Finding 560104 (2024-004)

Federal Agency: U.S. Department of Human Services Federal Program Name: Medical Assistance Program (Medicaid Cluster) Assistance Listing Number: 93.778 Federal Award Identification Number and Year: 2405MN5ADM, 2405MN5MAP; 2024 Pass-Through Agency: Minnesota Department of Human Services Compliance Requirement Affected: Eligibility Award Period: Year Ended December 31, 2024 Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or Specific Requirement: Proper records should be kept to support verification of citizenship. Condition: During testing of eligibility, one of 60 case files did not have birth certificate on file to support that verification of citizenship was done. Questioned Costs: None. Context: For one of 60 casefiles tested, verification of citizenship was not kept on file. Cause: The County has had significant turnover and an increase in caseloads. There was also changing guidance as waivers from the pandemic expired. All provided more opportunities for error. Effect: Improper input or updating of information in MAXIS and lack of verification or follow-up of eligibility determining factors increase the risk that a program participant will receive benefits when they are not eligible. Repeat Finding: No. Recommendation: We recommend the county implement process and procedures to provide reasonable assurance that all necessary documentation to support eligibility determination exists and is properly input or updated in the system and issues are followed up in a timely matter. Views of responsible officials: There is no disagreement with the audit finding.