REPORT DIGEST
STATE OF ILLINOIS
STATEWIDE SINGLE AUDIT REPORT
(excluding Component Units)
(Performed in Accordance with the Single Audit Act and OMB
Circular A-133)
For the One Year Ended: June 30, 2009
Summary of Findings:
Total this audit: 93
Total last audit: 97
Repeated from last audit: 65
Release Date: July 28, 2010
State of Illinois, Office of the Auditor General
WILLIAM G. HOLLAND, AUDITOR GENERAL
To obtain a copy of the Report contact:
Office of the Auditor General, Iles Park Plaza, 740 E. Ash Street, Springfield, IL 62703
(217) 782-6046 or TTY (888) 261-2887
This Report Digest and Full Report are also available on the worldwide web at www.auditor.illinois.gov
____________________________
SYNOPSIS
Background
• The State expended approximately $23.7 billion from federal awards in FY09.
• A total of 54 federal programs were classified and audited as major programs at sixteen (16) State agencies. These programs constituted approximately 96.5% of all federal spending, or about $22.8 billion.
• Overall, 43 State agencies expended federal financial assistance in FY09. Ten (10) State agencies accounted for about 98.3% of federal dollars spent.
Statewide Finding
- Financial Reporting
• The State of Illinois does not have an adequate process in place to permit the timely completion of a complete and accurate schedule of expenditures of federal awards. As a result, the State has a material weakness on all federal programs for financial reporting.
Significant Agency
Findings Classified as a Material Weakness Resulting in An
Auditor Qualification
• The Department of Human Services (DHS) has material weaknesses for:
- failing to perform eligibility redeterminations within the timeframes prescribed by regulation for the Temporary Assistance for Needy Families (TANF) Cluster, Children’s Health Insurance Program (CHIP), and Medicaid Cluster programs.
- weaknesses over maintaining and controlling beneficiary case file documents of the SNAP Cluster, TANF, CHIP and Medicaid Cluster programs.
- an inadequate process to prevent individuals convicted of drug felonies from receiving benefits under the TANF program.
- failing to locate case file documentation supporting eligibility determinations for beneficiaries of the CHIP and Medicaid Cluster programs.
• The Department of Healthcare and Family Services (HFS) has material weaknesses for:
- using a passive process in its eligibility redeterminations for the Children’s Health Insurance Program (CHIP) and Medicaid Cluster programs.
- lack of documentation evidencing performance of eligibility determination of the CHIP and Medicaid programs.
- failure to pay practitioner medical claims within prescribed timeframes of the CHIP and Medicaid Cluster programs regulations.
• The Department of Children and Family Services has material weaknesses for:
- failing to locate case file documentation to support eligibility determinations for beneficiaries of the Adoption Assistance program.
- failing to ensure adoption assistance recertifications were performed on a timely basis for children receiving recurring adoption assistance benefits.
• The Department of Aging (DOA) has a material weakness for:
- Not adequately monitoring subrecipient audit reports for federal programs.
• The Department of Public Health (DPH) has a material weakness for:
- not having an adequate process for performing client eligibility determinations for its HIV Care Formula Grant (HIV) program.
• The State Board of Education has material weaknesses for:
- not sanctioning a Local Education Agency that did not meet the comparability of services requirement under the Title I Part A Cluster program.
- not having adequate procedures to monitor the cash needs of subrecipients and to determine whether subrecipients are minimizing the time elapsing between the receipt and disbursement of funding for the State Fiscal Stabilization Fund Cluster program.
Findings Involving
Multiple Agencies
• The Department of Children and Family Services (DCFS), Aging (DOA), Illinois State Board of Education (ISBE), and Transportation (DOT) have a material weakness due to inadequate and/or lack of on-site monitoring of subrecipients of federal awards.
Findings regarding
American Recovery and Reinvestment Act (ARRA)
• The Department of Children and Family Services (DCFS) failed to separately identify ARRA expenditures under the Foster Care and Adoption Assistance programs.
• The Department of Commerce and Economic Opportunity failed to communicate ARRA information requirements to the Workforce Investment Act (WIA) Cluster program.
Notes: Summary definitions (in order of
significance) of key terms used in the findings.
Material weakness
(financial): A material weakness is a
deficiency, or combination of deficiencies, in internal control, such that
there is a reasonable possibility that a material misstatement of the entity’s
schedule of expenditures of federal awards will not be prevented, or detected
and corrected on a timely basis.
Material weakness (compliance): A material weakness is a significant
deficiency, or combination of significant deficiencies, that results in more
than a remote likelihood that material noncompliance with a type of compliance
requirement of a federal program will not be prevented or detected by the
entity’s internal control.
Significant
Deficiency: A significant deficiency is
a deficiency, or a combination of deficiencies, in internal control that is
less severe than a material weakness, yet important enough to merit attention
by those charged with governance.
Control Deficiency: A control deficiency exists when the design or operation of a control does not allow management or employees, in the normal course of performing their assigned functions, to prevent or detect misstatements on a timely basis.
INTRODUCTION
The Illinois Office of the Auditor General conducted a Statewide Single Audit of the FY09 federal grant programs. The audit was conducted in accordance with the federal Single Audit Act and Office of Management and Budget (OMB) Circular A-133.
The Statewide Single Audit includes State agencies that are a part of the primary government and expend federal awards. In total, 43 State agencies expended federal financial assistance in FY09. A separate supplemental report has been compiled by the Illinois Office of the Auditor General. This report provides summary information on federal spending by State agency. The Statewide Single Audit does not include those agencies that are defined as component units such as the State universities and finance authorities. The component units continue to have separate OMB Circular A-133 audits.
The Schedule of Expenditures of Federal Awards (SEFA) reflects total expenditures of approximately $23.7 billion for the year ended June 30, 2009. Overall, the State participated in 368 different federal programs, however, 11 of these programs or program clusters accounted for approximately 86.3% of the total federal award expenditures. (See Exhibit I)
The funding for the 368 programs was
provided by 22 different federal agencies. Exhibit II shows that five federal
agencies provided
A total of 54 federal programs (or 35 programs or program clusters) were identified as major programs in FY09. A major program was defined in accordance with Circular A-133 as any program with federal awards expended that meets certain criteria when applying the risk-based approach. Exhibit III provides a brief summary of the number of programs classified as “major” and “non-major” and related federal award expenditures.
Ten State agencies accounted for approximately 98.3% of all federal dollars spent during FY09 as depicted in Exhibit IV.
