Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Program Name: Low-Income Home Energy Assistance Federal Assistance Listing Number: 93.568 Program Name: Supplemental Nutrition Assistance Program Federal Assistance Listing Number: 10.561 Program Name: Temporary Assistance for Needy Families Federal Assistance Listing Number: 93.558 Program Name: Work First ? Child Support Enforcement Federal Assistance Listing Number: 93.563 Department of Social Services ? Crosscutting Significant Deficiency and Nonmaterial Noncompliance ? Special Test and Provisions Finding 2022-003 Criteria or Specific Requirement: As required by OMB Circular A-87, indirect cost amounts should be reported on the DSS-1571 accurately according to the amounts and codes indicated in the Indirect Cost Plan. Condition: The County had utilized their fiscal year 2021 cost allocation plan for reporting indirect costs on the Form 1571 for fiscal year 2022. Context: The County had reported the incorrect monthly indirect costs amount for all 12 months of fiscal year 2022. Questioned Costs: The following programs had known questioned costs in excess of $25,000 each: Medical Assistance: $121,224.91 Low-Income Home Energy Assistance: $32,161,68 Supplemental Nutrition Assistance Program: $46,541.36 Temporary Assistance for Needy Families: $40,770.93 Child Support Enforcement: $26,111.14 As 100% of questioned costs were identified for this issue, there are no likely questioned costs to report. Effect: The County, after considering local matching requirements, received $266,810 in additional reimbursements during fiscal year 2022 by utilizing the fiscal year 2021 cost allocation plan. Cause: The County had inadvertently continued to use the prior-year cost allocation plan for the current fiscal year. Recommendation: We recommend the County design and implement additional controls to ensure the correct cost allocation plan is utilized before filing its monthly Form 1571. Views of Responsible Officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Program Name: Low-Income Home Energy Assistance Federal Assistance Listing Number: 93.568 Program Name: Supplemental Nutrition Assistance Program Federal Assistance Listing Number: 10.561 Program Name: Temporary Assistance for Needy Families Federal Assistance Listing Number: 93.558 Program Name: Work First ? Child Support Enforcement Federal Assistance Listing Number: 93.563 Department of Social Services ? Crosscutting Significant Deficiency and Nonmaterial Noncompliance ? Special Test and Provisions Finding 2022-003 Criteria or Specific Requirement: As required by OMB Circular A-87, indirect cost amounts should be reported on the DSS-1571 accurately according to the amounts and codes indicated in the Indirect Cost Plan. Condition: The County had utilized their fiscal year 2021 cost allocation plan for reporting indirect costs on the Form 1571 for fiscal year 2022. Context: The County had reported the incorrect monthly indirect costs amount for all 12 months of fiscal year 2022. Questioned Costs: The following programs had known questioned costs in excess of $25,000 each: Medical Assistance: $121,224.91 Low-Income Home Energy Assistance: $32,161,68 Supplemental Nutrition Assistance Program: $46,541.36 Temporary Assistance for Needy Families: $40,770.93 Child Support Enforcement: $26,111.14 As 100% of questioned costs were identified for this issue, there are no likely questioned costs to report. Effect: The County, after considering local matching requirements, received $266,810 in additional reimbursements during fiscal year 2022 by utilizing the fiscal year 2021 cost allocation plan. Cause: The County had inadvertently continued to use the prior-year cost allocation plan for the current fiscal year. Recommendation: We recommend the County design and implement additional controls to ensure the correct cost allocation plan is utilized before filing its monthly Form 1571. Views of Responsible Officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Program Name: Low-Income Home Energy Assistance Federal Assistance Listing Number: 93.568 Program Name: Supplemental Nutrition Assistance Program Federal Assistance Listing Number: 10.561 Program Name: Temporary Assistance for Needy Families Federal Assistance Listing Number: 93.558 Program Name: Work First ? Child Support Enforcement Federal Assistance Listing Number: 93.563 Department of Social Services ? Crosscutting Significant Deficiency and Nonmaterial Noncompliance ? Special Test and Provisions Finding 2022-003 Criteria or Specific Requirement: As required by OMB Circular A-87, indirect cost amounts should be reported on the DSS-1571 accurately according to the amounts and codes indicated in the Indirect Cost Plan. Condition: The County had utilized their fiscal year 2021 cost allocation plan for reporting indirect costs on the Form 1571 for fiscal year 2022. Context: The County had reported the incorrect monthly indirect costs amount for all 12 months of fiscal year 2022. Questioned Costs: The following programs had known questioned costs in excess of $25,000 each: Medical Assistance: $121,224.91 Low-Income Home Energy Assistance: $32,161,68 Supplemental Nutrition Assistance Program: $46,541.36 Temporary Assistance for Needy Families: $40,770.93 Child Support Enforcement: $26,111.14 As 100% of questioned costs were identified for this issue, there are no likely questioned costs to report. Effect: The County, after considering local matching requirements, received $266,810 in additional reimbursements during fiscal year 2022 by utilizing the fiscal year 2021 cost allocation plan. Cause: The County had inadvertently continued to use the prior-year cost allocation plan for the current fiscal year. Recommendation: We recommend the County design and implement additional controls to ensure the correct cost allocation plan is utilized before filing its monthly Form 1571. Views of Responsible Officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Program Name: Low-Income Home Energy Assistance Federal Assistance Listing Number: 93.568 Program Name: Supplemental Nutrition Assistance Program Federal Assistance Listing Number: 10.561 Program Name: Temporary Assistance for Needy Families Federal Assistance Listing Number: 93.558 Program Name: Work First ? Child Support Enforcement Federal Assistance Listing Number: 93.563 Department of Social Services ? Crosscutting Significant Deficiency and Nonmaterial Noncompliance ? Special Test and Provisions Finding 2022-003 Criteria or Specific Requirement: As required by OMB Circular A-87, indirect cost amounts should be reported on the DSS-1571 accurately according to the amounts and codes indicated in the Indirect Cost Plan. Condition: The County had utilized their fiscal year 2021 cost allocation plan for reporting indirect costs on the Form 1571 for fiscal year 2022. Context: The County had reported the incorrect monthly indirect costs amount for all 12 months of fiscal year 2022. Questioned Costs: The following programs had known questioned costs in excess of $25,000 each: Medical Assistance: $121,224.91 Low-Income Home Energy Assistance: $32,161,68 Supplemental Nutrition Assistance Program: $46,541.36 Temporary Assistance for Needy Families: $40,770.93 Child Support Enforcement: $26,111.14 As 100% of questioned costs were identified for this issue, there are no likely questioned costs to report. Effect: The County, after considering local matching requirements, received $266,810 in additional reimbursements during fiscal year 2022 by utilizing the fiscal year 2021 cost allocation plan. Cause: The County had inadvertently continued to use the prior-year cost allocation plan for the current fiscal year. Recommendation: We recommend the County design and implement additional controls to ensure the correct cost allocation plan is utilized before filing its monthly Form 1571. Views of Responsible Officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Program Name: Low-Income Home Energy Assistance Federal Assistance Listing Number: 93.568 Program Name: Supplemental Nutrition Assistance Program Federal Assistance Listing Number: 10.561 Program Name: Temporary Assistance for Needy Families Federal Assistance Listing Number: 93.558 Program Name: Work First ? Child Support Enforcement Federal Assistance Listing Number: 93.563 Department of Social Services ? Crosscutting Significant Deficiency and Nonmaterial Noncompliance ? Special Test and Provisions Finding 2022-003 Criteria or Specific Requirement: As required by OMB Circular A-87, indirect cost amounts should be reported on the DSS-1571 accurately according to the amounts and codes indicated in the Indirect Cost Plan. Condition: The County had utilized their fiscal year 2021 cost allocation plan for reporting indirect costs on the Form 1571 for fiscal year 2022. Context: The County had reported the incorrect monthly indirect costs amount for all 12 months of fiscal year 2022. Questioned Costs: The following programs had known questioned costs in excess of $25,000 each: Medical Assistance: $121,224.91 Low-Income Home Energy Assistance: $32,161,68 Supplemental Nutrition Assistance Program: $46,541.36 Temporary Assistance for Needy Families: $40,770.93 Child Support Enforcement: $26,111.14 As 100% of questioned costs were identified for this issue, there are no likely questioned costs to report. Effect: The County, after considering local matching requirements, received $266,810 in additional reimbursements during fiscal year 2022 by utilizing the fiscal year 2021 cost allocation plan. Cause: The County had inadvertently continued to use the prior-year cost allocation plan for the current fiscal year. Recommendation: We recommend the County design and implement additional controls to ensure the correct cost allocation plan is utilized before filing its monthly Form 1571. Views of Responsible Officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Program Name: Low-Income Home Energy Assistance Federal Assistance Listing Number: 93.568 Program Name: Supplemental Nutrition Assistance Program Federal Assistance Listing Number: 10.561 Program Name: Temporary Assistance for Needy Families Federal Assistance Listing Number: 93.558 Program Name: Work First ? Child Support Enforcement Federal Assistance Listing Number: 93.563 Department of Social Services ? Crosscutting Significant Deficiency and Nonmaterial Noncompliance ? Special Test and Provisions Finding 2022-003 Criteria or Specific Requirement: As required by OMB Circular A-87, indirect cost amounts should be reported on the DSS-1571 accurately according to the amounts and codes indicated in the Indirect Cost Plan. Condition: The County had utilized their fiscal year 2021 cost allocation plan for reporting indirect costs on the Form 1571 for fiscal year 2022. Context: The County had reported the incorrect monthly indirect costs amount for all 12 months of fiscal year 2022. Questioned Costs: The following programs had known questioned costs in excess of $25,000 each: Medical Assistance: $121,224.91 Low-Income Home Energy Assistance: $32,161,68 Supplemental Nutrition Assistance Program: $46,541.36 Temporary Assistance for Needy Families: $40,770.93 Child Support Enforcement: $26,111.14 As 100% of questioned costs were identified for this issue, there are no likely questioned costs to report. Effect: The County, after considering local matching requirements, received $266,810 in additional reimbursements during fiscal year 2022 by utilizing the fiscal year 2021 cost allocation plan. Cause: The County had inadvertently continued to use the prior-year cost allocation plan for the current fiscal year. Recommendation: We recommend the County design and implement additional controls to ensure the correct cost allocation plan is utilized before filing its monthly Form 1571. Views of Responsible Officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Program Name: Low-Income Home Energy Assistance Federal Assistance Listing Number: 93.568 Program Name: Supplemental Nutrition Assistance Program Federal Assistance Listing Number: 10.561 Program Name: Temporary Assistance for Needy Families Federal Assistance Listing Number: 93.558 Program Name: Work First ? Child Support Enforcement Federal Assistance Listing Number: 93.563 Department of Social Services ? Crosscutting Significant Deficiency and Nonmaterial Noncompliance ? Special Test and Provisions Finding 2022-003 Criteria or Specific Requirement: As required by OMB Circular A-87, indirect cost amounts should be reported on the DSS-1571 accurately according to the amounts and codes indicated in the Indirect Cost Plan. Condition: The County had utilized their fiscal year 2021 cost allocation plan for reporting indirect costs on the Form 1571 for fiscal year 2022. Context: The County had reported the incorrect monthly indirect costs amount for all 12 months of fiscal year 2022. Questioned Costs: The following programs had known questioned costs in excess of $25,000 each: Medical Assistance: $121,224.91 Low-Income Home Energy Assistance: $32,161,68 Supplemental Nutrition Assistance Program: $46,541.36 Temporary Assistance for Needy Families: $40,770.93 Child Support Enforcement: $26,111.14 As 100% of questioned costs were identified for this issue, there are no likely questioned costs to report. Effect: The County, after considering local matching requirements, received $266,810 in additional reimbursements during fiscal year 2022 by utilizing the fiscal year 2021 cost allocation plan. Cause: The County had inadvertently continued to use the prior-year cost allocation plan for the current fiscal year. Recommendation: We recommend the County design and implement additional controls to ensure the correct cost allocation plan is utilized before filing its monthly Form 1571. Views of Responsible Officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Program Name: Low-Income Home Energy Assistance Federal Assistance Listing Number: 93.568 Program Name: Supplemental Nutrition Assistance Program Federal Assistance Listing Number: 10.561 Program Name: Temporary Assistance for Needy Families Federal Assistance Listing Number: 93.558 Program Name: Work First ? Child Support Enforcement Federal Assistance Listing Number: 93.563 Department of Social Services ? Crosscutting Significant Deficiency and Nonmaterial Noncompliance ? Special Test and Provisions Finding 2022-003 Criteria or Specific Requirement: As required by OMB Circular A-87, indirect cost amounts should be reported on the DSS-1571 accurately according to the amounts and codes indicated in the Indirect Cost Plan. Condition: The County had utilized their fiscal year 2021 cost allocation plan for reporting indirect costs on the Form 1571 for fiscal year 2022. Context: The County had reported the incorrect monthly indirect costs amount for all 12 months of fiscal year 2022. Questioned Costs: The following programs had known questioned costs in excess of $25,000 each: Medical Assistance: $121,224.91 Low-Income Home Energy Assistance: $32,161,68 Supplemental Nutrition Assistance Program: $46,541.36 Temporary Assistance for Needy Families: $40,770.93 Child Support Enforcement: $26,111.14 As 100% of questioned costs were identified for this issue, there are no likely questioned costs to report. Effect: The County, after considering local matching requirements, received $266,810 in additional reimbursements during fiscal year 2022 by utilizing the fiscal year 2021 cost allocation plan. Cause: The County had inadvertently continued to use the prior-year cost allocation plan for the current fiscal year. Recommendation: We recommend the County design and implement additional controls to ensure the correct cost allocation plan is utilized before filing its monthly Form 1571. Views of Responsible Officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
U.S. Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Material Weakness and Nonmaterial Noncompliance ? Eligibility Finding 2022-002 ? Repeat Finding Criteria or Specific Requirement: The County should have adequate documentation for each participant that supports each eligibility determination and the information entered into NC FAST. We noted several errors related to the following compliance criteria: a) At the time of each initial application or annual redetermination of benefits for Medical Assistance, self-attest wages should be verified, documented, and entered correctly into the budget in order to determine if the participant is eligible to receive benefits. b) At the time of each initial application or annual redetermination of benefits for Medical Assistance, the household count documented in NC FAST should be agreed to supporting documentation. c) At the time of each initial application or annual redetermination of benefits for Medical Assistance, either citizenship/identity documentation or alien status documentation (if non-citizen) existed in NC FAST. d) At the time of each initial application or annual redetermination of benefits for Medical Assistance, the caseworker should review the Register of Deeds for aged, blind, or disabled cases, or for MQB program cases, to verify property owned by the participant and this information should be entered into the NC FAST system. Condition: The following are the results for each criteria listed above out of the 60 program participants selected for testing: a) There were two instances where there was a computation error for income reported in NC FAST. b) There was one instance where the supporting documentation related to household count did not support the information entered into NC FAST. c) There was one instances where citizenship was not verified. d) There was one instance where the Register of Deeds was not run. Context: We sampled 60 cases from a total population of 40,798 cases made to the participants during the fiscal year. There were 5 out of 60 unique participants tested with the errors noted above, in which one was determined to have been improperly determined eligible. Questioned Costs: We noted a total of $8,215 in questioned costs related to improper eligibility determination related to item ?c? noted above. Total claims tested totaled $1,803,371 and so the projected questioned costs were a calculated 0.84% error rate. Effect: By not having the required documentation in the files or information being incorrectly documented, eligibility cannot be readily substantiated and there is a risk the County could provide funding to individuals who are not eligible. Cause: County oversight when performing eligibility determinations. Recommendation: The County should review their processes to ensure proper supporting documentation of eligibility is maintained within each case file, caseworkers have proper training, and the number of quality reviews is sufficient. Additionally, the County should continue to work toward filling vacancies in the Family and Children?s Medicaid Units. Views of responsible officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Program Name: Low-Income Home Energy Assistance Federal Assistance Listing Number: 93.568 Program Name: Supplemental Nutrition Assistance Program Federal Assistance Listing Number: 10.561 Program Name: Temporary Assistance for Needy Families Federal Assistance