Institutional Federal Compliance Report 2021

STATE OF NEW YORK

Schedule of Findings and Questioned Costs

Year ended March 31, 2018

Federal Agency:

U.S. Department of Health and Human Services

Federal Program:

Immunization Cooperative Agreements (93.268)

Federal Award Numbers:

900758IP15

Federal Award Years:

2013, 2014, 2015, 2016, and 2017

State Agency:

Department of Health

Reference:

2018-033

Criteria Title 42 U.S. Code section 1396s (42 USC 1396s), Program for distribution of pediatric vaccines , states the effective control and accountability must be maintained for all vaccine under the Vaccines for Children (VFC) program. Vaccine must be adequately safeguarded and used solely for authorized purposes. This includes administration only to VFC program – eligible children, as defined in 42 USC 1396s (b)(2)(A)(i) through (A)(iv), regardless of the child’s parent’s ability to pay (42 USC 1396s (c)(2)(C)(iii)). A record of vaccine administered shall be made in each person’s permanent medical record (or in a permanent office log or file to which a legal representative shall have access upon request) (42 USC 300aa-25), which includes:

a. Date of administration of the vaccine;

b. Vaccine manufacturer and lot number of the vaccine; and

c. Name and address and, if appropriate, the title of the health care provider administering the vaccine.

Additionally, Title 45 U.S. Code of Federal Regulation Part 75 (45 CFR 75), Uniform Administrative Requirements, Cost Principles, and Audit Requirements for HS Awards , section 75.303(a), Internal Controls, states the non-Federal entity must establish and maintain effective internal control over the federal award that provides reasonable assurance that the non-Federal entity is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. Condition The Department of Health (the Department) Immunization program has approximately 1,800 Vaccine for Children (VFC) providers who administer vaccines to eligible individuals within the State of New York. In accordance with the State’s Plan, all VFC providers receive an initial visit within 30 days of the Department’s approval to participate in the vaccine program. After the initial visit, all VFC providers are visited every other year, on a rolling basis. The Department’s Bureau of Immunization is responsible for tracking the site visits to ensure that the Department is in compliance with the State’s policy of performing site visits once every two years to all VFC providers.

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