Audit 8821

Criteria: Medicaid for Aged, Blind and Disabled case records should contain documentation that verifications were done in preparation of the application/recertification and these items will agree to reports in the NC FAST system. In this process, documentation should be present and agree back to the records in the NC FAST system. Any items discovered in the process should be considered in regards to a specific eligibility requirement and explained within the documentation. Condition: There were five (5) technical errors discovered during our procedures that verifications in the County documentation and the representative data contained in NC FAST were not the same amounts or files containing policy requirements were not properly documented to be considered in compliance with program control requirements. The errors were as follows: One (1) did not have a completed recertification and the case was rolled forward by the system, however no QC noted per review of admin letters. Four (4) recertification procedures were started; however, the case was rolled forward by the system before the recertification was completed. No QCs noted per review of admin letters. Questioned Costs (QC): There was no affect to eligibility and there were no questioned costs.

Criteria: Medicaid for Aged, Blind and Disabled case records should contain documentation that verifications were done in preparation of the application/recertification and these items will agree to reports in the NC FAST system. In this process, documentation should be present and agree back to the records in the NC FAST system. Any items discovered in the process should be considered in regards to a specific eligibility requirement and explained within the documentation. Condition: There were five (5) technical errors discovered during our procedures that verifications in the County documentation and the representative data contained in NC FAST were not the same amounts or files containing policy requirements were not properly documented to be considered in compliance with program control requirements. The errors were as follows: One (1) did not have a completed recertification and the case was rolled forward by the system, however no QC noted per review of admin letters. Four (4) recertification procedures were started; however, the case was rolled forward by the system before the recertification was completed. No QCs noted per review of admin letters. Questioned Costs (QC): There was no affect to eligibility and there were no questioned costs.