Finding Text
Condition: During our test of internal controls over eligibility, we noted ineligible individuals received services that were charged to the grant. Criteria: The Compliance Supplement states, ?To be eligible to receive assistance in the form of therapeutics, an individual must have a medical diagnosis of HIV/AIDS and be (1) a low-income individual (as defined by the state), (2) a resident of the state, and (3) uninsured or underinsured.? Cause: Program personnel did not review and determine the individuals? eligibility under this particular grant prior to providing services. Effect: Expenses were charged and reimbursed under the grant for items that did not qualify due to the individuals being ineligible. Context: A sample of 40 participants was selected for eligibility testing. Of those 40 selected, two were determined to be ineligible. Recommendation: Documentation for all individuals requesting services should be reviewed by appropriate personnel to determine eligibility prior to providing services. Management?s Response: We agree with the recommendation. See management?s corrective action plan.