EIN: 841182143
UEI: KGZ4WENLDJE5
Audited by: Kundinger, Corder & Montoya, P.C.
Oversight agency: 64 [Department of Veterans Affairs]
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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 January 15, 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 July 15, 2026 (54 days ago).
What is a management decision? →RMHS is responsible for obtaining Professional Medical Information Page (PMIP) for all participants in the Medical Assistance Program, Assistance Listing Number 93.778, from a certified medical professional to verify participant is qualified under a Medicaid waiver. Context: RMHS intake procedures requires inputs of all required documentation. When clients are transferred from another case management program, all documentation is provided directly to RMHS. Cause: A large number of clients were transferred from different case management providers during the CMA redesign. Effect: Prior case management providers did not retain PMIPs for all clients and were therefore not transferred to RMHS with other documentation.
Show full finding ▾Hide full finding ▴Criteria and Condition: RMHS is responsible for obtaining Professional Medical Information Page (PMIP) for all participants in the Medical Assistance Program, Assistance Listing Number 93.778, from a certified medical professional to verify participant is qualified under a Medicaid waiver. Context: RMHS intake procedures requires inputs of all required documentation. When clients are transferred from another case management program, all documentation is provided directly to RMHS. Cause: A large number of clients were transferred from different case management providers during the CMA redesign. Effect: Prior case management providers did not retain PMIPs for all clients and were therefore not transferred to RMHS with other documentation.
Views of Responsible Officials and Planned Corrective Actions: RMHS has implemented procedures to ensure all documentation is received during client transfers.
FAC accepted this audit on December 10, 2024 — management decision was due June 10, 2025.
RMHS is responsible for sending recertification reminders related to VA Supportive Services for Veteran Families, assistance listing number 64.033, from the client management software. All participants in the HAV program are required to undergo recertification every 90 days to receive benefits from the SSVF program, except Shallow Subsidies participants, who are required to recertify every two years. Context: RMHS client management software will send out reminders to clients to ensure timely recertification to evaluate housing barriers, housing situation and eligibility for services. Cause: Due to short staffing, recertification reminders sent from RMHS’ client management software were not being monitored for timeliness. Effect: Participants were not receiving timely notification for the need to complete recertification. Recommendation: We recommend RMHS management members monitor timeliness of participant certification to ensure participants meet eligibility requirements and ensure software is functioning properly. Views of Responsible Officials and Planned Corrective Actions: RMHS has implemented procedures to ensure participants are receiving timely notification for the need to recertify and have taken steps to ensure the client management software is functioning properly.
Show full finding ▾Hide full finding ▴2024-001 Schedule of Expenditures of Federal Awards – Significant Deficiency Criteria and Condition: RMHS is responsible for sending recertification reminders related to VA Supportive Services for Veteran Families, assistance listing number 64.033, from the client management software. All participants in the HAV program are required to undergo recertification every 90 days to receive benefits from the SSVF program, except Shallow Subsidies participants, who are required to recertify every two years. Context: RMHS client management software will send out reminders to clients to ensure timely recertification to evaluate housing barriers, housing situation and eligibility for services. Cause: Due to short staffing, recertification reminders sent from RMHS’ client management software were not being monitored for timeliness. Effect: Participants were not receiving timely notification for the need to complete recertification. Recommendation: We recommend RMHS management members monitor timeliness of participant certification to ensure participants meet eligibility requirements and ensure software is functioning properly. Views of Responsible Officials and Planned Corrective Actions: RMHS has implemented procedures to ensure participants are receiving timely notification for the need to recertify and have taken steps to ensure the client management software is functioning properly.
As of June 30, 2024, RMHS has implemented procedures to ensure participants are receiving timely notifications for the need to recertify and has taken steps to ensure the client management software is functioning properly.
FAC accepted this audit on November 28, 2023 — management decision was due May 28, 2024.
FAC accepted this audit on November 20, 2022 — management decision was due May 20, 2023.