The auditors qualified their report on major programs for the following noncompliance findings:
State Agency, Federal Program, Compliance Requirement,
Finding Number, Page Numbers
IL Department of Human Services, Temporary Assistance for Needy Families, Allowable Costs/Cost Principles and Eligibility, 09-03, 41-43
IL Department of Human Services, Children’s Health Insurance Program, Allowable Costs/Cost Principles and Eligibility, 09-03, 41-43
IL Department of Human Services, Medicaid Cluster, Allowable Costs/Cost Principles and Eligibility, 09-03, 41-43
IL Department of Human Services, Temporary Assistance for Needy Families, Allowable Costs/Cost Principles and Eligibility, 09-04, 44-45
IL Department of Human Services, Children’s Health Insurance Program, Allowable Costs/Cost Principles and Eligibility, 09-04, 44-45
IL Department of Human Services, Medicaid Cluster, Allowable Costs/Cost Principles and Eligibility, 09-04, 44-45
IL Department of Human Services, Temporary Assistance for Needy Families, Allowable Costs/Cost Principles and Eligibility, 09-05, 46-47
IL Department of Human Services, Children’s Health Insurance Program, Allowable Costs/Cost Principles and Eligibility, 09-06, 48-49
IL Department of Human Services, Medicaid Cluster, Allowable Costs/Cost Principles and Eligibility, 09-06, 48-49
IL Department of Healthcare and Family Services, Children’s Health Insurance Program, Allowable Costs/Cost Principles and Eligibility, 09-15, 67-68
IL Department of Healthcare and Family Services, Medicaid Cluster, Allowable Costs/Cost Principles and Eligibility, 09-15, 67-68
IL Department of Healthcare and Family Services, Children’s Health Insurance Program, Allowable Costs/Cost Principles and Eligibility, 09-16, 69-70
IL Department of Healthcare and Family Services, Medicaid Cluster, Allowable Costs/Cost Principles and Eligibility, 09-16, 69-70
IL Department of Healthcare and Family Services, Children’s Health Insurance Program, Allowable Costs/Cost principles and Period of Availability, 09-17, 71-72
IL Department of Healthcare and Family Services, Medicaid Cluster, Allowable Costs/Cost Principles and Period of Availability, 09-17, 71-72
IL Department of Children and Family Services, Adoption Assistance, Allowable Costs/Cost Principles and Eligibility, 09-35, 110-111
IL Department of Children and Family Services, Temporary Assistance for Needy Families, Subrecipient Monitoring, 09-36, 112-113
IL Department of Children and Family Services, Foster Care - Title IV-E, Subrecipient Monitoring, 09-36, 112-113
IL Department of Children and Family Services, Adoption Assistance, Subrecipient Monitoring, 09-36, 112-113
IL Department of Children and Family Services, Adoption Assistance, Allowable Costs/Cost Principles and Eligibility, 09-37, 114-115
IL Department on Aging, Aging Cluster, Subrecipient Monitoring, 09-40, 120-121
IL Department on Aging, Aging Cluster, Subrecipient Monitoring, 09-41, 122-123
IL Department on Public Health, HIV Care Formula Grants, Allowable Costs/Cost Principles and Eligibility, 09-43, 126-127
IL State Board of Education, Title I, Part A Cluster, Allowable Costs/Cost Principles and Special Tests and Provisions, 09-48, 137-138
IL State Board of Education, Title I, Part A Cluster, Subrecipient Monitoring, 09-49, 139-141
IL State Board of Education, Special Education Cluster, Subrecipient Monitoring, 09-49, 139-141
IL State Board of Education, Career and Technical Education – Basic Grants to States, Subrecipient Monitoring, 09-49, 139-141
IL State Board of Education, Twenty-First Century Community Learning Centers, Subrecipient Monitoring, 09-49, 139-141
IL State Board of Education, Reading First State Grants, Subrecipient Monitoring, 09-49, 139-141
IL State Board of Education Improving Teacher Quality State Grants Subrecipient Monitoring 09-49, 139-141
IL State Board of Education, Title I, Part A Cluster, Subrecipient Monitoring, 09-50, 142-144
IL State Board of Education, Improving Teacher Quality State Grants, Subrecipient Monitoring, 09-50, 142-144
IL State Board of Education, State Fiscal Stabilization Fund Cluster, Cash Management, 09-51, 145-146
IL Department of Transportation, Airport Improvement Program, Subrecipient Monitoring, 09-73, 191-192
Internal Control Over Financial Reporting
We noted a matter involving internal control over financial reporting for the Schedule of Expenditures of Federal Awards (Schedule) that was considered to be a material weakness. A material weakness is a deficiency, or combination of deficiencies, in internal control, such that there is a reasonable possibility that a material misstatement of the entity’s Schedule of Federal Awards will not be prevented, or detected and corrected on a timely basis. The auditors noted that during the past seven years there have been various errors identified and reported on the audits of state agencies and the Office of the State Comptroller (IOC) in its annual data gathering on the SCO forms that is used to present the Schedule. Thus, the auditors recommended the Office of the Governor and the Illinois Office of the Comptroller work together with the state agencies to establish a corrective action plan to address the quality and timeliness of the accounting information provided to and maintained by the IOC as it relates to year end preparation of the Comprehensive Annual Financial Report and the Schedule.
Internal Control Over Compliance
We noted certain matters involving internal control over compliance that were considered to be significant deficiencies. A control deficiency in an entity’s internal control over compliance exists when the design or operation of a control does not allow management or employees, in the normal course of performing their assigned functions, to prevent or detect noncompliance with a type of compliance requirement of a federal program on a timely basis. A significant deficiency is a control deficiency, or combination of control deficiencies, that adversely affects the entity’s ability to administer a federal program such that there is more than a remote likelihood that noncompliance with a type of compliance requirement of a federal program that is more than inconsequential will not be prevented or detected by the entity’s internal control. Overall, 92 of the 93 findings reported in the single audit were classified as compliance significant deficiencies.
Material weaknesses were also disclosed in our report. A material weakness is a significant deficiency, or combination of significant deficiencies, that results in more than a remote likelihood that material noncompliance with a type of compliance requirement of a federal program will not be prevented or detected by the entity’s internal control. Overall, 50 of the 93 findings reported in the single audit were classified as both a material weakness and a significant deficiency.
FINDINGS,
CONCLUSIONS, AND RECOMMENDATIONS
Exhibit V summarizes the number of report findings by State agency, identifies the number of repeat findings, and references the findings to specific pages in the report.
