Finding 51979 (2022-003)

Significant Deficiency Repeat Finding
Requirement
C
Questioned Costs
-
Year
2022
Accepted
2023-05-17
Audit: 51662
Organization: Hillcrest Family Services, INC (IA)
Auditor: Eide Bailly LLP

AI Summary

  • Core Issue: Lack of documentation for review and approval of reimbursement requests indicates a significant deficiency in internal controls.
  • Impacted Requirements: Compliance with OMB guidelines for maintaining adequate internal controls over federal awards is not being met.
  • Recommended Follow-Up: Enhance internal control policies to ensure proper documentation of review and approval processes for reimbursement requests.

Finding Text

U.S. Department of Health and Human Services Federal Financial Assistance Listing/CFDA Number 93.829 Section 223 Demonstration Programs to Improve Community Mental Health Services - 6H79SM083306-01M002 Cash Management Significant Deficiency in Internal Control over Compliance Criteria The OMB Compliance Supplement requires that non-federal entities receiving federal awards establish and maintain internal controls designed to reasonably ensure compliance with federal laws, regulations, and program compliance requirements. Condition During our testing of reimbursement requests, there was no documentation available for the review and approval procedures performed. Cause The Organization did not have an adequate internal control policy to require the documentation of the reimbursement requests? review and approval. Effect Inaccurate reimbursement requests may be prepared, which could lead to amounts received in error. Questioned Costs None. Context/Sampling There was a total of seven reimbursement requests prepared for the year ended June 30, 2022. Of these, three were selected for testing. Two of the three did not contain documentation of the request being reviewed or approved. Repeat Finding from Yes. Prior Year(s) Recommendation We recommend the Organization enhance internal control policies to require documentation of the review and approval procedures performed in the preparation and review of reimbursement requests. Views of Responsible Management agrees with the finding. Individuals

Corrective Action Plan

Finding 2022-003 Cash Management Federal Agency Name: U.S. Department of Health and Human Services Program Name: Section 223 Demonstration Programs to Improve Community Mental Health Services CFDA: 93.829 Finding Summary: During audit testing of reimbursement requests, there was no documentation available for the review and approval procedures performed. There was a total of seven reimbursement requests prepared for the year ended June 30, 2022. Of these, three were selected for testing. Two of the three did not contain documentation of the request being reviewed or approved. Responsible Individuals: Michael Luedtke, Chief Financial Officer Corrective Action Plan: Management agrees with the finding. In the future, management will ensure that documentation of the approval process for reimbursement is kept. Anticipated Completion Date: May 15, 2023

Categories

Cash Management Significant Deficiency Matching / Level of Effort / Earmarking

Other Findings in this Audit

  • 51980 2022-004
    Significant Deficiency
  • 51981 2022-005
    Significant Deficiency
  • 628421 2022-003
    Significant Deficiency Repeat
  • 628422 2022-004
    Significant Deficiency
  • 628423 2022-005
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.829 Section 223 Demonstration Programs to Improve Community Mental Health Services $2.15M
93.498 Covid-19 Provider Relief Fund (prf) and American Rescue Plan (arp) Rural Distribution $481,738
10.557 Special Supplemental Nutrition Program for Women, Infants, and Children $164,117
93.958 Block Grants for Community Mental Health Services $145,470
93.917 Hiv Care Formula Grants $130,113
93.150 Projects for Assistance in Transition From Homelessness (path) $61,183
93.658 Foster Care Title IV-E $51,492
93.994 Maternal and Child Health Services Block Grant to the States $46,719
93.558 Temporary Assistance for Needy Families $42,923
21.019 Covid-19 Coronavirus Relief Funds $41,511
93.778 Medical Assistance Program $40,530