FAC accepted this audit on November 15, 2021 — management decision was due May 15, 2022.
FAC accepted this audit on November 16, 2020 — management decision was due May 16, 2021.
RMHS must document their procurement process in writing and comply with applicable state and local laws and regulations and conform to applicable federal statutes and procurement requirements identified in 2 CFR part 200. In addition, RMHS is prohibited from contracting with parties that are suspended or debarred. Context: Program expenditures made to one vendor in the past have not exceeded the micro-purchase or covered transaction threshold due to the nature of the program. Due to additional funding received under the CARES Act and changes in how program funds may be spent this year, and additional Federal funding for the State EI program received, program expenditures to certain vendors exceeded either the micro-purchase or covered transaction threshold, triggering the testing of this compliance area during the audit. Cause: Policies and procedures were not documented in accordance with Uniform Guidance. Although there was a method used by management to procure these new services under the CARES Act funding, this was not documented in writing nor did it follow all required elements in accordance with Uniform Guidance. In addition, RMHS did not ensure suspension and debarment requirements were met (Department of Veteran Affairs). Effect: Without following a written procurement policy that includes all required elements under Uniform Guidance, procurements under federal awards may not have been made in compliance with applicable Federal regulations, and covered transaction payments could have been made to parties that were federally suspended, debarred, or otherwise disqualified. Recommendation: We recommend RMHS establish a written procurement policy to include all required elements by Uniform Guidance. Procedures should be included that outline processes and control activities specifically defining which personnel are responsible for each step in the process and who is performing the review over the process, including who is responsible for ensuring vendors under covered transactions are not suspended, debarred, or otherwise disqualified. Views of Responsible Officials and Planned Corrective Actions: RMHS has drafted a procurement policy in accordance with all required elements of Uniform Guidance. As of the date of this report, the draft policy is being reviewed by management. Full implementation will occur no later than January 1, 2021.
Show full finding ▾Hide full finding ▴Federal Agency: U.S. Department of Veterans Affairs and U.S. Department of Education Federal Program and CFDA Number: VA Supportive Services for Veteran Families, 64.033 and State of Colorado, Department of Human Services Special Education ? Grants for Infants and Families with Disabilities, 84.181 Identification Numbers: 18-CO-020, 18-CO-020-CA, 20-CO-020-20, and 20IHIA139069 Grant Period: October 1, 2018 ? September 30, 2019 and October 1, 2019 ? September 30, 2020, with CARES Act funding for the period April 1, 2020 ? July 31, 2020, and July 1, 2019 ? June 30, 2020. 2020-001 Procurement and Suspension and Debarment ? Significant Deficiency in Internal Control over Compliance Criteria and Condition: RMHS must document their procurement process in writing and comply with applicable state and local laws and regulations and conform to applicable federal statutes and procurement requirements identified in 2 CFR part 200. In addition, RMHS is prohibited from contracting with parties that are suspended or debarred. Context: Program expenditures made to one vendor in the past have not exceeded the micro-purchase or covered transaction threshold due to the nature of the program. Due to additional funding received under the CARES Act and changes in how program funds may be spent this year, and additional Federal funding for the State EI program received, program expenditures to certain vendors exceeded either the micro-purchase or covered transaction threshold, triggering the testing of this compliance area during the audit. Cause: Policies and procedures were not documented in accordance with Uniform Guidance. Although there was a method used by management to procure these new services under the CARES Act funding, this was not documented in writing nor did it follow all required elements in accordance with Uniform Guidance. In addition, RMHS did not ensure suspension and debarment requirements were met (Department of Veteran Affairs). Effect: Without following a written procurement policy that includes all required elements under Uniform Guidance, procurements under federal awards may not have been made in compliance with applicable Federal regulations, and covered transaction payments could have been made to parties that were federally suspended, debarred, or otherwise disqualified. Recommendation: We recommend RMHS establish a written procurement policy to include all required elements by Uniform Guidance. Procedures should be included that outline processes and control activities specifically defining which personnel are responsible for each step in the process and who is performing the review over the process, including who is responsible for ensuring vendors under covered transactions are not suspended, debarred, or otherwise disqualified. Views of Responsible Officials and Planned Corrective Actions: RMHS has drafted a procurement policy in accordance with all required elements of Uniform Guidance. As of the date of this report, the draft policy is being reviewed by management. Full implementation will occur no later than January 1, 2021.
