FAC Explorer

Finding 1213563 (2024-047)

Material Weakness Repeat Finding
Requirement
N
Questioned Costs
-
Year
2024
Accepted
2026-05-01
Audit: 400461
Organization: Government of Guam (GU)
Auditor: ERNST & YOUNG LLP

AI Summary

  • Core Issue: The Department of Public Health and Social Services (DPHSS) does not have sufficient internal policies for ensuring compliance with provider eligibility requirements, leading to questioned costs of $1,562,177.
  • Impacted Requirements: Key regulations regarding provider licensing verification, risk assessments, and necessary background checks were not adequately followed, violating multiple sections of 42 CFR.
  • Recommended Follow-Up: DPHSS should develop and implement robust internal controls and policies to ensure compliance with federal regulations on provider screening and enrollment.

Finding Text

Finding No.: 2024-047 Federal Agency: U.S. Department of Health and Human Service AL Program: 93.767 Children’s Health Insurance Program Federal Award No.: 2405GQ5021 Area: Special Tests and Provisions - Provider Eligibility (Screening and Enrollment) Questioned Costs: $1,562,177 Criteria: 42 CFR 455.412 states that the State Medicaid Agency must have a method for verifying that any provider purporting to be licensed in accordance with the laws of any State is licensed by such State. Also, State Medicaid Agency must confirm that the provider’s license has not expired and that there are no current limitations on the provider’s license. 42 CFR 455.432 states that the State Medicaid agency must conduct pre-enrollment and post-enrollment site visits of providers who are designated as “moderate” or “high” categorical risks to the Medicaid program. Also, the State Medicaid agency must require any enrolled provider to permit CMS, its agents, its designated contractors, or the Medicaid agency to conduct unannounced on-site inspection of any and all provider locations. 42 CFR 455.434(a) states that the State Medicaid agency, as a condition of enrollment, must require providers to consent to a criminal background checks including fingerprinting when required to do so under State law or by the level of screening based on risk of fraud, waste or abuse as determined for that category of provider. 42 CFR 455.434(b) states that the State Medicaid agency must establish categorical risk levels for providers and provider categories who pose an increased financial risk of fraud, waste or abuse to the Medicaid program. 42 CFR 455.450 states that a State Medicaid agency must screen all initial applications, including applications for a new practice location, and any applications received in response to a re-enrollment or revalidation of enrollment request based on a categorical risk level of “limited,” “moderate,” or “high.” If a provider could fit within more than one risk level described in this section, the highest level of screening is applicable. Finding No.: 2024-047, continued Federal Agency: U.S. Department of Health and Human Service AL Program: 93.767 Children’s Health Insurance Program Federal Award No.: 2405GQ5021 Area: Special Tests and Provisions - Provider Eligibility (Screening and Enrollment) Questioned Costs: $1,562,177 Criteria, continued: 42 CFR 455.460 states that beginning on or after March 25, 2011, States must collect the applicable application fee prior to executing a provider agreement from a prospective or re-enrolling provider other than either of the following: (1) Individual physicians or nonphysician practitioners. (2) (i) Providers who are enrolled in either of the following: (A) Title XVIII of the Act. (B) Another State’s title XIX or XXI plan. (ii) Providers that have paid the applicable application fee to - (A) A Medicare contractor; or (B) Another State. 42 CFR 455.104 states that the Medicaid agency must require that disclosing entities, fiscal agents, and managed care entities provide the following disclosures: (1) (i) The name and address of any person (individual or corporation) with an ownership or control interest in the disclosing entity, fiscal agent, or managed care entity. The address for corporate entities must include as applicable primary business address, every business location, and P.O. Box address. (ii) Date of birth and Social Security Number (in the case of an individual). (iii) Other tax identification number (in the case of a corporation) with an ownership or control interest in the disclosing entity (or fiscal agent or managed care entity) or in any subcontractor in which the disclosing entity (or fiscal agent or managed care entity) has a 5 percent or more interest. (2) Whether the person (individual or corporation) with an ownership or control interest in the disclosing entity (or fiscal agent or managed care entity) is related to another person with ownership or control interest in the disclosing entity as a spouse, parent, child, or sibling; or whether the person (individual or corporation) with an ownership or control interest in any subcontractor in which the disclosing entity (or fiscal agent or managed care entity) has a 5 percent or more interest is related to another person with ownership or control interest in the disclosing entity as a spouse, parent, child, or sibling. Finding No.: 2024-047, continued Federal Agency: U.S. Department of Health and Human Service AL