Finding 30342 (2022-001)

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Requirement
L
Questioned Costs
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Year
2022
Accepted
2023-04-24
Audit: 30271
Organization: Concord Hospital, Inc. (NH)

AI Summary

  • Core Issue: Monthly reimbursement reports for the HUB and MAT programs were submitted late, exceeding the 15-working-day deadline.
  • Impacted Requirements: Timeliness of reporting as specified in the grant agreement was not met, affecting compliance with federal guidelines.
  • Recommended Follow-Up: Implement improved processes and controls to ensure timely submissions and streamline the reporting process for future compliance.

Finding Text

Finding 2022-001: Timeliness of Reporting Federal Agency: U.S. Department of Health and Human Services Award Name: Access and Delivery Hub for Opioid Use Disorder Services (HUB)/ Medication Assisted Treatment to Individuals with Opioid Use Disorders (MAT) Program Year: Fiscal Year 2022 ALN: 93.788 Criteria: Management was responsible for submitting timely reporting based on the terms of the grant agreement which specified submission dates within 15 working days of each month. Condition: During compliance testing, it was determined that the two monthly reimbursement submissions during fiscal year 2022 selected for testwork for HUB were submitted to the grantor 19 and 17 working days after month end. The two monthly reimbursement submissions selected for testwork for MAT were submitted to the grantor 19 and 18 working days after month end. Context: The required submissions were not submitted timely based on the terms of the grant agreement. Cause: Management has processes and controls over the reporting process, however, competing priorities and staffing limitations resulted in not consistently meeting this monthly reporting deadline. The tracking and reporting for these grants is currently manual, and ensuring that all invoices for the covered month have been received, reviewed and included, is a lengthy process. Effect: As a result of the condition, required reporting was not submitted timely based on the terms of the grant agreement. Recommendation: In the future, the System should ensure it implements appropriate processes and controls to ensure required reports are filed timely in accordance with the terms of the grant agreement. Views of Responsible Officials: Management acknowledges the finding. Management is reviewing the current process and is making improvements to streamline the data collection and reporting process to ensure timely filings of the required reports to the awarding agency occur on a consistent basis.

Categories

Cash Management Reporting

Other Findings in this Audit

Programs in Audit

ALN Program Name Expenditures
93.575 Child Care and Development Block Grant $84,242
93.788 Opioid Str $77,852
93.959 Block Grants for Prevention and Treatment of Substance Abuse $27,074
93.994 Maternal and Child Health Services Block Grant to the States $20,359
93.283 Centers for Disease Control and Prevention_investigations and Technical Assistance $10,997
93.558 Temporary Assistance for Needy Families $3,808