THE FINANCIAL
REPORTING PROCESS FOR THE SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS (SEFA) IS INADEQUATE TO PERMIT TIMELY AND ACCURATE REPORTING
The State of Illinois’ current financial reporting process does not allow the State to prepare a complete and accurate Comprehensive Annual Financial Report (CAFR) or the Schedule of Expenditures of Federal Awards (SEFA) in a timely manner.
Accurate and timely financial reporting problems continue to exist even though the auditors have: 1) continuously reported numerous findings on the internal controls (material weaknesses and significant deficiencies), 2) commented on the inadequacy of the financial reporting process of the State, and 3) regularly proposed adjustments to financial statements year after year. These findings have been directed primarily toward the Office of the State Comptroller (IOC) and major state agencies under the organizational structure of the Office of the Governor.
The State has not solved these problems or made substantive changes to the system to effectively remediate these financial reporting weaknesses. The process is overly dependent on the post audit program being a part of the internal control for financial reporting even though the Illinois Office of the Auditor General has repeatedly informed state agency officials that the post audit function is not and should not be an internal control mechanism for any operational activity related to financial reporting.
The State of Illinois has a highly decentralized financial reporting process. The system requires State agencies to prepare a series of complicated financial reporting forms (SCO forms) designed by the IOC to prepare the CAFR. These SCO forms are completed by accounting personnel within each State agency who have varying levels of knowledge, experience, and understanding of generally accepted accounting principles and of IOC accounting policies and procedures. Agency personnel involved with this process are not under the organizational control or jurisdiction of the IOC. Further, these agency personnel may lack the qualifications, time, support, and training necessary to timely and accurately report year end accounting information to assist the Comptroller in his preparation of statewide financial statements in accordance with generally accepted accounting principles (GAAP).
Although these SCO forms are subject to the review by the IOC financial reporting staff during the CAFR preparation process, the current process has resulted in several restatements relative to the financial statement reporting over the past several years.
For example, first, expenditures for the Homeland Security Cluster were not appropriately clustered and expenditures for the Homeland Security Cluster and the Highway planning and Construction Cluster were overstated in 2009. Second, expenditures for the Airport Improvement Program were improperly identified as being funded by the American Recover and Reinvestment Act and expenditures for the Foster Care and Adoption Assistance programs were not identified as being funded by the American Recovery and Reinvestment Act in 2009.
Third, expenditures of the Public Assistance Grants program (2006 and 2007), the Early Intervention Program (2003, 2004 and 2005), and the Highway Planning and Construction Cluster program (2004 and 2005) were not reported in the appropriate fiscal year. Fourth, other correcting entries and/or restatements were required to accurately state the financial information. Fifth, major programs were not identified until six or more months subsequent to the end of the year by several agencies. Finally, preparation of the SEFA has not been completed by the State prior to March 31st in the past seven years.
Federal regulations require that a recipient of federal awards prepare appropriate financial statements, including the SEFA, and ensure that the required audits are properly performed and submitted when due. Also, the federal regulations require recipients of federal awards to establish and maintain internal controls designed to reasonably ensure compliance with Federal laws, regulations, and program compliance requirements.
Agencies having problems in one or more of the above noted areas during the past six years were:
Agency
(1) Healthcare and Family Services
(2) Children and Family Services
(3) Public Health
(4) State Board of Education
(5) IL Student Assistance Commission
(6) Employment Security
(7) IL Community College Board
(8) Department of Commerce and Economic Opportunity
(9) Department of Natural Resources
(10) IL Environmental Protection Agency
(11) Department of Corrections
(12) IL Criminal Justice Information Authority
(13) Emergency Management Agency
(14) Human Services
(15) Department of Transportation
Although the deficiencies relative to the CAFR and SEFA financial reporting process have been reported by the auditors for a number of years, problems continue with the State’s ability to provide accurate and timely external financial reporting. Corrective action necessary to remediate these deficiencies continues to be problematic.
As a result of the errors, deficiencies and omissions noted throughout the process used by the State in its financial reporting process, along with the inability to meet the required filing deadline of 03/31/10, the auditors identified the inadequacies as a material weakness for all federal programs administered by the State. (Finding 09-01, pages 29-31) This finding was first reported in the Statewide Single Audit in 2002.
We recommended the Office of the Governor and the IOC work together with the state agencies to establish a corrective action plan to address the quality and timeliness of accounting information provided to and maintained by the IOC as it relates to year end preparation of the CAFR and SEFA.
The State Comptroller’s Office response states it will continue to provide consultation and technical advice to state agencies in relation to financial reporting. They also will continue to support legislation that provides the Office with enforcement tools to compel agencies to comply with necessary reporting deadlines. (For previous agency response, see Digest Footnote #1)
The Office of the Governor’s response states it will continue efforts to increase communication and work closely with the Office of the State Comptroller. They will also work with the Illinois General Assembly and the Office of the State Comptroller to establish a business case and plan for the capital cost of implementing a statewide accounting and grants management system. (For previous agency response, see Digest Footnote #1)
FAILURE TO PERFORM
ELIGIBILITY REDETERMINATIONS WITHIN PRESCRIBED TIMEFRAMES
The Department of Human Services (DHS) is not performing eligibility redeterminations in accordance with timeframes required by the respective State Plans for the Temporary Assistance for Needy Families Cluster (TANF), Children’s Health Insurance Program (CHIP), and Medicaid Cluster programs.
During our testwork of required eligibility criteria, we noted the State was delinquent (overdue) in performing the eligibility redeterminations of individuals for the three programs during June 2009 as follows:
TANF, 939 of 28,479 cases, 3.30%
CHIP, 21,962 of 693,313 cases, 3.17%
Medicaid, 28,787 of 437,458 cases, 6.58%
Failure to properly perform eligibility redetermination procedures in accordance with State Plans may result in federal funds being awarded to ineligible beneficiaries, which are unallowable costs. (Finding 09-03, pages 41-43) This finding was first reported in the Statewide Single Audit in 2003.
As a result of DHS’s failure to perform timely redeterminations of recipient eligibility, the auditors qualified their opinion on the TANF, CHIP, and Medicaid programs.
We recommended DHS review its current process for performing eligibility redeterminations and consider changes necessary to ensure all redeterminations are performed within the timeframes prescribed within the State Plans for each affected program.
DHS officials accepted the recommendation and stated they will continue working with the Department of Healthcare and Family Services to review current process for performing eligibility redeterminations and consider changes necessary to ensure all redeterminations are performed within the timeframes prescribed within the State Plans for each affected program. Department officials stated they were 96% current on case redeterminations in fiscal year 2009. (For previous agency response, see Digest Footnote #2)
In an Auditors’ Comment we stated federal regulations require eligibility redeterminations to be completed in accordance with the State Plan for each of the programs identified in this finding. The State Plans require eligibility redeterminations to be completed on all beneficiaries on an annual basis. The State Plans for these programs have not been amended to permit eligibility determinations to be completed for less than 100% of program beneficiaries.
