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Seven Hills Family Services, Inc. Administration of Limited Unit Rate Service Agreements

July 25, 2013 · Read the full official report (PDF) ↗

Published July 25, 2013 Audit covers July 1, 2008 – June 30, 2011 Under Suzanne M. Bump · 2011–2023

In plain English
Auditors questioned all $1.75 million in late-year LUSA payments reviewed for Seven Hills Family Services because the payments had authorization, documentation, or payment-purpose problems.
source
“We found problems with all $1,752,292 of SHFS’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
Why was it audited?

The State Auditor was reviewing DDS human-service contracting to see whether public money was being used properly, transparently, and 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.”
Why it matters

The audit says DDS was not properly managing these contracts, and that some contractors got year-end money for purposes that did not match what the funds were supposed to cover.

“Instead DDS Regional and Area Office staff have used LUSA contracts to provide additional year-end funding to some DDS human-service contractors for various purposes, many of which are not consistent with the intended use of these funds and resulted in unnecessary and excessive compensation to contractors.”
What's in it for me?

For taxpayers and families who rely on state disability services, the issue is whether money meant for client services was properly approved, documented, and spent.

“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.”
The bottom line

The auditors found problems across the full amount they tested: retroactive approvals, weak paperwork, purchases that were not services, and payments that should have gone through other contracts.

“The unduplicated amount of questioned funding is $1,752,292.”
What happens next

The audit says oversight agencies should review the issues, and Seven Hills should improve controls so LUSA services are properly done, documented, billed, and tracked.

“In accordance with the recommendations of the overall report and the testing results specific to SHFS, SHFS should implement appropriate control measures to ensure that all LUSA services are performed, documented, billed, and accounted for in compliance with applicable requirements.”
Why it's significant

The report is significant because the auditors said the paperwork gaps were so broad that they could not reasonably estimate how much of the payment may have been excessive.

“Because these deficiencies were so extensive, it was not possible to perform the analysis and testing required to reasonably estimate the extent to which the compensation DDS provided to SHFS was excessive.”
Jargon, unpacked

A LUSA was a DDS contract tool for buying limited, as-needed services from an approved provider when a client was 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.”

3 figure(s) pending source verification - not shown

What the Auditor checked

What the Auditor found

Seven Hills Family Services had questionable use of all $1,752,292 in tested LUSA funds.
procurement/contractsrecordkeeping/documentationinternal controlsvendor oversight

Why it matters: There was insufficient assurance that payments were properly authorized, supported, nonduplicative, or used for appropriate LUSA purposes.

Standard: DDS LUSA requirements, DDS Purchase of Service Manual, Commonwealth Terms and Conditions for Human and Social Services, and OSD/OSC requirements for human-service payments. ( Chapter 11, Section 12, of the Massachusetts General Laws; Section 7 of the Commonwealth Terms and Conditions for Human and Social Services; 808 CMR 1.00 )

1 recommendation
  • SHFS should implement appropriate control measures to ensure that all LUSA services are performed, documented, billed, and accounted for in compliance with applicable requirements.agency: partially agreed
Agency response & Auditor reply
Agency: "[After your audit], we implemented new guidelines and internal authorization procedures when invoicing LUSA contracts."

Verified dollar findings

Other identified $1,753,111 not in headline

Identified dollar findings that do not fall in a named band.

$1,752,292 - questioned LUSA funding
$819 - non-service item reimbursements