HomeMy WebLinkAboutPR 22331: APPROVAL TO REPAY FUNDS TO THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES FOR DISALLOWED COSTS City of
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www.PortArthurTx.gov
INTEROFFICE MEMORANDUM
Date: January 11, 2022
To: The Honorable Mayor and City Council
Through: Ron Burton, City Manager
From: Kandy Daniel, Interim Finance Director
RE: P. R.No. 22331 Approval to Repay funds to the Texas Department of State
Health Services (DSHS) for Disallowed Costs
Introduction:
The intent of this Council Agenda Item is to seek the City Council's approval authorizing the
City Manager to repay funds to the Texas Department of State Health Services (DSHS) in the
amount of$14,031.72.
Background:
The Texas Department of State Health Services (DSHS), Fiscal Monitoring unit conducted a
fiscal monitoring review of 6 Health Grants covering the period of September through December
2020 in July 2021 and the final report was issued on December 29,2021. The primary objective
of the review was to determine if the City complied with the fiscal requirements of federal and
state regulations, DSHS policies and procedures, and the contract provisions. The review
resulted in questioned costs of$14,282.04. Of this amount, $250.32 has been resolved with non-
DSHS funds and the remaining disallowed costs of$14,031.72 are requested to be remitted back
to DSHS by January 28, 2022.
Budget Impact:
Funds are available in the Health Department Other Contractual Services Account Number 001-
23-061-5470-00-50-000.
Recommendation:
It is recommended that the City Council approve P.R.No.22331 and authorize the City Manager
to repay funds to the Texas Department of State Health Services (DSHS) in the amount of
$14,031.72.
"Remember,we are here to serve the Citizens of Port Arthur"
P.O.Box 1089 X Port Arthur,Texas 77641-1089 X 409.983.8101 X FAX 409.982.6743
P.R. No. 22331
01/11/2022 KD
RESOLUTION NO.
A RESOLUTION AUTHORIZING THE CITY MANAGER TO REPAY
FUNDS TO THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES
(DSHS) FOR DISALLOWED COSTS RELATED TO A FISCAL
MONITORING REVIEW OF SIX HEALTH GRANTS IN AN AMOUNT
NOT TO EXCEED $14,031.72 ACCOUNT NO. 001-23-061-5470-00-
50-000
WHEREAS, in July 2021, the Texas Department of State Health Services (DSHS)
conducted a fiscal monitoring review of six Health Grants which covered the period of
September through December 2020; and
WHEREAS, on December 29, 2021, the final report was sent to City of Port Arthur
by DSHS showing disallowed costs of $14,031.72; and
WHEREAS, DSHS is seeking repayment of disallowed costs by January 28, 2022;
and
WHEREAS, the Remittance Form from DHSH is attached hereto as Exhibit"A"for
the repayment of disallowed costs.
NOW THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY
OF PORT ARTHUR:
Section 1. That the facts and opinions in the preamble are true and correct.
Section 2. That the City Manager of the City of Port Arthur is hereby authorized to
direct the repayment of disallowed costs to the Texas Department of State Health Services
(DSHS) amount not to exceed $14,031.72, from Account No. 001-23-061-5470-00-50-000.
Section 3. That a copy of the caption of this Resolution shall be spread upon the
Minutes of the Meeting of the City Council.
READ, ADOPTED, AND APPROVED this day of January, 2022 at a Regular
Meeting of the City Council of the City of Port Arthur, Texas by the following vote:
AYES: Mayor: ,
Councilmembers: ,
NOES: .
Thurman "Bill" Bartie
Mayor
ATTEST:
Sherri Bellard
City Secretary
APPROVED AS TO FORM:
JQ /nzn t%
Valecia Tizeno
City Attorney
APPROVED FOR ADMINISTRATION:
Ronald Burton
City Manager
APPROVED AS TO THE AVAILABILITY
OF FUNDS:
Kandy Daniel
Interim Director of Finance
Exhibit A
Department of State Health Services
Remittance Form
Date of Receivable: December 29, 2021 Remittance Due Date: January 28,
2022
Contract No.: HHS000769500001
DSHS Division and Program ID: Regional & Local Health Operations -
CPS/COVID 19
Disallowed Cost / Amount Due: S13,038.08
Instructions:
(1)To ensure proper credit, please attach this form(s) to your check
when submitting payment. If you've received multiple remittance
forms, only one check is necessary for the collective amount of all
remittance forms.
