Finding 1221683 (2025-001)

Material Weakness Repeat Finding
Requirement
A
Questioned Costs
-
Year
2025
Accepted
2026-06-30
Audit: 405959
Organization: Healthwest (MI)

AI Summary

  • Core Issue: Payroll costs were allocated based on budget estimates without proper after-the-fact reviews, leading to potential inaccuracies in federal award charges.
  • Impacted Requirements: Compliance with 2 CFR 200.430(g)(1)(vii) regarding documentation and internal controls for payroll allocations.
  • Recommended Follow-Up: Review and improve payroll procedures to ensure after-the-fact reviews are conducted for accurate and allowable charges to federal awards.

Finding Text

2025-001: ACTIVITIES ALLOWED OR UNALLOWED/ALLOWABLE COST PRINCIPLES Type: Considered a significant deficiency in internal control over compliance/noncompliance Program: ALN 93.696 - Certified Community Behavioral Health Clinic Expansion Grants; Grant Number H79SM087001-01 ALN 93.788 - Opioid STR; Grant Number H79TI087831 Criteria: As detailed by 2 CFR 200.430(g)(1)(vii), “Budget estimates (meaning, estimates determined before the services are performed) alone do not qualify as support for charges to Federal awards, but may be used for interim accounting purposes, provided that: (C) The recipient's or subrecipient's system of internal controls includes processes to perform periodic after-the-fact reviews of interim charges made to a Federal award based on budget estimates. All necessary adjustments must be made so that the final amount charged to the Federal award is accurate, allowable, and properly allocated.” Condition: During testing, it was noted that payroll was allocated to the grants based on budget estimates because the payroll system used did not allow staff to document their hours across multiple programs in real-time. However, after-the-fact reviews of charges made to the Federal awards were not done to ensure that the final amount charged to the Federal award is accurate, allowable, and properly allocated. Cause/Effect: This condition appears to be the result of a misunderstanding of personal services documentation requirements. Questioned Cost: Indeterminable Recommendation: We recommend that the CMHSP review payroll procedures to ensure that after-the-fact reviews of payroll allocations are performed to support the assertion that final payroll amounts charged to the Federal award are accurate, allowable, and properly allocated.

Corrective Action Plan

Finding Number: 2025-001 Federal Programs: • ALN 93.696 – Certified Community Behavioral Health Clinic Expansion Grants (Grant No. H79SM087001-01) • ALN 93.788 – Opioid STR (Grant No. H79TI087831) Finding Title: Activities Allowed or Unallowed / Allowable Cost Principles Condition: During testing, it was noted that payroll was allocated to the grants based on budget estimates because the payroll system used did not allow staff to document their hours across multiple programs in real-time. However, after-the-fact reviews of charges made to the Federal awards were not done to ensure that the final amount charged to the Federal award is accurate, allowable, and properly allocated. Planned Corrective Action: HealthWest will update payroll procedures to perform after-the-fact reviews of payroll allocations charged to federal grants. As part of these reviews, management will compare each employee's budgeted grant allocation percentages to the employee’s Salary Allocation Schedule (SAL) and actual time worked on grant activities, as supported by available program and operational records. Any differences identified will be analyzed and appropriate payroll allocation adjustments will be made during the year-end review process to ensure final amounts charged to federal awards are accurate, allowable, and properly allocated. Anticipated Completion Date: September 30, 2026 Responsible Official: Brandy Carlson, Chief Financial Officer

Categories

Allowable Costs / Cost Principles

Other Findings in this Audit

  • 1221681 2025-001
    Material Weakness Repeat
  • 1221682 2025-001
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.696 CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC EXPANSION GRANTS $1.25M
16.838 COMPREHENSIVE OPIOID, STIMULANT, AND SUBSTANCE USE PROGRAM $392,146
16.745 CRIMINAL AND JUVENILE JUSTICE AND MENTAL HEALTH COLLABORATION PROGRAM $173,979
93.778 GRANTS TO STATES FOR MEDICAID $99,200
14.235 SUPPORTIVE HOUSING PROGRAM $76,318
93.575 CHILD CARE AND DEVELOPMENT BLOCK GRANT $66,623
93.959 BLOCK GRANTS FOR PREVENTION AND TREATMENT OF SUBSTANCE ABUSE $48,086
14.259 COMMUNITY COMPASS TECHNICAL ASSISTANCE AND CAPACITY BUILDING $38,761
93.788 OPIOID STR $16,806
93.958 BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES $14,836