Baltimore City Health Department's Administration of the Baltimore EMA Ryan White Comprehensive AIDS Resources Act Grant Award for Fiscal Years 1998 through 2001

EXECUTIVE SUMMARY:

The objective of this review was to determine whether the Baltimore City Health Department (BCHD) implemented Ryan White activities and spent its administrative funding in a manner consistent with the CARE Act and other federal guidelines.  Overall, BCHD had implemented a comprehensive service delivery program for HIV/AIDS patients living in the Baltimore Eligible Metropolitan Area; however, its administrative activities and processes have not been entirely effective to ensure that program results are achieved and federal funds awarded to contractors are used appropriately.  We made recommendations for improvement in the areas of cash management, program monitoring, and fiscal monitoring.  The BCHD concurred with our findings and recommendations.

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