Finding 957633 (2023-004)

Significant Deficiency Repeat Finding
Requirement
CL
Questioned Costs
-
Year
2023
Accepted
2024-03-19
Audit: 295917
Organization: Hillcrest Family Services, INC (IA)
Auditor: Eide Bailly LLP

AI Summary

  • Core Issue: Lack of documentation for review and approval of reimbursement requests and reports, leading to potential inaccuracies.
  • Impacted Requirements: Internal controls must be established to ensure compliance with federal laws and program requirements.
  • Recommended Follow-Up: Enhance internal control policies to mandate documentation of review and approval procedures for all reimbursement requests and reports.

Finding Text

U.S. Department of Health and Human Services Federal Financial Assistance Listing Number 93.829 Section 223 Demonstration Programs to Improve Community Mental Health Services ‐ 6H79SM083306‐01M002 Cash Management and Reporting Significant Deficiency in Internal Control over Compliance Criteria: The OMB Compliance Supplement requires that non‐federal entities receiving federal awards establish and maintain internal controls designed to reasonably ensure compliance with federal laws, regulations, and program compliance requirements. Condition: During our testing of reimbursement requests and reporting, there was no documentation available for the review and approval procedures performed. Cause: The Organization did not have an adequate internal control policy to require the documentation of the reimbursement requests’ and reports review and approval. Effect: Inaccurate reimbursement requests or reports may be prepared, which could lead to amounts received or reported in error. Questioned Costs: None. Context/Sampling: There was a total of two reimbursement requests and one report prepared for the year ended June 30, 2023 all of which were selected for testing. None of the reimbursement requests or reports contained documentation of the request being reviewed or approved. Repeat Finding from Prior Year(s): Yes for cash management, but no for reporting. Recommendation: We recommend the Organization enhance internal control policies to require documentation of the review and approval procedures performed in the preparation and review of reimbursement requests and reports. Views of Responsible Individuals: Management agrees with the finding.

Categories

Cash Management Reporting Significant Deficiency

Other Findings in this Audit

  • 381191 2023-004
    Significant Deficiency Repeat
  • 381192 2023-005
    Significant Deficiency Repeat
  • 381193 2023-006
    Significant Deficiency Repeat
  • 957634 2023-005
    Significant Deficiency Repeat
  • 957635 2023-006
    Significant Deficiency Repeat

Programs in Audit

ALN Program Name Expenditures
93.829 Section 223 Demonstration Programs to Improve Community Mental Health Services $822,524
93.498 Provider Relief Fund $271,225
10.557 Special Supplemental Nutrition Program for Women, Infants, and Children $197,045
93.958 Block Grants for Community Mental Health Services $169,351
93.778 Medical Assistance Program $143,935
93.658 Foster Care_title IV-E $56,174
93.150 Projects for Assistance in Transition From Homelessness (path) $49,380
93.917 Hiv Care Formula Grants $46,934
93.558 Temporary Assistance for Needy Families $33,184