Finding 625328 (2022-001)

Material Weakness
Requirement
ABL
Questioned Costs
$1
Year
2022
Accepted
2023-09-28

AI Summary

  • Core Issue: The System reported Provider Relief Fund (PRF) expenses that were also included in a FEMA reimbursement application, violating the award's terms.
  • Impacted Requirements: PRF funds must not be used for expenses already reimbursed or obligated for reimbursement by other sources.
  • Recommended Follow-Up: Implement stronger internal controls and review processes to prevent duplicate reporting of expenses.

Finding Text

Criteria: Provider Relief Funds (PRF) were provided under the Coronavirus Aid, Relief, and Economic Security Act and are to be used to prevent, prepare for, and respond to coronavirus. The terms and conditions of the award state that "the recipient certifies that it will not use the payment to reimburse expenses or losses that have been reimbursed from other sources or that other sources are obligated to reimburse. Condition: The System reported PRF expenses within the HHS Health Resources and Services Administration (HRSA) Reporting Portal for Period 3 that included expenditures that were also submitted in an application for reimbursement under the Federal Emergency management Agency (FEMA) Assistance Program. Cause: Although the System has a process in place to identify and report allowable expenses, the System?s internal control system did not include an appropriate review process to detect and correct duplicate reporting. Effect and Questioned Costs: The System reported PRF expenses that were submitted to FEMA of approximately $6,283,908; however, FEMA did not reimburse any of those expenditures to the System. Context: Upon identification of the error, the System withdrew the FEMA application to remove the request for reimbursement of PRF reimbursed expenditures. Recommendation: We recommend the System design and implement controls, including levels of review, to ensure that expenditures are in accordance with the terms and conditions of the award. Views of Responsible Officials of the Auditee: The System agrees with this finding. See management?s corrective action plan.

Categories

Questioned Costs Cash Management Reporting Internal Control / Segregation of Duties

Other Findings in this Audit

  • 48886 2022-001
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.498 Covid-19 Provider Relief Fund - Period 2 and Period 3 $6.88M
93.461 Covid-19 - Claims Reimbursement for the Uninsured Program $2.09M
93.697 Covid-19 - Testing for Rural Health Clinics $200,000