Finding 2024-004
Name of contact person:
Corrective Action:
Proposed completion date: Training will be provided on November 13, 2024 to review findings and corrective
action items. Trainings will continue every week, to review policy changes, NCFAST
updates as well as common errors that may be found...
Finding 2024-004
Name of contact person:
Corrective Action:
Proposed completion date: Training will be provided on November 13, 2024 to review findings and corrective
action items. Trainings will continue every week, to review policy changes, NCFAST
updates as well as common errors that may be found during second party reviews.
Amy Spring, Income Maintenance Administrator
Our Quality Control Specialist has started second partying records to assist Medicaid
supervisors in capturing error trends. As policy changes, throughout the year, it also
requires additional training in NCFAST to ensure system procedures align with policy
requirements. The Quality Control Specialist will be working with supervisors to ensure
staff are knowledgeable of common error trends to prevent reoccurring errors.
Errors are listed as Significant Deficiency, but the county continues to show a decrease
in errors from previous fiscal years. Fiscal year 2021-2022 there were 21 errors, 2022-
2023 there were 13 and 2023-2024 we have 11 errors. Our staff continue to make every
effort to ensure accuracy of eligibility for the citizens of Beaufort County. Although
errors may be categorized under the same category of Inaccurate Information Entry,
Request for Information and Inaccurate Resource Entry, there are a variable of errors
that could classify under these categories. Therefore, previous errors cited under these
categories may not always be the exact same errors.
Supervisors, will ensure staff complete all required trainings provided by the Division of
Health Benefits. Supervisors will provide additional training, when needed to ensure
staff have a good understanding of all current and new policy as policy continuously
changes. Records will be reviewed internally to ensure cases provide proper
documentation. Workers will be trained on the importance of ensuring files include,
online verifications, documentation of resources and ensuring, documented resources
and income match information entered in NCFAST. Documentation in files should
provide clear steps taken by caseworkers to determine eligibility. Checklists have been
established to include errors cited during audit. Checklists are to be completed at
applications and recertifications, As policy changes and new recommendations are
provided by the state, checklists are updated to ensure staff are aware of the most recent
policy and procedures.