Finding 1144658 (2024-001)

Significant Deficiency Repeat Finding
Requirement
B
Questioned Costs
$1
Year
2024
Accepted
2025-06-27
Audit: 360487

AI Summary

  • Core Issue: Expenditures for the Alabama Medicaid Administrative Claiming Program included unsupported costs and duplication of federal funds.
  • Impacted Requirements: Compliance with the OMB Compliance Supplement and Alabama Medicaid Administrative Claim Program guidelines was not met, leading to questioned costs of $442,265.
  • Recommended Follow-Up: Implement reconciliation procedures and annual training for MAC Program Coordinators to ensure proper documentation and compliance before submitting claims.

Finding Text

Criteria: Compliance requirements for the program as shown on the Matrix of Compliance Requirements-OMB Compliance Supplement and Alabama Medicaid Administrative Claim Program (MAC) Public Assistance Cost Allocation Plan. Condition: Expenditures submitted for the Alabama Medicaid Administrative Claiming Progrm included expenditures supported by federal funds and undocumented costs. Questioned Costs: $442,265. $13,124 relates to duplication of federal funds for individual participant salary and benefit costs. $429,141 relates to costs paid with non-federal funds that were not properly documented. This amount was determined by inspecting documents used to complete claim for reimbursement. Context: 5% of the school districts participating in the MAC Program were examined. Of the 7 examined, 1 claimed expenditures that were supported by federal funds. The sample was a statistically valid sample. The claim quarters paid during the fiscal year were: July-September 2023, October-December 2023, January-March 2024, and April-June 2024. Effect: Duplication of federal funds. Ineligible costs. Cause: Lack of reconciliation and review procedures applied by participating school district MAC Program Coordinators to claim data prior to submission for payment. Recommendation: We recommend that Tallassee City Board of Education develop reconciliation and review procedures to be applied by the participating school districts prior to the quarterly claim submission. We also recommend that participating district MAC Program Coordinators be required to participate in training specific to the MAC claims process on an annual basis. New coordinators should be required to complete the training prior to submitting claims for reimbursement. Response: Tallassee City Board of Education agrees with the finding and will immediately begin to develop additional procedures and policies based on the recommendations and disseminate the information to the participating districts.

Categories

Questioned Costs Allowable Costs / Cost Principles Cash Management Eligibility Matching / Level of Effort / Earmarking

Other Findings in this Audit

  • 568216 2024-001
    Significant Deficiency Repeat

Programs in Audit

ALN Program Name Expenditures
93.778 Medical Assistance Program $70.95M
84.010 Title I Grants to Local Educational Agencies $485,586
84.027 Special Education Grants to States $430,337
10.553 School Breakfast Program $285,369
84.367 Supporting Effective Instruction State Grants (formerly Improving Teacher Quality State Grants) $77,243
84.173 Special Education Preschool Grants $63,612
10.555 National School Lunch Program $55,580
84.358 Rural Education $46,760
84.424 Student Support and Academic Enrichment Program $31,047
84.048 Career and Technical Education -- Basic Grants to States $26,056
10.559 Summer Food Service Program for Children $10,736
84.425 Education Stabilization Fund $2,080
10.558 Child and Adult Care Food Program $1,103
96.001 Social Security Disability Insurance $640