Finding 1237651 (2025-005)

Material Weakness Repeat Finding
Requirement
E
Questioned Costs
-
Year
2025
Accepted
2026-09-28
Audit: 412568
Organization: Aitkin County (MN)

AI Summary

  • Core Issue: A significant deficiency was found in the County's internal controls over compliance, specifically regarding eligibility documentation for Medicaid applications.
  • Impacted Requirements: The County must review client applications annually and ensure all documentation, including asset and income verification, is complete and retained.
  • Recommended Follow-Up: The County should establish procedures to guarantee that all required documentation is properly maintained and accessible.

Finding Text

Federal Agency: U.S. Department of Health and Human Services Federal Program Name: Grants to States for Medicaid (Medicaid Cluster) Assistance Listing Number: 93.778 Federal Award Identification Number(s) and Year: 2505MN5ADM & 2505MN5MAP – 2025 Pass-Through Agency: Minnesota Department of Human Services Pass-Through Number(s): 2505MN5ADM & 2505MN5MAP Award Period: Year-Ended December 31, 2025 Compliance Requirement: Eligibility Type of Finding: Significant Deficiency in Internal Control over Compliance and Other Matters Criteria or specific requirement: The County is required to review clients’ applications annually and retain that documentation whether the case is transferred to another County. Applications are also required to be complete. Condition: During testing of 60 MAGI and non-MAGI casefiles, one of eight non-MAGI casefiles reviewed did not contain sufficient documentation to support that required asset and income verification procedures were performed. Questioned Costs: None Context: For one of the eight non-MAGI casefiles tested, it was noted that one casefile did not include the required asset and income verification. Effect: An ineligible individual may receive benefits. Repeat Finding: Not applicable. Recommendation: We recommend the County implement procedures to ensure all required documentation is maintained on file. Views of responsible officials: There is no disagreement with the audit finding.

Corrective Action Plan

MEDICAL ASSISTANCE - LACK OF CASEFILE DOCUMENTATION Recommendation: It is recommended the County implement procedures to ensure all required documentation is: maintained on file. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The County will implement procedures to ensure all required documentation is maintained on file. Name of the contact person responsible for corrective action plan: Kathleen Ryan, County Auditor Planned completion date for corrective action plan: December 31, 2026

Categories

Eligibility Significant Deficiency

Other Findings in this Audit

  • 1237649 2025-005
    Material Weakness Repeat
  • 1237650 2025-005
    Material Weakness Repeat
  • 1237652 2025-006
    Material Weakness Repeat
  • 1237653 2025-006
    Material Weakness Repeat
  • 1237654 2025-006
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
20.205 HIGHWAY PLANNING AND CONSTRUCTION $242,177
93.558 TEMPORARY ASSISTANCE FOR NEEDY FAMILIES $145,839
93.667 SOCIAL SERVICES BLOCK GRANT $110,757
10.557 WIC SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN $68,886
10.561 STATE ADMINISTRATIVE MATCHING GRANTS FOR THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM $65,626
93.658 FOSTER CARE TITLE IV-E $55,640
21.032 LOCAL ASSISTANCE AND TRIBAL CONSISTENCY FUND $50,000
93.268 IMMUNIZATION COOPERATIVE AGREEMENTS $43,604
93.994 MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT TO THE STATES $28,665
93.323 EPIDEMIOLOGY AND LABORATORY CAPACITY FOR INFECTIOUS DISEASES (ELC) $28,391
16.575 CRIME VICTIM ASSISTANCE $24,748
93.967 CENTERS FOR DISEASE CONTROL AND PREVENTION COLLABORATION WITH ACADEMIA TO STRENGTHEN PUBLIC HEALTH $20,502
97.042 EMERGENCY MANAGEMENT PERFORMANCE GRANTS $16,709
93.563 CHILD SUPPORT SERVICES $8,396
84.181 SPECIAL EDUCATION-GRANTS FOR INFANTS AND FAMILIES $5,125
93.575 CHILD CARE AND DEVELOPMENT BLOCK GRANT $5,034
93.069 PUBLIC HEALTH EMERGENCY PREPAREDNESS $4,081
93.778 GRANTS TO STATES FOR MEDICAID $3,843
93.556 MARYLEE ALLEN PROMOTING SAFE AND STABLE FAMILIES PROGRAM $3,717
10.556 SPECIAL MILK PROGRAM FOR CHILDREN $3,585
93.590 COMMUNITY-BASED CHILD ABUSE PREVENTION GRANTS $3,111
20.600 STATE AND COMMUNITY HIGHWAY SAFETY $2,118
93.645 STEPHANIE TUBBS JONES CHILD WELFARE SERVICES PROGRAM $1,752
20.608 MINIMUM PENALTIES FOR REPEAT OFFENDERS FOR DRIVING WHILE INTOXICATED $1,442
93.566 REFUGEE AND ENTRANT ASSISTANCE STATE/REPLACEMENT DESIGNEE ADMINISTERED PROGRAMS $1,138
93.472 TITLE IV-E PREVENTION PROGRAM $1,038
93.674 JOHN H. CHAFEE FOSTER CARE PROGRAM FOR SUCCESSFUL TRANSITION TO ADULTHOOD $265
93.767 CHILDREN'S HEALTH INSURANCE PROGRAM $144
10.572 WIC FARMERS' MARKET NUTRITION PROGRAM (FMNP) $87