Finding 49754 (2022-002)

Significant Deficiency
Requirement
E
Questioned Costs
-
Year
2022
Accepted
2023-09-28
Audit: 51481
Organization: Hennepin County Minnesota (MN)
Auditor: Rsm US LLP

AI Summary

  • Core Issue: The County's eligibility determination process for the WIC program lacks effective controls, leading to potential approval of ineligible participants.
  • Impacted Requirements: Compliance with 2 CFR 200.303(a) is compromised due to inadequate independent reviews and insufficient oversight of the HuBERT system controls.
  • Recommended Follow-Up: Strengthen documentation for eligibility reviews and advocate for an independent audit of HuBERT system controls from the State.

Finding Text

2022-002 Eligibility Federal Agency: U.S. Department of Agriculture (USDA) Program: WIC Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) (ALN 10.557) Pass-through Entity: State of Minnesota, Department of Health Federal Assistance Identification Number or Pass-Through Number: 202MN004W1003, 192MN004W5003 Federal Award Year: Year ended December 31, 2022 Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria: 2 CFR 200.303(a) requires that each non-Federal entity must "Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award." The County is responsible for the verification of an applicant?s categorical eligibility, identity, and residency as well as the performance of assessments of an applicant?s nutritional risk. In addition, the County is also responsible for the input of this information as well as income and family size into HuBERT, the State?s WIC Information System. Condition: While testing the eligibility requirement, we noted procedures and controls were not operating as designed to ensure that only those eligible were approved for WIC. In our sample of 40 cases, two cases had no evidence that an independent review of the eligibility determination occurred. In addition, while we were able to test manual compensating controls over eligibility determination, we were not able to review and test the automated application controls and the related information technology general controls (ITGCs) within the HuBERT system, a state system that is administered by the state and required to be used by the County for eligibility determination, to determine whether controls are adequately designed and implemented and operating effectively. Cause: The County lacks a workflow for the eligibility determination of the WIC program, including the completion of an independent review. The County currently utilizes Microsoft Teams for the caseworker to make a request for a Competent Professional Authority (CPA) to review a case after an eligibility determination is made. The caseworker is responsible for ensuring the review has occurred, but the only method of monitoring is reopening each case file for verification. In addition, the State was not able to provide information regarding the design and effectiveness of HuBERT system controls nor were we able to test those controls directly due to complexities of data privacy and resources within the State. Effect: Although not found during our testing, benefits disbursed to participants in the program and issued by the State of Minnesota may have paid for ineligible participants. Context: Out of the universe of cases eligible for assistance we noted that two out of our sample of 40 met eligibility requirements but had no evidence of an independent review of the eligibility determination. The sample size was based on guidance from chapter 11 of the AICPA Audit Guide, Government Auditing Standards and Single Audits. Questioned Costs: None Repeat Finding?: No Recommendation: We recommend that the process for documenting the review of eligibility determinations be strengthened. In addition, we suggest that the County encourage the State to provide an independent audit of the design and implementation of HuBERT system controls. View of responsible officials of the auditee: Hennepin County has reviewed and agrees with the finding and recommendation.

Corrective Action Plan

Subject: Hennepin County?s 2022 Corrective Action Plan Finding# 2022-002?Eligibility Program: WIC Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) (ALN 10.557) Type of Finding: Significant Deficiency in Internal Control over Compliance Condition: While testing the eligibility requirement, we noted procedures and controls were not operating as designed to ensure that only those eligible were approved for WIC. In our sample of 40 cases, two cases had no evidence that an independent review of the eligibility determination occurred. In addition, while we were able to test manual compensating controls over eligibility determination, we were not able to review and test the automated application controls and the related information technology general controls (ITGCs) within the HuBERT system, a state system that is administered by the state and required to be used by the County for eligibility determination, to determine whether controls are adequately designed and implemented and operating effectively. Hennepin County?s Corrective Action Planned in Response to Finding: Program staff will establish a process to strengthen eligibility determinations. Hennepin County Employee Responsible for the CAP: Jill Wilson Planned Completion Date for CAP: December 31, 2023 Hennepin County will encourage the State to provide an independent audit of the design and implementation of HuBERT system controls for the benefit of all counties. Hennepin County Employee Responsible for the CAP: Andra Roethler Planned Completion Date for CAP: December 31, 2023

Categories

Subrecipient Monitoring Eligibility Significant Deficiency Matching / Level of Effort / Earmarking

