Finding 578225 (2022-004)

CASEFILE REVIEWS Federal Agency: U.S. Department of Health and Human Services Federal Program Name: Medical Assistance Assistance Listing Number: 93.778 Pass-Through Agency: Minnesota Department of Health and Human Services Federal Award Identification Numbers and Year: 2205MN5ADM, 2205MNMAP, 2022 Pass-Through Numbers: 2205MN5ADM, 2205MNMAP Award Period: Year Ended December 31, 2022 Compliance Requirement Affected: Eligibility Type of Finding: Material Weakness in Internal Control over Compliance Criteria or specific requirement: Title 2 U.S. Code of Federal Regulations § 200.303 states that 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. Condition: During eligibility testing it was noted no casefile reviews were documented. Context: Casefile reviews not being documented could lead to none being performed and lead to inappropriate benefits being paid. Questioned costs: Not applicable. The County administers the program, but benefits to participants are paid by the State of Minnesota. Cause: Due to the COVID pandemic waivers, the supervisory review of casefiles was not performed. Effect: Errors made in determining eligibility may not be discovered and benefits may be issued to clients who are not eligible. Repeat Finding: No. Recommendation: We recommend that a supervisor or team lead perform case file reviews on MAXIS and METS casefiles to determine that proper policies and procedures are being followed in determining eligibility. Views of Responsible Officials: There is no disagreement with the audit finding.