Finding 964492 (2023-094)

Significant Deficiency
Requirement
B
Questioned Costs
-
Year
2023
Accepted
2024-03-28

AI Summary

  • Core Issue: The Department lacks procedures to verify the accuracy of drug rebate amounts invoiced by the vendor, risking incorrect payments to the State and Federal government.
  • Impacted Requirements: Compliance with 2 CFR 200.303 and Section 1927 of the Social Security Act, which mandate effective internal controls over Federal awards.
  • Recommended Follow-Up: Implement procedures to confirm the accuracy of drug rebate calculations using drug utilization data to ensure correct amounts are invoiced and received.

Finding Text

(2023-094) Title: Internal control over Medicaid drug rebates needs improvement Prior Year Findings: None State Department: Health and Human Services State Bureau: Office of MaineCare Services Federal Agency: U.S. Department of Health and Human Services Assistance Listing Title: Medicaid Cluster (COVID-19) Assistance Listing Number: 93.775, 93.777, 93.778 Federal Award Identification Number: See E-93 to E-94 Compliance Area: Allowable costs/cost principles Type of Finding: Significant deficiency Questioned Costs: None Criteria: 2 CFR 200.303; Section 1927 of the Social Security Act (42 USC 1396r-8) The Department must establish and maintain effective internal control over Federal awards that provides reasonable assurance that the Department is managing awards in compliance with Federal statutes, regulations, and the terms and conditions of awards. Section 1927 of the Social Security Act requires manufacturers that wish to have their outpatient drugs covered by Medicaid to enter into an agreement with the Centers for Medicare & Medicaid Services (CMS) under which the manufacturers agree to pay rebates for drugs dispensed and paid for by the State Medicaid agencies under the State plan. Drug rebates are shared between the State and Federal government. Condition: Drug manufacturers are required to submit a list of all covered outpatient drugs, along with each drug’s average manufacturer price and “best price” to CMS. Utilizing this information, CMS calculates a unit rebate amount (URA) for each covered outpatient drug and provides the amounts to the State on a quarterly basis. The Department is required to maintain drug utilization data that identifies, by National Drug Code, the number of units of each covered outpatient drug for which the Department has paid pharmacy providers. The utilization data is provided to CMS and the manufacturers. The number of dispensed units is applied to the URA to determine the rebate amount due from each manufacturer. The State contracts with a vendor to calculate the drug rebate amounts and invoice manufacturers for drug rebates. During audit testing, the Office of the State Auditor identified that the Department does not have procedures in place to ensure the accuracy and completeness of the drug rebate amounts invoiced by the vendor. The Department does not compare drug utilization data to the number of dispensed units utilized to ensure that the vendor has calculated the rebate correctly. Context: In fiscal year 2023, the State invoiced approximately $315 million for rebatable drugs and received approximately $220 million in rebates. Of the $220 million in rebates, approximately $159 million was returned to the Federal government. Due to the amount of time rebate negotiations may take, discrepancies will exist between the invoiced total and the total amount of rebates received. Cause: • Lack of adequate procedures • Lack of supervisory oversight Effect: • Inaccurate or incomplete invoicing of drug rebates would result in overpayments or underpayments to the State and Federal government. • Noncompliance with Federal regulations Recommendation: We recommend that the Department implement procedures to confirm the drug rebate amounts calculated and invoiced by the vendor are accurate and complete by utilizing drug utilization data. This will ensure that correct drug rebate amounts are returned to the State and Federal government. Corrective Action Plan: See F-38 Management’s Response: The Department agrees with this finding. The control described is built into the computer systems that facilitate selecting claims for submission to the Pharmacy Rebate Invoice Management System (PRIMS). An additional check on the collection of claims is not needed for the following reasons: In response to the concern of completeness of the rebate eligible claim capture, the criteria for selecting outpatient drug claims from our claims system was defined, implemented, tested, and validated when PRIMS was first installed. This claim selection coding is what ensures that all outpatient drug claims are submitted to PRIMS for invoicing. In response to the concern of accuracy, pre-invoicing variance checks are completed within PRIMS and the manufacturers scrutinize the invoices once received which would detect any incorrect calculations. We have both a preventative control with the variance checks and independent detection with the drug manufacturers with respect to accuracy. However, we will take additional steps to ensure accuracy. Contact: Michelle Probert, Director, Office of MaineCare Services, DHHS, 207-287-2093 Auditor’s Concluding Remarks: Though the Department agrees with this finding, the Department asserts that controls exist over the control deficiency identified in the Condition and an “additional check on the collection of claims is not needed.” However, as a result of not comparing drug utilization data to the number of dispensed units utilized, the Department is relying on the drug manufacturer to submit the correct drug rebate information to the Department and to notify the Department of any discrepancies. The drug manufacturer is not an independent source to ensure accuracy of the drug rebate amount. An “additional check” would ensure that the drug rebate amount received is accurate and complete. The finding remains as stated. (State Number: 23-1106-08)

Categories

Internal Control / Segregation of Duties Allowable Costs / Cost Principles Significant Deficiency

Other Findings in this Audit

  • 387860 2023-022
    Material Weakness Repeat
  • 387861 2023-029
    Significant Deficiency Repeat
  • 387862 2023-030
    Material Weakness Repeat
  • 387863 2023-034
    Significant Deficiency Repeat
  • 387864 2023-036
    Significant Deficiency Repeat