Program: 93.767 Children’s Health Insurance Program Federal Award No.: 2405GQ5021 Area: Special Tests and Provisions - Provider Eligibility (Screening and Enrollment) Questioned Costs: $1,562,177 Criteria, continued: (3) The name of any other disclosing entity (or fiscal agent or managed care entity) in which an owner of the disclosing entity (or fiscal agent or managed care entity) has an ownership or control interest. (4) The name, address, date of birth, and Social Security Number of any managing employee of the disclosing entity (or fiscal agent or managed care entity). Furthermore, 2 CFR 200.303(a) states that the recipient must establish, document, and maintain effective internal control over the Federal award that provides reasonable assurance that the recipient is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should align with the guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control-Integrated Framework” issued by the COSO. Conditions: 1. The Department of Public Health and Social Services (DPHSS) lacks adequate internal policies and procedures over compliance with the applicable special tests and provisions for provider eligibility (screening and enrollment). 2. For twenty-four (or 100%) of twenty-four items, aggregating $1,562,177 of $32,045,067 of expenditures, deficiencies were noted, as follows: See the Notes to the SEFA for chart/table. Finding No.: 2024-047, continued Federal Agency: U.S. Department of Health and Human Service AL Program: 93.767 Children’s Health Insurance Program Federal Award No.: 2405GQ5021 Area: Special Tests and Provisions - Provider Eligibility (Screening and Enrollment) Questioned Costs: $1,562,177 Conditions, continued: See the Notes to the SEFA for chart/table. DPHSS did not establish categorical risk levels for providers and provider categories who pose an increased financial risk of fraud, waste or abuse to the Medicaid program, hence, for all items, we are unable to determine whether screening and enrollment requirements (e.g., pre-enrollment and post-enrollment site visits and consent to a criminal background checks) were performed accordingly based on the categorical risk level of providers. For all items, DPHSS was unable to provide supporting documentation that could demonstrate the basis of not collecting the applicable application fee prior to executing a provider agreement. For items # 8 through 22, the Guam Medicaid and Medically Indigent Program (MIP) Provider Enrollment Disclosure of Ownership and Control Interest Statement form was not on file. For items # 18 through 22, provider’s license or business license was not on file. Finding No.: 2024-047, continued Federal Agency: U.S. Department of Health and Human Service AL Program: 93.767 Children’s Health Insurance Program Federal Award No.: 2405GQ5021 Area: Special Tests and Provisions - Provider Eligibility (Screening and Enrollment) Questioned Costs: $1,562,177 Cause: DPHSS lacks adequate internal policies and procedures over compliance with the applicable special tests and provisions for provider eligibility (screening and enrollment). Responsible personnel managing the program attended off-island trainings during the fiscal year, however, standard operating procedures that specifically address the applicable compliance requirements have not yet been established. Effect: GovGuam is in noncompliance with applicable special tests and provisions for provider eligibility (screening and enrollment). The reportable questioned cost is $1,562,177 based on the items identified in Conditions above. Recommendation: DPHSS management should prioritize to establish internal policies and procedures over compliance with applicable special tests and provisions for provider eligibility (screening and enrollment). Views of Responsible Officials: DPHSS agrees with this finding. DPHSS is aware that deficiencies exist with the Medicaid provider enrolment process. DPHSS’s response to this deficiency is addressed in its modernization plan, which will automate certain provider enrolment functions. In March 2024, DPHSS performed site visits for 21 providers, and since then has continued to perform site visits year-round. Memorandums regarding provider compliance topics have also been communicated to providers and published on the provider portal, including information regarding criminal background checks. DPHSS is currently contracted with a consultant that is assisting in the implementation of compliant provider enrolment operations, which includes policy revisions, updates to provider applications and disclosure forms, development of standard operating procedures, and training for both staff and providers. Finding No.: 2024-047, continued Federal Agency: U.S. Department of Health and Human Service AL Program: 93.767 Children’s Health Insurance Program Federal Award No.: 2405GQ5021 Area: Special Tests and Provisions - Provider Eligibility (Screening and Enrollment) Questioned Costs: $1,562,177 Views of Responsible Officials, continued: In addition, DPHSS is currently in the process of establishing a Medicaid Program Integrity Unit (PI Unit) with a mission to conduct independent and objective Medicaid program integrity functions adherent to federal and local laws. The PI Unit will also assist DPHSS in addressing and managing Medicaid related Corrective Action Plans.

