A Follow-Up Audit Report on Contract Managment at the Commission on Alcohol and Drug Abuse Page: 11 of 16
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Chapter 2-B
The Agency Does Not Adequately Ensure That Providers Report
Complete and Accurate Capacity Management Information
The Agency does not adequately ensure that providers report accurate capacity
management information daily as required by Title 40, Section 144.107(c) of the
Texas Administrative Code and Title 45,
Relevant Regulations Sections 96.126(a) and (c) and 96.131(c)
of the Code of Federal Regulations (see
Title 40, Section 144.107 (c) of the Texas Administrative Code text box). Without accurate information,
requires that treatment programs report available capacity and
waiting list information daily through the Agency's facility capacity the Agency's capacity management
management system and comply with procedures specified by the coordinator cannot use BHIPS to assist
Agency. providers in placing priority populations
Title 45, Section 96.126 of the Code of Federal Regulations, (intravenous-drug users and pregnant
capacity of treatment for intravenous substance abusers, requires:
" That the State shall establish a capacity management program women) in available beds or slots. For
which ... enables any such program to readily report to the example, testing of April 2002 capacity
State when it reaches 90 percent of its capacity-and which and waiting list information indicates that
ensures the maintenance of a continually updated record of all a majority of providers tested reported
such reports and which makes excess capacity information a prp
available to such programs. incomplete or inaccurate data. Some of
" That states "establish a waiting list management program which the providers did not report for at least six
provides a systematic reporting of treatment demand." consecutive days in April, and the Agency
Title 45, Section 96.131(c) of the Code of Federal Regulations, did not sanction them as directed by
treatment services for pregnant women, requires states to
"maintain a continually updated system to identify treatment policy. The Capacity Management
capacity for any pregnant women and will establish a mechanism Program policy, Section 5.03.11, requires
for matching the women in need of such services with a treatment sanctioning of providers that do not report
facility that has the capacity to treat the woman."
capacity management information for six
consecutive days.
We also noted that some providers reported the amount for funded capacity
differently from day to day. During the course of the audit, we received varying
explanations from different Agency staff for the daily reporting of Agency-funded
beds and slots. Agency procedures for reporting available capacity, which were
mailed out to providers on May 22, 2002, require providers to enter the number of
"TCADA-funded beds and slots" and "current census" daily. Without clear
definitions, providers may submit incorrect information that may affect the Agency's
decisions regarding client placement and provider performance.
Recommendations
The Agency should:
- Sanction noncompliant providers in accordance with its policy.
- Ensure the completeness and accuracy of available capacity and waiting list data
by reviewing them during the Program Compliance Division's on-site provider
visits.
- Clarify the funded capacity terminology to eliminate confusion for providers and
staff who monitor the capacity management system.
- Provide training as needed to educate staff regarding the monitoring of capacity.
A Follow-up Audit Report on Contract Management at the Commission on Alcohol and Drug Abuse
SAO Report No. 02-068
August 2002
Page 7
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Texas. Office of the State Auditor. A Follow-Up Audit Report on Contract Managment at the Commission on Alcohol and Drug Abuse, report, August 2002; Austin, Texas. (https://texashistory.unt.edu/ark:/67531/metapth517336/m1/11/?rotate=180: accessed July 17, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu; crediting UNT Libraries Government Documents Department.