Finding 962542 (2023-005)

Department of Health and Human Services: HIV Emergency Relief Project Grants (Ryan White HIV/AIDS Program Part A) – Assistance Listing No. 93.914; Contract No. CA191064 Criteria: RWHAP Part A legislation, sections 2601-2610 of title XXVI of the Public Health Service Act, 42 U.S.C. 300ff-11-300ff-20. PCN 16-02. Condition: Per the site visit report issued by the Health Resources and Services Administration (HRSA) covering the visit from August 1, 2022 to August 5, 2022, the Shelby County Ryan White HIV/AIDS program (assistance listing number 93.914) was not in compliance with aligning services with the definitions for service categories during the budget period covering March 1, 2021 to February 28, 2022. As the report has not been closed, the issue still exists. No additional compliance issues were identified in the audit of compliance with each major program and on internal control over compliance required by the Uniform Guidance. Cause: Significant turnover within the Shelby County Health Department since the last time this program was audited. The findings are from 2021 and prior, which proceeded Dr. Michelle Taylor (Director-Health Officer), Tammy Winston (Finance Administrator), and Travis Green (Deputy Division Director). Effect: Continued noncompliance with recommendations from the HRSA could lead to potential decreases in funds received. Recommendation: We recommend working with the HRSA to implement appropriate corrective action to remedy their concerns with the allocation of activity to specific service categories. View of Responsible Officials: See management’s corrective action plan.