Corrective Action Plan

Finding No.: 2024-047 Special Test and Provisions Provider Eligibility (Screening and Enrolment) Responding Agency: Department of Public Health and Social Services (DPHSS) Responsible Personnel: Theresa Arriola, Director DPHSS agrees with this finding. DPHSS is aware that deficiencies exist with the Medicaid provider enrolment process. DPHSS’s response to this deficiency is addressed in its modernization plan, which will automate certain provider enrolment functions. In March 2024, DPHSS performed site visits for 21 providers, and since then has continued to perform site visits year-round. Memorandums regarding provider compliance topics have also been communicated to providers and published on the provider portal, including information regarding criminal background checks. DPHSS is currently contracted with a consultant that is assisting in the implementation of compliant provider enrolment operations, which includes policy revisions, updates to provider applications and disclosure forms, development of standard operating procedures, and training for both staff and providers. In addition, DPHSS is currently in the process of establishing a Medicaid Program Integrity Unit (PI Unit) with a mission to conduct independent and objective Medicaid program integrity functions adherent to federal and local laws. The PI Unit will also assist DPHSS in addressing and managing Medicaid related Corrective Action Plans.

Categories

Special Tests & Provisions Eligibility Reporting Internal Control / Segregation of Duties

Other Findings in this Audit

  • 1213511 2024-010
    Material Weakness Repeat
  • 1213512 2024-010
    Material Weakness Repeat
  • 1213513 2024-011
    Material Weakness Repeat
  • 1213514 2024-012
    Material Weakness Repeat
  • 1213515 2024-013
    Material Weakness Repeat
  • 1213516 2024-014
    Material Weakness Repeat
  • 1213517 2024-015
    Material Weakness Repeat
  • 1213518 2024-016
    Material Weakness Repeat
  • 1213519 2024-017
    Material Weakness Repeat
  • 1213520 2024-018
    Material Weakness Repeat
  • 1213521 2024-019
    Material Weakness Repeat
  • 1213522 2024-020
    Material Weakness Repeat
  • 1213523 2024-021
    Material Weakness Repeat
  • 1213524 2024-022
    Material Weakness Repeat
  • 1213525 2024-023
    Material Weakness Repeat
  • 1213526 2024-024
    Material Weakness Repeat
  • 1213527 2024-025
    Material Weakness Repeat
  • 1213528 2024-026
    Material Weakness Repeat
  • 1213529 2024-027
    Material Weakness Repeat
  • 1213530 2024-028
    Material Weakness Repeat
  • 1213531 2024-029
    Material Weakness Repeat
  • 1213532 2024-030
    Material Weakness Repeat
  • 1213533 2024-031
    Material Weakness Repeat
  • 1213534 2024-032
    Material Weakness Repeat
  • 1213535 2024-033
    Material Weakness Repeat
