Finding 1169210 (2025-001)

Material Weakness Repeat Finding
Requirement
E
Questioned Costs
-
Year
2025
Accepted
2026-01-15

AI Summary

  • Core Issue: RMHS is missing required Professional Medical Information Pages (PMIPs) for many clients due to incomplete transfers from previous case management providers.
  • Impacted Requirements: This affects compliance with Medicaid waiver qualifications under the Medical Assistance Program.
  • Recommended Follow-Up: RMHS should implement a process to obtain missing PMIPs directly from clients or previous providers to ensure all documentation is complete.

Finding Text

Criteria and Condition: RMHS is responsible for obtaining Professional Medical Information Page (PMIP) for all participants in the Medical Assistance Program, Assistance Listing Number 93.778, from a certified medical professional to verify participant is qualified under a Medicaid waiver. Context: RMHS intake procedures requires inputs of all required documentation. When clients are transferred from another case management program, all documentation is provided directly to RMHS. Cause: A large number of clients were transferred from different case management providers during the CMA redesign. Effect: Prior case management providers did not retain PMIPs for all clients and were therefore not transferred to RMHS with other documentation.

Corrective Action Plan

Views of Responsible Officials and Planned Corrective Actions: RMHS has implemented procedures to ensure all documentation is received during client transfers.

Categories

No categories assigned yet.

Programs in Audit

ALN Program Name Expenditures
93.778 MEDICAL ASSISTANCE PROGRAM $3.13M
64.033 VA SUPPORTIVE SERVICES FOR VETERAN FAMILIES PROGRAM $273,524
21.027 CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS $112,224