Finding 522218 (2024-006)

Significant Deficiency
Requirement
E
Questioned Costs
-
Year
2024
Accepted
2025-02-06
Audit: 341449
Organization: Lee County (NC)

AI Summary

  • Core Issue: Repeat finding of untimely reviews for Medicaid eligibility after SSI terminations, leading to potential ineligibility for benefits.
  • Impacted Requirements: Compliance with Medicaid Manual MA-3120 and proper record-keeping practices are not being followed, risking incorrect benefit approvals.
  • Recommended Follow-Up: Implement internal reviews and retrain staff on documentation and eligibility processes to ensure timely and accurate case management.

Finding Text

LEE COUNTY, NORTH CAROLINA Schedule of Findings and Questioned Costs For the Year Ended June 30, 2024 Context: Effect: Identification of a repeat finding: Cause: Recommendation: Views of responsible officials and planned corrective actions: US Department of Health and Human Services Passed through the NC Department of Health and Human Services Program Name: Medical Assistance Program (Medicaid; Title XIX) AL #: 93.778 Finding: 2024-006 SIGNIFICANT DEFICIENCY Eligibility Criteria: Condition: Questioned Costs: importance of complete and accurate record keeping. We recommend that all files include online verifications, documented resources and income and those amounts agree to information in NC FAST. The results found or documentation made in case notes should clearly indicate what actions were performed and the results of those actions. The County agrees with the finding. See Corrective Action Plan in the following section. Untimely Review of SSI Terminations In accordance with the Medicaid Manual MA-3120, the State sends notification to the County when a participant is no longer eligible under a SSI determination. The County has a certain time period to initiate an ex-parte review to determine whether the recipient qualifies for Medicaid under any other coverage group, such as Family and Children's Medicaid, North Carolina Health Choice for Children, Work First Family Assistance, or Medicaid for the Aged, Blind and Disabled. There were 1 applicants/beneficiaries not reviewed timely and determined to be eligible for Medicaid when their SSI benefits were terminated. There was no known effect to eligibility and there were no known questioned costs. We examined 60 cases from a total of 708,144 Medicaid claims from the Medicaid beneficiary report provided by NC Department of Health and Human Services to redetermine eligibility. These findings are being reported with the financial statement audit as it relates to Medicaid administrative cost compliance audit. For those certifications/re-certifications there was a chance that information was not properly documented and reconciled to NC FAST and applicants could have been approved for benefits for which they were not eligible. This is a repeat finding from the immediate previous audit, 2023-003. Ineffective record keeping and ineffective case review process, incomplete documentation, and incorrect application of rules for purposes of determining eligibility. Files should be reviewed internally to ensure proper documentation is in place for eligibility. Workers should be retrained on what files should contain and the Section III. Federal Award Findings and Questioned Costs (continued) 166LEE COUNTY, NORTH CAROLINA Schedule of Findings and Questioned Costs For the Year Ended June 30, 2024 Context: Effect: Cause: Recommendation: Views of responsible officials and planned corrective actions: Finding: 2024-007 Funds Management SIGNIFICANT DEFICIENCY Cash Management Criteria: Condition: Program Name: Medical Assistance Program (Medicaid; Title XIX) AL # 93.778 SIGNIFICANT DEFICIENCY: Finding 2024-003, 2024-004, 2024-005, 2024-006 also apply to State requirements and State Awards. N.C. Office of State Budget and Management Program Name: Office of State Budget and Management - Special Appropriation In accordance with North Carolina General Statute (G.S.) 143C-6-23 and the grant contract with North Carolina Office of State Budget and Management, the grant funds should be accounted for in a separate fund and accounting structure within the recipient's central accounting and/or grant management system. The grant funds were accounted for in County General Fund instead of a separate fund. The County agrees with the finding. See Corrective Action Plan in the following section. Section IV - State Award Findings and Question Costs Section III. Federal Award Findings and Questioned Costs (continued) has been taken. Workers should be retrained on what process needs to be followed when State communications are received. We examined 60 cases from a total of 708,144 Medicaid claims from the Medicaid beneficiary report provided by NC Department of Health and Human Services to redetermine eligibility. These findings are being reported with the financial statement audit as it relates to Medicaid administrative cost compliance audit. The County did not initiate ex-parte review timely, therefore, no eligibility review was completed in the required time period. The lack of follow up and certification lead to applicants receiving Medicaid benefits for which they were not eligible. Ineffective communication between departments within the Department of Social Services. One area within DSS received State communications that applicants would no longer be eligible for SSI benefits and the County needed to conduct an ex-parte review. This information was not shared with other departments in DSS from which the recipient was also receiving benefits. Any State communications related to applicants/beneficiaries should be shared with all areas from which the participant receives benefits. State files should be reviewed internally to ensure all actions have been properly closed and the corrective action 167

