Finding 45259 (2022-001)

Significant Deficiency
Requirement
A
Questioned Costs
$1
Year
2022
Accepted
2023-04-13
Audit: 48513
Organization: Mid-State Health Network (MI)

AI Summary

  • Core Issue: There was a significant deficiency in internal controls regarding costs charged to the ALN 93.959 grants, specifically unauthorized provider stabilization payments.
  • Impacted Requirements: The charges violated 2 CFR 200.402, which outlines allowable costs for federal awards.
  • Recommended Follow-Up: Review all grant agreements to clarify allowable costs and adjust internal controls to prevent future non-compliance.

Finding Text

2022-001: Considered a significant deficiency in internal control/immaterial non-compliance Program: ALN 93.959 Block Grants for Prevention and Treatment of Substance Abuse (Treatment and Access Management; Women?s Specialty Services) Criteria: As detailed by 2 CFR 200.402, the total cost of a Federal award is the sum of the allowable direct and allocable indirect costs less any applicable credits. Condition: During testing of amounts charged to the grants it was noted that provider stabilization payments were charged to the Treatment and Women?s Specialty Services grants but were not authorized by the grants. Cause/Effect: This condition appears to be the result of a misunderstanding of costs allowed under this grant. These costs were not in compliance with 2 CFR 200.402. Questioned Cost: $289,629 (Treatment and Access Management: $275,928, Women?s Specialty Services: $13,701). Recommendation: We recommend that the Entity review all grant agreements to gain a thorough understanding of allowable costs and then establish/modify internal controls to assure that only allowable costs are charged to the grant. View of Responsible Official: Management is in agreement with this recommendation

Corrective Action Plan

April 13, 2023 Roslund, Prestage & Company, P.C. 525 W. Warwick Drive, Suite A Alma, MI 48801 Finding: 2022-001: Significant deficiency in internal control / immaterial non-compliance Federal Program: Block Grants for Prevention and Treatment of Substance Abuse ? Treatment and Women?s Specialty Services Condition: During testing of amounts charged to the grants, it was noted that provider stabilization payments were charged to the Treatment and Women?s Specialty Services grants but were not authorized by the grants. Corrective Action Plan: Mid-State Health Network will review grant documents when implementing new funding initiatives and will seek guidance from the awarding agency as needed. Responsible Party: Amy Keinath, Finance Manager Anticipated Completion Date: October 1, 2022

Categories

Questioned Costs Allowable Costs / Cost Principles

Other Findings in this Audit

  • 45260 2022-001
    Significant Deficiency
  • 621701 2022-001
    Significant Deficiency
  • 621702 2022-001
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.788 Opioid Str $848,628
93.958 Block Grants for Community Mental Health Services $618,934
93.959 Block Grants for Prevention and Treatment of Substance Abuse $19,062