Finding 1168189 (2025-003)

Material Weakness Repeat Finding
Requirement
E
Questioned Costs
-
Year
2025
Accepted
2026-01-07
Audit: 379967
Organization: Yadkin County (NC)

AI Summary

  • Core Issue: Yadkin County has significant deficiencies in Medicaid eligibility determinations, leading to potential overpayments or underpayments.
  • Impacted Requirements: Federal regulations require accurate verification of eligibility using reliable data sources, which has not been consistently followed.
  • Recommended Follow-Up: Implement comprehensive staff training, establish a formal internal review process, and improve communication regarding program changes.

Finding Text

Yadkin County, North Carolina Schedule of Findings and Questioned Costs For the Year Ended June 30, 2025 Recommendation: Views of responsible officials and planned corrective actions: U.S. Department of Health and Human Services Passed through the NC Department of Health and Human Services Program Name: Medical Assistance Program (Medicaid) AL #: 93.778 Finding: 2025-003 SIGNIFICANT DEFICIENCY; NONCOMPLIANCE Eligibility Criteria: Condition: Questioned Costs: Context: Effect: Identification of a repeat finding: The County should review financial records periodically to ensure transfers and amendments are made timely for account reconciliations, year-end close and annual financial reporting purposes. The County agrees with this finding. Please refer to the corrective action plan for details. Section II - Financial Statement Findings (continued) Section III - Federal Award Findings and Questioned Costs There were a total of 29 errors found during our testing procedures: - There were 8 errors where income or household size was incorrectly calculated or inaccurate information was entered into the case file. - There was 8 error where resources were incorrectly calculated or were not properly documented in the case file. - There were 7 errors where required information needed for eligibility determinations were not requested or not requested timely at applications or redeterminations. - There were 3 errors where applicants/beneficiaries not reviewed timely and determined to be eligible for Medicaid when their SSI benefits were terminated. - There were 3 errors where a redetermination of eligibility was not performed in accordance with program requirements. Due to the nature of the populations provided from which the samples were chosen, we are unable to calculate questioned costs for the above mentioned potential eligibility and noncompliance errors. We examined 60 cases from of a total of 200,425 Medicaid claims from the Medicaid beneficiary report provided by NC Department of Health and Human Services to re-determine eligibility. These findings are being reported with the financial statement audit as it relates to Medicaid administrative cost compliance audit. These control deficiencies and noncompliance increase the risk of improper Medicaid payments, potentially resulting in overpayments to ineligible beneficiaries or underpayments to those who qualify. Federal regulations under 42 CFR § 435.956 require states to verify eligibility factors using electronic data sources where available, and to obtain documentation for unverifiable information. Additionally, the state's Medicaid manual (Aged, Blind and Disabled manual, Family and Children Medicaid manual and the Integrated Policy manual) mandates that all eligibility determinations include cross-verification of applicant-provided data against reliable external sources to ensure accuracy and prevent improper payments. This is a repeat finding from the immediate previous audit, 2024-001, 2024-002, 2024-003, and 2024-004. Note in FY 2025 Medicaid findings were combined into a single finding. 128Yadkin County, North Carolina Schedule of Findings and Questioned Costs For the Year Ended June 30, 2025 Cause: Recommendation: Views of responsible officials and planned corrective actions: AL #: 93.778 Section III - Federal Award Findings and Questioned Costs (continued) The deficiencies and noncompliance reported above are caused from ineffective record keeping and case review processes due to insufficient training of staff, lack of oversight from management, and/or inadequate communication between departments resulting in inconsistencies in data sharing and delayed information exchanges. The County agrees with the finding and is implementing actions to correct these issues, which are further discussed in the corrective action plan. We recommend that management enhance internal controls by: (1) Providing comprehensive training to staff on the program's eligibility requirements and procedures outlined in the State's Medicaid manuals; (2) Ensuring that there is a formal internal review process and that it is adequately completed to identify and correct errors and monitor compliance; and (3) Communicating all program or policy changes clearly and timely across all departments who oversee eligibility determinations for federal funded programs. Program Name: Medical Assistance Program SIGNIFICANT DEFICIENCY; NONCOMPLIANCE: Finding 2025-001 also applies to State requirements and State Awards. Section IV - State Award Findings and Questioned Costs 129

