Audit 15644

FY End
2023-06-30
Total Expended
$49.78M
Findings
6
Programs
41
Organization: Craven County (NC)
Year: 2023 Accepted: 2024-02-05

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
11808 2023-001 Significant Deficiency Yes E
11809 2023-002 Significant Deficiency Yes E
11810 2023-003 Significant Deficiency Yes E
588250 2023-001 Significant Deficiency Yes E
588251 2023-002 Significant Deficiency Yes E
588252 2023-003 Significant Deficiency Yes E

Programs

ALN Program Spent Major Findings
21.027 Coronavirus State and Local Fiscal Recovery Funds $16.85M Yes 0
20.106 Airport Improvement Program $15.49M Yes 0
93.778 Medical Assistance Program $3.97M Yes 3
93.558 Temporary Assistance for Needy Families $1.47M - 0
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $1.41M - 0
10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $1.39M - 0
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $1.25M - 0
93.658 Foster Care_title IV-E $1.24M - 0
93.568 Low-Income Home Energy Assistance $886,324 - 0
93.045 Special Programs for the Aging_title Iii, Part C_nutrition Services $881,863 - 0
93.667 Social Services Block Grant $679,896 - 0
20.509 Formula Grants for Rural Areas and Tribal Transit Program $577,337 - 0
93.563 Child Support Enforcement $566,132 - 0
20.507 Federal Transit_formula Grants $551,440 - 0
10.557 Special Supplemental Nutrition Program for Women, Infants, and Children $528,791 - 0
93.268 Immunization Cooperative Agreements $343,978 - 0
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $340,147 - 0
93.044 Special Programs for the Aging_title Iii, Part B_grants for Supportive Services and Senior Centers $215,848 - 0
93.596 Child Care Mandatory and Matching Funds of the Child Care and Development Fund $206,098 - 0
21.032 Local Assistance $162,054 - 0
93.940 Hiv Prevention Activities_health Department Based $103,999 - 0
93.767 Children's Health Insurance Program $94,643 - 0
93.217 Family Planning_services $78,900 - 0
93.994 Maternal and Child Health Services Block Grant to the States $74,659 - 0
97.042 Emergency Management Performance Grants $52,522 - 0
93.674 John H. Chafee Foster Care Program for Successful Transition to Adulthood $50,318 - 0
14.228 Community Development Block Grants/state's Program and Non-Entitlement Grants in Hawaii $44,062 - 0
93.645 Stephanie Tubbs Jones Child Welfare Services Program $39,717 - 0
93.069 Public Health Emergency Preparedness $39,524 - 0
93.053 Nutrition Services Incentive Program $33,008 - 0
93.991 Preventive Health and Health Services Block Grant $30,607 - 0
93.556 Promoting Safe and Stable Families $25,894 - 0
20.526 Buses and Bus Facilities Formula, Competitive, and Low Or No Emissions Programs $24,876 - 0
16.738 Edward Byrne Memorial Justice Assistance Grant Program $20,723 - 0
93.659 Adoption Assistance $17,973 - 0
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $15,200 - 0
93.566 Refugee and Entrant Assistance_state Administered Programs $10,080 - 0
20.600 State and Community Highway Safety $6,189 - 0
93.116 Project Grants and Cooperative Agreements for Tuberculosis Control Programs $3,558 - 0
93.977 Preventive Health Services_sexually Transmitted Diseases Control Grants $100 - 0
93.560 Family Support Payments to States_assistance Payments $-19 - 0

Contacts

Name Title Type
LTZ2U8LZQ214 Craig Warren Auditee
2526366603 Alan Thompson Auditor
No contacts on file

Notes to SEFA

Accounting Policies: Expenditures reported in the SEFSA are reported on the modified accrual basis of accounting. Such expenditures are recognized following the cost principles contained in Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: N Rate Explanation: N/A