  • 387865 2023-040
    Material Weakness Repeat
  • 387866 2023-022
    Material Weakness Repeat
  • 387867 2023-029
    Significant Deficiency Repeat
  • 387868 2023-031
    Material Weakness Repeat
  • 387869 2023-032
    Material Weakness Repeat
  • 387870 2023-033
    Material Weakness
  • 387871 2023-034
    Significant Deficiency Repeat
  • 387872 2023-035
    Significant Deficiency Repeat
  • 387873 2023-036
    Significant Deficiency Repeat
  • 387874 2023-037
    Material Weakness Repeat
  • 387875 2023-038
    Material Weakness Repeat
  • 387876 2023-039
    Material Weakness Repeat
  • 387877 2023-040
    Material Weakness Repeat
  • 387878 2023-041
    Significant Deficiency Repeat
  • 387879 2023-042
    Significant Deficiency Repeat
  • 387880 2023-043
    Significant Deficiency
  • 387881 2023-037
    Material Weakness Repeat
  • 387882 2023-038
    Material Weakness Repeat
  • 387883 2023-039
    Material Weakness Repeat
  • 387884 2023-040
    Material Weakness Repeat
  • 387885 2023-041
    Significant Deficiency Repeat
  • 387886 2023-042
    Significant Deficiency Repeat
  • 387887 2023-043
    Significant Deficiency
  • 387888 2023-037
    Material Weakness Repeat
  • 387889 2023-038
    Material Weakness Repeat
  • 387890 2023-039
    Material Weakness Repeat
  • 387891 2023-040
    Material Weakness Repeat
  • 387892 2023-041
    Significant Deficiency Repeat
  • 387893 2023-042
    Significant Deficiency Repeat
  • 387894 2023-043
    Significant Deficiency
  • 387895 2023-044
    Material Weakness Repeat
  • 387896 2023-044
    Material Weakness Repeat
  • 387897 2023-045
    Significant Deficiency Repeat
  • 387898 2023-045
    Significant Deficiency Repeat
  • 387899 2023-077
    Material Weakness Repeat
  • 387900 2023-077
    Material Weakness Repeat
  • 387901 2023-039
    Material Weakness Repeat
  • 387902 2023-040
    Material Weakness Repeat
  • 387903 2023-046
    Material Weakness Repeat
  • 387904 2023-047
    Significant Deficiency Repeat
  • 387905 2023-037
    Material Weakness Repeat
  • 387906 2023-038
    Material Weakness Repeat
  • 387907 2023-039
    Material Weakness Repeat
  • 387908 2023-040
    Material Weakness Repeat
  • 387909 2023-041
    Significant Deficiency Repeat
  • 387910 2023-042
    Significant Deficiency Repeat
  • 387911 2023-043
    Significant Deficiency
  • 387912 2023-022
    Material Weakness Repeat
  • 387913 2023-029
    Significant Deficiency Repeat
  • 387914 2023-031
    Material Weakness Repeat
  • 387915 2023-032
    Material Weakness Repeat
  • 387916 2023-033
    Material Weakness
  • 387917 2023-034
    Significant Deficiency Repeat
  • 387918 2023-035
    Significant Deficiency Repeat
  • 387919 2023-036
    Significant Deficiency Repeat
  • 387920 2023-037
    Material Weakness Repeat
  • 387921 2023-038
    Material Weakness Repeat
  • 387922 2023-039
    Material Weakness Repeat
  • 387923 2023-040
    Material Weakness Repeat
  • 387924 2023-041
    Significant Deficiency Repeat
  • 387925 2023-042
    Significant Deficiency Repeat
  • 387926 2023-043
    Significant Deficiency
  • 387927 2023-023
    Material Weakness Repeat
  • 387928 2023-023
    Material Weakness Repeat
  • 387929 2023-048
    Material Weakness Repeat
  • 387930 2023-048
    Material Weakness Repeat
  • 387931 2023-049
    Significant Deficiency
  • 387932 2023-049
    Significant Deficiency
  • 387933 2023-050
    Significant Deficiency Repeat
  • 387934 2023-050
    Significant Deficiency Repeat
  • 387935 2023-051
    Significant Deficiency Repeat
  • 387936 2023-051
    Significant Deficiency Repeat
  • 387937 2023-052
    Significant Deficiency
  • 387938 2023-052
    Significant Deficiency
  • 387939 2023-024
    Material Weakness Repeat
  • 387940 2023-050
    Significant Deficiency Repeat
  • 387941 2023-051
    Significant Deficiency Repeat
  • 387942 2023-052
    Significant Deficiency
  • 387943 2023-053
    Significant Deficiency Repeat
  • 387944 2023-024
    Material Weakness Repeat
  • 387945 2023-024
    Material Weakness Repeat
  • 387946 2023-053
    Significant Deficiency Repeat
  • 387947 2023-053
    Significant Deficiency Repeat
  • 387948 2023-054
    Significant Deficiency
  • 387949 2023-054
    Significant Deficiency
  • 387950 2023-055
    Material Weakness Repeat
  • 387951 2023-056
    Material Weakness Repeat
  • 387952 2023-057
    Material Weakness
  • 387953 2023-058
    Significant Deficiency
  • 387954 2023-059
    Significant Deficiency
  • 387955 2023-060
    Significant Deficiency
  • 387956 2023-061
    Significant Deficiency
  • 387957 2023-050
    Significant Deficiency Repeat
  • 387958 2023-050
    Significant Deficiency Repeat
  • 387959 2023-051
    Significant Deficiency Repeat
  • 387960 2023-051
    Significant Deficiency Repeat
  • 387961 2023-052
    Significant Deficiency
  • 387962 2023-052
    Significant Deficiency
  • 387963 2023-062
    Material Weakness
  • 387964 2023-062
    Material Weakness
  • 387965 2023-063
    Significant Deficiency
  • 387966 2023-063
    Significant Deficiency
  • 387967 2023-050
    Significant Deficiency Repeat
  • 387968 2023-050
    Significant Deficiency Repeat
  • 387969 2023-051
    Significant Deficiency Repeat
  • 387970 2023-051
    Significant Deficiency Repeat
  • 387971 2023-052
    Significant Deficiency
  • 387972 2023-052
    Significant Deficiency
  • 387973 2023-062
    Material Weakness
  • 387974 2023-062
    Material Weakness
  • 387975 2023-063
    Significant Deficiency
  • 387976 2023-063
    Significant Deficiency
  • 387977 2023-064
    Material Weakness Repeat
  • 387978 2023-064
    Material Weakness Repeat
  • 387979 2023-065
    Material Weakness Repeat
  • 387980 2023-065
    Material Weakness Repeat
  • 387981 2023-065
    Material Weakness Repeat
  • 387982 2023-066
    Significant Deficiency Repeat
  • 387983 2023-067
    Significant Deficiency Repeat
  • 387984 2023-067
    Significant Deficiency Repeat
  • 387985 2023-067
    Significant Deficiency Repeat
  • 387986 2023-068
    Significant Deficiency
  • 387987 2023-068
    Significant Deficiency
  • 387988 2023-068
    Significant Deficiency
  • 387989 2023-069
    Material Weakness Repeat
  • 387990 2023-069
    Material Weakness Repeat
  • 387991 2023-070
    Material Weakness Repeat
  • 387992 2023-070
    Material Weakness Repeat
  • 387993 2023-071
    Significant Deficiency Repeat
