Finding 524281 (2024-006)

Significant Deficiency
Requirement
E
Questioned Costs
-
Year
2024
Accepted
2025-02-24
Audit: 343481
Organization: Cleveland County (NC)

AI Summary

  • Core Issue: There were significant deficiencies in the eligibility determinations for Food and Nutrition Services, with errors in client information requests and income calculations.
  • Impacted Requirements: Compliance with federal guidelines (Section 200.303) and internal policies regarding eligibility verification and documentation.
  • Recommended Follow-Up: Provide training for staff on eligibility requirements and improve internal review processes to catch and correct errors.

Finding Text

US Department of Health and Human Service Passed through the NC Dept of Health and Human Services Food and Nutrition Services (FNS) Cluster Finding 2024-006 FNS Eligibility Determinations SIGNIFICANT DEFICIENCY Eligibility Criteria: Condition: Questioned Costs: Context: Effect: Cause: Recommendation: Views of responsible officials and planned corrective actions: Section III - Federal Award Findings and Questioned Costs (continued) AL No.: 10.551 and 10.561 Per Section 200.303 of the Uniform Grant Guidance, a non-federal entity must establish and maintain effective internal control over the Federal award that provides reasonable assurance that the nonfederal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. The State has provided policies and procedures to ensure that the County is meeting the federal guidance, relevant policies are: Food and Nutrition Services Policy 305 describes the verification sources and requirements and the FNS units primary responsibility for providing documentary evidence to support statements on applications and recertifications and procedures required if the statements by applicant/beneficiary are questionable. Food and Nutrition Services Policy 300 describes the sources of income countable and not countable to the household for determining financial eligibility. Food and Nutrition Services Policy 310 describes the procedures related to verifying changes in income (i.e. termination, end of contract, temporary, etc.). There were a total of 8 errors found in our testing: 5 instances where there was an inadequate request for information from the client or verification from electronic sources; 3 instances where income was incorrectly caclculated or incorrect amount was entered in NCFAST. Of these 8 errors, 1 of these could potentially be an eligibility error. Due to the nature of the populations provided from which the samples were chosen, we are unable to calculate questioned costs for the above mentioned potential eligibility issue. We examined 25 of 29,653 FNS cases from a report of all active FNS beneficiaries provided by the County's Department of Social Services. The finding is being reported with the financial statement audit as it relates to FNS 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 a participant could have been approved for benefits for which they were not eligible. Ineffective record keeping and ineffective case review process, incomplete documentation, and incorrect application of rules for purposes of determining eligibility. The County should provide training of management and staff on the program's eligibility requirements, proper case review process, and required verifications for eligibility. Also, the County should ensure that their formal internal review process is adequately completed to identify and correct errors in case reviews. The County agrees with the finding. See Corrective Action Plan in the following section.

Corrective Action Plan

Finding 2024-005 Inadequate Request for Information Name of Contact Person: Alice Wilson, Medicaid Program Administrator Corrective Action: Proposed Completion Date: Finding 2024-006 FNS Eligibility Determinations Name of Contact Person: Alice Wilson, FNS Program Administrator Corrective Action: Proposed Completion Date: Section III - Federal Award Findings and Questioned Costs (continued) The county will conduct refresher training on how and when to request information needed that includes when to request The Work Number, OVS,AVS, Property checks and Register of Deeds checks. The county will conduct a targeted second party of cases to check the effectiveness of the refresher training provided. 4/1/2025 Section IV - State Award Findings and Questioned Costs Corrective Action Plan for Finding 2024-002, 2024-003, 2024-004, 2024-005 also apply to State Award Findings. All FNS staff will attend a refresher training where sections 435, 505 and 510 will be reviewed. This training will be conducted by Supervision in FNS with the support of the FNS lead staff. This training will include an outline of the requirement for supporting documentation of eligibility and benefit determinations to include verifications used to support such determination at application and recertification where appropriate. All relatable NC FAST job aids will be reviewed with staff to ensure that functionality within the NCFAST system is followed. 3/1/2025

Categories

Matching / Level of Effort / Earmarking Eligibility Significant Deficiency

Other Findings in this Audit

  • 524282 2024-002
    Significant Deficiency Repeat
  • 524283 2024-003
    Significant Deficiency Repeat
  • 524284 2024-004
    Significant Deficiency Repeat
  • 524285 2024-005
    Significant Deficiency Repeat
  • 1100723 2024-006
    Significant Deficiency
  • 1100724 2024-002
    Significant Deficiency Repeat
  • 1100725 2024-003
    Significant Deficiency Repeat
  • 1100726 2024-004
    Significant Deficiency Repeat
  • 1100727 2024-005
    Significant Deficiency Repeat

Programs in Audit

ALN Program Name Expenditures
21.027 Coronavirus State and Local Fiscal Recovery Funds $6.20M
93.778 Medical Assistance Program $3.92M
93.563 Child Support Services $1.81M
93.658 Foster Care Title IV-E $1.70M
93.558 Temporary Assistance for Needy Families $1.45M
10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $1.29M
10.557 Wic Special Supplemental Nutrition Program for Women, Infants, and Children $769,957
93.667 Social Services Block Grant $503,409
93.045 Special Programs for the Aging, Title Iii, Part C, Nutrition Services $374,610
93.767 Children's Health Insurance Program $284,845
93.044 Special Programs for the Aging, Title Iii, Part B, Grants for Supportive Services and Senior Centers $254,315
93.268 Immunization Cooperative Agreements $232,534
93.596 Child Care Mandatory and Matching Funds of the Child Care and Development Fund $184,197
93.568 Low-Income Home Energy Assistance $138,099
93.659 Adoption Assistance $98,651
16.710 Public Safety Partnership and Community Policing Grants $92,139
93.217 Family Planning Services $84,250
93.994 Maternal and Child Health Services Block Grant to the States $77,040
16.738 Edward Byrne Memorial Justice Assistance Grant Program $49,756
93.967 Centers for Disease Control and Prevention Collaboration with Academia to Strengthen Public Health $36,251
93.556 Marylee Allen Promoting Safe and Stable Families Program $35,583
97.042 Emergency Management Performance Grants $35,000
93.069 Public Health Emergency Preparedness $31,298
93.991 Preventive Health and Health Services Block Grant $30,431
93.940 Hiv Prevention Activities Health Department Based $28,000
93.645 Stephanie Tubbs Jones Child Welfare Services Program $24,978
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $24,492
93.674 John H. Chafee Foster Care Program for Successful Transition to Adulthood $23,850
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $22,800
93.053 Nutrition Services Incentive Program $22,251
93.436 Well-Integrated Screening and Evaluation for Women Across the Nation (wisewoman) $1,350
93.917 Hiv Care Formula Grants $507
93.977 Sexually Transmitted Diseases (std) Prevention and Control Grants $100
93.116 Project Grants and Cooperative Agreements for Tuberculosis Control Programs $50
93.566 Refugee and Entrant Assistance State/replacement Designee Administered Programs $14