Finding 542010 (2024-005)

Significant Deficiency Repeat Finding
Requirement
G
Questioned Costs
$1
Year
2024
Accepted
2025-03-31

AI Summary

  • Core Issue: There is a significant deficiency in internal controls over compliance related to matching funds for the federal award.
  • Impacted Requirements: Non-compliance with 2 CFR 200.303(a) and 2 CFR 200.306 due to improper documentation of Medicaid hours affecting match calculations.
  • Recommended Follow-Up: Management should review and improve procedures for the match claim workbook to ensure compliance with federal grant requirements.

Finding Text

Department of Health and Human Services FFAL #93.087, 90CU0095, 9/30/2018 – 9/29/2024 Enhance Safety of Children Affected by Substance Abuse Matching Significant Deficiency in Internal Control over Compliance Criteria: 2 CFR 200.303(a) establishes that the auditee must establish and maintain effective internal control over the federal award that provides assurance that the entity is managing the federal award in compliance with federal statutes, regulations, and conditions of the federal award. In addition, 2 CFR 200.306 establishes that matching funds be verifiable from the non-federal entity’s records and are allowable under Subpart E – Cost Principles and 2 CFR 200.403(g) establishes that costs be adequately documented. Condition: In our sample of expenditures selected for testing, we noted 5.15 hours identified as Medicaid hours for one employee were not removed from the employee’s total hours when calculating the amount of match for the federal program. Cause: The employee’s Medicaid hours were not properly included within a revenues report due to the employee’s provider number not being included within the report parameters. Effect: The Center’s controls did not detect or correct the errors identified, which results in a reasonable possibility that the Center could claim as match disallowed costs under the federal award and would not be able to detect and correct noncompliance in a timely manner. Questioned Costs: Error resulted in $142; however, the Center has identified more than the match requirement under the federal program. Context: A total non-statistical sample of 12 out of 58 match transactions were selected for testing, which accounted for $49,219 out of $233,501 of federal match expenditures. Repeat Finding from Prior Year: Yes, prior year finding 2023-006 Recommendation: We recommend management review the procedures and control processes involving the match claim workbook to ensure compliance with the federal grant. Views of Responsible Officials: Management is in agreement.

Corrective Action Plan

Matching Federal Agency Name: Department of Health and Human Services FFAL #93.087 Program Name: Enhance Safety of Children Affected by Substance Abuse Finding Summary: During testing of match expenditures, testing noted 5.15 hours identified as Medicaid hours for one employee were not removed from the employee’s total hours when calculating the amount of match for the federal program. The Center’s controls did not detect or correct the errors identified, which results in a reasonable possibility that the Center could claim as match disallowed costs under the federal award and would not be able to detect and correct noncompliance in a timely manner. The employee’s Medicaid hours were not properly included within a revenues report due to the employee’s provider number not being included within the report parameters. Responsible Individuals: CEO (Dan Ries) Corrective Action Plan: CEO will double check and confirm that all revenue reports run have data for the correct staff to ensure that the accurate information is being used to calculate match hours. Anticipated Completion Date: September 2024.

Categories

Questioned Costs Allowable Costs / Cost Principles Matching / Level of Effort / Earmarking

Other Findings in this Audit

  • 542008 2024-003
    Significant Deficiency Repeat
  • 542009 2024-004
    Significant Deficiency
  • 1118450 2024-003
    Significant Deficiency Repeat
  • 1118451 2024-004
    Significant Deficiency
  • 1118452 2024-005
    Significant Deficiency Repeat

Programs in Audit

ALN Program Name Expenditures
93.696 Certified Community Behavioral Health Clinic Expansion Grants $1.11M
93.958 Block Grants for Community Mental Health Services $1.07M
93.087 Enhance Safety of Children Affected by Substance Abuse $608,135
93.243 Substance Abuse and Mental Health Services Projects of Regional and National Significance $308,828
16.575 Crime Victim Assistance $251,784
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $196,585
93.211 Rural Telemedicine Grants $38,346
93.788 Opioid Str $27,758
93.829 Section 223 Demonstration Programs to Improve Community Mental Health Services $20,000