  • 387994 2023-071
    Significant Deficiency Repeat
  • 387995 2023-072
    Significant Deficiency Repeat
  • 387996 2023-072
    Significant Deficiency Repeat
  • 387997 2023-077
    Material Weakness Repeat
  • 387998 2023-077
    Material Weakness Repeat
  • 387999 2023-073
    Significant Deficiency Repeat
  • 388000 2023-073
    Significant Deficiency Repeat
  • 388001 2023-074
    Significant Deficiency Repeat
  • 388002 2023-074
    Significant Deficiency Repeat
  • 388003 2023-087
    Significant Deficiency
  • 388004 2023-022
    Material Weakness Repeat
  • 388005 2023-029
    Significant Deficiency Repeat
  • 388006 2023-034
    Significant Deficiency Repeat
  • 388007 2023-036
    Significant Deficiency Repeat
  • 388008 2023-075
    Material Weakness Repeat
  • 388009 2023-076
    Material Weakness Repeat
  • 388010 2023-077
    Material Weakness Repeat
  • 388011 2023-078
    Material Weakness Repeat
  • 388012 2023-079
    Material Weakness Repeat
  • 388013 2023-080
    Significant Deficiency Repeat
  • 388014 2023-081
    Significant Deficiency Repeat
  • 388015 2023-082
    Material Weakness Repeat
  • 388016 2023-082
    Material Weakness Repeat
  • 388017 2023-083
    Significant Deficiency
  • 388018 2023-083
    Significant Deficiency
  • 388019 2023-084
    Significant Deficiency
  • 388020 2023-085
    Significant Deficiency
  • 388021 2023-085
    Significant Deficiency
  • 388022 2023-082
    Material Weakness Repeat
  • 388023 2023-083
    Significant Deficiency
  • 388024 2023-085
    Significant Deficiency
  • 388025 2023-086
    Material Weakness
  • 388026 2023-086
    Material Weakness
  • 388027 2023-087
    Significant Deficiency
  • 388028 2023-087
    Significant Deficiency
  • 388029 2023-089
    Material Weakness
  • 388030 2023-089
    Material Weakness
  • 388031 2023-088
    Material Weakness
  • 388032 2023-088
    Material Weakness
  • 388033 2023-089
    Material Weakness
  • 388034 2023-089
    Material Weakness
  • 388035 2023-090
    Significant Deficiency
  • 388036 2023-090
    Significant Deficiency
  • 388037 2023-029
    Significant Deficiency Repeat
  • 388038 2023-029
    Significant Deficiency Repeat
  • 388039 2023-034
    Significant Deficiency Repeat
  • 388040 2023-034
    Significant Deficiency Repeat
  • 388041 2023-026
    Significant Deficiency
  • 388042 2023-027
    Significant Deficiency Repeat
  • 388043 2023-028
    Significant Deficiency Repeat
  • 388044 2023-029
    Significant Deficiency Repeat
  • 388045 2023-032
    Material Weakness Repeat
  • 388046 2023-034
    Significant Deficiency Repeat
  • 388047 2023-091
    Material Weakness Repeat
  • 388048 2023-092
    Significant Deficiency Repeat
  • 388049 2023-093
    Significant Deficiency
  • 388050 2023-094
    Significant Deficiency
  • 388051 2023-095
    Significant Deficiency
  • 388052 2023-026
    Significant Deficiency
  • 388053 2023-027
    Significant Deficiency Repeat
  • 388054 2023-028
    Significant Deficiency Repeat
  • 388055 2023-029
    Significant Deficiency Repeat
  • 388056 2023-032
    Material Weakness Repeat
  • 388057 2023-034
    Significant Deficiency Repeat
  • 388058 2023-091
    Material Weakness Repeat
  • 388059 2023-092
    Significant Deficiency Repeat
  • 388060 2023-093
    Significant Deficiency
  • 388061 2023-094
    Significant Deficiency
  • 388062 2023-095
    Significant Deficiency
  • 388063 2023-026
    Significant Deficiency
  • 388064 2023-026
    Significant Deficiency
  • 388065 2023-027
    Significant Deficiency Repeat
  • 388066 2023-027
    Significant Deficiency Repeat
  • 388067 2023-028
    Significant Deficiency Repeat
  • 388068 2023-028
    Significant Deficiency Repeat
  • 388069 2023-029
    Significant Deficiency Repeat
  • 388070 2023-029
    Significant Deficiency Repeat
  • 388071 2023-032
    Material Weakness Repeat
  • 388072 2023-032
    Material Weakness Repeat
  • 388073 2023-034
    Significant Deficiency Repeat
  • 388074 2023-034
    Significant Deficiency Repeat
  • 388075 2023-091
    Material Weakness Repeat
  • 388076 2023-091
    Material Weakness Repeat
  • 388077 2023-092
    Significant Deficiency Repeat
  • 388078 2023-092
    Significant Deficiency Repeat
  • 388079 2023-093
    Significant Deficiency
  • 388080 2023-093
    Significant Deficiency
  • 388081 2023-094
    Significant Deficiency
  • 388082 2023-094
    Significant Deficiency
  • 388083 2023-095
    Significant Deficiency
  • 388084 2023-095
    Significant Deficiency
  • 388085 2023-096
    Material Weakness Repeat
  • 388086 2023-096
    Material Weakness Repeat
  • 388087 2023-097
    Significant Deficiency Repeat
  • 388088 2023-097
    Significant Deficiency Repeat
  • 964302 2023-022
    Material Weakness Repeat
  • 964303 2023-029
    Significant Deficiency Repeat
  • 964304 2023-030
    Material Weakness Repeat
  • 964305 2023-034
    Significant Deficiency Repeat
  • 964306 2023-036
    Significant Deficiency Repeat
  • 964307 2023-040
    Material Weakness Repeat
  • 964308 2023-022
    Material Weakness Repeat
  • 964309 2023-029
    Significant Deficiency Repeat
  • 964310 2023-031
    Material Weakness Repeat
  • 964311 2023-032
    Material Weakness Repeat
  • 964312 2023-033
    Material Weakness
  • 964313 2023-034
    Significant Deficiency Repeat
  • 964314 2023-035
    Significant Deficiency Repeat
  • 964315 2023-036
    Significant Deficiency Repeat
  • 964316 2023-037
    Material Weakness Repeat
  • 964317 2023-038
    Material Weakness Repeat
  • 964318 2023-039
    Material Weakness Repeat
  • 964319 2023-040
    Material Weakness Repeat
  • 964320 2023-041
    Significant Deficiency Repeat
  • 964321 2023-042
    Significant Deficiency Repeat
  • 964322 2023-043
    Significant Deficiency
  • 964323 2023-037
    Material Weakness Repeat
  • 964324 2023-038
    Material Weakness Repeat
  • 964325 2023-039
    Material Weakness Repeat
  • 964326 2023-040
    Material Weakness Repeat
  • 964327 2023-041
    Significant Deficiency Repeat
  • 964328 2023-042
    Significant Deficiency Repeat
  • 964329 2023-043
    Significant Deficiency
  • 964330 2023-037
    Material Weakness Repeat
  • 964331 2023-038
    Material Weakness Repeat
  • 964332 2023-039
    Material Weakness Repeat
  • 964333 2023-040
    Material Weakness Repeat
  • 964334 2023-041
    Significant Deficiency Repeat
  • 964335 2023-042
