Finding 577584 (2023-001)

2023-001 Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Block Grant for Community Mental Health Services CFDA Number: 93.958 Pass-Through Agency: North Carolina Department of Health and Human Services Pass-Through Number(s): N/A Award Period: July 1, 2022 to June 30, 2023 Type of Finding: Other Matter Criteria or Specific Requirement: Services billed through NC Tracks are required to be supported by local documentation for the claim date of service. Condition: During our testing, we noted that services billed through NC Tracks were reimbursed for a program participant whose provider was not able to produce local documentation for the date of service selected. Questioned Costs: $70 Context: The identified finding represented 1 of 40 of the case files sampled. Cause: Provider did not maintain sufficient records to support program service billed. Effect: A service was reimbursed that was not able to be substantiated by the provider. Repeat Finding: The finding is not a repeat of a finding in the immediately prior year. Recommendation: The Organization should design controls to ensure an adequate review process is in place to ensure that services billed through NC Tracks are supported by adequate provider documentation. Views of Responsible Officials: There is no disagreement with the audit finding.