Finding Text
93.498 COVID-19 Provider Relief Fund (PRF) Compliance Other Matter and Significant Deficiency Criteria: The Department of Health and Human Services provided terms and conditions associated with the Provider Relief Fund (PRF). Those terms and conditions outlined the usages of the PRF distributions received, specifically related to expenses and lost revenues. PRF distributions should only be used for expenses to prevent, prepare for, and respond to the coronavirus that have not been reimbursed from other sources or that other sources are not obligated to reimburse and calculate lost revenues as outlined in the terms and conditions. Management should have effectively designed controls in place to prevent, or detect and correct noncompliance. Condition: The System submitted lost revenues through the Department of Health and Human Services PRF portal for the second period of availability in which lost revenue calculations did not match the basis of accounting which the System reports and lacked related controls over compliance. Effect: The System calculated lost revenue on a different basis of accounting of which the System reports and there was a reasonable possibility that the schedule could be misstated due to lack of effective controls. Questioned Costs: Unknown Cause: Lack of effectively designed and implemented controls, including oversight and detail review of the portal submission through the Department of Health and Human Services PRF portal for the first period of availability. Recommendation: Effective controls over compliance should be implemented to ensure lost revenues submitted through the Department of Health and Human Services PRF portal meet the criteria established in the terms and conditions and there is not a reasonable possibility that the schedule could be materially misstated. Management Response: See management?s corrective action plan.