Finding 585199 (2023-001)

Significant Deficiency Repeat Finding
Requirement
N
Questioned Costs
-
Year
2023
Accepted
2024-01-17
Audit: 12012
Auditor: Moss Adams LLP

AI Summary

  • Core Issue: Four out of 25 providers lacked proper documentation for required screenings and license verifications.
  • Impacted Requirements: Compliance with 42 CFR 455.410 and 455.412 for provider screenings and license validity.
  • Recommended Follow-Up: Update controls to ensure all providers undergo screening and verification, with documentation retained for all cases.

Finding Text

Condition: Required screening and valid license verification for 4 of 25 providers tested was not properly supported by the Department's records. Management has made progress on the prior year finding. A program was implemented to address the transfer of screening records from the legacy system into the current MMIS system and to provide monthly screenings of providers. However, due to the timing of the corrective actions, there are certain providers remaining in the system without the required screening documentation. Criteria: 42 CFR 455.410 states that the Department must require all enrolled providers to be screened. Per 42 CFR 455.412, the Department must verify the provider’s license has not expired and is valid. Context: A sample of 25 providers who received payment during the year were tested to determine whether a required screening was performed before the provider was enrolled. For 4 of 25 providers tested, the Department was not able to provide documentation that the required screening was performed. Cause: In certain instances, information from the legacy system was not transferred to the current MMIS. Additionally, certain providers who received single-case approvals were being excluded from the revalidation processes in place. Effect: There is no documentation to show that a provider screening and license verification were conducted to show compliance with Medicaid requirements. Questioned Cost: None. Repeat Finding: This is a repeat finding. Recommendation: We recommend that the Department review and update controls to ensure proper screening and license verification is performed for all providers and that documentation of the screening and verification is retained in all cases. Current Status/Plan of Action: MAD successfully provided screening and license verification for all providers, except for MCOR providers. MCOR requests are submitted by MCOs, therefore this process does not require providers to submit license or other credentials to enroll with New Mexico Medicaid. MAD recently changed MCOR approval term to two years from the date of approval, thus MCORs will be excluded from revalidation process. The program is currently working on a system memo to include MCORs to the monthly screening process. Responsible Person: MAD Compliance Officer and PPSB Bureau Chief.

Categories

No categories assigned yet.

Other Findings in this Audit

  • 8757 2023-001
    Significant Deficiency Repeat
  • 8758 2023-002
    Significant Deficiency Repeat
  • 8759 2023-002
    Significant Deficiency Repeat
  • 585200 2023-002
    Significant Deficiency Repeat
  • 585201 2023-002
    Significant Deficiency Repeat

Programs in Audit

ALN Program Name Expenditures
10.542 Pandemic Ebt Food Benefits $153.19M
93.767 Children's Health Insurance Program $118.24M
10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $31.92M
93.563 Child Support Enforcement $29.26M
10.555 National School Lunch Program $17.11M
10.569 Emergency Food Assistance Program (food Commodities) $11.79M
93.788 Opioid Str $7.63M
10.565 Commodity Supplemental Food Program $4.51M
93.569 Community Services Block Grant $4.23M
93.778 Medical Assistance Program $2.64M
93.959 Block Grants for Prevention and Treatment of Substance Abuse $2.61M
93.568 Low-Income Home Energy Assistance $1.92M
16.838 Comprehensive Opioid Abuse Site-Based Program $1.57M
93.665 Emergency Grants to Address Mental and Substance Use Disorders During Covid-19 $1.47M
93.777 State Survey and Certification of Health Care Providers and Suppliers (title Xviii) Medicare $1.41M
93.566 Refugee and Entrant Assistance_state Administered Programs $1.39M
93.982 Mental Health Disaster Assistance and Emergency Mental Health $1.28M
93.243 Substance Abuse and Mental Health Services_projects of Regional and National Significance $988,169
10.649 Pandemic Ebt Administrative Costs $547,457
93.958 Block Grants for Community Mental Health Services $429,278
10.560 State Administrative Expenses for Child Nutrition $373,813
93.150 Projects for Assistance in Transition From Homelessness (path) $339,104
93.493 Congressional Directives $329,757
97.032 Crisis Counseling $309,850
93.639 Aca-Transforming Clinical Practice Initiative: Support and Alignment Networks (sans) $202,157
10.568 Emergency Food Assistance Program (administrative Costs) $194,911
10.187 The Emergency Food Assistance Program $88,279
93.558 Temporary Assistance for Needy Families $71,825
10.580 Supplemental Nutrition Assistance Program, Process and Technology Improvement Grants $37,640
10.551 Supplemental Nutrition Assistance Program $5,826