Finding Text
2025-002 INTERNAL CONTROLS OVER ELIGIBILITY Federal Agency: U.S. Department of Health and Human Services Federal Program: Grants to States for Medicaid (Medicaid Cluster) Assistance Listing Number: 93.778 Federal Award Identification Number and Year: 2505MN5MAP, 2505MN5ADM, 2025 Pass-Through Agency: Minnesota Department of Human Services Pass-Through Numbers: 2505MN5MAP, 2505MN5ADM Compliance Requirement Affected: Eligibility Award Period: Year Ended December 31, 2025 Type of Finding: Significant Deficiency in Internal Controls over Compliance and Other Matter Criteria or Specific Requirement: Uniform Guidance requires the County to ensure compliance over eligibility by having the proper documentation of income, citizenship, redeterminations, and social security numbers. Condition: The County did not have adequate internal controls over the casefiles. Questioned Costs: None Context: For two of sixty casefiles tested, the system files did not match the supporting documentation retained by the County. Cause: The County had an increase in caseloads and there was also changing guidance as waivers expired. All provided more opportunities for error. Effect: Improper input or updating of information in MAXIS or METS increase the risk that a program participant will receive benefits when they are not eligible. Repeat Finding: No Recommendation: We recommend the County implement processes and procedures to provide reasonable assurance that all necessary documentation to support eligibility determination exists and is properly input or updated in the system. Views of Responsible Officials: There is no disagreement with the audit finding.