Finding 519561 (2024-002)

Significant Deficiency Repeat Finding
Requirement
E
Questioned Costs
-
Year
2024
Accepted
2025-01-17

AI Summary

  • Core Issue: 21 cases lacked required documentation for Medicaid eligibility, risking improper service provision.
  • Impacted Requirements: Missing verifications for age, income, residency, and timely reviews violate North Carolina Medicaid compliance standards.
  • Recommended Follow-Up: Train staff on eligibility processes, conduct internal file reviews, and ensure accurate data entry in NC FAST.

Finding Text

US Department of Health and Human Services Passed-through the NC Dept. of Health and Human Services Program Name: Medical Assistance Program (Medicaid; Title XIX) CFDA #: 93.778 Finding: 2024-2 SIGNIFICANT DEFICIENCY Required verifications and documentation for Eligibility Criteria: Per the North Carolina Medicaid Assistance Program Compliance Supplement, the DSS manuals (Aged, Blind and Disabled manual and the Family and Children Medicaid manual), and Administrative Letters from the Division of Health Benefits case files for individuals or families receiving assistance are required to retain documentation to evidence appropriate eligibility determination, including verifications of and support for:  Age  Citizenship/Identity  State residency  Household composition and relationship  Living arrangement  Social Security Number  Pregnancy (if applicable)  Disability, Blindness (if applicable)  Medicare  Cooperation with Child Support  Liquid Assets  Vehicles and Other Personal Property  Real Property  Deductibles  Income (Self-employment, Other earned income, Unearned income)  Accurate computation of countable income and resources.  Reviews/Applications must be completed timely. The DSS manuals and Administrative letters also provide income maintenance amounts and resource limits for the respective Medicaid program and budget unit size. The computed countable income and resources must be under these limits for the person / family to be eligible for the Medicaid program. Condition: We noted 21 instances of case records not containing the proper verifications, documentation or computations as required by policy for the claim that we tested. Two cases were not properly documented in evidence for liquid assets based on the verifications received. One claim did not have proper verification and documentation for real property. One case did not contain proper documentation and verification of living arrangement. Three cases did not contain proper verification of vehicle ownership and value of vehicles. Two cases had a review that was not completed timely. Five cases did not have proper verification and / or documentation of income. Of those cases four were regarding earned income and one was regarding unearned income. Four cases did not properly document household composition, relationships, and tax filing status. Two cases did not apply the correct policy and rules for budgeting for things such as PLA vs long-term care budget and which deductions from income are allowable. One case did not properly document residency for type of verification used. Questioned Costs: There were no known errors in our testing for claims being paid on an ineligible recipient. Context: Out of 680,717 Medicaid claims paid during the year, we tested the Medicaid certification of eligibility (initial application or recertification of eligibility) that related to the period that included the date of service for the claim being tested for 101 claims. The conditions noted above were noted in 15 of the 101 claims tested. Effect: Case files not containing all required documentation results in a risk that services could be provided to individuals not eligible and that individuals could be denied benefits for which they are eligible. Upon notification of the missing documentation or the errors in calculations in the case files, the County was able to obtain documentation and provide corrected calculations to substantiate that the recipients tested were eligible to receive benefits in all cases. Identification of a repeat finding: Missing documentation/information has been a finding in previous audits, 2023-2, 2022-2, 2021-1, 2020-2, 2019-1, 2017-1, 2017-2, 2016-2, and 2016-3. There has been improvement in this area in recent years. Cause: Missing information could result in improper determination of eligibility. The eligibility determined by the caseworker in thirteen of the fifteen claims failed to ensure that all required items were retained, that all calculations were accurate, and that all necessary information was entered into NC FAST. In two of the fifteen claims, the review process was not completed in a timely manner. Recommendations: We recommend that the County train and monitor employees on the eligibility determination process, specifically those areas noted to have errors above. Files should be reviewed internally to ensure proper documentation is in place for eligibility. NC FAST should be reviewed to determine that information gathered during the review is properly input into the system and that system driven calculations are utilizing the available information. Views of responsible officials and planned corrective actions: The county acknowledges the technical and internal control errors noted and has ongoing measures in place to ensure that both initial determination and ongoing redetermination in timeliness and accuracy of eligibility determination is in the Medicaid program. The agency has measures in place with the Quality Assurance unit, who is solely dedicated to second party reviews to identify any errors and determine needed training and/or supervision for staff. The agency recognizes the critical importance of ensuring accuracy and timeliness in the Medicaid program and strives to make efforts to ensure that all measures are in place for training, second party reviews, and quality control to include Quality Assurance team, Medicaid Supervisors, and Medicaid Lead Workers.

