Audit of Title II Funding Under The Ryan White Comprehensive AIDS Resources Emergency (CARE) Act in Indiana - Indiana State Department of Health, Indianapolis, Indiana

EXECUTIVE SUMMARY:

This final report, which resulted from a request by the Acting Administrator of Health Resources and Services Administration (HRSA), presents the results of our Audit of  Title II Funding under the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act in Indiana.  The Title II program was administered by the Indiana State Department of Health (ISDH) and its terminated sub-grantee, AIDServe Indiana, Inc. (AIDServe).  For the three year period ending March 31, 2001, ISDH claimed costs, amounting to $18,425,641, for the AIDServe operation of the Title II and related programs, which included unallowable, unallocable, and unapproved claims, amounting to $784,499, and inadequately supported claims of $5,337,802.  Although the ISDH was actively involved in the administration of the Title II program, increased oversight and involvement could have assured that required audits were performed and corrective actions were taken to prevent or alleviate many of the conditions disclosed during the audit.  We recommended that ISDH refund unallowable, unallocable and unapproved costs amounting to $784,499.  We set aside inadequately supported costs amounting to $5,337,802 for HRSA's adjudication.  Finally, we recommended that ISDH increase its oversight of other sub-grantees and ensure that required audits are performed in a timely manner.