    Significant Deficiency Repeat
  • 964336 2023-043
    Significant Deficiency
  • 964337 2023-044
    Material Weakness Repeat
  • 964338 2023-044
    Material Weakness Repeat
  • 964339 2023-045
    Significant Deficiency Repeat
  • 964340 2023-045
    Significant Deficiency Repeat
  • 964341 2023-077
    Material Weakness Repeat
  • 964342 2023-077
    Material Weakness Repeat
  • 964343 2023-039
    Material Weakness Repeat
  • 964344 2023-040
    Material Weakness Repeat
  • 964345 2023-046
    Material Weakness Repeat
  • 964346 2023-047
    Significant Deficiency Repeat
  • 964347 2023-037
    Material Weakness Repeat
  • 964348 2023-038
    Material Weakness Repeat
  • 964349 2023-039
    Material Weakness Repeat
  • 964350 2023-040
    Material Weakness Repeat
  • 964351 2023-041
    Significant Deficiency Repeat
  • 964352 2023-042
    Significant Deficiency Repeat
  • 964353 2023-043
    Significant Deficiency
  • 964354 2023-022
    Material Weakness Repeat
  • 964355 2023-029
    Significant Deficiency Repeat
  • 964356 2023-031
    Material Weakness Repeat
  • 964357 2023-032
    Material Weakness Repeat
  • 964358 2023-033
    Material Weakness
  • 964359 2023-034
    Significant Deficiency Repeat
  • 964360 2023-035
    Significant Deficiency Repeat
  • 964361 2023-036
    Significant Deficiency Repeat
  • 964362 2023-037
    Material Weakness Repeat
  • 964363 2023-038
    Material Weakness Repeat
  • 964364 2023-039
    Material Weakness Repeat
  • 964365 2023-040
    Material Weakness Repeat
  • 964366 2023-041
    Significant Deficiency Repeat
  • 964367 2023-042
    Significant Deficiency Repeat
  • 964368 2023-043
    Significant Deficiency
  • 964369 2023-023
    Material Weakness Repeat
  • 964370 2023-023
    Material Weakness Repeat
  • 964371 2023-048
    Material Weakness Repeat
  • 964372 2023-048
    Material Weakness Repeat
  • 964373 2023-049
    Significant Deficiency
  • 964374 2023-049
    Significant Deficiency
  • 964375 2023-050
    Significant Deficiency Repeat
  • 964376 2023-050
    Significant Deficiency Repeat
  • 964377 2023-051
    Significant Deficiency Repeat
  • 964378 2023-051
    Significant Deficiency Repeat
  • 964379 2023-052
    Significant Deficiency
  • 964380 2023-052
    Significant Deficiency
  • 964381 2023-024
    Material Weakness Repeat
  • 964382 2023-050
    Significant Deficiency Repeat
  • 964383 2023-051
    Significant Deficiency Repeat
  • 964384 2023-052
    Significant Deficiency
  • 964385 2023-053
    Significant Deficiency Repeat
  • 964386 2023-024
    Material Weakness Repeat
  • 964387 2023-024
    Material Weakness Repeat
  • 964388 2023-053
    Significant Deficiency Repeat
  • 964389 2023-053
    Significant Deficiency Repeat
  • 964390 2023-054
    Significant Deficiency
  • 964391 2023-054
    Significant Deficiency
  • 964392 2023-055
    Material Weakness Repeat
  • 964393 2023-056
    Material Weakness Repeat
  • 964394 2023-057
    Material Weakness
  • 964395 2023-058
    Significant Deficiency
  • 964396 2023-059
    Significant Deficiency
  • 964397 2023-060
    Significant Deficiency
  • 964398 2023-061
    Significant Deficiency
  • 964399 2023-050
    Significant Deficiency Repeat
  • 964400 2023-050
    Significant Deficiency Repeat
  • 964401 2023-051
    Significant Deficiency Repeat
  • 964402 2023-051
    Significant Deficiency Repeat
  • 964403 2023-052
    Significant Deficiency
  • 964404 2023-052
    Significant Deficiency
  • 964405 2023-062
    Material Weakness
  • 964406 2023-062
    Material Weakness
  • 964407 2023-063
    Significant Deficiency
  • 964408 2023-063
    Significant Deficiency
  • 964409 2023-050
    Significant Deficiency Repeat
  • 964410 2023-050
    Significant Deficiency Repeat
  • 964411 2023-051
    Significant Deficiency Repeat
  • 964412 2023-051
    Significant Deficiency Repeat
  • 964413 2023-052
    Significant Deficiency
  • 964414 2023-052
    Significant Deficiency
  • 964415 2023-062
    Material Weakness
  • 964416 2023-062
    Material Weakness
  • 964417 2023-063
    Significant Deficiency
  • 964418 2023-063
    Significant Deficiency
  • 964419 2023-064
    Material Weakness Repeat
  • 964420 2023-064
    Material Weakness Repeat
  • 964421 2023-065
    Material Weakness Repeat
  • 964422 2023-065
    Material Weakness Repeat
  • 964423 2023-065
    Material Weakness Repeat
  • 964424 2023-066
    Significant Deficiency Repeat
  • 964425 2023-067
    Significant Deficiency Repeat
  • 964426 2023-067
    Significant Deficiency Repeat
  • 964427 2023-067
    Significant Deficiency Repeat
  • 964428 2023-068
    Significant Deficiency
  • 964429 2023-068
    Significant Deficiency
  • 964430 2023-068
    Significant Deficiency
  • 964431 2023-069
    Material Weakness Repeat
  • 964432 2023-069
    Material Weakness Repeat
  • 964433 2023-070
    Material Weakness Repeat
  • 964434 2023-070
    Material Weakness Repeat
  • 964435 2023-071
    Significant Deficiency Repeat
  • 964436 2023-071
    Significant Deficiency Repeat
  • 964437 2023-072
    Significant Deficiency Repeat
  • 964438 2023-072
    Significant Deficiency Repeat
  • 964439 2023-077
    Material Weakness Repeat
  • 964440 2023-077
    Material Weakness Repeat
  • 964441 2023-073
    Significant Deficiency Repeat
  • 964442 2023-073
    Significant Deficiency Repeat
  • 964443 2023-074
    Significant Deficiency Repeat
  • 964444 2023-074
    Significant Deficiency Repeat
  • 964445 2023-087
    Significant Deficiency
  • 964446 2023-022
    Material Weakness Repeat
  • 964447 2023-029
    Significant Deficiency Repeat
  • 964448 2023-034
    Significant Deficiency Repeat
  • 964449 2023-036
    Significant Deficiency Repeat
  • 964450 2023-075
    Material Weakness Repeat
  • 964451 2023-076
    Material Weakness Repeat
  • 964452 2023-077
    Material Weakness Repeat
  • 964453 2023-078
    Material Weakness Repeat
  • 964454 2023-079
    Material Weakness Repeat
  • 964455 2023-080
    Significant Deficiency Repeat
  • 964456 2023-081
    Significant Deficiency Repeat
  • 964457 2023-082
    Material Weakness Repeat
  • 964458 2023-082
    Material Weakness Repeat
  • 964459 2023-083
    Significant Deficiency
  • 964460 2023-083
    Significant Deficiency
  • 964461 2023-084
    Significant Deficiency
  • 964462 2023-085
    Significant Deficiency
  • 964463 2023-085
    Significant Deficiency
  • 964464 2023-082