  • 1213536 2024-034
    Material Weakness Repeat
  • 1213537 2024-035
    Material Weakness Repeat
  • 1213538 2024-036
    Material Weakness Repeat
  • 1213539 2024-037
    Material Weakness Repeat
  • 1213540 2024-038
    Material Weakness Repeat
  • 1213541 2024-039
    Material Weakness Repeat
  • 1213542 2024-036
    Material Weakness Repeat
  • 1213543 2024-037
    Material Weakness Repeat
  • 1213544 2024-038
    Material Weakness Repeat
  • 1213545 2024-039
    Material Weakness Repeat
  • 1213546 2024-040
    Material Weakness Repeat
  • 1213547 2024-041
    Material Weakness Repeat
  • 1213548 2024-042
    Material Weakness Repeat
  • 1213549 2024-043
    Material Weakness Repeat
  • 1213550 2024-044
    Material Weakness Repeat
  • 1213551 2024-040
    Material Weakness Repeat
  • 1213552 2024-041
    Material Weakness Repeat
  • 1213553 2024-042
    Material Weakness Repeat
  • 1213554 2024-043
    Material Weakness Repeat
  • 1213555 2024-044
    Material Weakness Repeat
  • 1213556 2024-040
    Material Weakness Repeat
  • 1213557 2024-041
    Material Weakness Repeat
  • 1213558 2024-042
    Material Weakness Repeat
  • 1213559 2024-043
    Material Weakness Repeat
  • 1213560 2024-044
    Material Weakness Repeat
  • 1213561 2024-045
    Material Weakness Repeat
  • 1213562 2024-046
    Material Weakness Repeat
  • 1213564 2024-048
    Material Weakness Repeat
  • 1213565 2024-048
    Material Weakness Repeat
  • 1213566 2024-049
    Material Weakness Repeat
  • 1213567 2024-050
    Material Weakness Repeat
  • 1213568 2024-051
    Material Weakness Repeat
  • 1213569 2024-052
    Material Weakness Repeat
  • 1213570 2024-053
    Material Weakness Repeat
  • 1213571 2024-049
    Material Weakness Repeat
  • 1213572 2024-050
    Material Weakness Repeat
  • 1213573 2024-051
    Material Weakness Repeat
  • 1213574 2024-052
    Material Weakness Repeat
  • 1213575 2024-053
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
10.551 SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM $119.04M
21.027 CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS $47.49M
93.767 CHILDREN'S HEALTH INSURANCE PROGRAM $32.05M
10.542 PANDEMIC EBT FOOD BENEFITS $17.95M
93.575 CHILD CARE AND DEVELOPMENT BLOCK GRANT $16.55M
15.875 ECONOMIC, SOCIAL, AND POLITICAL DEVELOPMENT OF THE TERRITORIES $11.64M
10.557 WIC SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN $10.42M
21.023 EMERGENCY RENTAL ASSISTANCE PROGRAM $8.75M
12.401 NATIONAL GUARD MILITARY OPERATIONS AND MAINTENANCE (O&M) PROJECTS $6.45M
66.600 ENVIRONMENTAL PROTECTION CONSOLIDATED GRANTS FOR THE INSULAR AREAS - PROGRAM SUPPORT $5.84M
17.277 WIOA NATIONAL DISLOCATED WORKER GRANTS / WIA NATIONAL EMERGENCY GRANTS $5.08M
93.243 SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE $4.86M
21.029 CORONAVIRUS CAPITAL PROJECTS FUND $4.19M