Finding Details

US Department of Health and Human Services Passed through the NC Department of Health and Human Services Program Name: Medicaid Assistance Program (Medicaid; Title XIX) AL# 93.778 Finding: 2023-001 Inaccurate Information SIGNIFICANT DEFICENCY Eligibility Criteria: Condition: Questioned Cost: Context: Effect: Identification of a repeat finding: Section I - Summary of Auditors' Results (continued) There were 3 errors discovered during our procedures that inaccurate information was entered when determining eligibility. This is a repeat finding from the immediate previous audit, 2022-001. There was no known affect to eligibility and there were no known questioned costs. We examined 60 cases from of a total of 896,867 Medicaid claims from the Medicaid beneficiary report provided by NC Department of Health and Human Services to re-determine eligibility. These findings are being reported with the financial statement audit as it relates to Medicaid administrative cost compliance audit. For those certifications/re-certifications there was a chance that information was not properly documented and reconciled to NC FAST and a participant could have been approved for benefits for which they were not eligible. Section III - Federal Award Findings and Questioned Costs In accordance with 42 CFR 435, documentation must be obtained as needed to determine if a recipient meets specific standards, and documentation must be maintained to support eligibility determinations. In accordance with 2 CFR 200, management should have an adequate system of internal controls procedures in place to ensure an applicant is properly determined or redetermined for benefits. Cause: Recommendation: Views of responsible officials and planned corrective actions: US Department of Health and Human Services Passed through the NC Department of Health and Human Services Program Name: Medicaid Assistance Program (Medicaid; Title XIX) AL # 93.778 Finding: 2023-002 Inaccurate Resource Calculation SIGNIFICANT DEFICENCY Eligibility Criteria: Condition: Questioned Cost: Context: Effect: Identification of a repeat finding: Cause: Recommendation: Files should be reviewed internally to ensure proper documentation is in place for eligibility. Workers should be retrained on what files should contain and the importance of complete and accurate record keeping. We recommend that all files include online verifications, documented resources of income and those amounts agree to information in NC FAST. The results found or documentation made in case notes should clearly indicate what actions were performed and the results of those actions. In accordance with Medicaid Manual MA-2230, Medicaid for Aged, Blind and Disabled case records should contain documentation that verifications were done in preparation of the application and these items will agree to reports in the NC FAST system. In this process, the countable resources should be calculated correctly and agree back to the amounts in the NC FAST system. Any items discovered in the verification process should be considered countable or non-countable resources and explained within the documentation. The County agrees with the finding. See Corrective Action Plan in the following section. Ineffective record keeping and ineffective case review process, incomplete documentation, and incorrect application of rules for purposes of determining eligibility.
US Department of Health and Human Services Passed through the NC Department of Health and Human Services Program Name: Medicaid Assistance Program (Medicaid; Title XIX) AL # 93.778 Finding: 2023-002 Inaccurate Resource Calculation SIGNIFICANT DEFICENCY Eligibility Criteria: Condition: Questioned Cost: Context: Effect: Identification of a repeat finding: Cause: Recommendation: Files should be reviewed internally to ensure proper documentation is in place for eligibility. Workers should be retrained on what files should contain and the importance of complete and accurate record keeping. We recommend that all files include online verifications, documented resources of income and those amounts agree to information in NC FAST. The results found or documentation made in case notes should clearly indicate what actions were performed and the results of those actions. In accordance with Medicaid Manual MA-2230, Medicaid for Aged, Blind and Disabled case records should contain documentation that verifications were done in preparation of the application and these items will agree to reports in the NC FAST system. In this process, the countable resources should be calculated correctly and agree back to the amounts in the NC FAST system. Any items discovered in the verification process should be considered countable or non-countable resources and explained within the documentation. The County agrees with the finding. See Corrective Action Plan in the following section. Ineffective record keeping and ineffective case review process, incomplete documentation, and incorrect application of rules for purposes of determining eligibility. Section III - Federal Award Findings and Questioned Costs (Continued) Files should be reviewed internally to ensure proper documentation is in place for eligibility. Workers should be retrained on what files should contain and the importance of complete and accurate record keeping. We recommend that all files include online verifications, documented resources of income and those amounts agree to information in NC FAST. The results found or documentation made in case notes should clearly indicate what actions were performed and the results of those actions. There were 7 errors discovered during our procedures that resources in the county documentation and those same resources contained in NC FAST were not the same amounts or files containing resources were not properly documented to be considered countable or non-countable. There was no affect to eligibility and there were no questioned costs. We examined 60 cases from of a total of 896,867 Medicaid claims from the Medicaid beneficiary report provided by NC Department of Health and Human Services to re-determine eligibility. These findings are being reported with the financial statement audit as it relates to Medicaid administrative cost compliance audit. For those certifications/re-certifications there was a chance that information was not properly documented and reconciled to NC FAST and a participant could have been approved for benefits for which they were not eligible. Ineffective record keeping and ineffective case review process, incomplete documentation, and incorrect application of rules for purposes of determining eligibility. This is a repeat finding from the immediate previous audit, 2022-002. The County agrees with the finding. See Corrective Action Plan in the following section.
