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OMB Issues Guidance, Delays Due Date for COVID-19 Funding Audits

The Office of Management and Budget (OMB) published an addendum to its annual compliance supplement, with information on single-audit requirements relating to receipt of federal grants, including Provider Relief Fund (PRF) payments. The addendum provides additional direction to auditors on the categories of COVID-19 payments subject to audit; OMB also pushes back the audit deadline by three months.

Under federal single-audit requirements, governmental and nonprofit organizations that receive $750,000 or more in federal grant money in a year must undergo an audit of these payments. The $750,000 threshold excludes Medicare or Medicaid payments. Due to the receipt of PRF payments in excess of the threshold amount, many providers now will be subject to the single-audit requirements. The new guidance provides additional information on the types of COVID-19 payments subject to audit, including:

  • Department of Health and Human Services PRF payments;
  • Health Resources and Services Administration (HRSA) claims-based payments for testing and treatment of uninsured individuals;
  • Federal Communications Commission COVID-19 Telehealth Program payments; and
  • Department of Treasury Coronavirus Relief Fund payments for state, local, and tribal governments.

The guidance also provides a three-month delay of single-audit reports for entities that received COVID-19 funding and had original audit report due dates from Oct. 1, 2020, to June 30, 2021.

Visit the America’s Essential Hospitals coronavirus resource page for more information about the pandemic.

Contact Senior Director of Policy Erin O’Malley at or 202.585.0127 with questions.


About the Author

Shahid Zaman is a senior policy analyst at America's Essential Hospitals.

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