Finding 565473 (2024-033)

Significant Deficiency Repeat Finding
Requirement
N
Questioned Costs
$1
Year
2024
Accepted
2025-06-19
Audit: 359283
Organization: Commonwealth of Massachusetts (MA)

AI Summary

  • Core Issue: The Executive Office of Health and Human Services miscalculated the federal share of Medicaid overpayments, leading to an understatement of $185,098 on the CMS-64 report.
  • Impacted Requirements: Compliance with federal regulations regarding the timely and accurate reporting of overpayments, specifically under 42 USC 1396b and 42 CFR 433.320.
  • Recommended Follow-Up: Enhance internal controls and procedures to ensure accurate calculations and reporting of federal shares for Medicaid overpayments.

Finding Text

Reference Number: 2024-033 Prior Year Finding: 2023-032 Federal Agency: U.S. Department of Health and Human Services State Agency: Executive Office of Health and Human Services Federal Program: Medicaid Cluster, COVID-19 – Medicaid Cluster Assistance Listing Number: 93.775, 93.777, 93.778 Award Number and Year: XIX-MAP23, XIX-MAP-24 Compliance Requirement: Special Tests and Provisions – Refunding of Federal Share of Medicaid Overpayments to Providers Type of Finding: Significant Deficiency in Internal Control Over Compliance, Other Matters Criteria or specific requirement: Compliance: Pursuant to 1903(d)(2)(C) of the Act (the Act) (42 USC 1396b), states have up to one (1) year from the date of discovery of the overpayment to recover or attempt to recover the overpayment before the federal share must be refunded to CMS via Form CMS-64 Summary, Line 9.C1-Fraud, Waste & Abuse Amounts, Line 9.C2-OIG Complaint False Claims Act, 9.D Other, 9.E. – RAC Collections, 9.F. – PERM Collections or 9.G. – MEQC Collections regardless of whether recovery is made from the provider. The state must credit the federal share to CMS as outlined under 42 CFR 433.320(a)(2) either in the quarter in which the recovery is made or in the quarter in which the one-year period following discovery ends, whichever is earlier, with limited exceptions. Under 42 CFR 433.316(d), for overpayments resulting from fraud, if not collected within one year of discovery, the SMA has until 30 days after the final judgment of a judicial or administrative appeals process to return the federal share. Control: Per 2 CFR section 200.303(a), the 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. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: Errors were made by the Executive Office of Health and Human Services (Department) when calculating the federal share of the overpayments to be returned on the CMS-64. Context: For eight of thirty-four overpayments selected for testing, the federal share to be returned for the 6/30/2024 quarter was calculated incorrectly. The amount reported in Column A - Total Computable on Line 9C1 was understated by $349,572 and the amount reported in Column E - Total Federal Share on Line 9C1 was understated by $185,098. Cause: The Department’s procedures were not sufficient to ensure that the spreadsheet used to calculate the federal share of overpayments to be returned was accurate. Internal controls did not prevent or detect the errors. Effect: The federal share of refunded overpayments was understated when reported on the CMS-64. Questioned costs: $185,098, which represents the total understatement of the reported federal share. Recommendation: We recommend that the Department enhance its procedures and controls to ensure that the calculation of the federal share of overpayments to be returned is accurate and is properly reported on the CMS-64. Views of Responsible Officials: There is no disagreement with the finding.

Categories

Questioned Costs Special Tests & Provisions Significant Deficiency Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties

Other Findings in this Audit

  • 565411 2024-003
    Material Weakness
  • 565412 2024-004
    Significant Deficiency Repeat
  • 565413 2024-003
    Material Weakness
  • 565414 2024-007
    Material Weakness Repeat
  • 565415 2024-007
    Material Weakness Repeat
  • 565416 2024-008
    - Repeat
  • 565417 2024-008
    - Repeat
  • 565418 2024-009
    Material Weakness Repeat
  • 565419 2024-009
    Material Weakness Repeat
  • 565420 2024-005
    Significant Deficiency Repeat
  • 565421 2024-005
    Significant Deficiency Repeat
  • 565422 2024-006
    Significant Deficiency
  • 565423 2024-006
    Significant Deficiency
  • 565424 2024-010
    Material Weakness Repeat
  • 565425 2024-010
    Material Weakness Repeat
  • 565426 2024-010
    Material Weakness Repeat
  • 565427 2024-011
    Material Weakness Repeat
  • 565428 2024-011
    Material Weakness Repeat
  • 565429 2024-011
    Material Weakness Repeat
  • 565430 2024-012
    Significant Deficiency
  • 565431 2024-012
    Significant Deficiency
  • 565432 2024-012
    Significant Deficiency
  • 565433 2024-013
    Significant Deficiency Repeat
  • 565434 2024-013
