Finding Text
Program Name Medical Assistance Program - School Based Services Federal I.D. Number 93.778 Federal Agency U.S. Department of Health and Human Services Pass-Through Entity Wisconsin Department of Health Services Condition - The District was not able to provide all required documentation for nursing services that were billed under the Wisconsin Medicaid School Based Services program. Criteria - For an agency to bill Wisconsin Medicaid School Based Services for nursing services, the services must be prescribed annually by a physician or advanced practice nurse. Cause - District staff did not retain prescriptions from physicians and advanced practice nurses for the services provided as part of the District's document retention program. Effect - To bill for Wisconsin Medicaid under the School Based Services program the District should retain the required documentation for a period of seven years. Questioned Costs - Through audit sampling the District could not provide proper documentation for $2,597 of nursing claims paid under the Wisconsin Medicaid School Based Services program. Auditor?s Recommendation - The District should review their document retention policy regarding the Wisconsin Medicaid School Based Services program to make sure the District is in compliance with the requirements of the program. Management?s Response - See management?s corrective action plan on page 81.