Finding 1155546 (2024-007)

Material Weakness Repeat Finding
Requirement
L
Questioned Costs
-
Year
2024
Accepted
2025-09-26
Audit: 367845
Organization: Itasca County (MN)

AI Summary

  • Core Issue: The County's annual LCTS report lacked required review documentation by someone other than the preparer.
  • Impacted Requirements: Compliance with standard internal control procedures for report reviews was not met.
  • Recommended Follow-Up: Ensure all reports are reviewed by a separate individual to prevent errors before submission.

Finding Text

REPORTING (2024-007) Federal Agency: U.S. Department of Health and Human Services Federal Program Name: Medical Assistance Program (Medicaid Cluster) Assistance Listing Number: 93.778 Pass-Through Agency: Minnesota Department of Human Services and the Aitkin-Itasca-Koochiching Community Health Board Pass-Through Numbers: 2405MN5ADM, 2405MN5MAP Federal Award Identification Number and Year: 2405MN5ADM, 2405MN5MAP, 2024 Compliance Requirement Affected: Reporting Award Period: Year Ended December 31, 2024 Type of Finding: Significant Deficiency in Internal Control Over Compliance Criteria or Specific Requirement: Standard internal control procedures recommend that reports should have a review documented by someone other than the preparer. Condition: The County’s annual LCTS collaborative report filed was missing documentation of review by someone other than the preparer. Questioned Costs: None Context: During our testing of the annual LCTS collaborative report, it was noted that the annual report was missing documentation of review by someone other than the preparer. Cause: The Minnesota Department of Human Services is not requiring a review and lack of management oversight. Effect: Reports could be prepared with errors that are not corrected prior to submission. Repeat Finding: Yes, 2023-007. Recommendation: We recommend that the County ensure each report is reviewed by someone other than the preparer. Views of Responsible Officials: There is no disagreement with the audit finding.

Corrective Action Plan

REPORTING (PRIOR YEAR 2023-007) Federal Agency: U.S. Department of Health and Human Services Federal Program Name: Medical Assistance Program (Medicaid Cluster) Assistance Listing Number: 93.778 Pass-Through Agency: Minnesota Department of Human Services and the Aitkin-Itasca-Koochiching Community Health Board Federal Award Identification Number and Pass-Through Number: 2405MN5ADM, 2405MN5MAP Compliance Requirement Affected: Reporting Award Period: Year Ended December 31, 2024 Type of Finding: Significant Deficiency in Internal Control over Compliance Recommendation: We recommend that the County ensure each report is reviewed by someone other than the preparer. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The County will ensure each report is reviewed by someone other than the preparer. Name of the contact person responsible for corrective action: Eric Villeneuve, Health and Human Services Director Planned completion date for corrective action plan: December 31, 2025

Categories

Internal Control / Segregation of Duties Reporting Significant Deficiency

Other Findings in this Audit

  • 1155538 2024-008
    Material Weakness Repeat
  • 1155539 2024-005
    Material Weakness Repeat
  • 1155540 2024-007
    Material Weakness Repeat
  • 1155541 2024-006
    Material Weakness Repeat
  • 1155542 2024-006
    Material Weakness Repeat
  • 1155543 2024-005
    Material Weakness Repeat
  • 1155544 2024-007
    Material Weakness Repeat
  • 1155545 2024-005
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
21.027 Coronavirus State and Local Fiscal Recovery Funds $2.56M
20.205 Highway Planning and Construction $2.06M
15.226 Payments in Lieu of Taxes $681,632
10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $627,048
93.558 Temporary Assistance for Needy Families $551,659
93.658 Foster Care Title IV-E $391,235
93.667 Social Services Block Grant $316,033
93.563 Child Support Services $263,370
10.557 Wic Special Supplemental Nutrition Program for Women, Infants, and Children $259,617
16.710 Public Safety Partnership and Community Policing Grants $146,900
93.958 Block Grants for Community Mental Health Services $103,544
93.069 Public Health Emergency Preparedness $85,592
93.994 Maternal and Child Health Services Block Grant to the States $77,829
20.219 Recreational Trails Program $75,000
16.575 Crime Victim Assistance $67,441
97.012 Boating Safety Financial Assistance $64,375
93.674 John H. Chafee Foster Care Program for Successful Transition to Adulthood $33,997
97.042 Emergency Management Performance Grants $29,083
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $25,543
93.778 Medical Assistance Program $15,121
20.600 State and Community Highway Safety $14,413
93.575 Child Care and Development Block Grant $11,641
93.556 Marylee Allen Promoting Safe and Stable Families Program $11,251
93.268 Immunization Cooperative Agreements $10,434
93.590 Community-Based Child Abuse Prevention Grants $5,594
93.645 Stephanie Tubbs Jones Child Welfare Services Program $4,813
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $4,575
93.566 Refugee and Entrant Assistance State/replacement Designee Administered Programs $4,524
93.775 State Medicaid Fraud Control Units $1,294
93.767 Children's Health Insurance Program $893