Finding 1089387 (2024-005)

Significant Deficiency
Requirement
E
Questioned Costs
-
Year
2024
Accepted
2024-12-03
Audit: 330742
Organization: Brunswick County (NC)

AI Summary

  • Core Issue: Internal controls for Food and Nutrition Services eligibility determinations are inadequate, leading to potential errors in benefit approvals.
  • Impacted Requirements: Compliance with Section 200.303 of the Uniform Grant Guidance and relevant FNS policies is not being met, risking improper eligibility determinations.
  • Recommended Follow-Up: Implement training for staff on eligibility requirements and enhance the internal review process to catch and correct errors.

Finding Text

U.S. Department of Health and Human Services Passed through the NC Department of Health and Human Services Program Name: Food and Nutrition Services (FNS) Cluster AL #: 10.551 and 10.561 Finding: 2024-005 Internal Controls Related to FNS Eligibility Determinations SIGNIFICANT DEFICENCY ELIGIBILITY Criteria: Condition: Questioned Costs: Context: Effect: Section III. Federal Award Findings and Questioned Costs (continued) Per Section 200.303 of the Uniform Grant Guidance, a non-federal entity must establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. The State has provided policies and procedures to ensure that the County is meeting the federal guidance, relevant policies are: Food and Nutrition Services Policy 305 describes the verification sources and requirements and the FNS units primary responsibility for providing documentary evidence to support statements on applications and recertifications and procedures required if the statements by applicant/beneficiary are questionable. Food and Nutrition Services Policy 300 describes the sources of income countable and not countable to the household for determining financial eligibility. Food and Nutrition Services Policy 310 describes the procedures related to verifying changes in income (i.e. termination, end of contract, temporary, etc.). There were a total of 5 errors found in our testing: 1 instance where child support income was incorrectly calculated and entered in NCFAST, 1 instance where earned income was incorrectly caclculated and entered in NCFAST, 1 instance where an OVS report was not included in the case file, 1 instance where a work work registration was not completed, and 1 instance where a mortgage payment was entered into NCFAST but evidence shows that the absent parent was paying mortgage in lieu of child support. There was no known affect to eligibility and there were no known questioned costs. We examined 25 of 96,362 FNS cases from a report of all active FNS beneficiaries provided by Brunswick County's Department of Human Services. The finding is being reported with the financial statement audit as it relates to FNS 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 a participant could have been approved for benefits for which they were not eligible. Cause: Recommendation: Views of responsible officials and planned corrective actions: AL #: 93.778 SIGNIFICANT DEFICENCY: Findings 2024-001, 2024-002, 2024-003, and 2024-004 also apply to State requirements and State Awards. Section IV. State Award Findings and Questioned Costs Program Name: Medical Assistance Program (Medicaid; Title XIX) Section III. Federal Award Findings and Questioned Costs (continued) Due to the errors noted, eligibility cannot be sufficiently substantiated and there is a risk that the County could provide funding and/or benefits to individuals who are not program eligible. The County should provide training of management and staff on the program's eligibility requirements, proper case review process, and required verifications for eligibility. Also, the County should ensure that their formal internal review process is adequately completed to identify and correct errors in case reviews. The County agrees with the finding. See Corrective Action Plan in the following section.

Categories

Eligibility Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties

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
  • 1089385 2024-003
    Significant Deficiency Repeat
  • 1089386 2024-004
    Significant Deficiency Repeat

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