Corrective Action Plan Findings and Questioned Costs-Major Federal Award Programs Audit for year ended June 30, 2020 2020-001 Procurement and Suspension and Debarment ? Significant Deficiency in Internal Control over Compliance Criteria and Condition: RMHS must document their procurement process in writing and comply with applicable state and local laws and regulations and conform to applicable federal statutes and procurement requirements identified in 2 CFR part 200. In addition, RMHS is prohibited from contracting with parties that are suspended or debarred. Context: Program expenditures made to one vendor in the past have not exceeded the micro-purchase or covered transaction threshold due to the nature of the program. Due to additional funding received under the CARES Act and changes in how program funds may be spent this year, and additional Federal funding for the State EI program received, program expenditures to certain vendors exceeded either the micro-purchase or covered transaction threshold, triggering the testing of this compliance area during the audit. Cause: Policies and procedures were not documented in accordance with Uniform Guidance. Although there was a method used by management to procure these new services under the CARES Act funding, this was not documented in writing nor did it follow all required elements in accordance with Uniform Guidance. In addition, RMHS did not ensure suspension and debarment requirements were met (Department of Veteran Affairs). Effect: Without following a written procurement policy that includes all required elements under Uniform Guidance, procurements under federal awards may not have been made in compliance with applicable Federal regulations, and covered transaction payments could have been made to parties that were federally suspended, debarred, or otherwise disqualified. Recommendation: We recommend RMHS establish a written procurement policy to include all required elements by Uniform Guidance. Procedures should be included that outline processes and control activities specifically defining which personnel are responsible for each step in the process and who is performing the review over the process, including who is responsible for ensuring vendors under covered transactions are not suspended, debarred, or otherwise disqualified. Views of Responsible Officials and Planned Corrective Actions: RMHS has drafted a procurement policy in accordance with all required elements of Uniform Guidance. As of the date of this report, the draft policy is being reviewed by management. Full implementation will occur no later than January 1, 2021. Name of Contact Person: John Wetherington Proposed Completion Date: December 31, 2020
FAC accepted this audit on November 12, 2019 — management decision was due May 12, 2020.
The VA Supportive Services for Veteran Families program guide states enrollees in the program must exit the program within three months of entering or must be recertified every three months for continued participation in the program. During our testing of forty enrollees, we noted one enrollee was exited two weeks after the required three month deadline. Cause: Each case manager uses a tracking sheet to indicate upcoming recertification or exit dates in order to prompt attempts to reach the veteran before the due date. The case manager verbally indicated they reached out to the veteran but failed to document attempts in writing that we could verify. In addition, there was no secondary review performed by a supervisor or another case manager to ensure the recertification or exit was performed timely. Effect: Although this finding did not result in any questioned costs, an enrollee not exited from the program timely which indicates there may be administrative program requirements that are not being met.Identification of Repeat Findings: This is a repeat finding of 2018-002 from the June 30, 2018 audit. Recommendation: All program staff should be trained on timeframes and documentation in which the grant program requires enrollees to be exited. RMHS should implement a tracking schedule to remind program staff of impending deadlines as well as a secondary review to ensure that the exit or recertification occurred timely. Views of Responsible Officials and Planned Corrective Actions: RMHS will provide training to all staff regarding recertification/exit timing requirements and will verify that timing requirements were met upon file closure. Additionally, in August 2019, RMHS implemented new case management software that alerts case managers to upcoming deadlines and notifies the case manager?s supervisor when a deadline is within 15 days.
