Finding 1213762 (2025-006)

Material Weakness Repeat Finding
Requirement
E
Questioned Costs
-
Year
2025
Accepted
2026-05-05
Audit: 400671
Organization: Vance County (NC)

AI Summary

  • Core Issue: There were 43 errors in Medicaid eligibility determinations due to inadequate verification processes and documentation.
  • Impacted Requirements: Federal regulations and state Medicaid manuals require accurate cross-verification of applicant data to prevent improper payments.
  • Recommended Follow-Up: Enhance internal controls through staff training, establish a formal review process, and improve communication on policy changes.

Finding Text

Criteria: 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. Condition: There were a total of Forty-three (43) errors found during our testing procedures: There were Three (3) errors where resources were incorrectly calculated or were not properly documented in the case file, Twelve (12) errors where required information needed for eligibility determinations were not requested or not requested timely at applications or redeterminations, One (1) error where applicants/beneficiaries not reviewed timely and determined to be eligible for Medicaid when their SSI benefits were terminated, and Twenty-seven (27) where a redetermination of eligibility was not performed in accordance with program requirements. Questioned Costs: 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. Context: We examined 60 cases from of a total of 520,883 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. Effect: This control deficiency increases the risk of improper Medicaid payments, potentially resulting in overpayments to ineligible beneficiaries or underpayments to those who qualify. Identification of a repeat finding: This is a repeat finding from the immediate previous audit: 2024-004, 2024-006, and 2024-007. Note: In the prior year, we reported findings separately based on the type of error was found in testing. In the current year, all errors for Medicaid eligibility determinations are reported in one finding. Cause: The deficiencies reported above appear to originate from ineffective record keeping and case review processes due to insufficient training of staff, adequate staffing, retention of experienced staff, and lack of oversight from County management, and inadequate communication between departments resulting in inconsistencies in data sharing and delayed information exchanges. Recommendation: 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 to staff clearly and timely. Views of responsible officials and planned corrective actions: The County agrees with the finding and is implementing actions to correct these issues, which are further discussed in the corrective action plan.

Corrective Action Plan

Corrective Action: Targeted Staff Training were completed related to recertification processes, including proper handling of COVID-extended cases, accessing and working the Pending Recertification Report, proper verification and documentation of vehicles, obtaining long-term medical needs forms when required, resource verifications, and all required evidence at application and recertification. Additionally, discussions focused on clear standards for requesting information and required case documentation. A monthly Productivity Report (effective January 1, 2026) will be implemented to track individual worker output, identify backlogs early, and ensure timely completion of reviews and recertifications. Increased supervisory monitoring of worker accuracy, with corrective or disciplinary action for repeated errors. Consistent and documented follow-usp by supervisors on all errors identified to confirm corrections are made and understood. State's operational support will deliver quarterly refresher sessions covering recurring errors, updated policies, and best practices for both Family & Children’s and Adult Medicaid programs. Proposed Completion Date: All Training to be completed by 03/28/2026

Categories

Internal Control / Segregation of Duties Eligibility

Other Findings in this Audit

  • 1213763 2025-007
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.778 MEDICAL ASSISTANCE PROGRAM $1.29M
93.563 CHILD SUPPORT SERVICES $1.01M
10.561 STATE ADMINISTRATIVE MATCHING GRANTS FOR THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM $828,628
93.558 TEMPORARY ASSISTANCE FOR NEEDY FAMILIES $608,174
11.307 ECONOMIC ADJUSTMENT ASSISTANCE $251,299
93.596 CHILD CARE MANDATORY AND MATCHING FUNDS OF THE CHILD CARE AND DEVELOPMENT FUND $211,927
93.044 SPECIAL PROGRAMS FOR THE AGING, TITLE III, PART B, GRANTS FOR SUPPORTIVE SERVICES AND SENIOR CENTERS $135,595
93.667 SOCIAL SERVICES BLOCK GRANT $88,300
93.045 SPECIAL PROGRAMS FOR THE AGING, TITLE III, PART C, NUTRITION SERVICES $63,062
93.568 LOW-INCOME HOME ENERGY ASSISTANCE $61,810
21.027 CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS $59,449
93.767 CHILDREN'S HEALTH INSURANCE PROGRAM $35,187
93.053 NUTRITION SERVICES INCENTIVE PROGRAM $13,754
93.645 STEPHANIE TUBBS JONES CHILD WELFARE SERVICES PROGRAM $10,795
93.556 MARYLEE ALLEN PROMOTING SAFE AND STABLE FAMILIES PROGRAM $4,100
93.674 JOHN H. CHAFEE FOSTER CARE PROGRAM FOR SUCCESSFUL TRANSITION TO ADULTHOOD $2,447
93.658 FOSTER CARE TITLE IV-E $395