    Significant Deficiency Repeat
  • 565435 2024-013
    Significant Deficiency Repeat
  • 565436 2024-014
    Significant Deficiency Repeat
  • 565437 2024-014
    Significant Deficiency Repeat
  • 565438 2024-014
    Significant Deficiency Repeat
  • 565439 2024-015
    Significant Deficiency Repeat
  • 565440 2024-015
    Significant Deficiency Repeat
  • 565441 2024-015
    Significant Deficiency Repeat
  • 565442 2024-016
    Material Weakness Repeat
  • 565443 2024-016
    Material Weakness Repeat
  • 565444 2024-016
    Material Weakness Repeat
  • 565445 2024-017
    Significant Deficiency Repeat
  • 565446 2024-017
    Significant Deficiency Repeat
  • 565447 2024-017
    Significant Deficiency Repeat
  • 565448 2024-018
    Material Weakness Repeat
  • 565449 2024-018
    Material Weakness Repeat
  • 565450 2024-018
    Material Weakness Repeat
  • 565451 2024-019
    Material Weakness Repeat
  • 565452 2024-019
    Material Weakness Repeat
  • 565453 2024-020
    Material Weakness
  • 565454 2024-020
    Material Weakness
  • 565455 2024-021
    Material Weakness
  • 565456 2024-021
    Material Weakness
  • 565457 2024-022
    Significant Deficiency
  • 565458 2024-022
    Significant Deficiency
  • 565459 2024-023
    Significant Deficiency
  • 565460 2024-024
    Significant Deficiency
  • 565461 2024-025
    Significant Deficiency
  • 565462 2024-026
    Significant Deficiency
  • 565463 2024-027
    Significant Deficiency
  • 565464 2024-028
    Significant Deficiency Repeat
  • 565465 2024-029
    Significant Deficiency Repeat
  • 565466 2024-030
    Significant Deficiency Repeat
  • 565467 2024-031
    Material Weakness
  • 565468 2024-031
    Material Weakness
  • 565469 2024-032
    Material Weakness
  • 565470 2024-032
    Material Weakness
  • 565471 2024-033
    Significant Deficiency Repeat
  • 565472 2024-033
    Significant Deficiency Repeat
  • 565474 2024-033
    Significant Deficiency Repeat
  • 565475 2024-034
    Significant Deficiency Repeat
  • 565476 2024-034
    Significant Deficiency Repeat
  • 565477 2024-034
    Significant Deficiency Repeat
  • 565478 2024-034
    Significant Deficiency Repeat
  • 565479 2024-035
    Significant Deficiency
  • 565480 2024-035
    Significant Deficiency
  • 565481 2024-035
    Significant Deficiency
  • 565482 2024-035
    Significant Deficiency
  • 565483 2024-036
    Material Weakness Repeat
  • 565484 2024-037
    Significant Deficiency Repeat
  • 565485 2024-038
    Material Weakness
  • 565486 2024-038
    Material Weakness
  • 565487 2024-039
    Significant Deficiency
  • 565488 2024-039
    Significant Deficiency
  • 1141853 2024-003
    Material Weakness
  • 1141854 2024-004
    Significant Deficiency Repeat
  • 1141855 2024-003
    Material Weakness
  • 1141856 2024-007
    Material Weakness Repeat
  • 1141857 2024-007
    Material Weakness Repeat
  • 1141858 2024-008
    - Repeat
  • 1141859 2024-008
    - Repeat
  • 1141860 2024-009
    Material Weakness Repeat
  • 1141861 2024-009
    Material Weakness Repeat
  • 1141862 2024-005
    Significant Deficiency Repeat
  • 1141863 2024-005
    Significant Deficiency Repeat
  • 1141864 2024-006
    Significant Deficiency
  • 1141865 2024-006
    Significant Deficiency
  • 1141866 2024-010
    Material Weakness Repeat
  • 1141867 2024-010
    Material Weakness Repeat
  • 1141868 2024-010
    Material Weakness Repeat
  • 1141869 2024-011
    Material Weakness Repeat
  • 1141870 2024-011
    Material Weakness Repeat
  • 1141871 2024-011
    Material Weakness Repeat
  • 1141872 2024-012
    Significant Deficiency
  • 1141873 2024-012
    Significant Deficiency
  • 1141874 2024-012
    Significant Deficiency
  • 1141875 2024-013
    Significant Deficiency Repeat
  • 1141876 2024-013
    Significant Deficiency Repeat
  • 1141877 2024-013
    Significant Deficiency Repeat
  • 1141878 2024-014
    Significant Deficiency Repeat
  • 1141879 2024-014
    Significant Deficiency Repeat
  • 1141880 2024-014
    Significant Deficiency Repeat
  • 1141881 2024-015
    Significant Deficiency Repeat
  • 1141882 2024-015
    Significant Deficiency Repeat
  • 1141883 2024-015
    Significant Deficiency Repeat
  • 1141884 2024-016
    Material Weakness Repeat
  • 1141885 2024-016
    Material Weakness Repeat
  • 1141886 2024-016
    Material Weakness Repeat
  • 1141887 2024-017
    Significant Deficiency Repeat
  • 1141888 2024-017
    Significant Deficiency Repeat
  • 1141889 2024-017
    Significant Deficiency Repeat
  • 1141890 2024-018
    Material Weakness Repeat
  • 1141891 2024-018
    Material Weakness Repeat
  • 1141892 2024-018
    Material Weakness Repeat
  • 1141893 2024-019
    Material Weakness Repeat
  • 1141894 2024-019
    Material Weakness Repeat
  • 1141895 2024-020
    Material Weakness
  • 1141896 2024-020
    Material Weakness
  • 1141897 2024-021
    Material Weakness
  • 1141898 2024-021
    Material Weakness
  • 1141899 2024-022
    Significant Deficiency
