Finding 1155278 (2024-003)

Material Weakness Repeat Finding
Requirement
E
Questioned Costs
-
Year
2024
Accepted
2025-09-25
Audit: 367509
Organization: Sibley County (MN)

AI Summary

  • Core Issue: Incomplete documentation and verification of eligibility for the Medical Assistance Program in MAXIS, leading to potential ineligible benefits being issued.
  • Impacted Requirements: Violations of federal regulations regarding internal controls and eligibility verification, specifically related to citizenship, income, and asset documentation.
  • Recommended Follow-Up: Sibley County should enhance procedures for documentation, ensure accurate data entry in MAXIS, and provide additional training for staff to address eligibility issues promptly.

Finding Text

2024-003 Eligibility – MAXIS Prior Year Finding Number: 2023-001 Year of Finding Origination: 2022 Type of Finding: Internal Control Over Compliance and Compliance Severity of Deficiency: Material Weakness and Qualified Opinion Federal Agency: U.S. Department of Health and Human Services Program: 93.778 Medical Assistance Program Award Number and Year: 2405MN5ADM; 2024 Pass-Through Agency: Minnesota Department of Human Services Criteria: Title 2 U.S. Code of Federal Regulations § 200.303 states that the auditee must establish and maintain effective internal control over the federal award that provides reasonable assurance that the auditee is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. Title 42 U.S. Code of Federal Regulations §§ 435.911 and 435.945 require the state Medicaid agency to determine and verify eligibility of enrollees in Medicaid. The Minnesota Department of Human Services provides the Minnesota Health Care Programs Eligibility Policy Manual. The manual contains the Minnesota Department of Human Services eligibility policies for the Minnesota Health Care Programs, including the eligibility requirements of Medical Assistance. Specific eligibility requirements are included for participants’ citizenship verification, income limits, and asset verification. Minnesota Statutes, section 256B.05, requires county agencies to administer Medical Assistance. Condition: The Minnesota Department of Human Services maintains the computer system, MAXIS, which is used by Sibley County to support the eligibility determination process. In the case files reviewed for eligibility, not all documentation to support participant eligibility was available, updated, or input correctly. The following exceptions were noted in the sample of 40 case files tested: • Five participants’ citizenship were not verified. • One participant’s income did not match the documentation in the file. • Three participants’ assets information did not have supporting documentation in the file. Questioned Costs: Not applicable. The County administers the program, but the State of Minnesota pays benefits to participants in this program. Context: The State of Minnesota and the County split the eligibility determination process. Pursuant to Minnesota statutes, Sibley County performs the “intake function” needed for this program, while the State maintains the MAXIS system, which supports the eligibility determination process. Participants receive benefit payments from the State. The population consisted of 541 active MAXIS cases enrolled in the Medical Assistance Program in 2024; the sample size was 40 case files. The sample size was based on the guidance from Chapter 11 of the AICPA Audit Guide, Government Auditing Standards and Single Audits. Effect: The lack of updated information in MAXIS and lack of verification of key eligibility-determining factors increase the risk that program participants will receive benefits when they are not eligible. Cause: Program personnel indicated some of the case files were transferred from another county and the supporting documentation was not included in the information provided. In other case files, the program personnel responsible for resolving eligibility issues in MAXIS did not ensure all required information was input or updated correctly or verified. Recommendation: We recommend Sibley County implement additional procedures to provide reasonable assurance that all documentation needed to support eligibility determinations exists, the program personnel properly input or update the documentation in MAXIS, and the program personnel follow up on issues in a timely manner. In addition, Sibley County should consider providing further training to program personnel. View of Responsible Official: Acknowledge