93.563 CHILD SUPPORT SERVICES $4.16M
93.596 CHILD CARE MANDATORY AND MATCHING FUNDS OF THE CHILD CARE AND DEVELOPMENT FUND $4.08M
11.031 BROADBAND INFRASTRUCTURE PROGRAM $4.07M
93.667 SOCIAL SERVICES BLOCK GRANT $3.99M
93.323 EPIDEMIOLOGY AND LABORATORY CAPACITY FOR INFECTIOUS DISEASES (ELC) $3.59M
10.561 STATE ADMINISTRATIVE MATCHING GRANTS FOR THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM $2.51M
12.600 COMMUNITY INVESTMENT $2.23M
15.605 SPORT FISH RESTORATION $1.95M
12.618 COMMUNITY ECONOMIC ADJUSTMENT ASSISTANCE FOR ESTABLISHMENT OR EXPANSION OF A MILITARY INSTALLATION $1.64M
93.391 ACTIVITIES TO SUPPORT STATE, TRIBAL, LOCAL AND TERRITORIAL (STLT) HEALTH DEPARTMENT RESPONSE TO PUBLIC HEALTH OR HEALTHCARE CRISES $1.19M
11.419 COASTAL ZONE MANAGEMENT ADMINISTRATION AWARDS $1.16M
84.126 REHABILITATION SERVICES VOCATIONAL REHABILITATION GRANTS TO STATES $1.14M
93.560 PAYMENTS TO TERRITORIES €“ ADULTS $1.13M
93.434 EVERY STUDENT SUCCEEDS ACT/PRESCHOOL DEVELOPMENT GRANTS $1.04M
16.554 NATIONAL CRIMINAL HISTORY IMPROVEMENT PROGRAM (NCHIP) $1.01M
17.225 UNEMPLOYMENT INSURANCE $1.01M
17.259 WIOA YOUTH ACTIVITIES $990,385
93.116 PROJECT GRANTS AND COOPERATIVE AGREEMENTS FOR TUBERCULOSIS CONTROL PROGRAMS $924,716
93.967 CENTERS FOR DISEASE CONTROL AND PREVENTION COLLABORATION WITH ACADEMIA TO STRENGTHEN PUBLIC HEALTH $895,091
17.258 WIOA ADULT PROGRAM $837,384
17.235 SENIOR COMMUNITY SERVICE EMPLOYMENT PROGRAM $829,303
93.558 TEMPORARY ASSISTANCE FOR NEEDY FAMILIES $818,561
15.615 COOPERATIVE ENDANGERED SPECIES CONSERVATION FUND $817,055
20.600 STATE AND COMMUNITY HIGHWAY SAFETY $804,259
20.530 PUBLIC TRANSPORTATION INNOVATION $792,985
81.041 STATE ENERGY PROGRAM $779,200
15.611 WILDLIFE RESTORATION AND BASIC HUNTER EDUCATION AND SAFETY $777,087
16.710 PUBLIC SAFETY PARTNERSHIP AND COMMUNITY POLICING GRANTS $775,912
97.039 HAZARD MITIGATION GRANT $761,624
21.026 HOMEOWNER ASSISTANCE FUND $754,930
97.036 DISASTER GRANTS - PUBLIC ASSISTANCE (PRESIDENTIALLY DECLARED DISASTERS) $754,840
17.278 WIOA DISLOCATED WORKER FORMULA GRANTS $731,895
97.042 EMERGENCY MANAGEMENT PERFORMANCE GRANTS $724,933
94.006 AMERICORPS STATE AND NATIONAL 94.006 $644,528
93.994 MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT TO THE STATES $627,528
12.404 NATIONAL GUARD CHALLENGE PROGRAM $626,148
16.575 CRIME VICTIM ASSISTANCE $612,922
93.224 HEALTH CENTER PROGRAM $598,698
93.982 MENTAL HEALTH DISASTER ASSISTANCE AND EMERGENCY MENTAL HEALTH $592,308
93.104 COMPREHENSIVE COMMUNITY MENTAL HEALTH SERVICES FOR CHILDREN WITH SERIOUS EMOTIONAL DISTURBANCES (SED) $588,052
84.425 EDUCATION STABILIZATION FUND $586,456
93.268 IMMUNIZATION COOPERATIVE AGREEMENTS $544,005
16.588 VIOLENCE AGAINST WOMEN FORMULA GRANTS $508,379
93.898 CANCER PREVENTION AND CONTROL PROGRAMS FOR STATE, TERRITORIAL AND TRIBAL ORGANIZATIONS $503,906