Other Findings in this Audit

  • 49755 2022-003
    Significant Deficiency
  • 49756 2022-005
    Significant Deficiency
  • 49757 2022-004
    Material Weakness
  • 626196 2022-002
    Significant Deficiency
  • 626197 2022-003
    Significant Deficiency
  • 626198 2022-005
    Significant Deficiency
  • 626199 2022-004
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.778 Medical Assistance Program $65.15M
93.563 Child Support Enforcement $19.27M
10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $16.94M
20.205 Highway Planning and Construction $16.31M
93.658 Foster Care_title IV-E $14.87M
93.667 Social Services Block Grant $6.89M
21.023 Emergency Rental Assistance Program $6.63M
93.914 Hiv Emergency Relief Project Grants $6.13M
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $4.81M
93.498 Provider Relief Fund $4.72M
14.231 Emergency Solutions Grant Program $4.21M
10.557 Special Supplemental Nutrition Program for Women, Infants, and Children $3.96M
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $3.69M
14.239 Home Investment Partnerships Program $3.45M
93.575 Child Care and Development Block Grant $2.93M
93.829 Section 223 Demonstration Programs to Improve Community Mental Health Services $2.88M
14.905 Lead Hazard Reduction Demonstration Grant Program $2.25M
93.297 Teenage Pregnancy Prevention Program $1.73M
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $1.58M
21.027 Coronavirus State and Local Fiscal Recovery Funds $1.53M
93.958 Block Grants for Community Mental Health Services $1.45M
93.268 Immunization Cooperative Agreements $1.34M
93.493 Congressional Directives $1.23M
14.267 Continuum of Care Program $1.19M
93.889 National Bioterrorism Hospital Preparedness Program $905,306
14.218 Community Development Block Grants/entitlement Grants $831,142
93.558 Temporary Assistance for Needy Families $746,766
97.067 Homeland Security Grant Program $723,177
93.674 John H. Chafee Foster Care Program for Successful Transition to Adulthood $687,702
17.278 Wia Dislocated Worker Formula Grants $682,894
93.247 Advanced Nursing Education Grant Program $654,598
16.738 Edward Byrne Memorial Justice Assistance Grant Program $649,694
17.258 Wia Adult Program $643,249
93.870 Maternal, Infant and Early Childhood Home Visiting Grant $626,758
17.259 Wia Youth Activities $576,598
93.788 Opioid Str $574,677
93.917 Hiv Care Formula Grants $574,536
16.741 Dna Backlog Reduction Program $532,457
93.994 Maternal and Child Health Services Block Grant to the States $503,076
93.253 Poison Center Support and Enhancement Grant $491,110
16.833 National Sexual Assault Kit Initiative $478,182
97.042 Emergency Management Performance Grants $474,292
93.940 Hiv Prevention Activities_health Department Based $448,350
95.001 High Intensity Drug Trafficking Areas Program $421,875
93.069 Public Health Emergency Preparedness $409,554
93.153 Coordinated Services and Access to Research for Women, Infants, Children, and Youth $388,381
93.461 Covid-19 Testing for the Uninsured $382,553
16.575 Crime Victim Assistance $352,259
93.150 Projects for Assistance in Transition From Homelessness (path) $332,829
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $331,271
93.243 Substance Abuse and Mental Health Services_projects of Regional and National Significance $326,683
16.745 Criminal and Juvenile Justice and Mental Health Collaboration Program $298,305
90.404 2018 Hava Election Security Grants $282,041
93.669 Child Abuse and Neglect State Grants $261,069
93.435 Innovative State and Local Public Health Strategies to Prevent and Manage Diabetes and Heart Disease and Stroke- $250,134
93.659 Adoption Assistance $208,534
93.235 Affordable Care Act (aca) Abstinence Education Program $205,142
93.590 Community-Based Child Abuse Prevention Grants $196,161
93.354 Public Health Emergency Response: Cooperative Agreement for Emergency Response: Public Health Crisis Response $190,630
93.595 Welfare Reform Research, Evaluations and National Studies $180,461
93.977 Preventive Health Services_sexually Transmitted Diseases Control Grants $162,000
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $156,516
16.588 Violence Against Women Formula Grants $135,130
16.838 Comprehensive Opioid Abuse Site-Based Program $128,942
10.580 Supplemental Nutrition Assistance Program, Process and Technology Improvement Grants $125,887
93.344 Research, Monitoring and Outcomes Definitions for Vaccine Safety $119,770
93.556 Promoting Safe and Stable Families $111,696
14.913 Healthy Homes Production Program $103,175
93.645 Stephanie Tubbs Jones Child Welfare Services Program $102,646
21.016 Equitable Sharing $102,197
93.104 Comprehensive Community Mental Health Services for Children with Serious Emotional Disturbances (sed) $91,165
14.241 Housing Opportunities for Persons with Aids $79,459
93.136 Injury Prevention and Control Research and State and Community Based Programs $72,486
93.251 Early Hearing Detection and Intervention $62,500
10.555 National School Lunch Program $50,049
21.032 Local Assistance and Tribal Consistency Fund $50,000
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $42,807
16.742 Paul Coverdell Forensic Sciences Improvement Grant Program $36,349
97.012 Boating Safety Financial Assistance $36,220
17.277 Workforce Investment Act (wia) National Emergency Grants $35,262
93.566 Refugee and Entrant Assistance_state Administered Programs $32,891
10.553 School Breakfast Program $27,413
93.767 Children's Health Insurance Program $21,967
20.609 Safety Belt Performance Grants $21,706
93.116 Project Grants and Cooperative Agreements for Tuberculosis Control Programs $20,000
93.800 Organized Approaches to Increase Colorectal Cancer Screening $17,835
93.090 Guardianship Assistance $17,750
93.008 Medical Reserve Corps Small Grant Program $17,500
14.276 Youth Homelessness Demonstration Program $17,421
10.572 Wic Farmers' Market Nutrition Program (fmnp) $11,267
93.959 Block Grants for Prevention and Treatment of Substance Abuse $10,579
16.922 Equitable Sharing Program $10,494
84.002 Adult Education - Basic Grants to States $10,249
20.616 National Priority Safety Programs $2,274
84.181 Special Education-Grants for Infants and Families $2,100
16.582 Crime Victim Assistance/discretionary Grants $2,010
20.608 Minimum Penalties for Repeat Offenders for Driving While Intoxicated $1,416