Corrective Action Plan

Finding Number: 2024-003 Finding Title: Eligibility - MAXIS Program: 93.778 Medical Assistance Program Name of Contact Person Responsible for Corrective Action: John Stepien, Financial Assistance Supervisor Corrective Action Planned: •Citizenship verification continues to be an error prone area. As an automated system process, the majority of our cases successfully complete the interface with SSA to determine citizenship. Determining the root cause of these errors is not always simple, but some contributing factors are failed interface links between MAXIS and SSA. Citizenship details on the MEMI panel which isn’t part of the normal review workflow for recertifications as it holds “additional” member information that typically doesn’t change from year to year. Also, human error plays a role as this type of verification is typically requested at the time a case opens and normally doesn’t change throughout the life of the case. Despite reminders and manual reviews, cases are still being missed. System modernization would go a long way to mitigate these types of error. In addition to continuing the reminders for staff, and periodically checking cases for failed interface verifications, the financial assistance supervisor will request ad-hoc reports from DHS specifically for healthcare cases that have a missing citizenship verification field or coded as “N” for no verification on the MEMI panel in MAXIS. This report will be shared with staff to target cases with missing citizenship verifications. In addition, it has been determined that the use of SMI to verify citizenship has been approved, however this verification has not been added to the case file in some instances which results in an error finding. •Asset verification rules have changed over the past year and a half and although the previous CAP stated we would hold reviews of this policy during regular unit meetings, the financial assistance supervisor has only held one review. This area will be revisited using state training in Trainlink and staff will be reminded that any information reported on an application or renewal needs to be compared to the information recorded in MAXIS and conflicting information needs to be verified. In addition, the process of receiving verifications will be reviewed. Currently, verification documents must be accepted from the client by any means, including mail, fax, paper, or email. Email containing verifications may be sent to the primary Financial Assistance email (recommended) but also may be sent to the agency’s primary email or the primary worker’s personal work email (not recommend). This puts the responsibility of moving those verifications to the case file on several different people. This process may lead to verifications being received but not added to the case files. Best practices will be shared with staff. Anticipated Completion Date: Trainlink training was shared and reviewed at the next in person unit meeting, September 4th. Ad-Hoc reports will be requested for the next quarter, October 6th Reviewing receipt of verification procedures will occur over the next several months and modifications (if necessary) or best practices will be shared January 2026.

Categories

Eligibility Material Weakness Internal Control / Segregation of Duties

Other Findings in this Audit

  • 1155277 2024-002
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
14.871 Section 8 Housing Choice Vouchers $190,915
93.558 Temporary Assistance for Needy Families $175,333
93.667 Social Services Block Grant $96,372
10.557 Wic Special Supplemental Nutrition Program for Women, Infants, and Children $87,572
93.658 Foster Care Title IV-E $81,315
10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $57,853
21.032 Covid-19 - Local Assistance and Tribal Consistency Fund $49,041
93.563 Child Support Services $41,367
16.835 Body Worn Camera Policy and Implementation $36,000
93.391 Activities to Support State, Tribal, Local and Territorial (stlt) Health Department Response to Public Health Or Healthcare Crises $32,094
20.205 Highway Planning and Construction $22,057
97.042 Emergency Management Performance Grants $18,938
93.967 Centers for Disease Control and Prevention Collaboration with Academia to Strengthen Public Health $18,694
93.994 Maternal and Child Health Services Block Grant to the States $17,895
93.575 Child Care and Development Block Grant $7,136
93.778 Medical Assistance Program $6,921
93.590 Community-Based Child Abuse Prevention Grants $6,700
93.959 Block Grants for Prevention and Treatment of Substance Abuse $5,659
93.008 Medical Reserve Corps Small Grant Program $4,993
93.556 Marylee Allen Promoting Safe and Stable Families Program $4,344
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $4,130
84.181 Special Education-Grants for Infants and Families $3,125
93.426 The National Cardiovascular Health Program $2,875
93.645 Stephanie Tubbs Jones Child Welfare Services Program $1,858
93.566 Refugee and Entrant Assistance State/replacement Designee Administered Programs $1,540
93.251 Early Hearing Detection and Intervention $375
93.767 Children's Health Insurance Program $370