Finding 621739 (2022-002)

Material Weakness
Requirement
ABL
Questioned Costs
$1
Year
2022
Accepted
2023-08-29
Audit: 52003
Organization: Mountain Park Health Center (AZ)
Auditor: Forvis LLP

AI Summary

  • Core Issue: The Organization failed to submit accurate Provider Relief Fund reports for periods two and three, using expenses that were reimbursed by other sources.
  • Impacted Requirements: Reporting must follow 45 CFR 75.342 and ensure costs are unreimbursed and related to coronavirus response.
  • Recommended Follow-Up: Strengthen policies and procedures to ensure accurate reporting and compliance with allowable cost definitions.

Finding Text

Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Assistance Listing Number 93.498 U.S. Department of Health and Human Services Criteria or Specific Requirement ? Reporting (45 CFR 75.342) and Activities Allowed/Unallowed and Allowable Costs/Cost Principles (Pub. L. No. 116-136, 134 Stat. 563 and Pub. L. No. 116-139, 134 Stat. 622, Pub. L. No. 116-260, Pub. L. No. 117-2) Condition ? The Organization is required to prepare and submit period two and three Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution reporting. These reports are to be prepared using accurate financial information and submitted by the deadline established. Allowable costs must be expenses that are unreimbursed by other sources and must be used to prevent, prepare for, and respond to coronavirus. Questioned Costs ? $1,394,783; Calculated as total expenses charged to PRF for Period 3. Context ? The period two and three PRF reports were tested. The Organization selected to apply expenses attributable to coronavirus for period three report. The original amounts reported on the period three report were expenses reimbursed by other sources Effect ? The Organization applied expenses to period three that did not meet the definition of qualifying expenses that are unreimbursed by other sources. Cause ? Internal controls were not in place to ensure the Organization correctly applied guidance issued by the Department of Health and Human Services (HHS). Identification as a Repeat Finding ? Not a repeat finding. Recommendation ? Policies and procedures over the program should be monitored to ensure reporting is prepared using complete and accurate information and to ensure that allowable costs are charged to the PRF program.

Categories

Questioned Costs Allowable Costs / Cost Principles Reporting

Other Findings in this Audit

  • 45297 2022-002
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $8.91M
10.557 Special Supplemental Nutrition Program for Women, Infants, and Children $3.31M
93.498 Covid-19 - Provider Relief Fund $2.82M
93.526 Covid-19 - Affordable Care Act (aca) Grants for Capital Development in Health Centers $1.46M
93.217 Family Planning_services $962,260
93.011 National Organizations of State and Local Officials $717,959
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $583,808
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $366,600
93.224 Covid-19 - Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $243,355
93.268 Covid- 19 - Immunization Cooperative Agreements $235,918
93.172 Human Genome Research $176,431
93.847 Diabetes, Digestive, and Kidney Diseases Extramural Research $105,964
10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $62,305
93.185 Immunization Research, Demonstration, Public Information and Education_training and Clinical Skills Improvement Projects $58,128
93.767 Children's Health Insurance Program $38,516