FAC Explorer

Finding 968125 (2023-007)

Significant Deficiency Repeat Finding
Requirement
N
Questioned Costs
$1
Year
2023
Accepted
2024-04-01
Audit: 302108
Organization: Department of Human Services (HI)
Auditor: Accuity LLP

AI Summary

  • Core Issue: A provider's revalidation was not completed within the required five-year period, leading to noncompliance.
  • Impacted Requirements: This finding violates 42 CFR 455.414 and 2 CFR Part 200, resulting in questioned costs of $16,525.
  • Recommended Follow-Up: The Department should enhance diligence in adhering to existing policies to ensure all providers are revalidated on time.

Finding Text

Finding No. 2023 007: Special Tests and Provisions (Significant Deficiency) Questioned cost: $ 16,525 Federal Agency: U.S. Department of Health and Human Services AL Number and Title: 93.777, 93.778, and COVID 19 – 93.778 – Medicaid Cluster Award Number and Award Year: 2205HIMAP 2022 2305HIMAP 2023 Repeat Finding? Yes Condition During our audit, we selected a non statistical sample of 60 providers for testing out of a population of approximately 2,010 providers. The providers selected for testing represented approximately $61 million of payments out of a total payment population of $234 million. We identified one provider where the DHS Form 1139 did not support revalidation within the most recent five-year period. Criteria Pursuant to 42 CFR 455.414, the State Medicaid Agency must revalidate the enrollment of all providers regardless of provider type at least every five years. Effect Failure to follow the established policies and procedures in place over the provider eligibility determination process represents an instance of noncompliance with the requirements of 2 CFR Part 200, resulting in questioned costs. Cause and View of Responsible Officials Although the Department has policies and procedures in place requiring the maintenance of required documentation, there was a lack of diligence in complying with the policies and procedures. Recommendation We recommend the Department be more diligent in following its existing policies and procedures to ensure compliance with the program requirements.

