EIN: 363317058
UEI: XM7MMFME1TM5
Audited by: CliftonLarsonAllen LLP
Oversight agency: 93 [Department of Health and Human Services]
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Data as of September 2, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on August 20, 2026. Under 2 CFR 200.521(d), a pass-through entity that provided federal funds to this organization for this audit period must issue a management decision on these findings by February 20, 2027 (170 days from today).
What is a management decision? →FAC accepted this audit on July 16, 2025 — management decision was due January 16, 2026.
FAC accepted this audit on July 10, 2024 — management decision was due January 10, 2025.
FAC accepted this audit on February 26, 2024 — management decision was due August 26, 2024.
ACCESS requested reimbursement of indirect costs during a six-month period in which its indirect cost rate had expired. Questioned Costs: None. Context: ACCESS? indirect cost rate expired on June 30, 2022, however, the Organization did not request an extension until October 2022. In January 2023, ACCESS received a response to its extension request in which it was denied with the cited reason being that the indirect cost rate was no longer current. The Organization subsequently submitted an indirect cost rate proposal in January 2023 and in May 2023 the Cognizant agency for indirect costs (the Agency) did provide written notice to ACCESS that it could continue using its previous indirect cost rate until the Agency completed its review of the proposal and a new rate was established. Cause: Oversight. Effect: Unallowable indirect costs could be charged to a grant if the organization does not submit an updated indirect cost rate agreement application within a timely manner. Repeat Finding: No. Recommendation: Management should refine its processes and controls over indirect costs to more closely monitor whether indirect costs being allocated to a grant are based on its current federally negotiated indirect cost rate. This may include identifying the expiration date of the current indirect cost rate during the grant budget preparation process and requesting an extension before the rate expires, or preparing and submitting a new indirect cost rate proposal at the earliest opportunity. Views of responsible officials: There is no disagreement with the audit finding.
Show full finding ▾Hide full finding ▴Finding 2022-001 ? Allowable Costs Federal Agency: U.S. Department of Health and Human Services Federal Program title: Health Center Program Cluster Assistance Listing Number: 93.224 and 93.527 Federal Award Identification Number: H80CS00834-20; H80CS00834-21; H8FCS40554-01 Award Periods: March 1, 2021 ? February 28, 2022; March 1, 2022 ? February 28, 2023; April 1, 2021 - March 31, 2023, respectively Type of Finding: Significant deficiency in internal control over compliance Criteria: Appendix IV to Part 200?Indirect (F&A) Costs Identification and Assignment, and Rate Determination for Nonprofit Organizations - Section C. Negotiation and Approval of Indirect Cost Rates - Subsection 2. Negotiation and approval of Rates - Clause "c:" Unless approved by the cognizant agency for indirect costs in accordance with ? 200.414(g), organizations that have previously established indirect cost rates must submit a new indirect cost proposal to the cognizant agency for indirect costs within six months after the close of each fiscal year; and Clause "g:" The results of each negotiation must be formalized in a written agreement between the cognizant agency for indirect costs and the nonprofit organization. The cognizant agency for indirect costs must make available copies of the agreement to all concerned Federal agencies. Condition: ACCESS requested reimbursement of indirect costs during a six-month period in which its indirect cost rate had expired. Questioned Costs: None. Context: ACCESS? indirect cost rate expired on June 30, 2022, however, the Organization did not request an extension until October 2022. In January 2023, ACCESS received a response to its extension request in which it was denied with the cited reason being that the indirect cost rate was no longer current. The Organization subsequently submitted an indirect cost rate proposal in January 2023 and in May 2023 the Cognizant agency for indirect costs (the Agency) did provide written notice to ACCESS that it could continue using its previous indirect cost rate until the Agency completed its review of the proposal and a new rate was established. Cause: Oversight. Effect: Unallowable indirect costs could be charged to a grant if the organization does not submit an updated indirect cost rate agreement application within a timely manner. Repeat Finding: No. Recommendation: Management should refine its processes and controls over indirect costs to more closely monitor whether indirect costs being allocated to a grant are based on its current federally negotiated indirect cost rate. This may include identifying the expiration date of the current indirect cost rate during the grant budget preparation process and requesting an extension before the rate expires, or preparing and submitting a new indirect cost rate proposal at the earliest opportunity. Views of responsible officials: There is no disagreement with the audit finding.