  • 1141900 2024-022
    Significant Deficiency
  • 1141901 2024-023
    Significant Deficiency
  • 1141902 2024-024
    Significant Deficiency
  • 1141903 2024-025
    Significant Deficiency
  • 1141904 2024-026
    Significant Deficiency
  • 1141905 2024-027
    Significant Deficiency
  • 1141906 2024-028
    Significant Deficiency Repeat
  • 1141907 2024-029
    Significant Deficiency Repeat
  • 1141908 2024-030
    Significant Deficiency Repeat
  • 1141909 2024-031
    Material Weakness
  • 1141910 2024-031
    Material Weakness
  • 1141911 2024-032
    Material Weakness
  • 1141912 2024-032
    Material Weakness
  • 1141913 2024-033
    Significant Deficiency Repeat
  • 1141914 2024-033
    Significant Deficiency Repeat
  • 1141915 2024-033
    Significant Deficiency Repeat
  • 1141916 2024-033
    Significant Deficiency Repeat
  • 1141917 2024-034
    Significant Deficiency Repeat
  • 1141918 2024-034
    Significant Deficiency Repeat
  • 1141919 2024-034
    Significant Deficiency Repeat
  • 1141920 2024-034
    Significant Deficiency Repeat
  • 1141921 2024-035
    Significant Deficiency
  • 1141922 2024-035
    Significant Deficiency
  • 1141923 2024-035
    Significant Deficiency
  • 1141924 2024-035
    Significant Deficiency
  • 1141925 2024-036
    Material Weakness Repeat
  • 1141926 2024-037
    Significant Deficiency Repeat
  • 1141927 2024-038
    Material Weakness
  • 1141928 2024-038
    Material Weakness
  • 1141929 2024-039
    Significant Deficiency
  • 1141930 2024-039
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.778 Medical Assistance Program $13.62B
10.551 Supplemental Nutrition Assistance Program $2.72B
21.027 Covid-19 - Coronavirus State and Local Fiscal Recovery Funds $2.31B
17.225 Unemployment Insurance $2.16B
97.036 Covid-19 - Disaster Grants - Public Assistance (presidentially Declared Disasters) $1.05B
20.205 Highway Planning and Construction $813.89M
93.767 Children's Health Insurance Program $715.15M
10.555 National School Lunch Program $475.71M
14.881 Moving to Work Demonstration Program $442.20M
93.558 Temporary Assistance for Needy Families $378.24M
84.027 Special Education Grants to States $314.11M
14.239 Home Investment Partnerships Program $289.78M
84.010 Title I Grants to Local Educational Agencies $273.63M
93.778 Covid-19 - Medical Assistance Program $248.31M
93.575 Child Care and Development Block Grant $190.24M
93.568 Low-Income Home Energy Assistance $154.79M
93.658 Foster Care Title IV-E $131.89M
10.557 Wic Special Supplemental Nutrition Program for Women, Infants, and Children $118.71M
93.268 Immunization Cooperative Agreements $99.07M
10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $98.07M
93.596 Child Care Mandatory and Matching Funds of the Child Care and Development Fund $90.06M
10.542 Covid-19 - Pandemic Ebt Food Benefits $83.18M
93.563 Child Support Services $80.36M
93.667 Social Services Block Grant $79.13M
10.558 Child and Adult Care Food Program $77.71M
93.566 Refugee and Entrant Assistance State/replacement Designee Administered Programs $72.54M
93.788 Opioid Str $71.87M
93.323 Covid-19 - Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $64.69M
84.126 Rehabilitation Services Vocational Rehabilitation Grants to States $63.47M
96.001 Social Security Disability Insurance $52.22M
12.401 National Guard Military Operations and Maintenance (o&m) Projects $51.80M
93.659 Adoption Assistance $51.63M
93.959 Block Grants for Prevention and Treatment of Substance Abuse $50.59M
64.005 Grants to States for Construction of State Home Facilities $40.19M
93.917 Hiv Care Formula Grants $35.29M
14.228 Community Development Block Grants/state's Program and Non-Entitlement Grants in Hawaii $31.46M
84.367 Supporting Effective Instruction State Grants (formerly Improving Teacher Quality State Grants) $29.89M
16.575 Crime Victim Assistance $27.69M
93.268 Covid-19 - Immunization Cooperative Agreements $26.42M
93.959 Covid-19 - Block Grants for Prevention and Treatment of Substance Abuse $25.39M
97.067 Homeland Security Grant Program $23.08M
17.278 Wioa Dislocated Worker Formula Grants $22.31M
10.555 Covid-19 - National School Lunch Program $21.71M
84.048 Career and Technical Education -- Basic Grants to States $20.67M
14.881 Covid-19 - Moving to Work Demonstration Program $19.79M
14.267 Continuum of Care Program $19.69M
93.767 Covid-19 - Children's Health Insurance Program $19.45M
84.424 Student Support and Academic Enrichment Program $19.41M
93.569 Community Services Block Grant $19.37M
93.958 Block Grants for Community Mental Health Services $19.02M
84.287 Twenty-First Century Community Learning Centers $18.45M
84.365 English Language Acquisition State Grants $17.54M
93.777 State Survey and Certification of Health Care Providers and Suppliers (title Xviii) Medicare $16.83M
17.259 Wioa Youth Activities $16.66M
66.605 Performance Partnership Grants $16.22M
93.069 Public Health Emergency Preparedness $14.67M
17.207 Employment Service/wagner-Peyser Funded Activities $14.24M