FAILURE TO PROPERLY
MAINTAIN AND CONTROL CASE FILE RECORDS
The Department of Human Services (DHS) local offices do not have appropriate controls over case file records for beneficiaries of the SNAP Cluster, Temporary Assistance for Needy Families (TANF), Children’s Health Insurance Program (CHIP), and Medicaid Cluster programs.
During our testwork at five separate local offices, we noted the procedures in place to maintain and control beneficiary case file records do not provide adequate safeguards against the potential for the loss of such records. Specifically, in the five local offices, case files were generally disorganized and stacked on and around file cabinets. We noted the case files were available to all DHS personnel and that formal procedures did not exist for checking case files in and out of the file rooms or for tracking their locations. The amount of questioned costs that may be assessed the State due to loss or misplaced beneficiary files could not be determined for these four major programs whose total beneficiary spending exceeds $9.9 billion in the aggregate.
Failure to properly maintain and control beneficiary case file records may result in the loss of source documentation necessary to establish beneficiary eligibility and payment of unallowable costs from federal programs. (Finding 09-04, pages 44-45) This finding was first reported in the Statewide Single Audit in 2007.
As a result of DHS’s failure to properly maintain and control case file records of beneficiaries, the auditors qualified their opinion on the TANF, CHIP, and Medicaid Cluster programs.
We recommended DHS review its current process for maintaining and controlling beneficiary case records and consider changes needed to ensure case file documentation is maintained in accordance with federal regulations and the State Plans for each affected program.
DHS officials accepted the recommendation noting they were able to retrieve the files requested by the auditors. (For previous agency response, see Digest Footnote #3)
In an Auditors’ Comment, we stated we noted delays in receiving case files during our testwork and several case files were missing documentation as identified in finding 09-06. The fact that the requested records were ultimately found does not change the emphasis of the finding of needing improved case file maintenance.
INADEQUATE PROCESS
FOR PREVENTING INDIVIDUALS CONVICTED OF DRUG FELONIES FROM RECEIVING TANF BENEFITS
The Department of Human Services (DHS) does not have adequate procedures in place to ensure individuals convicted of Class 1 or Class X drug felonies do not receive benefits under the Temporary Assistance for Needy Families Cluster (TANF) program.
As a condition of receiving cash assistance under the TANF program, beneficiaries are required to meet certain eligibility criteria prescribed by federal regulations and the State Plan. One of the criteria is that individuals convicted of a Class 1 or Class X felony are prohibited from receiving TANF benefits.
During our testwork over the TANF program, we noted DHS’ process for determining whether applicants have been convicted of a Class 1 or Class X felony primarily consists of inquiries made during the application process. DHS does not have procedures in place to corroborate the applicant’s statements via cross matches with the Department of Corrections, Illinois State Police, or other mechanisms.
In accordance with federal regulations, Section II.G of the current State Plan prohibits individuals convicted of a Class 1 or Class X felony for an Act occurring after August 21, 1996, involving the possession, use, or distribution of a controlled substance are ineligible to receive TANF. Additionally, IDHS policy requires crossmatches to be completed to determine whether applicants have been convicted of a Class 1 or Class X drug felonies. (Finding 09-05, pages 46-47) This finding was first reported in the Statewide Single Audit in 2006.
As a result of DHS’ failure to ensure convicted drug felons did not receive benefits in accordance with the State Plan, the auditors qualified their report on the TANF program.
We recommended DHS review its current process for performing eligibility determinations and consider changes necessary to ensure procedures to verify whether beneficiaries have been convicted of a Class 1 or Class X felony are implemented.
DHS officials accepted the finding and stated they have modified their policy on June 29, 2009 to be consistent with their eligibility process. (For previous agency response, see Digest Footnote #4)
In an Auditors’ Comment we noted the Department’s modification of the policy was to eliminate the crossmatch requirement which does not adequately address the conditions found. A crossmatch or another verification mechanism should be implemented to ensure beneficiaries that have been convicted of a Class 1 or Class X felony do not receive TANF benefits
INADEQUATE PROCEDURES
FOR PERFORMING ELIGIBILITY REDETERMINATIONS
Eligibility redeterminations of the Department of Healthcare and Family Services (HFS) for the Medicaid Cluster and the Children’s Health Insurance Program (CHIP) are not adequate.
Effective February 2006, HFS revised its procedures for performing eligibility redeterminations for children receiving services under the Medicaid and CHIP programs to a “passive” procedure. The passive redetermination procedure includes the following:
• Beneficiary renewal form is sent via mail to the beneficiary. This form contains key eligibility criteria for completion;
• Beneficiary (or beneficiary’s guardian) is requested to review the form; and
• The beneficiary is to report any changes to the key eligibility criteria.
However, in the event there are no changes to the information, and there are only children on the case, a response is not required.
Upon further review, we noted neither HFS nor the Department of Human Services, which performs most eligibility determinations for these programs, maintains a formal record of the cases subject to the passive redetermination procedures. As a result, we were unable to quantify the number of cases subject to the passive redetermination policy. Payments made on behalf of beneficiaries of the Medicaid and CHIP programs totaled $7.8 billion in FY2009.
Federal regulations require redetermination of client eligibility as defined in the State Plans. The State Plans require an annual eligibility redetermination. In addition, federal regulations require the State to have procedures designed to ensure that recipients make timely and accurate reports of any change in circumstances that may affect their eligibility. (Finding 09-15, pages 67-68) This finding was first reported in the Statewide Single Audit in 2007.
As a result of HFS’ inadequate procedures for performing eligibility redeterminations of beneficiaries of the Medicaid and SCHIP programs in accordance with the federal regulations and the State Plans, the auditors qualified their report on the Medicaid Cluster and CHIP programs.
We recommended HFS review its current process for performing eligibility redeterminations and consider changes necessary to ensure redeterminations are performed in accordance with federal regulations and the State Plans for each affected program.
