Finding Number 2024-042 Subject Heading (Financial) or AL no. and program name (Federal) 93.778 Medicaid Cluster Planned Corrective Action Management acknowledges the variances identified in the Medicaid, CHIP (COVID), and CHIP 64.21 federal expenditure amounts reported in GAAP Package Z. Upon revie...
Finding Number 2024-042 Subject Heading (Financial) or AL no. and program name (Federal) 93.778 Medicaid Cluster Planned Corrective Action Management acknowledges the variances identified in the Medicaid, CHIP (COVID), and CHIP 64.21 federal expenditure amounts reported in GAAP Package Z. Upon review, the discrepancies were determined to result from formula reference errors, missed carry-forward updates, and omitted adjustments within internal reporting worksheets. These issues were limited to the preparation of the financial schedules and did not affect underlying program expenditures, eligibility determinations, or federal claiming. Management has corrected all affected worksheets, updated the formula references, and ensured that all required adjustments— including administrative expenditures, Soon-to-be-Sooners updates, and 64.21 Line 4 collections—are accurately reflected in the revised totals. All impacted quarters have been updated accordingly. To strengthen controls and prevent recurrence, management has implemented a formal quarter-end reconciliation checklist, enhanced review procedures, and instituted secondary reviewer sign-off for all federal expenditure schedules. Worksheet dependencies and adjustment requirements are being developed in a federal reporting procedures manual that should be complete in October 2026. With the team now fully staffed, management is able to reinforce these procedures and improve the consistency and quality of the review and approval process. Management believes these corrective actions fully address the causes of the variances and will support accurate, complete, and reliable reporting in future periods. Anticipated Completion Date December 31, 2026 Responsible Contact Person Calvin Cole, OHCA Director Financial Accountability & Compliance, Susan Crooke, OHCA Senior Director Accountability & Compliance