Access Community Health Network respectfully submits the following corrective action plan for the year ended December 31, 2022. Audit period: January 1, 2022 ? December 31, 2022 The findings from the schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FINDINGS?FEDERAL AWARD PROGRAMS AUDITS U. S. Department of Health and Human Services (HHS) ? Health Resources and Services Administration (HRSA) 2022-001 - Allowable Costs Health Center Program Cluster ? Assistance Listing Numbers 93.224/93.527 Recommendation: We recommend management refine its processes and controls over indirect costs to more closely monitor whether indirect costs being allocated to a grant are based on its current federally negotiated indirect cost rate. This may include identifying the expiration date of the current indirect cost rate during the grant budget preparation process and requesting an extension before the rate expires or preparing and submitting a new indirect cost rate proposal at the earliest opportunity. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Management has refined our processes and controls over indirect costs to more closely monitor whether indirect costs being allocated to a grant are based on its current federally negotiated indirect cost rate. We have identified the expiration date of the current indirect cost rate during the grant budget preparation process and have submitted a new indirect cost rate proposal. Name(s) of the contact person(s) responsible for corrective action: Karen Wesley, Director of Internal Control and Fiscal Management Planned completion date for corrective action plan: Completed. If the HHS has questions regarding this plan, please call Karen Wesley, Director of Internal Control and Fiscal Management, at 773-368-0280. ACCESS COMMUNITY HEALTH NETWORK
ACCESS requested reimbursement of indirect costs during a six-month period in which its indirect cost rate had expired. Questioned Costs: None. Context: ACCESS’ indirect cost rate expired on June 30, 2022, however, the Organization did not request an extension until October 2022. In January 2023, ACCESS received a response to its extension request in which it was denied with the cited reason being that the indirect cost rate was no longer current. The Organization subsequently submitted an indirect cost rate proposal in January 2023 and in May 2023 the Cognizant agency for indirect costs (the Agency) did provide written notice to ACCESS that it could continue using its previous indirect cost rate until the Agency completed its review of the proposal and a new rate was established. Cause: Oversight. Effect: Unallowable indirect costs could be charged to a grant if the organization does not submit an updated indirect cost rate agreement application within a timely manner. Repeat Finding: No. Recommendation: Management should refine its processes and controls over indirect costs to more closely monitor whether indirect costs being allocated to a grant are based on its current federally negotiated indirect cost rate. This may include identifying the expiration date of the current indirect cost rate during the grant budget preparation process and requesting an extension before the rate expires, or preparing and submitting a new indirect cost rate proposal at the earliest opportunity. Views of responsible officials: There is no disagreement with the audit finding.