HFS officials accepted our recommendation and stated they will review the legal, financial and operational issues associated with making changes in the redetermination process. However, the Department also stated they feel the Department’s administrative renewal process is performed in accordance with the federal regulations and State Plans and federal policy supporting this process was affirmed by Congress and the President in the recent reauthorization of the Children’s Health Insurance Program Reauthorization Act of 2009. In December 2009, Illinois received a bonus payment of $9.1 million for increasing enrollment by implementing six of the enrollment and retention measures, including administrative renewals. (For previous agency response, see Digest Footnote #5)
In an Auditors’ Comment we acknowledge the Department’s response which stated that “[t]he State Plans require that eligibility be reviewed annually, but does not specify what procedures are to be used.” However, the Department does not maintain a formal record of the cases subjected to the passive renewal process. Consequently, HFS could not demonstrate adequately that eligibility in those cases was reviewed or that any effort was made to ensure that a change in circumstances affecting eligibility had not occurred. We also commented we are aware of the provisions in the Children’s Health Insurance Program Reauthorization Act of 2009 and since this finding has been repeated for three years, we strongly encourage HFS to resolve any issues of interpretation through the federal government’s finding resolution process.
MISSING DOCUMENTATION
IN BENEFICIARY ELIGIBILITY FILES
The Department of Human Services (DHS) and the Department of Healthcare and Family Services (DCFS) could not locate case file documentation supporting eligibility determinations for beneficiaries of the Children’s Health Insurance Program (CHIP) and the Medicaid Cluster programs.
During our testwork of 65 CHIP and 125 Medicaid beneficiary payments for compliance with eligibility requirements and the allowability of the relevant benefits provided we noted the following exceptions:
Department of Human
Services:
• In 1 CHIP case file and 8 Medicaid case files, DHS could not locate the supporting documentation of the redetermination completed and signed by the beneficiary in the case file.
• In 1 CHIP case file, DHS could not locate adequate documentation supporting income verification procedures were performed.
• In 2 CHIP case files, DHS could not locate adequate documentation supporting income verification procedures were performed.
Department of Healthcare
and Human Services:
• In 17 CHIP case files and 2 Medicaid case files, DHFS could not locate the supporting documentation of the redetermination completed and signed by the beneficiary in the case file.
As a result of DHS and DHFS' failure to locate case file documentation supporting eligibility determinations for beneficiaries, the auditors qualified their report on the Children’s Health Insurance Program and Medicaid Cluster program. (Findings 09-06 and 09-16, pages 48-49 and 69-70, respectively). These findings were first reported in the Statewide Single Audit in 2001 and 2009, respectively.
We recommended DHS and DHFS review their current process for maintaining documentation supporting eligibility determinations and consider changes necessary to ensure all eligibility determination documentation is properly maintained.
DHS officials accepted our recommendation and stated the Department will continue to ensure staff understand the importance of proper and accurate filing processes. (For previous agency response, see Digest Footnote #6)
DHFS officials accepted our recommendation and stated the Department will review the legal, financial and operational issues associated with making changes in the redetermination process. However, they also stated the auditors found no evidence the cases reviewed did not comply with policy established by the Department. Instead, the auditors fault the policy itself and the Department has agreed to review that policy.
In an Auditors’ comment to DHFS, the auditors reiterated the Department could not provide supporting documentation that a redetermination for all cases cited in this finding was performed in accordance with federal regulations. Accordingly, all information necessary to establish and support the individuals’ eligibility for the period was not available.
FAILURE TO PAY
MEDICAL CLAIMS WITHIN PRESCRIBED TIMEFRAMES
The Department of Healthcare and Family Services (HFS) is not paying practitioner medical claims for individuals receiving benefits under the Children’s Health Insurance Program (CHIP) and Medicaid programs in accordance with timeframes required by federal regulations.
Federal regulations require medical providers to submit all medical claims within twelve months of the date of service and require the State to pay 90% of all clean claims within 30 days of the date of receipt and 99% of the clean claims within 90 days of the date of receipt. Further, under the American Reinvestment and Recovery Act (ARRA) signed into law on February 17, 2009, states must comply with these claims processing requirements or lose their eligibility for the increased Federal medical assistance percentage (FMAP) for certain expenditures. Subsequent to February 17, 2009, any practitioner claim received on a day in which the State was not in compliance with the claims processing requirements is ineligible to receive the increased FMAP rate. Once a medical payment has been approved for payment, it is adjudicated, vouchers and submitted to the Office of the Comptroller for payment.
During our review of the analysis covering practitioner medical payments during state fiscal year 2009 prior to the enactment of ARRA, we noted medical payments were not made within the payment timeframes (30 days) required by federal regulations. HFS analysis identified that of the 19,613,466 claims received only 54% (10,582,931) were paid within the 30 days of receipt. In addition, management’s daily analysis of claims paid after the enactment of ARRA identified 33 days in which the State was not in compliance with the claims processing requirements. The State received claims totaling $59,366,343 on those days, resulting in $6,140,554 of lost federal reimbursement.
Federal regulations require the State to pay 90% of all claims within 30 days of receipt and 99% of all clean claims within 90 days of the date of receipt. The State must pay all other claims within twelve months of the date of receipt. (Finding 09-17, Pages 71-72)
As a result of HFS' failure to pay within the timeframes as prescribed in program regulations, the auditors qualified their report on the Medicaid Cluster program.
We recommended HFS review its process for processing and paying medical payments and consider changes necessary to ensure medical payments are made within the timeframes prescribed within federal regulations.
HFS officials accepted our recommendation and stated they have requested sufficient appropriations in its budget request to allow payments in a timeframe consistent with federal regulations.
MISSING DOCUMENTATION
IN ADOPTION ASSISTANCE ELIGIBILITY FILES
The Department of Children and Family Services (DCFS) could not locate case file documentation supporting eligibility determinations for beneficiaries of the Adoption Assistance Program.
The Adoption Assistance program provides funds to States for adoption assistance agreements with parents who adopt eligible children with special needs.
During our testwork of 50 case files for eligibility requirements and allowability for the Adoption Assistance program, we noted the Department could not locate the initial judicial determination effecting that the child’s continuation in the residence would be contrary to the welfare of the child, or that placement would be in the best interest of the child. The Department claimed $5,338 on behalf of this child during the year ended June 30, 2009.
Federal regulations of the Adoption Assistance program provide a child must have been removed from a home pursuant to a voluntary placement agreement or a judicial determination that remaining in such home would be contrary to the child’s welfare.
As a result of DCFS’ missing eligibility documentation, the auditors qualified their report for the Adoption Assistance program. (Finding 09-35, pages 110-111). This finding was first reported in the Statewide Single Audit in 2005.
We recommended DCFS review its procedures for retaining and documenting how beneficiaries have met eligibility requirements and implement changes necessary to ensure judicial determinations and adequate documentation of special needs exists for all children for whom adoption subsidy payments and nonrecurring expenditures are claimed.
