FAC Explorer

Finding 514614 (2024-004)

Significant Deficiency
Requirement
AB
Questioned Costs
-
Year
2024
Accepted
2024-12-17
Audit: 332958
Organization: Sma Healthcare, Inc. (FL)
Auditor: James Moore & CO P L

AI Summary

  • Core Issue: Five out of 40 clients did not have their Master Treatment Plans completed on time, violating grant requirements.
  • Impacted Requirements: The grant mandates that Master Treatment Plans be finalized within 30 days for Outpatient and 15 days for Residential II clients.
  • Recommended Follow-Up: Review the process and provide regular training to staff to ensure timely completion of Master Treatment Plans.

Finding Text

2024-004 – ALN 93.558 – Temporary Assistance to Needy Families Grant – Activities Allowed/Allowable Costs: Timeframe for Completion of Master Treatment Plan (New Comment) Criteria: The Temporary Assistance to Needy Families Grant provides for a set of documentation requirements for clients in the covered programs, including the completion of a Master Treatment Plan within established timeframe (30 days and 15 days from the date of admission for Outpatient and Residential II, respectively) to document allowable costs. Condition: 5 of the 40 clients tested did not have the Master Treatment Plan completed within the established timeframe. Cause: The requirements to perform these control elements were not followed by the clinical staff. Effect: The Master Treatment Plans that were not completed within the required timeframe could result in noncompliance with the grant agreement or noncompliance with established controls. Recommendation: We recommend that the process be reviewed and staff be trained and have regular training updates to ensure that the required Master Treatment Plans are completed within established timeframe.

Corrective Action Plan

For ALN 93.558, a Master Treatment Plan was not completed for 5 of the 40 clients tested within the established timeframe. As a corrective action, the program director will provide training to the team members of the program's proper established timeframe to complete a Master Treatment Plan. In addition, SMA will monitor the program by completing internal record reviews. The results will be provided to the program director and if a 90% or higher is not achieved for 2 months, a written corrective action will be required, and a verbal will be required at the quarterly Quality Assurance Committee meeting.

Categories

Allowable Costs / Cost Principles

Other Findings in this Audit

  • 514612 2024-001
    Significant Deficiency Repeat
  • 514613 2024-002
    Significant Deficiency Repeat
  • 1091054 2024-001
    Significant Deficiency Repeat
  • 1091055 2024-002
    Significant Deficiency Repeat
  • 1091056 2024-004
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.959 Block Grants for Prevention and Treatment of Substance Abuse $8.19M
93.958 Block Grants for Community Mental Health Services $4.93M
93.788 Opioid Str $2.83M
93.243 Substance Abuse and Mental Health Services Projects of Regional and National Significance $861,748
93.558 Temporary Assistance for Needy Families $811,362
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $559,407
93.767 Children's Health Insurance Program $286,128
93.354 Public Health Emergency Response: Cooperative Agreement for Emergency Response: Public Health Crisis Response $184,523
16.738 Edward Byrne Memorial Justice Assistance Grant Program $81,092
14.231 Emergency Solutions Grant Program $54,915
14.235 Supportive Housing Program $46,667
93.421 Strengthening Public Health Systems and Services Through National Partnerships to Improve and Protect the Nation�s Health $35,433
93.136 Injury Prevention and Control Research and State and Community Based Programs $27,000
93.778 Medical Assistance Program $26,363