Listing Number: 93.558 Program Name: Work First ? Child Support Enforcement Federal Assistance Listing Number: 93.563 Department of Social Services ? Crosscutting Significant Deficiency and Nonmaterial Noncompliance ? Special Test and Provisions Finding 2022-003 Criteria or Specific Requirement: As required by OMB Circular A-87, indirect cost amounts should be reported on the DSS-1571 accurately according to the amounts and codes indicated in the Indirect Cost Plan. Condition: The County had utilized their fiscal year 2021 cost allocation plan for reporting indirect costs on the Form 1571 for fiscal year 2022. Context: The County had reported the incorrect monthly indirect costs amount for all 12 months of fiscal year 2022. Questioned Costs: The following programs had known questioned costs in excess of $25,000 each: Medical Assistance: $121,224.91 Low-Income Home Energy Assistance: $32,161,68 Supplemental Nutrition Assistance Program: $46,541.36 Temporary Assistance for Needy Families: $40,770.93 Child Support Enforcement: $26,111.14 As 100% of questioned costs were identified for this issue, there are no likely questioned costs to report. Effect: The County, after considering local matching requirements, received $266,810 in additional reimbursements during fiscal year 2022 by utilizing the fiscal year 2021 cost allocation plan. Cause: The County had inadvertently continued to use the prior-year cost allocation plan for the current fiscal year. Recommendation: We recommend the County design and implement additional controls to ensure the correct cost allocation plan is utilized before filing its monthly Form 1571. Views of Responsible Officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Program Name: Low-Income Home Energy Assistance Federal Assistance Listing Number: 93.568 Program Name: Supplemental Nutrition Assistance Program Federal Assistance Listing Number: 10.561 Program Name: Temporary Assistance for Needy Families Federal Assistance Listing Number: 93.558 Program Name: Work First ? Child Support Enforcement Federal Assistance Listing Number: 93.563 Department of Social Services ? Crosscutting Significant Deficiency and Nonmaterial Noncompliance ? Special Test and Provisions Finding 2022-003 Criteria or Specific Requirement: As required by OMB Circular A-87, indirect cost amounts should be reported on the DSS-1571 accurately according to the amounts and codes indicated in the Indirect Cost Plan. Condition: The County had utilized their fiscal year 2021 cost allocation plan for reporting indirect costs on the Form 1571 for fiscal year 2022. Context: The County had reported the incorrect monthly indirect costs amount for all 12 months of fiscal year 2022. Questioned Costs: The following programs had known questioned costs in excess of $25,000 each: Medical Assistance: $121,224.91 Low-Income Home Energy Assistance: $32,161,68 Supplemental Nutrition Assistance Program: $46,541.36 Temporary Assistance for Needy Families: $40,770.93 Child Support Enforcement: $26,111.14 As 100% of questioned costs were identified for this issue, there are no likely questioned costs to report. Effect: The County, after considering local matching requirements, received $266,810 in additional reimbursements during fiscal year 2022 by utilizing the fiscal year 2021 cost allocation plan. Cause: The County had inadvertently continued to use the prior-year cost allocation plan for the current fiscal year. Recommendation: We recommend the County design and implement additional controls to ensure the correct cost allocation plan is utilized before filing its monthly Form 1571. Views of Responsible Officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Program Name: Low-Income Home Energy Assistance Federal Assistance Listing Number: 93.568 Program Name: Supplemental Nutrition Assistance Program Federal Assistance Listing Number: 10.561 Program Name: Temporary Assistance for Needy Families Federal Assistance Listing Number: 93.558 Program Name: Work First ? Child Support Enforcement Federal Assistance Listing Number: 93.563 Department of Social Services ? Crosscutting Significant Deficiency and Nonmaterial Noncompliance ? Special Test and Provisions Finding 2022-003 Criteria or Specific Requirement: As required by OMB Circular A-87, indirect cost amounts should be reported on the DSS-1571 accurately according to the amounts and codes indicated in the Indirect Cost Plan. Condition: The County had utilized their fiscal year 2021 cost allocation plan for reporting indirect costs on the Form 1571 for fiscal year 2022. Context: The County had reported the incorrect monthly indirect costs amount for all 12 months of fiscal year 2022. Questioned Costs: The following programs had known questioned costs in excess of $25,000 each: Medical Assistance: $121,224.91 Low-Income Home Energy Assistance: $32,161,68 Supplemental Nutrition Assistance Program: $46,541.36 Temporary Assistance for Needy Families: $40,770.93 Child Support Enforcement: $26,111.14 As 100% of questioned costs were identified for this issue, there are no likely questioned costs to report. Effect: The County, after considering local matching requirements, received $266,810 in additional reimbursements during fiscal year 2022 by utilizing the fiscal year 2021 cost allocation plan. Cause: The County had inadvertently continued to use the prior-year cost allocation plan for the current fiscal year. Recommendation: We recommend the County design and implement additional controls to ensure the correct cost allocation plan is utilized before filing its monthly Form 1571. Views of Responsible Officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Program Name: Low-Income Home Energy Assistance Federal Assistance Listing Number: 93.568 Program Name: Supplemental Nutrition Assistance Program Federal Assistance Listing Number: 10.561 Program Name: Temporary Assistance for Needy Families Federal Assistance Listing Number: 93.558 Program Name: Work First ? Child Support Enforcement Federal Assistance Listing Number: 93.563 Department of Social Services ? Crosscutting Significant Deficiency and Nonmaterial Noncompliance ? Special Test and Provisions Finding 2022-003 Criteria or Specific Requirement: As required by OMB Circular A-87, indirect cost amounts should be reported on the DSS-1571 accurately according to the amounts and codes indicated in the Indirect Cost Plan. Condition: The County had utilized their fiscal year 2021 cost allocation plan for reporting indirect costs on the Form 1571 for fiscal year 2022. Context: The County had reported the incorrect monthly indirect costs amount for all 12 months of fiscal year 2022. Questioned Costs: The following programs had known questioned costs in excess of $25,000 each: Medical Assistance: $121,224.91 Low-Income Home Energy Assistance: $32,161,68 Supplemental Nutrition Assistance Program: $46,541.36 Temporary Assistance for Needy Families: $40,770.93 Child Support Enforcement: $26,111.14 As 100% of questioned costs were identified for this issue, there are no likely questioned costs to report. Effect: The County, after considering local matching requirements, received $266,810 in additional reimbursements during fiscal year 2022 by utilizing the fiscal year 2021 cost allocation plan. Cause: The County had inadvertently continued to use the prior-year cost allocation plan for the current fiscal year. Recommendation: We recommend the County design and implement additional controls to ensure the correct cost allocation plan is utilized before filing its monthly Form 1571. Views of Responsible Officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Program Name: Low-Income Home Energy Assistance Federal Assistance Listing Number: 93.568 Program Name: Supplemental Nutrition Assistance Program Federal Assistance Listing Number: 10.561 Program Name: Temporary Assistance for Needy Families Federal Assistance Listing Number: 93.558 Program Name: Work First ? Child Support Enforcement Federal Assistance Listing Number: 93.563 Department of Social Services ? Crosscutting Significant Deficiency and Nonmaterial Noncompliance ? Special Test and Provisions Finding 2022-003 Criteria or Specific Requirement: As required by OMB Circular A-87, indirect cost amounts should be reported on the DSS-1571 accurately according to the amounts and codes indicated in the Indirect Cost Plan. Condition: The County had utilized their fiscal year 2021 cost allocation plan for reporting indirect costs on the Form 1571 for fiscal year 2022. Context: The County had reported the incorrect monthly indirect costs amount for all 12 months of fiscal year 2022. Questioned Costs: The following programs had known questioned costs in excess of $25,000 each: Medical Assistance: $121,224.91 Low-Income Home Energy Assistance: $32,161,68 Supplemental Nutrition Assistance Program: $46,541.36 Temporary Assistance for Needy Families: $40,770.93 Child Support Enforcement: $26,111.14 As 100% of questioned costs were identified for this issue, there are no likely questioned costs to report. Effect: The County, after considering local matching requirements, received $266,810 in additional reimbursements during fiscal year 2022 by utilizing the fiscal year 2021 cost allocation plan. Cause: The County had inadvertently continued to use the prior-year cost allocation plan for the current fiscal year. Recommendation: We recommend the County design and implement additional controls to ensure the correct cost allocation plan is utilized before filing its monthly Form 1571. Views of Responsible Officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Program Name: Low-Income Home Energy Assistance Federal Assistance Listing Number: 93.568 Program Name: Supplemental Nutrition Assistance Program Federal Assistance Listing Number: 10.561 Program Name: Temporary Assistance for Needy Families Federal Assistance Listing Number: 93.558 Program Name: Work First ? Child Support Enforcement Federal Assistance Listing Number: 93.563 Department of Social Services ? Crosscutting Significant Deficiency and Nonmaterial Noncompliance ? Special Test and Provisions Finding 2022-003 Criteria or Specific Requirement: As required by OMB Circular A-87, indirect cost amounts should be reported on the DSS-1571 accurately according to the amounts and codes indicated in the Indirect Cost Plan. Condition: The County had utilized their fiscal year 2021 cost allocation plan for reporting indirect costs on the Form 1571 for fiscal year 2022. Context: The County had reported the incorrect monthly indirect costs amount for all 12 months of fiscal year 2022. Questioned Costs: The following programs had known questioned costs in excess of $25,000 each: Medical Assistance: $121,224.91 Low-Income Home Energy Assistance: $32,161,68 Supplemental Nutrition Assistance Program: $46,541.36 Temporary Assistance for Needy Families: $40,770.93 Child Support Enforcement: $26,111.14 As 100% of questioned costs were identified for this issue, there are no likely questioned costs to report. Effect: The County, after considering local matching requirements, received $266,810 in additional reimbursements during fiscal year 2022 by utilizing the fiscal year 2021 cost allocation plan. Cause: The County had inadvertently continued to use the prior-year cost allocation plan for the current fiscal year. Recommendation: We recommend the County design and implement additional controls to ensure the correct cost allocation plan is utilized before filing its monthly Form 1571. Views of Responsible Officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
U.S. Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Material Weakness and Nonmaterial Noncompliance ? Eligibility Finding 2022-002 ? Repeat Finding Criteria or Specific Requirement: The County should have adequate documentation for each participant that supports each eligibility determination and the information entered into NC FAST. We noted several errors related to the following compliance criteria: a) At the time of each initial application or annual redetermination of benefits for Medical Assistance, self-attest wages should be verified, documented, and entered correctly into the budget in order to determine if the participant is eligible to receive benefits. b) At the time of each initial application or annual redetermination of benefits for Medical Assistance, the household count documented in NC FAST should be agreed to supporting documentation. c) At the time of each initial application or annual redetermination of benefits for Medical Assistance, either citizenship/identity documentation or alien status documentation (if non-citizen) existed in NC FAST. d) At the time of each initial application or annual redetermination of benefits for Medical Assistance, the caseworker should review the Register of Deeds for aged, blind, or disabled cases, or for MQB program cases, to verify property owned by the participant and this information should be entered into the NC FAST system. Condition: The following are the results for each criteria listed above out of the 60 program participants selected for testing: a) There were two instances where there was a computation error for income reported in NC FAST. b) There was one instance where the supporting documentation related to household count did not support the information entered into NC FAST. c) There was one instances where citizenship was not verified. d) There was one instance where the Register of Deeds was not run. Context: We sampled 60 cases from a total population of 40,798 cases made to the participants during the fiscal year. There were 5 out of 60 unique participants tested with the errors noted above, in which one was determined to have been improperly determined eligible. Questioned Costs: We noted a total of $8,215 in questioned costs related to improper eligibility determination related to item ?c? noted above. Total claims tested totaled $1,803,371 and so the projected questioned costs were a calculated 0.84% error rate. Effect: By not having the required documentation in the files or information being incorrectly documented, eligibility cannot be readily substantiated and there is a risk the County could provide funding to individuals who are not eligible. Cause: County oversight when performing eligibility determinations. Recommendation: The County should review their processes to ensure proper supporting documentation of eligibility is maintained within each case file, caseworkers have proper training, and the number of quality reviews is sufficient. Additionally, the County should continue to work toward filling vacancies in the Family and Children?s Medicaid Units. Views of responsible officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Program Name: Low-Income Home Energy Assistance Federal Assistance Listing Number: 93.568 Program Name: Supplemental Nutrition Assistance Program Federal Assistance Listing Number: 10.561 Program Name: Temporary Assistance for Needy Families Federal Assistance Listing Number: 93.558 Program Name: Work First ? Child Support Enforcement Federal Assistance Listing Number: 93.563 Department of Social Services ? Crosscutting Significant Deficiency and Nonmaterial Noncompliance ? Special Test and Provisions Finding 2022-003 Criteria or Specific Requirement: As required by OMB Circular A-87, indirect cost amounts should be reported on the DSS-1571 accurately according to the amounts and codes indicated in the Indirect Cost Plan. Condition: The County had utilized their fiscal year 2021 cost allocation plan for reporting indirect costs on the Form 1571 for fiscal year 2022. Context: The County had reported the incorrect monthly indirect costs amount for all 12 months of fiscal year 2022. Questioned Costs: The following programs had known questioned costs in excess of $25,000 each: Medical Assistance: $121,224.91 Low-Income Home Energy Assistance: $32,161,68 Supplemental Nutrition Assistance Program: $46,541.36 Temporary Assistance for Needy Families: $40,770.93 Child Support Enforcement: $26,111.14 As 100% of questioned costs were identified for this issue, there are no likely questioned costs to report. Effect: The County, after considering local matching requirements, received $266,810 in additional reimbursements during fiscal year 2022 by utilizing the fiscal year 2021 cost allocation plan. Cause: The County had inadvertently continued to use the prior-year cost allocation plan for the current fiscal year. Recommendation: We recommend the County design and implement additional controls to ensure the correct cost allocation plan is utilized before filing its monthly Form 1571. Views of Responsible Officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
