FAC Explorer

Finding 634860 (2022-001)

- Repeat Finding
Requirement
E
Questioned Costs
-
Year
2022
Accepted
2023-09-28
Audit: 55048
Organization: Quartz Valley Indian Reservation (CA)
Auditor: Melissa B Petersen CPA LLC

AI Summary

  • Core Issue: Eligibility documentation for services is missing for several patients, including tribal membership and residency proof.
  • Impacted Requirements: Compliance with 42 CFR 136.12(a)(2) regarding eligibility criteria for Indian Health Services.
  • Recommended Follow-Up: Implement staff training and conduct thorough reviews of eligibility documentation to prevent future issues.

Finding Text

2022-001 93.441 Indian Health Services; Repeat Finding Criteria: 42 CFR 136.12(a)(2) Eligibility for service as evidenced by tribal membership; residency in tax-exempt land; Condition: Items selected for testing contained the following exceptions: 4 of 40 items Missing documentation of tribal membership 4 of 40 items Missing documentation of residency 2 of 40 items Missing documentation of current application / registration Effect: Patients may have received services that they were not eligible Questioned Costs: None identified Cause: Staff turnover and lack of oversight Recommendation: Staff training and review of files for eligibility documentation Management response: Management agrees with the finding.

Categories

Eligibility Internal Control / Segregation of Duties

Other Findings in this Audit

Programs in Audit

ALN Program Name Expenditures
21.027 Coronavirus State and Local Fiscal Recovery Funds $833,355
93.243 Substance Abuse and Mental Health Services_projects of Regional and National Significance $714,053
15.021 Consolidated Tribal Government Program $604,575
93.441 Indian Self-Determination $598,468
66.605 Performance Partnership Grants $298,793
16.841 Voca Tribal Victim Services Set-Aside Program $238,300
21.023 Emergency Rental Assistance Program $167,065
16.587 Violence Against Women Discretionary Grants for Indian Tribal Governments $141,110
15.114 Indian Education_higher Education Grant Program $115,183
93.575 Child Care and Development Block Grant $111,490
15.144 Indian Child Welfare Act_title II Grants $73,286
93.237 Special Diabetes Program for Indians_diabetes Prevention and Treatment Projects $32,252
15.519 Indian Tribal Water Resources Development, Management, and Protection $31,169
21.026 Homeowner Assistance Fund $22,348
15.160 Bia Wildland Urban Interface Community Fire Assistance $22,080
15.035 Forestry on Indian Lands $18,346
15.141 Indian Housing Assistance $13,707
15.608 Fish and Wildlife Management Assistance $9,946
93.568 Low-Income Home Energy Assistance $9,380
10.699 Partnership Agreements $6,534
15.024 Indian Self-Determination Contract Support $4,129
15.036 Indian Rights Protection $3,965
93.499 Low Income Household Water Assistance Program $3,878
20.205 Highway Planning and Construction $2,293
15.113 Indian Social Services_welfare Assistance $2,179
15.037 Water Resources on Indian Lands $72