DCFS officials agreed with the findings and stated they have recently instituted a pre-subsidy completion review process in order to assure all required documentation is in the records before claiming. In addition, Department officials stated they will conduct an additional review for the one missing document and, if obtaining a copy of the determination is not possible, the Department will make the appropriate claiming adjustment for the actual amount claimed for the one beneficiary payment questioned by the auditor. (For previous agency response, see Digest Footnote 7)
FAILURE TO ENSURE THAT
ADOPTION ASSISTANCE RECERTIFICATIONS ARE PERFORMED ON A TIMELY BASIS
The Department of Children and Family Services (DCFS) did not ensure that adoption assistance recertifications were performed on a timely basis for children receiving recurring adoption assistance benefits.
The Adoption Assistance program provides funds to States for adoption assistance agreements with parents who adopt eligible children with special needs.
During our review of the eligibility for 50 beneficiaries receiving recurring subsidy payments under the adoption assistance program, we noted seven instances in which DCFS could not locate a recertification form submitted by the adoptive parent within the most recent two year period. (Finding 09-37, pages 114-115) This finding was first reported in the Statewide Single Audit in 2006.
As a result of DCFS’ failure to ensure adoption assistance recertifications were performed timely the auditors qualified their report for the Adoption Assistance program.
We recommended DCFS implement procedures to ensure recertification forms are received in accordance with the State’s established process and maintained in the eligibility files for children receiving recurring adoption assistance benefits.
DCFS officials accepted our recommendation and stated they have instituted a multi-step routine, automated adoption recertification process which should ensure that all recertifications are performed timely. (For previous agency response, see Digest Footnote #8)
INADEQUATE MONITORING
OF SUBRECIPIENT OMB CIRCULAR A-133 AUDIT REPORTS
The Department on Aging (DOA) is not adequately monitoring the OMB Circular A-133 Circular A-133 reports submitted by its subrecipients receiving federal awards for the Aging Cluster. The DOA passes through federal funding to thirteen area agencies on aging throughout the State. During our testwork of eight subrecipients of the Aging Cluster with total expenditures of approximately $24,092,000 we noted the following regarding the desk review process:
• The expenditures reported by one subrecipient were not reconciled to the schedule of expenditures of federal awards in its OMB Circular A-133 audit report. Additionally, a desk review was not completed for this subrecipient. Amounts passed through to this subrecipient approximated $9,939,000 during the year ended June 30, 2009.
• Evidence of a supervisory review of an A133 desk review checklist was not documented for one subrecipient. Amounts passed through to this subrecipient approximated $2,005,000 during the year ended June 30, 2009.
Pass through entities are required to monitor their subrecipients expending more than $500,000 in federal awards during their fiscal year to include the submission of OMB Circular A-133 reports upon completion of an audit. Program staff for each of the agencies are responsible for reviewing the reports and determining whether: (1) the audit reports meet the audit requirements of OMB Circular A-133; (2) federal funds reported in the schedule of expenditures of federal awards reconcile to their records; and (3) Type A programs are being audited at least every three years. Additionally, program staff are responsible for evaluating the type of audit opinion issued (i.e. unqualified, qualified, and adverse) and issuing management decisions on findings reported within required timeframes. (Finding 09-41, pages 122-123) This finding was first reported for the Department of Aging in the 2006 Statewide Single Audit.
As a result of the DOA’s failure to adequately monitor subrecipients, the auditors qualified their report for the Aging Cluster program.
We recommended the Department establish procedures to ensure desk reviews are performed on a timely basis for all subrecipients, expenditures reported by the subrecipients are reconciled to the schedule of expenditures of federal awards submitted in the OMB Circular A-133 audit reports, and supervisor reviews are documented to evidence their completion.
DOA officials accepted our recommendation and stated that although staffing shortages have contributed to the finding, the Department will improve upon the current procedures and tools used to perform desk reviews on a timely basis, reconcile the schedule of expenditures of federal awards submitted in the audit report to Department records timely and complete supervisory reviews. (For previous agency response, see Digest footnote #9)
INADEQUATE PROCESS
FOR DETERMINING CLIENT ELIGIBILITY
The Department of Public Health (DPH) does not have an adequate process for performing client eligibility determinations for its HIV Care Formula Grant (HIV) program. The HIV program administered by DPH includes an AIDS Drug Assistance Program (ADAP) under which beneficiaries who meet certain eligibility requirements are provided drugs to treat HIV/AIDS.
During our testwork of benefits provided to HIV beneficiaries, we selected 60 eligibility files to review for compliance with eligibility requirements and for the allowability of the related benefits. We noted in 17 cases, the beneficiary’s application indicated the beneficiary had no income. Although the individual’s income level was below 400% of the poverty level and DPH confirmed the individual was not receiving benefits under Medicaid, a determination of Medicaid eligibility had not been performed. As a result, not income verification procedures were performed to determine whether the income reported (or lack thereof) was accurate. In addition, we noted in one case, no verification of income was documented in the beneficiary file. (Finding 09-43, pages 126-127) This finding was first reported in the Statewide Single Audit in 2004.
As a result of the Department of Public Health’s failure to adequately perform client eligibility, the auditors qualified their report for the HIV Care Formula Grants program.
We recommended the Department implement procedures to verify income and insurance information with third party sources and other state agencies and perform recertifications of eligibility every six months.
DPH officials accepted our recommendation and stated a policy change was made on April 1, 2010 for all new clients requiring all clients who are new or reapplying to ADAP after April 1, 2010 will be required to reapply for ADAP every 6 months. (For previous agency response, see Digest Footnote #10)
FAILURE TO SANCTION
NON-COMPARABLE LOCAL EDUCATION AGENCY (LEA) AND INADEQUATE DOCUMENTATION FOR
DETERMINING COMPARABILITY
The Illinois State Board of Education (ISBE) did not take adequate measures to sanction a LEA that did not meet the comparability of services requirement under the Title I, Part A Cluster (Title I). LEAs must provide educational services for schools receiving Title I funds that are comparable (equal) to those that are not receiving Title I funds within the same school district (“comparability of services”).
We noted ISBE did not sanction one LEA who continuously has had non-comparable schools or for including improper salary information in the calculations. During the initial comparability calculation, the LEA had 21 non-comparable schools. To make the schools comparable, the LEA allocated just enough funds to each of the non-comparable schools to make them comparable. However, the LEA did not expend enough money and 20 of the 21 schools remained non-comparable. We also noted ISBE did not follow its established process for one LEA and incorrectly lifted a sanction which froze the LEA’s Title I funds. ISBE froze the LEAs funding when it submitted an improper comparability calculation but mistakenly lifted the freeze order before the LEA submitted the correct calculation. (Finding 09-48, pages 137-138) This finding was first reported in the Statewide Single Audit in 2006.