Corrective Action Plan

Corrective Action Plan For the Year Ended June 30, 2024 Finding 2024-004 Inaccurate Resources Entry Name of contact person: Sabrina Magedanz, Medicaid Program Manager Corrective Action: Proposed completion date: 10/17/2024 Finding 2024-005 Inadequate Request for Information Name of contact person: Sabrina Magedanz, Medicaid Program Manager Corrective Action: Proposed completion date: 10/09/2024 and 10/17/2024 Finding 2024-006 Untimely Review of SSI Terminations Name of contact person: Sabrina Magedanz, Medicaid Program Manager Corrective Action: Proposed completion date: 10/17/2024 Section III - Federal Award Findings and Questioned Costs (continued) Training has been conducted on the Inaccurate Resource topic with staff specifically concerning the finding areas and ensuring all verified resources are appropriately updated in the NC FAST evidence. Second party reviews will be enhanced to ensure those conducting the review ensure that proper procedures are being followed with regard to these policies. Training has been conducted on the Inadequate Request for Information topic with staff specifically concerning the finding areas and ensuring all required requests for information are sent via 5097/20020 where applicable. Second party reviews will be enhanced to ensure those conducting the review ensure that proper procedures are being followed with regard to these policies. Training has been conducted on the Untimely Review of SSI Terminations topic with staff specifically concerning the finding areas and ensuring all timeframes are adhered to when processing actions. Second party reviews will be enhanced to ensure those conducting the review ensure that proper procedures are being followed with regard to these policies. 170

Categories

Cash Management Eligibility Reporting Significant Deficiency

Other Findings in this Audit

  • 522215 2024-003
    Significant Deficiency Repeat
  • 522216 2024-004
    Significant Deficiency Repeat
  • 522217 2024-005
    Significant Deficiency Repeat
  • 1098657 2024-003
    Significant Deficiency Repeat
  • 1098658 2024-004
    Significant Deficiency Repeat
  • 1098659 2024-005
    Significant Deficiency Repeat
  • 1098660 2024-006
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.778 Medical Assistance Program $2.05M
21.027 Coronavirus State and Local Fiscal Recovery Funds $1.06M
10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $888,870
93.563 Child Support Services $735,618
93.558 Temporary Assistance for Needy Families $439,802
10.557 Wic Special Supplemental Nutrition Program for Women, Infants, and Children $315,229
93.667 Social Services Block Grant $292,831
93.767 Children's Health Insurance Program $253,029
20.509 Formula Grants for Rural Areas and Tribal Transit Program $234,220
93.658 Foster Care Title IV-E $233,664
93.994 Maternal and Child Health Services Block Grant to the States $180,857
93.044 Special Programs for the Aging, Title Iii, Part B, Grants for Supportive Services and Senior Centers $176,205
93.596 Child Care Mandatory and Matching Funds of the Child Care and Development Fund $151,511
93.045 Special Programs for the Aging, Title Iii, Part C, Nutrition Services $120,139
93.967 Centers for Disease Control and Prevention Collaboration with Academia to Strengthen Public Health $117,875
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $77,303
20.526 Buses and Bus Facilities Formula, Competitive, and Low Or No Emissions Programs $72,986
15.957 Emergency Supplemental Historic Preservation Fund $60,051
93.568 Low-Income Home Energy Assistance $57,806
93.217 Family Planning Services $49,314
93.069 Public Health Emergency Preparedness $34,610
93.991 Preventive Health and Health Services Block Grant $30,431
93.324 State Health Insurance Assistance Program $22,516
93.268 Immunization Cooperative Agreements $20,535
93.053 Nutrition Services Incentive Program $14,476
93.645 Stephanie Tubbs Jones Child Welfare Services Program $12,495
93.659 Adoption Assistance $11,399
93.674 John H. Chafee Foster Care Program for Successful Transition to Adulthood $8,203
93.556 Marylee Allen Promoting Safe and Stable Families Program $5,547
93.566 Refugee and Entrant Assistance State/replacement Designee Administered Programs $5,108
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $4,637
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $2,930
93.110 Maternal and Child Health Federal Consolidated Programs $2,000
93.917 Hiv Care Formula Grants $1,548
93.436 Well-Integrated Screening and Evaluation for Women Across the Nation (wisewoman) $270
45.310 Grants to States $200
93.977 Sexually Transmitted Diseases (std) Prevention and Control Grants $100
93.116 Project Grants and Cooperative Agreements for Tuberculosis Control Programs $50