Question 1

Does Pease Bell perform Single Audits for behavioral health organizations?

Accepted Answer

Yes. Pease Bell performs Uniform Guidance Single Audits for behavioral health and human services providers that expend federal awards. We audit programs funded by SAMHSA, HRSA, and other federal sources, testing eligibility, allowability, cash management, and reporting. Because we work in these audits regularly, we also help clients understand and resolve recurring findings before they threaten future funding.

Question 2

When is a behavioral health provider required to have a Single Audit?

Accepted Answer

A Single Audit is generally required when an organization expends federal awards above the Uniform Guidance threshold in a fiscal year, which rose to $1 million. The trigger is based on federal funds expended — across all programs combined — not revenue or the size of any single grant. Because behavioral health providers often draw from multiple federal sources, we help you total awards correctly and confirm whether an audit applies.

Question 3

Can you help with Medicaid cost reports and reimbursement?

Accepted Answer

Yes. We prepare and review Medicaid and program cost reports and provide reimbursement analysis for behavioral health providers, including community mental health centers and CCBHCs. Our goal is to capture allowable costs accurately, support defensible rate filings, and identify reimbursement that organizations often leave uncaptured under complex cost-based methodologies.

Question 4

Do you work with both nonprofit and for-profit behavioral health providers?

Accepted Answer

Yes. We serve tax-exempt agencies and for-profit and investor-backed providers alike. That includes Form 990 and nonprofit compliance work as well as corporate tax, entity structuring, and transaction support across affiliated organizations — so providers operating in both models can work with one firm rather than several.

Question 5

What SAMHSA and federal grant compliance support do you provide?

Accepted Answer

We provide grant accounting and compliance support under 2 CFR 200, covering allowability, eligibility, cash management, time-and-effort documentation, and financial reporting for SAMHSA, HRSA, and other federal awards. We also help organizations build the internal controls and documentation that stand up to Single Audit testing and reduce the risk of repeat findings.

Question 6

Where is Pease Bell located, and do you serve behavioral health clients outside Ohio?

Accepted Answer

Pease Bell CPAs is headquartered in Cleveland, Ohio, and serves clients in all 50 states. As a Top 200 U.S. CPA firm with 150+ professionals and 12,000+ clients, we support single-site Ohio agencies and multi-state behavioral health organizations alike, with experience across the federal grant and Medicaid rules that apply nationwide.

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Industries: Behavioral Health