUALS WHO ARE BLIND $292,666
16.738 EDWARD BYRNE MEMORIAL JUSTICE ASSISTANCE GRANT PROGRAM $292,437
93.336 BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM $291,832
16.742 PAUL COVERDELL FORENSIC SCIENCES IMPROVEMENT GRANT PROGRAM $289,899
66.040 DIESEL EMISSIONS REDUCTION ACT (DERA) STATE GRANTS $280,867
93.251 EARLY HEARING DETECTION AND INTERVENTION $275,248
16.750 SUPPORT FOR ADAM WALSH ACT IMPLEMENTATION GRANT PROGRAM $274,234
93.116 PROJECT GRANTS AND COOPERATIVE AGREEMENTS FOR TUBERCULOSIS CONTROL PROGRAMS $270,352
10.645 FARM TO SCHOOL STATE FORMULA GRANT $263,123
93.235 TITLE V STATE SEXUAL RISK AVOIDANCE EDUCATION (TITLE V STATE SRAE) PROGRAM $261,874
21.026 HOMEOWNER ASSISTANCE FUND $259,032
66.046 CLIMATE POLLUTION REDUCTION GRANTS $256,411
93.092 AFFORDABLE CARE ACT (ACA) PERSONAL RESPONSIBILITY EDUCATION PROGRAM $254,532
12.112 PAYMENTS TO STATES IN LIEU OF REAL ESTATE TAXES $253,455
94.009 TRAINING AND TECHNICAL ASSISTANCE $250,186
93.913 GRANTS TO STATES FOR OPERATION OF STATE OFFICES OF RURAL HEALTH $247,123
93.643 CHILDREN'S JUSTICE GRANTS TO STATES $246,427
93.071 MEDICARE ENROLLMENT ASSISTANCE PROGRAM $236,066
93.270 VIRAL HEPATITIS PREVENTION AND CONTROL $233,724
17.225 UNEMPLOYMENT INSURANCE $230,905
66.032 STATE AND TRIBAL INDOOR RADON GRANTS $218,811
14.401 FAIR HOUSING ASSISTANCE PROGRAM $217,476
10.568 EMERGENCY FOOD ASSISTANCE PROGRAM (ADMINISTRATIVE COSTS) $209,808
93.262 OCCUPATIONAL SAFETY AND HEALTH PROGRAM $207,617
17.245 TRADE ADJUSTMENT ASSISTANCE $205,615
66.442 WATER INFRASTRUCTURE IMPROVEMENTS FOR THE NATION SMALL AND UNDERSERVED COMMUNITIES EMERGING CONTAMINANTS GRANT PROGRAM $195,004
66.605 PERFORMANCE PARTNERSHIP GRANTS $193,151
17.271 WORK OPPORTUNITY TAX CREDIT PROGRAM (WOTC) $188,826
16.812 SECOND CHANCE ACT REENTRY INITIATIVE $186,885
10.U01 NEBRASKA RURAL REHABILITATION PROGRAM $185,108
84.161 REHABILITATION SERVICES CLIENT ASSISTANCE PROGRAM $181,961
10.576 SENIOR FARMERS MARKET NUTRITION PROGRAM $180,828
93.369 ACL INDEPENDENT LIVING STATE GRANTS $172,054
10.182 PANDEMIC RELIEF ACTIVITIES: LOCAL FOOD PURCHASE AGREEMENTS WITH STATES, TRIBES, AND LOCAL GOVERNMENTS $168,674
93.127 EMERGENCY MEDICAL SERVICES FOR CHILDREN $167,044
84.184 SCHOOL SAFELY NATIONAL ACTIVITIES $166,297
93.982 MENTAL HEALTH DISASTER ASSISTANCE AND EMERGENCY MENTAL HEALTH $157,252
66.433 STATE UNDERGROUND WATER SOURCE PROTECTION $155,339
93.314 EARLY HEARING DETECTION AND INTERVENTION INFORMATION SYSTEM (EHDI-IS) SURVEILLANCE PROGRAM $153,100
10.574 TEAM NUTRITION GRANTS $152,352
93.042 SPECIAL PROGRAMS FOR THE AGING, TITLE VII, CHAPTER 2, LONG TERM CARE OMBUDSMAN SERVICES FOR OLDER INDIVIDUALS $148,344
66.444 VOLUNTARY SCHOOL AND CHILD CARE LEAD TESTING AND REDUCTION GRANT PROGRAM (SDWA 1464(D)) $143,755