US Department of Health and Human Services Passed through the NC Department of Health and Human Services Program Name: Medicaid Assistance Program (Medicaid; Title XIX) AL # 93.778 Finding: 2023-003 Inadequate Request for Information SIGNIFICANT DEFICENCY Eligibility Criteria: Condition: Questioned Cost: Context: Effect: Identification of a repeat finding: Cause: Recommendation: Views of responsible officials and planned corrective actions: Program Name: Medical Assistance Program (Medicaid; Title XIX) AL # 93.778 None reported. Section V - Passenger Facility Charge Program Findings and Questioned Costs For those certifications/re-certifications there was a chance that information was not properly documented and reconciled to NC FAST and applicants could have been approved for benefits for which they were not eligible. Error in reading the ACTS report and/or ineffective case review process. Files should be reviewed internally to ensure proper information is in place and necessary procedures are taken when determine eligibility. The results found or documentation made in case notes should clearly indicate what actions were performed and the results of those actions. The County agrees with the finding. See Corrective Action Plan in the following section. This is a repeat finding from the immediate previous audit, 2022-004. We examined 60 cases from of a total of 896,867 Medicaid claims from the Medicaid beneficiary report provided by NC Department of Health and Human Services to re-determine eligibility. These findings are being reported with the financial statement audit as it relates to Medicaid administrative cost compliance audit. There were no known affects to eligibility and there were no known questioned costs. Section III - Federal Award Findings and Questioned Costs (Continued) SIGNIFICANT DEFICENCY: Finding 2023-001, 2023-002, and 2023-003 also apply to State requirements and State Awards. The County agrees with the finding. See Corrective Action Plan in the following section. Section IV - State Award Findings and Questioned Costs In accordance with 42 CFR 435, documentation must be obtained as needed to determine if a recipient meets specific standards, and documentation must be maintained to support eligibility determinations. Electronic matches are required at applications and redeterminations. There were 3 errors discovered during our procedures that inadequate information was requested at applications and/or redeterminations.
US Department of Health and Human Services Passed through the NC Department of Health and Human Services Program Name: Medicaid Assistance Program (Medicaid; Title XIX) AL# 93.778 Finding: 2023-001 Inaccurate Information SIGNIFICANT DEFICENCY Eligibility Criteria: Condition: Questioned Cost: Context: Effect: Identification of a repeat finding: Section I - Summary of Auditors' Results (continued) There were 3 errors discovered during our procedures that inaccurate information was entered when determining eligibility. This is a repeat finding from the immediate previous audit, 2022-001. There was no known affect to eligibility and there were no known questioned costs. We examined 60 cases from of a total of 896,867 Medicaid claims from the Medicaid beneficiary report provided by NC Department of Health and Human Services to re-determine eligibility. These findings are being reported with the financial statement audit as it relates to Medicaid administrative cost compliance audit. For those certifications/re-certifications there was a chance that information was not properly documented and reconciled to NC FAST and a participant could have been approved for benefits for which they were not eligible. Section III - Federal Award Findings and Questioned Costs In accordance with 42 CFR 435, documentation must be obtained as needed to determine if a recipient meets specific standards, and documentation must be maintained to support eligibility determinations. In accordance with 2 CFR 200, management should have an adequate system of internal controls procedures in place to ensure an applicant is properly determined or redetermined for benefits. Cause: Recommendation: Views of responsible officials and planned corrective actions: US Department of Health and Human Services Passed through the NC Department of Health and Human Services Program Name: Medicaid Assistance Program (Medicaid; Title XIX) AL # 93.778 Finding: 2023-002 Inaccurate Resource Calculation SIGNIFICANT DEFICENCY Eligibility Criteria: Condition: Questioned Cost: Context: Effect: Identification of a repeat finding: Cause: Recommendation: Files should be reviewed internally to ensure proper documentation is in place for eligibility. Workers should be retrained on what files should contain and the importance of complete and accurate record keeping. We recommend that all files include online verifications, documented resources of income and those amounts agree to information in NC FAST. The results found or documentation made in case notes should clearly indicate what actions were performed and the results of those actions. In accordance with Medicaid Manual MA-2230, Medicaid for Aged, Blind and Disabled case records should contain documentation that verifications were done in preparation of the application and these items will agree to reports in the NC FAST system. In this process, the countable resources should be calculated correctly and agree back to the amounts in the NC FAST system. Any items discovered in the verification process should be considered countable or non-countable resources and explained within the documentation. The County agrees with the finding. See Corrective Action Plan in the following section. Ineffective record keeping and ineffective case review process, incomplete documentation, and incorrect application of rules for purposes of determining eligibility.
