Finding 1143867 (2024-002)

Federal Agency: U.S. Department of Health and Human Services Federal Program Name: Medical Assistance Program (Medicaid Cluster) Assistance Listing Number: 93.778 Federal Award Identification Number and Year: 2405MN5ADM, 2024 Pass-Through Agency: Minnesota Department of Human Services Pass-Through Numbers: 2405MN5ADM Compliance Requirement Affected: Eligibility Award Period: Year Ended December 31, 2024 Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or Specific Requirement: Federal guidelines require grant recipients to implement internal controls for each direct and material compliance requirement applicable to the federal grant to ensure compliance with said requirements. Condition: During the testing of Medical Assistance with MAXIS and METS casefiles, it was noted there were only 15 casefile reviews completed in 2024. Questioned Costs: None noted. Context: There was insufficient internal casefile reviews completed for MAXIS and METS cases. Cause: Time constraints did not allow the County time to complete a sufficient number of casefile reviews. Effect: Casefiles could be incomplete or inaccurate and subsequently, benefits could be provided for ineligible clients. Repeat Finding: No. Recommendation: It is recommended that a supervisor or peer perform regular internal reviews per county policy on MAXIS and METS casefiles to ensure that proper policies and procedures are followed in determining eligibility. Views of responsible officials: There is no disagreement with the audit finding.