Vaya Health

EIN: 561012965

UEI: EMRWL9ZASMC1

Data as of August 24, 2026

Vaya Health10 audit years4 findings
10
Audit Years
4
Total Findings
0
Repeat Findings

FY 2022-06-30

Management decision deadline — for entities that funded this organization

The FAC accepted this audit on December 5, 2022. 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 June 5, 2023 (1177 days ago).

What is a management decision? →
2022-001
Special Tests & Provisions
QUESTIONED COSTS

During our testing, we noted that a reimbursement was paid to an employee at a higher rate than the established per diem rate in the Organization?s policy. Questioned Costs: $1.25 Context: The identified finding represented 1 of 40 of the travel reimbursements sampled. Cause: Reimbursement was not reviewed prior to payment being made. Effect: An employee was reimbursed for travel expenses in excess of the Organization?s policy. Repeat Finding: The finding is not a repeat of a finding in the immediately prior year. Recommendation: The Organization should design controls to ensure an adequate review process is in place to ensure that employee travel reimbursements are appropriate. Views of Responsible Officials: There is no disagreement with the audit finding.

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Full finding narrative

2022 ? 001 Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Block Grant for Community Mental Health Services CFDA Number: 93.958 Pass-Through Agency: North Carolina Department of Health and Human Services Pass-Through Number(s): N/A Award Period: July 1, 2021 to June 30, 2022 Type of Finding: Other Matter Criteria or Specific Requirement: In order to prevent unauthorized travel reimbursements to employees, disbursements must be reviewed for accuracy. Condition: During our testing, we noted that a reimbursement was paid to an employee at a higher rate than the established per diem rate in the Organization?s policy. Questioned Costs: $1.25 Context: The identified finding represented 1 of 40 of the travel reimbursements sampled. Cause: Reimbursement was not reviewed prior to payment being made. Effect: An employee was reimbursed for travel expenses in excess of the Organization?s policy. Repeat Finding: The finding is not a repeat of a finding in the immediately prior year. Recommendation: The Organization should design controls to ensure an adequate review process is in place to ensure that employee travel reimbursements are appropriate. Views of Responsible Officials: There is no disagreement with the audit finding.

Corrective Action Plan

2022-001 Block Grants for Community Mental Health Services ? CFDA No. 93.958 Recommendation: The Organization should design controls to ensure an adequate review process is in place to ensure that employee travel reimbursements are appropriate. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Organization?s Finance Department will implement a process to audit employee travel reimbursements in order to ensure employees are paid in accordance with the Organization?s policy. Additionally, the Organization will simplify its policy to reflect a flat per diem rate rather that a rate specific to the area traveled to reduce the risk of error related to calculation complexity. On July 27th, 2021, the Organization implemented an additional level of review of Executive Leadership Team (ELT) employee expense reports. The specific incident that resulted in a finding related to an ELT employee expense report that was processed prior to date this change was implemented. Name of the contact person responsible for corrective action: Larry Hill CFO Planned completion date for corrective action plan: 12/31/22

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FY 2021-06-30

FAC accepted this audit on December 6, 2021 — management decision was due June 6, 2022.

2021-001
Special Tests & Provisions
QUESTIONED COSTS

During our testing, we noted that services billed through NC Tracks were reimbursed for a program participant whose provider indicated was not actually in their service for the date selected Questioned Costs: $1,288 Context: The identified finding represented 1 of 25 of the medical records sampled. Cause: The provider billed for services when the participant was not actually in their care. Effect: A service was reimbursed that was not able to be substantiated by the provider. Repeat Finding: The finding is not a repeat of a finding in the immediately prior year. Recommendation: The Organization should design controls to ensure an adequate review process is in place to ensure that services billed through NC Tracks are supported by adequate provider documentation. Views of Responsible Officials: There is no disagreement with the audit finding.

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Full finding narrative

2021 ? 001 Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Block Grant for Community Mental Health Services CFDA Number: 93.958 Pass-Through Agency: North Carolina Department of Health and Human Services Pass-Through Number(s): N/A Award Period: July 1, 2020 to June 30, 2021 Type of Finding: Other Matter Criteria or Specific Requirement: Services billed through NC Tracks are required to be supported by local documentation for the claim date of service. Condition: During our testing, we noted that services billed through NC Tracks were reimbursed for a program participant whose provider indicated was not actually in their service for the date selected Questioned Costs: $1,288 Context: The identified finding represented 1 of 25 of the medical records sampled. Cause: The provider billed for services when the participant was not actually in their care. Effect: A service was reimbursed that was not able to be substantiated by the provider. Repeat Finding: The finding is not a repeat of a finding in the immediately prior year. Recommendation: The Organization should design controls to ensure an adequate review process is in place to ensure that services billed through NC Tracks are supported by adequate provider documentation. Views of Responsible Officials: There is no disagreement with the audit finding.

