Finding 524224 (2024-002)

Significant Deficiency
Requirement
E
Questioned Costs
-
Year
2024
Accepted
2025-02-21
Audit: 343418
Organization: Staywell Healthcare, Inc. (CT)
Auditor: Cohnreznick LLP

AI Summary

  • Core Issue: There is a significant deficiency in eligibility documentation for the HIV Emergency Relief Project Grants.
  • Impacted Requirements: Internal controls over eligibility were not consistently followed, leading to insufficient documentation for benefit recipients.
  • Recommended Follow-up: Management should provide training for staff on verifying eligibility and maintaining proper documentation to strengthen internal controls.

Finding Text

Finding 2024.002: Eligibility - Significant Deficiency Grantor: U.S. Department of Health and Human Services Federal Program Names: HIV Emergency Relief Project Grants Federal Assistance Listing Numbers: 93.914 Federal Award Identification Number and Year: A23-0249 – 2024 Name of Pass-through Entity: City of New Haven Criteria In accordance with 2CFR 200.303(a), Internal Controls, a 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 specific eligibility requirements are unique to each Federal program, in accordance with the terms and conditions of the Federal award pertaining to the program. Condition During our testing over eligibility requirements, we were unable to review sufficient documentation to support that benefit recipients were eligible for benefits. Cause The Organization’s internal controls over eligibility were not consistently followed to ensure the presence of documentation to support that all benefit recipients were eligible for benefits. Effect or Potential Effect Lack of sufficient support over eligibility could result in ineligible individuals receiving benefits. Questioned Costs None. Context We selected 40 beneficiaries charged to the federal program to test compliance and controls over eligibility. Out of the 40 individuals tested, we noted 2 instances where there was no documentation to support that benefit recipients were eligible for benefits and the internal controls over eligibility were followed. Identification of Repeat Finding None. Recommendation We recommend that management provide training to those responsible for verifying eligibility to ensure that documentation and internal control over eligibility is maintained. Views of Responsible Officials and Planned Corrective Actions Management agrees with the audit finding and will strengthen internal controls and accountability to correct the deficiency.

Corrective Action Plan

2024.02 - Eligibility Recommendation We recommend that management provide training to those responsible for verifying eligibility to ensure that documentation and internal control over eligibility is maintained. Action Taken 1) To ensure patient eligibility is properly assigned to patients, the Director of Clinical Operations will perform random audits on a Monthly basis of patients that are assigned. 2) The Director of Clinical Operations will also ensure proper training to those that are assigning eligibility to ensure that proper documentation is obtained and properly stored. If the Cognizant or Oversight Agency for Audit has questions regarding this plan, please call: Eric Newman, CFO at (203) 756-8021 x 3015. Sincerely yours, Eric Newman Chief Financial Officer

Categories

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

Other Findings in this Audit

  • 524220 2024-001
    Significant Deficiency Repeat
  • 524221 2024-001
    Significant Deficiency Repeat
  • 524222 2024-001
    Significant Deficiency Repeat
  • 524223 2024-001
    Significant Deficiency Repeat
  • 1100662 2024-001
    Significant Deficiency Repeat
  • 1100663 2024-001
    Significant Deficiency Repeat
  • 1100664 2024-001
    Significant Deficiency Repeat
  • 1100665 2024-001
    Significant Deficiency Repeat
  • 1100666 2024-002
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.268 Immunization Cooperative Agreements $1.08M
93.914 Hiv Emergency Relief Project Grants $798,263
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $368,698
93.870 Maternal, Infant and Early Childhood Home Visiting Grant $322,619
14.231 Emergency Solutions Grant Program $123,661
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $75,041
93.153 Coordinated Services and Access to Research for Women, Infants, Children, and Youth $68,035
93.243 Substance Abuse and Mental Health Services_projects of Regional and National Significance $63,959
93.391 Activities to Support State, Tribal, Local and Territorial (stlt) Health Department Response to Public Health Or Healthcare Crises $54,939
93.940 Hiv Prevention Activities_health Department Based $27,055
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $22,850
93.590 Community-Based Child Abuse Prevention Grants $11,377
21.027 Coronavirus State and Local Fiscal Recovery Funds $7,713