Corrective Action Plan

Finding: 2024-2 Name of contact person: Amanda Murphy, Economic Programs Administrator Corrective Action: Corrections to the proper verifications, documentation or computation, income and policy findings have been completed. Supervisors have reviewed with individual staff the errors along with conducting collective unit training on correct policy and keying procedures to ensure future accuracy. The Medicaid Supervisors. Lead Workers, and Quality Assurance team will continue to conduct monthly second party reviews as well as monthly policy/system training to improve quality in all areas. Proposed Completion Date: June 2025

Categories

Eligibility Significant Deficiency Equipment & Real Property Management

Other Findings in this Audit

  • 1096003 2024-002
    Significant Deficiency Repeat

Programs in Audit

ALN Program Name Expenditures
93.778 Medical Assistance Program $2.15M
93.563 Child Support Services $700,436
10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $692,890
66.458 Clean Water State Revolving Fund $432,869
20.106 Airport Improvement Program, Covid-19 Airports Programs, and Infrastructure Investment and Jobs Act Programs $409,199
93.994 Maternal and Child Health Services Block Grant to the States $343,980
93.658 Foster Care Title IV-E $249,517
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $202,015
10.557 Wic Special Supplemental Nutrition Program for Women, Infants, and Children $200,302
93.045 Special Programs for the Aging, Title Iii, Part C, Nutrition Services $127,002
93.596 Child Care Mandatory and Matching Funds of the Child Care and Development Fund $125,887
93.044 Special Programs for the Aging, Title Iii, Part B, Grants for Supportive Services and Senior Centers $70,670
97.067 Homeland Security Grant Program $53,000
93.217 Family Planning Services $48,829
16.738 Edward Byrne Memorial Justice Assistance Grant Program $45,239
93.268 Immunization Cooperative Agreements $44,065
93.667 Social Services Block Grant $38,513
16.922 Equitable Sharing Program $33,650
93.069 Public Health Emergency Preparedness $31,480
93.991 Preventive Health and Health Services Block Grant $30,431
97.042 Emergency Management Performance Grants $20,625
21.027 Coronavirus State and Local Fiscal Recovery Funds $14,520
93.556 Marylee Allen Promoting Safe and Stable Families Program $13,139
93.053 Nutrition Services Incentive Program $12,635
93.324 State Health Insurance Assistance Program $10,392
93.558 Temporary Assistance for Needy Families $7,981
93.674 John H. Chafee Foster Care Program for Successful Transition to Adulthood $5,339
93.568 Low-Income Home Energy Assistance $4,695
16.607 Bulletproof Vest Partnership Program $4,500
93.659 Adoption Assistance $4,437
93.048 Special Programs for the Aging, Title Iv, and Title Ii, Discretionary Projects $2,800
93.917 Hiv Care Formula Grants $1,688
93.116 Project Grants and Cooperative Agreements for Tuberculosis Control Programs $1,621
93.977 Sexually Transmitted Diseases (std) Prevention and Control Grants $58
93.566 Refugee and Entrant Assistance State/replacement Designee Administered Programs $29
93.767 Children's Health Insurance Program $-27,495
93.645 Stephanie Tubbs Jones Child Welfare Services Program $-34,493