Show full finding ▾Hide full finding ▴Finding 2022-001 – Allowable Costs Federal Agency: U.S. Department of Health and Human Services Federal Program title: Health Center Program Cluster Assistance Listing Number: 93.224 and 93.527 Federal Award Identification Number: H80CS00834-20; H80CS00834-21; H8FCS40554-01 Award Periods: March 1, 2021 – February 28, 2022; March 1, 2022 – February 28, 2023; April 1, 2021 - March 31, 2023, respectively Type of Finding: Significant deficiency in internal control over compliance Criteria: Appendix IV to Part 200—Indirect (F&A) Costs Identification and Assignment, and Rate Determination for Nonprofit Organizations - Section C. Negotiation and Approval of Indirect Cost Rates - Subsection 2. Negotiation and approval of Rates - Clause "c:" Unless approved by the cognizant agency for indirect costs in accordance with § 200.414(g), organizations that have previously established indirect cost rates must submit a new indirect cost proposal to the cognizant agency for indirect costs within six months after the close of each fiscal year; and Clause "g:" The results of each negotiation must be formalized in a written agreement between the cognizant agency for indirect costs and the nonprofit organization. The cognizant agency for indirect costs must make available copies of the agreement to all concerned Federal agencies. Condition: ACCESS requested reimbursement of indirect costs during a six-month period in which its indirect cost rate had expired. Questioned Costs: None. Context: ACCESS’ indirect cost rate expired on June 30, 2022, however, the Organization did not request an extension until October 2022. In January 2023, ACCESS received a response to its extension request in which it was denied with the cited reason being that the indirect cost rate was no longer current. The Organization subsequently submitted an indirect cost rate proposal in January 2023 and in May 2023 the Cognizant agency for indirect costs (the Agency) did provide written notice to ACCESS that it could continue using its previous indirect cost rate until the Agency completed its review of the proposal and a new rate was established. Cause: Oversight. Effect: Unallowable indirect costs could be charged to a grant if the organization does not submit an updated indirect cost rate agreement application within a timely manner. Repeat Finding: No. Recommendation: Management should refine its processes and controls over indirect costs to more closely monitor whether indirect costs being allocated to a grant are based on its current federally negotiated indirect cost rate. This may include identifying the expiration date of the current indirect cost rate during the grant budget preparation process and requesting an extension before the rate expires, or preparing and submitting a new indirect cost rate proposal at the earliest opportunity. Views of responsible officials: There is no disagreement with the audit finding.
Action taken in response to finding: Management has refined our processes and controls over indirect costs to more closely monitor whether indirect costs being allocated to a grant are based on its current federally negotiated indirect cost rate. We have identified the expiration date of the current indirect cost rate during the grant budget preparation process and have submitted a new indirect cost rate proposal. Name(s) of the contact person(s) responsible for corrective action: Karen Wesley, Director of Internal Control and Fiscal Management. Planned completion date for corrective action plan: Completed.
FAC accepted this audit on July 5, 2023 — management decision was due January 5, 2024.
ACCESS requested reimbursement of indirect costs during a six-month period in which its indirect cost rate had expired. Questioned Costs: None. Context: ACCESS? indirect cost rate expired on June 30, 2022, however, the Organization did not request an extension until October 2022. In January 2023, ACCESS received a response to its extension request in which it was denied with the cited reason being that the indirect cost rate was no longer current. The Organization subsequently submitted an indirect cost rate proposal in January 2023 and in May 2023 the Cognizant agency for indirect costs (the Agency) did provide written notice to ACCESS that it could continue using its previous indirect cost rate until the Agency completed its review of the proposal and a new rate was established. Cause: Oversight. Effect: Unallowable indirect costs could be charged to a grant if the organization does not submit an updated indirect cost rate agreement application within a timely manner. Repeat Finding: No. Recommendation: Management should refine its processes and controls over indirect costs to more closely monitor whether indirect costs being allocated to a grant are based on its current federally negotiated indirect cost rate. This may include identifying the expiration date of the current indirect cost rate during the grant budget preparation process and requesting an extension before the rate expires, or preparing and submitting a new indirect cost rate proposal at the earliest opportunity. Views of responsible officials: There is no disagreement with the audit finding.
