Finding 1156122 (2024-003)

Material Weakness Repeat Finding
Requirement
E
Questioned Costs
-
Year
2024
Accepted
2025-09-29
Audit: 368538
Organization: Clay County (MN)

AI Summary

  • Core Issue: Inadequate documentation and data entry in MAXIS led to eligibility determination errors for the Medical Assistance Program.
  • Impacted Requirements: Compliance with federal regulations on eligibility verification and timely processing of applications was not met, risking ineligible benefits.
  • Recommended Follow-Up: Clay County should enhance procedures for documentation, ensure accurate data entry in MAXIS, and provide additional training for staff.

Finding Text

2024-003 Eligibility - MAXIS Prior Year Finding Number: 2023-002 Year of Finding Origination: 2023 Type of Finding: Internal Control Over Compliance and Compliance Severity of Deficiency: Material Weakness and Modified 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. The manual includes specific eligibility requirements for participants’ citizenship verification, income limits, and asset verification, as well as requirements of agencies to process applications within 45 days for most applicants, and up to 60 days for certain applicants. Minnesota Statutes § 256B.05 requires county agencies to administer Medical Assistance. Condition: The Minnesota Department of Human Services maintains the computer systems, MAXIS, which is used by Clay 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 into MAXIS. The following exceptions were noted in the sample of 40 case files tested: • One applicant’s application was processed 107 days after receipt. • Six participants’ citizenship verification method did not match the documentation in the file. • One case file did not document the participant’s income correctly. • Three case files did not document the participants’ assets correctly. 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, Clay County performs the "intake function" needed for this program, while the state maintains the MAXIS systems, which supports the eligibility determination process. Participants receive benefit payments from the State. The population consisted of 3,484 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 entering case data into MAXIS did not obtain and update the information in the system. Recommendation: We recommend Clay 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, Clay County should consider providing further training to program personnel. View of Responsible Official: Concur

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: Quinn Jaeger, Social Services Director Mikala Wodarek, Social Services Supervisor Corrective Action Planned: As part of the recent audit of MAXIS Medical Assistance eligibility determinations, Clay County Social Services recognizes that errors were found in several case files. In response, eligibility workers will receive targeted training on timely and accurate case entry in MAXIS, with particular emphasis on the verification and documentation of citizenship, income, and assets in accordance with OHS policy. The lead worker for this program will conduct random case reviews monthly, in addition to 3 case reviews for each worker around their annual performance evaluation. These case reviews will be reviewed with the worker thoroughly, coaching provided if necessary, and any errors found will be corrected. The supervisor will retain these case reviews and analyze them for patterns and provide team training and guidance as appropriate. For staff with repeated errors, performance management will be enacted in the form of verbal coaching, performance improvement plans, etc. The Health Care Team supervisor will strengthen internal procedures to reinforce documentation and timeliness standards, review results from case reviews on a regular basis, and initiate corrective performance measures when patterns of errors are observed. In addition, annual training on eligibility documentation will also be incorporated into the department's training plan. Anticipated Completion Date: Refresher training for eligibility workers and thorough review of 2024 audit findings both individually and as a group: completed on August 7, 2025 Case reviews by lead worker: Already implemented at the time of this 'writing and ongoing January 2026 and ongoing: Health Care supervisor begins quarterly reviews of audit findings and reports results to department leadership. January 2026 and ongoing: Annual eligibility documentation training incorporated into the department training calendar.

Categories

Eligibility Material Weakness Internal Control / Segregation of Duties

Other Findings in this Audit

  • 1156121 2024-002
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
21.027 Covid-19 - Coronavirus State and Local Fiscal Recovery Funds $6.94M
93.563 Child Support Services $1.33M
93.558 Temporary Assistance for Needy Families $1.29M
10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $736,074
93.658 Foster Care Title IV-E $695,692
10.557 Wic Special Supplemental Nutrition Program for Women, Infants, and Children $436,256
93.667 Social Services Block Grant $357,779
16.738 Edward Byrne Memorial Justice Assistance Grant Program $204,298
93.959 Block Grants for Prevention and Treatment of Substance Abuse $175,490
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $136,335
93.674 John H. Chafee Foster Care Program for Successful Transition to Adulthood $104,974
10.555 National School Lunch Program $93,434
21.032 Covid-19 - Local Assistance and Tribal Consistency Fund $79,577
93.069 Public Health Emergency Preparedness $79,188
93.994 Maternal and Child Health Services Block Grant to the States $77,558
93.991 Preventive Health and Health Services Block Grant $61,316
10.553 School Breakfast Program $50,893
16.575 Crime Victim Assistance $50,581
93.967 Centers for Disease Control and Prevention Collaboration with Academia to Strengthen Public Health $48,623
93.958 Block Grants for Community Mental Health Services $40,694
93.575 Child Care and Development Block Grant $38,960
97.042 Emergency Management Performance Grants $37,714
93.354 Public Health Emergency Response: Cooperative Agreement for Emergency Response: Public Health Crisis Response $33,011
93.268 Immunization Cooperative Agreements $19,374
93.778 Medical Assistance Program $18,268
93.323 Covid-19 - Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $15,516
93.590 Community-Based Child Abuse Prevention Grants $11,670
93.556 Marylee Allen Promoting Safe and Stable Families Program $10,817
20.600 State and Community Highway Safety $6,073
93.566 Refugee and Entrant Assistance State/replacement Designee Administered Programs $5,097
93.645 Stephanie Tubbs Jones Child Welfare Services Program $4,627
21.U01 Joint Law Enforcement Operation Task Force Project $3,221
84.181 Special Education-Grants for Infants and Families $2,875
10.572 Wic Farmers' Market Nutrition Program (fmnp) $1,175
93.767 Children's Health Insurance Program $1,139
93.008 Medical Reserve Corps Small Grant Program $580