Finding 1205007 (2024-002)

Material Weakness Repeat Finding
Requirement
L
Questioned Costs
-
Year
2024
Accepted
2026-03-30

AI Summary

  • Core Issue: Innovative Health Solutions lacks comprehensive written compliance policies and procedures, which is a significant deficiency.
  • Impacted Requirements: Compliance with the Uniform Guidance is not fully met, increasing the risk of errors, fraud, or abuse.
  • Recommended Follow-Up: Identify all required compliance policies for each grant and ensure they are documented; update job descriptions to reflect these requirements.

Finding Text

INTERNAL CONTROL OVER COMPLIANCE: WRITTEN COMPLIANCE POLICIES AND PROCEDURES -- significant deficiency. Written compliance policies and procedures are required by the Uniform Guidance.While certain compliance requirements have been formally documented, Innovative Health Solutions has not documented all required compliance policies and procedures.Without adequate compliance policies and procedures, there is risk that the system of internal control over compliance may not identify related errors, fraud, or abuse. This is the second audit undergone by Innovative Health Solutions (the first audit was completed in fiscal 2024, when this recommendation was first made).Innovative Health Solutions should identify all required Uniform compliance requirements under each grant and ensure that written policies and procedures exist, including key internal controls over compliance. Job descriptions should be updated accordingly

Corrective Action Plan

Finding 2024-02 Internal Control Over Compliance: Written Compliance Policies and Procedures. Management concurs with the finding. In June 2025, IHS completed revising its Fiscal Policy Manual to incorporate key Uniform Grant Guidance compliance requirements

Categories

Significant Deficiency Internal Control / Segregation of Duties

Other Findings in this Audit

  • 1205006 2024-001
    Material Weakness Repeat
  • 1205008 2024-003
    Material Weakness Repeat
  • 1205009 2024-004
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
10.561 STATE ADMINISTRATIVE MATCHING GRANTS FOR THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM $682,939
93.778 GRANT TO STATE FOR MEDICAID $141,972
93.354 PUBLIC HEALTH EMERGENCY RESPONSE: COOPERATIVE AGREEMENT FOR EMERGENCY RESPONSE: PUBLIC HEALTH CRISIS RESPONSE $107,966
93.043 SPECIAL PROGRAMS FOR THE AGING, TITLE III, PART D, DISEASE PREVENTION AND HEALTH PROMOTION SERVICES $95,745
93.391 ACTIVITIES TO SUPPORT STATE, TRIBAL, LOCAL AND TERRITORIAL (STLT) HEALTH DEPARTMENT RESPONSE TO PUBLIC HEALTH OR HEALTHCARE CRISES $91,971
93.045 SPECIAL PROGRAMS FOR THE AGING, TITLE III, PART C, NUTRITION SERVICES $61,865
93.044 SPECIAL PROGRAMS FOR THE AGING, TITLE III, PART B, GRANTS FOR SUPPORTIVE SERVICES AND SENIOR CENTERS $33,271
93.052 NATIONAL FAMILY CAREGIVER SUPPORT, TITLE III, PART E $25,242