17.258 Wioa Adult Program $14.22M
21.023 Covid-19 - Emergency Rental Assistance Program $14.21M
93.045 Special Programs for the Aging, Title Iii, Part C, Nutrition Services $13.97M
84.002 Adult Education - Basic Grants to States $13.96M
64.015 Veterans State Nursing Home Care $13.31M
14.275 Housing Trust Fund $13.15M
93.354 Covid-19 - Public Health Emergency Response: Cooperative Agreement for Emergency Response: Public Health Crisis Response $12.49M
84.027 Covid-19 - Special Education Grants to States $12.03M
14.228 Covid-19 - Community Development Block Grants/state's Program and Non-Entitlement Grants in Hawaii $12.00M
21.026 Covid-19 - Homeowner Assistance Fund $11.80M
81.042 Weatherization Assistance for Low-Income Persons $11.27M
93.994 Maternal and Child Health Services Block Grant to the States $11.21M
10.559 Summer Food Service Program for Children $11.09M
93.958 Covid-19 - Block Grants for Community Mental Health Services $11.01M
10.561 Covid-19 - State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $10.84M
93.044 Special Programs for the Aging, Title Iii, Part B, Grants for Supportive Services and Senior Centers $9.85M
93.940 Hiv Prevention Activities Health Department Based $9.40M
93.090 Guardianship Assistance $9.26M
14.871 Section 8 Housing Choice Vouchers $9.11M
97.042 Emergency Management Performance Grants $8.93M
84.181 Special Education-Grants for Infants and Families $8.93M
84.173 Special Education Preschool Grants $8.93M
84.371 Comprehensive Literacy Development $8.49M
84.369 Grants for State Assessments and Related Activities $8.45M
93.499 Covid-19 - Low Income Household Water Assistance Program $8.29M
93.053 Nutrition Services Incentive Program $7.76M
14.856 Lower Income Housing Assistance Program Section 8 Moderate Rehabilitation $7.66M
93.391 Covid-19 - Activities to Support State, Tribal, Local and Territorial (stlt) Health Department Response to Public Health Or Healthcare Crises $7.44M
93.870 Maternal, Infant and Early Childhood Homevisiting Grant Program $7.36M
93.136 Injury Prevention and Control Research and State and Community Based Programs $7.20M
93.217 Family Planning Services $6.73M
93.044 Covid-19 - Special Programs for the Aging, Title Iii, Part B, Grants for Supportive Services and Senior Centers $6.72M
93.243 Substance Abuse and Mental Health Services Projects of Regional and National Significance $6.30M
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $6.24M
20.218 Motor Carrier Safety Assistance $6.18M
15.916 Outdoor Recreation Acquisition, Development and Planning $6.08M
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $6.03M
20.600 State and Community Highway Safety $5.94M
93.556 Marylee Allen Promoting Safe and Stable Families Program $5.92M
10.560 State Administrative Expenses for Child Nutrition $5.69M
90.401 Help America Vote Act Requirements Payments $5.69M
10.182 Covid-19 - Pandemic Relief Activities: Local Food Purchase Agreements with States, Tribes, and Local Governments $5.48M
15.611 Wildlife Restoration and Basic Hunter Education and Safety $5.37M
93.045 Covid-19 - Special Programs for the Aging, Title Iii, Part C, Nutrition Services $5.31M
93.775 State Medicaid Fraud Control Units $5.17M
20.616 National Priority Safety Programs $5.14M
16.710 Public Safety Partnership and Community Policing Grants $5.06M
16.606 State Criminal Alien Assistance Program $5.02M
16.838 Comprehensive Opioid, Stimulant, and Other Substances Use Program $4.92M
93.434 Every Student Succeeds Act/preschool Development Grants $4.89M
84.334 Gaining Early Awareness and Readiness for Undergraduate Programs $4.73M
17.225 Covid-19 - Unemployment Insurance $4.72M
10.582 Fresh Fruit and Vegetable Program $4.71M
20.513 Enhanced Mobility of Seniors and Individuals with Disabilities $4.67M
14.181 Supportive Housing for Persons with Disabilities $4.53M
14.231 Emergency Solutions Grant Program $4.51M
16.738 Edward Byrne Memorial Justice Assistance Grant Program $4.25M
20.509 Covid-19 - Formula Grants for Rural Areas and Tribal Transit Program $4.11M
11.307 Covid-19 - Economic Adjustment Assistance $4.10M
84.425 Covid-19 - Education Stabilization Fund $3.91M
93.645 Stephanie Tubbs Jones Child Welfare Services Program $3.79M
93.991 Preventive Health and Health Services Block Grant $3.73M
84.421 Disability Innovation Fund (dif) $3.72M
93.889 National Bioterrorism Hospital Preparedness Program $3.71M
93.495 Covid-19 - Community Health Workers for Public Health Response and Resilient $3.47M
93.674 John H. Chafee Foster Care Program for Successful Transition to Adulthood $3.44M
93.052 National Family Caregiver Support, Title Iii, Part E $3.44M
14.880 Family Unification Program (fup) $3.25M
93.791 Money Follows the Person Rebalancing Demonstration $3.12M
45.310 Grants to States $2.98M
16.588 Violence Against Women Formula Grants $2.95M
93.558 Covid-19 - Temporary Assistance for Needy Families $2.93M
10.025 Plant and Animal Disease, Pest Control, and Animal Care $2.91M
