Finding 1075109 (2023-003)

Significant Deficiency
Requirement
E
Questioned Costs
-
Year
2023
Accepted
2024-09-26
Audit: 321383
Organization: Mahnomen County (MN)

AI Summary

  • Core Issue: The County failed to provide an application for one Medicaid case file, which is essential for verifying eligibility.
  • Impacted Requirements: Compliance with Uniform Guidance on maintaining proper documentation for income, citizenship, and social security numbers.
  • Recommended Follow-Up: The County should establish better procedures for filing and maintaining all client applications and information to prevent future issues.

Finding Text

Federal Program Medicaid Cluster (AL 93.778) Eligibility Criteria Uniform Guidance requires the County to ensure compliance over eligibility by having the proper documentation of income, citizenship, and social security numbers. This information is provided by the client on the application form for assistance. Condition The County was not able to provide an application for one case file selected for testing. Questioned Costs None Context A sample 40 case files were selected for testing. The County was unable to provide the original application for one case file due to filing errors. The information entered into METS (State System) by the case worker from the original application was verified with government databases in the METS system. Cause The original application was not properly filed or categorized in the County case file system. Effect Errors could have been made in determining eligibility, since the source of the information, the application form was missing, and benefits might have been issued to clients who are not eligible. Repeat Finding No Recommendation The County should implement procedures to ensure all applications and other client information is properly filed and maintained in the County case files system. Views of Responsible Officials and Planned Corrective Actions The County agrees with the recommendation and will review its procedures.

Categories

Eligibility

Other Findings in this Audit

  • 498666 2023-003
    Significant Deficiency
  • 498667 2023-003
    Significant Deficiency
  • 498668 2023-002
    Material Weakness Repeat
  • 1075108 2023-003
    Significant Deficiency
  • 1075110 2023-002
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
21.027 Coronavirus State and Local Fiscal Recovery Funds $408,042
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $160,724
10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $135,594
21.032 Local Assistance and Tribal Consistency Fund $100,000
93.563 Child Support Services $99,191
93.667 Social Services Block Grant $68,652
93.658 Foster Care Title IV-E $56,966
16.575 Crime Victim Assistance $46,148
93.558 Temporary Assistance for Needy Families $45,245
20.106 Airport Improvement Program, Covid-19 Airports Programs, and Infrastructure Investment and Jobs Act Programs $45,000
20.219 Recreational Trails Program $22,500
97.042 Emergency Management Performance Grants $9,417
16.710 Public Safety Partnership and Community Policing Grants $6,503
90.404 Hava Election Security Grants $4,287
93.590 Community-Based Child Abuse Prevention Grants $2,094
93.645 Stephanie Tubbs Jones Child Welfare Services Program $1,230
97.012 Boating Safety Financial Assistance $880
16.607 Bulletproof Vest Partnership Program $847
93.556 Marylee Allen Promoting Safe and Stable Families Program $691
93.767 Children's Health Insurance Program $572
93.566 Refugee and Entrant Assistance State/replacement Designee Administered Programs $470
93.674 John H. Chafee Foster Care Program for Successful Transition to Adulthood $395
93.575 Child Care and Development Block Grant $328
93.778 Medical Assistance Program $325