Community of Hope Generally Complied With the Requirements of a Capital Development Grant Funded Under the Affordable Care Act

Community of Hope, in the District of Columbia, generally complied with applicable Federal requirements and the Terms and Conditions of the grant. However, Community of Hope did not request approval before making significant changes in its approved budget. Community of Hope staff said that this error occurred because they were not aware of the requirement for prior approval when rebudgeting project costs.

We recommended that the Health Resources and Services Administration (HRSA) work with Community of Hope to ensure compliance with grant Terms and Conditions, including approval for rebudgeting of approved costs. Community of Hope said that it had been unaware of the procedure to submit a prior approval request and that it understood those procedures now. HRSA concurred with our recommendation.