Horace Mann Educational Associates, Inc. Administration of Limited Unit Rate Service Agreements
July 17, 2013 · Read the full official report (PDF) ↗
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“We found problems with all $473,133 of HMEA’s accounts-payable-period LUSA transactions, including inadequate documentation to substantiate that LUSA services were properly authorized, inadequate documentation to support LUSA billings, and LUSA contract funding not being used for its intended purposes, as follows:”
Read the plain-English breakdown
The Auditor was reviewing DDS human-service contracting to check accountability, transparency, and whether state contracting money was being used cost-effectively.
“The overall audit of DDS was conducted as part of OSA’s ongoing efforts to audit human-service contracting activity by state agencies and to promote accountability, transparency, and cost effectiveness in state contracting.”
The report says LUSA funds are supposed to cover limited, unexpected client services, but DDS used them in ways that may have overpaid contractors or paid for services without enough proof.
“As a result, if a LUSA agreement is erroneously used to pay for services that have already been effectively reimbursed through a regular contract, the contractor may improperly receive excessive or duplicative reimbursement of program costs.”
For an ordinary taxpayer, this matters because the report questions whether public money for services to people with developmental disabilities was properly approved, documented, and spent.
“The lack of adequate documentation violated provisions of the Commonwealth Terms and Conditions for Human and Social Services, and as a result, there was insufficient evidence to show that these LUSA payments had been properly authorized and accounted for; that they were not duplicative or excessive; and that the contractor had actually provided the LUSA services billed.”
The Auditor questioned the full $473,133 tested because the same payments often had more than one problem.
“The unduplicated amount of questioned funding is $473,133.”
Oversight agencies were asked to review the issues, and HMEA was told to strengthen controls so LUSA services are properly done, documented, billed, and recorded.
“In accordance with the recommendations of the overall report and the testing results specific to HMEA, HMEA should implement appropriate control measures to ensure that all LUSA services are performed, documented, billed, and accounted for in compliance with applicable requirements.”
A LUSA is a flexible DDS contract tool for buying short-term, as-needed services from preapproved providers when a client’s needs are not already covered by another contract.
“LUSAs are a form of a master contract agreement that can be used by DDS to purchase services from a preapproved contractor on an intermittent, limited-time basis for clients who are not already covered through an existing contract.”
6 figure(s) pending source verification - not shown
What the Auditor checked
- Did not comply Obtain information required to assess the system of internal controls DDS has established over its administration of LUSA contract funding.
What the Auditor found
Why it matters: There was insufficient evidence that LUSA payments were properly authorized, not duplicative or excessive, or tied to actual LUSA services, creating risk of unnecessary or excessive compensation.
Standard: DDS LUSA service authorization requirements; Commonwealth Terms and Conditions for Human and Social Services; DDS Purchase of Service Manual; OSD procurement policies. ( Chapter 11, Section 12, of the Massachusetts General Laws; Section 7 of the Commonwealth Terms and Conditions for Human and Social Services; DDS Purchase of Service Manual )
2 recommendations
- Responsible oversight agencies, including OSD and the Office of the State Comptroller, should review the issues and take appropriate action, including strengthening oversight of DDS LUSA transactions.agency: agreed
- HMEA should implement controls to ensure LUSA services are performed, documented, billed, and accounted for in compliance with applicable requirements.agency: agreed
Agency response & Auditor reply
Agency: "We will ensure that all future LUSA services are performed, documented, billed, and accounted for according to standard."
Why it matters: Retroactive authorizations violated DDS requirements and weakened assurance that services were approved before delivery.
Standard: DDS Authorization for Services process requirements. ( DDS Authorization for Services process )
1 recommendation
- HMEA should implement controls to ensure LUSA services are performed, documented, billed, and accounted for in compliance with applicable requirements.agency: agreed
Agency response & Auditor reply
Agency: "As your document points out, HMEA did receive payments retroactively, as instructed by DDS during the audit period, for services rendered."
Why it matters: Using LUSA funding for these transactions caused procurement, service utilization, and accounting problems and obscured the true purpose of the payments.
Standard: DDS policies governing LUSAs and DDS policy and contract language requiring amendments to regular DDS contracts for these situations. ( DDS policies governing the use of LUSAs and DDS policy and contract language )
1 recommendation
- HMEA should ensure that PSS and Transitional Services are processed using the appropriate funding mechanism.agency: agreed
Agency response & Auditor reply
Agency: "HMEA will also ensure that both PSS and Transitional Services are processed using the appropriate funding mechanism."
Verified dollar findings
Identified dollar findings that do not fall in a named band.