Finding 635748 (2022-001)

Significant Deficiency
Requirement
I
Questioned Costs
-
Year
2022
Accepted
2023-03-29

AI Summary

  • Core Issue: The Medical Center's procurement policies are outdated and do not meet federal standards under Uniform Guidance.
  • Impacted Requirements: Compliance with Title 2 U.S. Code of Federal Regulations Part 200, which mandates that procurement procedures align with federal, state, and local laws.
  • Recommended Follow-up: Update the written procurement policies to ensure they conform to the necessary federal requirements.

Finding Text

2022-001 Department of Health and Human Services Federal Financial Assistance Listing/CFDA #93.332 Cooperative Agreement to Support Navigators in Federally-facilitated Exchanges Procurement, Suspension, and Debarment Significant Deficiency in Internal Control over Compliance Criteria - Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance) requires that a non-Federal entity must use its own documented procurement procedures which reflect applicable state and local laws and regulations, provided that the procurements conform to applicable federal law and standards. Condition ? Written procurement policies were not updated to conform to applicable standards under Uniform Guidance. Cause - The Medical Center did not have proper procedures to ensure its written procurement policies were updated to conform to the requirements identified in Uniform Guidance. Effect - The Medical Center did not have proper procedures to ensure its written procurement policies were updated to conform to the requirements identified in Uniform Guidance. Questioned Costs - None Reported. Context/Sampling - No sampling was performed as the procurement policy was examined in its entirety. Repeat Finding from Prior Year(s) ? No. Recommendation - We recommend the Medical Center ensure its written procurement policies are updated to conform to the requirements identified in Uniform Guidance. Views of Responsible Officials ? Management agrees with the finding.

Categories

Procurement, Suspension & Debarment

Other Findings in this Audit

  • 59306 2022-001
    Significant Deficiency
  • 59307 2022-002
    Significant Deficiency
  • 635749 2022-002
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund $4.33M
93.461 Covid-19 Testing for the Uninsured $2.88M
93.332 Cooperative Agreement to Support Navigators in Federally-Facilitated and State Partnership Marketplaces $951,063
10.557 Special Supplemental Nutrition Program for Women, Infants, and Children $369,465
16.575 Crime Victim Assistance $203,632
16.838 Comprehensive Opioid Abuse Site-Based Program $168,352
93.959 Block Grants for Prevention and Treatment of Substance Abuse $158,463
32.006 Covid-19 Telehealth Program $109,859
93.243 Substance Abuse and Mental Health Services_projects of Regional and National Significance $96,725
93.788 Opioid Str $83,388
93.387 National and State Tobacco Control Program (b) $16,924
93.969 Pphf Geriatric Education Centers $13,126
93.516 Affordable Care Act (aca) Public Health Training Centers Program $10,000