Finding Text
Medical Assistance Eligibility
Condition: The Minnesota Department of Human Services (DHS) maintains the computer systems, MAXIS and METS, which are used by Renville County to support the eligibility determination process. In the case files reviewed for eligibility, there were several cases noted in which the Adjusted Gross Income (AGI) was not calculated correctly, and there was no supporting documentation provided for the differences.
Criteria: Title 2 U.S. Code of Federal Regulations § 200.303 states the auditee must establish and maintain effective internal control over the federal award that provides reasonable assurance that the auditee is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award.
Cause: Program personnel entering case data into MAXIS or clearing case data flagged by METS did not properly calculate or retain support for the AGI entered into the system.
Effect: As a result, the Board is out compliance with the statute.
Recommendation: We recommend Renville County define and implement procedures for calculating and supporting AGI used for eligibility determinations.
Management Response: The County acknowledges the finding and has implemented procedures to ensure AGI is calculated correctly.