Finding 1165674 (2025-001)

Agency: Department of Health and Human Services Federal Award Number/Year: 12001 - 2024; 12001 - 2025 Program & ALN: Medical Assistance Program (93.778) Pass-through Entities: Virginia Department of Social Services Compliance Requirement: Eligibility Finding Type: Noncompliance Criteria: The local social services agency is the grant recipient for the award and is required to ensure eligibility requirements are adequately followed. Condition:In 4 of the 25 cases tested, eligibility redetermination had not been completed in the previous 12 months. Cause:The local social services agency was not in compliance with eligibility requirements in accordance with Uniform Guidance. Effect:Eligibility redetermination was not completed timely and therefore clients were potentially ineligible. Recommendation:We recommend the local social services agency continue to work with VDSS to catch up on overdue cases so that all have redetermination completed within 12 months. Views of Responsible Officials and Planned Corrective Action: The local social services agency agrees with the finding. Upon further review of the untimely cases identified in the audit process, it was noted that no changes in benefits were required. The agency will implement procedures to improve timeliness.