Finding 28324 (2022-002)

Significant Deficiency Repeat Finding
Requirement
I
Questioned Costs
-
Year
2022
Accepted
2023-09-28

AI Summary

  • Core Issue: FMCS failed to verify that vendors were not suspended or debarred from federal contracts, violating procurement regulations.
  • Impacted Requirements: Compliance with 2 CFR section 200.214 and internal procurement policies regarding vendor eligibility.
  • Recommended Follow-up: Provide additional training on procurement policies and ensure documentation of vendor verification is maintained.

Finding Text

Finding 2022-002: Procurement Suspension and Debarment U.S. Department of Health and Human Services ? Assistance listing No. 93.526, Grants for Capital Development in Health Centers, award number C8ECS44745. Criteria: In accordance with 2 CFR section 200.214, Suspension and Debarment, ?The regulations in 2 CFR part 180 restrict awards, subawards, and contracts with certain parties that are debarred, suspended, or otherwise excluded from or ineligible for participation in Federal assistance programs or activities.? Condition: FMCS did not have evidence of verification that vendors are not suspended or debarred from federal and/or state contracts. Cause: FMCS has a procurement policy which indicates ?Certain contracts will not be made to parties listed on the nonprocurement portion of the General Services Administration?s `List of Parties Excluded from Federal Procurement or Nonprocurement Programs? in accordance with Executive Orders 12549 and 12689, `Debarment and Suspension.? (See 45 C.F.R. Part 76). This list contains the names of parties debarred, suspended, or otherwise excluded by agencies, and contractors declared ineligible under statutory authority other than E.O. 12549.? However, there is no evidence this policy was followed during 2022 for vendors/contractors engaged. Effect: FMCS has not documented that it performed required verification. Questioned Costs: Unknown Context: FMCS?s procurement policy specifies contracts will not be awarded to ?parties listed on the nonprocurement portion of the General Services Administration?s `List of Parties Excluded from Federal Procurement or Nonprocurement Programs? in accordance with Executive Orders 12549 and 12689, `Debarment and Suspension??. The request for evidence of verification that vendors were not suspended or disbarred was not provided prior to conclusion of the audit. Repeat Finding: Yes, 2021-001. Recommendation: FMCS should provide training on procurement policy and update policy to include retention of support for compliance with policy.View of responsible officials and planned corrective actions: FMCS concurs with the finding and recommendation of the auditor. The reason this is a repeat finding is because this finding occurred on the 2020 audit, which was completed February 1, 2022. (a three-year period). Our response to the finding was "The procurement policy will be revised to include retention of support for compliance before the March board meeting. Training on our procurement policy will be provided by March 31, 2022". The policy was revised and presented to and approved by the board of directors at the March 16, 2022, meeting. The training occurred for the human resources (HR) staff, who are charged with performing the compliance check, in March. The policy was implemented in March 2022.

Corrective Action Plan

FMCS concurs with the finding. Part of the issue is related to staffing shortages, which increases the demands on the providers---resulting in staff burnout. We have already developed policies and procedures for locking notes as well as attempting to hire an auditor. In addition, we send out monthly reminders to lock notes. We have refrained from taking punitive actions for fear that the provider will leave and that our patients will be impacted. We will increase the frequency of the reminders to bi-monthly and continue our efforts to recruit an auditor.

Categories

Procurement, Suspension & Debarment

Other Findings in this Audit

  • 604766 2022-002
    Significant Deficiency Repeat

Programs in Audit

ALN Program Name Expenditures
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $691,658
93.914 Hiv Emergency Relief Project Grants $528,045
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $492,287
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $225,413
93.917 Hiv Care Formula Grants $189,703
93.788 Opioid Str $182,745
93.426 Improving the Health of Americans Through Prevention and Management of Diabetes and Heart Disease and Stroke $149,688
93.243 Substance Abuse and Mental Health Services_projects of Regional and National Significance $43,690
93.855 Allergy, Immunology and Transplantation Research $9,879
93.279 Drug Abuse and Addiction Research Programs $5,293
93.866 Aging Research $4,155