Finding 59306 (2022-001)

Significant Deficiency
Requirement
I
Questioned Costs
-
Year
2022
Accepted
2023-03-29

AI Summary

  • Core Issue: The Medical Center's procurement policies are outdated and do not meet federal standards under Uniform Guidance.
  • Impacted Requirements: Compliance with Title 2 U.S. Code of Federal Regulations Part 200, which mandates that procurement procedures align with federal, state, and local laws.
  • Recommended Follow-up: Update the written procurement policies to ensure they conform to the necessary federal requirements.

Finding Text

2022-001 Department of Health and Human Services Federal Financial Assistance Listing/CFDA #93.332 Cooperative Agreement to Support Navigators in Federally-facilitated Exchanges Procurement, Suspension, and Debarment Significant Deficiency in Internal Control over Compliance Criteria - Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance) requires that a non-Federal entity must use its own documented procurement procedures which reflect applicable state and local laws and regulations, provided that the procurements conform to applicable federal law and standards. Condition ? Written procurement policies were not updated to conform to applicable standards under Uniform Guidance. Cause - The Medical Center did not have proper procedures to ensure its written procurement policies were updated to conform to the requirements identified in Uniform Guidance. Effect - The Medical Center did not have proper procedures to ensure its written procurement policies were updated to conform to the requirements identified in Uniform Guidance. Questioned Costs - None Reported. Context/Sampling - No sampling was performed as the procurement policy was examined in its entirety. Repeat Finding from Prior Year(s) ? No. Recommendation - We recommend the Medical Center ensure its written procurement policies are updated to conform to the requirements identified in Uniform Guidance. Views of Responsible Officials ? Management agrees with the finding.

Corrective Action Plan

Finding 2022-001 Federal Agency Name: Department of Health and Human Services Program Name: Cooperative Agreement to Support Navigators in Federally-facilitated Exchanges Federal Financial Assistance Listing/CFDA #93.332 Finding Summary: Written procurement policies were not updated to conform to applicable standards under Uniform Guidance. Responsible Individuals: Controller ? Dawn Swaen Corrective Action Plan: The Medical Center?s draft policy ?Federal Awards ? Procurement Policy? created in 2020 will be reviewed by Dawn Swaen, Controller to ensure that the policy incorporates all necessary requirements per Federal regulations as well as coordination with State and internal requirements. After final review, the Policy will be reviewed and approved by the Medical Center?s Compliance Department and Policy Review Committee. Approved Policy will be distributed to the appropriate departments who manage the various federal grants as well as the Purchasing and Finance departments. Anticipated Completion Date: June 30, 2023

Categories

Procurement, Suspension & Debarment

Other Findings in this Audit

  • 59307 2022-002
    Significant Deficiency
  • 635748 2022-001
    Significant Deficiency
  • 635749 2022-002
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund $4.33M
93.461 Covid-19 Testing for the Uninsured $2.88M
93.332 Cooperative Agreement to Support Navigators in Federally-Facilitated and State Partnership Marketplaces $951,063
10.557 Special Supplemental Nutrition Program for Women, Infants, and Children $369,465
16.575 Crime Victim Assistance $203,632
16.838 Comprehensive Opioid Abuse Site-Based Program $168,352
93.959 Block Grants for Prevention and Treatment of Substance Abuse $158,463
32.006 Covid-19 Telehealth Program $109,859
93.243 Substance Abuse and Mental Health Services_projects of Regional and National Significance $96,725
93.788 Opioid Str $83,388
93.387 National and State Tobacco Control Program (b) $16,924
93.969 Pphf Geriatric Education Centers $13,126
93.516 Affordable Care Act (aca) Public Health Training Centers Program $10,000