Finding Text
ondition and Criteria: QARI is required to enroll participants in the program according to specific requirements. The original participant’s paperwork detailing these specific requirements was not retained by the Organization, therefore, we could not test that the submitted information was accurate. In addition, the eligibility determinations are not periodically reviewed by management to ensure eligibility information is properly obtained and only eligible participants are admitted into the program. Cause: Oversight by the Organization. Effect: The lack of retention of participant paperwork and the absence of periodic reviews of eligibility determinations may lead to incorrect information being recorded and the admission of ineligible participants into the program. Auditor’s Recommendation: The Organization should develop and implement policies and procedures to ensure that original information is retained and that management performs periodic reviews of the eligibility determinations to ensure only eligible participants are admitted to the program.