Finding 1090147 (2024-001)

Significant Deficiency Repeat Finding
Requirement
E
Questioned Costs
-
Year
2024
Accepted
2024-12-10
Audit: 331610
Organization: Duplin County (NC)
Auditor: Rh CPAS PLLC

AI Summary

  • Core Issue: A technical error was found where the verification amounts in County documentation did not match those in the NC FAST system.
  • Impacted Requirements: Documentation for Medicaid applications and recertifications must align with NC FAST records and include all necessary verifications.
  • Recommended Follow-Up: Review the recertification process to ensure cases are not prematurely rolled forward and improve documentation practices to meet compliance standards.

Finding Text

Criteria: Medicaid for Aged, Blind and Disabled case records should contain documentation that verifications were done in preparation of the application/recertification and these items will agree to reports in the NC FAST system. In this process, documentation should be present and agree back to the records in the NC FAST system. Any items discovered in the process should be considered in regards to a specific eligibility requirement and explained within the documentation. Condition: There was one (1) technical error discovered during our procedures that verifications in the County documentation and the representative data contained in NC FAST were not the same amounts or files containing policy requirements were not properly documented to be considered in compliance with program control requirements. The error was as follows: One (1) recertification procedure was started; however, the case was rolled forward by the system before the recertification was completed. No QCs noted per review of admin letters. Questioned Costs (QC): There was no affect to eligibility and there were no questioned costs.

Categories

Eligibility

Other Findings in this Audit

  • 513705 2024-001
    Significant Deficiency Repeat

Programs in Audit

ALN Program Name Expenditures
93.778 Medical Assistance Program $2.05M
20.526 Buses and Bus Facilities Formula, Competitive, and Low Or No Emissions Programs $1.90M
93.354 Public Health Emergency Response: Cooperative Agreement for Emergency Response: Public Health Crisis Response $1.37M
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $838,609
93.563 Child Support Services $649,821
10.557 Wic Special Supplemental Nutrition Program for Women, Infants, and Children $541,923
10.923 Emergency Watershed Protection Program $480,000
93.667 Social Services Block Grant $233,278
93.596 Child Care Mandatory and Matching Funds of the Child Care and Development Fund $165,329
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $162,435
93.767 Children's Health Insurance Program $141,642
20.509 Formula Grants for Rural Areas and Tribal Transit Program $92,528
20.106 Airport Improvement Program, Covid-19 Airports Programs, and Infrastructure Investment and Jobs Act Programs $91,207
93.268 Immunization Cooperative Agreements $70,307
66.818 Brownfields Multipurpose, Assessment, Revolving Loan Fund, and Cleanup Cooperative Agreements $68,998
93.658 Foster Care Title IV-E $60,891
93.217 Family Planning Services $54,973
93.994 Maternal and Child Health Services Block Grant to the States $40,806
97.042 Emergency Management Performance Grants $39,698
93.044 Special Programs for the Aging, Title Iii, Part B, Grants for Supportive Services and Senior Centers $39,520
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $37,975
93.069 Public Health Emergency Preparedness $35,544
93.991 Preventive Health and Health Services Block Grant $30,431
97.039 Hazard Mitigation Grant $27,902
93.053 Nutrition Services Incentive Program $24,423
16.606 State Criminal Alien Assistance Program $23,597
10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $21,541
93.116 Project Grants and Cooperative Agreements for Tuberculosis Control Programs $21,003
97.067 Homeland Security Grant Program $18,837
93.045 Special Programs for the Aging, Title Iii, Part C, Nutrition Services $16,065
93.645 Stephanie Tubbs Jones Child Welfare Services Program $13,809
93.558 Temporary Assistance for Needy Families $11,897
93.556 Marylee Allen Promoting Safe and Stable Families Program $7,126
93.659 Adoption Assistance $5,295
20.513 Enhanced Mobility of Seniors and Individuals with Disabilities $4,887
32.009 Emergency Connectivity Fund Program $4,314
21.027 Coronavirus State and Local Fiscal Recovery Funds $4,128
93.052 National Family Caregiver Support, Title Iii, Part E $3,778
45.310 Grants to States $1,875
93.971 Health Professions Preparatory Scholarship Program for Indians $1,374
93.043 Special Programs for the Aging, Title Iii, Part D, Disease Prevention and Health Promotion Services $1,200
93.674 John H. Chafee Foster Care Program for Successful Transition to Adulthood $407
93.977 Sexually Transmitted Diseases (std) Prevention and Control Grants $100
16.922 Equitable Sharing Program $0
93.568 Low-Income Home Energy Assistance $-1,448