Recurring Findings

Public Health: Recurring Most severe Noncompliance
Federal Program Issue First Year Reported
Department's Assertion Page Number
Preventive Health and Health Services Block Grant funded solely with Prevention and Public Health Funds Subrecipient Monitoring. Public Health and EMSA did not evaluate each subrecipient's risk of noncompliance with federal statutes, regulations, and the terms and condition of the subaward. 2015-16
Remains Uncorrected. In approximately May 2017, the Branch reviewed all federal statutes, regulations, and the terms and conditions of the federal award to determine whether policies and procedures existed and were operating effectively to ensure compliance with all requirements. The Branch also determined policies and procedures needed to be developed and worked to create them. In August 2017, the Branch developed a risk assessment tool and distributed it to Public Health programs and EMSA. In October 2017, Public Health revised the risk assessment tool. In November 2017, the Branch distributed the risk assessment tool. During September – November 2018, the Branch will: Re-review all federal statutes, regulations, and the terms and conditions of the federal Public Health and Health Services Block Grant (PHHSBG) Award to determine if the existing policies, procedures, and the risk assessment tool are designed appropriately. Develop a new or revise the existing subrecipient risk assessment policies, procedures, and the risk assessment tool. Distribute the revised subrecipient risk assessment tool to Public Health programs and EMSA, if necessary. Follow up with Public Health programs and EMSA to ensure they complete the finalized risk assessment tool for each subrecipient. Maintain files for completed risk assessments. EMSA did not utilize its PHHSBG to fund any subrecipients agreements. EMSA will utilize Public Health’s policy if they fund subrecipients in the future. 48
Preventive Health and Health Services Block Grant funded solely with Prevention and Public Health Funds Subrecipient Monitoring. The Chronic Disease Control Branch (Branch) of Public Health and EMSA did not communicate the universal identifier and system for award management requirements to applicants in accordance with 2 CFR 25.200. The unique entry identifier was not collected prior to awarding funds and the Public Health and EMSA did not communicate to their subrecipients the required federal award data elements upon making a subaward. 2015-16
Partially Corrected. In approximately January 2017, the Branch reviewed all federal statutes, regulations, and the terms and conditions of the federal award to determine whether policies and procedures existed and were operating effectively to ensure compliance with all requirements. The Branch determined policies and procedures needed to be developed. On February 24, 2017, the Branch distributed a Memorandum of Understanding (MOU) to Public Health programs and EMSA that identified the requirements for ensuring the required information is communicated to applicants in accordance with 2 CFR 25.200 and 2 CFR 331 and that the unique identifier is collected prior to making subawards in accordance with 2 CFR 25.205. Each Public Health program and EMSA were required to sign the MOU acknowledging receipt and to confirm their understanding of the terms. On July 14, 2017, the Branch hosted a Preventive Health and Health Services Block Grant (PHHSBG) orientation and provided additional guidance on the requirement to obtain the unique identifier prior to awarding funds and for communicating the required federal award information to subrecipients timely. The Branch allowed Public Health and EMSA staff to ask questions or request additional clarification. On August 4, 2017, the Branch issued a reminder on the requirement to obtain the unique identifier prior to awarding funds and for communicating the required federal award information to subrecipients timely. In November 2017, the Branch created and distributed a “Program Instructions for Potential PHHSBG Contractors and Subrecipients Checklist” to all Public Health programs and EMSA. The Branch continuously collects, files, and maintains completed checklists to demonstrate compliance with this requirement. EMSA adopted Public Health’s policies and procedures to ensure that the requirement to obtain the unique identifier prior to awarding funds and for communicating the required federal award information is met in a timely manner. 44
Preventive Health and Health Services Block Grant funded solely with Prevention and Public Health Funds Subrecipient Monitoring. The Chronic Disease Control Branch (Branch) of Public Health did not perform sufficient monitoring activities to determine that subrecipients' use of funds is in accordance with federal statutes, regulations, and the terms and conditions of the subaward. 2016-17
Partially Corrected. In April – June 2018, the Branch reviewed all federal statutes, regulations, and the terms and conditions of the federal Preventive Health and Health Services Block Grant (PHHSBG) award to identify the necessary components of the subrecipient monitoring process, during the subaward period. The Branch also developed comprehensive subrecipient policies and procedures for utilization during the subaward period. The policies and procedures include provisions for the review of subrecipient compliance with federal statutes, regulations, and the terms and conditions of the subaward; and that the subawardee achieves its performance goals. The Branch will continue working with Public Health’s Office of Compliance/Internal Audits to develop a comprehensive during the-award monitoring tool. The Branch will distribute a revised during-the-award subrecipient monitoring tool to Public Health programs, if necessary. The Branch will follow up with Public Health programs to ensure they complete the subrecipient monitoring tool for each subrecipient. The Branch will collect, file, and maintain completed monitoring tools to demonstrate compliance with these requirements. The Branch will revise the comprehensive subrecipient during the-award policies and procedures, if necessary. 42