Corrective Action Plan

2021-001 Block Grants for Community Mental Health Services ? CFDA No. 93.958 Recommendation: The Organization should design controls to ensure an adequate review process is in place to ensure that services billed through NC Tracks are supported by adequate provider documentation. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Subject matter experts will review Vaya?s current documentation review process and establish additional control measures to ensure adequate provider documentation is rendered in support of services. Vaya will also follow up with the provider for review of the claim and documentation. Name of the contact person responsible for corrective action: Larry Hill CFO Planned completion date for corrective action plan: 03/31/2022 If the Department of Health and Human Services has questions regarding this plan, please call Larry Hill, CFO at 828-225-2785 ext. 4734.

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FY 2020-06-30

FAC accepted this audit on December 2, 2020 — management decision was due June 2, 2021.

2020-001
Special Tests & Provisions
QUESTIONED COSTS

During our testing, we noted that services billed through NC Tracks were reimbursed for program participants whose provider was not able to produce documentation for the dates of service selected. Questioned Costs: $179.95 Context: The identified finding represented 2 of 25 of the medical records sampled. Cause: The provider did not maintain sufficient records to support the program service billed. Effect: A service was reimbursed that was not able to be substantiated by the provider. Repeat Finding: The finding is not a repeat of a finding in the immediately prior year. Recommendation: The Organization should design controls to ensure an adequate review process is in place to ensure that services billed through NC Tracks are supported by adequate provider documentation. Views of Responsible Officials: There is no disagreement with the audit finding.

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Full finding narrative

2020 ? 001 Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Block Grant for Community Mental Health Services CFDA Number: 93.958 Pass-Through Agency: North Carolina Department of Health and Human Services Pass-Through Number(s): N/A Award Period: July 1, 2019 to June 30, 2020 Type of Finding: Other Matter Criteria or Specific Requirement: Services billed through NC Tracks are required to be supported by local documentation for the claim date of service. Condition: During our testing, we noted that services billed through NC Tracks were reimbursed for program participants whose provider was not able to produce documentation for the dates of service selected. Questioned Costs: $179.95 Context: The identified finding represented 2 of 25 of the medical records sampled. Cause: The provider did not maintain sufficient records to support the program service billed. Effect: A service was reimbursed that was not able to be substantiated by the provider. Repeat Finding: The finding is not a repeat of a finding in the immediately prior year. Recommendation: The Organization should design controls to ensure an adequate review process is in place to ensure that services billed through NC Tracks are supported by adequate provider documentation. Views of Responsible Officials: There is no disagreement with the audit finding.

Corrective Action Plan

2020-001 Block Grants for Community Mental Health Services ? CFDA No. 93.958 Recommendation: The Organization should design controls to ensure an adequate review process is in place to ensure that services billed through NC Tracks are supported by adequate provider documentation. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Per policy, Vaya selects a sample of provider claims to be audited for proper documentation on an ongoing basis. Vaya will continue to expand sampling of population to ensure the integrity of claims submitted for payment. Name(s) of the contact person(s) responsible for corrective action: Larry Hill CFO; Robert Webb, CIO Planned completion date for corrective action plan: 12/31/2020

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2020-002
Special Tests & Provisions

During our testing, we noted that one employee had access to areas of the NC Tracks system that were not necessary to perform their job functions and outside of the Organization?s access policy. Questioned Costs: None Context: The identified finding represented 1 of 17 of the employees sampled. Cause: The individual had access to additional functions in NC Tracks that were not necessary to perform their job functions. Effect: Unauthorized changes could have been made in the system. Repeat Finding: The finding is not a repeat of a finding in the immediately prior year. Recommendation: The Organization should design controls around an adequate review process to ensure that employee access rights established in the NC Tracks system are appropriate based on the employee?s role at the Organization. Views of Responsible Officials: There is no disagreement with the audit finding.

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Full finding narrative

2020 ? 002 Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Block Grant for Community Mental Health Services CFDA Number: 93.958 Pass-Through Agency: North Carolina Department of Health and Human Services Pass-Through Number(s): N/A Award Period: July 1, 2019 to June 30, 2020 Type of Finding: Other Matter Criteria or Specific Requirement: In order to prevent unauthorized changes to the NC Tracks billing system, individuals access levels must be reviewed for appropriateness. Condition: During our testing, we noted that one employee had access to areas of the NC Tracks system that were not necessary to perform their job functions and outside of the Organization?s access policy. Questioned Costs: None Context: The identified finding represented 1 of 17 of the employees sampled. Cause: The individual had access to additional functions in NC Tracks that were not necessary to perform their job functions. Effect: Unauthorized changes could have been made in the system. Repeat Finding: The finding is not a repeat of a finding in the immediately prior year. Recommendation: The Organization should design controls around an adequate review process to ensure that employee access rights established in the NC Tracks system are appropriate based on the employee?s role at the Organization. Views of Responsible Officials: There is no disagreement with the audit finding.

Corrective Action Plan

2020-002 Block Grants for Community Mental Health Services ? CFDA No. 93.958 Recommendation: The Organization should design controls around an adequate review process to ensure that employee access rights established in the NC Tracks system are appropriate based on employee?s role at the Organization. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Subject matter experts are updating approval process and conducting review for all NC Tracks users to ensure appropriate level of access. Name(s) of the contact person(s) responsible for corrective action: Larry Hill CFO; Robert Webb, CIO Planned completion date for corrective action plan: 12/31/2020

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