93.600 HEAD START $137,458
93.797 EXPANDING ACCESS TO WOMEN’S HEALTH GRANT $136,955
16.034 CORONAVIRUS EMERGENCY SUPPLEMENTAL FUNDING PROGRAM $130,221
93.958 BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES $119,847
10.435 STATE MEDIATION GRANTS $119,387
93.597 GRANTS TO STATES FOR ACCESS AND VISITATION PROGRAMS $118,221
93.079 COOPERATIVE AGREEMENTS TO PROMOTE ADOLESCENT HEALTH THROUGH SCHOOL-BASED HIV/STD PREVENTION AND SCHOOL-BASED SURVEILLANCE $112,178
66.454 WATER QUALITY MANAGEMENT PLANNING $109,550
93.U01 MEDICATED FEED INSPECTION CONTRACT $108,205
20.703 INTERAGENCY HAZARDOUS MATERIALS PUBLIC SECTOR TRAINING AND PLANNING GRANTS $107,782
93.698 ELDER JUSTICE ACT – ADULT PROTECTIVE SERVICES $106,818
93.279 DRUG USE AND ADDICTION RESEARCH PROGRAMS $104,416
12.113 STATE MEMORANDUM OF AGREEMENT PROGRAM FOR THE REIMBURSEMENT OF TECHNICAL SERVICES $101,852
93.870 MATERNAL, INFANT AND EARLY CHILDHOOD HOME VISITING GRANT $101,777
10.931 AGRICULTURAL CONSERVATION EASEMENT PROGRAM $100,500
84.358 RURAL EDUCATION $97,729
16.710 PUBLIC SAFETY PARTNERSHIP AND COMMUNITY POLICING GRANTS $93,166
16.576 CRIME VICTIM COMPENSATION $86,525
93.603 ADOPTION AND LEGAL GUARDIANSHIP INCENTIVE PAYMENTS PROGRAM $86,236
10.579 CHILD NUTRITION DISCRETIONARY GRANTS LIMITED AVAILABILITY $84,047
93.043 SPECIAL PROGRAMS FOR THE AGING, TITLE III, PART D, DISEASE PREVENTION AND HEALTH PROMOTION SERVICES $82,588
10.575 FARM TO SCHOOL GRANT PROGRAM $79,780
16.582 CRIME VICTIM ASSISTANCE/DISCRETIONARY GRANTS $79,450
20.614 NATIONAL HIGHWAY TRAFFIC SAFETY ADMINISTRATION (NHTSA) DISCRETIONARY SAFETY GRANTS AND COOPERATIVE AGREEMENTS $78,000
15.637 MIGRATORY BIRD JOINT VENTURES $72,101
64.U01 COOPERATIVE AGREEMENT FOR VETERAN TRAINING PROGRAM $71,519
15.946 CULTURAL RESOURCES MANAGEMENT $68,518
17.005 COMPENSATION AND WORKING CONDITIONS $66,690
10.541 CHILD NUTRITION-TECHNOLOGY INNOVATION GRANT $66,615
81.254 GRID INFRASTRUCTURE DEPLOYMENT AND RESILIENCE $64,806
93.413 THE STATE FLEXIBILITY TO STABILIZE THE MARKET GRANT PROGRAM $62,168
15.626 ENHANCED HUNTER EDUCATION AND SAFETY $58,302
66.039 DIESEL EMISSION REDUCTION ACT (DERA) NATIONAL GRANTS $58,121
84.371 COMPREHENSIVE LITERACY DEVELOPMENT $54,871
93.669 CHILD ABUSE AND NEGLECT STATE GRANTS $54,451
38.006 STATE APPRAISER AGENCY SUPPORT GRANTS $51,370
93.041 SPECIAL PROGRAMS FOR THE AGING, TITLE VII, CHAPTER 3, PROGRAMS FOR PREVENTION OF ELDER ABUSE, NEGLECT, AND EXPLOITATION $50,754
16.540 JUVENILE JUSTICE AND DELINQUENCY PREVENTION $42,915
21.031 STATE SMALL BUSINESS CREDIT INITIATIVE TECHNICAL ASSISTANCE GRANT PROGRAM $36,790
93.630 DEVELOPMENTAL DISABILITIES BASIC SUPPORT AND ADVOCACY GRANTS $36,223
10.U02 HAZARDOUS WASTE MANAGEMENT $36,039
