Finding 947144 (2023-001)

Material Weakness
Requirement
C
Questioned Costs
-
Year
2023
Accepted
2024-02-27

AI Summary

  • Core Issue: Cash draw downs exceeded the allowed Federal Percentage Share, violating grant terms.
  • Impacted Requirements: Grant funds must be drawn based on allowable costs incurred and in proportion to the approved budget.
  • Recommended Follow-Up: Provide training on grant compliance and establish processes to ensure adherence to all terms and conditions.

Finding Text

Finding Type: Nonmaterial noncompliance related to cash management Information on the Federal Program: Program Name: Affordable Care Act (ACA) Grants for Capital Development in Health Centers (AL 93.526) Federal Awards Project Title: Health Center Infrastructure Support Award Period: September 15 2021- September 14, 2024 Award Number: 1 C8ECS43818-01 Agency: U.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA) Criteria: According to the terms and conditions of the award, each budget has a Federal Percentage Share based upon the award amount and the total allowable costs. Grant funds can only be drawn down from the Payment Management System (PMS) as allowable costs are incurred. Unless otherwise authorized, draw down should be done in the same proportion as the grant is to total project costs in the approved budget. Condition: In a sample of three of nine cash draw downs from PMS, each of the three transactions tested were drawn in a proportion in excess of the Federal Percentage Share as required by the terms and conditions of the award. Cause: The Organization experienced a transition in management positions during the year and did not thoroughly understand the specified terms and conditions of the award. Effect: The Organization may draw down funding in a proportion greater than is allowed and if the project does not get completed, it could result in the return of funds with potential interest. Questioned Costs: None Repeat Finding: No Recommendation: Management should provide additional training to individuals responsible for monitoring grant compliance, reinforce the importance of reviewing all grant agreement provisions, and implement a system of processes and controls for tracking compliance with all specific grant terms and conditions. Views of a Responsible Official and Corrective Action Plan: Management agrees with the finding. The Organization will modify procedures as appropriate and provide additional training and education as recommended.

Categories

Cash Management Subrecipient Monitoring Allowable Costs / Cost Principles

Other Findings in this Audit

  • 370702 2023-001
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $3.25M
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $1.45M
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $490,756
93.516 Affordable Care Act (aca) Public Health Training Centers Program $318,763
93.788 Opioid Str $256,334
93.217 Family Planning_services $207,065
21.027 Coronavirus State and Local Fiscal Recovery Funds $183,712
93.734 Empowering Older Adults and Adults with Disabilities Through Chronic Disease Self-Management Education Programs Ð Financed by Prevention and Public Health Funds (pphf) $145,280
93.107 Area Health Education Centers Point of Service Maintenance and Enhancement Awards $109,774
93.243 Substance Abuse and Mental Health Services_projects of Regional and National Significance $104,155
93.332 Cooperative Agreement to Support Navigators in Federally-Facilitated and State Partnership Marketplaces $78,269
93.994 Maternal and Child Health Services Block Grant to the States $67,738
93.558 Temporary Assistance for Needy Families $55,259
93.043 Special Programs for the Aging_title Iii, Part D_disease Prevention and Health Promotion Services $46,721
93.268 Immunization Cooperative Agreements $40,604
93.247 Advanced Nursing Education Grant Program $28,599
14.218 Community Development Block Grants/entitlement Grants $25,742
93.069 Public Health Emergency Preparedness $25,110
93.991 Preventive Health and Health Services Block Grant $12,002
93.391 Activities to Support State, Tribal, Local and Territorial (stlt) Health Department Response to Public Health Or Healthcare Crises $8,975
93.959 Block Grants for Prevention and Treatment of Substance Abuse $7,833
93.889 National Bioterrorism Hospital Preparedness Program $6,720