17.801 Jobs for Veterans State Grants $2.90M
93.977 Covid-19 - Sexually Transmitted Diseases (std) Prevention and Control Grants $2.84M
17.245 Trade Adjustment Assistance $2.83M
11.419 Coastal Zone Management Administration Awards $2.73M
84.181 Covid-19 - Special Education-Grants for Infants and Families $2.71M
93.669 Child Abuse and Neglect State Grants $2.61M
64.014 Veterans State Domiciliary Care $2.57M
93.671 Family Violence Prevention and Services/domestic Violence Shelter and Supportive Services $2.56M
93.603 Adoption and Legal Guardianship Incentive Payments Program $2.46M
20.528 Rail Fixed Guideway Public Transportation System State Safety Oversight Formula Grant Program $2.44M
10.568 Emergency Food Assistance Program (administrative Costs) $2.44M
90.404 Hava Election Security Grants $2.43M
10.649 Covid-19 - Pandemic Ebt Administrative Costs $2.30M
97.012 Boating Safety Financial Assistance $2.23M
14.326 Project Rental Assistance Demonstration (pra Demo) Program of Section 811 Supportive Housing for Persons with Disabilities $2.23M
93.747 Covid-19 - Elder Abuse Prevention Interventions Program $2.21M
20.700 Pipeline Safety Program State Base Grant $2.18M
93.387 National and State Tobacco Control Program $2.12M
93.967 Centers for Disease Control and Prevention Collaboration with Academia to Strengthen Public Health $2.07M
97.008 Non-Profit Security Program $2.06M
93.659 Covid-19 - Adoption Assistance $2.04M
93.243 Covid-19 - Substance Abuse and Mental Health Services Projects of Regional and National Significance $1.99M
17.285 Registered Apprenticeship $1.99M
11.035 Broadband Equity, Access, and Deployment Program $1.96M
17.002 Labor Force Statistics $1.95M
10.931 Agricultural Conservation Easement Program $1.93M
20.526 Buses and Bus Facilities Formula, Competitive, and Low Or No Emissions Programs $1.88M
93.110 Maternal and Child Health Federal Consolidated Programs $1.88M
20.509 Formula Grants for Rural Areas and Tribal Transit Program $1.87M
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $1.86M
17.277 Wioa National Dislocated Worker Grants / Wia National Emergency Grants $1.84M
84.196 Education for Homeless Children and Youth $1.78M
10.185 Local Food for Schools Cooperative Agreement Program $1.78M
93.977 Sexually Transmitted Diseases (std) Prevention and Control Grants $1.78M
15.605 Sport Fish Restoration $1.76M
14.231 Covid-19 - Emergency Solutions Grant Program $1.72M
93.432 Acl Centers for Independent Living $1.71M
93.052 Covid-19 - National Family Caregiver Support, Title Iii, Part E $1.67M
20.933 National Infrastructure Investments $1.63M
93.658 Covid-19 - Foster Care Title IV-E $1.63M
93.116 Project Grants and Cooperative Agreements for Tuberculosis Control Programs $1.63M
81.041 State Energy Program $1.62M
93.084 Covid-19 - Prevention of Disease, Disability, and Death by Infectious Diseases $1.59M
17.503 Occupational Safety and Health State Program $1.53M
84.013 Title I State Agency Program for Neglected and Delinquent Children and Youth $1.52M
93.165 Covid-19 - Grants to States for Loan Repayment $1.51M
93.590 Covid-19 - Community-Based Child Abuse Prevention Grants $1.49M
93.070 Environmental Public Health and Emergency Response $1.48M
17.504 Consultation Agreements $1.48M
93.150 Projects for Assistance in Transition From Homelessness (path) $1.47M
14.182 Section 8 New Construction and Substantial Rehabilitation $1.46M
14.276 Youth Homelessness Demonstration Program $1.45M
93.630 Developmental Disabilities Basic Support and Advocacy Grants $1.39M
12.400 Military Construction, National Guard $1.39M
16.741 Dna Backlog Reduction Program $1.39M
97.039 Hazard Mitigation Grant $1.33M
93.104 Comprehensive Community Mental Health Services for Children with Serious Emotional Disturbances (sed) $1.33M
93.426 The National Cardiovascular Health Program $1.32M
21.029 Covid-19 - Coronavirus Capital Projects Fund $1.31M
10.664 Cooperative Forestry Assistance $1.30M
97.056 Port Security Grant Program $1.28M
17.235 Senior Community Service Employment Program $1.27M
66.456 National Estuary Program $1.25M
16.831 Children of Incarcerated Parents $1.23M
64.015 Covid-19 - Veterans State Nursing Home Care $1.23M
84.011 Migrant Education State Grant Program $1.22M
16.922 Equitable Sharing Program $1.20M
15.616 Clean Vessel Act $1.16M
66.802 Superfund State, Political Subdivision, and Indian Tribe Site-Specific Cooperative Agreements $1.15M
45.025 Promotion of the Arts Partnership Agreements $1.14M
16.754 Harold Rogers Prescription Drug Monitoring Program $1.12M
93.997 Assisted Outpatient Treatment $1.11M
93.324 State Health Insurance Assistance Program $1.10M
93.978 Sexually Transmitted Diseases (std) Provider Education Grants $1.09M
20.219 Recreational Trails Program $1.04M
14.401 Fair Housing Assistance Program $1.04M
84.173 Covid-19 - Special Education Preschool Grants $1.03M
14.896 Family Self-Sufficiency Program $1.00M
16.576 Crime Victim Compensation $970,647
