Finding 609899 (2022-003)

Significant Deficiency
Requirement
M
Questioned Costs
-
Year
2022
Accepted
2023-09-28
Audit: 29220
Organization: Choice Regional Health Network (WA)
Auditor: Clark Nuber P S

AI Summary

  • Core Issue: There are significant deficiencies in internal controls over compliance, particularly in monitoring subrecipients.
  • Impacted Requirements: The organization failed to assess the risk of noncompliance for subrecipients and did not obtain necessary approvals for fixed fee awards.
  • Recommended Follow-Up: Update the subrecipient monitoring policy to include risk assessments and ensure prior approval for fixed fee awards is obtained from the federal funder.

Finding Text

Significant deficiency in internal controls over compliance and instances of noncompliance related to subrecipient monitoring. Federal Agency: Department of Health and Human Services Program Title: National Organizations of State and Local Officials CFDA Number: 93.011 Award Numbers: 1 G32HS42592-01-00 Award Period: July 31, 2021 - July 31, 2023 Criteria 2 U.S. Code of Federal Regulations (CFR) 200 Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance) Subpart D (as codified by the Department of Health and Human Services [DHHS] in 45 CFR 75) requires a pass-through entity to adopt compliance policies to ensure sub-recipients comply with requirements under the award, and evaluate each subrecipient?s risk of noncompliance with Federal statutes, regulations, and the terms and conditions of such agreements for the purposes of determining appropriate subrecipient monitoring. Condition/Context for Evaluation In a population of three subrecipients, no documentation was available showing an assessment of the risk of noncompliance of the subrecipients. For one subrecipient, a fixed fee award was issued that had not received prior approval by the federal funder. As such, when the payment to the subrecipient was made based on a fixed amount, the Organization was not monitoring to ensure the subrecipient was minimizing the time lapse between the receipt of payment and expenditures incurred. Questioned Costs Not applicable. Cause The Organization?s subrecipient monitoring policy did not include all the required provisions outlined in 2 CFR 200.332. Effect or Potential Effect The Organization did not fully comply with the requirements regarding subrecipient monitoring. Repeat Finding Not applicable. Recommendation We recommend that the Organization update the subrecipient monitoring policy to ensure a risk assessment is performed over all subrecipients and that any fixed fee awards receive prior approval from the federal funder. Views of Responsible Officials of Auditee Management concurs with the finding and has provided the accompanying corrective action plan.

Categories

Subrecipient Monitoring

Other Findings in this Audit

  • 33456 2022-002
    Material Weakness
  • 33457 2022-003
    Significant Deficiency
  • 33458 2022-004
    Significant Deficiency
  • 609898 2022-002
    Material Weakness
  • 609900 2022-004
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.011 National Organizations of State and Local Officials $416,881
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $246,182
93.185 Immunization Research, Demonstration, Public Information and Education_training and Clinical Skills Improvement Projects $68,245
93.322 Csels Partnership: Strengthening Public Health Laboratories $42,100