97.067 HOMELAND SECURITY GRANT PROGRAM $492,652
93.069 PUBLIC HEALTH EMERGENCY PREPAREDNESS $484,097
66.046 CLIMATE POLLUTION REDUCTION GRANTS $479,550
10.649 PANDEMIC EBT ADMINISTRATIVE COSTS $477,335
93.959 BLOCK GRANTS FOR PREVENTION AND TREATMENT OF SUBSTANCE ABUSE $473,549
93.587 PROMOTE THE SURVIVAL AND CONTINUING VITALITY OF NATIVE AMERICAN LANGUAGES $432,178
11.035 BROADBAND EQUITY, ACCESS, AND DEPLOYMENT PROGRAM $431,604
20.218 MOTOR CARRIER SAFETY ASSISTANCE $393,234
81.042 WEATHERIZATION ASSISTANCE FOR LOW-INCOME PERSONS $381,349
97.012 BOATING SAFETY FINANCIAL ASSISTANCE $381,071
11.467 METEOROLOGIC AND HYDROLOGIC MODERNIZATION DEVELOPMENT $379,489
93.354 PUBLIC HEALTH EMERGENCY RESPONSE: COOPERATIVE AGREEMENT FOR EMERGENCY RESPONSE: PUBLIC HEALTH CRISIS RESPONSE $375,878
15.904 HISTORIC PRESERVATION FUND GRANTS-IN-AID $358,547
16.922 EQUITABLE SHARING PROGRAM $354,764
16.812 SECOND CHANCE ACT REENTRY INITIATIVE $354,726
11.482 CORAL REEF CONSERVATION PROGRAM $349,318
93.377 PREVENTION AND CONTROL OF CHRONIC DISEASE AND ASSOCIATED RISK FACTORS IN THE U.S. AFFILIATED PACIFIC ISLANDS, U.S. VIRGIN ISLANDS, AND P. R. $334,225
10.170 SPECIALTY CROP BLOCK GRANT PROGRAM - FARM BILL $332,774
17.207 EMPLOYMENT SERVICE/WAGNER-PEYSER FUNDED ACTIVITIES $330,624
16.738 EDWARD BYRNE MEMORIAL JUSTICE ASSISTANCE GRANT PROGRAM $327,628
11.307 ECONOMIC ADJUSTMENT ASSISTANCE $320,192
97.008 NON-PROFIT SECURITY PROGRAM $318,062
17.504 CONSULTATION AGREEMENTS $316,591
94.003 AMERICORPS STATE COMMISSIONS SUPPORT GRANT $310,039
17.290 WIOA ADULT, DISLOCATED WORKER AND YOUTH OUTLYING AREAS CONSOLIDATED GRANTS $308,194
93.630 DEVELOPMENTAL DISABILITIES BASIC SUPPORT AND ADVOCACY GRANTS $307,180
93.495 COMMUNITY HEALTH WORKERS FOR PUBLIC HEALTH RESPONSE AND RESILIENT $300,064
45.025 PROMOTION OF THE ARTS PARTNERSHIP AGREEMENTS $295,233
93.889 NATIONAL BIOTERRORISM HOSPITAL PREPAREDNESS PROGRAM $290,392
97.047 BRIC: BUILDING RESILIENT INFRASTRUCTURE AND COMMUNITIES $288,675
93.991 PREVENTIVE HEALTH AND HEALTH SERVICES BLOCK GRANT $274,908
16.034 CORONAVIRUS EMERGENCY SUPPLEMENTAL FUNDING PROGRAM $274,095
93.077 FAMILY SMOKING PREVENTION AND TOBACCO CONTROL ACT REGULATORY RESEARCH $270,993
93.053 NUTRITION SERVICES INCENTIVE PROGRAM $264,399
93.336 BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM $258,959
20.205 HIGHWAY PLANNING AND CONSTRUCTION $234,250
93.917 HIV CARE FORMULA GRANTS $217,473
93.747 ELDER ABUSE PREVENTION INTERVENTIONS PROGRAM $210,060
93.788 OPIOID STR $209,362
16.585 TREATMENT COURT DISCRETIONARY GRANT PROGRAM $207,478
10.182 PANDEMIC RELIEF ACTIVITIES: LOCAL FOOD PURCHASE AGREEMENTS WITH STATES, TRIBES, AND LOCAL GOVERNMENTS $195,000
17.285 REGISTERED APPRENTICESHIP $183,968
16.590 GRANTS TO ENCOURAGE ARREST POLICIES AND ENFORCEMENT OF PROTECTION ORDERS PROGRAM $183,167
11.437 FISHERIES DATA PROGRAM $178,050