15.634 State Wildlife Grants $967,904
93.967 Covid-19 - Centers for Disease Control and Prevention Collaboration with Academia to Strengthen Public Health $946,270
93.599 Chafee Education and Training Vouchers Program (etv) $945,398
66.444 Voluntary School and Child Care Lead Testing and Reduction Grant Program (sdwa 1464(d)) $932,440
11.420 Coastal Zone Management Estuarine Research Reserves $922,293
16.742 Paul Coverdell Forensic Sciences Improvement Grant Program $913,144
11.032 State Digital Equity Planning and Capacity Grant $909,130
93.092 Affordable Care Act (aca) Personal Responsibility Education Program $896,240
93.073 Birth Defects and Developmental Disabilities - Prevention and Surveillance $885,459
97.047 Bric: Building Resilient Infrastructure and Communities $880,876
66.040 Diesel Emissions Reduction Act (dera) State Grants $877,985
66.805 Leaking Underground Storage Tank Trust Fund Corrective Action Program $835,566
11.472 Unallied Science Program $827,823
93.671 Covid-19 - Family Violence Prevention and Services/domestic Violence Shelter and Supportive Services $816,234
93.669 Covid-19 - Child Abuse and Neglect State Grants $809,150
15.904 Historic Preservation Fund Grants-in-Aid $796,768
93.497 Covid-19 - Family Violence Prevention and Services/ Sexual Assault/rape Crisis Services and Supports $793,400
93.493 Congressional Directives $791,821
17.273 Temporary Labor Certification for Foreign Workers $771,610
84.282 Charter Schools $758,603
93.590 Community-Based Child Abuse Prevention Grants $748,728
93.184 Disabilities Prevention $732,632
10.170 Specialty Crop Block Grant Program - Farm Bill $725,774
12.113 State Memorandum of Agreement Program for the Reimbursement of Technical Services $722,084
15.614 Coastal Wetlands Planning, Protection and Restoration $717,296
93.084 Prevention of Disease, Disability, and Death by Infectious Diseases $712,257
93.262 Occupational Safety and Health Program $706,416
93.270 Viral Hepatitis Prevention and Control $702,985
93.870 Covid-19 - Maternal, Infant and Early Childhood Homevisiting Grant Program $699,218
93.583 Refugee and Entrant Assistance Wilson/fish Program $696,942
84.177 Rehabilitation Services Independent Living Services for Older Individuals Who Are Blind $667,888
97.091 Homeland Security Biowatch Program $665,838
93.110 Covid-19 - Maternal and Child Health Federal Consolidated Programs $664,594
66.034 Surveys, Studies, Research, Investigations, Demonstrations, and Special Purpose Activities Relating to the Clean Air Act $662,693
21.016 Equitable Sharing $658,483
93.235 Title V State Sexual Risk Avoidance Education (title V State Srae) Program $651,953
10.579 Child Nutrition Discretionary Grants Limited Availability $639,001
93.236 Grants to States to Support Oral Health Workforce Activities $638,887
10.576 Covid-19 - Senior Farmers Market Nutrition Program $636,362
10.572 Wic Farmers' Market Nutrition Program (fmnp) $615,001
93.197 Childhood Lead Poisoning Prevention Projects, State and Local Childhood Lead Poisoning Prevention and Surveillance of Blood Lead Levels in Children $612,626
93.747 Elder Abuse Prevention Interventions Program $604,235
16.554 National Criminal History Improvement Program (nchip) $595,651
93.336 Behavioral Risk Factor Surveillance System $594,546
93.153 Coordinated Services and Access to Research for Women, Infants, Children, and Youth $593,184
93.800 Organized Approaches to Increase Colorectal Cancer Screening $593,029
93.634 Support for Ombudsman and Beneficiary Counseling Programs for States Participating in Financial Alignment Model Demonstrations for Dually Eligible Individuals $587,253
93.103 Food and Drug Administration Research $584,904
16.585 Treatment Court Discretionary Grant Program $569,003
93.464 Acl Assistive Technology $564,467
10.576 Senior Farmers Market Nutrition Program $562,555
93.435 The Innovative Cardiovascular Health Program $557,062
16.543 Missing Children's Assistance $555,793
16.320 Services for Trafficking Victims $539,343
66.707 Tsca Title IV State Lead Grants Certification of Lead-Based Paint Professionals $534,398
93.354 Public Health Emergency Response: Cooperative Agreement for Emergency Response: Public Health Crisis Response $532,698
84.372 Statewide Longitudinal Data Systems $531,272
10.187 The Emergency Food Assistance Program (tefap) Commodity Credit Corporation Eligible Recipient Funds $528,283
84.184 School Safely National Activities $525,991
93.810 Paul Coverdell National Acute Stroke Program National Center for Chronic Disease Prevention and Health Promotion $519,599
16.835 Body Worn Camera Policy and Implementation $517,000
66.804 Underground Storage Tank (ust) Prevention, Detection, and Compliance Program $512,210
93.988 Cooperative Agreements for Diabetes Control Programs $510,169
93.944 Human Immunodeficiency Virus (hiv)/acquired Immunodeficiency Virus Syndrome (aids) Surveillance $505,480
16.017 Sexual Assault Services Formula Program $487,953
