This finding is listed as a repeat finding on Technical Errors cited finding in previous audit 2021-002. The primary root causes of these findings were due to extreme staffing shortage in each unit and having inexperienced staff. Extreme staffing shortages have been a constant battle that Lenoir Cou...
This finding is listed as a repeat finding on Technical Errors cited finding in previous audit 2021-002. The primary root causes of these findings were due to extreme staffing shortage in each unit and having inexperienced staff. Extreme staffing shortages have been a constant battle that Lenoir County has faced. The number of workers only consisted of a maximum of two workers to complete case actions for a normal staff unit of seven. The work increase has caused a significant impact on this unit, but the staff, lead workers, and supervisors make every effort to complete case actions in a timely manner. New staff members have been added but all are in training and have only been able to provide minimum assistance until training has been completed. Several trainings, staff meetings, and conferences have been conducted to streamline these errors and ensure that workers are applying policy to case actions correctly. Lenoir County will continue to implement the strategies and plan that ultimately works, and we strive for perfection in all actions that we complete, however, these steps will continue to be contingent upon maintaining the required staff and training staff to meet the accuracy level.
Maintain the required accuracy standards rate of 96.8% or higher when determining eligibility for case actions, approvals, terminations and denials.
Provide staff with the knowledge of the audit information, the performance improvement plan and what staff expectations are. Staff Meetings to be held November 15, 2023 to address audit findings and to start training process for staff to obtain knowledge needed to remain in compliance with policy standards.
Run log reports on case actions completed by IMC workers and randomly complete three or more 2nd party reviews per day.
Complete 100% 2nd party reviews on all new workers and pull findings within month of completion. New workers should be released from 100% 2nd party review process listed above when accuracy rating meets 98% for three consecutive months.
Lead Workers turn in 2nd party reviews at least once per week or twice a week to be evaluated for error trends.
Error trend reports are compiled by Lead Worker Supervisor and turned in monthly to Economic Services Administrator.
Meetings held with Lead Workers, Medicaid Supervisors, Staffe Development Specialist and Administrator to evaluate error trends. Monthly trainings held, as needed, to review error trend findings of 2nd part reviews completed with staff.
Proposed completion date for a policy compliance will start immediately and goal completion is set for February 1, 2024. Trainings conducted to remedy policy misinterpretations, by conducting monthly meetings, one-on-one conferences, and completion of remedial testing wither through the Learning Gateway or unit created tests.