Finding 20675 (2022-004)

Significant Deficiency
Requirement
L
Questioned Costs
-
Year
2022
Accepted
2023-03-29
Audit: 23696
Auditor: Forvis LLP

AI Summary

  • Core Issue: Errors in reporting Lost Revenues for periods 2 and 3 led to inaccuracies in the financial information submitted to HHS.
  • Impacted Requirements: The System must adhere to accurate reporting standards as outlined in 45 CFR 75.342.
  • Recommended Follow-Up: Update policies and procedures to ensure all federal grant reports are based on complete and accurate data.

Finding Text

COVID-19 Provider Relief Fund and American Rescue (ARP) Rural Distribution CFDA No. 93.498 U.S. Department of Health and Human Services Criteria or Specific Requirement ? Reporting (45 CFR 75.342) Condition ? The System is required to prepare and submit period 2 and period 3 provider relief fund reporting. This report is to be prepared using accurate financial information and submitted by the deadline established. Questioned Costs ? None Context ? Errors were made in the System?s Option iii Lost Revenues reported in periods 2 and 3. Specifically, certain Lost Revenues experienced during the period of availability were not reported; however, when these errors are considered, the System?s available Lost Revenue increased from what was originally reported in periods 2 and 3. Effect ? Errors were identified in the System?s Option iii quarterly Lost Revenue totals reported to HHS; however, when these errors are considered, the System?s total Provider Relief Fund payments applied to lost revenues did not change from what was originally reported in periods 2 or 3. Cause ? The System?s internal controls did not properly identify certain reporting requirements for the Provider Relief Fund and American Rescue (ARP) Rural Distributions. Identification as a repeat finding ? Not a repeat finding Recommendation ? Policies and procedures over federal grant reporting should be modified to ensure reports are prepared using complete and accurate information.

Corrective Action Plan

Views of Responsible Officials and Planned Corrective Actions ? Management acknowledges errors were made regarding the submission of lost revenue amounts within the provider reporting submission and that these errors were administrative in nature. Management?s correction action plan includes implementing an additional level of review and scrutiny prior to finalizing submission. This level of review will include reviewing supporting documents and calculation to validate amounts entered are appropriate.

Categories

Reporting Internal Control / Segregation of Duties

Other Findings in this Audit

  • 20674 2022-003
    Material Weakness
  • 597116 2022-003
    Material Weakness
  • 597117 2022-004
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund $5.94M
21.027 Coronavirus State and Local Fiscal Recovery Funds $1.27M
10.766 Community Facilities Loans and Grants $1.00M
93.697 Covid-19 Testing for Rural Health Clinics $149,461
93.461 Covid-19 Testing for the Uninsured $133,298
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $49,529