Show full finding ▾Hide full finding ▴Finding 2022-001 ? Allowable Costs Federal Agency: U.S. Department of Health and Human Services Federal Program title: Health Center Program Cluster Assistance Listing Number: 93.224 and 93.527 Federal Award Identification Number: H80CS00834-20; H80CS00834-21; H8FCS40554-01 Award Periods: March 1, 2021 ? February 28, 2022; March 1, 2022 ? February 28, 2023; April 1, 2021 - March 31, 2023, respectively Type of Finding: Significant deficiency in internal control over compliance Criteria: Appendix IV to Part 200?Indirect (F&A) Costs Identification and Assignment, and Rate Determination for Nonprofit Organizations - Section C. Negotiation and Approval of Indirect Cost Rates - Subsection 2. Negotiation and approval of Rates - Clause "c:" Unless approved by the cognizant agency for indirect costs in accordance with ? 200.414(g), organizations that have previously established indirect cost rates must submit a new indirect cost proposal to the cognizant agency for indirect costs within six months after the close of each fiscal year; and Clause "g:" The results of each negotiation must be formalized in a written agreement between the cognizant agency for indirect costs and the nonprofit organization. The cognizant agency for indirect costs must make available copies of the agreement to all concerned Federal agencies. Condition: ACCESS requested reimbursement of indirect costs during a six-month period in which its indirect cost rate had expired. Questioned Costs: None. Context: ACCESS? indirect cost rate expired on June 30, 2022, however, the Organization did not request an extension until October 2022. In January 2023, ACCESS received a response to its extension request in which it was denied with the cited reason being that the indirect cost rate was no longer current. The Organization subsequently submitted an indirect cost rate proposal in January 2023 and in May 2023 the Cognizant agency for indirect costs (the Agency) did provide written notice to ACCESS that it could continue using its previous indirect cost rate until the Agency completed its review of the proposal and a new rate was established. Cause: Oversight. Effect: Unallowable indirect costs could be charged to a grant if the organization does not submit an updated indirect cost rate agreement application within a timely manner. Repeat Finding: No. Recommendation: Management should refine its processes and controls over indirect costs to more closely monitor whether indirect costs being allocated to a grant are based on its current federally negotiated indirect cost rate. This may include identifying the expiration date of the current indirect cost rate during the grant budget preparation process and requesting an extension before the rate expires, or preparing and submitting a new indirect cost rate proposal at the earliest opportunity. Views of responsible officials: There is no disagreement with the audit finding.
Access Community Health Network respectfully submits the following corrective action plan for the year ended December 31, 2022. Audit period: January 1, 2022 ? December 31, 2022 The findings from the schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FINDINGS?FEDERAL AWARD PROGRAMS AUDITS U. S. Department of Health and Human Services (HHS) ? Health Resources and Services Administration (HRSA) 2022-001 - Allowable Costs Health Center Program Cluster ? Assistance Listing Numbers 93.224/93.527 Recommendation: We recommend management refine its processes and controls over indirect costs to more closely monitor whether indirect costs being allocated to a grant are based on its current federally negotiated indirect cost rate. This may include identifying the expiration date of the current indirect cost rate during the grant budget preparation process and requesting an extension before the rate expires or preparing and submitting a new indirect cost rate proposal at the earliest opportunity. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Management has refined our processes and controls over indirect costs to more closely monitor whether indirect costs being allocated to a grant are based on its current federally negotiated indirect cost rate. We have identified the expiration date of the current indirect cost rate during the grant budget preparation process and have submitted a new indirect cost rate proposal. Name(s) of the contact person(s) responsible for corrective action: Karen Wesley, Director of Internal Control and Fiscal Management Planned completion date for corrective action plan: Completed. If the HHS has questions regarding this plan, please call Karen Wesley, Director of Internal Control and Fiscal Management, at 773-368-0280. ACCESS COMMUNITY HEALTH NETWORK
ACCESS requested reimbursement of indirect costs during a six-month period in which its indirect cost rate had expired. Questioned Costs: None. Context: ACCESS’ indirect cost rate expired on June 30, 2022, however, the Organization did not request an extension until October 2022. In January 2023, ACCESS received a response to its extension request in which it was denied with the cited reason being that the indirect cost rate was no longer current. The Organization subsequently submitted an indirect cost rate proposal in January 2023 and in May 2023 the Cognizant agency for indirect costs (the Agency) did provide written notice to ACCESS that it could continue using its previous indirect cost rate until the Agency completed its review of the proposal and a new rate was established. Cause: Oversight. Effect: Unallowable indirect costs could be charged to a grant if the organization does not submit an updated indirect cost rate agreement application within a timely manner. Repeat Finding: No. Recommendation: Management should refine its processes and controls over indirect costs to more closely monitor whether indirect costs being allocated to a grant are based on its current federally negotiated indirect cost rate. This may include identifying the expiration date of the current indirect cost rate during the grant budget preparation process and requesting an extension before the rate expires, or preparing and submitting a new indirect cost rate proposal at the earliest opportunity. Views of responsible officials: There is no disagreement with the audit finding.