93.043 Special Programs for the Aging, Title Iii, Part D, Disease Prevention and Health Promotion Services $483,534
11.454 Unallied Management Projects $482,116
16.839 Stop School Violence $479,016
20.237 Motor Carrier Safety Assistance High Priority Activities Grants and Cooperative Agreements $477,044
16.753 Congressionally Recommended Awards $474,632
66.437 Geographic Programs – Long Island Sound Program $460,466
66.700 Consolidated Pesticide Enforcement Cooperative Agreements $447,304
16.609 Project Safe Neighborhoods $438,295
93.240 State Capacity Building $438,171
11.474 Atlantic Coastal Fisheries Cooperative Management Act $437,547
93.042 Special Programs for the Aging, Title Vii, Chapter 2, Long Term Care Ombudsman Services for Older Individuals $410,233
17.271 Work Opportunity Tax Credit Program (wotc) $402,136
97.023 Community Assistance Program State Support Services Element (cap-Ssse) $400,531
93.586 State Court Improvement Program $394,881
84.187 Supported Employment Services for Individuals with the Most Significant Disabilities $389,735
66.442 Water Infrastructure Improvements for the Nation Small and Underserved Communities Emerging Contaminants Grant Program $382,994
93.090 Covid-19 - Guardianship Assistance $382,638
93.369 Acl Independent Living State Grants $379,681
14.241 Housing Opportunities for Persons with Aids $375,149
84.305 Education Research, Development and Dissemination $374,884
93.241 State Rural Health Flexibility Program $369,323
10.541 Child Nutrition-Technology Innovation Grant $368,426
16.833 National Sexual Assault Kit Initiative $367,066
10.557 Covid-19 - Wic Special Supplemental Nutrition Program for Women, Infants, and Children $351,322
16.812 Second Chance Act Reentry Initiative $341,698
93.643 Children's Justice Grants to States $340,692
93.234 Traumatic Brain Injury State Demonstration Grant Program $321,269
66.701 Toxic Substances Compliance Monitoring Cooperative Agreements $320,807
16.827 Justice Reinvestment Initiative $314,876
66.472 Beach Monitoring and Notification Program Implementation Grants $309,492
93.130 Cooperative Agreements to States/territories for the Coordination and Development of Primary Care Offices $307,069
93.413 The State Flexibility to Stabilize the Market Grant Program $294,063
84.368 Competitive Grants for State Assessments $293,475
66.454 Water Quality Management Planning $284,625
93.041 Special Programs for the Aging, Title Vii, Chapter 3, Programs for Prevention of Elder Abuse, Neglect, and Exploitation $281,731
16.746 Capital Case Litigation Initiative $273,681
93.043 Covid-19 - Special Programs for the Aging, Title Iii, Part D, Disease Prevention and Health Promotion Services $271,244
11.473 Office for Coastal Management $267,187
66.817 State and Tribal Response Program Grants $252,041
93.251 Universal Newborn Hearing and Screening $251,125
20.505 Metropolitan Transportation Planning and State and Non-Metropolitan Planning and Research $250,161
97.041 National Dam Safety Program $241,325
16.593 Residential Substance Abuse Treatment for State Prisoners $240,550
16.745 Criminal and Juvenile Justice and Mental Health Collaboration Program $235,238
96.008 Social Security - Work Incentives Planning and Assistance Program $233,141
93.421 Passed Through National Association of City and County Health Officials (naccho) $231,373
93.279 Passed Through Boston Medical Center $229,163
93.599 Covid-19 - Chafee Education and Training Vouchers Program (etv) $202,567
97.039 Covid-19 - Hazard Mitigation Grant $199,661
66.032 State Indoor Radon Grants $199,187
59.061 State Trade Expansion $198,792
16.735 Prea Program: Strategic Support for Prea Implementation $198,297
10.565 Commodity Supplemental Food Program $193,247
10.579 Covid-19 - Child Nutrition Discretionary Grants Limited Availability $192,875
93.600 Head Start $189,571
20.941 Strengthening Mobility and Revolutionizing Transportation (smart) Grants Program $186,817
20.703 Interagency Hazardous Materials Public Sector Training and Planning Grants $185,192
93.071 Medicare Enrollment Assistance Program $184,467
16.751 Edward Byrne Memorial Competitive Grant Program $184,342
84.161 Rehabilitation Services Client Assistance Program $184,321
97.111 Regional Catastrophic Preparedness Grant Program (rcpgp) $183,645
11.407 Interjurisdictional Fisheries Act of 1986 $176,146
93.314 Early Hearing Detection and Intervention Information System (ehdi-Is) Surveillance Program $174,376
93.946 Cooperative Agreements to Support State-Based Safe Motherhood and Infant Health Initiative Programs $171,199
10.645 Covid-19 - Farm to School State Formula Grant $167,983
66.920 Solid Waste Infrastructure for Recycling Infrastructure Grants $167,470
93.913 Grants to States for Operation of Offices of Rural Health $164,939
93.127 Emergency Medical Services for Children $157,274
17.005 Compensation and Working Conditions $156,315
10.578 Wic Grants to States (wgs) $155,667
16.540 Juvenile Justice and Delinquency Prevention $154,124
