Name of Contact Person: Carolyn Moser, Health & Human Services Director
Corrective Action/Management’s Response: Audit Finding Review Training is held with
Family and Children's Medicaid to review Audit results and errors found. Verification sheet for
F&C Medicaid are reviewed. This form is to be us...
Name of Contact Person: Carolyn Moser, Health & Human Services Director
Corrective Action/Management’s Response: Audit Finding Review Training is held with
Family and Children's Medicaid to review Audit results and errors found. Verification sheet for
F&C Medicaid are reviewed. This form is to be used for every application and recertification.
Additional trainings/unit meetings are also held throughout the year. Areas covered are review
of: Child Support referrals, income, verification of Social Security Number, tax household,
household relationship, reacting to changes, addresses, and OVS. Ongoing trainings continue.
Individual conferences are held with each worker with an error. During the conference, the case
record is reviewed along with policy, error explanations and steps to take to prevent error from
reoccurring.
Each quarter Pender County is required to submit to the State a Quarterly Report of cases 2nd
party reviewed along with verification of trainings held, agendas and attendance sheets. Pender
is required to review over 120 cases per quarter.
There are several Medicaid Supervisors. Each month supervisors pull cases from each worker to
2nd party review. Supervisors meet with each worker that they have an error or internal control
issue. Errors and internal control issues are discussed monthly at Unit meetings. Policy, manual
changes, Admin letters, job aids and other information are also discussed and reviewed monthly
during Unit meetings.
Proposed Completion Date: Immediately and ongoing.