Show full finding ▾Hide full finding ▴Finding 2022-001 – Allowable Costs Federal Agency: U.S. Department of Health and Human Services Federal Program title: Health Center Program Cluster Assistance Listing Number: 93.224 and 93.527 Federal Award Identification Number: H80CS00834-20; H80CS00834-21; H8FCS40554-01 Award Periods: March 1, 2021 – February 28, 2022; March 1, 2022 – February 28, 2023; April 1, 2021 - March 31, 2023, respectively Type of Finding: Significant deficiency in internal control over compliance Criteria: Appendix IV to Part 200—Indirect (F&A) Costs Identification and Assignment, and Rate Determination for Nonprofit Organizations - Section C. Negotiation and Approval of Indirect Cost Rates - Subsection 2. Negotiation and approval of Rates - Clause "c:" Unless approved by the cognizant agency for indirect costs in accordance with § 200.414(g), organizations that have previously established indirect cost rates must submit a new indirect cost proposal to the cognizant agency for indirect costs within six months after the close of each fiscal year; and Clause "g:" The results of each negotiation must be formalized in a written agreement between the cognizant agency for indirect costs and the nonprofit organization. The cognizant agency for indirect costs must make available copies of the agreement to all concerned Federal agencies. Condition: ACCESS requested reimbursement of indirect costs during a six-month period in which its indirect cost rate had expired. Questioned Costs: None. Context: ACCESS’ indirect cost rate expired on June 30, 2022, however, the Organization did not request an extension until October 2022. In January 2023, ACCESS received a response to its extension request in which it was denied with the cited reason being that the indirect cost rate was no longer current. The Organization subsequently submitted an indirect cost rate proposal in January 2023 and in May 2023 the Cognizant agency for indirect costs (the Agency) did provide written notice to ACCESS that it could continue using its previous indirect cost rate until the Agency completed its review of the proposal and a new rate was established. Cause: Oversight. Effect: Unallowable indirect costs could be charged to a grant if the organization does not submit an updated indirect cost rate agreement application within a timely manner. Repeat Finding: No. Recommendation: Management should refine its processes and controls over indirect costs to more closely monitor whether indirect costs being allocated to a grant are based on its current federally negotiated indirect cost rate. This may include identifying the expiration date of the current indirect cost rate during the grant budget preparation process and requesting an extension before the rate expires, or preparing and submitting a new indirect cost rate proposal at the earliest opportunity. Views of responsible officials: There is no disagreement with the audit finding.
Action taken in response to finding: Management has refined our processes and controls over indirect costs to more closely monitor whether indirect costs being allocated to a grant are based on its current federally negotiated indirect cost rate. We have identified the expiration date of the current indirect cost rate during the grant budget preparation process and have submitted a new indirect cost rate proposal. Name(s) of the contact person(s) responsible for corrective action: Karen Wesley, Director of Internal Control and Fiscal Management. Planned completion date for corrective action plan: Completed.
FAC accepted this audit on June 5, 2022 — management decision was due December 5, 2022.
A claim was submitted to the U.S. Department of Health and Human Services (HHS) COVID-19 uninsured fund and reimbursement received for an individual with other insurance coverage at the time services were provided. Questioned Costs: $187 Context: One of the sixty claims selected for testing was related to a patient with insured at the time services were provided. Cause: Encounter tested had insurance at the time of service and claim was initially billed to insurance. When denied by insurance, a staff member incorrectly changed the insurance type to uninsured and the claim was then submitted to HHS for payment from the COVID-19 uninsured fund. Effect: Noncompliance with the terms and conditions of the COVID-19 uninsured program. Repeat Finding: No. Recommendation: We recommend that management continue to refine and expand its internal audits/review of claims submitted to the HHS uninsured fund. Views of responsible officials: There is no disagreement with the audit finding.
