Audit of the Ryan White Comprehensive AIDS Resources Emergency Act of 1990 in the Boston Metropolitan Area for Fiscal Year 1994

EXECUTIVE SUMMARY:

This final audit report provides the results of our review made to determine whether the Boston Eligible Metropolitan Area (EMA) and its service providers ensured that all clients of the Ryan White Comprehensive AIDS Resources Emergency Act of 1990 (CARE) were individuals who had AIDS or were members of their families. We found that two of the three service providers reviewed did not have documentation regarding HIV disease for 102 of the 113 cases we reviewed. This occurred because the Boston EMA had not given guidance to service providers for the implementation of a system to ensure that all CARE Act clients were individuals with HIV disease or members of their families. Among other things, we are recommending that the Boston EMA provide such guidance. Both the Health Resources and Services Administration and the Boston EMA acknowledged our findings and agreed to effectuate corrective action.

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