US Department of Health and Human Services Passed through the NC Department of Health and Human Services Program Name: Medicaid Assistance Program (Medicaid; Title XIX) AL # 93.778 Finding: 2023-002 Inaccurate Resource Calculation SIGNIFICANT DEFICENCY Eligibility Criteria: Condition: Questioned Cost: Context: Effect: Identification of a repeat finding: Cause: Recommendation: Files should be reviewed internally to ensure proper documentation is in place for eligibility. Workers should be retrained on what files should contain and the importance of complete and accurate record keeping. We recommend that all files include online verifications, documented resources of income and those amounts agree to information in NC FAST. The results found or documentation made in case notes should clearly indicate what actions were performed and the results of those actions. In accordance with Medicaid Manual MA-2230, Medicaid for Aged, Blind and Disabled case records should contain documentation that verifications were done in preparation of the application and these items will agree to reports in the NC FAST system. In this process, the countable resources should be calculated correctly and agree back to the amounts in the NC FAST system. Any items discovered in the verification process should be considered countable or non-countable resources and explained within the documentation. The County agrees with the finding. See Corrective Action Plan in the following section. Ineffective record keeping and ineffective case review process, incomplete documentation, and incorrect application of rules for purposes of determining eligibility. Section III - Federal Award Findings and Questioned Costs (Continued) Files should be reviewed internally to ensure proper documentation is in place for eligibility. Workers should be retrained on what files should contain and the importance of complete and accurate record keeping. We recommend that all files include online verifications, documented resources of income and those amounts agree to information in NC FAST. The results found or documentation made in case notes should clearly indicate what actions were performed and the results of those actions. There were 7 errors discovered during our procedures that resources in the county documentation and those same resources contained in NC FAST were not the same amounts or files containing resources were not properly documented to be considered countable or non-countable. There was no affect to eligibility and there were no questioned costs. We examined 60 cases from of a total of 896,867 Medicaid claims from the Medicaid beneficiary report provided by NC Department of Health and Human Services to re-determine eligibility. These findings are being reported with the financial statement audit as it relates to Medicaid administrative cost compliance audit. For those certifications/re-certifications there was a chance that information was not properly documented and reconciled to NC FAST and a participant could have been approved for benefits for which they were not eligible. Ineffective record keeping and ineffective case review process, incomplete documentation, and incorrect application of rules for purposes of determining eligibility. This is a repeat finding from the immediate previous audit, 2022-002. The County agrees with the finding. See Corrective Action Plan in the following section.
US Department of Health and Human Services Passed through the NC Department of Health and Human Services Program Name: Medicaid Assistance Program (Medicaid; Title XIX) AL # 93.778 Finding: 2023-003 Inadequate Request for Information SIGNIFICANT DEFICENCY Eligibility Criteria: Condition: Questioned Cost: Context: Effect: Identification of a repeat finding: Cause: Recommendation: Views of responsible officials and planned corrective actions: Program Name: Medical Assistance Program (Medicaid; Title XIX) AL # 93.778 None reported. Section V - Passenger Facility Charge Program Findings and Questioned Costs For those certifications/re-certifications there was a chance that information was not properly documented and reconciled to NC FAST and applicants could have been approved for benefits for which they were not eligible. Error in reading the ACTS report and/or ineffective case review process. Files should be reviewed internally to ensure proper information is in place and necessary procedures are taken when determine eligibility. The results found or documentation made in case notes should clearly indicate what actions were performed and the results of those actions. The County agrees with the finding. See Corrective Action Plan in the following section. This is a repeat finding from the immediate previous audit, 2022-004. We examined 60 cases from of a total of 896,867 Medicaid claims from the Medicaid beneficiary report provided by NC Department of Health and Human Services to re-determine eligibility. These findings are being reported with the financial statement audit as it relates to Medicaid administrative cost compliance audit. There were no known affects to eligibility and there were no known questioned costs. Section III - Federal Award Findings and Questioned Costs (Continued) SIGNIFICANT DEFICENCY: Finding 2023-001, 2023-002, and 2023-003 also apply to State requirements and State Awards. The County agrees with the finding. See Corrective Action Plan in the following section. Section IV - State Award Findings and Questioned Costs In accordance with 42 CFR 435, documentation must be obtained as needed to determine if a recipient meets specific standards, and documentation must be maintained to support eligibility determinations. Electronic matches are required at applications and redeterminations. There were 3 errors discovered during our procedures that inadequate information was requested at applications and/or redeterminations.