Recurring Findings

Public Health: Recurring Material Internal Control Deficiencies
Federal Program Issue First Year Reported
Department's Assertion Page Number
HIV Care Formula Grants Public Health continues to lack sufficient internal controls over the eligibility process to ensure payments are only made to eligible recipients and all required documentation to verify eligibility is maintained in the recipient's file. Public Health lacks controls for following up on findings related to site visits. 2006-07
Fully corrected. Public Health agrees with the finding that Public Health lacked sufficient internal controls over the eligibility process to ensure payments are only made to eligible recipients and all required documentation to verify eligibility is maintained in the recipient's file. The AIDS Drug Assistance Program (ADAP) has fully implemented corrective action regarding eligibility documentation and site visits in fiscal year 2010-11. The changes included an acceleration of the ADAP enrollment site visit cycle from every five years to every three years as well as an updated site visit tool. In fiscal year 2010-11, ADAP coordinators conducted 72 site visits and plan to conduct 60-70 in fiscal year 2011-12. Based on the current site visit plan, ADAP will meet its three year audit cycle at the end of fiscal year 2012-13. Programmatic procedural changes include tracking client files that have documentation deficiencies. These clients are placed on a 60 day eligibility grace period to receive the missing documentation or the client's eligibility is terminated at the end of the 60 days. Any site that is found deficient is required to submit a Corrective Action Plan (CAP), and a follow up site visit is conducted to ensure the CAP was implemented. Finally, ADAP is continuing to work with Medi-Cal and the Pharmacy Benefits Manager to enhance the systems for identifying clients' Medi-Cal eligibility. Corrective action was completed in August 2010 when the site visit tool was finalized and site visits began. 91
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