As a result of the Illinois State Board of Education not meeting the comparability of services requirement under the Title I, the auditors qualified their report for the Title I, Part A Cluster program.
We recommended ISBE implement procedures to appropriately monitor and sanction LEAs not meeting the comparability of services requirement.
ISBE officials accepted our recommendation and stated they are waiting on the final determination of corrective action from the U.S. Department of Education. In addition, they have revised their procedures for freezing and releasing funds to ensure all division requests for freezing funds are honored. (For previous agency response, see Digest Footnote #11)
INADEQUATE CASH
MANAGEMENT PROCEDURES FOR SUBRECIPIENTS
The Illinois State Board of Education did not have adequate procedures to monitor the cash needs of subrecipients and to determine whether subrecipients are minimizing the time elapsing between the receipt and disbursement of funding for Title I, Part A Cluster, Special Education Cluster, and the State Fiscal Stabilization Fund (SFSF) Cluster programs.
ISBE passes through federal funding to Local Education Agencies (subrecipients) throughout the State to support education programs. A payment schedule is established by subrecipients and ISBE during the grant application and budgeting process and ISBE makes payments to the based upon the established schedule. We noted, ISBE is not monitoring the cash position of the subrecipients throughout the year to ensure the subrecipients do not have excess federal cash on-hand at the time of each payment. (Finding 09-51, pages 145-146)
As a result of the Illinois State Board of Education not having adequate procedures to monitor the cash needs of subrecipients, the auditors qualified their report for the State Fiscal Stabilization Fund Cluster program.
We recommended ISBE establish procedures to monitor the cash position of subrecipients. These procedures should be designed to ensure subrecipients receive no more than 30 days of funding on an advance basis.
ISBE officials accepted our responsibility and stated they have improved its procedures and is requiring subrecipients provide quarterly expenditure reports for 20 days after the end of the quarter.
ISSUES INVOLVING
MULTIPLE STATE AGENCIES
INADEQUATE ON-SITE MONITORING OF SUBRECIPIENTS
We noted weaknesses in on-site monitoring of subrecipients for the following agencies:
Children & Family Services (DCFS) / TANF, Foster Care Title IV-E, Adoption Assistance, Social Services Block Grant / 09-36, pages 112-113
Aging (DOA) / Aging Cluster / 09-40, pages 120-121
IL State Board of Education (ISBE) / Title I, Part A Cluster, Special Education Cluster, Career and Technical Ed– Basic Grants to States, Twenty-First Century Community Learning Centers, Reading First State Grants, Improving Teacher Quality State Grants / 09-49, pages 139-141 and 09-50, pages 142-144
Transportation (DOT) Airport Improvement Program / 09-73, pages 191-192
These agencies pass-through federal funding to subrecipients for the purpose(s) established by federal regulations. As pass-through entities, these agencies monitor subrecipients primarily by reviewing grant applications, receiving periodic financial and programmatic reports, reviewing invoices, establishing policies and procedures, providing training and guidance, performing informal evaluations (on-site reviews) and receiving OMB Circular A-133 audit reports.
According to federal regulations, a pass-through entity is required to monitor the activities of subrecipients as necessary to ensure that federal awards are used for authorized purposes in compliance with laws and regulations. Also, effective internal controls should include ensuring documentation of on-site review procedures adequately supports procedures performed and the results obtained. These findings for DCFS, DOA, ISBE, and DOT were first reported in the Statewide Single Audit in 2000, 2003, 2007, and 2005, respectively.
As a result of these agencies’ failure to adequately monitor subrecipients, the auditors qualified their report for 12 programs listed in the above table.
We recommended the agencies: (1) develop formal policies and procedures for all compliance requirements that are considered to be direct and material, (2) perform periodic on-site reviews which include reviewing financial and programmatic records, observation of operations, and/or processes, and (3) evaluate current monitoring staffing to ensure adequacy to complete monitoring within prescribed timeframes to ensure subrecipients are administering the federal programs in accordance with the applicable laws and regulations.
DCFS, DOA, ISBE, and DOT accepted our findings and recommendations. (For previous DCFS, DOA, ISBE and DOT responses, see Digest Footnotes #12, #13, #14, #15 and #16)
ISSUES INVOLVING
AMERICAN RECOVERY AND REINVESTMENT ACT (ARRA)
FAILURE TO SEPARATELY
IDENTIFY ARRA EXPENDITURES
The Department of Children and Family Services (DCFS) did not separately identify expenditures from American Recovery and Reinvestment Act (ARRA) awards under the Foster Care and Adoption Assistance Programs.
We noted DCFS received approximately $6,083,000 and $6,810,000 from enhanced federal participation rates under ARRA for the Foster Care and Adoption Assistance programs, respectively. However, the corresponding expenditures from the enhanced federal participation rates were reported with federal expenditures from non-ARRA awards. According to OMB Circular A-133 Compliance Supplement Addendum #1, dated June 2009, recipients of ARRA awards must, among other things, maintain records that identify the source and application of ARRA awards and provide identification of ARRA awards in their schedule of expenditures of federal awards and Data Collection Form. (Finding 09-38, pages 116-117)
We recommended DCFS review the current process for reporting financial information to the IOC and implement changes necessary to ensure expenditures under ARRA awards are separately identified.
DCFS officials accepted our recommendation and stated they have discussed these issues with and continue to request assistance and training from the State Comptroller’s Office for preparation of SCO forms.
FAILURE TO
COMMUNICATE ARRA INFORMATION AND REQUIREMENT TO SUBRECIPIENTS
The Department of Commerce and Economic Opportunity (DCEO) did not communicate American Recovery and Reinvestment Act (ARRA) information and requirements to subrecipients of the Workforce Investment Act (WIA) Cluster program.
We noted DCEO did not identify the federal award number, catalog of federal domestic assistance (CFDA) number, or the amount attributable to ARRA at the time of each disbursement. Also9, DCEO’s grant agreements did not identify the requirement for subrecipients to separately report ARRA program expenditures on their schedule of expenditures of federal awards (SEFA) and data collection form. DCEO passed through approximately $4,926,000 of ARRA funding to 20 subrecipients of the WIA Cluster.
According to the American Recovery and Reinvestment Act, Federal Agencies must require recipients to agree to: 1) separately identify to each subrecipient, and document at the time of the subaward and disbursement of funds, the Federal Award number, CFDA number, and the amount of ARRA funds; and 2) require their subrecipients to provide similar identification in their SEFA and data collection form. (Finding 09-70, pages 185-186)
We recommended DCEO implement procedures to ensure ARRA information and requirements are properly communicated to its subrecipients.
