Finding 30245 (2022-001)

Significant Deficiency Repeat Finding
Requirement
ABE
Questioned Costs
-
Year
2022
Accepted
2023-03-30

AI Summary

  • Core Issue: There is a significant deficiency in internal controls over compliance for the COVID-19 Claims Reimbursement program, affecting the ability to ensure that services were provided to eligible patients.
  • Impacted Requirements: Compliance with Section 200.303 of the Uniform Guidance requires effective internal controls to manage federal awards, which were not consistently documented.
  • Recommended Follow-Up: Management should improve documentation practices to retain evidence of the effectiveness and precision of internal controls to ensure compliance.

Finding Text

Section III?Federal Award Findings and Questioned Costs Finding No. 2022-001 ? Activities Allowed or Unallowed; Allowable Costs and Eligibility ? Significant Deficiency in Internal Control Over Compliance Identification of the Federal Program: Federal Grantor: United States Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA) Assistance Listing No.: 93.461, HRSA COVID-19 Claims Reimbursement for the Uninsured Program and the COVID-19 Coverage Assistance Fund Pass-Through Award Numbers: Not applicable Pass-Through Award Period of Performance: 07/01/2021?6/30/2022 Criteria or Specific Requirement (Including Statutory, Regulatory, or Other Citation): Section 200.303 of the Uniform Guidance states the following regarding internal control: ?The non-Federal entity must: (a) Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in ?Standards for Internal Control in the Federal Government? issued by the Comptroller General of the United States or the ?Internal Control Integrated Framework?, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO).? Specific program terms and conditions established by HHS state that the program provides claims reimbursements to eligible health care providers for conducting COVID-19 testing for the uninsured, treating uninsured individuals with a COVID-19 diagnosis, and administering FDA-authorized or FDA-licensed COVID-19 vaccines to uninsured individuals. Condition: Management developed a robust process to ensure that amounts submitted to and reimbursed by the COVID-19 Testing for the Uninsured program were in accordance with federal program requirements. During our testing of such controls in place for this program, we were able to corroborate through inquiry of management and reperformance that the controls were in operation, however support that would allow us to inspect evidence as to the consistent operating effectiveness and precision included in the controls was not consistently retained. Cause: In certain instances, support that would allow us to inspect evidence as to the consistent operating effectiveness and precision included in the controls was not retained. Questioned Costs: None. Context: Total federal expenditures for Assistance Listing 93.461 totaled $4,745,701 for the year ended June 30, 2022. We selected 60 transactions totaling $2,291,538 for testing. We did not identify any instances of noncompliance in our sample. Effect or Potential Effect: Potential effects include providing services to ineligible patients, services reimbursed by HRSA were not allowable or patients were inappropriately billed for services that HRSA reimbursed under this program. This could ultimately result in funds being received for ineligible patients and/or for unallowable services provided to patients. Identification as a Repeat Finding, If Applicable: The finding is a repeat finding of Finding 2021-003 in the prior year. Recommendation: Management should retain documentation of the precision at which the controls were carried out as designed sufficient to test internal control over compliance. Views of Responsible Officials: Management concurs with this finding. See separate management?s Corrective Action Plan.

Corrective Action Plan

Federal Award Findings and Questioned Costs for the Year Ended June 30, 2022 Finding No. 2021-001 (Activities Allowed or Unallowed; Allowable Costs and Eligibility ? Significant Deficiency in Internal Control Over Compliance ? Uninsured Program) Information on the federal programs: Federal Grantor: United States Department of Health and Human Services, Health Resources and Services Administration (HRSA) Assistance Listing No. ? 93.461, HRSA COVID-19 Claims Reimbursement for the Uninsured Program and the COVID-19 Coverage Assistance Fund Pass-Through Award Numbers: Not applicable Pass-Through Award Period of Performance: 07/01/2021 ? 06/30/2022 Views of responsible officials and planned corrective actions: Management will implement procedures to ensure the retention of documentation to support the application of internal controls over the process of identifying eligible patients and submitting claims for reimbursement under the COVID-19 Uninsured Program. Responsible Officials: Robert Thornton, Vice President of Finance, UF Health Shands Completion Date: July 31, 2022

Categories

Allowable Costs / Cost Principles Eligibility Cash Management Period of Performance Significant Deficiency Matching / Level of Effort / Earmarking

Other Findings in this Audit

  • 606687 2022-001
    Significant Deficiency Repeat

Programs in Audit

ALN Program Name Expenditures
93.461 Hrsa Covid-19 Claims Reimbursement for the Uninsured Program and the Covid-19 Coverage Assistance Fund $4.75M
93.498 Provider Relief Fund and American Rescue Plan (arp) Distribution $4.55M
93.044 Special Programs for the Aging_title Iii, Part B_grants for Supportive Services and Senior Centers $108,837
93.045 Special Programs for the Aging_title Iii, Part C_nutrition Services $94,716
93.568 Low-Income Home Energy Assistance $79,114
93.052 National Family Caregiver Support, Title Iii, Part E $41,133
93.568 Covid -19 - Low-Income Home Energy Assistance $16,869