Reports

From March 2020 through June 2022, the Department of Health Services (DHS) awarded $159.6 million in program grants to 1,431 long-term health care and emergency medical services providers. We question $518,700 that DHS paid to 10 grant applicants that did not submit sufficient documentation to support their grant applications or the grant amounts they requested. We provide recommendations to DHS to improve how it administers its grant programs and its Ventilator Stewardship program. We also recommend DHS improve how its Office of Inspector General ensures program integrity.

This informational brief describes changes to the Department of Children and Family Services’ (DCFS) Supplemental Nutrition Assistance Program, including how COVID-19 impacted participation, benefit amounts, and program administration. This brief is intended to provide timely information related to an area of interest to the legislature or based on a legislative request. Among other findings, this brief highlights that the number of SNAP recipients increased 27.5%, from 769,768 prior to the COVID-19 pandemic in February 2020 to a high of 981,751 in January 2021. According to DCFS, the increase...

The North Carolina Pandemic Recovery Office, a division of the Office of State Budget and Management, did not adequately monitor $159.9 million in federal funds used for expenditures incurred due to the COVID-19 pandemic. Auditors reviewed the monitoring procedures over subrecipients of state agencies that expended coronavirus relief funds. The office's monitoring procedures required monthly reviews of these subrecipients’ expenditure reports. However, auditors found no evidence of this review. Inadequate monitoring increases the risk that federal funds may not be used in accordance with the...

In FY 2021-22, state agencies administered $20.2 billion in federal financial assistance, including $5.9 billion that was expended related to the public health emergency and that was separately identified in the State’s Schedule of Expenditures of Federal Awards. Our audit focused on 22 federal programs that accounted for 58.9 percent of the federal financial assistance administered. We provided an unmodified opinion on federal compliance for 21 of the programs we reviewed. However, we again qualified our opinion on compliance for certain requirements related to the Emergency Rental Assistance...

Between December 2020 and September 2021, Central Texas Allied Health Institute (CTAHI), a nonprofit City of Austin contractor, committed fraud by misrepresenting over $1.1 million in financial transactions across three contracts with Austin Public Health. In total, CTAHI was improperly paid roughly $417,000 because of its fraudulent contract claims. In addition, CTAHI appears to have overstated its total vaccination numbers and fabricated patient information under its contract to provide COVID-19 vaccines.

In our Financial Statements and Federal Single Audit, we identified, among other things, that Douglas County did not have adequate internal controls to ensure it used Coronavirus State and Local Fiscal Recovery Funds program funds for allowable purposes and for costs incurred within the period of performance. Douglas County charged $276,530 in unallowable costs to the SLFRF program for road project costs that were incurred outside of the period of performance. As a result, we are questioning these costs.

In our Financial Statements and Federal Single Audit, we identified, among other things, that Island County spent $2,656,126 in CRF program funds during fiscal 2021, and passed $1,156,108 of these funds to two subrecipients who operated assistance programs. Island County also spent $2,681,211 in ERA funds during fiscal year 2021, and passed $2,638,164 of these funds to four subrecipients to provide emergency rental assistance to eligible households. Island County did not have adequate internal controls for ensuring it included all subaward information in two new subrecipient contracts for the...

The objectives of this audit were to (1) obtain an understanding of internal controls over compliance for the Provider Relief Fund, assess control risk of noncompliance, and perform tests of those controls unless those controls were deemed to be ineffective, and (2) express an opinion on whether the State complied with federal statutes, regulations, and the terms and conditions of federal awards that may have a direct and material effect on the Provider Relief Fund . The State of Texas complied in all material respects with the federal requirements for the Provider Relief Fund and American...

The federal CARES Act created new federal unemployment compensation (UC) programs including Pandemic Emergency Unemployment Compensation, Pandemic Unemployment Assistance, and Federal Pandemic Unemployment Compensation, increasing the weekly benefit amount, and expanding eligibility to claimants not otherwise eligible for unemployment benefits. From March 15, 2020, through June 30, 2022, the Unemployment Insurance Agency (UIA) paid $39.9 billion in UC claims from 5.8 million claims created for 3.48 claimants. This audit report is the fourth of a series of five audit reports on UIA claims...

This special report provides summary information and four interactive dashboards with Arizona school districts’ and charter schools’ reported spending in FY 2022 and in total through June 30, 2022, and planned future spending of allocated/awarded COVID-19 federal relief monies, as required by Laws 2021, Ch. 408, §54. This special report also provides Arizona Department of Education-reported spending in FY 2022 and in total through June 30, 2022, and planned future spending of the discretionary COVID-19 federal relief monies that it received, as required by the law. This information is included...