Finding 597117 (2022-004)

Significant Deficiency
Requirement
L
Questioned Costs
-
Year
2022
Accepted
2023-03-29
Audit: 23696
Auditor: Forvis LLP

AI Summary

  • Core Issue: Errors in reporting Lost Revenues for periods 2 and 3 led to inaccuracies in the financial information submitted to HHS.
  • Impacted Requirements: The System must adhere to accurate reporting standards as outlined in 45 CFR 75.342.
  • Recommended Follow-Up: Update policies and procedures to ensure all federal grant reports are based on complete and accurate data.

Finding Text

COVID-19 Provider Relief Fund and American Rescue (ARP) Rural Distribution CFDA No. 93.498 U.S. Department of Health and Human Services Criteria or Specific Requirement ? Reporting (45 CFR 75.342) Condition ? The System is required to prepare and submit period 2 and period 3 provider relief fund reporting. This report is to be prepared using accurate financial information and submitted by the deadline established. Questioned Costs ? None Context ? Errors were made in the System?s Option iii Lost Revenues reported in periods 2 and 3. Specifically, certain Lost Revenues experienced during the period of availability were not reported; however, when these errors are considered, the System?s available Lost Revenue increased from what was originally reported in periods 2 and 3. Effect ? Errors were identified in the System?s Option iii quarterly Lost Revenue totals reported to HHS; however, when these errors are considered, the System?s total Provider Relief Fund payments applied to lost revenues did not change from what was originally reported in periods 2 or 3. Cause ? The System?s internal controls did not properly identify certain reporting requirements for the Provider Relief Fund and American Rescue (ARP) Rural Distributions. Identification as a repeat finding ? Not a repeat finding Recommendation ? Policies and procedures over federal grant reporting should be modified to ensure reports are prepared using complete and accurate information.

Categories

Reporting Internal Control / Segregation of Duties

Other Findings in this Audit

  • 20674 2022-003
    Material Weakness
  • 20675 2022-004
    Significant Deficiency
  • 597116 2022-003
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund $5.94M
21.027 Coronavirus State and Local Fiscal Recovery Funds $1.27M
10.766 Community Facilities Loans and Grants $1.00M
93.697 Covid-19 Testing for Rural Health Clinics $149,461
93.461 Covid-19 Testing for the Uninsured $133,298
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $49,529