Finding 6966 (2022-005)

Eligibility – Ryan White Part B HIV Care Formula Grants – Federal Assistance Listing Number 93.917; Award Period: Year ended June 30, 2022; Pass-through entity names: Virginia Department of Health and Northern Virginia Regional Commission Criteria: Eligibility requirements under the HIV Care Formula Grants state that the eligibility verification must include documentation of each source of income provided to determine if the household income is equal to or below 500% of the Federal Poverty Level. The Organization completes an income eligibility form and obtains backup documentation for the information included on the form. Condition: The Organization had contradicting support for the income eligibility documentation for two clients. All documentation supported the conclusion that the client was eligible based on their income, however the lack of consistent evidence resulted in the conclusion that proper review and approval of this documentation is not occurring. Cause: The Organization did not have policies and procedures operating effectively to monitor the accurate completion of the income eligibility form. Effect: The lack of effective review of eligibility documentation could result in an ineligible client receiving services under the federal award. Questioned Costs: None noted. Context: Two clients had inconsistent documentation regarding income eligibility, however all income documentation resulted in the clients being eligible on the basis of income. Recommendation: We recommend the Organization implement a process for the proper review of income eligibility forms by comparing to the support provided for income. Views of Responsible Officials: The auditee disagrees with this finding. The clients reviewed were income eligible. Client eligibility is also checked by each funding source that funds each program.