Finding 34989 (2022-001)

Significant Deficiency
Requirement
M
Questioned Costs
-
Year
2022
Accepted
2023-01-19

AI Summary

  • Core Issue: The Department lacks written policies for programmatic monitoring of subrecipients in the Aging Cluster, which is a significant deficiency.
  • Impacted Requirements: This absence of policies violates federal regulations requiring comprehensive monitoring and assessment of program performance.
  • Recommended Follow-up: Implement procedures for compliance and provide training to staff on federal requirements and monitoring processes.

Finding Text

2022-001 SUBRECIPIENT MONITORING PROGRAMMATIC POLICIES ? AGING CLUSTER (Significant Deficiency and Other Non-compliance) Federal Program information: Title: Aging Cluster Agency: U.S. Department of Health and Human Services Pass Through: None Assistance Listings Number: 93.044, 93.045, 93.052 Award Year: 2022 Questioned Costs: None Condition The Department does not have written policies for programmatic monitoring of its subrecipients participating in the aging cluster of programs. The Department does, however, have written polices for fiscal monitoring of its subrecipients participating in the aging cluster of programs. Criteria The State Agency is required to develop policies governing all aspects of programs operated under the state plan and to monitor their implementation, including assessing performance for quality and effectiveness and specifying data system requirements to collect necessary and appropriate data (45 CFR sections 1321.11 and 1321.17(f)(9)). Effect The Department does not have internal controls in place to ensure programmatic compliance with federal regulations or the terms and conditions of the federal award. The Department has not maintained internal control designed to reasonably ensure compliance with federal laws, regulations, and program compliance requirements as well as compliance with department of program policy. Cause The Department does not have internal controls in place to ensure compliance with federal regulations or the terms and conditions of the federal award. The Department has not maintained internal control designed to reasonably ensure compliance with federal laws, regulations, and program compliance requirements as well as compliance with department of program policy. Recommendation The Department should implement procedures to ensure compliance with federal regulations and the terms and conditions of federal awards. The Department should provide training to the program staff to ensure staff is aware of the federal requirements and understand the procedures in place to ensure compliance with federal regulations and the terms and conditions of federal awards.

Categories

Subrecipient Monitoring Significant Deficiency

Other Findings in this Audit

  • 34987 2022-001
    Significant Deficiency
  • 34988 2022-001
    Significant Deficiency
  • 611429 2022-001
    Significant Deficiency
  • 611430 2022-001
    Significant Deficiency
  • 611431 2022-001
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.045 Special Programs for the Aging_title Iii, Part C_nutrition Services $7.82M
93.044 Special Programs for the Aging_title Iii, Part B_grants for Supportive Services and Senior Centers $3.52M
93.053 Nutrition Services Incentive Program $2.27M
93.667 Social Services Block Grant $1.63M
93.778 Medical Assistance Program $1.45M
93.052 National Family Caregiver Support, Title Iii, Part E $1.36M
93.048 Special Programs for the Aging_title Iv_and Title Ii_discretionary Projects $418,771
17.235 Senior Community Service Employment Program $407,708
93.747 Elder Abuse Prevention Interventions Program $400,744
93.324 State Health Insurance Assistance Program $388,706
64.U01 Veterans Domiciliary Care $304,003
93.071 Medicare Enrollment Assistance Program $297,592
93.043 Special Programs for the Aging_title Iii, Part D_disease Prevention and Health Promotion Services $156,680
93.042 Special Programs for the Aging_title Vii, Chapter 2_long Term Care Ombudsman Services for Older Individuals $128,494
93.041 Special Programs for the Aging_title Vii, Chapter 3_programs for Prevention of Elder Abuse, Neglect, and Exploitation $26,393
94.006 Americorps $315