U.S. Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Material Weakness and Nonmaterial Noncompliance ? Eligibility Finding 2022-002 ? Repeat Finding Criteria or Specific Requirement: The County should have adequate documentation for each participant that supports each eligibility determination and the information entered into NC FAST. We noted several errors related to the following compliance criteria: a) At the time of each initial application or annual redetermination of benefits for Medical Assistance, self-attest wages should be verified, documented, and entered correctly into the budget in order to determine if the participant is eligible to receive benefits. b) At the time of each initial application or annual redetermination of benefits for Medical Assistance, the household count documented in NC FAST should be agreed to supporting documentation. c) At the time of each initial application or annual redetermination of benefits for Medical Assistance, either citizenship/identity documentation or alien status documentation (if non-citizen) existed in NC FAST. d) At the time of each initial application or annual redetermination of benefits for Medical Assistance, the caseworker should review the Register of Deeds for aged, blind, or disabled cases, or for MQB program cases, to verify property owned by the participant and this information should be entered into the NC FAST system. Condition: The following are the results for each criteria listed above out of the 60 program participants selected for testing: a) There were two instances where there was a computation error for income reported in NC FAST. b) There was one instance where the supporting documentation related to household count did not support the information entered into NC FAST. c) There was one instances where citizenship was not verified. d) There was one instance where the Register of Deeds was not run. Context: We sampled 60 cases from a total population of 40,798 cases made to the participants during the fiscal year. There were 5 out of 60 unique participants tested with the errors noted above, in which one was determined to have been improperly determined eligible. Questioned Costs: We noted a total of $8,215 in questioned costs related to improper eligibility determination related to item ?c? noted above. Total claims tested totaled $1,803,371 and so the projected questioned costs were a calculated 0.84% error rate. Effect: By not having the required documentation in the files or information being incorrectly documented, eligibility cannot be readily substantiated and there is a risk the County could provide funding to individuals who are not eligible. Cause: County oversight when performing eligibility determinations. Recommendation: The County should review their processes to ensure proper supporting documentation of eligibility is maintained within each case file, caseworkers have proper training, and the number of quality reviews is sufficient. Additionally, the County should continue to work toward filling vacancies in the Family and Children?s Medicaid Units. Views of responsible officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Program Name: Low-Income Home Energy Assistance Federal Assistance Listing Number: 93.568 Program Name: Supplemental Nutrition Assistance Program Federal Assistance Listing Number: 10.561 Program Name: Temporary Assistance for Needy Families Federal Assistance Listing Number: 93.558 Program Name: Work First ? Child Support Enforcement Federal Assistance Listing Number: 93.563 Department of Social Services ? Crosscutting Significant Deficiency and Nonmaterial Noncompliance ? Special Test and Provisions Finding 2022-003 Criteria or Specific Requirement: As required by OMB Circular A-87, indirect cost amounts should be reported on the DSS-1571 accurately according to the amounts and codes indicated in the Indirect Cost Plan. Condition: The County had utilized their fiscal year 2021 cost allocation plan for reporting indirect costs on the Form 1571 for fiscal year 2022. Context: The County had reported the incorrect monthly indirect costs amount for all 12 months of fiscal year 2022. Questioned Costs: The following programs had known questioned costs in excess of $25,000 each: Medical Assistance: $121,224.91 Low-Income Home Energy Assistance: $32,161,68 Supplemental Nutrition Assistance Program: $46,541.36 Temporary Assistance for Needy Families: $40,770.93 Child Support Enforcement: $26,111.14 As 100% of questioned costs were identified for this issue, there are no likely questioned costs to report. Effect: The County, after considering local matching requirements, received $266,810 in additional reimbursements during fiscal year 2022 by utilizing the fiscal year 2021 cost allocation plan. Cause: The County had inadvertently continued to use the prior-year cost allocation plan for the current fiscal year. Recommendation: We recommend the County design and implement additional controls to ensure the correct cost allocation plan is utilized before filing its monthly Form 1571. Views of Responsible Officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
U.S. Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Material Weakness and Nonmaterial Noncompliance ? Eligibility Finding 2022-002 ? Repeat Finding Criteria or Specific Requirement: The County should have adequate documentation for each participant that supports each eligibility determination and the information entered into NC FAST. We noted several errors related to the following compliance criteria: a) At the time of each initial application or annual redetermination of benefits for Medical Assistance, self-attest wages should be verified, documented, and entered correctly into the budget in order to determine if the participant is eligible to receive benefits. b) At the time of each initial application or annual redetermination of benefits for Medical Assistance, the household count documented in NC FAST should be agreed to supporting documentation. c) At the time of each initial application or annual redetermination of benefits for Medical Assistance, either citizenship/identity documentation or alien status documentation (if non-citizen) existed in NC FAST. d) At the time of each initial application or annual redetermination of benefits for Medical Assistance, the caseworker should review the Register of Deeds for aged, blind, or disabled cases, or for MQB program cases, to verify property owned by the participant and this information should be entered into the NC FAST system. Condition: The following are the results for each criteria listed above out of the 60 program participants selected for testing: a) There were two instances where there was a computation error for income reported in NC FAST. b) There was one instance where the supporting documentation related to household count did not support the information entered into NC FAST. c) There was one instances where citizenship was not verified. d) There was one instance where the Register of Deeds was not run. Context: We sampled 60 cases from a total population of 40,798 cases made to the participants during the fiscal year. There were 5 out of 60 unique participants tested with the errors noted above, in which one was determined to have been improperly determined eligible. Questioned Costs: We noted a total of $8,215 in questioned costs related to improper eligibility determination related to item ?c? noted above. Total claims tested totaled $1,803,371 and so the projected questioned costs were a calculated 0.84% error rate. Effect: By not having the required documentation in the files or information being incorrectly documented, eligibility cannot be readily substantiated and there is a risk the County could provide funding to individuals who are not eligible. Cause: County oversight when performing eligibility determinations. Recommendation: The County should review their processes to ensure proper supporting documentation of eligibility is maintained within each case file, caseworkers have proper training, and the number of quality reviews is sufficient. Additionally, the County should continue to work toward filling vacancies in the Family and Children?s Medicaid Units. Views of responsible officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Program Name: Low-Income Home Energy Assistance Federal Assistance Listing Number: 93.568 Program Name: Supplemental Nutrition Assistance Program Federal Assistance Listing Number: 10.561 Program Name: Temporary Assistance for Needy Families Federal Assistance Listing Number: 93.558 Program Name: Work First ? Child Support Enforcement Federal Assistance Listing Number: 93.563 Department of Social Services ? Crosscutting Significant Deficiency and Nonmaterial Noncompliance ? Special Test and Provisions Finding 2022-003 Criteria or Specific Requirement: As required by OMB Circular A-87, indirect cost amounts should be reported on the DSS-1571 accurately according to the amounts and codes indicated in the Indirect Cost Plan. Condition: The County had utilized their fiscal year 2021 cost allocation plan for reporting indirect costs on the Form 1571 for fiscal year 2022. Context: The County had reported the incorrect monthly indirect costs amount for all 12 months of fiscal year 2022. Questioned Costs: The following programs had known questioned costs in excess of $25,000 each: Medical Assistance: $121,224.91 Low-Income Home Energy Assistance: $32,161,68 Supplemental Nutrition Assistance Program: $46,541.36 Temporary Assistance for Needy Families: $40,770.93 Child Support Enforcement: $26,111.14 As 100% of questioned costs were identified for this issue, there are no likely questioned costs to report. Effect: The County, after considering local matching requirements, received $266,810 in additional reimbursements during fiscal year 2022 by utilizing the fiscal year 2021 cost allocation plan. Cause: The County had inadvertently continued to use the prior-year cost allocation plan for the current fiscal year. Recommendation: We recommend the County design and implement additional controls to ensure the correct cost allocation plan is utilized before filing its monthly Form 1571. Views of Responsible Officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
U.S. Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Material Weakness and Nonmaterial Noncompliance ? Eligibility Finding 2022-002 ? Repeat Finding Criteria or Specific Requirement: The County should have adequate documentation for each participant that supports each eligibility determination and the information entered into NC FAST. We noted several errors related to the following compliance criteria: a) At the time of each initial application or annual redetermination of benefits for Medical Assistance, self-attest wages should be verified, documented, and entered correctly into the budget in order to determine if the participant is eligible to receive benefits. b) At the time of each initial application or annual redetermination of benefits for Medical Assistance, the household count documented in NC FAST should be agreed to supporting documentation. c) At the time of each initial application or annual redetermination of benefits for Medical Assistance, either citizenship/identity documentation or alien status documentation (if non-citizen) existed in NC FAST. d) At the time of each initial application or annual redetermination of benefits for Medical Assistance, the caseworker should review the Register of Deeds for aged, blind, or disabled cases, or for MQB program cases, to verify property owned by the participant and this information should be entered into the NC FAST system. Condition: The following are the results for each criteria listed above out of the 60 program participants selected for testing: a) There were two instances where there was a computation error for income reported in NC FAST. b) There was one instance where the supporting documentation related to household count did not support the information entered into NC FAST. c) There was one instances where citizenship was not verified. d) There was one instance where the Register of Deeds was not run. Context: We sampled 60 cases from a total population of 40,798 cases made to the participants during the fiscal year. There were 5 out of 60 unique participants tested with the errors noted above, in which one was determined to have been improperly determined eligible. Questioned Costs: We noted a total of $8,215 in questioned costs related to improper eligibility determination related to item ?c? noted above. Total claims tested totaled $1,803,371 and so the projected questioned costs were a calculated 0.84% error rate. Effect: By not having the required documentation in the files or information being incorrectly documented, eligibility cannot be readily substantiated and there is a risk the County could provide funding to individuals who are not eligible. Cause: County oversight when performing eligibility determinations. Recommendation: The County should review their processes to ensure proper supporting documentation of eligibility is maintained within each case file, caseworkers have proper training, and the number of quality reviews is sufficient. Additionally, the County should continue to work toward filling vacancies in the Family and Children?s Medicaid Units. Views of responsible officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Program Name: Low-Income Home Energy Assistance Federal Assistance Listing Number: 93.568 Program Name: Supplemental Nutrition Assistance Program Federal Assistance Listing Number: 10.561 Program Name: Temporary Assistance for Needy Families Federal Assistance Listing Number: 93.558 Program Name: Work First ? Child Support Enforcement Federal Assistance Listing Number: 93.563 Department of Social Services ? Crosscutting Significant Deficiency and Nonmaterial Noncompliance ? Special Test and Provisions Finding 2022-003 Criteria or Specific Requirement: As required by OMB Circular A-87, indirect cost amounts should be reported on the DSS-1571 accurately according to the amounts and codes indicated in the Indirect Cost Plan. Condition: The County had utilized their fiscal year 2021 cost allocation plan for reporting indirect costs on the Form 1571 for fiscal year 2022. Context: The County had reported the incorrect monthly indirect costs amount for all 12 months of fiscal year 2022. Questioned Costs: The following programs had known questioned costs in excess of $25,000 each: Medical Assistance: $121,224.91 Low-Income Home Energy Assistance: $32,161,68 Supplemental Nutrition Assistance Program: $46,541.36 Temporary Assistance for Needy Families: $40,770.93 Child Support Enforcement: $26,111.14 As 100% of questioned costs were identified for this issue, there are no likely questioned costs to report. Effect: The County, after considering local matching requirements, received $266,810 in additional reimbursements during fiscal year 2022 by utilizing the fiscal year 2021 cost allocation plan. Cause: The County had inadvertently continued to use the prior-year cost allocation plan for the current fiscal year. Recommendation: We recommend the County design and implement additional controls to ensure the correct cost allocation plan is utilized before filing its monthly Form 1571. Views of Responsible Officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
U.S. Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Material Weakness and Nonmaterial Noncompliance ? Eligibility Finding 2022-002 ? Repeat Finding Criteria or Specific Requirement: The County should have adequate documentation for each participant that supports each eligibility determination and the information entered into NC FAST. We noted several errors related to the following compliance criteria: a) At the time of each initial application or annual redetermination of benefits for Medical Assistance, self-attest wages should be verified, documented, and entered correctly into the budget in order to determine if the participant is eligible to receive benefits. b) At the time of each initial application or annual redetermination of benefits for Medical Assistance, the household count documented in NC FAST should be agreed to supporting documentation. c) At the time of each initial application or annual redetermination of benefits for Medical Assistance, either citizenship/identity documentation or alien status documentation (if non-citizen) existed in NC FAST. d) At the time of each initial application or annual redetermination of benefits for Medical Assistance, the caseworker should review the Register of Deeds for aged, blind, or disabled cases, or for MQB program cases, to verify property owned by the participant and this information should be entered into the NC FAST system. Condition: The following are the results for each criteria listed above out of the 60 program participants selected for testing: a) There were two instances where there was a computation error for income reported in NC FAST. b) There was one instance where the supporting documentation related to household count did not support the information entered into NC FAST. c) There was one instances where citizenship was not verified. d) There was one instance where the Register of Deeds was not run. Context: We sampled 60 cases from a total population of 40,798 cases made to the participants during the fiscal year. There were 5 out of 60 unique participants tested with the errors noted above, in which one was determined to have been improperly determined eligible. Questioned Costs: We noted a total of $8,215 in questioned costs related to improper eligibility determination related to item ?c? noted above. Total claims tested totaled $1,803,371 and so the projected questioned costs were a calculated 0.84% error rate. Effect: By not having the required documentation in the files or information being incorrectly documented, eligibility cannot be readily substantiated and there is a risk the County could provide funding to individuals who are not eligible. Cause: County oversight when performing eligibility determinations. Recommendation: The County should review their processes to ensure proper supporting documentation of eligibility is maintained within each case file, caseworkers have proper training, and the number of quality reviews is sufficient. Additionally, the County should continue to work toward filling vacancies in the Family and Children?s Medicaid Units. Views of responsible officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Program Name: Low-Income Home Energy Assistance Federal Assistance Listing Number: 93.568 Program Name: Supplemental Nutrition Assistance Program Federal Assistance Listing Number: 10.561 Program Name: Temporary Assistance for Needy Families Federal Assistance Listing Number: 93.558 Program Name: Work First ? Child Support Enforcement Federal Assistance Listing Number: 93.563 Department of Social Services ? Crosscutting Significant Deficiency and Nonmaterial Noncompliance ? Special Test and Provisions Finding 2022-003 Criteria or Specific Requirement: As required by OMB Circular A-87, indirect cost amounts should be reported on the DSS-1571 accurately according to the amounts and codes indicated in the Indirect Cost Plan. Condition: The County had utilized their fiscal year 2021 cost allocation plan for reporting indirect costs on the Form 1571 for fiscal year 2022. Context: The County had reported the incorrect monthly indirect costs amount for all 12 months of fiscal year 2022. Questioned Costs: The following programs had known questioned costs in excess of $25,000 each: Medical Assistance: $121,224.91 Low-Income Home Energy Assistance: $32,161,68 Supplemental Nutrition Assistance Program: $46,541.36 Temporary Assistance for Needy Families: $40,770.93 Child Support Enforcement: $26,111.14 As 100% of questioned costs were identified for this issue, there are no likely questioned costs to report. Effect: The County, after considering local matching requirements, received $266,810 in additional reimbursements during fiscal year 2022 by utilizing the fiscal year 2021 cost allocation plan. Cause: The County had inadvertently continued to use the prior-year cost allocation plan for the current fiscal year. Recommendation: We recommend the County design and implement additional controls to ensure the correct cost allocation plan is utilized before filing its monthly Form 1571. Views of Responsible Officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