    Material Weakness Repeat
  • 964465 2023-083
    Significant Deficiency
  • 964466 2023-085
    Significant Deficiency
  • 964467 2023-086
    Material Weakness
  • 964468 2023-086
    Material Weakness
  • 964469 2023-087
    Significant Deficiency
  • 964470 2023-087
    Significant Deficiency
  • 964471 2023-089
    Material Weakness
  • 964472 2023-089
    Material Weakness
  • 964473 2023-088
    Material Weakness
  • 964474 2023-088
    Material Weakness
  • 964475 2023-089
    Material Weakness
  • 964476 2023-089
    Material Weakness
  • 964477 2023-090
    Significant Deficiency
  • 964478 2023-090
    Significant Deficiency
  • 964479 2023-029
    Significant Deficiency Repeat
  • 964480 2023-029
    Significant Deficiency Repeat
  • 964481 2023-034
    Significant Deficiency Repeat
  • 964482 2023-034
    Significant Deficiency Repeat
  • 964483 2023-026
    Significant Deficiency
  • 964484 2023-027
    Significant Deficiency Repeat
  • 964485 2023-028
    Significant Deficiency Repeat
  • 964486 2023-029
    Significant Deficiency Repeat
  • 964487 2023-032
    Material Weakness Repeat
  • 964488 2023-034
    Significant Deficiency Repeat
  • 964489 2023-091
    Material Weakness Repeat
  • 964490 2023-092
    Significant Deficiency Repeat
  • 964491 2023-093
    Significant Deficiency
  • 964493 2023-095
    Significant Deficiency
  • 964494 2023-026
    Significant Deficiency
  • 964495 2023-027
    Significant Deficiency Repeat
  • 964496 2023-028
    Significant Deficiency Repeat
  • 964497 2023-029
    Significant Deficiency Repeat
  • 964498 2023-032
    Material Weakness Repeat
  • 964499 2023-034
    Significant Deficiency Repeat
  • 964500 2023-091
    Material Weakness Repeat
  • 964501 2023-092
    Significant Deficiency Repeat
  • 964502 2023-093
    Significant Deficiency
  • 964503 2023-094
    Significant Deficiency
  • 964504 2023-095
    Significant Deficiency
  • 964505 2023-026
    Significant Deficiency
  • 964506 2023-026
    Significant Deficiency
  • 964507 2023-027
    Significant Deficiency Repeat
  • 964508 2023-027
    Significant Deficiency Repeat
  • 964509 2023-028
    Significant Deficiency Repeat
  • 964510 2023-028
    Significant Deficiency Repeat
  • 964511 2023-029
    Significant Deficiency Repeat
  • 964512 2023-029
    Significant Deficiency Repeat
  • 964513 2023-032
    Material Weakness Repeat
  • 964514 2023-032
    Material Weakness Repeat
  • 964515 2023-034
    Significant Deficiency Repeat
  • 964516 2023-034
    Significant Deficiency Repeat
  • 964517 2023-091
    Material Weakness Repeat
  • 964518 2023-091
    Material Weakness Repeat
  • 964519 2023-092
    Significant Deficiency Repeat
  • 964520 2023-092
    Significant Deficiency Repeat
  • 964521 2023-093
    Significant Deficiency
  • 964522 2023-093
    Significant Deficiency
  • 964523 2023-094
    Significant Deficiency
  • 964524 2023-094
    Significant Deficiency
  • 964525 2023-095
    Significant Deficiency
  • 964526 2023-095
    Significant Deficiency
  • 964527 2023-096
    Material Weakness Repeat
  • 964528 2023-096
    Material Weakness Repeat
  • 964529 2023-097
    Significant Deficiency Repeat
  • 964530 2023-097
    Significant Deficiency Repeat

Programs in Audit

ALN Program Name Expenditures
10.551 Supplemental Nutrition Assistance Program $484.78M
20.205 Highway Planning and Construction $309.94M
21.027 Coronavirus State and Local Fiscal Recovery Funds $207.76M
93.778 Medical Assistance Program $192.94M
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $137.26M
93.558 Temporary Assistance for Needy Families $91.83M
84.425 Education Stabilization Fund - Arp Elementary and Secondary School Emergen $88.50M
84.425 Education Stabilization Fund - Elementary and Secondary School Emergency R $72.61M
10.555 National School Lunch Program $57.14M
84.010 Title I Grants to Local Educational Agencies $55.30M
93.575 Child Care and Development Block Grant $55.29M
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $42.07M
21.023 Emergency Rental Assistance Program $39.51M
10.542 Pandemic Ebt Food Benefits $37.89M
12.401 National Guard Military Operations and Maintenance (o&m) Projects $26.24M
10.557 Wic Special Supplemental Nutrition Program for Women, Infants, and Children $22.15M
93.563 Child Support Enforcement $20.21M
93.658 Foster Care Title IV-E $18.66M
10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $15.92M
20.509 Formula Grants for Rural Areas and Tribal Transit Program $15.88M
10.553 School Breakfast Program $15.79M
93.667 Social Services Block Grant $14.24M
93.596 Child Care Mandatory and Matching Funds of the Child Care and Development Fund $12.49M
21.026 Homeowner Assistance Fund $12.31M
14.228 Community Development Block Grants/state's Program and Non-Entitlement Grants in Hawaii $10.61M
10.676 Forest Legacy Program $10.53M
21.019 Coronavirus Relief Fund $10.02M
14.267 Continuum of Care Program $9.92M
10.558 Child and Adult Care Food Program $9.82M
84.367 Supporting Effective Instruction State Grants (formerly Improving Teacher Quality State Grants) $9.64M
96.001 Social Security Disability Insurance $9.30M
15.611 Wildlife Restoration and Basic Hunter Education $9.16M
93.268 Immunization Cooperative Agreements $9.11M
16.575 Crime Victim Assistance $8.93M
12.400 Military Construction, National Guard $8.91M
10.569 Emergency Food Assistance Program (food Commodities) $8.57M
93.788 Opioid Str $7.32M
93.136 Injury Prevention and Control Research and State and Community Based Programs $6.81M
93.391 Activities to Support State, Tribal, Local and Territorial (stlt) Health D $6.75M
84.425 Education Stabilization Fund - Governor's Emergency Education Relief Fund $6.61M
84.048 Career and Technical Education -- Basic Grants to States $6.58M
84.287 Twenty-First Century Community Learning Centers $6.31M
66.605 Performance Partnership Grants $6.29M
20.509 Formula Grants for Rural Areas and Tribal Transit Program $6.07M
84.425 Education Stabilization Fund - Emergency Assistance Non-Public Schools $6.01M
93.870 Maternal, Infant and Early Childhood Home Visiting Grant $5.96M
97.067 Homeland Security Grant Program $5.92M
93.472 Title IV-E Prevention Program $5.86M
84.424 Student Support and Academic Enrichment Program $5.60M
84.027 Special Education Grants to States $5.01M
84.181 Special Education-Grants for Infants and Families $4.80M
93.069 Public Health Emergency Preparedness $4.51M
