Finding 597687 (2022-001)

-
Requirement
ABL
Questioned Costs
$1
Year
2022
Accepted
2022-11-01
Audit: 18927
Organization: Harris County Hospital District (TX)
Auditor: Forvis LLP

AI Summary

  • Core Issue: There was an overstatement of other PRF expenses by $815 due to improper invoice recording.
  • Impacted Requirements: Charges to the Provider Relief Fund must be necessary, reasonable, and supported by accurate documentation.
  • Recommended Follow-Up: Update controls to ensure all amounts charged to grants have full supporting documentation; management plans to review and correct receipt accrual procedures.

Finding Text

COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution ALN 93.498 U.S. Department of Health and Human Services Period 1 Distribution Criteria or specific requirement ? Activities Allowed or Unallowed ? Law (Pub. L. No 116-136, 134 Stat. 563 and Pub. L. No 116-139, 134 Stat. 622 and 623); Allowable Costs/Cost Principles ? Charges to PRF must be necessary, reasonable, accorded consistent treatment, and conform to the limitations and exclusions of the terms and conditions of the award; and Reporting ? Provider Relief Fund Portal Condition ? The System?s records reflected an invoice in the total other PRF expenses of $1,040, but the supporting invoice and payment support was for $225. Questioned costs - $815 Context ? Out of a population of 3,780 other PRF expenses reported in the PRF Reporting Portal, a sample of 40 was selected for testing. Our sample was not, and was not intended to be, statistically valid. Support for one expense was less than what was reflected in the System?s records. Effect ? Other PRF expenses were overstated. Cause ? A purchase order was improperly marked in the system as fully received, resulting in the full amount being accrued when only part of the invoice had been received. Identification as a repeat finding, if applicable ? N/A Recommendation ? We recommend the System?s controls be updated to ensure there is full support for all amounts charged to grants. Views of responsible officials and planned corrective actions ? Management agrees with this finding and will review procedures regarding receipt accruals for purchase orders to ensure only amounts received are receipted into the system.

Categories

Questioned Costs Allowable Costs / Cost Principles Procurement, Suspension & Debarment Reporting

Other Findings in this Audit

Programs in Audit

ALN Program Name Expenditures
93.461 Covid-19 Testing for the Uninsured $103.81M
93.498 Provider Relief Fund $56.16M
93.914 Hiv Emergency Relief Project Grants $7.92M
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $5.48M
93.687 Maternal Opioid Misuse Model (a) $514,883
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $391,261
93.788 Opioid Str $296,393
93.940 Hiv Prevention Activities_health Department Based $144,395
93.243 Substance Abuse and Mental Health Services_projects of Regional and National Significance $129,126
93.153 Coordinated Services and Access to Research for Women, Infants, Children, and Youth $128,323
93.977 Preventive Health Services_sexually Transmitted Diseases Control Grants $109,083
93.558 Temporary Assistance for Needy Families $98,816
93.994 Maternal and Child Health Services Block Grant to the States $81,821
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $71,340
93.307 Minority Health and Health Disparities Research $38,992
93.395 Cancer Treatment Research $21,590
93.279 Drug Abuse and Addiction Research Programs $13,464
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $12,297
16.575 Crime Victim Assistance $11,019
93.145 Aids Education and Training Centers $9,941