Categories

Questioned Costs Special Tests & Provisions Eligibility Significant Deficiency

Other Findings in this Audit

  • 391661 2023-010
    Material Weakness Repeat
  • 391662 2023-010
    Material Weakness Repeat
  • 391663 2023-008
    Material Weakness Repeat
  • 391664 2023-008
    Material Weakness Repeat
  • 391665 2023-009
    Material Weakness Repeat
  • 391666 2023-009
    Material Weakness Repeat
  • 391667 2023-017
    Significant Deficiency
  • 391668 2023-006
    Significant Deficiency Repeat
  • 391669 2023-011
    Material Weakness Repeat
  • 391670 2023-011
    Material Weakness Repeat
  • 391671 2023-012
    Material Weakness Repeat
  • 391672 2023-012
    Material Weakness Repeat
  • 391673 2023-013
    Material Weakness Repeat
  • 391674 2023-013
    Material Weakness Repeat
  • 391675 2023-014
    Significant Deficiency Repeat
  • 391676 2023-014
    Significant Deficiency Repeat
  • 391677 2023-015
    Material Weakness Repeat
  • 391678 2023-015
    Material Weakness Repeat
  • 391679 2023-016
    Material Weakness Repeat
  • 391680 2023-016
    Material Weakness Repeat
  • 391681 2023-007
    Significant Deficiency Repeat
  • 391682 2023-007
    Significant Deficiency Repeat
  • 391683 2023-007
    Significant Deficiency Repeat
  • 391684 2023-003
    Significant Deficiency Repeat
  • 391685 2023-003
    Significant Deficiency Repeat
  • 391686 2023-003
    Significant Deficiency Repeat
  • 391687 2023-004
    Material Weakness Repeat
  • 391688 2023-004
    Material Weakness Repeat
  • 391689 2023-004
    Material Weakness Repeat
  • 391690 2023-005
    Material Weakness Repeat
  • 391691 2023-005
    Material Weakness Repeat
  • 391692 2023-005
    Material Weakness Repeat
  • 968103 2023-010
    Material Weakness Repeat
  • 968104 2023-010
    Material Weakness Repeat
  • 968105 2023-008
    Material Weakness Repeat
  • 968106 2023-008
    Material Weakness Repeat
  • 968107 2023-009
    Material Weakness Repeat
  • 968108 2023-009
    Material Weakness Repeat
  • 968109 2023-017
    Significant Deficiency
  • 968110 2023-006
    Significant Deficiency Repeat
  • 968111 2023-011
    Material Weakness Repeat
  • 968112 2023-011
    Material Weakness Repeat
  • 968113 2023-012
    Material Weakness Repeat
  • 968114 2023-012
    Material Weakness Repeat
  • 968115 2023-013
    Material Weakness Repeat
  • 968116 2023-013
    Material Weakness Repeat
  • 968117 2023-014
    Significant Deficiency Repeat
  • 968118 2023-014
    Significant Deficiency Repeat
  • 968119 2023-015
    Material Weakness Repeat
  • 968120 2023-015
    Material Weakness Repeat
  • 968121 2023-016
    Material Weakness Repeat
  • 968122 2023-016
    Material Weakness Repeat
  • 968123 2023-007
    Significant Deficiency Repeat
  • 968124 2023-007
    Significant Deficiency Repeat
  • 968126 2023-003
    Significant Deficiency Repeat
  • 968127 2023-003
    Significant Deficiency Repeat
  • 968128 2023-003
    Significant Deficiency Repeat
  • 968129 2023-004
    Material Weakness Repeat
  • 968130 2023-004
    Material Weakness Repeat
  • 968131 2023-004
    Material Weakness Repeat
  • 968132 2023-005
    Material Weakness Repeat
  • 968133 2023-005
    Material Weakness Repeat
  • 968134 2023-005
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.778 Medical Assistance Program $2.17B
10.551 Supplemental Nutrition Assistance Program $895.39M
10.542 Pandemic Ebt Food Benefits $74.01M
93.767 Children's Health Insurance Program $52.88M
93.558 Temporary Assistance for Needy Families $42.41M
10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $32.90M
15.875 Economic, Social, and Political Development of the Territories $31.60M
21.027 Coronavirus State and Local Fiscal Recovery Funds $22.37M
93.575 Child Care and Development Block Grant $20.71M
93.658 Foster Care_title IV-E $14.69M
93.659 Adoption Assistance $14.28M
93.596 Child Care Mandatory and Matching Funds of the Child Care and Development Fund $14.28M
93.667 Social Services Block Grant $14.01M
84.126 Rehabilitation Services_vocational Rehabilitation Grants to States $10.26M
96.001 Social Security_disability Insurance $7.51M
93.568 Low-Income Home Energy Assistance $5.80M
93.090 Guardianship Assistance $3.88M
93.556 Promoting Safe and Stable Families $1.60M
93.645 Stephanie Tubbs Jones Child Welfare Services Program $1.21M
10.649 Pandemic Ebt Administrative Costs $1.18M
93.777 State Survey and Certification of Health Care Providers and Suppliers (title Xviii) Medicare $1.00M
93.671 Family Violence Prevention and Services/domestic Violence Shelter and Supportive Services $988,169
93.674 John H. Chafee Foster Care Program for Successful Transition to Adulthood $607,471
93.464 Acl Assistive Technology $540,376
14.231 Emergency Solutions Grant Program $487,588
94.011 Foster Grandparent Program $348,625
93.669 Child Abuse and Neglect State Grants $346,420
93.747 Elder Abuse Prevention Interventions Program $310,287
14.241 Housing Opportunities for Persons with Aids $301,602
93.599 Chafee Education and Training Vouchers Program (etv) $218,511
94.016 Senior Companion Program $218,350
93.603 Adoption Incentive Payments $206,000
93.497 Family Violence Prevention and Services/ Sexual Assault/rape Crisis Services and Supports $124,281
93.643 Children's Justice Grants to States $110,892
10.545 Farmersõ Market Supplemental Nutrition Assistance Program Support Grants $18,960
93.566 Refugee and Entrant Assistance_state Administered Programs $16,330
84.187 Supported Employment Services for Individuals with the Most Significant Disabilities $16,037
93.369 Acl Independent Living State Grants $16,000
10.537 Supplemental Nutrition Assistance Program (snap) Employment and Training (e&t) Data and Technical Assistance Grants $4,892
84.177 Rehabilitation Services_independent Living Services for Older Individuals Who Are Blind $588