Finding 605948 (2022-001)

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Requirement
L
Questioned Costs
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Year
2022
Accepted
2023-07-19

AI Summary

  • Core Issue: PRF 4 reports included expenses from PRF 3, which was not the intended reporting method.
  • Impacted Requirements: Compliance with HRSA's reporting guidelines for accurate expense reporting during specified periods.
  • Recommended Follow-Up: Management should enhance their understanding of reporting requirements to avoid future discrepancies.

Finding Text

Criteria - Upon receiving direct PRF and ARP Rural Funding distributed by Health Resources and Services Administration (HRSA), recipients of these funds agreed to terms and conditions which require compliance with reporting requirements. PRF payments were received throughout various periods (?Payment Received Periods?) and subject to respective ?Periods of Availability?. Each tranche of PRF money is designated by each period for which the payment was received. PRF 4 refers to the Payment Received Period between July 1, 2021 and December 31, 2021 (?period 4?). Payments received during period 4 must be used for eligible expenses incurred for the Period of Availability from January 1, 2020 to December 31, 2022. Each PRF report is designed to show how PRF payments received during the corresponding period were applied toward expenses or lost revenue during the correlated period of availability. Condition ? For the year ending December 31, 2022, there were two PRF 3 and three PRF 4 reports submitted to the HRSA reporting portal. For two of the PRF4 reports (for CHS and CMG), the quarterly expenses that were reimbursed by and reported for PRF 3 were repeated in the PRF 4 report. Although sufficient audit evidence was obtained to support that CHHS had no intent to claim any expenses for PRF 4 due to sufficient available lost revenues, the expenses were reported as cumulative when the intent of the portal reporting was to report expenses utilized just for PRF 4. Cause ? It was challenging for the management to keep up with various PRF reporting portal updates released by HRSA around the report due date. Although the management successfully accounted for PRF 4 payments applied outside of the HRSA reporting portal, the time and effort required to understand each step for data entry within the system was burdensome especially when not all data fields are editable. Effect ? Expenses were reported as applied to PRF 4 payments in the HRSA portal when management only intended to report utilizing lost revenue. There was no impact on the amount of PRF 4 revenue that was recognized. Questioned Costs ? None Repeat Finding from Prior Year ? No Recommendation ? Management should continue their efforts to ensure they understand all reporting requirements related to their federal awards.

Categories

Reporting

Other Findings in this Audit

Programs in Audit

ALN Program Name Expenditures
93.658 Foster Care_title IV-E $4.94M
93.498 Provider Relief Fund $2.45M
93.767 Children's Health Insurance Program $1.58M
93.659 Adoption Assistance $1.18M
16.575 Crime Victim Assistance $982,142
93.926 Healthy Start Initiative $960,930
93.865 Child Health and Human Development Extramural Research $603,399
93.959 Block Grants for Prevention and Treatment of Substance Abuse $522,200
93.253 Poison Center Support and Enhancement Grant $397,147
93.493 Congressional Directives $360,116
93.556 Promoting Safe and Stable Families $290,575
84.425 Education Stabilization Fund $235,650
20.616 National Priority Safety Programs $233,214
93.153 Coordinated Services and Access to Research for Women, Infants, Children, and Youth $173,941
93.243 Substance Abuse and Mental Health Services_projects of Regional and National Significance $143,290
93.127 Emergency Medical Services for Children $136,935
93.946 Cooperative Agreements to Support State-Based Safe Motherhood and Infant Health Initiative Programs $135,956
16.582 Crime Victim Assistance/discretionary Grants $122,932
93.870 Maternal, Infant and Early Childhood Home Visiting Grant $116,189
93.315 Rare Disorders: Research, Surveillance, Health Promotion, and Education $99,776
93.674 John H. Chafee Foster Care Program for Successful Transition to Adulthood $91,482
93.917 Hiv Care Formula Grants $83,266
84.215 Fund for the Improvement of Education $79,346
93.566 Refugee and Entrant Assistance_state Administered Programs $75,027
21.027 Coronavirus State and Local Fiscal Recovery Funds $72,251
16.021 Justice Systems Response to Families $65,089
93.493 Community Funded Programs $60,506
16.818 Children Exposed to Violence $60,498
93.590 Community-Based Child Abuse Prevention Grants $59,909
93.994 Maternal and Child Health Services Block Grant to the States $56,738
93.603 Adoption Incentive Payments $55,050
93.070 Environmental Public Health and Emergency Response $45,432
93.889 National Bioterrorism Hospital Preparedness Program $31,670
93.645 Stephanie Tubbs Jones Child Welfare Services Program $29,271
93.307 Minority Health and Health Disparities Research $24,997
93.600 Head Start $22,165
93.236 Grants to States to Support Oral Health Workforce Activities $19,531
93.361 Nursing Research $15,684
93.391 Activities to Support State, Tribal, Local and Territorial (stlt) Health Department Response to Public Health Or Healthcare Crises $14,667
93.325 Paralysis Resource Center $11,812
93.558 Temporary Assistance for Needy Families $11,138
93.778 Medical Assistance Program $8,770
93.395 Cancer Treatment Research $8,629
93.251 Early Hearing Detection and Intervention $8,582
14.218 Community Development Block Grants/entitlement Grants $6,617
93.667 Social Services Block Grant $3,865
93.669 Child Abuse and Neglect State Grants $3,000