Finding Text
Vance County, North Carolina
Schedule of Findings and Questioned Costs
For the Year Ended June 30, 2024
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: 2024-004 IV-D Cooperation with Child Support
SIGNIFICANT DEFICENCY
Eligibility
Criteria:
Condition:
Questioned Costs:
Context:
Effect:
Cause:
Identification of a
repeat finding:
Recommendation:
Views of responsible
officials and planned
corrective actions:
Human error in reading the Automated Collection and Tracking System (ACTS)
report and/or ineffective case review process.
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.
Section III. Federal Award Findings and Questioned Costs
The County agrees with the finding. See Corrective Action Plan in the following
section.
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 2 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 830,748 Medicaid claims from the
Medicaid beneficiary report provided by NC Department of Health and Human
Services to re-determine 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 North Carolina Families Accessing Services
through Technology (NC FAST) and a participant could have been approved for
benefits for which they were not eligible.
This is a repeat finding from the immediate previous audit, 2023-008.
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