Finding 584753 (2023-001)

Significant Deficiency
Requirement
L
Questioned Costs
$1
Year
2023
Accepted
2024-01-11
Audit: 11115
Organization: Centerstone of America, Inc. (TN)
Auditor: Lbmc PC

AI Summary

  • Core Issue: Management failed to report Period 4 information for the ARP rural distribution in the PRF Portal.
  • Impacted Requirements: This non-compliance with PRF terms affects the $743,753 received for COVID-related expenses and lost revenues.
  • Recommended Follow-Up: Implement controls to ensure timely submissions in the PRF Portal and continue working with HRSA to correct the reporting issue.

Finding Text

Criteria: Management is responsible for the requirements of laws,regulations, contracts, and grants applicable to its federal programs. This requires management to complete the reporting portion associated with the Department of Health and Human Services ("HHS") Provider Relief Fund ("PRF") Portal to report the Corporation's usage of the funds for COVID-related expenses and lost revenues in the applicable period in the PRF Portal. The PRF Portal specifies a timeline for reporting dependent on when the PRF were received. Condition: During our testing, we noted that management did not submit the Period 4 information in the PRF Portal for one of the entity's American Rescue Plan ("ARP") rural distributions. Cause of Condition: The entity that did not report on the Period 4 ARP rural distribution as they thought it was being included in the reporting for the general distribution payment which was reported at the parent. Potential Effects of Condition: For the Period 4 ARP rural distribution, received on November 23, 2021 in the amount of $743,753, the Corporation has not complied with the terms and conditions of the PRF as management did not report the usage of the funds in the PRF Portal for the Period 4 payment. The Period 4 reporting period has closed and management is currently working with the Health Resources and Services Administration ("HRSA") to correct the issue. The $743,753 are considered questioned costs. Recommendation: We recommend that management implement controls to ensure all information is submitted in the PRF Portal by the specified due date. It is our understanding that management has contacted HRSA and is currently working with them to correct the issue and report on the usage of the Period 4 ARP rural distribution. Views of Responsible Officials: Management's response is reported in the "Corrective Action Plan" at the end of the report.

Categories

Questioned Costs Reporting

Other Findings in this Audit

  • 8311 2023-001
    Significant Deficiency
  • 8312 2023-002
    Significant Deficiency
  • 584754 2023-002
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.958 Block Grants for Community Mental Health Services $10.54M
93.870 Maternal, Infant and Early Childhood Home Visiting Grant $1.11M
93.959 Block Grants for Prevention and Treatment of Substance Abuse $1.09M
93.600 Head Start $1.06M
93.696 Certified Community Behavioral Health Clinic Expansion Grants $1.00M
93.297 Teenage Pregnancy Prevention Program $724,346
93.556 Promoting Safe and Stable Families $638,084
14.218 Community Development Block Grants/entitlement Grants $581,473
93.191 Graduate Psychology Education Program and Patient Navigator and Chronic Disease Prevention Program $555,496
93.092 Affordable Care Act (aca) Personal Responsibility Education Program $554,234
10.557 Special Supplemental Nutrition Program for Women, Infants, and Children $502,925
93.243 Substance Abuse and Mental Health Services_projects of Regional and National Significance $460,678
93.732 Mental and Behavioral Health Education and Training Grants $423,207
93.788 Opioid Str $416,244
93.829 Section 223 Demonstration Programs to Improve Community Mental Health Services $400,559
93.778 Medical Assistance Program $374,297
93.498 Provider Relief Fund $353,008
14.267 Continuum of Care Program $291,449
64.033 Va Supportive Services for Veteran Families Program $258,532
16.575 Crime Victim Assistance $139,996
93.104 Comprehensive Community Mental Health Services for Children with Serious Emotional Disturbances (sed) $134,828
93.211 Telehealth Programs $120,929
93.558 Temporary Assistance for Needy Families $112,216
93.150 Projects for Assistance in Transition From Homelessness (path) $99,934
14.231 Emergency Solutions Grant Program $95,930
97.031 Cora Brown Fund $92,036
97.032 Crisis Counseling $83,458
93.926 Healthy Start Initiative $81,257
93.136 Injury Prevention and Control Research and State and Community Based Programs $79,979
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $55,024
93.087 Enhance Safety of Children Affected by Substance Abuse $43,898
93.667 Social Services Block Grant $34,536
16.738 Edward Byrne Memorial Justice Assistance Grant Program $13,213
93.052 National Family Caregiver Support, Title Iii, Part E $9,000
93.982 Mental Health Disaster Assistance and Emergency Mental Health $8,948
21.027 Coronavirus State and Local Fiscal Recovery Funds $8,682