Show full finding ▾Hide full finding ▴Finding 2021-001 ? Eligibility Federal Agency: U.S. Department of Health and Human Services Federal Program title: HRSA COVID-19 Uninsured Program Assistance Listing Number: 93.461 Award Period: N/A Type of Finding: Compliance and significant deficiency in internal control over compliance Criteria: Claims billed to the HRSA COVID-19 uninsured fund must be for individuals, who at the time the services were provided, were uninsured as described in the terms and conditions of the award. Condition: A claim was submitted to the U.S. Department of Health and Human Services (HHS) COVID-19 uninsured fund and reimbursement received for an individual with other insurance coverage at the time services were provided. Questioned Costs: $187 Context: One of the sixty claims selected for testing was related to a patient with insured at the time services were provided. Cause: Encounter tested had insurance at the time of service and claim was initially billed to insurance. When denied by insurance, a staff member incorrectly changed the insurance type to uninsured and the claim was then submitted to HHS for payment from the COVID-19 uninsured fund. Effect: Noncompliance with the terms and conditions of the COVID-19 uninsured program. Repeat Finding: No. Recommendation: We recommend that management continue to refine and expand its internal audits/review of claims submitted to the HHS uninsured fund. Views of responsible officials: There is no disagreement with the audit finding.
2021-001 COVID-19 Uninsured Program ? Assistance Listing Number 93.461 Recommendation: We recommend management continue to refine and expand, where determined necessary, its internal review of claims to be submitted to the HHS uninsured fund in order to ensure only eligible claims are submitted. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: ACCESS will continue to refine and expand, where determined necessary, its internal review of claims to be submitted to the HHS uninsured fund in order to ensure only eligible claims are submitted. Name(s) of the contact person(s) responsible for corrective action: Karen Wesley. Planned completion date for corrective action plan: June 30, 2022
FAC accepted this audit on November 22, 2021 — management decision was due May 22, 2022.
FAC accepted this audit on March 15, 2021 — management decision was due September 15, 2021.
ACCESS used an incorrect payrate for payroll costs charged to the federal award. Questioned Costs: None. Context: The condition affected two of forty disbursement transactions selected for testing and resulted in an underpayment of salary costs as a result of using an annual payrate which was $500 less than the annual authorized wage rate. Effect: ACCESS under paid the employee for two pay periods selected for testing. Cause: During the year ACCESS performed a transition of payroll service providers and during this process had a data input error which was not identified during the internal review process. Repeat Finding: No. Recommendation: Management should continue to closely review and monitor all payrate changes and consider additional levels of review whenever there are significant system changes. Management's Response: Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: First, Management states that its existing system of internal controls includes additional levels of review to ensure accuracy of payrate adjustments. Currently, whenever an employee?s payrate is adjusted, the affected employee?s manager and that manager?s one-up manager both independently review and must confirm the payrate change within Management?s human resource software prior to being submitted to its payroll department and its payroll service provider. This redundancy did not exist at the time of the identified finding. Second, Management shall promptly implement an additional system of internal controls whenever there are significant system changes. Specifically, whenever there is a conversion from one payroll service provider to another, Management shall generate and compare a detailed, final payroll report on the existing payroll system and a detailed, payroll report on the new system prior to it going live in order to confirm the agreement of payroll data and expense reflected in the two systems. Any differences shall be identified and corrected by Management?s payroll and human resource departments prior to the new payroll system provider services going live. Name(s) of the contact person(s) responsible for corrective action: Karen L. Wesley Planned completion date for corrective action plan: As needed with new system conversions. If there are any questions regarding this plan, please call Karen L. Wesley, Director of internal Controls and Fiscal Management at 312-526-2308.