DCEO officials accepted our recommendation and stated they will ensure ARRA information and requirements are properly communicated to ARRA subrecipients.
OTHER FINDINGS
The remaining findings pertain to other compliance and internal control matters. We will follow up on the status of corrective action on all findings in our next Statewide Single Audit for the year ended June 30, 2010.
AUDITORS’ OPINION
The auditors state the Schedule of Expenditures of Federal Awards for the State of Illinois as of and for the year ended June 30, 2009 is presented fairly in all material respects.
WILLIAM G. HOLLAND, Auditor General
WGH:JSC:pp
SPECIAL ASSISTANT AUDITORS
KPMG LLP was our special assistant auditor for this audit.
DIGEST FOOTNOTES
Previous responses by the Office of the Governor and Office of the State Comptroller
#1 Inadequate Process for Compiling the Schedule of Expenditures of Federal Awards
2008: (Office of the Governor) Recommendation accepted. The Office of the Governor will continue to work the Office of the State Comptroller. The Governor’s Office has established a corrective action plan to improve the quality and timeliness of accounting information provided by state agencies to the Comptroller for year-end preparation of the CAFR and the SEFA. In addition, the Governor’s Office is in the process of working with the Illinois General Assembly to secure the capital funding needed to procure a statewide accounting and grants management system.
2008: (Office of the State Comptroller) Recommendation accepted. The IOC will continue to provide consultation and technical advice to State agencies in relation to financial reporting in order to increase the likelihood that State agencies will report financial information in a timely manner. The IOC will also seek legislation that provides it with enforcement tools to compel state agencies to comply with necessary reporting deadlines.
Previous responses by the Department of Human Services
#2 Failure to Perform Eligibility Redeterminations within Prescribed Timeframes (DHS)
2008: Recommendation not accepted. The Department is in compliance with federal regulations which require states to make every effort to complete redeterminations timely and accurately. Federal regulations are silent as to a percentage of timely redeterminations.
#3 Failure to Properly Maintain and Control Case File Records (DHS)
2008: Recommendation accepted. All cases selected were located and reviewed. Given the current caseload sizes, fiscal constraints, and staffing limitations, DHS continues to place high priority on proper case file maintenance and filing and continues to reiterate to all staff the importance of documentation of maintenance in case files to ensure all documentation is combined into the case record.
#4 Inadequate Process for Preventing Individuals Convicted of Drug Felonies from Receiving TANF Benefits (DHS)
2008: Recommendation accepted. No TANF recipients were identified by the auditors in the past two Single Audits to have been convicted of a Class I or Class X felony. The Department is in the final stages of making our policy more consistent with our eligibility determination process.
#6 Missing Documentation in Beneficiary Eligibility Files (DHS)
2008: Recommendation accepted. The Department will continue to ensure supporting eligibility determinations and consider changes necessary to ensure all eligibility determination documentation is properly maintained.
Previous responses by the Department of Healthcare and Family Services
#5 Inadequate Procedures for Performing Eligibility Redeterminations (DHFS)
2008: Recommendation not accepted. The Department’s administrative renewal process is performed in accordance with federal regulations and State Plans.
Previous responses by Department of Children and Family Services
#7 Missing Documentation in Adoption Assistance Eligibility Files DCFS)
2008: Recommendation accepted. The Department has established an inter-divisional committee that has developed new checklists that have been distributed to the private sector, DCFS staff, and post adoption staff. The Post Adoption Unit staff will not accept new materials or open new adoption assistance cases until all of the materials on the checklist are included and delivered to the Unit. Additionally, a large portion of the subsidy requests will be sent to a central location for review before the payments are claimed.
#8 Failure To Ensure That Adoption Assistance Recertifications Are Performed On A Timely Basis (DCFS)
2008: Recommendation accepted. The Department agreed its recertification procedures needed to be a complete and accurate process of determining any changing needs and/or circumstances within an adoptive family. The Department recently completed implementation of a project for improving and streamlining the recertification process.
#12 Inadequate and Untimely Fiscal Monitoring of Subrecipients (DCFS)
2008: The Department agrees that on-site fiscal and administrative reviews should include procedures that consider all compliance requirements direct and material to the programs funded by the Department and to ensure compliance with contract program plan requirements established for the services approved and being obtained for children.
Previous responses by Department on Aging
#9 Inadequate Monitoring of Subrecipient OMB Circular A-133 Reports (Aging)
2008: Recommendation accepted. The Department has established procedures to ensure that desk reviews are performed on a timely basis for all subrecipients and that expenditures reported by the subrecipients are reconciled to the schedule of expenditures of federal awards submitted in the OMB Circular A-133 audit reports.
#13 Inadequate On-Site Monitoring of Subrecipients (Aging)
2008: Recommendation accepted. The Department will begin to perform periodic on-site programmatic and financial reviews of the thirteen Area Agencies on Aging at least once during the three year Area Plan Cycle.
Previous responses by the Department of Public Health
#10 Inadequate Process for Determining Client Eligibility (DPH)
2008: Recommendation accepted. ADAP staff conducts regular monthly Medicaid enrollment verification with the Illinois Department of Healthcare and Family Services to ensure that ADAP clients are not dually enrolled. ADAP staff will also ensure that recertifications will occur every six months.
Previous responses by the Illinois State Board of Education (ISBE)
#11 Failure to Sanction Non-Comparable Local Education Agency (LEA) (DPH)
2008: Recommendation accepted. ISBE is waiting the determination of the USDE for the appropriate corrective action to be taken to sanction the LEA.
#14 Inadequate On-Site Fiscal Monitoring of Subrecipients (ISBE)
2008: Recommendation accepted. The agency is working to fill vacancies and seeking additional staff for the External Assurance monitoring function. External Assurance developed a new multi-year monitoring schedule for the monitoring cycle beginning in fiscal year 2009.
#15 Inadequate On-Site Programmatic Monitoring of Subrecipients (ISBE)
2008: Recommendation accepted. The agency is working to fill vacancies and seeking additional staff for the External Assurance monitoring function. External Assurance developed a new multi-year monitoring schedule for the monitoring cycle beginning in fiscal year 2009.
Previous responses by the Department of Transportation
#16 Inadequate On-Site Monitoring of Subrecipients (DOT)
2008: Recommendation accepted. The Department implemented a procedure for all local let projects that began in fiscal year 2009.