U.S. Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Material Weakness and Nonmaterial Noncompliance ? Eligibility Finding 2022-002 ? Repeat Finding Criteria or Specific Requirement: The County should have adequate documentation for each participant that supports each eligibility determination and the information entered into NC FAST. We noted several errors related to the following compliance criteria: a) At the time of each initial application or annual redetermination of benefits for Medical Assistance, self-attest wages should be verified, documented, and entered correctly into the budget in order to determine if the participant is eligible to receive benefits. b) At the time of each initial application or annual redetermination of benefits for Medical Assistance, the household count documented in NC FAST should be agreed to supporting documentation. c) At the time of each initial application or annual redetermination of benefits for Medical Assistance, either citizenship/identity documentation or alien status documentation (if non-citizen) existed in NC FAST. d) At the time of each initial application or annual redetermination of benefits for Medical Assistance, the caseworker should review the Register of Deeds for aged, blind, or disabled cases, or for MQB program cases, to verify property owned by the participant and this information should be entered into the NC FAST system. Condition: The following are the results for each criteria listed above out of the 60 program participants selected for testing: a) There were two instances where there was a computation error for income reported in NC FAST. b) There was one instance where the supporting documentation related to household count did not support the information entered into NC FAST. c) There was one instances where citizenship was not verified. d) There was one instance where the Register of Deeds was not run. Context: We sampled 60 cases from a total population of 40,798 cases made to the participants during the fiscal year. There were 5 out of 60 unique participants tested with the errors noted above, in which one was determined to have been improperly determined eligible. Questioned Costs: We noted a total of $8,215 in questioned costs related to improper eligibility determination related to item ?c? noted above. Total claims tested totaled $1,803,371 and so the projected questioned costs were a calculated 0.84% error rate. Effect: By not having the required documentation in the files or information being incorrectly documented, eligibility cannot be readily substantiated and there is a risk the County could provide funding to individuals who are not eligible. Cause: County oversight when performing eligibility determinations. Recommendation: The County should review their processes to ensure proper supporting documentation of eligibility is maintained within each case file, caseworkers have proper training, and the number of quality reviews is sufficient. Additionally, the County should continue to work toward filling vacancies in the Family and Children?s Medicaid Units. Views of responsible officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Program Name: Low-Income Home Energy Assistance Federal Assistance Listing Number: 93.568 Program Name: Supplemental Nutrition Assistance Program Federal Assistance Listing Number: 10.561 Program Name: Temporary Assistance for Needy Families Federal Assistance Listing Number: 93.558 Program Name: Work First ? Child Support Enforcement Federal Assistance Listing Number: 93.563 Department of Social Services ? Crosscutting Significant Deficiency and Nonmaterial Noncompliance ? Special Test and Provisions Finding 2022-003 Criteria or Specific Requirement: As required by OMB Circular A-87, indirect cost amounts should be reported on the DSS-1571 accurately according to the amounts and codes indicated in the Indirect Cost Plan. Condition: The County had utilized their fiscal year 2021 cost allocation plan for reporting indirect costs on the Form 1571 for fiscal year 2022. Context: The County had reported the incorrect monthly indirect costs amount for all 12 months of fiscal year 2022. Questioned Costs: The following programs had known questioned costs in excess of $25,000 each: Medical Assistance: $121,224.91 Low-Income Home Energy Assistance: $32,161,68 Supplemental Nutrition Assistance Program: $46,541.36 Temporary Assistance for Needy Families: $40,770.93 Child Support Enforcement: $26,111.14 As 100% of questioned costs were identified for this issue, there are no likely questioned costs to report. Effect: The County, after considering local matching requirements, received $266,810 in additional reimbursements during fiscal year 2022 by utilizing the fiscal year 2021 cost allocation plan. Cause: The County had inadvertently continued to use the prior-year cost allocation plan for the current fiscal year. Recommendation: We recommend the County design and implement additional controls to ensure the correct cost allocation plan is utilized before filing its monthly Form 1571. Views of Responsible Officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
U.S. Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Material Weakness and Nonmaterial Noncompliance ? Eligibility Finding 2022-002 ? Repeat Finding Criteria or Specific Requirement: The County should have adequate documentation for each participant that supports each eligibility determination and the information entered into NC FAST. We noted several errors related to the following compliance criteria: a) At the time of each initial application or annual redetermination of benefits for Medical Assistance, self-attest wages should be verified, documented, and entered correctly into the budget in order to determine if the participant is eligible to receive benefits. b) At the time of each initial application or annual redetermination of benefits for Medical Assistance, the household count documented in NC FAST should be agreed to supporting documentation. c) At the time of each initial application or annual redetermination of benefits for Medical Assistance, either citizenship/identity documentation or alien status documentation (if non-citizen) existed in NC FAST. d) At the time of each initial application or annual redetermination of benefits for Medical Assistance, the caseworker should review the Register of Deeds for aged, blind, or disabled cases, or for MQB program cases, to verify property owned by the participant and this information should be entered into the NC FAST system. Condition: The following are the results for each criteria listed above out of the 60 program participants selected for testing: a) There were two instances where there was a computation error for income reported in NC FAST. b) There was one instance where the supporting documentation related to household count did not support the information entered into NC FAST. c) There was one instances where citizenship was not verified. d) There was one instance where the Register of Deeds was not run. Context: We sampled 60 cases from a total population of 40,798 cases made to the participants during the fiscal year. There were 5 out of 60 unique participants tested with the errors noted above, in which one was determined to have been improperly determined eligible. Questioned Costs: We noted a total of $8,215 in questioned costs related to improper eligibility determination related to item ?c? noted above. Total claims tested totaled $1,803,371 and so the projected questioned costs were a calculated 0.84% error rate. Effect: By not having the required documentation in the files or information being incorrectly documented, eligibility cannot be readily substantiated and there is a risk the County could provide funding to individuals who are not eligible. Cause: County oversight when performing eligibility determinations. Recommendation: The County should review their processes to ensure proper supporting documentation of eligibility is maintained within each case file, caseworkers have proper training, and the number of quality reviews is sufficient. Additionally, the County should continue to work toward filling vacancies in the Family and Children?s Medicaid Units. Views of responsible officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Program Name: Low-Income Home Energy Assistance Federal Assistance Listing Number: 93.568 Program Name: Supplemental Nutrition Assistance Program Federal Assistance Listing Number: 10.561 Program Name: Temporary Assistance for Needy Families Federal Assistance Listing Number: 93.558 Program Name: Work First ? Child Support Enforcement Federal Assistance Listing Number: 93.563 Department of Social Services ? Crosscutting Significant Deficiency and Nonmaterial Noncompliance ? Special Test and Provisions Finding 2022-003 Criteria or Specific Requirement: As required by OMB Circular A-87, indirect cost amounts should be reported on the DSS-1571 accurately according to the amounts and codes indicated in the Indirect Cost Plan. Condition: The County had utilized their fiscal year 2021 cost allocation plan for reporting indirect costs on the Form 1571 for fiscal year 2022. Context: The County had reported the incorrect monthly indirect costs amount for all 12 months of fiscal year 2022. Questioned Costs: The following programs had known questioned costs in excess of $25,000 each: Medical Assistance: $121,224.91 Low-Income Home Energy Assistance: $32,161,68 Supplemental Nutrition Assistance Program: $46,541.36 Temporary Assistance for Needy Families: $40,770.93 Child Support Enforcement: $26,111.14 As 100% of questioned costs were identified for this issue, there are no likely questioned costs to report. Effect: The County, after considering local matching requirements, received $266,810 in additional reimbursements during fiscal year 2022 by utilizing the fiscal year 2021 cost allocation plan. Cause: The County had inadvertently continued to use the prior-year cost allocation plan for the current fiscal year. Recommendation: We recommend the County design and implement additional controls to ensure the correct cost allocation plan is utilized before filing its monthly Form 1571. Views of Responsible Officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
U.S. Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Material Weakness and Nonmaterial Noncompliance ? Eligibility Finding 2022-002 ? Repeat Finding Criteria or Specific Requirement: The County should have adequate documentation for each participant that supports each eligibility determination and the information entered into NC FAST. We noted several errors related to the following compliance criteria: a) At the time of each initial application or annual redetermination of benefits for Medical Assistance, self-attest wages should be verified, documented, and entered correctly into the budget in order to determine if the participant is eligible to receive benefits. b) At the time of each initial application or annual redetermination of benefits for Medical Assistance, the household count documented in NC FAST should be agreed to supporting documentation. c) At the time of each initial application or annual redetermination of benefits for Medical Assistance, either citizenship/identity documentation or alien status documentation (if non-citizen) existed in NC FAST. d) At the time of each initial application or annual redetermination of benefits for Medical Assistance, the caseworker should review the Register of Deeds for aged, blind, or disabled cases, or for MQB program cases, to verify property owned by the participant and this information should be entered into the NC FAST system. Condition: The following are the results for each criteria listed above out of the 60 program participants selected for testing: a) There were two instances where there was a computation error for income reported in NC FAST. b) There was one instance where the supporting documentation related to household count did not support the information entered into NC FAST. c) There was one instances where citizenship was not verified. d) There was one instance where the Register of Deeds was not run. Context: We sampled 60 cases from a total population of 40,798 cases made to the participants during the fiscal year. There were 5 out of 60 unique participants tested with the errors noted above, in which one was determined to have been improperly determined eligible. Questioned Costs: We noted a total of $8,215 in questioned costs related to improper eligibility determination related to item ?c? noted above. Total claims tested totaled $1,803,371 and so the projected questioned costs were a calculated 0.84% error rate. Effect: By not having the required documentation in the files or information being incorrectly documented, eligibility cannot be readily substantiated and there is a risk the County could provide funding to individuals who are not eligible. Cause: County oversight when performing eligibility determinations. Recommendation: The County should review their processes to ensure proper supporting documentation of eligibility is maintained within each case file, caseworkers have proper training, and the number of quality reviews is sufficient. Additionally, the County should continue to work toward filling vacancies in the Family and Children?s Medicaid Units. Views of responsible officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Program Name: Low-Income Home Energy Assistance Federal Assistance Listing Number: 93.568 Program Name: Supplemental Nutrition Assistance Program Federal Assistance Listing Number: 10.561 Program Name: Temporary Assistance for Needy Families Federal Assistance Listing Number: 93.558 Program Name: Work First ? Child Support Enforcement Federal Assistance Listing Number: 93.563 Department of Social Services ? Crosscutting Significant Deficiency and Nonmaterial Noncompliance ? Special Test and Provisions Finding 2022-003 Criteria or Specific Requirement: As required by OMB Circular A-87, indirect cost amounts should be reported on the DSS-1571 accurately according to the amounts and codes indicated in the Indirect Cost Plan. Condition: The County had utilized their fiscal year 2021 cost allocation plan for reporting indirect costs on the Form 1571 for fiscal year 2022. Context: The County had reported the incorrect monthly indirect costs amount for all 12 months of fiscal year 2022. Questioned Costs: The following programs had known questioned costs in excess of $25,000 each: Medical Assistance: $121,224.91 Low-Income Home Energy Assistance: $32,161,68 Supplemental Nutrition Assistance Program: $46,541.36 Temporary Assistance for Needy Families: $40,770.93 Child Support Enforcement: $26,111.14 As 100% of questioned costs were identified for this issue, there are no likely questioned costs to report. Effect: The County, after considering local matching requirements, received $266,810 in additional reimbursements during fiscal year 2022 by utilizing the fiscal year 2021 cost allocation plan. Cause: The County had inadvertently continued to use the prior-year cost allocation plan for the current fiscal year. Recommendation: We recommend the County design and implement additional controls to ensure the correct cost allocation plan is utilized before filing its monthly Form 1571. Views of Responsible Officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
U.S. Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Material Weakness and Nonmaterial Noncompliance ? Eligibility Finding 2022-002 ? Repeat Finding Criteria or Specific Requirement: The County should have adequate documentation for each participant that supports each eligibility determination and the information entered into NC FAST. We noted several errors related to the following compliance criteria: a) At the time of each initial application or annual redetermination of benefits for Medical Assistance, self-attest wages should be verified, documented, and entered correctly into the budget in order to determine if the participant is eligible to receive benefits. b) At the time of each initial application or annual redetermination of benefits for Medical Assistance, the household count documented in NC FAST should be agreed to supporting documentation. c) At the time of each initial application or annual redetermination of benefits for Medical Assistance, either citizenship/identity documentation or alien status documentation (if non-citizen) existed in NC FAST. d) At the time of each initial application or annual redetermination of benefits for Medical Assistance, the caseworker should review the Register of Deeds for aged, blind, or disabled cases, or for MQB program cases, to verify property owned by the participant and this information should be entered into the NC FAST system. Condition: The following are the results for each criteria listed above out of the 60 program participants selected for testing: a) There were two instances where there was a computation error for income reported in NC FAST. b) There was one instance where the supporting documentation related to household count did not support the information entered into NC FAST. c) There was one instances where citizenship was not verified. d) There was one instance where the Register of Deeds was not run. Context: We sampled 60 cases from a total population of 40,798 cases made to the participants during the fiscal year. There were 5 out of 60 unique participants tested with the errors noted above, in which one was determined to have been improperly determined eligible. Questioned Costs: We noted a total of $8,215 in questioned costs related to improper eligibility determination related to item ?c? noted above. Total claims tested totaled $1,803,371 and so the projected questioned costs were a calculated 0.84% error rate. Effect: By not having the required documentation in the files or information being incorrectly documented, eligibility cannot be readily substantiated and there is a risk the County could provide funding to individuals who are not eligible. Cause: County oversight when performing eligibility determinations. Recommendation: The County should review their processes to ensure proper supporting documentation of eligibility is maintained within each case file, caseworkers have proper training, and the number of quality reviews is sufficient. Additionally, the County should continue to work toward filling vacancies in the Family and Children?s Medicaid Units. Views of responsible officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Program Name: Low-Income Home Energy Assistance Federal Assistance Listing Number: 93.568 Program Name: Supplemental Nutrition Assistance Program Federal Assistance Listing Number: 10.561 Program Name: Temporary Assistance for Needy Families Federal Assistance Listing Number: 93.558 Program Name: Work First ? Child Support Enforcement Federal Assistance Listing Number: 93.563 Department of Social Services ? Crosscutting Significant Deficiency and Nonmaterial Noncompliance ? Special Test and Provisions Finding 2022-003 Criteria or Specific Requirement: As required by OMB Circular A-87, indirect cost amounts should be reported on the DSS-1571 accurately according to the amounts and codes indicated in the Indirect Cost Plan. Condition: The County had utilized their fiscal year 2021 cost allocation plan for reporting indirect costs on the Form 1571 for fiscal year 2022. Context: The County had reported the incorrect monthly indirect costs amount for all 12 months of fiscal year 2022. Questioned Costs: The following programs had known questioned costs in excess of $25,000 each: Medical Assistance: $121,224.91 Low-Income Home Energy Assistance: $32,161,68 Supplemental Nutrition Assistance Program: $46,541.36 Temporary Assistance for Needy Families: $40,770.93 Child Support Enforcement: $26,111.14 As 100% of questioned costs were identified for this issue, there are no likely questioned costs to report. Effect: The County, after considering local matching requirements, received $266,810 in additional reimbursements during fiscal year 2022 by utilizing the fiscal year 2021 cost allocation plan. Cause: The County had inadvertently continued to use the prior-year cost allocation plan for the current fiscal year. Recommendation: We recommend the County design and implement additional controls to ensure the correct cost allocation plan is utilized before filing its monthly Form 1571. Views of Responsible Officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Program