Veterans Affairs Canada has 60 points of service or responsibility centres, including regional and district offices that provide a wide range of services and programs. District offices provide direct service for programs, with regional offices providing functional direction and oversight. The three largest points of direct service are the Quebec, Halifax and Edmonton district offices which combined serve almost one-third of participants in the Rehabilitation Program. All three District Offices have approximately three client service teams and a varied mix of program participants. This audit was the second of two phases and was developed at the request of senior management to assess the internal controls surrounding the delegated authorities, the adequacy of the management control framework and to identify opportunities to improve efficiency. The first phase of the cyclical audit which was completed October 2010, focussed on operations in the Quebec District Office. This site was chosen because new delegated authorities were being piloted there. The audit team used the results from the Quebec audit to focus and inform the planning for the second phase, which focussed on operations in the Halifax and Edmonton district offices.

In the approved 2008-2011 Audit and Evaluation Plan, Veterans Affairs Canada (VAC) identified the Residential Care Program at Camp Hill Veterans Memorial Building (CHVMB) for audit. The Chief Audit Executive of VAC engaged Audit Services Canada (ASC) to plan and conduct the audit. CHVMB is a part of the Queen Elizabeth II Health Sciences Centre under the Capital District Health Authority (CDHA) of the Province of Nova Scotia. It is the largest Veterans facility in the Atlantic Region providing, under contract with VAC, long-term beds on a priority access basis to eligible Veterans under VACs Residential Care Program. This audit focused on VACs controls to manage CDHAs delivery of the Residential Care Program at CHVMB.

The Audit of the Veterans Independence Program (VIP) was approved by the Departmental Audit Committee in 2009. The objectives of the audit were to determine if: 1. up-to-date policies and procedures were in place to support program delivery; 2. program payments were accurately calculated and paid to eligible clients and approved providers; 3. regulatory and policy requirements were complied with; and 4. the quality assurance function provides an ongoing assessment of compliance requirements and identifies opportunities for improvement.

In 2011, Veterans Affairs Canada initiated a five-year Transformation Agenda to respond to the changing needs and expectations of the Veteran population. The goal was to fundamentally change how the Department delivers programs and services. The targeted efforts of the Department included overhauling service delivery, simplifying processes and cutting red tape for Veterans. To simplify the process for Veterans and expedite decision making, Veterans Affairs Canada case managers were given the responsibility to make medical/psychosocial decisions for Rehabilitation Program participants and to properly document these decisions. By delegating this new authority to the level closest to program recipients, case managers were expected to be more efficient and effective in responding to Veterans' needs and be more empowered in their position. To assist staff in making these decisions, the Department developed training courses for staff and introduced tools such as the six-step decision-making model. Recent internal audits have identified risks relating to the absence of quality assurance on decisions and the lack of supporting documentation on files. Veterans Affairs Canada must ensure that there are sufficient internal controls and that staff are complying with the directives of the Department when making decisions. Through interviews, documentation review, and an analysis of 120 sample files, this audit provides assurance that the delegated decision-making controls are working as intended to deliver planned results in accordance with related authorities.

This Rehabilitation Services Evaluation was conducted in accordance with Veterans Affairs Canada's (VAC) approved Multi-year Risk Based Evaluation Plan 2013-2018. Established in 2006, the Canadian Forces Members and Veterans Re-establishment and Compensation Act (hereinafter referred to as the New Veterans Charter or NVC), shifts the Department's focus from one of disability to one of wellness and responds to Canada's commitment to injured Canadian Armed Forces (CAF) members and Veterans. As part of the NVC, the Rehabilitation Services and Vocational Assistance Program (hereinafter referred to as the Program) provides eligible Veteran recipients and their spouse/survivor(s) with one or more of the following types of rehabilitation services: medical, psychosocial, or vocational. In fiscal year 2012-13, the Program funded $18.4 million in benefits and services. The intent of the Program is to support the reasonable restoration of functioning in the following five major areas: mental and physical functioning; social adjustment; family relationships; financial security, employment and personal productivity; and community participation. Recipients are primarily Veterans who were recently medically-released from the CAF, or CAF Veterans who have a health problem resulting primarily from service which is creating a barrier to their re-establishment in civilian life. Veterans often present with complex co-morbid conditions which require the use of the various available medical and psychosocial rehabilitation benefits and services. The evaluation examined the relevance and performance of the Rehabilitation Services and Vocational Assistance Program and was conducted in accordance with Treasury Board (TB) requirements and TB Secretariat guidance material. The evaluation findings and conclusions are based on the analysis of multiple lines of evidence.

Vocational Rehabilitation Services is a component of the Veterans Affairs Rehabilitation Program. It provides vocational assistance services and benefits to eligible Veterans who have a health problem, and their families, to assist them in their re-establishment to civilian life. Vocational services and benefits include vocational assessments, employability skills, training, career exploration, job placement and follow-up support. The purpose of the audit was to provide assurance that financial controls were working as intended, to deliver results in accordance with related authorities. This is the first audit of Vocational Rehabilitation since its inception in 2006.

The evaluation of the Veterans Independence Program was conducted in accordance with the Veterans Affairs Canada Multi-Year Risk-Based Evaluation Plan 2015-20. The evaluation covers the time period from April 1, 2010 to March 31, 2015, and was conducted between June 2015 and January 2016. The objective of the Program is to assist eligible recipients to remain in their homes and communities as long as possible by providing financial assistance towards services which support and promote independence and health. Depending on circumstances and health needs, the Program can contribute to services such as housekeeping, grounds maintenance, personal care, access to nutrition, and health and support services. When home care is no longer practical, the Program assists Veterans to remain in their communities through financial support for intermediate care in community facilities (i.e., nursing home care). The evaluation focused on the housekeeping and grounds maintenance components of the Program because: * these two components combine for 77% of total program expenditures; and * significant changes were made to the method of payment for these components during the period of the evaluation.

The purpose of this audit is to provide assurance that departmental activities with respect to the processing of overpayments are in compliance with policies, procedures, and regulations. The audit reviewed the overpayments of four programs: Disability Award, Disability Pension, War Veterans Allowance, and Earnings Loss. An overpayment is any amount paid to a beneficiary to which there is no entitlement, or which exceeds entitlement and are "debts to the Crown". Veterans Affairs Canada is required to pursue and collect any outstanding amounts of overpayments.

In January 2011, the Audit & Evaluation Division commenced a Risk Assessment of Information Management within the Department. The purpose of this Risk Assessment was to provide Senior Management with a comprehensive analysis of all aspects of information management within the Department to ensure that Veterans Affairs Canada had appropriately responded to all potential risks. A total of 14 entities relating to Information Management were analyzed utilizing risk assessment methodology developed by the Office of the Comptroller General.

Veterans Affairs Canada (VAC) provides a wide range of health care benefits and services to eligible program recipients as specified under the authority of the Veterans Health Care Regulations. These entitlements are made available under the Treatment Benefits Program and Veterans Independence Program (VIP). The objective of these programs is to ensure program recipients are provided, according to their treatment eligibility, with reasonable and timely services that the Department considers to be an appropriate response to their assessed health needs. This audit was recommended for Deputy Minister approval by VAC’s Departmental Audit Committee on September 17, 2010. The objectives of the Federal Health Claims Processing System (FHCPS) Service Provider Audit were as follows: 1. To assess the adequacy of the service provider registration process; 2. To assess the adequacy of the requirements for service providers; 3. To determine compliance with service provider requirements; 4. To assess the efficiency of the appointment of service providers.