Audit 355386

FY End
2022-06-30
Total Expended
$5.52M
Findings
6
Programs
37
Organization: Caswell County (NC)
Year: 2022 Accepted: 2025-05-02

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
559158 2022-012 Significant Deficiency Yes E
559159 2022-013 Significant Deficiency Yes E
559160 2022-014 Significant Deficiency Yes E
1135600 2022-012 Significant Deficiency Yes E
1135601 2022-013 Significant Deficiency Yes E
1135602 2022-014 Significant Deficiency Yes E

Programs

ALN Program Spent Major Findings
14.871 Section 8 Housing Choice Vouchers $1.04M Yes 0
21.027 Coronavirus State and Local Fiscal Recovery Funds $1.00M Yes 0
93.568 Low-Income Home Energy Assistance $560,088 - 0
93.778 Medical Assistance Program $544,303 Yes 3
93.563 Child Support Services $314,430 - 0
93.558 Temporary Assistance for Needy Families $306,042 - 0
20.509 Formula Grants for Rural Areas and Tribal Transit Program $260,514 - 0
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $217,253 - 0
93.667 Social Services Block Grant $186,403 - 0
10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $150,706 - 0
93.658 Foster Care Title IV-E $122,175 - 0
10.557 Wic Special Supplemental Nutrition Program for Women, Infants, and Children $120,140 - 0
16.575 Crime Victim Assistance $97,829 - 0
93.596 Child Care Mandatory and Matching Funds of the Child Care and Development Fund $88,589 - 0
93.045 Special Programs for the Aging, Title Iii, Part C, Nutrition Services $84,866 - 0
97.042 Emergency Management Performance Grants $50,353 - 0
20.526 Buses and Bus Facilities Formula, Competitive, and Low Or No Emissions Programs $45,144 - 0
45.310 Grants to States $37,917 - 0
93.217 Family Planning Services $32,078 - 0
93.354 Public Health Emergency Response: Cooperative Agreement for Emergency Response: Public Health Crisis Response $31,190 - 0
93.069 Public Health Emergency Preparedness $30,720 - 0
93.053 Nutrition Services Incentive Program $25,449 - 0
93.391 Activities to Support State, Tribal, Local and Territorial (stlt) Health Department Response to Public Health Or Healthcare Crises $22,919 - 0
93.994 Maternal and Child Health Services Block Grant to the States $22,637 - 0
93.044 Special Programs for the Aging, Title Iii, Part B, Grants for Supportive Services and Senior Centers $22,255 - 0
93.000 Foster Care $20,221 - 0
93.268 Immunization Cooperative Agreements $17,328 - 0
93.052 National Family Caregiver Support, Title Iii, Part E $15,975 - 0
20.513 Enhanced Mobility of Seniors and Individuals with Disabilities $14,003 - 0
93.991 Preventive Health and Health Services Block Grant $10,378 - 0
93.767 Children's Health Insurance Program $6,925 - 0
93.556 Marylee Allen Promoting Safe and Stable Families Program $6,831 - 0
93.645 Stephanie Tubbs Jones Child Welfare Services Program $5,035 - 0
93.674 John H. Chafee Foster Care Program for Successful Transition to Adulthood $3,408 - 0
93.659 Adoption Assistance $871 - 0
93.977 Sexually Transmitted Diseases (std) Prevention and Control Grants $100 - 0
93.116 Project Grants and Cooperative Agreements for Tuberculosis Control Programs $50 - 0

Contacts

Name Title Type
JDJ7Y7CGYC86 Melissa Miller Auditee
3366944193 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