Show full finding ▾Hide full finding ▴Major Program: Health Centers Cluster CFDA Numbers: 93.224 and 93.527 Federal Agency: U.S. Department of Health and Human Services Grant Number: H80CS00834 Grant Period: 3/1/19 - 2/28/20 and 3/1/20 - 2/28/21 Type of Finding: Significant deficiency in internal control over compliance Criteria: Management is responsible for adopting sound accounting policies and establishing and maintaining a system of internal control over compliance in order to ensure allowable costs are accurately captured and charged to federal awards in accordance with the Uniform Guidance. Condition: ACCESS used an incorrect payrate for payroll costs charged to the federal award. Questioned Costs: None. Context: The condition affected two of forty disbursement transactions selected for testing and resulted in an underpayment of salary costs as a result of using an annual payrate which was $500 less than the annual authorized wage rate. Effect: ACCESS under paid the employee for two pay periods selected for testing. Cause: During the year ACCESS performed a transition of payroll service providers and during this process had a data input error which was not identified during the internal review process. Repeat Finding: No. Recommendation: Management should continue to closely review and monitor all payrate changes and consider additional levels of review whenever there are significant system changes. Management's Response: Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: First, Management states that its existing system of internal controls includes additional levels of review to ensure accuracy of payrate adjustments. Currently, whenever an employee?s payrate is adjusted, the affected employee?s manager and that manager?s one-up manager both independently review and must confirm the payrate change within Management?s human resource software prior to being submitted to its payroll department and its payroll service provider. This redundancy did not exist at the time of the identified finding. Second, Management shall promptly implement an additional system of internal controls whenever there are significant system changes. Specifically, whenever there is a conversion from one payroll service provider to another, Management shall generate and compare a detailed, final payroll report on the existing payroll system and a detailed, payroll report on the new system prior to it going live in order to confirm the agreement of payroll data and expense reflected in the two systems. Any differences shall be identified and corrected by Management?s payroll and human resource departments prior to the new payroll system provider services going live. Name(s) of the contact person(s) responsible for corrective action: Karen L. Wesley Planned completion date for corrective action plan: As needed with new system conversions. If there are any questions regarding this plan, please call Karen L. Wesley, Director of internal Controls and Fiscal Management at 312-526-2308.
Health Resources and Services Administration Access Community Health Network respectfully submits the following corrective action plan for the year ended June 30, 2020. Audit period: July 01, 2019 - June 30, 2020 The findings from the schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. SECTION II ? FINANCIAL STATEMENT FINDINGS FINDINGS?FINANCIAL STATEMENT AUDIT There were no findings in the current year that require a corrective action plan. SECTION III ? FEDERAL AWARD FINDINGS AND QUESTIONED COSTS FINDINGS?FEDERAL AWARD PROGRAMS AUDITS DEPARTMENT OF HEALTH AND HUMAN SERVICES 2020-001 Health Centers Cluster - CFDA No. 93.224 & 93.527 Condition: ACCESS used an incorrect payrate for payroll costs charged to the federal award. Effect: ACCESS under paid the employee for two pay periods selected for testing. Recommendation: Management should continue to closely review and monitor all payrate changes and consider additional levels of review whenever there are significant system changes. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: First, Management states that its existing system of internal controls includes additional levels of review to ensure accuracy of payrate adjustments. Currently, whenever an employee?s payrate is adjusted, the affected employee?s manager and that manager?s one-up manager both independently review and must confirm the payrate change within Management?s human resource software prior to being submitted to its payroll department and its payroll service provider. This redundancy did not exist at the time of the identified finding. Second, Management shall promptly implement an additional system of internal controls whenever there are significant system changes. Specifically, whenever there is a conversion from one payroll service provider to another, Management shall generate and compare a detailed, final payroll report on the existing payroll system and a detailed, payroll report on the new system prior to it going live in order to confirm the agreement of payroll data and expense reflected in the two systems. Any differences shall be identified and corrected by Management?s payroll and human resource departments prior to the new payroll system provider services going live. Name(s) of the contact person(s) responsible for corrective action: Karen L. Wesley Planned completion date for corrective action plan: As needed with new system conversions. If there are any questions regarding this plan, please call Karen L. Wesley, Director of internal Controls and Fiscal Management at 312-526-2308.
FAC accepted this audit on October 29, 2019 — management decision was due April 29, 2020.