Name: Low-Income Home Energy Assistance Federal Assistance Listing Number: 93.568 Program Name: Supplemental Nutrition Assistance Program Federal Assistance Listing Number: 10.561 Program Name: Temporary Assistance for Needy Families Federal Assistance Listing Number: 93.558 Program Name: Work First ? Child Support Enforcement Federal Assistance Listing Number: 93.563 Department of Social Services ? Crosscutting Significant Deficiency and Nonmaterial Noncompliance ? Special Test and Provisions Finding 2022-003 Criteria or Specific Requirement: As required by OMB Circular A-87, indirect cost amounts should be reported on the DSS-1571 accurately according to the amounts and codes indicated in the Indirect Cost Plan. Condition: The County had utilized their fiscal year 2021 cost allocation plan for reporting indirect costs on the Form 1571 for fiscal year 2022. Context: The County had reported the incorrect monthly indirect costs amount for all 12 months of fiscal year 2022. Questioned Costs: The following programs had known questioned costs in excess of $25,000 each: Medical Assistance: $121,224.91 Low-Income Home Energy Assistance: $32,161,68 Supplemental Nutrition Assistance Program: $46,541.36 Temporary Assistance for Needy Families: $40,770.93 Child Support Enforcement: $26,111.14 As 100% of questioned costs were identified for this issue, there are no likely questioned costs to report. Effect: The County, after considering local matching requirements, received $266,810 in additional reimbursements during fiscal year 2022 by utilizing the fiscal year 2021 cost allocation plan. Cause: The County had inadvertently continued to use the prior-year cost allocation plan for the current fiscal year. Recommendation: We recommend the County design and implement additional controls to ensure the correct cost allocation plan is utilized before filing its monthly Form 1571. Views of Responsible Officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Program Name: Low-Income Home Energy Assistance Federal Assistance Listing Number: 93.568 Program Name: Supplemental Nutrition Assistance Program Federal Assistance Listing Number: 10.561 Program Name: Temporary Assistance for Needy Families Federal Assistance Listing Number: 93.558 Program Name: Work First ? Child Support Enforcement Federal Assistance Listing Number: 93.563 Department of Social Services ? Crosscutting Significant Deficiency and Nonmaterial Noncompliance ? Special Test and Provisions Finding 2022-003 Criteria or Specific Requirement: As required by OMB Circular A-87, indirect cost amounts should be reported on the DSS-1571 accurately according to the amounts and codes indicated in the Indirect Cost Plan. Condition: The County had utilized their fiscal year 2021 cost allocation plan for reporting indirect costs on the Form 1571 for fiscal year 2022. Context: The County had reported the incorrect monthly indirect costs amount for all 12 months of fiscal year 2022. Questioned Costs: The following programs had known questioned costs in excess of $25,000 each: Medical Assistance: $121,224.91 Low-Income Home Energy Assistance: $32,161,68 Supplemental Nutrition Assistance Program: $46,541.36 Temporary Assistance for Needy Families: $40,770.93 Child Support Enforcement: $26,111.14 As 100% of questioned costs were identified for this issue, there are no likely questioned costs to report. Effect: The County, after considering local matching requirements, received $266,810 in additional reimbursements during fiscal year 2022 by utilizing the fiscal year 2021 cost allocation plan. Cause: The County had inadvertently continued to use the prior-year cost allocation plan for the current fiscal year. Recommendation: We recommend the County design and implement additional controls to ensure the correct cost allocation plan is utilized before filing its monthly Form 1571. Views of Responsible Officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Program Name: Low-Income Home Energy Assistance Federal Assistance Listing Number: 93.568 Program Name: Supplemental Nutrition Assistance Program Federal Assistance Listing Number: 10.561 Program Name: Temporary Assistance for Needy Families Federal Assistance Listing Number: 93.558 Program Name: Work First ? Child Support Enforcement Federal Assistance Listing Number: 93.563 Department of Social Services ? Crosscutting Significant Deficiency and Nonmaterial Noncompliance ? Special Test and Provisions Finding 2022-003 Criteria or Specific Requirement: As required by OMB Circular A-87, indirect cost amounts should be reported on the DSS-1571 accurately according to the amounts and codes indicated in the Indirect Cost Plan. Condition: The County had utilized their fiscal year 2021 cost allocation plan for reporting indirect costs on the Form 1571 for fiscal year 2022. Context: The County had reported the incorrect monthly indirect costs amount for all 12 months of fiscal year 2022. Questioned Costs: The following programs had known questioned costs in excess of $25,000 each: Medical Assistance: $121,224.91 Low-Income Home Energy Assistance: $32,161,68 Supplemental Nutrition Assistance Program: $46,541.36 Temporary Assistance for Needy Families: $40,770.93 Child Support Enforcement: $26,111.14 As 100% of questioned costs were identified for this issue, there are no likely questioned costs to report. Effect: The County, after considering local matching requirements, received $266,810 in additional reimbursements during fiscal year 2022 by utilizing the fiscal year 2021 cost allocation plan. Cause: The County had inadvertently continued to use the prior-year cost allocation plan for the current fiscal year. Recommendation: We recommend the County design and implement additional controls to ensure the correct cost allocation plan is utilized before filing its monthly Form 1571. Views of Responsible Officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Program Name: Low-Income Home Energy Assistance Federal Assistance Listing Number: 93.568 Program Name: Supplemental Nutrition Assistance Program Federal Assistance Listing Number: 10.561 Program Name: Temporary Assistance for Needy Families Federal Assistance Listing Number: 93.558 Program Name: Work First ? Child Support Enforcement Federal Assistance Listing Number: 93.563 Department of Social Services ? Crosscutting Significant Deficiency and Nonmaterial Noncompliance ? Special Test and Provisions Finding 2022-003 Criteria or Specific Requirement: As required by OMB Circular A-87, indirect cost amounts should be reported on the DSS-1571 accurately according to the amounts and codes indicated in the Indirect Cost Plan. Condition: The County had utilized their fiscal year 2021 cost allocation plan for reporting indirect costs on the Form 1571 for fiscal year 2022. Context: The County had reported the incorrect monthly indirect costs amount for all 12 months of fiscal year 2022. Questioned Costs: The following programs had known questioned costs in excess of $25,000 each: Medical Assistance: $121,224.91 Low-Income Home Energy Assistance: $32,161,68 Supplemental Nutrition Assistance Program: $46,541.36 Temporary Assistance for Needy Families: $40,770.93 Child Support Enforcement: $26,111.14 As 100% of questioned costs were identified for this issue, there are no likely questioned costs to report. Effect: The County, after considering local matching requirements, received $266,810 in additional reimbursements during fiscal year 2022 by utilizing the fiscal year 2021 cost allocation plan. Cause: The County had inadvertently continued to use the prior-year cost allocation plan for the current fiscal year. Recommendation: We recommend the County design and implement additional controls to ensure the correct cost allocation plan is utilized before filing its monthly Form 1571. Views of Responsible Officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Program Name: Low-Income Home Energy Assistance Federal Assistance Listing Number: 93.568 Program Name: Supplemental Nutrition Assistance Program Federal Assistance Listing Number: 10.561 Program Name: Temporary Assistance for Needy Families Federal Assistance Listing Number: 93.558 Program Name: Work First ? Child Support Enforcement Federal Assistance Listing Number: 93.563 Department of Social Services ? Crosscutting Significant Deficiency and Nonmaterial Noncompliance ? Special Test and Provisions Finding 2022-003 Criteria or Specific Requirement: As required by OMB Circular A-87, indirect cost amounts should be reported on the DSS-1571 accurately according to the amounts and codes indicated in the Indirect Cost Plan. Condition: The County had utilized their fiscal year 2021 cost allocation plan for reporting indirect costs on the Form 1571 for fiscal year 2022. Context: The County had reported the incorrect monthly indirect costs amount for all 12 months of fiscal year 2022. Questioned Costs: The following programs had known questioned costs in excess of $25,000 each: Medical Assistance: $121,224.91 Low-Income Home Energy Assistance: $32,161,68 Supplemental Nutrition Assistance Program: $46,541.36 Temporary Assistance for Needy Families: $40,770.93 Child Support Enforcement: $26,111.14 As 100% of questioned costs were identified for this issue, there are no likely questioned costs to report. Effect: The County, after considering local matching requirements, received $266,810 in additional reimbursements during fiscal year 2022 by utilizing the fiscal year 2021 cost allocation plan. Cause: The County had inadvertently continued to use the prior-year cost allocation plan for the current fiscal year. Recommendation: We recommend the County design and implement additional controls to ensure the correct cost allocation plan is utilized before filing its monthly Form 1571. Views of Responsible Officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Program Name: Low-Income Home Energy Assistance Federal Assistance Listing Number: 93.568 Program Name: Supplemental Nutrition Assistance Program Federal Assistance Listing Number: 10.561 Program Name: Temporary Assistance for Needy Families Federal Assistance Listing Number: 93.558 Program Name: Work First ? Child Support Enforcement Federal Assistance Listing Number: 93.563 Department of Social Services ? Crosscutting Significant Deficiency and Nonmaterial Noncompliance ? Special Test and Provisions Finding 2022-003 Criteria or Specific Requirement: As required by OMB Circular A-87, indirect cost amounts should be reported on the DSS-1571 accurately according to the amounts and codes indicated in the Indirect Cost Plan. Condition: The County had utilized their fiscal year 2021 cost allocation plan for reporting indirect costs on the Form 1571 for fiscal year 2022. Context: The County had reported the incorrect monthly indirect costs amount for all 12 months of fiscal year 2022. Questioned Costs: The following programs had known questioned costs in excess of $25,000 each: Medical Assistance: $121,224.91 Low-Income Home Energy Assistance: $32,161,68 Supplemental Nutrition Assistance Program: $46,541.36 Temporary Assistance for Needy Families: $40,770.93 Child Support Enforcement: $26,111.14 As 100% of questioned costs were identified for this issue, there are no likely questioned costs to report. Effect: The County, after considering local matching requirements, received $266,810 in additional reimbursements during fiscal year 2022 by utilizing the fiscal year 2021 cost allocation plan. Cause: The County had inadvertently continued to use the prior-year cost allocation plan for the current fiscal year. Recommendation: We recommend the County design and implement additional controls to ensure the correct cost allocation plan is utilized before filing its monthly Form 1571. Views of Responsible Officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Program Name: Low-Income Home Energy Assistance Federal Assistance Listing Number: 93.568 Program Name: Supplemental Nutrition Assistance Program Federal Assistance Listing Number: 10.561 Program Name: Temporary Assistance for Needy Families Federal Assistance Listing Number: 93.558 Program Name: Work First ? Child Support Enforcement Federal Assistance Listing Number: 93.563 Department of Social Services ? Crosscutting Significant Deficiency and Nonmaterial Noncompliance ? Special Test and Provisions Finding 2022-003 Criteria or Specific Requirement: As required by OMB Circular A-87, indirect cost amounts should be reported on the DSS-1571 accurately according to the amounts and codes indicated in the Indirect Cost Plan. Condition: The County had utilized their fiscal year 2021 cost allocation plan for reporting indirect costs on the Form 1571 for fiscal year 2022. Context: The County had reported the incorrect monthly indirect costs amount for all 12 months of fiscal year 2022. Questioned Costs: The following programs had known questioned costs in excess of $25,000 each: Medical Assistance: $121,224.91 Low-Income Home Energy Assistance: $32,161,68 Supplemental Nutrition Assistance Program: $46,541.36 Temporary Assistance for Needy Families: $40,770.93 Child Support Enforcement: $26,111.14 As 100% of questioned costs were identified for this issue, there are no likely questioned costs to report. Effect: The County, after considering local matching requirements, received $266,810 in additional reimbursements during fiscal year 2022 by utilizing the fiscal year 2021 cost allocation plan. Cause: The County had inadvertently continued to use the prior-year cost allocation plan for the current fiscal year. Recommendation: We recommend the County design and implement additional controls to ensure the correct cost allocation plan is utilized before filing its monthly Form 1571. Views of Responsible Officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Program Name: Low-Income Home Energy Assistance Federal Assistance Listing Number: 93.568 Program Name: Supplemental Nutrition Assistance Program Federal Assistance Listing Number: 10.561 Program Name: Temporary Assistance for Needy Families Federal Assistance Listing Number: 93.558 Program Name: Work First ? Child Support Enforcement Federal Assistance Listing Number: 93.563 Department of Social Services ? Crosscutting Significant Deficiency and Nonmaterial Noncompliance ? Special Test and Provisions Finding 2022-003 Criteria or Specific Requirement: As required by OMB Circular A-87, indirect cost amounts should be reported on the DSS-1571 accurately according to the amounts and codes indicated in the Indirect Cost Plan. Condition: The County had utilized their fiscal year 2021 cost allocation plan for reporting indirect costs on the Form 1571 for fiscal year 2022. Context: The County had reported the incorrect monthly indirect costs amount for all 12 months of fiscal year 2022. Questioned Costs: The following programs had known questioned costs in excess of $25,000 each: Medical Assistance: $121,224.91 Low-Income Home Energy Assistance: $32,161,68 Supplemental Nutrition Assistance Program: $46,541.36 Temporary Assistance for Needy Families: $40,770.93 Child Support Enforcement: $26,111.14 As 100% of questioned costs were identified for this issue, there are no likely questioned costs to report. Effect: The County, after considering local matching requirements, received $266,810 in additional reimbursements during fiscal year 2022 by utilizing the fiscal year 2021 cost allocation plan. Cause: The County had inadvertently continued to use the prior-year cost allocation plan for the current fiscal year. Recommendation: We recommend the County design and implement additional controls to ensure the correct cost allocation plan is utilized before filing its monthly Form 1571. Views of Responsible Officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
U.S. Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Material Weakness and Nonmaterial Noncompliance ? Eligibility Finding 2022-002 ? Repeat Finding Criteria or Specific Requirement: The County should have adequate documentation for each participant that supports each eligibility determination and the information entered into NC FAST. We noted several errors related to the following compliance criteria: a) At the time of each initial application or annual redetermination of benefits for Medical Assistance, self-attest wages should be verified, documented, and entered correctly into the budget in order to determine if the participant is eligible to receive benefits. b) At the time of each initial application or annual redetermination of benefits for Medical Assistance, the household count documented in NC FAST should be agreed to supporting documentation. c) At the time of each initial application or annual redetermination of benefits for Medical Assistance, either citizenship/identity documentation or alien status documentation (if non-citizen) existed in NC FAST. d) At the time of each initial application or annual redetermination of benefits for Medical Assistance, the caseworker should review the Register of Deeds for aged, blind, or disabled cases, or for MQB program cases, to verify property owned by the participant and this information should be entered into the NC FAST system. Condition: The following are the results for each criteria listed above out of the 60 program participants selected for testing: a) There were two instances where there was a computation error for income reported in NC FAST. b) There was one instance where the supporting documentation related to household count did not support the information entered into NC FAST. c) There was one instances where citizenship was not verified. d) There was one instance where the Register of Deeds was not run. Context: We sampled 60 cases from a total population of 40,798 cases made to the participants during the fiscal year. There were 5 out of 60 unique participants tested with the errors noted above, in which one was determined to have been improperly determined eligible. Questioned Costs: We noted a total of $8,215 in questioned costs related to improper eligibility determination related to item ?c? noted above. Total claims tested totaled $1,803,371 and so the projected questioned costs were a calculated 0.84% error rate. Effect: By not having the required documentation in the files or information being incorrectly documented, eligibility cannot be readily substantiated and there is a risk the County could provide funding to individuals who are not eligible. Cause: County oversight when performing eligibility determinations. Recommendation: The County should review their processes to ensure proper supporting documentation of eligibility is maintained within each case file, caseworkers have proper training, and the number of quality reviews is sufficient. Additionally, the County should continue to work toward filling vacancies in the Family and Children?s Medicaid Units. Views of responsible officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Program Name: Low-Income Home Energy Assistance Federal Assistance Listing Number: 93.568 Program Name: Supplemental Nutrition Assistance Program Federal Assistance Listing Number: 10.561 Program Name: Temporary Assistance for Needy Families Federal Assistance Listing Number: 93.558 Program Name: Work First ? Child