Federal Awards Findings: Finding 2026.001 - Procurement, Suspension and Debarment – Material Weakness Recommendation The Organization should develop a written procedure to review all employees in accordance with the Uniform Guidance requirements for suspension and debarment. This procedure should be reviewed with the appropriate staff to ensure compliance with the requirement. Repeat Finding No Action Taken United Methodist Western Kansas Mexican-American Ministries, Inc. d/b/a Genesis Family Health acknowledges the audit finding regarding the lack of documented suspension and debarment reviews for clinical providers, as required under Uniform Guidance. Gensis Family Health has developed and implemented a formal written procedure requiring verification of providers against applicable federal exclusion databases, including the Office of Inspector General (OIG) List of Excluded Individuals and Entities (LEIE) and other applicable federal suspension and debarment resources, prior to hire and on an ongoing basis. Genesis Family Health already conducts exclusion and debarment screenings for all newly hired employees and contracted providers prior to the commencement of services. Effective immediately, GFH will: 1. Perform and document an annual review of all licensed providers each January to verify that no individual is suspended, debarred, or otherwise excluded from participation in federal healthcare programs. 2. Maintain documentation of all screening results within personnel and credentialing files. 3. Assign responsibility for annual screening and documentation to the Credentialing and Compliance functions, with oversight by executive management. 4. Include annual monitoring of compliance with this policy within the organization's internal compliance review process. Corrective Action Taken Subsequent to identification of this finding, Genesis Family Health completed OIG exclusion inquiries for all applicable clinical providers in September 2026 and retained supporting documentation demonstrating completion of the reviews. No providers were identified as excluded, suspended, or debarred from participation in federal healthcare programs. Responsible Official Amanda Vaughan, Chief Financial Officer and Tracy Lillibridge, Revenue Cycle Director in coordination with the Credentialing and Compliance staff. Anticipated Completion Date Implemented September 2026; ongoing annual reviews will be conducted each January thereafter. Management Explanation Management notes that this finding resulted from a transition in credentialing personnel and responsibilities during the audit period. While provider credentialing activities continued, documentation evidencing the required exclusion and debarment screening process was not consistently maintained. Following identification of the issue, all required OIG exclusion inquiries for affected clinical providers were completed in September 2026, and formal procedures have been established to ensure annual review and documentation each January going forward. If there are any question regarding this plan, please e-mail Amanda Vaughan at amanda.vaughan@Genesisfh.org.