NATIVE AMERICAN LIFELINES, INC

In accordance with 2 CFR § 200.512(a)(1), the Organization is required to submit the Data Collection Form, to the Federal Audit Clearinghouse within the earlier of 30 calendar days after the receipt of the auditors’ report or nine months after the end of the audit period.

Management has been in contact with their funders regarding the late submission and no action is expected. Management will arrange for future audits and submissions to be performed timely

2022-001

Late Filing of Annual Audit Reporting Package

Management has been in contact with their funders regarding the late submission and no action is expected. Management will arrange for future audits and submissions to be performed timely

Late Filing of Annual Audit Reporting Package

Management has been in contact with their funders regarding the late submission and no action is expected. Management will arrange for future audits and submissions to be performed timely

Federal Program: CFDA 93.193 Urban Indian Health Services, United States Department of Health and Human Services Compliance Requirement: (E) Eligibility Type of Finding: Significant deficiency in internal control over compliance. Criteria: The Organization's contract with Indian Health Services requires that the Organization give assistance to Native Americans. Condition: Files were tested to verify eligibility for the individuals being served by the Organization, including proof that they are Native American. Appropriate support was not available to be reviewed in all cases. Cause: The Organization?s internal control policies were not properly followed. Effect or potential effect: Some of the people assisted may not have been eligible for assistance. Context: While performing tests on eligibility, a sample of 40 client folders was selected to test for eligibility to the major federal award program. The test revealed one file that did not have proof of eligibility. We consider this significant to the Indian Health Services program. Recommendation: The Organization should establish controls over eligibility to ensure that all client files have the appropriate proof of eligibility. We recommend that current files be examined to be sure that documentation is adequate. View of Responsible Officials and Planned Corrective Actions: We accept responsibility for the condition outlined above. In recent years, we have made updates to eligibility documents used to collect information in our office guided by the auditors? suggestions. We have also expanded implementation of an electronic health record for all clients, which makes tracking documents easier. Our staff and clients are informed of eligibility requirements and clients understand that they may not be rescheduled until the requested documentation is secured. Charts will be reviewed in advance of scheduled appointments and follow up on outstanding requests will be made quarterly. We were missing one eligibility form for 2019. It is the opinion of NAL management that this represents continued improvement in eligibility documentation. Although this finding continues, we are working diligently towards 100% compliance. Planned Implementation Date of Corrective Action: Changes have been made as described above. Internal audits for eligibility documentation are ongoing and outreach efforts focus on educating the community on eligibility requirements. Person(s) Responsible for Corrective Action: Executive Director, Finance Director, Clinical Director, and Board of Directors.

Native American LifeLines, Inc. respectfully submits the following plan for the year ended December 31, 2019. Gorfine, Schiller, and Gardyn, PA 10045 Red Run Blvd., Suite 200 Owings Mills, MD 21117 Audit Period December 31, 2019 The findings from December 31, 2019 schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. Finding 2019-001 ? Eligibility Response and Planned Corrective Action: We accept responsibility for the condition outlined above. In recent years, we have made updates to eligibility documents used to collect information in our office guided by the auditors? suggestions. We have also expanded implementation of an electronic health record for all clients, which makes tracking documents easier. Our staff and clients are informed of eligibility requirements and clients understand that they may not be rescheduled until the requested documentation is secured. Charts will be reviewed in advance of scheduled appointments and follow up on outstanding requests will be made quarterly. We were missing one eligibility form for 2019. It is the opinion of NAL management that this represents continued improvement in eligibility documentation. Although this finding continues, we are working diligently towards 100% compliance. Name of Contact Person: Kerry Lessard, Executive Director Jessica McPherson, Finance Director

2018-001

GSA_MIGRATION

GSA_MIGRATION

2017-001

GSA_MIGRATION

GSA_MIGRATION

2016-002

GSA_MIGRATION

GSA_MIGRATION

2014-004