Finding Text
Federal Agency: U.S. Department of Human Services
Federal Program Name: Medical Assistance (Medicaid Cluster)
Assistance Listing Number: 93.778
Federal Award Identification Number and Year: 2305MN5ADM, 2305MN5MAP; 2023
Pass-Through Agency: Minnesota Department of Human Services
Compliance Requirement Affected: Eligibility
Award Period: Year Ended December 31, 2023
Type of Finding: Significant Deficiency in Internal Control over Compliance
Criteria or Specific Requirement: 2 CFR 200.403 states that the auditee must establish and maintain effective internal control over the federal award that provides reasonable assurance that the auditee is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award.
Condition: During testing of eligibility requirements, it was noted there are no reviews being completed over MAXIS nor METS casefiles.
Questioned Costs: None
Context: No supervisor or peer review is being completed over METS and MAXIS casefiles.
Cause: Due to staff turnover, 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: No.
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.
Views of responsible officials: There is no disagreement with the audit finding. There is a corrective
action plan in place.