FAC Explorer

Finding 28601 (2022-001)

Significant Deficiency
Requirement
ABEGLN
Questioned Costs
-
Year
2022
Accepted
2023-01-10
Audit: 36457
Organization: County of Watauga Nc (NC)
Auditor: C Randolph CPA PLLC

AI Summary

  • Core Issue: The County lacks proper documentation for direct client service time reported on the DSS 1571 form for Medicaid administration.
  • Impacted Requirements: Time entries for caseworkers must be supported by activity reports or narratives, but 13 out of 30 entries failed to meet this standard.
  • Recommended Follow-Up: Implement a system to ensure all caseworker time is accurately documented and supported to comply with Medicaid program requirements.

Finding Text

The County did not have a record to support the direct client service time reported on the DSS 1571 form for administration of the Medicaid program during the period of time our review covered. All caseworker time indicates the client, but this time cannot be supported by activity reports generated from NC FAST or a written narrative in the document manager system. Audit procedures applied to 30 time entries of DSS workers revealed 13 instances where support could not be provided as to the specific client, or no activity was found in the client?s case file to support the related time records. All of these instances were related to time charged to administer the Medicaid program.

Corrective Action Plan

The County DSS Department continues to improve procedures to ensure the time entries reported on the day sheets for program coded activities are backed up by documentation in NC FAST.

Categories

No categories assigned yet.

Other Findings in this Audit

  • 605043 2022-001
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
21.027 Coronavirus State and Local Fiscal Recovery Funds $4.06M
93.778 Medical Assistance Program $1.10M
93.568 Low-Income Home Energy Assistance $592,805
93.658 Foster Care_title IV-E $539,022
93.667 Social Services Block Grant $360,181
14.228 Community Development Block Grants/state's Program and Non-Entitlement Grants in Hawaii $339,630
93.558 Temporary Assistance for Needy Families $274,448
10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $236,458
93.563 Child Support Enforcement $168,967
93.045 Special Programs for the Aging_title Iii, Part C_nutrition Services $161,498
93.596 Child Care Mandatory and Matching Funds of the Child Care and Development Fund $154,832
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $40,449
97.042 Emergency Management Performance Grants $39,286
93.767 Children's Health Insurance Program $34,080
93.053 Nutrition Services Incentive Program $22,777
90.404 2018 Hava Election Security Grants $19,200
16.738 Edward Byrne Memorial Justice Assistance Grant Program $19,140
10.311 Beginning Farmer and Rancher Development Program $14,583
93.645 Stephanie Tubbs Jones Child Welfare Services Program $14,572
93.556 Promoting Safe and Stable Families $12,526
93.659 Adoption Assistance $10,070
93.779 Centers for Medicare and Medicaid Services (cms) Research, Demonstrations and Evaluations $9,180
16.607 Bulletproof Vest Partnership Program $7,503
93.674 John H. Chafee Foster Care Program for Successful Transition to Adulthood $7,088
93.044 Special Programs for the Aging_title Iii, Part B_grants for Supportive Services and Senior Centers $5,667
97.067 Homeland Security Grant Program $925