Support Enforcement Federal Assistance Listing Number: 93.563 Department of Social Services ? Crosscutting Significant Deficiency and Nonmaterial Noncompliance ? Special Test and Provisions Finding 2022-003 Criteria or Specific Requirement: As required by OMB Circular A-87, indirect cost amounts should be reported on the DSS-1571 accurately according to the amounts and codes indicated in the Indirect Cost Plan. Condition: The County had utilized their fiscal year 2021 cost allocation plan for reporting indirect costs on the Form 1571 for fiscal year 2022. Context: The County had reported the incorrect monthly indirect costs amount for all 12 months of fiscal year 2022. Questioned Costs: The following programs had known questioned costs in excess of $25,000 each: Medical Assistance: $121,224.91 Low-Income Home Energy Assistance: $32,161,68 Supplemental Nutrition Assistance Program: $46,541.36 Temporary Assistance for Needy Families: $40,770.93 Child Support Enforcement: $26,111.14 As 100% of questioned costs were identified for this issue, there are no likely questioned costs to report. Effect: The County, after considering local matching requirements, received $266,810 in additional reimbursements during fiscal year 2022 by utilizing the fiscal year 2021 cost allocation plan. Cause: The County had inadvertently continued to use the prior-year cost allocation plan for the current fiscal year. Recommendation: We recommend the County design and implement additional controls to ensure the correct cost allocation plan is utilized before filing its monthly Form 1571. Views of Responsible Officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Program Name: Low-Income Home Energy Assistance Federal Assistance Listing Number: 93.568 Program Name: Supplemental Nutrition Assistance Program Federal Assistance Listing Number: 10.561 Program Name: Temporary Assistance for Needy Families Federal Assistance Listing Number: 93.558 Program Name: Work First ? Child Support Enforcement Federal Assistance Listing Number: 93.563 Department of Social Services ? Crosscutting Significant Deficiency and Nonmaterial Noncompliance ? Special Test and Provisions Finding 2022-003 Criteria or Specific Requirement: As required by OMB Circular A-87, indirect cost amounts should be reported on the DSS-1571 accurately according to the amounts and codes indicated in the Indirect Cost Plan. Condition: The County had utilized their fiscal year 2021 cost allocation plan for reporting indirect costs on the Form 1571 for fiscal year 2022. Context: The County had reported the incorrect monthly indirect costs amount for all 12 months of fiscal year 2022. Questioned Costs: The following programs had known questioned costs in excess of $25,000 each: Medical Assistance: $121,224.91 Low-Income Home Energy Assistance: $32,161,68 Supplemental Nutrition Assistance Program: $46,541.36 Temporary Assistance for Needy Families: $40,770.93 Child Support Enforcement: $26,111.14 As 100% of questioned costs were identified for this issue, there are no likely questioned costs to report. Effect: The County, after considering local matching requirements, received $266,810 in additional reimbursements during fiscal year 2022 by utilizing the fiscal year 2021 cost allocation plan. Cause: The County had inadvertently continued to use the prior-year cost allocation plan for the current fiscal year. Recommendation: We recommend the County design and implement additional controls to ensure the correct cost allocation plan is utilized before filing its monthly Form 1571. Views of Responsible Officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Program Name: Low-Income Home Energy Assistance Federal Assistance Listing Number: 93.568 Program Name: Supplemental Nutrition Assistance Program Federal Assistance Listing Number: 10.561 Program Name: Temporary Assistance for Needy Families Federal Assistance Listing Number: 93.558 Program Name: Work First ? Child Support Enforcement Federal Assistance Listing Number: 93.563 Department of Social Services ? Crosscutting Significant Deficiency and Nonmaterial Noncompliance ? Special Test and Provisions Finding 2022-003 Criteria or Specific Requirement: As required by OMB Circular A-87, indirect cost amounts should be reported on the DSS-1571 accurately according to the amounts and codes indicated in the Indirect Cost Plan. Condition: The County had utilized their fiscal year 2021 cost allocation plan for reporting indirect costs on the Form 1571 for fiscal year 2022. Context: The County had reported the incorrect monthly indirect costs amount for all 12 months of fiscal year 2022. Questioned Costs: The following programs had known questioned costs in excess of $25,000 each: Medical Assistance: $121,224.91 Low-Income Home Energy Assistance: $32,161,68 Supplemental Nutrition Assistance Program: $46,541.36 Temporary Assistance for Needy Families: $40,770.93 Child Support Enforcement: $26,111.14 As 100% of questioned costs were identified for this issue, there are no likely questioned costs to report. Effect: The County, after considering local matching requirements, received $266,810 in additional reimbursements during fiscal year 2022 by utilizing the fiscal year 2021 cost allocation plan. Cause: The County had inadvertently continued to use the prior-year cost allocation plan for the current fiscal year. Recommendation: We recommend the County design and implement additional controls to ensure the correct cost allocation plan is utilized before filing its monthly Form 1571. Views of Responsible Officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Program Name: Low-Income Home Energy Assistance Federal Assistance Listing Number: 93.568 Program Name: Supplemental Nutrition Assistance Program Federal Assistance Listing Number: 10.561 Program Name: Temporary Assistance for Needy Families Federal Assistance Listing Number: 93.558 Program Name: Work First ? Child Support Enforcement Federal Assistance Listing Number: 93.563 Department of Social Services ? Crosscutting Significant Deficiency and Nonmaterial Noncompliance ? Special Test and Provisions Finding 2022-003 Criteria or Specific Requirement: As required by OMB Circular A-87, indirect cost amounts should be reported on the DSS-1571 accurately according to the amounts and codes indicated in the Indirect Cost Plan. Condition: The County had utilized their fiscal year 2021 cost allocation plan for reporting indirect costs on the Form 1571 for fiscal year 2022. Context: The County had reported the incorrect monthly indirect costs amount for all 12 months of fiscal year 2022. Questioned Costs: The following programs had known questioned costs in excess of $25,000 each: Medical Assistance: $121,224.91 Low-Income Home Energy Assistance: $32,161,68 Supplemental Nutrition Assistance Program: $46,541.36 Temporary Assistance for Needy Families: $40,770.93 Child Support Enforcement: $26,111.14 As 100% of questioned costs were identified for this issue, there are no likely questioned costs to report. Effect: The County, after considering local matching requirements, received $266,810 in additional reimbursements during fiscal year 2022 by utilizing the fiscal year 2021 cost allocation plan. Cause: The County had inadvertently continued to use the prior-year cost allocation plan for the current fiscal year. Recommendation: We recommend the County design and implement additional controls to ensure the correct cost allocation plan is utilized before filing its monthly Form 1571. Views of Responsible Officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Program Name: Low-Income Home Energy Assistance Federal Assistance Listing Number: 93.568 Program Name: Supplemental Nutrition Assistance Program Federal Assistance Listing Number: 10.561 Program Name: Temporary Assistance for Needy Families Federal Assistance Listing Number: 93.558 Program Name: Work First ? Child Support Enforcement Federal Assistance Listing Number: 93.563 Department of Social Services ? Crosscutting Significant Deficiency and Nonmaterial Noncompliance ? Special Test and Provisions Finding 2022-003 Criteria or Specific Requirement: As required by OMB Circular A-87, indirect cost amounts should be reported on the DSS-1571 accurately according to the amounts and codes indicated in the Indirect Cost Plan. Condition: The County had utilized their fiscal year 2021 cost allocation plan for reporting indirect costs on the Form 1571 for fiscal year 2022. Context: The County had reported the incorrect monthly indirect costs amount for all 12 months of fiscal year 2022. Questioned Costs: The following programs had known questioned costs in excess of $25,000 each: Medical Assistance: $121,224.91 Low-Income Home Energy Assistance: $32,161,68 Supplemental Nutrition Assistance Program: $46,541.36 Temporary Assistance for Needy Families: $40,770.93 Child Support Enforcement: $26,111.14 As 100% of questioned costs were identified for this issue, there are no likely questioned costs to report. Effect: The County, after considering local matching requirements, received $266,810 in additional reimbursements during fiscal year 2022 by utilizing the fiscal year 2021 cost allocation plan. Cause: The County had inadvertently continued to use the prior-year cost allocation plan for the current fiscal year. Recommendation: We recommend the County design and implement additional controls to ensure the correct cost allocation plan is utilized before filing its monthly Form 1571. Views of Responsible Officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Program Name: Low-Income Home Energy Assistance Federal Assistance Listing Number: 93.568 Program Name: Supplemental Nutrition Assistance Program Federal Assistance Listing Number: 10.561 Program Name: Temporary Assistance for Needy Families Federal Assistance Listing Number: 93.558 Program Name: Work First ? Child Support Enforcement Federal Assistance Listing Number: 93.563 Department of Social Services ? Crosscutting Significant Deficiency and Nonmaterial Noncompliance ? Special Test and Provisions Finding 2022-003 Criteria or Specific Requirement: As required by OMB Circular A-87, indirect cost amounts should be reported on the DSS-1571 accurately according to the amounts and codes indicated in the Indirect Cost Plan. Condition: The County had utilized their fiscal year 2021 cost allocation plan for reporting indirect costs on the Form 1571 for fiscal year 2022. Context: The County had reported the incorrect monthly indirect costs amount for all 12 months of fiscal year 2022. Questioned Costs: The following programs had known questioned costs in excess of $25,000 each: Medical Assistance: $121,224.91 Low-Income Home Energy Assistance: $32,161,68 Supplemental Nutrition Assistance Program: $46,541.36 Temporary Assistance for Needy Families: $40,770.93 Child Support Enforcement: $26,111.14 As 100% of questioned costs were identified for this issue, there are no likely questioned costs to report. Effect: The County, after considering local matching requirements, received $266,810 in additional reimbursements during fiscal year 2022 by utilizing the fiscal year 2021 cost allocation plan. Cause: The County had inadvertently continued to use the prior-year cost allocation plan for the current fiscal year. Recommendation: We recommend the County design and implement additional controls to ensure the correct cost allocation plan is utilized before filing its monthly Form 1571. Views of Responsible Officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
U.S. Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Material Weakness and Nonmaterial Noncompliance ? Eligibility Finding 2022-002 ? Repeat Finding Criteria or Specific Requirement: The County should have adequate documentation for each participant that supports each eligibility determination and the information entered into NC FAST. We noted several errors related to the following compliance criteria: a) At the time of each initial application or annual redetermination of benefits for Medical Assistance, self-attest wages should be verified, documented, and entered correctly into the budget in order to determine if the participant is eligible to receive benefits. b) At the time of each initial application or annual redetermination of benefits for Medical Assistance, the household count documented in NC FAST should be agreed to supporting documentation. c) At the time of each initial application or annual redetermination of benefits for Medical Assistance, either citizenship/identity documentation or alien status documentation (if non-citizen) existed in NC FAST. d) At the time of each initial application or annual redetermination of benefits for Medical Assistance, the caseworker should review the Register of Deeds for aged, blind, or disabled cases, or for MQB program cases, to verify property owned by the participant and this information should be entered into the NC FAST system. Condition: The following are the results for each criteria listed above out of the 60 program participants selected for testing: a) There were two instances where there was a computation error for income reported in NC FAST. b) There was one instance where the supporting documentation related to household count did not support the information entered into NC FAST. c) There was one instances where citizenship was not verified. d) There was one instance where the Register of Deeds was not run. Context: We sampled 60 cases from a total population of 40,798 cases made to the participants during the fiscal year. There were 5 out of 60 unique participants tested with the errors noted above, in which one was determined to have been improperly determined eligible. Questioned Costs: We noted a total of $8,215 in questioned costs related to improper eligibility determination related to item ?c? noted above. Total claims tested totaled $1,803,371 and so the projected questioned costs were a calculated 0.84% error rate. Effect: By not having the required documentation in the files or information being incorrectly documented, eligibility cannot be readily substantiated and there is a risk the County could provide funding to individuals who are not eligible. Cause: County oversight when performing eligibility determinations. Recommendation: The County should review their processes to ensure proper supporting documentation of eligibility is maintained within each case file, caseworkers have proper training, and the number of quality reviews is sufficient. Additionally, the County should continue to work toward filling vacancies in the Family and Children?s Medicaid Units. Views of responsible officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Program Name: Low-Income Home Energy Assistance Federal Assistance Listing Number: 93.568 Program Name: Supplemental Nutrition Assistance Program Federal Assistance Listing Number: 10.561 Program Name: Temporary Assistance for Needy Families Federal Assistance Listing Number: 93.558 Program Name: Work First ? Child Support Enforcement Federal Assistance Listing Number: 93.563 Department of Social Services ? Crosscutting Significant Deficiency and Nonmaterial Noncompliance ? Special Test and Provisions Finding 2022-003 Criteria or Specific Requirement: As required by OMB Circular A-87, indirect cost amounts should be reported on the DSS-1571 accurately according to the amounts and codes indicated in the Indirect Cost Plan. Condition: The County had utilized their fiscal year 2021 cost allocation plan for reporting indirect costs on the Form 1571 for fiscal year 2022. Context: The County had reported the incorrect monthly indirect costs amount for all 12 months of fiscal year 2022. Questioned Costs: The following programs had known questioned costs in excess of $25,000 each: Medical Assistance: $121,224.91 Low-Income Home Energy Assistance: $32,161,68 Supplemental Nutrition Assistance Program: $46,541.36 Temporary Assistance for Needy Families: $40,770.93 Child Support Enforcement: $26,111.14 As 100% of questioned costs were identified for this issue, there are no likely questioned costs to report. Effect: The County, after considering local matching requirements, received $266,810 in additional reimbursements during fiscal year 2022 by utilizing the fiscal year 2021 cost allocation plan. Cause: The County had inadvertently continued to use the prior-year cost allocation plan for the current fiscal year. Recommendation: We recommend the County design and implement additional controls to ensure the correct cost allocation plan is utilized before filing its monthly Form 1571. Views of Responsible Officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
U.S. Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Material Weakness and Nonmaterial Noncompliance ? Eligibility Finding 2022-002 ? Repeat Finding Criteria or Specific Requirement: The County should have adequate documentation for each participant that supports each eligibility determination and the information entered into NC FAST. We noted several errors related to the following compliance criteria: a) At the time of each initial application or annual redetermination of benefits for Medical Assistance, self-attest wages should be verified, documented, and entered correctly into the budget in order to determine if the participant is eligible to receive benefits. b) At the time of each initial application or annual redetermination of benefits for Medical Assistance, the household count documented in NC FAST should be agreed to supporting documentation. c) At the time of each initial application or annual redetermination of benefits for Medical Assistance, either citizenship/identity documentation or alien status documentation (if non-citizen) existed in NC FAST. d) At the time of each initial application or annual redetermination of benefits for Medical Assistance, the caseworker should review the Register of Deeds for aged, blind, or disabled cases, or for MQB program cases, to verify property owned by the participant and this information should be entered into the NC FAST system. Condition: The following are the results for each criteria listed above out of the 60 program participants selected for testing: a) There were two instances where there was a computation error for income reported in NC FAST. b) There was one instance where the supporting documentation related to household count did not support the information entered into NC FAST. c) There was one instances where citizenship was not verified. d) There was one instance where the Register of Deeds was not run. Context: We sampled 60 cases from a total population of 40,798 cases made to the participants during the fiscal year. There were 5 out of 60 unique participants tested with the errors noted above, in which one was determined to have been improperly determined eligible. Questioned Costs: We noted a total of $8,215 in questioned costs related to improper eligibility determination related to item ?c? noted above. Total claims tested totaled $1,803,371 and so the projected questioned costs were a calculated 0.84% error rate. Effect: By not having the required documentation in the files or information being incorrectly documented, eligibility cannot be readily substantiated and there is a risk the County could provide funding to individuals who are not eligible. Cause: County oversight when performing eligibility determinations. Recommendation: The County should review their processes to ensure proper supporting documentation of eligibility is maintained within each case file, caseworkers have proper training, and the number of quality reviews is sufficient. Additionally, the County should continue to work toward filling vacancies in the Family and Children?s Medicaid Units. Views of responsible officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Program Name: Low-Income Home Energy Assistance Federal Assistance Listing Number: 93.568 Program Name: Supplemental Nutrition Assistance Program Federal Assistance Listing Number: 10.561 Program Name: Temporary Assistance for Needy Families Federal Assistance Listing Number: 93.558 Program Name: Work First ? Child Support Enforcement Federal Assistance Listing Number: 93.563 Department of Social Services ? Crosscutting Significant Deficiency and Nonmaterial Noncompliance ? Special Test and Provisions Finding 2022-003 Criteria or Specific Requirement: As required by OMB Circular A-87, indirect cost amounts should be reported on the DSS-1571 accurately according to the amounts and codes indicated in the Indirect Cost Plan. Condition: The County had utilized their fiscal year 2021 cost allocation plan for reporting indirect costs on the Form 1571 for fiscal year 2022. Context: The County had reported the incorrect monthly indirect costs amount for all 12 months of fiscal year 2022. Questioned Costs: The following programs had known questioned costs in excess of $25,000 each: Medical Assistance: $121,224.91 Low-Income Home Energy Assistance: $32,161,68 Supplemental Nutrition Assistance Program: $46,541.36 Temporary Assistance for Needy Families: $40,770.93 Child Support Enforcement: $26,111.14 As 100% of questioned costs were identified for this issue, there are no likely questioned costs to report. Effect: The County, after considering local matching requirements, received $266,810 in additional reimbursements during fiscal year 2022 by utilizing the fiscal year 2021 cost allocation plan. Cause: The County had inadvertently continued to use the prior-year cost allocation plan for the current fiscal year. Recommendation: We recommend the County design and implement additional controls to ensure the correct cost allocation plan is utilized before filing its monthly Form 1571. Views of Responsible Officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