15.615 Cooperative Endangered Species Conservation Fund $4.45M
17.207 Employment Service/wagner-Peyser Funded Activities $4.04M
93.045 Special Programs for the Aging, Title Iii, Part C, Nutrition Services $3.95M
17.225 Unemployment Insurance $3.81M
84.369 Grants for State Assessments and Related Activities $3.81M
15.605 Sport Fish Restoration $3.80M
84.425 Education Stabilization Fund - Rethink K-12 Education Models $3.66M
93.044 Special Programs for the Aging, Title Iii, Part B, Grants for Supportive Services and Senior Centers $3.52M
93.777 State Survey and Certification of Health Care Providers and Suppliers (title Xviii) Medicare $3.36M
10.559 Summer Food Service Program for Children $3.34M
93.994 Maternal and Child Health Services Block Grant to the States $3.28M
20.616 National Priority Safety Programs $3.23M
17.259 Wioa Youth Activities $3.11M
10.582 Fresh Fruit and Vegetable Program $2.88M
93.959 Block Grants for Prevention and Treatment of Substance Abuse $2.85M
84.126 Rehabilitation Services Vocational Rehabilitation Grants to States $2.79M
11.419 Coastal Zone Management Administration Awards $2.75M
93.243 Substance Abuse and Mental Health Services Projects of Regional and National Significance $2.71M
93.354 Public Health Emergency Response: Cooperative Agreement for Emergency Res $2.61M
20.526 Buses and Bus Facilities Formula, Competitive, and Low Or No Emissions Programs $2.50M
20.106 Airport Improvement Program, Covid-19 Airports Programs, and Infrastructure Investment and Jobs Act Programs $2.41M
11.307 Economic Adjustment Assistance $2.40M
93.665 Emergency Grants to Address Mental and Substance Use Discorders During Cov $2.38M
17.258 Wioa Adult Program $2.37M
93.958 Block Grants for Community Mental Health Services $2.33M
17.278 Wioa Dislocated Worker Formula Grants $2.32M
84.002 Adult Education - Basic Grants to States $2.30M
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $2.02M
93.767 Children's Health Insurance Program $1.97M
93.659 Adoption Assistance $1.96M
20.218 Motor Carrier Safety Assistance $1.90M
93.917 Hiv Care Formula Grants $1.88M
93.045 Special Programs for the Aging Title Iii, Part C Nutrition Services $1.88M
20.600 State and Community Highway Safety $1.85M
10.565 Commodity Supplemental Food Program $1.83M
93.104 Comprehensive Community Mental Health Services for Children with Serious Emotional Disturbances (sed) $1.82M
93.569 Community Services Block Grant $1.79M
11.472 Unallied Science Program $1.74M
93.426 Improving the Health of Americans Through Prevention and Management of Diabetes and Heart Disease and Stroke $1.72M
97.012 Boating Safety Financial Assistance $1.65M
93.070 Environmental Public Health and Emergency Response $1.60M
16.588 Violence Against Women Formula Grants $1.56M
66.468 Drinking Water State Revolving Fund $1.53M
10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $1.53M
10.664 Cooperative Forestry Assistance $1.51M
93.556 Marylee Allen Promoting Safe and Stable Families Program $1.46M
20.934 Nationally Significant Freight and Highway Projects $1.46M
93.775 State Medicaid Fraud Control Units $1.42M
20.500 Federal Transit Capital Investment Grants $1.42M
93.991 Preventive Health and Health Services Block Grant $1.37M
84.358 Rural Education $1.36M
14.228 Community Development Block Grants/state's Program and Non-Entitlement Gra $1.32M
90.404 2018 Hava Election Security Grants $1.30M
93.387 National and State Tobacco Control Program $1.27M
93.645 Stephanie Tubbs Jones Child Welfare Services Program $1.27M
93.110 Maternal and Child Health Federal Consolidated Programs $1.25M
11.474 Atlantic Coastal Fisheries Cooperative Management Act $1.22M
93.940 Hiv Prevention Activities Health Department Based $1.22M
20.219 Recreational Trails Program $1.21M
66.817 State and Tribal Response Program Grants $1.15M
66.432 State Public Water System Supervision $1.13M
10.560 State Administrative Expenses for Child Nutrition $1.12M
94.006 Americorps State and National 94.006 $1.04M
17.002 Labor Force Statistics $1.04M
97.042 Emergency Management Performance Grants $1.03M
93.791 Money Follows the Person Rebalancing Demonstration $1.01M
93.687 Maternal Opioid Misuse Model $1.01M
93.796 State Survey Certification of Health Care Providers and Suppliers (title Xix) Medicaid $984,194
16.738 Edward Byrne Memorial Justice Assistance Grant Program $982,135
17.285 Apprenticeship USA Grants $974,855
11.454 Unallied Management Projects $945,637
93.044 Special Programs for the Aging Title Iii, Part B Grants for Supportive Ser $941,391
93.671 Family Violence Prevention and Services/domestic Violence Shelter and Supportive Services $919,532
84.372 Statewide Longitudinal Data Systems $909,113
93.747 Elder Abuse Prevention Interventions Program $890,419
10.576 Senior Farmers Market Nutrition Program $880,634
20.507 Federal Transit Formula Grants $859,872
10.181 Agricultural Worker Pandemic Relief and Protection Program $850,189
15.916 Outdoor Recreation Acquisition, Development and Planning $847,625
15.622 Sportfishing and Boating Safety Act $834,917
84.011 Migrant Education State Grant Program $790,023
15.904 Historic Preservation Fund Grants-in-Aid $785,162
84.425 Education Stabilization Fund - Arp Homeless Children and Youth $778,091
81.041 State Energy Program $767,895
45.025 Promotion of the Arts Partnership Agreements $744,157
93.053 Nutrition Services Incentive Program $683,690
17.504 Consultation Agreements $672,632
17.801 Jobs for Veterans State Grants $667,118
93.525 State Planning and Establishment Grants for the Affordable Care Act (aca)’ $650,000
84.365 English Language Acquisition State Grants $615,762
15.634 State Wildlife Grants $609,918
20.513 Enhanced Mobility of Seniors and Individuals with Disabilities $604,939
10.475 Cooperative Agreements with States for Intrastate Meat and Poultry Inspection $599,000
93.671 Family Violence Prevention and Services/domestic Violence Shelter and Supp $576,342
10.182 Food Bank Network $574,039
84.323 Special Education - State Personnel Development $560,979
93.674 John H. Chafee Foster Care Program for Successful Transition to Adulthood $555,575
16.034 Coronavirus Emergency Supplemental Funding Program $529,596
84.173 Special Education Preschool Grants $514,242
93.241 State Rural Hospital Flexibility Program $499,865
66.805 Leaking Underground Storage Tank Trust Fund Corrective Action Program $486,628
