Finding 1156653 (2024-004)

Material Weakness Repeat Finding
Requirement
E
Questioned Costs
-
Year
2024
Accepted
2025-09-30
Audit: 369009
Organization: Mahnomen County (MN)

AI Summary

  • Core Issue: The County failed to provide application forms for two Medicaid eligibility cases, risking incorrect eligibility determinations.
  • Impacted Requirements: Compliance with Uniform Guidance on documentation for income, citizenship, and social security numbers is not being met.
  • Recommended Follow-Up: Implement better filing procedures to ensure all applications and client information are properly maintained in the case file system.

Finding Text

Federal Program Medicaid Cluster (AL 93.778) Eligibility Criteria Uniform Guidance requires the County to ensure compliance over eligibility by having the proper documentation of income, citizenship, and social security numbers. This information is provided by the client on the application form for assistance. Condition The County was not able to provide an application for two case files selected for testing. Questioned Costs None Context 10 applications were selected for testing. Cause The original applications were not properly filed or categorized in the County case file system. Effect Errors could have been made in determining eligibility, since the source of the information, the application form was missing, and benefits might have been issued to clients who are not eligible. Repeat Finding Yes Recommendation The County should implement procedures to ensure all applications and other client information is properly filed and maintained in the County case files system. Views of Responsible Officials and Planned Corrective Actions The County agrees with the recommendation and will review its procedures.

Corrective Action Plan

Contact Person – Bruce Starkey, County Administrator Corrective Action Plan – The County will review procedures over application filing. Completion Date – 9/30/2025

Categories

Eligibility

Other Findings in this Audit

  • 1156648 2024-002
    Material Weakness Repeat
  • 1156649 2024-002
    Material Weakness Repeat
  • 1156650 2024-002
    Material Weakness Repeat
  • 1156651 2024-003
    Material Weakness Repeat
  • 1156652 2024-004
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
20.205 Highway Planning and Construction $253,514
10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $142,543
93.563 Child Support Services $112,746
93.558 Temporary Assistance for Needy Families $84,167
93.667 Social Services Block Grant $77,766
20.219 Recreational Trails Program $55,899
21.027 Coronavirus State and Local Fiscal Recovery Funds $42,520
93.658 Foster Care Title IV-E $41,862
20.106 Airport Improvement Program, Infrastructure Investment and Jobs Act Programs, and Covid-19 Airports Programs $25,650
97.042 Emergency Management Performance Grants $20,054
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $16,363
16.710 Public Safety Partnership and Community Policing Grants $3,909
93.590 Community-Based Child Abuse Prevention Grants $2,044
93.556 Marylee Allen Promoting Safe and Stable Families Program $1,610
93.566 Refugee and Entrant Assistance State/replacement Designee Administered Programs $1,031
97.012 Boating Safety Financial Assistance $950
93.645 Stephanie Tubbs Jones Child Welfare Services Program $787
93.778 Medical Assistance Program $391
93.767 Children's Health Insurance Program $224
93.575 Child Care and Development Block Grant $143