CASWELL COUNTY, NORTH CAROLINA Schedule of Findings and Questioned Costs For the Year Ended June 30, 2022 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: 2022-012 IV-D Non-Cooperation SIGNIFICANT DEFICIENCY Eligibility Criteria: Condition: Questioned Costs: Context: Effect: Identification of a repeat finding: Cause: Recommendation: Views of Responsible officials and corrective action plans: For those certifications/re-certifications there was a chance that information was not properly documented and reconciled to North Carolina Families Accessing Services through Technology (NC FAST) and a participant could have been approved for benefits for which they were not eligible. In accordance with the Medicaid Manual MA-3365, all Medicaid cases should be evaluated and referred to the Child Support Enforcement Agency (IV-D). The Child Support Enforcement Agency (IV-D) can assist the family in obtaining financial and/or medical support or medical support payments from the child’s non-custodial parent. Cooperation requirement with Social Services and Child Support Agencies must be met or good cause for not cooperating must be established when determine Medicaid eligibility. There was 2 errors discovered during our procedures that referrals between DSS and Child Support Agencies were not properly made. There was no known affect to eligibility and there were no known questioned costs. We examined 60 cases from of a total of 260,208 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. This is a repeat finding from the immediate previous audit, 2021-009 Human error in reading the Automated Collection and Tracking System (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 that clearly indicates what actions were performed and the results of those actions. The county agrees with the finding. Please refer to the corrective action plan for details. Section III. Federal Award Findings and Questioned Costs (continued) 127
CASWELL COUNTY, NORTH CAROLINA Schedule of Findings and Questioned Costs For the Year Ended June 30, 2022 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: 2022-013 Inaccurate Information Entry NONCOMPLIANCE / SIGNIFICANT DEFICIENCY Eligibility Criteria: Condition: Questioned Costs: Context: Effect: Identification of a repeat finding: Cause: Recommendation: Views of Responsible officials and corrective action plans: For those certifications/re-certifications there was a chance that information was not properly documented and reconciled to North Carolina Families Accessing Services through Technology (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, 2021-010. Section III. Federal Award Findings and Questioned Costs (continued) There was no known affect to eligibility and there were no known questioned costs. We examined 60 cases from of a total of 260,208 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. The county agrees with the finding. Please refer to the corrective action plan for details. 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 42 CFR 435, documentation must be obtained as needed to determine if a recipient meets specific income 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. There were 10 errors discovered during our procedures that inaccurate information was entered when determining eligibility. One applicant received assistance after moved out of State. 128
CASWELL COUNTY, NORTH CAROLINA Schedule of Findings and Questioned Costs For the Year Ended June 30, 2022 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: 2022-014 Inadequate Request for Information SIGNIFICANT DEFICIENCY Eligibility Criteria: Condition: Questioned Costs: Context: Effect: Identification of a repeat finding: Cause: Recommendation: Views of Responsible officials and corrective action plans: Program Name: Medical Assistance Program (Medicaid; Title XIX) AL #: 93.778 There was no known affect to eligibility and there were no known questioned costs. We examined 60 cases from of a total of 260,208 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. The county agrees with the finding. Please refer to the corrective action plan for details. SIGNIFICANT DEFICENCY: Findings 2022-012, 2022-013, 2022-014 also apply to State requirements and State Awards. This is a repeat finding from the immediate previous audit, 2021-012. Section IV. State Award Findings and Questioned Costs 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. For those certifications/re-certifications there was a chance that information was not properly documented and reconciled to North Carolina Families Accessing Services through Technology (NC FAST) and a participant could have been approved for benefits for which they were not eligible. 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. Ineffective record keeping and ineffective case review process, incomplete documentation, and incorrect application of rules for purposes of determining eligibility. 129
CASWELL COUNTY, NORTH CAROLINA Schedule of Findings and Questioned Costs For the Year Ended June 30, 2022 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: 2022-012 IV-D Non-Cooperation SIGNIFICANT DEFICIENCY Eligibility Criteria: Condition: Questioned Costs: Context: Effect: Identification of a repeat finding: Cause: Recommendation: Views of Responsible officials and corrective action plans: For those certifications/re-certifications there was a chance that information was not properly documented and reconciled to North Carolina Families Accessing Services through Technology (NC FAST) and a participant could have been approved for benefits for which they were not eligible. In accordance with the Medicaid Manual MA-3365, all Medicaid cases should be evaluated and referred to the Child Support Enforcement Agency (IV-D). The Child Support Enforcement Agency (IV-D) can assist the family in obtaining financial and/or medical support or medical support payments from the child’s non-custodial parent. Cooperation requirement with Social Services and Child Support Agencies must be met or good cause for not cooperating must be established when determine Medicaid eligibility. There was 2 errors discovered during our procedures that referrals between DSS and Child Support Agencies were not properly made. There was no known affect to eligibility and there were no known questioned costs. We examined 60 cases from of a total of 260,208 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. This is a repeat finding from the immediate previous audit, 2021-009 Human error in reading the Automated Collection and Tracking System (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 that clearly indicates what actions were performed and the results of those actions. The county agrees with the finding. Please refer to the corrective action plan for details. Section III. Federal Award Findings and Questioned Costs (continued) 127
CASWELL COUNTY, NORTH CAROLINA Schedule of Findings and Questioned Costs For the Year Ended June 30, 2022 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: 2022-013 Inaccurate Information Entry NONCOMPLIANCE / SIGNIFICANT DEFICIENCY Eligibility Criteria: Condition: Questioned Costs: Context: Effect: Identification of a repeat finding: Cause: Recommendation: Views of Responsible officials and corrective action plans: For those certifications/re-certifications there was a chance that information was not properly documented and reconciled to North Carolina Families Accessing Services through Technology (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, 2021-010. Section III. Federal Award Findings and Questioned Costs (continued) There was no known affect to eligibility and there were no known questioned costs. We examined 60 cases from of a total of 260,208 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. The county agrees with the finding. Please refer to the corrective action plan for details. 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 42 CFR 435, documentation must be obtained as needed to determine if a recipient meets specific income 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. There were 10 errors discovered during our procedures that inaccurate information was entered when determining eligibility. One applicant received assistance after moved out of State. 128
CASWELL COUNTY, NORTH CAROLINA Schedule of Findings and Questioned Costs For the Year Ended June 30, 2022 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: 2022-014 Inadequate Request for Information SIGNIFICANT DEFICIENCY Eligibility Criteria: Condition: Questioned Costs: Context: Effect: Identification of a repeat finding: Cause: Recommendation: Views of Responsible officials and corrective action plans: Program Name: Medical Assistance Program (Medicaid; Title XIX) AL #: 93.778 There was no known affect to eligibility and there were no known questioned costs. We examined 60 cases from of a total of 260,208 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. The county agrees with the finding. Please refer to the corrective action plan for details. SIGNIFICANT DEFICENCY: Findings 2022-012, 2022-013, 2022-014 also apply to State requirements and State Awards. This is a repeat finding from the immediate previous audit, 2021-012. Section IV. State Award Findings and Questioned Costs 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. For those certifications/re-certifications there was a chance that information was not properly documented and reconciled to North Carolina Families Accessing Services through Technology (NC FAST) and a participant could have been approved for benefits for which they were not eligible. 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. Ineffective record keeping and ineffective case review process, incomplete documentation, and incorrect application of rules for purposes of determining eligibility. 129