U.S. Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Material Weakness and Nonmaterial Noncompliance ? Eligibility Finding 2022-002 ? Repeat Finding Criteria or Specific Requirement: The County should have adequate documentation for each participant that supports each eligibility determination and the information entered into NC FAST. We noted several errors related to the following compliance criteria: a) At the time of each initial application or annual redetermination of benefits for Medical Assistance, self-attest wages should be verified, documented, and entered correctly into the budget in order to determine if the participant is eligible to receive benefits. b) At the time of each initial application or annual redetermination of benefits for Medical Assistance, the household count documented in NC FAST should be agreed to supporting documentation. c) At the time of each initial application or annual redetermination of benefits for Medical Assistance, either citizenship/identity documentation or alien status documentation (if non-citizen) existed in NC FAST. d) At the time of each initial application or annual redetermination of benefits for Medical Assistance, the caseworker should review the Register of Deeds for aged, blind, or disabled cases, or for MQB program cases, to verify property owned by the participant and this information should be entered into the NC FAST system. Condition: The following are the results for each criteria listed above out of the 60 program participants selected for testing: a) There were two instances where there was a computation error for income reported in NC FAST. b) There was one instance where the supporting documentation related to household count did not support the information entered into NC FAST. c) There was one instances where citizenship was not verified. d) There was one instance where the Register of Deeds was not run. Context: We sampled 60 cases from a total population of 40,798 cases made to the participants during the fiscal year. There were 5 out of 60 unique participants tested with the errors noted above, in which one was determined to have been improperly determined eligible. Questioned Costs: We noted a total of $8,215 in questioned costs related to improper eligibility determination related to item ?c? noted above. Total claims tested totaled $1,803,371 and so the projected questioned costs were a calculated 0.84% error rate. Effect: By not having the required documentation in the files or information being incorrectly documented, eligibility cannot be readily substantiated and there is a risk the County could provide funding to individuals who are not eligible. Cause: County oversight when performing eligibility determinations. Recommendation: The County should review their processes to ensure proper supporting documentation of eligibility is maintained within each case file, caseworkers have proper training, and the number of quality reviews is sufficient. Additionally, the County should continue to work toward filling vacancies in the Family and Children?s Medicaid Units. Views of responsible officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Program Name: Low-Income Home Energy Assistance Federal Assistance Listing Number: 93.568 Program Name: Supplemental Nutrition Assistance Program Federal Assistance Listing Number: 10.561 Program Name: Temporary Assistance for Needy Families Federal Assistance Listing Number: 93.558 Program Name: Work First ? Child Support Enforcement Federal Assistance Listing Number: 93.563 Department of Social Services ? Crosscutting Significant Deficiency and Nonmaterial Noncompliance ? Special Test and Provisions Finding 2022-003 Criteria or Specific Requirement: As required by OMB Circular A-87, indirect cost amounts should be reported on the DSS-1571 accurately according to the amounts and codes indicated in the Indirect Cost Plan. Condition: The County had utilized their fiscal year 2021 cost allocation plan for reporting indirect costs on the Form 1571 for fiscal year 2022. Context: The County had reported the incorrect monthly indirect costs amount for all 12 months of fiscal year 2022. Questioned Costs: The following programs had known questioned costs in excess of $25,000 each: Medical Assistance: $121,224.91 Low-Income Home Energy Assistance: $32,161,68 Supplemental Nutrition Assistance Program: $46,541.36 Temporary Assistance for Needy Families: $40,770.93 Child Support Enforcement: $26,111.14 As 100% of questioned costs were identified for this issue, there are no likely questioned costs to report. Effect: The County, after considering local matching requirements, received $266,810 in additional reimbursements during fiscal year 2022 by utilizing the fiscal year 2021 cost allocation plan. Cause: The County had inadvertently continued to use the prior-year cost allocation plan for the current fiscal year. Recommendation: We recommend the County design and implement additional controls to ensure the correct cost allocation plan is utilized before filing its monthly Form 1571. Views of Responsible Officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
U.S. Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Material Weakness and Nonmaterial Noncompliance ? Eligibility Finding 2022-002 ? Repeat Finding Criteria or Specific Requirement: The County should have adequate documentation for each participant that supports each eligibility determination and the information entered into NC FAST. We noted several errors related to the following compliance criteria: a) At the time of each initial application or annual redetermination of benefits for Medical Assistance, self-attest wages should be verified, documented, and entered correctly into the budget in order to determine if the participant is eligible to receive benefits. b) At the time of each initial application or annual redetermination of benefits for Medical Assistance, the household count documented in NC FAST should be agreed to supporting documentation. c) At the time of each initial application or annual redetermination of benefits for Medical Assistance, either citizenship/identity documentation or alien status documentation (if non-citizen) existed in NC FAST. d) At the time of each initial application or annual redetermination of benefits for Medical Assistance, the caseworker should review the Register of Deeds for aged, blind, or disabled cases, or for MQB program cases, to verify property owned by the participant and this information should be entered into the NC FAST system. Condition: The following are the results for each criteria listed above out of the 60 program participants selected for testing: a) There were two instances where there was a computation error for income reported in NC FAST. b) There was one instance where the supporting documentation related to household count did not support the information entered into NC FAST. c) There was one instances where citizenship was not verified. d) There was one instance where the Register of Deeds was not run. Context: We sampled 60 cases from a total population of 40,798 cases made to the participants during the fiscal year. There were 5 out of 60 unique participants tested with the errors noted above, in which one was determined to have been improperly determined eligible. Questioned Costs: We noted a total of $8,215 in questioned costs related to improper eligibility determination related to item ?c? noted above. Total claims tested totaled $1,803,371 and so the projected questioned costs were a calculated 0.84% error rate. Effect: By not having the required documentation in the files or information being incorrectly documented, eligibility cannot be readily substantiated and there is a risk the County could provide funding to individuals who are not eligible. Cause: County oversight when performing eligibility determinations. Recommendation: The County should review their processes to ensure proper supporting documentation of eligibility is maintained within each case file, caseworkers have proper training, and the number of quality reviews is sufficient. Additionally, the County should continue to work toward filling vacancies in the Family and Children?s Medicaid Units. Views of responsible officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Program Name: Low-Income Home Energy Assistance Federal Assistance Listing Number: 93.568 Program Name: Supplemental Nutrition Assistance Program Federal Assistance Listing Number: 10.561 Program Name: Temporary Assistance for Needy Families Federal Assistance Listing Number: 93.558 Program Name: Work First ? Child Support Enforcement Federal Assistance Listing Number: 93.563 Department of Social Services ? Crosscutting Significant Deficiency and Nonmaterial Noncompliance ? Special Test and Provisions Finding 2022-003 Criteria or Specific Requirement: As required by OMB Circular A-87, indirect cost amounts should be reported on the DSS-1571 accurately according to the amounts and codes indicated in the Indirect Cost Plan. Condition: The County had utilized their fiscal year 2021 cost allocation plan for reporting indirect costs on the Form 1571 for fiscal year 2022. Context: The County had reported the incorrect monthly indirect costs amount for all 12 months of fiscal year 2022. Questioned Costs: The following programs had known questioned costs in excess of $25,000 each: Medical Assistance: $121,224.91 Low-Income Home Energy Assistance: $32,161,68 Supplemental Nutrition Assistance Program: $46,541.36 Temporary Assistance for Needy Families: $40,770.93 Child Support Enforcement: $26,111.14 As 100% of questioned costs were identified for this issue, there are no likely questioned costs to report. Effect: The County, after considering local matching requirements, received $266,810 in additional reimbursements during fiscal year 2022 by utilizing the fiscal year 2021 cost allocation plan. Cause: The County had inadvertently continued to use the prior-year cost allocation plan for the current fiscal year. Recommendation: We recommend the County design and implement additional controls to ensure the correct cost allocation plan is utilized before filing its monthly Form 1571. Views of Responsible Officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
U.S. Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Material Weakness and Nonmaterial Noncompliance ? Eligibility Finding 2022-002 ? Repeat Finding Criteria or Specific Requirement: The County should have adequate documentation for each participant that supports each eligibility determination and the information entered into NC FAST. We noted several errors related to the following compliance criteria: a) At the time of each initial application or annual redetermination of benefits for Medical Assistance, self-attest wages should be verified, documented, and entered correctly into the budget in order to determine if the participant is eligible to receive benefits. b) At the time of each initial application or annual redetermination of benefits for Medical Assistance, the household count documented in NC FAST should be agreed to supporting documentation. c) At the time of each initial application or annual redetermination of benefits for Medical Assistance, either citizenship/identity documentation or alien status documentation (if non-citizen) existed in NC FAST. d) At the time of each initial application or annual redetermination of benefits for Medical Assistance, the caseworker should review the Register of Deeds for aged, blind, or disabled cases, or for MQB program cases, to verify property owned by the participant and this information should be entered into the NC FAST system. Condition: The following are the results for each criteria listed above out of the 60 program participants selected for testing: a) There were two instances where there was a computation error for income reported in NC FAST. b) There was one instance where the supporting documentation related to household count did not support the information entered into NC FAST. c) There was one instances where citizenship was not verified. d) There was one instance where the Register of Deeds was not run. Context: We sampled 60 cases from a total population of 40,798 cases made to the participants during the fiscal year. There were 5 out of 60 unique participants tested with the errors noted above, in which one was determined to have been improperly determined eligible. Questioned Costs: We noted a total of $8,215 in questioned costs related to improper eligibility determination related to item ?c? noted above. Total claims tested totaled $1,803,371 and so the projected questioned costs were a calculated 0.84% error rate. Effect: By not having the required documentation in the files or information being incorrectly documented, eligibility cannot be readily substantiated and there is a risk the County could provide funding to individuals who are not eligible. Cause: County oversight when performing eligibility determinations. Recommendation: The County should review their processes to ensure proper supporting documentation of eligibility is maintained within each case file, caseworkers have proper training, and the number of quality reviews is sufficient. Additionally, the County should continue to work toward filling vacancies in the Family and Children?s Medicaid Units. Views of responsible officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Program Name: Low-Income Home Energy Assistance Federal Assistance Listing Number: 93.568 Program Name: Supplemental Nutrition Assistance Program Federal Assistance Listing Number: 10.561 Program Name: Temporary Assistance for Needy Families Federal Assistance Listing Number: 93.558 Program Name: Work First ? Child Support Enforcement Federal Assistance Listing Number: 93.563 Department of Social Services ? Crosscutting Significant Deficiency and Nonmaterial Noncompliance ? Special Test and Provisions Finding 2022-003 Criteria or Specific Requirement: As required by OMB Circular A-87, indirect cost amounts should be reported on the DSS-1571 accurately according to the amounts and codes indicated in the Indirect Cost Plan. Condition: The County had utilized their fiscal year 2021 cost allocation plan for reporting indirect costs on the Form 1571 for fiscal year 2022. Context: The County had reported the incorrect monthly indirect costs amount for all 12 months of fiscal year 2022. Questioned Costs: The following programs had known questioned costs in excess of $25,000 each: Medical Assistance: $121,224.91 Low-Income Home Energy Assistance: $32,161,68 Supplemental Nutrition Assistance Program: $46,541.36 Temporary Assistance for Needy Families: $40,770.93 Child Support Enforcement: $26,111.14 As 100% of questioned costs were identified for this issue, there are no likely questioned costs to report. Effect: The County, after considering local matching requirements, received $266,810 in additional reimbursements during fiscal year 2022 by utilizing the fiscal year 2021 cost allocation plan. Cause: The County had inadvertently continued to use the prior-year cost allocation plan for the current fiscal year. Recommendation: We recommend the County design and implement additional controls to ensure the correct cost allocation plan is utilized before filing its monthly Form 1571. Views of Responsible Officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
