Finding 42831 (2022-005)

Material Weakness Repeat Finding
Requirement
E
Questioned Costs
-
Year
2022
Accepted
2023-03-29

AI Summary

  • Core Issue: None of the 16 participant files had separate reviews and approvals, indicating a lack of oversight.
  • Impacted Requirements: Compliance with Federal eligibility criteria and proper documentation processes is not being met.
  • Recommended Follow-Up: Implement annual reviews of files and ensure documentation of all review levels to improve oversight.

Finding Text

Program Information: AL #: 93.243 U.S. Department of Health and Human Services SAMHSA Youth Programs ? Youth Tree, Youth Suicide Prevention, Youth Connections Project Award Numbers: 6H79TI081193-01, 1H79SM082124-01, 1H79SM081540-01 Award Periods: 9/30/18-9/29/23, 6/30/19-6/29/24, 9/30/18-9/29/23 Criteria: An individual must meet the eligibility requirements as defined by Federal regulations published in Code of Federal Regulations (CFR), at Title 42, Section 136.21 through 136.25, and Indian Health Services, Part 2, Chapter 3, "Contract Health Services" dated January 5, 1998. Condition/Context: Of the 16 participant files reviewed, the following was noted: ? None of the 16 files had record of review and approval separate from the person entering the information. [ ] Compliance Finding [ ] Significant Deficiency [ X ] Material Weakness Cause: There were ineffective controls in place during the period, along with lack of management oversight. Effect: By not ensuring proper reviews are occurring by a supervisor or other authorized individual, inaccurate information may have been entered into the online system, and ineligible participants could be receiving benefits. Questioned Costs: Not applicable. Repeat Finding: Yes, 2021-001 Recommendation: We recommend that the Clinic adhere to program policies and procedures as documented and the files are reviewed annually for completeness, and document the various levels of review that occur. Views of Responsible Officials and Planned Corrective Action: Management agrees with the finding and has prepared corrective action as detailed in its Corrective Action Plan.

Corrective Action Plan

Persons responsible for corrective action plan: Resty Rios, Staff Accountant Resty.rios@crihb.org Adrianna Davisson, Grants Manager Adrianna.davisson@crihb.org The Clinic will review all participant files to ensure all applicable documentation is located within each file. The Clinic will also implement an approval process for new participants to ensure participant eligibility is reviewed and approved prior to providing services. The anticipated completion date is 6/30/2023.

Categories

Eligibility Material Weakness Significant Deficiency

Other Findings in this Audit

  • 42832 2022-006
    Material Weakness Repeat
  • 42833 2022-007
    Material Weakness Repeat
  • 42834 2022-008
    Material Weakness
  • 42835 2022-005
    Material Weakness Repeat
  • 42836 2022-006
    Material Weakness Repeat
  • 42837 2022-007
    Material Weakness Repeat
  • 44099 2022-008
    Material Weakness
  • 44100 2022-005
    Material Weakness Repeat
  • 44101 2022-006
    Material Weakness Repeat
  • 44102 2022-007
    Material Weakness Repeat
  • 44103 2022-008
    Material Weakness
  • 44104 2022-003
    Significant Deficiency
  • 44105 2022-004
    Material Weakness Repeat
  • 44106 2022-007
    Material Weakness Repeat
  • 44107 2022-003
    Significant Deficiency
  • 44108 2022-004
    Material Weakness Repeat
  • 44109 2022-007
    Material Weakness Repeat
  • 44110 2022-003
    Significant Deficiency
  • 44111 2022-004
    Material Weakness Repeat
  • 44112 2022-007
    Material Weakness Repeat
  • 619273 2022-005
    Material Weakness Repeat
  • 619274 2022-006
    Material Weakness Repeat
  • 619275 2022-007
    Material Weakness Repeat
  • 619276 2022-008
    Material Weakness
  • 619277 2022-005
    Material Weakness Repeat
  • 619278 2022-006
    Material Weakness Repeat
  • 619279 2022-007
    Material Weakness Repeat
  • 620541 2022-008
    Material Weakness
  • 620542 2022-005
    Material Weakness Repeat
  • 620543 2022-006
    Material Weakness Repeat
  • 620544 2022-007
    Material Weakness Repeat
  • 620545 2022-008
    Material Weakness
  • 620546 2022-003
    Significant Deficiency
  • 620547 2022-004
    Material Weakness Repeat
  • 620548 2022-007
    Material Weakness Repeat
  • 620549 2022-003
    Significant Deficiency
  • 620550 2022-004
    Material Weakness Repeat
  • 620551 2022-007
    Material Weakness Repeat
  • 620552 2022-003
    Significant Deficiency
  • 620553 2022-004
    Material Weakness Repeat
  • 620554 2022-007
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.441 Indian Health Services-Crihb 22 $4.23M
93.441 Indian Health Services-Crihb 21 $4.10M
93.441 Covid-19- Indian Health Services-Crihb 21 $1.76M
93.243 Youth Tree $411,275
93.243 Youth Suicide Prevention $314,163
93.243 Youth Connections Project $167,354
93.053 Nutrition Services 21 $132,938
93.391 Hhs Cdc $91,901
93.237 Special Diabetes 20 $83,251
93.558 Calworks 22 $67,956
93.237 Special Diabetes 21 $48,709
93.495 Chw Cdc $36,738
93.054 Native American Caregiver 22 $34,330
93.054 Native American Caregiver 21 $34,330
93.558 Calworks 21 $18,622
93.761 Tribal Elders Fall Prevention $14,685
93.912 Covid-19-Hrsa Ambulance $14,550
93.047 Aoa 22 $11,417
93.054 Native American Caregiver 20 $6,244