93.597 Grants to States for Access and Visitation Programs $152,301
16.836 Indigent Defense $146,759
93.072 Lifespan Respite Care Program $146,685
93.042 Covid-19 - Special Programs for the Aging, Title Vii, Chapter 2, Long Term Care Ombudsman Services for Older Individuals $141,115
20.325 Consolidated Rail Infrastructure and Safety Improvements $132,497
93.079 Cooperative Agreements to Promote Adolescent Health Through School-Based Hiv/std Prevention and School-Based Surveillance $128,916
47.076 Stem Education (formerly Education and Human Resources) $127,159
10.698 State & Private Forestry Cooperative Fire Assistance $122,364
93.876 Antimicrobial Resistance Surveillance in Retail Food Specimens $122,137
93.369 Covid-19 - Acl Independent Living State Grants $121,027
93.217 Covid-19 - Family Planning Services $119,353
20.614 National Highway Traffic Safety Administration (nhtsa) Discretionary Safety Grants and Cooperative Agreements $115,995
16.550 State Justice Statistics Program for Statistical Analysis Centers $113,688
97.044 Assistance to Firefighters Grant $110,073
20.232 Commercial Driver's License Program Implementation Grant $105,689
17.600 Mine Health and Safety Grants $105,147
93.421 Passed Through Center for Birth Defects Research and Prevention $104,607
10.525 Farm and Ranch Stress Assistance Network Competitive Grants Program $102,349
93.135 Passed Through Harvard University $93,743
10.580 Supplemental Nutrition Assistance Program, Process and Technology Improvement Grants $93,276
93.048 Covid-19 - Special Programs for the Aging, Title Iv, and Title Ii, Discretionary Projects $93,063
10.028 Wildlife Services $85,633
20.521 New Freedom Program $83,986
93.981 Improving Student Health and Academic Achievement Through Nutrition, Physical Activity and the Management of Chronic Conditions in Schools $81,922
93.301 Small Rural Hospital Improvement Grant Program $79,872
15.980 National Ground-Water Monitoring Network $73,939
66.046 Climate Pollution Reduction Grants $71,723
10.680 Forest Health Protection $67,261
93.639 Covid-19 - Section 9813: State Planning Grants for Qualifying Community-Based Mobile Crisis Intervention Services $64,493
20.224 Federal Lands Access Program $63,804
10.676 Forest Legacy Program $60,629
16.820 Postconviction Testing of Dna Evidence $60,065
84.144 Migrant Education Coordination Program $57,520
16.123 Community-Based Violence Prevention Program $56,271
93.630 Covid-19 - Developmental Disabilities Basic Support and Advocacy Grants $55,603
16.750 Support for Adam Walsh Act Implementation Grant Program $55,585
15.608 Fish and Wildlife Management Assistance $52,797
15.615 Cooperative Endangered Species Conservation Fund $50,115
89.003 National Historical Publications and Records Grants $38,539
93.336 Covid-19 - Behavioral Risk Factor Surveillance System $36,438
10.703 Cooperative Fire Protection Agreement $34,979
81.086 Conservation Research and Development $33,605
93.070 Covid-19 - Environmental Public Health and Emergency Response $28,532
93.279 Passed Through Baystate Medical Center $24,793
66.312 Covid-19 - Environmental Justice Government-to-Government (ejg2g) Program $23,088
81.138 State Heating Oil and Propane Program $22,645
97.029 Flood Mitigation Assistance $22,363
97.043 State Fire Training Systems Grants $19,939
10.932 Regional Conservation Partnership Program $18,488
93.946 Covid-19 - Cooperative Agreements to Support State-Based Safe Motherhood and Infant Health Initiative Programs $16,997
11.417 Sea Grant Support $16,710
15.684 White-Nose Syndrome National Response Implementation $16,525
16.825 Smart Prosecution Initiative $16,129
20.513 Covid-19 - Enhanced Mobility of Seniors and Individuals with Disabilities $14,045
93.103 Covid-19 - Food and Drug Administration Research $12,345
93.073 Covid-19 - Birth Defects and Developmental Disabilities - Prevention and Surveillance $11,931
10.171 Organic Certification Cost Share Programs $11,925
20.326 Federal-State Partnership for Intercity Passenger Rail $11,737
10.912 Environmental Quality Incentives Program $7,092
93.262 Covid-19 - Occupational Safety and Health Program $5,219
10.720 Infrastructure Investment and Jobs Act Community Wildfire Defense Grants $3,428
17.235 Covid-19 - Senior Community Service Employment Program $2,317
93.367 Flexible Funding Model - Infrastructure Development and Maintenance for State Manufactured Food Regulatory Programs $2,300
97.052 Emergency Operations Center $607
16.816 John R. Justice Prosecutors and Defenders Incentive Act $575
93.432 Covid-19 - Acl Centers for Independent Living $320
10.181 Covid-19 - Pandemic Relief Activities: Farm and Food Worker Relief Grant Program $4
93.135 Centers for Research and Demonstration for Health Promotion and Disease Prevention $0
93.279 Drug Abuse and Addiction Research Programs $0
93.421 Strengthening Public Health Systems and Services Through National Partnerships to Improve and Protect the Nation’s Health $0