ACCESS assigned one patient an incorrect sliding fee discount based on inaccurate family size and income. Questioned Costs: None. Context: The condition affected one of forty encounters selected for testing and resulted in an understatement of net patient service revenue of $30 due to the incorrect assessment. Effect: Applicants assessed are not charged according to ACCESS? sliding fee scale and their ability to pay. Cause: Intake process inaccurately entered patient family size and income into billing software. Repeat Finding: Yes. Recommendation: Management should continue to refine and expand its internal audits of patient visits and hold additional trainings for front desk staff. Management?s Response: Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: ACCESS has implemented a quarterly internal audit function to monitor and review patient visit documents as it relates to the sliding fee scale assessment. ACCESS has developed a mandatory training for all front desk staff, health center manages and regional managers regarding the correct way to assess patients for the sliding fee scale discount program. Name(s) of the contact person(s) responsible for corrective action: Karen L. Wesley Planned completion date for corrective action plan: All trainings are schedule to be completed by October 15, 2019. This training will become a part of the new hire front desk training; and the quarterly audits are ongoing.
Show full finding ▾Hide full finding ▴Major Program: Health Centers Cluster CFDA Numbers: 93.224 and 93.527 Federal Agency: U.S. Department of Health and Human Services Grant Number: H80CS00834 Grant Period: 3/1/18 - 2/28/19 and 3/1/19 - 2/28/20 Type of Finding: Significant deficiency in internal control over compliance Criteria: Health centers must prepare and apply a sliding fee discount schedule so that the amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient?s ability to pay. (42 USC 254(k)(3)(E), (F), and (G); 42 CFR sections 51c.303(e), (f), and (g); and 42 CFR sections 56.303(e), (f), and (g)). Condition: ACCESS assigned one patient an incorrect sliding fee discount based on inaccurate family size and income. Questioned Costs: None. Context: The condition affected one of forty encounters selected for testing and resulted in an understatement of net patient service revenue of $30 due to the incorrect assessment. Effect: Applicants assessed are not charged according to ACCESS? sliding fee scale and their ability to pay. Cause: Intake process inaccurately entered patient family size and income into billing software. Repeat Finding: Yes. Recommendation: Management should continue to refine and expand its internal audits of patient visits and hold additional trainings for front desk staff. Management?s Response: Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: ACCESS has implemented a quarterly internal audit function to monitor and review patient visit documents as it relates to the sliding fee scale assessment. ACCESS has developed a mandatory training for all front desk staff, health center manages and regional managers regarding the correct way to assess patients for the sliding fee scale discount program. Name(s) of the contact person(s) responsible for corrective action: Karen L. Wesley Planned completion date for corrective action plan: All trainings are schedule to be completed by October 15, 2019. This training will become a part of the new hire front desk training; and the quarterly audits are ongoing.
Health Resources and Services Administration Access Community Health Network respectfully submits the following corrective action plan for the year ended June 30, 2019. Audit period: July 01, 2018 ? June 30, 2019 The findings from the schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. SECTION II ? FINANCIAL STATEMENT FINDINGS FINDINGS?FINANCIAL STATEMENT AUDIT There were no findings in the current year that require a corrective action plan. SECTION III ? FEDERAL AWARD FINDINGS AND QUESTIONED COSTS FINDINGS?FEDERAL AWARD PROGRAMS AUDITS DEPARTMENT OF HEALTH AND HUMAN SERVICES 2019-001 Health Centers Cluster ? CFDA No. 93.224 & 93.527 Recommendation: Management should continue to refine and expand its internal audits of patient visits. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: ACCESS has implemented a quarterly internal audit function to monitor and review patient visit documents as it relates to the sliding fee scale assessment. ACCESS has developed a mandatory training for all front desk staff, health center manages and regional managers regarding the correct way to assess patients for the sliding fee scale discount program. Name(s) of the contact person(s) responsible for corrective action: Karen L. Wesley Planned completion date for corrective action plan: All trainings are schedule to be completed by October 15, 2019. This training will become a part of the new hire front desk training; and the quarterly audits are ongoing. If there are any questions regarding this plan, please call Karen L. Wesley, Director of Internal Control and Fiscal Management at 312-526-2308.
2018-001
FAC accepted this audit on December 2, 2018 — management decision was due June 2, 2019.
GSA_MIGRATION
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GSA_MIGRATION
FAC accepted this audit on October 29, 2017 — management decision was due April 29, 2018.
FAC accepted this audit on November 17, 2016 — management decision was due May 17, 2017.
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