93.664 Substance Use-Disorder Prevention That Promotes Opioid Recovery and Treatment (support) for Patients and Communities Act $486,449
15.614 Coastal Wetlands Planning, Protection and Restoration $466,124
16.741 Dna Backlog Reduction Program $461,022
93.870 Maternal, Infant and Early Childhood Home Visiting Grant Program $453,957
84.184 School Safely National Activities $448,869
10.568 Emergency Food Assistance Program (administrative Costs) $445,464
17.245 Trade Adjustment Assistance $433,937
17.503 Occupational Safety and Health State Program $433,450
15.616 Clean Vessel Act $426,559
93.800 Organized Approaches to Increase Colorectal Cancer Screening $424,784
93.369 Acl Independent Living State Grants $416,369
10.025 Plant and Animal Disease, Pest Control, and Animal Care $413,425
20.700 Pipeline Safety Program State Base Grant $408,346
16.540 Juvenile Justice and Delinquency Prevention $407,048
10.652 Forestry Research $401,419
66.444 Voluntary School and Child Care Lead Testing and Reduction Grant Program (sdwa 1464(d)) $399,029
93.336 Behavioral Risk Factor Surveillance System $387,758
16.554 National Criminal History Improvement Program (nchip) $382,626
93.464 Acl Assistive Technology $381,887
97.008 Non-Profit Security Program $377,120
93.495 Community Health Workers for Public Health Response and Resilient $376,702
10.649 Pandemic Ebt Administrative Costs $375,516
16.839 Stop School Violence $374,294
66.818 Brownfields Multipurpose, Assessment, Revolving Loan Fund, and Cleanup Cooperative Agreements $373,325
93.639 Aca-Transforming Clinical Practice Initiative: Support and Alignment Netwo $372,829
39.003 Donation of Federal Surplus Personal Property $370,029
93.103 Food and Drug Administration Research $369,906
93.658 Foster Caretitle IV-E $358,731
16.017 Sexual Assault Services Formula Program $350,713
20.703 Interagency Hazardous Materials Public Sector Training and Planning Grants $343,896
10.351 Rural Business Development Grant $338,464
94.006 Americorps $331,433
16.543 Missing Children's Assistance $330,622
66.804 Underground Storage Tank (ust) Prevention, Detection, and Compliance Program $315,374
17.273 Temporary Labor Certification for Foreign Workers $306,324
93.150 Projects for Assistance in Transition From Homelessness (path) $304,362
93.197 Childhood Lead Poisoning Prevention Projects, State and Local Childhood Lead Poisoning Prevention and Surveillance of Blood Lead Levels in Children $297,088
16.742 Paul Coverdell Forensic Sciences Improvement Grant Program $288,545
93.556 Promoting Safe and Stable Families $282,865
64.U01 Plot Allowance $278,191
84.177 Rehabilitation Services Independent Living Services for Older Individuals Who Are Blind $276,734
93.413 The State Flexibility to Stabilize the Market Grant Program $276,326
12.113 State Memorandum of Agreement Program for the Reimbursement of Technical Services $274,723
16.745 Criminal and Juvenile Justice and Mental Health Collaboration Program $271,386
94.003 Americorps State Commissions Support Grant $269,032
16.812 Second Chance Act Reentry Initiative $268,476
97.137 State and Local Cybersecurity Grant Program Tribal Cybersecurity Grant Program $267,734
10.163 Market Protection and Promotion $263,942
93.155 Rural Health Research Centers $258,376
30.001 Employment Discrimination Title Vii of the Civil Rights Act of 1964 $256,522
66.034 Surveys, Studies, Research, Investigations, Demonstrations, and Special Pu $253,948
84.196 Education for Homeless Children and Youth $253,732
16.582 Crime Victim Assistance/discretionary Grants $249,105
93.977 Sexually Transmitted Diseases (std) Prevention and Control Grants $245,500
66.472 Beach Monitoring and Notification Program Implementation Grants $241,943
93.334 The Healthy Brain Initiative: Technical Assistance to Implement Public Health Actions Related to Cognitive Health, Cognitive Impairment, and Caregiving at the State and Local Levels $240,730
93.071 Medicare Enrollment Assistance Program $236,427
10.541 Child Nutrition-Technology Innovation Grant $236,347
93.301 Small Rural Hospital Improvement Grant Program $235,607
10.525 Farm and Ranch Stress Assistance Network Competitive Grants Program $235,001
93.048 Special Programs for the Aging, Title Iv, and Title Ii, Discretionary Projects $234,399
10.170 Specialty Crop Block Grant Program - Farm Bill $232,506
97.047 Bric: Building Resilient Infrastructure and Communities $229,539
17.261 Wioa Pilots, Demonstrations, and Research Projects $226,077
93.913 Grants to States for Operation of State Offices of Rural Health $225,250
10.557 Special Supplemental Nutrition Program for Women, Infants, and Children $222,078
93.497 Family Violence Prevention and Services/ Sexual Assault/rape Crisis Servic $218,580
93.603 Adoption and Legal Guardianship Incentive Payments $214,604
10.904 Watershed Protection and Flood Prevention $211,995
16.710 Public Safety Partnership and Community Policing Grants $209,445
66.040 Diesel Emissions Reduction Act (dera) State Grants $208,913
66.034 Surveys, Studies, Research, Investigations, Demonstrations, and Special Purpose Activities Relating to the Clean Air Act $204,689
93.130 Cooperative Agreements to States/territories for the Coordination and Development of Primary Care Offices $198,130
93.116 Project Grants and Cooperative Agreements for Tuberculosis Control Programs $196,118
93.052 National Family Caregiver Support, Title Iii, Part E $195,096
84.377 School Improvement Grants $192,758
64.U02 State Approving Agency $187,086
93.092 Affordable Care Act (aca) Personal Responsibility Education Program $185,552
93.314 Early Hearing Detection and Intervention Information System (ehdi-Is) Surveillance Program $179,419
84.013 Title I State Agency Program for Neglected and Delinquent Children and Youth $177,952
16.576 Crime Victim Compensation $176,033
10.535 Snap Fraud Framework Implementation Grant $172,468
11.473 Office for Coastal Management $168,644
16.754 Harold Rogers Prescription Drug Monitoring Program $168,037
93.243 Substance Abuse and Mental Health Services Projects of Regional and Nation $166,967
15.810 National Cooperative Geologic Mapping $162,007
93.043 Special Programs for the Aging, Title Iii, Part D, Disease Prevention and Health Promotion Services $160,614
17.235 Senior Community Service Employment Program $159,729
66.809 Superfund State and Indian Tribe Core Program Cooperative Agreements $158,372
10.698 State & Private Forestry Cooperative Fire Assistance $155,691