Corrective Action Plan

Corrective Action Plan For the Year Ended June 30, 2025 Finding: 2025-003 Name of contact person: Corrective Action: Proposed Completion Date: Corrective actions for Finding 2025-003 also applies to State award findings. Section IV - State Award Findings and Questioned Costs Section III - Federal Award Findings and Questioned Costs Jessica Wall, Human Services Director and Marcy Mays, Assistant Human Services Director Training to include technical assistance related to all Single County Audit Findings from the most recent audit. This training included a powerpoint presentation that covered income calculations, resources, self-employment and how to document each of these. During this training, we covered toggling into each determination to check for validity and made it a requirement that each caseworker calculate income outside of the system, upload their own calcuations into NCFast and verify that the outside calculation matches that in the system. Operational Support Representative visited the agency to provide training on self-employment, unemployment, passalong, SSI cases and passalong. Internally, we have developed second-party spreadsheets per worker to be able to better track individual performance and training needs. Internal Training completed on 09/17/25. Operational Support Training was provided on 10/22/25. Supervisors will provide at least monthly training on any new policy updates or second-party findings. 131

Categories

Eligibility Internal Control / Segregation of Duties Reporting Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.778 MEDICAL ASSISTANCE PROGRAM $899,845
93.658 FOSTER CARE TITLE IV-E $371,328
93.558 TEMPORARY ASSISTANCE FOR NEEDY FAMILIES $296,738
10.561 STATE ADMINISTRATIVE MATCHING GRANTS FOR THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM $253,954
93.563 CHILD SUPPORT SERVICES $249,100
10.557 WIC SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN $226,690
93.667 SOCIAL SERVICES BLOCK GRANT $191,970
93.045 SPECIAL PROGRAMS FOR THE AGING, TITLE III, PART C, NUTRITION SERVICES $166,744
21.027 CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS $157,598
93.767 CHILDREN'S HEALTH INSURANCE PROGRAM $93,779
93.596 CHILD CARE MANDATORY AND MATCHING FUNDS OF THE CHILD CARE AND DEVELOPMENT FUND $75,658
97.137 STATE AND LOCAL CYBERSECURITY GRANT PROGRAM TRIBAL CYBERSECURITY GRANT PROGRAM $69,388
93.977 SEXUALLY TRANSMITTED DISEASES (STD) PREVENTION AND CONTROL GRANTS $50,084
93.967 CENTERS FOR DISEASE CONTROL AND PREVENTION COLLABORATION WITH ACADEMIA TO STRENGTHEN PUBLIC HEALTH $46,598
93.044 SPECIAL PROGRAMS FOR THE AGING, TITLE III, PART B, GRANTS FOR SUPPORTIVE SERVICES AND SENIOR CENTERS $46,364
93.994 MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT TO THE STATES $44,429
93.217 FAMILY PLANNING SERVICES $36,228
93.556 MARYLEE ALLEN PROMOTING SAFE AND STABLE FAMILIES PROGRAM $25,228
93.568 LOW-INCOME HOME ENERGY ASSISTANCE $21,904
97.042 EMERGENCY MANAGEMENT PERFORMANCE GRANTS $20,625
93.069 PUBLIC HEALTH EMERGENCY PREPAREDNESS $19,104
93.053 NUTRITION SERVICES INCENTIVE PROGRAM $17,763
93.991 PREVENTIVE HEALTH AND HEALTH SERVICES BLOCK GRANT $16,817
93.268 IMMUNIZATION COOPERATIVE AGREEMENTS $16,391
93.659 ADOPTION ASSISTANCE $10,839
93.645 STEPHANIE TUBBS JONES CHILD WELFARE SERVICES PROGRAM $9,981
20.703 INTERAGENCY HAZARDOUS MATERIALS PUBLIC SECTOR TRAINING AND PLANNING GRANTS $8,753
93.674 JOHN H. CHAFEE FOSTER CARE PROGRAM FOR SUCCESSFUL TRANSITION TO ADULTHOOD $2,916
93.917 HIV CARE FORMULA GRANTS $972
93.116 PROJECT GRANTS AND COOPERATIVE AGREEMENTS FOR TUBERCULOSIS CONTROL PROGRAMS $50