Finding 571831 (2024-003)

Material Weakness Repeat Finding
Requirement
E
Questioned Costs
-
Year
2024
Accepted
2025-07-23

AI Summary

  • Core Issue: There are significant gaps in the required documentation and verification for Medicaid eligibility, with 68 instances of missing or incorrect information across various claims.
  • Impacted Requirements: Compliance with North Carolina Medicaid guidelines is not being met, risking eligibility determinations and potentially allowing ineligible individuals to receive benefits.
  • Recommended Follow-Up: Implement ongoing training for staff on eligibility processes, conduct regular internal reviews of case files, and ensure accurate data entry in NCFast to improve compliance and documentation accuracy.

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: 2024-3 MATERIAL WEAKNESS 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 68 instances of case records not containing the proper verifications or proper computations as required by policy. The files for eleven claims did not contain appropriate verification of real property ownership with the Register of Deeds Office and the Tax Office resulting in 14 errors. Files for 2 claims did not properly verify or document vehicles per policy. Vehicles were not rebutted per policy or not keyed into evidence at all. Fourteen of the claims had files that did not properly verify or document bank accounts and life insurance policies, correctly document ownership of liquid resources, and enter information in to evidence correctly or timely for liquid resources resulting in 18 errors. There were 2 cases where disability information was not properly entered into evidence. 3 claims did not properly verify and document the living arrangement of the applicant. There 10 claims where the corresponding files show that policy was not followed and verified correctly including exparte reviews not being completed timely, residency, household composition was not properly documented, and reserves reduction being applied appropriately. There were files related to 16 claims that income was not counted correctly or not updated in evidence which resulted in 19 errors. Questioned Costs: There were no known errors in our testing for claims being paid on an ineligible recipient. Context: Out of $51,013,488 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 that totaled $32,862. The conditions noted above were noted in 40 of the 101 claims tested. Effect: Case files not containing all required documentation result in a risk that the County could provide services to individuals not eligible to receive such services or that such individuals could be denied access to eligible benefits. 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: This is a repeat finding from previous audits, 2023-3, 2022-4, 2021-5, 2020-1, 2019-1, 2017-1, 2017-2, 2016-1, 2016-2, 2016-3, 2016-4, 2016-5, and 2016-6. Cause: The County did not obtain or retain required documentation in case files at the time that eligibility was determined. The review performed by the caseworker was ineffective in determining that all required items were retained, that all calculations were accurate, and that all necessary information was entered into NCFast. Recommendation: 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. Work aids for areas such as resources may be helpful for Caseworkers as they document the eligibility process. NCFast 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 will continue to train employees on a monthly basis and as needed when new and updated policies are received. Supervisors and lead workers will continue to conduct second party reviews and utilizing any findings to aid in training staff on any necessary policy information. The department will continue to implement changes as necessary to achieve the overall improvement of eligibility determinations.

Corrective Action Plan

Finding: 2024-3 Name of contact person: Renae Alston Corrective Action: The County will continue to train employees on a monthly basis and as needed when new and updated policies are received. Supervisors and lead workers will continue to conduct second party reviews and utilizing any findings to aid in training staff on any necessary policy information. The department will continue to implement changes as necessary to achieve the overall improvement of eligibility determinations. Proposed Completion Date: June 30, 2025

Categories

Eligibility Material Weakness Equipment & Real Property Management

Other Findings in this Audit

  • 1148273 2024-003
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.778 Medical Assistance Program $908,811
93.563 Child Support Services $447,842
10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $387,809
93.558 Temporary Assistance for Needy Families $328,682
66.818 Brownfields Multipurpose, Assessment, Revolving Loan Fund, and Cleanup Cooperative Agreements $301,364
10.557 Wic Special Supplemental Nutrition Program for Women, Infants, and Children $125,982
93.044 Special Programs for the Aging, Title Iii, Part B, Grants for Supportive Services and Senior Centers $119,273
45.310 Grants to States $66,068
93.596 Child Care Mandatory and Matching Funds of the Child Care and Development Fund $64,083
97.042 Emergency Management Performance Grants $60,105
93.045 Special Programs for the Aging, Title Iii, Part C, Nutrition Services $51,194
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $50,961
93.994 Maternal and Child Health Services Block Grant to the States $36,571
93.217 Family Planning Services $27,436
93.991 Preventive Health and Health Services Block Grant $25,579
93.667 Social Services Block Grant $25,428
93.069 Public Health Emergency Preparedness $25,124
93.568 Low-Income Home Energy Assistance $13,460
93.658 Foster Care Title IV-E $9,704
93.053 Nutrition Services Incentive Program $6,979
93.767 Children's Health Insurance Program $6,800
93.645 Stephanie Tubbs Jones Child Welfare Services Program $5,563
93.967 Centers for Disease Control and Prevention Collaboration with Academia to Strengthen Public Health $2,250
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $2,000
93.268 Immunization Cooperative Agreements $1,978
21.027 Coronavirus State and Local Fiscal Recovery Funds $1,713
93.659 Adoption Assistance $1,695
93.324 State Health Insurance Assistance Program $1,488
93.052 National Family Caregiver Support, Title Iii, Part E $1,316
93.917 Hiv Care Formula Grants $460
93.556 Marylee Allen Promoting Safe and Stable Families Program $241
93.116 Project Grants and Cooperative Agreements for Tuberculosis Control Programs $50
93.977 Sexually Transmitted Diseases (std) Prevention and Control Grants $42
10.576 Senior Farmers Market Nutrition Program $35