Finding 46189 (2022-006)

Significant Deficiency Repeat Finding
Requirement
L
Questioned Costs
-
Year
2022
Accepted
2023-01-29

AI Summary

  • Core Issue: There is a significant deficiency in internal controls over compliance, leading to duplicate reporting of individuals served in a programmatic report.
  • Impacted Requirements: Compliance with 2 CFR 200.303(a), 200.328, and 200.329 regarding effective internal controls and accurate financial reporting.
  • Recommended Follow-Up: Management should enhance procedures and controls for report preparation and review to ensure accuracy based on supporting documentation.

Finding Text

2022-006 Department of Health and Human Services FFLA #93.829, H79SM083331-02, 5/1/2021 ? 12/31/2022 Section 223 Demonstration Programs to Improve Community Mental Health Services Reporting Significant Deficiency in Internal Control over Compliance Criteria: 2 CFR 200.303(a) establishes that the auditee must establish and maintain effective internal control over the federal award that provides assurance that the entity is managing the federal award in compliance with federal statutes, regulations, and conditions of the federal award. 2 CFR 200.328 and 2 CFR 200.329 require the auditee to collect financial information and monitor its activities under federal awards to assure compliance with applicable federal requirements and performance expectations are being achieved and report these items in accordance with the program requirements. Condition: Through testing of one programmatic report, we noted the number of adults and children served during the reporting period included six individuals twice. Cause: As a result of a software change during the grant year, management combined the listing of adults and children served from two electronic health record systems and did not identify these six individuals were duplicates in the listings. Effect: The programmatic report included a total of six adults and children serviced during the reporting period twice. Questioned Costs: None reported. Context: Included under the award letter of the federal program, one annual federal financial report and one annual programmatic progress report was reviewed in the Center?s fiscal year. There was a total of 5 reports filed. Repeat Finding from Prior Year: Yes, prior year finding 2021-006 Recommendation: We recommend management review the procedures and control processes surrounding preparation and review of reports to ensure reports are completed based upon supporting documentation. View of Responsible Officials: Management is in agreement.

Corrective Action Plan

Finding 2022-006: Reporting Federal Agency Name: Department of Health and Human Services CFDA #93.829 Program Name: Section 223 Demonstration Programs to Improve Community Mental Health Services Finding Summary: Through testing of one programmatic report, the number of adults and children served during the reporting period included six individuals twice. As a result of a software change during the grant year, management combined the listing of adults and children served from two electronic health record systems and did not identify these six individuals were duplicates in the listings. Responsible Individuals: Project Directors (Missy Martini, Rebecca McCrackin) and CEO (Dan Ries) Corrective Action Plan: CEO will review reports prior to submission and will do random testing of numbers included in the report to ensure numbers reported have supporting documentation. Documentation used to complete the required reports will be retained by the Center. Anticipated Completion Date: This process was implemented beginning January 2023.

Categories

Reporting Significant Deficiency

Other Findings in this Audit

  • 46185 2022-003
    Material Weakness Repeat
  • 46186 2022-004
    Significant Deficiency Repeat
  • 46187 2022-007
    Significant Deficiency Repeat
  • 46188 2022-005
    Material Weakness Repeat
  • 46190 2022-007
    Significant Deficiency Repeat
  • 622627 2022-003
    Material Weakness Repeat
  • 622628 2022-004
    Significant Deficiency Repeat
  • 622629 2022-007
    Significant Deficiency Repeat
  • 622630 2022-005
    Material Weakness Repeat
  • 622631 2022-006
    Significant Deficiency Repeat
  • 622632 2022-007
    Significant Deficiency Repeat

Programs in Audit

ALN Program Name Expenditures
93.829 Section 223 Demonstration Programs to Improve Community Mental Health Services $2.53M
93.087 Enhance Safety of Children Affected by Substance Abuse $1.11M
93.958 Block Grants for Community Mental Health Services $410,856
16.575 Crime Victim Assistance $256,793
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $205,789
59.008 Disaster Assistance Loans $150,000
93.243 Substance Abuse and Mental Health Services_projects of Regional and National Significance $113,753
93.665 Emergency Grants to Address Mental and Substance Use Disorders During Covid-19 $55,631