97.045 Cooperating Technical Partners $155,298
10.579 Child Nutrition Discretionary Grants Limited Availability $152,803
11.407 Interjurisdictional Fisheries Act of 1986 $152,089
93.946 Cooperative Agreements to Support State-Based Safe Motherhood and Infant Health Initiative Programs $147,644
93.137 Community Programs to Improve Minority Health Grant Program $146,571
15.657 Endangered Species Recovery Implementation $143,780
17.005 Compensation and Working Conditions $139,076
94.009 Training and Technical Assistance $135,870
17.600 Mine Health and Safety Grants $134,728
97.039 Hazard Mitigation Grant $133,068
14.401 Fair Housing Assistance Program State and Local $130,016
16.585 Treatment Court Discretionary Grant Program $128,353
93.643 Children's Justice Grants to States $126,345
15.073 Earth Mapping Resources Initiative $123,536
93.127 Emergency Medical Services for Children $121,959
94.021 Americorps Volunteer Generation Fund 94.021 $121,653
66.802 Superfund State, Political Subdivision, and Indian Tribe Site-Specific Cooperative Agreements $120,512
66.454 Water Quality Management Planning $117,724
93.597 Grants to States for Access and Visitation Programs $113,007
93.074 Hospital Preparedness Program (hpp) and Public Health Emergency Preparedness (phep) Aligned Cooperative Agreements $111,726
93.270 Viral Hepatitis Prevention and Control $111,120
10.572 Wic Farmers' Market Nutrition Program (fmnp) $105,693
97.041 National Dam Safety Program $105,683
11.417 Sea Grant Support $105,506
20.237 Motor Carrier Safety Assistance High Priority Activities Grants and Cooperative Agreements $104,338
17.271 Work Opportunity Tax Credit Program (wotc) $102,320
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $100,721
16.609 Project Safe Neighborhoods $100,615
45.149 Promotion of the Humanities Division of Preservation and Access $97,870
66.461 Regional Wetland Program Development Grants $97,113
15.931 Youth and Veteran Organizations Conservation Activities $95,994
81.010 Office of Technology Transitions (ott)-Technology Deployment, Demonstration and Commercialization $94,831
94.003 State Commissions $91,257
16.838 Comprehensive Opioid, Stimulant, and Other Substances Use Program $87,775
93.599 Chafee Education and Training Vouchers Program (etv) $86,686
93.090 Guardianship Assistance $86,430
20.505 Metropolitan Transportation Planning and State and Non-Metropolitan Planning and Research $86,105
20.530 Public Transportation Innovation $85,770
93.600 Head Start $84,730
93.669 Child Abuse and Neglect State Grants $76,945
93.042 Special Programs for the Aging, Title Vii, Chapter 2, Long Term Care Ombudsman Services for Older Individuals $73,289
93.043 Covid-10 - Special Programs for the Aging Title Iii, Part D Disease Prevention and Health Promotion Services $71,241
15.935 National Trails System Projects $64,224
93.586 State Court Improvement Program $62,937
17.277 Wioa National Dislocated Worker Grants / Wia National Emergency Grants $62,014
15.663 Nfwf-Usfws Conservation Partnership $61,577
66.608 Environmental Information Exchange Network Grant Program and Related Assistance $60,992
15.608 Fish and Wildlife Management Assistance $60,706
66.032 State Indoor Radon Grants $58,903
20.614 National Highway Traffic Safety Administration (nhtsa) Discretionary Safety Grants and Cooperative Agreements $56,170
10.680 Forest Health Protection $50,865
20.721 Phmsa Pipeline Safety Program One Call Grant $46,770
15.676 Youth Engagement, Education, and Employment $45,570
64.055 Staff Sergeant Parker Gordon Fox Suicide Prevention Grant Program $43,327
93.048 Special Programs for the Aging Title Ivand Title II Discretionary Projects $42,973
94.013 Americorps Volunteers in Service to America 94.013 $41,477
16.593 Residential Substance Abuse Treatment for State Prisoners $41,244
90.601 Northern Border Regional Development $39,666
93.630 Developmental Disabilities Basic Support and Advocacy Grants $38,163
16.816 John R. Justice Prosecutors and Defenders Incentive Act $32,985
93.889 National Bioterrorism Hospital Preparedness Program $32,523
17.270 Reentry Employment Opportunities $32,430
93.079 Cooperative Agreements to Promote Adolescent Health Through School-Based Hiv/std Prevention and School-Based Surveillance $31,154
93.324 State Health Insurance Assistance Program $30,835
84.144 Migrant Education Coordination Program $28,902
45.310 Grants to States $28,197
15.808 U.s. Geological Survey Research and Data Collection $27,878
14.171 Manufactured Home Dispute Resolution $25,154
93.982 Mental Health Disaster Assistance and Emergency Mental Health $24,580
93.234 Traumatic Brain Injury State Demonstration Grant Program $23,439
66.204 Multipurpose Grants to States and Tribes $23,152
20.106 Airport Improvement Program $23,000
10.912 Environmental Quality Incentives Program $19,818
93.041 Special Programs for the Aging, Title Vii, Chapter 3, Programs for Prevention of Elder Abuse, Neglect, and Exploitation $17,439
15.814 National Geological and Geophysical Data Preservation $15,876
15.980 National Ground-Water Monitoring Network $15,344
93.967 Cdc's Collaboration with Academia to Strengthen Public Health $14,289
84.187 Supported Employment Services for Individuals with the Most Significant Disabilities $12,590
93.928 Special Projects of National Significance $11,284
81.138 State Heating Oil and Propane Program $10,000
93.434 Every Student Succeeds Act/preschool Development Grants $7,023
15.981 Water Use and Data Research $6,662
93.165 Grants to States for Loan Repayment $6,442
10.545 Farmers’ Market Supplemental Nutrition Assistance Program Support Grants $5,603
93.777 State Survey and Certification of Health Care Providers and Suppliers (title Xviii) Medicare $5,596
93.042 Special Programs for the Aging Title Vii, Chapter 2 Long Term Care Ombudsm $4,992
16.606 State Criminal Alien Assistance Program $4,970
43.001 Science $4,875
10.215 Sustainable Agriculture Research and Education $4,493
15.684 White-Nose Syndrome National Response Implementation $4,467
20.933 National Infrastructure Investments $3,867
10.645 Farm to School State Formula Grant $1,970
15.945 Cooperative Research and Training Programs – Resources of the National Park System $1,838
10.556 Special Milk Program for Children $1,416
47.050 Geosciences $230
10.580 Supplemental Nutrition Assistance Program, Process and Technology Improvement Grants $158