Show full finding ▾Hide full finding ▴Federal Agency: Department of Veterans Affairs Federal Program and CFDA Number: VA Supportive Services for Veteran Families, 64.033 Identification Numbers: 18-ZZ-020, 18-CO-020 Grant Period: October 1, 2017 ? September 30, 2018 and October 1, 2018 ? September 30, 2019 2019-001 Eligibility ? Significant Deficiency in Internal Control over Compliance Criteria and Condition: The VA Supportive Services for Veteran Families program guide states enrollees in the program must exit the program within three months of entering or must be recertified every three months for continued participation in the program. During our testing of forty enrollees, we noted one enrollee was exited two weeks after the required three month deadline. Cause: Each case manager uses a tracking sheet to indicate upcoming recertification or exit dates in order to prompt attempts to reach the veteran before the due date. The case manager verbally indicated they reached out to the veteran but failed to document attempts in writing that we could verify. In addition, there was no secondary review performed by a supervisor or another case manager to ensure the recertification or exit was performed timely. Effect: Although this finding did not result in any questioned costs, an enrollee not exited from the program timely which indicates there may be administrative program requirements that are not being met.Identification of Repeat Findings: This is a repeat finding of 2018-002 from the June 30, 2018 audit. Recommendation: All program staff should be trained on timeframes and documentation in which the grant program requires enrollees to be exited. RMHS should implement a tracking schedule to remind program staff of impending deadlines as well as a secondary review to ensure that the exit or recertification occurred timely. Views of Responsible Officials and Planned Corrective Actions: RMHS will provide training to all staff regarding recertification/exit timing requirements and will verify that timing requirements were met upon file closure. Additionally, in August 2019, RMHS implemented new case management software that alerts case managers to upcoming deadlines and notifies the case manager?s supervisor when a deadline is within 15 days.
Corrective Action Plan Audited Financial Statements Finding Year Ended June 30, 2019 Finding ? Financial Statement Audit Finding 2019-001 Eligibility ? Significant Deficiency in Internal Control over Compliance Criteria and Condition: The VA Supportive Services for Veteran Families program guide states enrollees in the program must exit the program within three months of entering or must be recertified every three months for continued participation in the program. During our testing of forty enrollees, we noted one enrollee was exited two weeks after the required three month deadline. Cause: Each case manager uses a tracking sheet to indicate upcoming recertification or exit dates in order to prompt attempts to reach the veteran before the due date. The case manager verbally indicated they reached out to the veteran but failed to document attempts in writing that we could verify. In addition, there was no secondary review performed by a supervisor or another case manager to ensure the recertification or exit was performed timely. Effect: Although this finding did not result in any questioned costs, an enrollee not exited from the program timely which indicates there may be administrative program requirements that are not being met. Identification of Repeat Findings: This is a repeat finding of 2018-002 from the June 30, 2018 audit. Recommendation: All program staff should be trained on timeframe in which the grant program requires enrollees to be exited. RMHS should implement a tracking schedule to remind program staff of impending deadlines as well as a secondary review to ensure that the exit or recertification occurred timely. Views of Responsible Officials and Planned Corrective Actions: RMHS will provide training to all staff regarding recertification/exit timing requirements and will verify that timing requirements were met upon file closure. Additionally, in August 2019, RMHS implemented new case management software that alerts case managers to upcoming deadlines and notifies the case manager?s supervisor when a deadline is within 15 days. Name of Contact Person: John Wetherington Proposed Completion Date: November 30, 2019
2018-002
FAC accepted this audit on November 15, 2018 — management decision was due May 15, 2019.
GSA_MIGRATION
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Show full finding ▾Hide full finding ▴FAC accepted this audit on November 28, 2017 — management decision was due May 28, 2018.
FAC accepted this audit on November 20, 2016 — management decision was due May 20, 2017.
GSA_MIGRATION
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GSA_MIGRATION
2015-004
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