Finding 12248 (2022-002)

Material Weakness Repeat Finding
Requirement
E
Questioned Costs
-
Year
2022
Accepted
2023-01-16

AI Summary

  • Core Issue: The County Health Department lacks proper controls to verify eligibility for the WIC program, risking benefits being given to ineligible individuals.
  • Impacted Requirements: Internal control procedures under 2 CFR 200 are not being followed, specifically regarding documentation and review of eligibility determinations.
  • Recommended Follow-Up: Ensure documentation of reviews includes electronic signatures and address any deficiencies promptly, as outlined in the Corrective Action Plan.

Finding Text

US Department of Health and Human Services Passed through the N.C. Dept. of Health and Human Services Program Name: (WIC) Special Supplemental Nutrition Program for Women, Infants, and Children AL # 10.557 Grant Number: 403 13A2 5403 Finding: 2022-002 MATERIAL WEAKNESS Criteria: In accordance with 2 CFR 200, management should have an adequate system of internal control procedures in place to properly review and assess the eligibility of individuals to ensure the accuracy of the benefits being provided is within program requirements. Verification of accuracy of information used in determining eligibility should be performed by management. Evidence of the review should be documented and include authorized signatures. Condition: The County Health Department did not have adequate review controls in place to ensure the proper eligibility determinations were being made and documented. The County did not have evidence of reviews performed over the program tested for the entire period under audit. Context: The County did not have evidence of reviews performed over the program for the entire period under audit. Effect: Casefiles could be missing the required eligibility determination documentation which would allow benefits to be provided to individuals who are not eligible. Cause: Weakness in implementation of controls over second party review procedures performed by management. Questioned Costs: None. The finding represents an internal control issue; therefore, no questioned costs are applicable. Identification of a Repeat Finding: This is a repeated finding from the immediate previous audit, 2021-001. Recommendation: Evidence of documentation of reviews should be retained and include electronic signatures of reviewer. Any deficiencies noted during the review should be corrected within a timely manner and documented as such. Name of Contact Person: Nicole Alston Views of Responsible Officials and Planned Corrective Action: Management concurs with this finding. Please refer to the Corrective Action Plan.

Corrective Action Plan

Finding: 2022-002 Name of Contact Person: Nicole Alston Corrective Action/Management?s Response: The WIC Director, Clerical Supervisor or designee will randomly audit a minimum of 10 Crossroads records at least quarterly for quality assurance. WIC has revised the audit tool to include additional eligibility criteria (attached for review). Proposed Completion Date: Immediately and Ongoing

Categories

Eligibility Material Weakness Internal Control / Segregation of Duties

Other Findings in this Audit

  • 12249 2022-003
    Material Weakness
  • 588690 2022-002
    Material Weakness Repeat
  • 588691 2022-003
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
21.027 Coronavirus State and Local Fiscal Recovery Funds $7.56M
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $1.41M
10.557 Special Supplemental Nutrition Program for Women, Infants, and Children $738,490
93.658 Foster Care_title IV-E $366,383
93.596 Child Care Mandatory and Matching Funds of the Child Care and Development Fund $332,127
93.268 Immunization Cooperative Agreements $249,832
16.575 Crime Victim Assistance $248,090
93.568 Low-Income Home Energy Assistance $227,983
16.710 Public Safety Partnership and Community Policing Grants $148,354
93.994 Maternal and Child Health Services Block Grant to the States $147,280
16.528 Enhanced Training and Services to End Violence and Abuse of Women Later in Life $139,613
93.674 John H. Chafee Foster Care Program for Successful Transition to Adulthood $109,984
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $109,228
93.136 Injury Prevention and Control Research and State and Community Based Programs $108,802
93.217 Family Planning_services $95,517
16.745 Criminal and Juvenile Justice and Mental Health Collaboration Program $88,918
93.053 Nutrition Services Incentive Program $74,421
93.045 Special Programs for the Aging_title Iii, Part C_nutrition Services $73,395
16.034 Coronavirus Emergency Supplemental Funding Program $58,008
93.052 National Family Caregiver Support, Title Iii, Part E $54,145
93.778 Medical Assistance Program $53,991
93.767 Children's Health Insurance Program $53,941
10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $52,264
93.645 Stephanie Tubbs Jones Child Welfare Services Program $44,579
45.310 Grants to States $43,522
16.922 Equitable Sharing Program $41,506
93.069 Public Health Emergency Preparedness $40,250
93.391 Activities to Support State, Tribal, Local and Territorial (stlt) Health Department Response to Public Health Or Healthcare Crises $34,082
93.991 Preventive Health and Health Services Block Grant $30,607
93.498 Provider Relief Fund $28,932
93.556 Promoting Safe and Stable Families $23,250
93.558 Temporary Assistance for Needy Families $17,146
93.667 Social Services Block Grant $16,285
21.016 Equitable Sharing $13,830
97.042 Emergency Management Performance Grants $12,695
93.659 Adoption Assistance $11,743
20.703 Interagency Hazardous Materials Public Sector Training and Planning Grants $10,000
14.218 Community Development Block Grants/entitlement Grants $6,372
93.044 Special Programs for the Aging_title Iii, Part B_grants for Supportive Services and Senior Centers $5,666
21.019 Coronavirus Relief Fund $2,125
93.977 Preventive Health Services_sexually Transmitted Diseases Control Grants $100
93.116 Project Grants and Cooperative Agreements for Tuberculosis Control Programs $50
93.563 Child Support Enforcement $11