Finding 46134 (2022-004)

Significant Deficiency
Requirement
N
Questioned Costs
-
Year
2022
Accepted
2023-06-11
Audit: 40299
Organization: Freeborn County (MN)

AI Summary

  • Core Issue: Missing required reviews on quarterly reports for the Medicaid program, indicating a significant deficiency in internal controls.
  • Impacted Requirements: Non-compliance with 2 CFR 200.303, which mandates effective internal controls and documented reviews of financial reports.
  • Recommended Follow-Up: Ensure all reports are reviewed by someone other than the preparer to prevent errors before submission.

Finding Text

2022 ? 004 SPECIAL PROVISIONS REPORTING Federal Agency: U.S. Department of Health and Human Services Federal Program Name: Medical Assistance Program (Medicaid Cluster) Assistance Listing Number: 93.778 Pass-Through Agency: Minnesota Department of Human Services Federal Award Identification and Pass-Through Numbers: 2205MN5ADM, 2205MN5MAP Award Period: Year Ended December 31, 2022 Compliance Requirement Affected: Special Tests and Provisions Type of Finding: Significant Deficiency in Internal Control over Financial Reporting and Other Matter Criteria or specific requirement: 2 CFR 200.303 requires entities establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be incompliance with guidance in ?Standards for Internal Control in the Federal Government? issued by the Comptroller General of the United States or the ?Internal Control Integrated Framework?, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). that reports should have a review documented by someone other than the preparer. Condition: The quarterly Local Collaborative Time Study (Family Services Collaborative) reports prepared by the County?s local collaborative members that were filed were missing documentation of review by someone other than the preparer as required by the Local Collaborative Time Study contract. Questioned Costs: None Context: During our statistically valid sample testing of reporting and testing of four quarterly reports, it was noted that two quarterly reports were missing documentation of review by someone other than the preparer. Cause: Lack of management oversight. Effect: Reports could be prepared with errors that are not corrected prior to report submission. Repeat Finding: Not applicable. Recommendation: We recommend the County ensures each report is reviewed by someone other than the preparer. Views of responsible officials: There is no disagreement with the audit finding.

Corrective Action Plan

2022-004 SPECIAL PROVISIONS Medical Assistance Program ? Assistance Listing No. 93.778 Recommendation: We recommend that the County enact policies to ensure that Collaborative reports are reviewed prior to submission in a timely manner. 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 that all reports are reviewed prior to submission. Name of the contact person responsible for corrective action: Pat Paquin, Finance Manager Planned completion date for corrective action plan: December 31, 2023

Categories

Internal Control / Segregation of Duties Special Tests & Provisions Reporting Significant Deficiency Matching / Level of Effort / Earmarking

Other Findings in this Audit

  • 46133 2022-003
    Significant Deficiency
  • 622575 2022-003
    Significant Deficiency
  • 622576 2022-004
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.778 Medical Assistance Program $1.31M
93.563 Child Support Enforcement $562,017
93.558 Temporary Assistance for Needy Families $466,293
93.658 Foster Care_title IV-E $450,533
10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $341,987
20.205 Highway Planning and Construction $270,877
10.557 Special Supplemental Nutrition Program for Women, Infants, and Children $239,020
93.667 Social Services Block Grant $218,296
16.585 Drug Court Discretionary Grant Program $214,336
16.575 Crime Victim Assistance $166,016
21.032 Local Assistance and Tribal Consistency Fund $100,000
93.268 Immunization Cooperative Agreements $60,792
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $43,824
93.994 Maternal and Child Health Services Block Grant to the States $38,359
93.069 Public Health Emergency Preparedness $35,891
90.404 2018 Hava Election Security Grants $31,183
97.042 Emergency Management Performance Grants $23,476
93.354 Public Health Emergency Response: Cooperative Agreement for Emergency Response: Public Health Crisis Response $19,342
93.575 Child Care and Development Block Grant $13,713
93.674 John H. Chafee Foster Care Program for Successful Transition to Adulthood $9,899
93.645 Stephanie Tubbs Jones Child Welfare Services Program $5,787
93.669 Child Abuse and Neglect State Grants $5,003
16.606 State Criminal Alien Assistance Program $4,895
93.590 Community-Based Child Abuse Prevention Grants $4,427
93.556 Promoting Safe and Stable Families $2,494
84.181 Special Education-Grants for Infants and Families $2,100
93.767 Children's Health Insurance Program $1,813
96.001 Social Security_disability Insurance $1,575
93.251 Early Hearing Detection and Intervention $600
93.566 Refugee and Entrant Assistance_state Administered Programs $571
10.572 Wic Farmers' Market Nutrition Program (fmnp) $450
93.314 Early Hearing Detection and Intervention Information System (ehdi-Is) Surveillance Program $75
84.126 Rehabilitation Services_vocational Rehabilitation Grants to States $70
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $2