Finding Text
Grantor: U.S. Department of Health and Human Services
Program Name: Substance Abuse and Mental Health Services Projects of Regional and National Significance
Assistance Listing Number: 93.243
Criteria: The Organization is not allowed to claim reimbursement for costs associated with entities or individuals who are on the national sanctioned providers listing.
Condition: During the audit of this program, CMHA disclosed that there was an employee who was not eligible to be reimbursed for services under the program.
Context: The former employee was originally issued a State of CT license had begun to bill under the program. Once the former employee’s license required renewal, it came to CMHA’s attention that this individual was listed as not being able to participate on the OIG website.
Effect: CMHA was not in compliance with the terms and conditions of the program. Cause: The internal control procedures for the CMHA did not function properly as there was not a proper control to verify that employment candidates were eligible to bill for services.
Recommendation: We recommend the strengthening of internal controls procedures over the hiring process to ensure individuals hired are eligible to properly bill for services.