Finding 481042 (2023-003)

Federal Agency: Department of Health and Human Services Federal Program Name: Medical Assistance Assistance Listing Number: 93.778 Federal Award Identification Number and Year: 2305MN5ADM & 2305MN5MAP, 2023 Pass-Through Agency: Minnesota Department of Human Services Pass-Through Number: 2305MN5ADM & 2305MN5MAP Compliance Requirement Affected: Eligibility Award Period: Year Ended December 31, 2023 Type of Finding: Material Weakness in Internal Control Over Compliance Criteria or Specific Requirement: Supervisor or peer review of casefiles should be done and documented. Condition: During testing of Medical Assistance with MAXIS and METS cases, it was noted that there were no case reviews over MAXIS cases and no casefile reviews being done over METS cases. Questioned Costs: None. Context: No case reviews over MAXIS or METS cases. Cause: Due to significant turnover over staff, the County did not have time to complete the reviews. Effect: Errors made in determining eligibility may not be discovered and benefits may be issued to clients who are not eligible. Repeat Finding: Not applicable. Recommendation: We recommend that a supervisor or team lead perform regular internal reviews on MAXIS and METS casefiles to determine that proper policies and procedures are being followed in determining eligibility. View of Responsible Officials: Management concurs with this finding.