10.766 COMMUNITY FACILITIES LOANS AND GRANTS $176,177
93.958 BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES $169,042
16.735 PREA PROGRAM: STRATEGIC SUPPORT FOR PREA IMPLEMENTATION $167,839
16.043 VETERANS TREATMENT COURT DISCRETIONARY GRANT PROGRAM $161,697
16.750 SUPPORT FOR ADAM WALSH ACT IMPLEMENTATION GRANT PROGRAM $160,452
21.016 EQUITABLE SHARING $153,239
32.011 AFFORDABLE CONNECTIVITY OUTREACH GRANT PROGRAM $152,928
93.829 SECTION 223 DEMONSTRATION PROGRAMS TO IMPROVE COMMUNITY MENTAL HEALTH SERVICES $145,479
12.113 STATE MEMORANDUM OF AGREEMENT PROGRAM FOR THE REIMBURSEMENT OF TECHNICAL SERVICES $136,492
93.127 EMERGENCY MEDICAL SERVICES FOR CHILDREN $133,765
94.008 AMERICORPS COMMISSION INVESTMENT FUND 94.008 $130,839
66.040 DIESEL EMISSIONS REDUCTION ACT (DERA) STATE GRANTS $126,609
17.801 JOBS FOR VETERANS STATE GRANTS $126,028
16.742 PAUL COVERDELL FORENSIC SCIENCES IMPROVEMENT GRANT PROGRAM $124,875
93.597 GRANTS TO STATES FOR ACCESS AND VISITATION PROGRAMS $121,417
16.576 CRIME VICTIM COMPENSATION $116,649
16.017 SEXUAL ASSAULT SERVICES FORMULA PROGRAM $98,010
16.593 RESIDENTIAL SUBSTANCE ABUSE TREATMENT FOR STATE PRISONERS $97,641
11.032 STATE DIGITAL EQUITY PLANNING AND CAPACITY GRANT $95,741
93.048 SPECIAL PROGRAMS FOR THE AGING, TITLE IV, AND TITLE II, DISCRETIONARY PROJECTS $93,355
16.745 CRIMINAL AND JUVENILE JUSTICE AND MENTAL HEALTH COLLABORATION PROGRAM $92,345
20.509 FORMULA GRANTS FOR RURAL AREAS AND TRIBAL TRANSIT PROGRAM $84,030
11.473 OFFICE FOR COASTAL MANAGEMENT $83,324
93.324 STATE HEALTH INSURANCE ASSISTANCE PROGRAM $79,555
11.463 HABITAT CONSERVATION $74,751
97.082 EARTHQUAKE STATE ASSISTANCE $74,505
93.527 GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $73,428
45.310 GRANTS TO STATES $72,526
10.664 COOPERATIVE FORESTRY ASSISTANCE $71,452
10.698 STATE & PRIVATE FORESTRY COOPERATIVE FIRE ASSISTANCE $65,221
93.044 SPECIAL PROGRAMS FOR THE AGING, TITLE III, PART B, GRANTS FOR SUPPORTIVE SERVICES AND SENIOR CENTERS $64,951
93.042 SPECIAL PROGRAMS FOR THE AGING, TITLE VII, CHAPTER 2, LONG TERM CARE OMBUDSMAN SERVICES FOR OLDER INDIVIDUALS $64,158
14.267 CONTINUUM OF CARE PROGRAM $62,646
93.504 FAMILY TO FAMILY HEALTH INFORMATION CENTERS $60,847
17.002 LABOR FORCE STATISTICS $60,528
20.602 OCCUPANT PROTECTION INCENTIVE GRANTS $55,516
17.005 COMPENSATION AND WORKING CONDITIONS $51,407
93.217 FAMILY PLANNING SERVICES $48,459
16.589 RURAL DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING ASSISTANCE PROGRAM $48,024
20.703 INTERAGENCY HAZARDOUS MATERIALS PUBLIC SECTOR TRAINING AND PLANNING GRANTS $47,257
94.017 AMERICORPS SENIORS SENIOR DEMONSTRATION PROGRAM (FGP) 94.017 $45,943
93.150 PROJECTS FOR ASSISTANCE IN TRANSITION FROM HOMELESSNESS (PATH) $45,282
93.165 GRANTS TO STATES FOR LOAN REPAYMENT $37,028
93.387 NATIONAL AND STATE TOBACCO CONTROL PROGRAM $37,004
11.472 COOPERATIVE RESEARCH PROGRAM $34,865
93.369 ACL INDEPENDENT LIVING STATE GRANTS $34,648
15.634 STATE WILDLIFE GRANTS $33,260
93.870 MATERNAL, INFANT AND EARLY CHILDHOOD HOME VISITING GRANT $23,128
81.128 ENERGY EFFICIENCY AND CONSERVATION BLOCK GRANT PROGRAM (EECBG) $19,009
10.179 MICRO-GRANTS FOR FOOD SECURITY PROGRAM $16,582
15.669 COLLABORATIVE LANDSCAPE CONSERVATION $14,528
93.946 COOPERATIVE AGREEMENTS TO SUPPORT STATE-BASED SAFE MOTHERHOOD AND INFANT HEALTH INITIATIVE PROGRAMS $13,849
93.110 SPECIAL PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE $13,037
93.698 ELDER JUSTICE ACT €“ ADULT PROTECTIVE SERVICES $12,009
93.043 SPECIAL PROGRAMS FOR THE AGING, TITLE III, PART D, DISEASE PREVENTION AND HEALTH PROMOTION SERVICES $10,666
93.041 SPECIAL PROGRAMS FOR THE AGING, TITLE VII, CHAPTER 3, PROGRAMS FOR PREVENTION OF ELDER ABUSE, NEGLECT, AND EXPLOITATION $10,590
84.177 REHABILITATION SERVICES INDEPENDENT LIVING SERVICES FOR OLDER INDIVIDUALS WHO ARE BLIND $9,587
10.537 SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) EMPLOYMENT AND TRAINING (E&T) DATA AND TECHNICAL ASSISTANCE GRANTS $8,732
11.407 INTERJURISDICTIONAL FISHERIES ACT OF 1986 $8,488
97.056 PORT SECURITY GRANT PROGRAM $7,275
93.045 SPECIAL PROGRAMS FOR THE AGING, TITLE III, PART C, NUTRITION SERVICES $6,882
20.610 STATE TRAFFIC SAFETY INFORMATION SYSTEM IMPROVEMENT GRANTS $5,325
93.665 EMERGENCY GRANTS TO ADDRESS MENTAL AND SUBSTANCE USE DISORDERS DURING COVID-19 $4,343
15.663 NFWF-USFWS CONSERVATION PARTNERSHIP $4,278
16.540 JUVENILE JUSTICE AND DELINQUENCY PREVENTION $3,966
93.070 ENVIRONMENTAL PUBLIC HEALTH AND EMERGENCY RESPONSE $1,513
11.452 BYCATCH REDUCTION ENGINEERING PROGRAM $1,512
12.005 CONSERVATION AND REHABILITATION OF NATURAL RESOURCES ON MILITARY INSTALLATIONS $1,143
16.828 SWIFT, CERTAIN, AND FAIR SUPERVISION PROGRAM: APPLYING THE PRINCIPLES BEHIND PROJECT HOPE $1,000
93.052 NATIONAL FAMILY CAREGIVER SUPPORT, TITLE III, PART E $908
93.778 GRANTS TO STATES FOR MEDICAID $883
15.626 ENHANCED HUNTER EDUCATION AND SAFETY $482
10.525 FARM AND RANCH STRESS ASSISTANCE NETWORK COMPETITIVE GRANTS PROGRAM $118
97.032 CRISIS COUNSELING $1
10.578 WIC GRANTS TO STATES (WGS) $0
11.454 UNALLIED PROJECTS $0
16.320 SERVICES FOR TRAFFICKING VICTIMS $0
16.754 HAROLD ROGERS PRESCRIPTION DRUG MONITORING PROGRAM $0
17.273 TEMPORARY LABOR CERTIFICATION FOR FOREIGN WORKERS $0
21.019 CORONAVIRUS RELIEF FUND $0
93.499 LOW INCOME HOUSEHOLD WATER ASSISTANCE PROGRAM $0
93.590 COMMUNITY-BASED CHILD ABUSE PREVENTION GRANTS $0
93.645 STEPHANIE TUBBS JONES CHILD WELFARE SERVICES PROGRAM $0
93.669 CHILD ABUSE AND NEGLECT STATE GRANTS $0
93.671 FAMILY VIOLENCE PREVENTION AND SERVICES/DOMESTIC VIOLENCE SHELTER AND SUPPORTIVE SERVICES $0
93.945 ASSISTANCE PROGRAMS FOR CHRONIC DISEASE PREVENTION AND CONTROL $0