U.S. Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Material Weakness and Nonmaterial Noncompliance ? Eligibility Finding 2022-002 ? Repeat Finding Criteria or Specific Requirement: The County should have adequate documentation for each participant that supports each eligibility determination and the information entered into NC FAST. We noted several errors related to the following compliance criteria: a) At the time of each initial application or annual redetermination of benefits for Medical Assistance, self-attest wages should be verified, documented, and entered correctly into the budget in order to determine if the participant is eligible to receive benefits. b) At the time of each initial application or annual redetermination of benefits for Medical Assistance, the household count documented in NC FAST should be agreed to supporting documentation. c) At the time of each initial application or annual redetermination of benefits for Medical Assistance, either citizenship/identity documentation or alien status documentation (if non-citizen) existed in NC FAST. d) At the time of each initial application or annual redetermination of benefits for Medical Assistance, the caseworker should review the Register of Deeds for aged, blind, or disabled cases, or for MQB program cases, to verify property owned by the participant and this information should be entered into the NC FAST system. Condition: The following are the results for each criteria listed above out of the 60 program participants selected for testing: a) There were two instances where there was a computation error for income reported in NC FAST. b) There was one instance where the supporting documentation related to household count did not support the information entered into NC FAST. c) There was one instances where citizenship was not verified. d) There was one instance where the Register of Deeds was not run. Context: We sampled 60 cases from a total population of 40,798 cases made to the participants during the fiscal year. There were 5 out of 60 unique participants tested with the errors noted above, in which one was determined to have been improperly determined eligible. Questioned Costs: We noted a total of $8,215 in questioned costs related to improper eligibility determination related to item ?c? noted above. Total claims tested totaled $1,803,371 and so the projected questioned costs were a calculated 0.84% error rate. Effect: By not having the required documentation in the files or information being incorrectly documented, eligibility cannot be readily substantiated and there is a risk the County could provide funding to individuals who are not eligible. Cause: County oversight when performing eligibility determinations. Recommendation: The County should review their processes to ensure proper supporting documentation of eligibility is maintained within each case file, caseworkers have proper training, and the number of quality reviews is sufficient. Additionally, the County should continue to work toward filling vacancies in the Family and Children?s Medicaid Units. Views of responsible officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Program Name: Low-Income Home Energy Assistance Federal Assistance Listing Number: 93.568 Program Name: Supplemental Nutrition Assistance Program Federal Assistance Listing Number: 10.561 Program Name: Temporary Assistance for Needy Families Federal Assistance Listing Number: 93.558 Program Name: Work First ? Child Support Enforcement Federal Assistance Listing Number: 93.563 Department of Social Services ? Crosscutting Significant Deficiency and Nonmaterial Noncompliance ? Special Test and Provisions Finding 2022-003 Criteria or Specific Requirement: As required by OMB Circular A-87, indirect cost amounts should be reported on the DSS-1571 accurately according to the amounts and codes indicated in the Indirect Cost Plan. Condition: The County had utilized their fiscal year 2021 cost allocation plan for reporting indirect costs on the Form 1571 for fiscal year 2022. Context: The County had reported the incorrect monthly indirect costs amount for all 12 months of fiscal year 2022. Questioned Costs: The following programs had known questioned costs in excess of $25,000 each: Medical Assistance: $121,224.91 Low-Income Home Energy Assistance: $32,161,68 Supplemental Nutrition Assistance Program: $46,541.36 Temporary Assistance for Needy Families: $40,770.93 Child Support Enforcement: $26,111.14 As 100% of questioned costs were identified for this issue, there are no likely questioned costs to report. Effect: The County, after considering local matching requirements, received $266,810 in additional reimbursements during fiscal year 2022 by utilizing the fiscal year 2021 cost allocation plan. Cause: The County had inadvertently continued to use the prior-year cost allocation plan for the current fiscal year. Recommendation: We recommend the County design and implement additional controls to ensure the correct cost allocation plan is utilized before filing its monthly Form 1571. Views of Responsible Officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
U.S. Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Material Weakness and Nonmaterial Noncompliance ? Eligibility Finding 2022-002 ? Repeat Finding Criteria or Specific Requirement: The County should have adequate documentation for each participant that supports each eligibility determination and the information entered into NC FAST. We noted several errors related to the following compliance criteria: a) At the time of each initial application or annual redetermination of benefits for Medical Assistance, self-attest wages should be verified, documented, and entered correctly into the budget in order to determine if the participant is eligible to receive benefits. b) At the time of each initial application or annual redetermination of benefits for Medical Assistance, the household count documented in NC FAST should be agreed to supporting documentation. c) At the time of each initial application or annual redetermination of benefits for Medical Assistance, either citizenship/identity documentation or alien status documentation (if non-citizen) existed in NC FAST. d) At the time of each initial application or annual redetermination of benefits for Medical Assistance, the caseworker should review the Register of Deeds for aged, blind, or disabled cases, or for MQB program cases, to verify property owned by the participant and this information should be entered into the NC FAST system. Condition: The following are the results for each criteria listed above out of the 60 program participants selected for testing: a) There were two instances where there was a computation error for income reported in NC FAST. b) There was one instance where the supporting documentation related to household count did not support the information entered into NC FAST. c) There was one instances where citizenship was not verified. d) There was one instance where the Register of Deeds was not run. Context: We sampled 60 cases from a total population of 40,798 cases made to the participants during the fiscal year. There were 5 out of 60 unique participants tested with the errors noted above, in which one was determined to have been improperly determined eligible. Questioned Costs: We noted a total of $8,215 in questioned costs related to improper eligibility determination related to item ?c? noted above. Total claims tested totaled $1,803,371 and so the projected questioned costs were a calculated 0.84% error rate. Effect: By not having the required documentation in the files or information being incorrectly documented, eligibility cannot be readily substantiated and there is a risk the County could provide funding to individuals who are not eligible. Cause: County oversight when performing eligibility determinations. Recommendation: The County should review their processes to ensure proper supporting documentation of eligibility is maintained within each case file, caseworkers have proper training, and the number of quality reviews is sufficient. Additionally, the County should continue to work toward filling vacancies in the Family and Children?s Medicaid Units. Views of responsible officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Program Name: Low-Income Home Energy Assistance Federal Assistance Listing Number: 93.568 Program Name: Supplemental Nutrition Assistance Program Federal Assistance Listing Number: 10.561 Program Name: Temporary Assistance for Needy Families Federal Assistance Listing Number: 93.558 Program Name: Work First ? Child Support Enforcement Federal Assistance Listing Number: 93.563 Department of Social Services ? Crosscutting Significant Deficiency and Nonmaterial Noncompliance ? Special Test and Provisions Finding 2022-003 Criteria or Specific Requirement: As required by OMB Circular A-87, indirect cost amounts should be reported on the DSS-1571 accurately according to the amounts and codes indicated in the Indirect Cost Plan. Condition: The County had utilized their fiscal year 2021 cost allocation plan for reporting indirect costs on the Form 1571 for fiscal year 2022. Context: The County had reported the incorrect monthly indirect costs amount for all 12 months of fiscal year 2022. Questioned Costs: The following programs had known questioned costs in excess of $25,000 each: Medical Assistance: $121,224.91 Low-Income Home Energy Assistance: $32,161,68 Supplemental Nutrition Assistance Program: $46,541.36 Temporary Assistance for Needy Families: $40,770.93 Child Support Enforcement: $26,111.14 As 100% of questioned costs were identified for this issue, there are no likely questioned costs to report. Effect: The County, after considering local matching requirements, received $266,810 in additional reimbursements during fiscal year 2022 by utilizing the fiscal year 2021 cost allocation plan. Cause: The County had inadvertently continued to use the prior-year cost allocation plan for the current fiscal year. Recommendation: We recommend the County design and implement additional controls to ensure the correct cost allocation plan is utilized before filing its monthly Form 1571. Views of Responsible Officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
U.S. Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Material Weakness and Nonmaterial Noncompliance ? Eligibility Finding 2022-002 ? Repeat Finding Criteria or Specific Requirement: The County should have adequate documentation for each participant that supports each eligibility determination and the information entered into NC FAST. We noted several errors related to the following compliance criteria: a) At the time of each initial application or annual redetermination of benefits for Medical Assistance, self-attest wages should be verified, documented, and entered correctly into the budget in order to determine if the participant is eligible to receive benefits. b) At the time of each initial application or annual redetermination of benefits for Medical Assistance, the household count documented in NC FAST should be agreed to supporting documentation. c) At the time of each initial application or annual redetermination of benefits for Medical Assistance, either citizenship/identity documentation or alien status documentation (if non-citizen) existed in NC FAST. d) At the time of each initial application or annual redetermination of benefits for Medical Assistance, the caseworker should review the Register of Deeds for aged, blind, or disabled cases, or for MQB program cases, to verify property owned by the participant and this information should be entered into the NC FAST system. Condition: The following are the results for each criteria listed above out of the 60 program participants selected for testing: a) There were two instances where there was a computation error for income reported in NC FAST. b) There was one instance where the supporting documentation related to household count did not support the information entered into NC FAST. c) There was one instances where citizenship was not verified. d) There was one instance where the Register of Deeds was not run. Context: We sampled 60 cases from a total population of 40,798 cases made to the participants during the fiscal year. There were 5 out of 60 unique participants tested with the errors noted above, in which one was determined to have been improperly determined eligible. Questioned Costs: We noted a total of $8,215 in questioned costs related to improper eligibility determination related to item ?c? noted above. Total claims tested totaled $1,803,371 and so the projected questioned costs were a calculated 0.84% error rate. Effect: By not having the required documentation in the files or information being incorrectly documented, eligibility cannot be readily substantiated and there is a risk the County could provide funding to individuals who are not eligible. Cause: County oversight when performing eligibility determinations. Recommendation: The County should review their processes to ensure proper supporting documentation of eligibility is maintained within each case file, caseworkers have proper training, and the number of quality reviews is sufficient. Additionally, the County should continue to work toward filling vacancies in the Family and Children?s Medicaid Units. Views of responsible officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Program Name: Low-Income Home Energy Assistance Federal Assistance Listing Number: 93.568 Program Name: Supplemental Nutrition Assistance Program Federal Assistance Listing Number: 10.561 Program Name: Temporary Assistance for Needy Families Federal Assistance Listing Number: 93.558 Program Name: Work First ? Child Support Enforcement Federal Assistance Listing Number: 93.563 Department of Social Services ? Crosscutting Significant Deficiency and Nonmaterial Noncompliance ? Special Test and Provisions Finding 2022-003 Criteria or Specific Requirement: As required by OMB Circular A-87, indirect cost amounts should be reported on the DSS-1571 accurately according to the amounts and codes indicated in the Indirect Cost Plan. Condition: The County had utilized their fiscal year 2021 cost allocation plan for reporting indirect costs on the Form 1571 for fiscal year 2022. Context: The County had reported the incorrect monthly indirect costs amount for all 12 months of fiscal year 2022. Questioned Costs: The following programs had known questioned costs in excess of $25,000 each: Medical Assistance: $121,224.91 Low-Income Home Energy Assistance: $32,161,68 Supplemental Nutrition Assistance Program: $46,541.36 Temporary Assistance for Needy Families: $40,770.93 Child Support Enforcement: $26,111.14 As 100% of questioned costs were identified for this issue, there are no likely questioned costs to report. Effect: The County, after considering local matching requirements, received $266,810 in additional reimbursements during fiscal year 2022 by utilizing the fiscal year 2021 cost allocation plan. Cause: The County had inadvertently continued to use the prior-year cost allocation plan for the current fiscal year. Recommendation: We recommend the County design and implement additional controls to ensure the correct cost allocation plan is utilized before filing its monthly Form 1571. Views of Responsible Officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
U.S. Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Material Weakness and Nonmaterial Noncompliance ? Eligibility Finding 2022-002 ? Repeat Finding Criteria or Specific Requirement: The County should have adequate documentation for each participant that supports each eligibility determination and the information entered into NC FAST. We noted several errors related to the following compliance criteria: a) At the time of each initial application or annual redetermination of benefits for Medical Assistance, self-attest wages should be verified, documented, and entered correctly into the budget in order to determine if the participant is eligible to receive benefits. b) At the time of each initial application or annual redetermination of benefits for Medical Assistance, the household count documented in NC FAST should be agreed to supporting documentation. c) At the time of each initial application or annual redetermination of benefits for Medical Assistance, either citizenship/identity documentation or alien status documentation (if non-citizen) existed in NC FAST. d) At the time of each initial application or annual redetermination of benefits for Medical Assistance, the caseworker should review the Register of Deeds for aged, blind, or disabled cases, or for MQB program cases, to verify property owned by the participant and this information should be entered into the NC FAST system. Condition: The following are the results for each criteria listed above out of the 60 program participants selected for testing: a) There were two instances where there was a computation error for income reported in NC FAST. b) There was one instance where the supporting documentation related to household count did not support the information entered into NC FAST. c) There was one instances where citizenship was not verified. d) There was one instance where the Register of Deeds was not run. Context: We sampled 60 cases from a total population of 40,798 cases made to the participants during the fiscal year. There were 5 out of 60 unique participants tested with the errors noted above, in which one was determined to have been improperly determined eligible. Questioned Costs: We noted a total of $8,215 in questioned costs related to improper eligibility determination related to item ?c? noted above. Total claims tested totaled $1,803,371 and so the projected questioned costs were a calculated 0.84% error rate. Effect: By not having the required documentation in the files or information being incorrectly documented, eligibility cannot be readily substantiated and there is a risk the County could provide funding to individuals who are not eligible. Cause: County oversight when performing eligibility determinations. Recommendation: The County should review their processes to ensure proper supporting documentation of eligibility is maintained within each case file, caseworkers have proper training, and the number of quality reviews is sufficient. Additionally, the County should continue to work toward filling vacancies in the Family and Children?s Medicaid Units. Views of responsible officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Medical Assistance Federal Assistance Listing Number: 93.778 Program Name: Low-Income Home Energy Assistance Federal Assistance Listing Number: 93.568 Program Name: Supplemental Nutrition Assistance Program Federal Assistance Listing Number: 10.561 Program Name: Temporary Assistance for Needy Families Federal Assistance Listing Number: 93.558 Program Name: Work First ? Child Support Enforcement Federal Assistance Listing Number: 93.563 Department of Social Services ? Crosscutting Significant Deficiency and Nonmaterial Noncompliance ? Special Test and Provisions Finding 2022-003 Criteria or Specific Requirement: As required by OMB Circular A-87, indirect cost amounts should be reported on the DSS-1571 accurately according to the amounts and codes indicated in the Indirect Cost Plan. Condition: The County had utilized their fiscal year 2021 cost allocation plan for reporting indirect costs on the Form 1571 for fiscal year 2022. Context: The County had reported the incorrect monthly indirect costs amount for all 12 months of fiscal year 2022. Questioned Costs: The following programs had known questioned costs in excess of $25,000 each: Medical Assistance: $121,224.91 Low-Income Home Energy Assistance: $32,161,68 Supplemental Nutrition Assistance Program: $46,541.36 Temporary Assistance for Needy Families: $40,770.93 Child Support Enforcement: $26,111.14 As 100% of questioned costs were identified for this issue, there are no likely questioned costs to report. Effect: The County, after considering local matching requirements, received $266,810 in additional reimbursements during fiscal year 2022 by utilizing the fiscal year 2021 cost allocation plan. Cause: The County had inadvertently continued to use the prior-year cost allocation plan for the current fiscal year. Recommendation: We recommend the County design and implement additional controls to ensure the correct cost allocation plan is utilized before filing its monthly Form 1571. Views of Responsible Officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.