Finding 1174131 (2023-002)

Material Weakness Repeat Finding
Requirement
E
Questioned Costs
-
Year
2023
Accepted
2026-02-18
Audit: 387778
Organization: Norman County (MN)

AI Summary

  • Core Issue: Inadequate documentation and verification of eligibility in the MAXIS system led to significant deficiencies in compliance with federal and state requirements.
  • Impacted Requirements: Failure to meet criteria outlined in federal regulations regarding eligibility verification, including citizenship, income, and asset documentation.
  • Recommended Follow-Up: Norman County should enhance procedures for documentation, ensure accurate data entry in MAXIS, implement case file reviews, and provide additional training for staff.

Finding Text

2023-002 Eligibility - MAXIS Prior Year Finding Number: N/A Year of Finding Origination: 2023 Type of Finding: Internal Control Over Compliance and Compliance Severity of Deficiency: Significant Deficiency and Other Matter Federal Agency: U.S. Department of Health and Human Services Program: 93.778 Medical Assistance Program Award Number and Year: 2305MN5ADM, 2023 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 for adoption assistance cases to include a signed adoption assistance agreement. Minnesota Statutes § 256B.05 requires county agencies to administer Medical Assistance. Condition: The Minnesota Department of Human Services maintains the computer system, MAXIS, which is used by Norman 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 citizenship verification method did not match the documentation in the case file. • One case file did not document the participant’s income correctly. • Two case files did not document the participants’ assets correctly. • One case file did not contain the required adoption assistance agreement. Additionally, it was noted that reviews of the case files were not performed during 2023. 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, Norman County performs the "intake function" needed for this program, while the State maintains the MAXIS system, which supports the eligibility determination process. Participants receive benefit payments from the State. The population consisted of 342 active MAXIS cases enrolled in the Medical Assistance Program in 2023; 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 Norman 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. We also recommend the county implement case file review procedures to help maintain accuracy. In addition, Norman County should consider providing further training to program personnel. View of Responsible Official: Concur

Corrective Action Plan

Finding Number: 2023-002 Finding Title: Eligibility - MAXIS Program: 93.778 Medical Assistance Program Name of Contact Person Responsible for Corrective Action: Teri Taylor Corrective Action Planned: Implementation of quarterly internal auditing of cases Annual Public Assistance Program review/trainings for staff Anticipated Completion Date: Quarterly internal audits anticipated start date: April 2026 Anticipated completion date of ongoing program training: July 2026

Categories

Eligibility Significant Deficiency Internal Control / Segregation of Duties

Other Findings in this Audit

  • 1174132 2023-003
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
20.205 HIGHWAY PLANNING AND CONSTRUCTION $557,362
21.027 COVID-19 - CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS $218,776
10.561 STATE ADMINISTRATIVE MATCHING GRANTS FOR THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM $112,906
93.276 DRUG-FREE COMMUNITIES SUPPORT PROGRAM GRANTS $108,684
10.557 WIC SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN $97,914
93.667 SOCIAL SERVICES BLOCK GRANT $72,020
93.658 FOSTER CARE TITLE IV-E $68,044
93.558 TEMPORARY ASSISTANCE FOR NEEDY FAMILIES $62,366
21.032 COVID-19 - LOCAL ASSISTANCE AND TRIBAL CONSISTENCY FUND $50,000
93.069 PUBLIC HEALTH EMERGENCY PREPAREDNESS $43,142
97.036 DISASTER GRANTS - PUBLIC ASSISTANCE (PRESIDENTIALLY DECLARED DISASTERS) $41,157
93.354 COVID-19 - PUBLIC HEALTH EMERGENCY RESPONSE: COOPERATIVE AGREEMENT FOR EMERGENCY RESPONSE: PUBLIC HEALTH CRISIS RESPONSE $26,872
93.323 COVID-19 - EPIDEMIOLOGY AND LABORATORY CAPACITY FOR INFECTIOUS DISEASES (ELC) $26,775
16.575 CRIME VICTIM ASSISTANCE $25,025
93.994 MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT TO THE STATES $18,875
93.563 CHILD SUPPORT SERVICES $16,034
90.404 HAVA ELECTION SECURITY GRANTS $4,287
84.181 SPECIAL EDUCATION-GRANTS FOR INFANTS AND FAMILIES $4,200
93.590 COMMUNITY-BASED CHILD ABUSE PREVENTION GRANTS $3,529
93.268 IMMUNIZATION COOPERATIVE AGREEMENTS $2,889
93.778 MEDICAL ASSISTANCE PROGRAM $1,788
93.575 CHILD CARE AND DEVELOPMENT BLOCK GRANT $1,311
93.645 STEPHANIE TUBBS JONES CHILD WELFARE SERVICES PROGRAM $1,192
93.556 MARYLEE ALLEN PROMOTING SAFE AND STABLE FAMILIES PROGRAM $752
93.674 JOHN H. CHAFEE FOSTER CARE PROGRAM FOR SUCCESSFUL TRANSITION TO ADULTHOOD $700
93.767 CHILDREN'S HEALTH INSURANCE PROGRAM $465
93.566 REFUGEE AND ENTRANT ASSISTANCE STATE/REPLACEMENT DESIGNEE ADMINISTERED PROGRAMS $410