(2)Payment may be paid by CHECK or MONEY ORDER made payable to the
Department of State Health Services and must contain the Contract
Number.
(3)Payment must be sent by certified mail to:
Cash Receipts Branch, MC 2003
Department Of State Health Services
PO Box 149347
Austin, TX 78714-9347
4) If a check is submitted for less than the Total Repayment Due, the check
will be returned to the sender.
For DSHS Internal Use Only
DSHS FSO Receivable Number: 2021-DRM -36-RM-A
Grantee/Agency: City of Port Arthur Health Department
Address: 449 Austin Avenue, Port Arthur Texas, 77640
DSHS Business Unit: 53700
Business Unit Contact Name: Gary James
Voucher Account Fund Depart. Program Class Budget
Number Fund Number ID Number 1 (PCA) Reference Project/ Grant
00123678 761100 0325 RAD100 1E35 64057 , 102020 0Y865COVD1E0C
CMS Contact Name: Quynh-Nhi Ge
Payment Information
Rev.: 10/12/202 1
Department of State Health Services
!Remittance Form
Date of Receivable: December 29, 2021 Remittance Due Date: January 28,,
2022
Contract No.: HHS000686100022
DSHS Division and Program ID: Laboratory & Infectious Disease Services -
TB/PC-FED
Disallowed Cost / Amount Due: $764.74
Instructions:
(1)To ensure proper credit, please attach this form(s) to your check
when submitting payment. If you've received multiple remittance
forms, only one check is necessary for the collective amount of all
remittance forms.
(2)Payment may be paid by CHECK or MONEY ORDER made payable to the
Department of State Health Services and must contain the Contract
Number.
(3)Payment must be sent by certified mail to:
Cash Receipts RVr Inth, 1MIry 2003
Department Of State Health Services
PO Box 149347
Austin, TX 78714-9347
4) If a check is submitted for less than the Total Repayment Due, the check
will be returned to the sender.
For DSHS Internal Use Only
DSHS FSO Receivable [Number: 2021-DRI.1 -3 6-R -O
Grantee/Agency: City of Port Arthur Health Department
AddAdd AA Al Istin A�:,Di it Dnr4- Arthl lr Tcv,c 776/10
U L. . 1 Austin 3�.i1. r Yam. iLJ i.., 1 vI S. •�i ...ii.ii 1 S_.i�.iJl • 1 I.l i'V
DSHS Business Unit: 53700
Business Unit Contact Name: Gary James
Voucher • Account Fund Depart. Program Class Budget Project/
Number Fund Number ID Number (PCA) Reference Grant
00122870 761100 0273 H34000 433 63023 092020 1Y551FFTBAID
CMS Contact Name: Lacy Alexander
Payment Iforma_ lion
Rev.: 10/12/2021
, .
Department of State Health Services
Remittance Form
Date of Receivable: December 29, 2021 Remittance Due Date: January 28,
2022
Contract No.: 537-18-0120-00001
DSHS Division and Program ID: Regional & Local Health Operations -
CPS/HAZARDS
Disallowed Cost/ Amount Due: $228.90
Instructions:
(1)To ensure proper credit, please attach this form(s) to your check
when submitting payment. If you've received multiple remittance
forms, only one check is necessary for the collective amount of all
remittance forms.
(2)Payment may be paid by CHECK or MONEY ORDER made payable to the
Department of State Health Services and must contain the Contract
Number.
(3)Payment must be sent by certified mail to:
Cash Receipts Branch, MC 2003
Department Of State Health Services
PO Box 149347
Austin, TX 78714-9347
4) If a check is submitted for less than the Total Repayment Due, the check
will be returned to the sender.
For DSHS Internal Use Only
DSHS FSO Receivable Number: 2021-DRM -36-RM-C
Grantee/Agency: City of Port Arthur Health Department
Address: 449 Austin Avenue, Port Arthur Texas, 77640
DSHS Business Unit: 53700
Business Unit Contact Name: Gary James
Voucher Account Fund Depart. Program Class Budget Project/
Number Fund Number ID Number (PCA) Reference Grant
00124226 761100 0273 R20000 J05 71242 082020 1Y531FFBIOT
CMS Contact Name: Quynh-Nhi Ge
Payment Information
Rev.: 10/12/2021