32.U01 FCC - CERTIFICATION $34,889
10.556 SPECIAL MILK PROGRAM FOR CHILDREN $33,828
20.232 COMMERCIAL DRIVER'S LICENSE PROGRAM IMPLEMENTATION GRANT $32,459
11.032 STATE DIGITAL EQUITY PLANNING AND CAPACITY GRANT $29,045
84.310 STATEWIDE FAMILY ENGAGEMENT CENTERS $26,845
10.932 REGIONAL CONSERVATION PARTNERSHIP PROGRAM $26,553
89.003 NATIONAL HISTORICAL PUBLICATIONS AND RECORDS GRANTS $25,784
93.234 TRAUMATIC BRAIN INJURY STATE DEMONSTRATION GRANT PROGRAM $24,793
93.734 EMPOWERING OLDER ADULTS AND ADULTS WITH DISABILITIES THROUGH CHRONIC DISEASE SELF-MANAGEMENT EDUCATION PROGRAMS – FINANCED BY PREVENTION AND PUBLIC HEALTH FUNDS (PPHF) $23,480
10.666 SCHOOLS AND ROADS - GRANTS TO COUNTIES $23,395
66.820 STATE PROGRAMS FOR CONTROL OF COAL COMBUSTION RESIDUALS $22,246
16.593 RESIDENTIAL SUBSTANCE ABUSE TREATMENT FOR STATE PRISONERS $21,362
84.144 MIGRANT EDUCATION COORDINATION PROGRAM $21,216
66.608 ENVIRONMENTAL INFORMATION EXCHANGE NETWORK GRANT PROGRAM AND RELATED ASSISTANCE $19,908
16.839 STOP SCHOOL VIOLENCE $17,264
97.043 STATE FIRE TRAINING SYSTEMS GRANTS $15,188
84.187 SUPPORTED EMPLOYMENT SERVICES FOR INDIVIDUALS WITH THE MOST SIGNIFICANT DISABILITIES $14,913
10.603 EMERGING MARKETS PROGRAM $14,319
10.477 MEAT, POULTRY, AND EGG PRODUCTS INSPECTION $12,197
16.922 EQUITABLE SHARING PROGRAM $11,717
15.511 CULTURAL RESOURCES MANAGEMENT $10,614
81.138 STATE HEATING OIL AND PROPANE PROGRAM $8,995
15.517 FISH AND WILDLIFE COORDINATION ACT $8,441
93.048 SPECIAL PROGRAMS FOR THE AGING, TITLE IV, AND TITLE II, DISCRETIONARY PROJECTS $8,425
93.U03 FOOD INSPECTION CONTRACT $7,027
16.U01 DEA GRANTS $6,047
66.447 SEWER OVERFLOW AND STORMWATER REUSE MUNICIPAL GRANT PROGRAM $4,773
15.224 CULTURAL AND PALEONTOLOGICAL RESOURCES MANAGEMENT $2,125
64.057 SUICIDE MORTALITY REVIEW COOPERATIVE AGREEMENTS $1,569
10.537 SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) EMPLOYMENT AND TRAINING (E&T) DATA AND TECHNICAL ASSISTANCE GRANTS $1,303
66.461 REGIONAL WETLAND PROGRAM DEVELOPMENT GRANTS $1,017
93.981 IMPROVING STUDENT HEALTH AND ACADEMIC ACHIEVEMENT THROUGH NUTRITION, PHYSICAL ACTIVITY AND THE MANAGEMENT OF CHRONIC CONDITIONS IN SCHOOLS $158
84.326 SPECIAL EDUCATION TECHNICAL ASSISTANCE AND DISSEMINATION TO IMPROVE SERVICES AND RESULTS FOR CHILDREN WITH DISABILITIES $117
20.200 HIGHWAY RESEARCH AND DEVELOPMENT PROGRAM $71
16.550 STATE JUSTICE STATISTICS PROGRAM FOR STATISTICAL ANALYSIS CENTERS $-164
93.472 TITLE IV-E PREVENTION PROGRAM $-33,479
93.777 STATE SURVEY AND CERTIFICATION OF HEALTH CARE PROVIDERS AND SUPPLIERS (TITLE XVIII) MEDICARE $-36,869
93.767 CHILDREN'S HEALTH INSURANCE PROGRAM $-142,885
93.977 SEXUALLY TRANSMITTED DISEASES (STD) PREVENTION AND CONTROL GRANTS $-1.15M
93.778 MEDICAL ASSISTANCE PROGRAM $-4.17M