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.

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...

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...

In our Financial Statements and Federal Single Audit, we identified, among other things, that during fiscal year 2021, Kitsap County spent $8,109,337 and $4,695,965 in CRF and ERA program funds, respectively. To fulfill components of both programs’ objectives, the County passed $6,548,816 in CRF and $4,664,258 in ERA funds through to subrecipients to provide emergency rental assistance to eligible households. The subrecipients were responsible for determining which households were eligible to receive funds and then providing assistance to them. The County requested and obtained supporting...

The objective of this audit was to determine whether the Office of State Budget and Management (OSBM) accounted for, allocated, and disbursed amounts appropriated to the State Fiscal Recovery Fund in accordance with State Fiscal Recovery Fund legislation. The audit found that OSBM accounted for, allocated, and disbursed amounts appropriated to the State of North Carolina’s State Fiscal Recovery Fund in accordance with State Fiscal Recovery Fund legislation. As of June 30, 2022, OSBM allocated a total of $5.4 billion of State Fiscal Recovery Funds.

We provided unmodified audit opinions on the State of Wisconsin’s FY 2021-22 financial statements. These financial statements are included in the State’s Annual Comprehensive Financial Report. We reported seven significant deficiencies in internal control over financial reporting, and we made 24 recommendations to state agencies. We also reviewed certain aspects of the federal funding the State received for the public health emergency, and we included in our report certain other matters of interest related to the State’s activities in FY 2021-22.

The COVID-19 pandemic resulted in upheaval to the economy and government services. Ulster County needed to address the questions of people and organizations during the pandemic as it related to public health concerns. To address public questions and concerns, Ulster County established a COVID hotline. Despite allocating significant resources to promotion and widening the scope of the Service Center, it still receives few calls. The call volume does not seem to align with the staffing and additional resources being allocated to operate a separate unit of government. This downtime could...