Finding Text
Program: 93.778 - Medical Assistance.
Criteria: A signed and dated DPI form M-5 is required if a district intends to bill for services rendered. DPI form M-5 should be kept available in district's records.
Condition: Selected a sample of 40 Medicaid eligible students who could receive services billed to Medicaid. 1 of those students did not have a DPI form M-5 on file.
Questioned Cost: None as the student without an M-5 did not receive services billed to Medicaid in the current year.
Context: The District has processes in place for obtaining M-5 documentation but the process is susceptible to administrative errors.
Effect: Students that received services that were eligible for reimbursement could have been billed to Medicaid without the appropriate parental consent.
Information: Isolated instance.
Prior Year Finding: This was not a prior year finding.
Recommendation: The District should review that they have received signed and dated M-5’s for all student Medicaid billings.
Management’s Response: The District will review that they have received signed and dated M-5’s for all student Medicaid billings.