FAC Explorer

Finding 478227 (2023-001)

Significant Deficiency Repeat Finding
Requirement
AB
Questioned Costs
-
Year
2023
Accepted
2024-07-11
Audit: 314903
Organization: Planned Parenthood of Greater Texas, Inc. (TX)
Auditor: Sutton Frost Cary LLP

AI Summary

  • Core Issue: There is a significant deficiency in internal controls regarding compliance with eligibility screening for Title X clients.
  • Impacted Requirements: Missing eligibility screening forms for 1 out of 60 client encounters indicate noncompliance with PPGT’s internal control procedures.
  • Recommended Follow-Up: Train staff on the importance of maintaining eligibility documentation to ensure compliance with PPGT policies.

Finding Text

Finding  No.  2023‐001:  Allowable  activities  –  Significant  deficiency  in  internal  control  over  compliance. Criteria:  PPGT’s  internal  control  procedures  over  compliance  specify  that  eligibility  screening  forms are completed and kept on file for all Title X clients. Condition:  During  allowable  activities  testing  for  Title  X,  1  out  of  60  client  encounters  tested  were missing eligibility screening forms. Cause:  Staff  at  patient  care  locations  did  not  scan  the  forms  into  the  program  software,  resulting in lack of documentation. Effect:  Internal  control  over  allowable  activities was not effectively  implemented  to  prevent  noncompliance. Recommendation:  Staff  should  be  trained  on  the  importance  of  maintaining  eligibility  documentation in accordance with PPGT’s policies. Management’s Response: See corrective action plan.

Corrective Action Plan

Annual Title X training will be provided to staff Title X centers in early July 2024. The training will include expanded direction and provide clarity for the staff regarding the expectations around eligibility forms. This includes the need for eligibility forms for supply-only encounters. The Sr. Grants Project Manager, Metzli Gonzales, performs bi-annual chart audits across all Title X sites to assess compliance with the Title X program. The audits review ten charts from each Title X center, chosen at random. The criteria include looking for evidence demonstrating compliance with the requirement that an eligibility Form is completed with income information and signed by the patient.

Categories

Allowable Costs / Cost Principles Eligibility Significant Deficiency Internal Control / Segregation of Duties

Other Findings in this Audit

  • 478228 2023-002
    Material Weakness Repeat
  • 478229 2023-001
    Significant Deficiency
  • 478230 2023-002
    Material Weakness
  • 478231 2023-001
    Significant Deficiency Repeat
  • 478232 2023-002
    Material Weakness Repeat
  • 1054669 2023-001
    Significant Deficiency Repeat
  • 1054670 2023-002
    Material Weakness Repeat
  • 1054671 2023-001
    Significant Deficiency
  • 1054672 2023-002
    Material Weakness
  • 1054673 2023-001
    Significant Deficiency Repeat
  • 1054674 2023-002
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.217 Family Planning_services $381,539