FAC Explorer

Finding 1089385 (2024-003)

Significant Deficiency Repeat Finding
Requirement
E
Questioned Costs
-
Year
2024
Accepted
2024-12-03
Audit: 330742
Organization: Brunswick County (NC)
Auditor: Thompson Price Scott Adams & CO

AI Summary

  • Core Issue: There is a repeat finding of non-cooperation with Child Support procedures, affecting Medicaid eligibility assessments.
  • Impacted Requirements: Medicaid cases must be evaluated and referred to the Child Support Enforcement Agency, with cooperation from families required for eligibility.
  • Recommended Follow-Up: Implement internal reviews to ensure proper documentation and adherence to procedures in determining eligibility.

Finding Text

U.S. Department of Health and Human Services Passed through the NC Department of Health and Human Services Program Name: Medical Assistance Program (Medicaid; Title XIX) AL #: 93.778 Finding: 2024-003 Non-cooperation with Child Support Procedures SIGNIFICANT DEFICENCY ELIGIBILITY Criteria: Condition: Questioned Costs: Context: Effect: Identification of a repeat finding: Cause: Recommendation: Views of responsible officials and planned corrective actions: This is a repeat finding from the immediate previous audit, 2023-004. In accordance with the Medicaid Manual MA-3365, all Medicaid cases should be evaluated and referred to the Child Support Enforcement Agency (IV-D). The Child Support Enforcement Agency (IV-D) can assist the family in obtaining financial and/or medical support or medical support payments from the child’s non-custodial parent. Cooperation requirement with Social Services and Child Support Agencies must be met or good cause for not cooperating must be established when determining Medicaid eligibility. There were 1 errors discovered during our procedures that referrals between DSS and Child Support Agencies were not properly made. There was no known affect to eligibility and there were no known questioned costs. We examined 60 cases from of a total of 1,176,385 Medicaid claims from the Medicaid beneficiary report provided by NC Department of Health and Human Services to redetermine eligibility. These findings are being reported with the financial statement audit as it relates to Medicaid administrative cost compliance audit. For those certifications/re-certifications there was a chance that information was not properly documented and reconciled to NC FAST and applicants could have been approved for benefits for which they were not eligible. Section III. Federal Award Findings and Questioned Costs (continued) Error in reading the ACTS report and/or ineffective case review process. The County agrees with the finding. See Corrective Action Plan in the following section. Files should be reviewed internally to ensure proper information is in place and necessary procedures are taken when determining eligibility. The results found or documentation made in case notes should clearly indicate what actions were performed and the results of those actions.

Categories

Eligibility

Other Findings in this Audit

  • 512941 2024-001
    Significant Deficiency Repeat
  • 512942 2024-002
    Significant Deficiency
  • 512943 2024-003
    Significant Deficiency Repeat
  • 512944 2024-004
    Significant Deficiency Repeat
  • 512945 2024-005
    Significant Deficiency
  • 1089383 2024-001
    Significant Deficiency Repeat
  • 1089384 2024-002
    Significant Deficiency
  • 1089386 2024-004
    Significant Deficiency Repeat
  • 1089387 2024-005
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
21.027 Coronavirus State and Local Fiscal Recovery Funds $5.25M
93.778 Medical Assistance Program $3.27M
14.871 Section 8 Housing Choice Vouchers $2.67M
10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $1.22M
93.563 Child Support Services $1.15M
93.658 Foster Care Title IV-E $1.13M
10.557 Wic Special Supplemental Nutrition Program for Women, Infants, and Children $685,227
93.558 Temporary Assistance for Needy Families $523,458
93.354 Public Health Emergency Response: Cooperative Agreement for Emergency Response: Public Health Crisis Response $411,592
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $354,800
93.243 Substance Abuse and Mental Health Services Projects of Regional and National Significance $351,317
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $245,790
20.600 State and Community Highway Safety $244,154
93.667 Social Services Block Grant $220,626
93.767 Children's Health Insurance Program $215,069
93.596 Child Care Mandatory and Matching Funds of the Child Care and Development Fund $189,278
20.106 Airport Improvement Program, Covid-19 Airports Programs, and Infrastructure Investment and Jobs Act Programs $166,287
12.107 Aiww $100,456
93.568 Low-Income Home Energy Assistance $77,086
66.468 Drinking Water State Revolving Fund $75,291
93.217 Family Planning Services $55,652
93.994 Maternal and Child Health Services Block Grant to the States $55,621
16.606 State Criminal Alien Assistance Program $52,331
93.268 Immunization Cooperative Agreements $51,804
21.032 Local Assistance and Tribal Consistency Fund $50,000
93.556 Marylee Allen Promoting Safe and Stable Families Program $41,976
93.069 Public Health Emergency Preparedness $34,182
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $30,780
93.991 Preventive Health and Health Services Block Grant $30,431
93.674 John H. Chafee Foster Care Program for Successful Transition to Adulthood $29,849
93.659 Adoption Assistance $14,489
15.226 Pilt $5,108
93.917 Hiv Care Formula Grants $680
93.977 Sexually Transmitted Diseases (std) Prevention and Control Grants $100
93.116 Project Grants and Cooperative Agreements for Tuberculosis Control Programs $50
93.566 Refugee and Entrant Assistance State/replacement Designee Administered Programs $19