FAC Explorer

Finding 623327 (2022-001)

- Repeat Finding
Requirement
E
Questioned Costs
-
Year
2022
Accepted
2022-12-16
Audit: 45925
Organization: Guilford County (NC)
Auditor: Cherry Bekaert LLP

AI Summary

  • Core Issue: The County lacks adequate documentation for eligibility determinations in the Medical Assistance Programs, leading to potential compliance risks.
  • Impacted Requirements: Documentation errors include inaccurate resource calculations and missing income entries in NCFAST, affecting 10 out of 60 participant files.
  • Recommended Follow-Up: Reinforce procedures to ensure all necessary documentation is maintained, despite challenges from increased workloads and pandemic-related directives.

Finding Text

U.S. Department of Health and Human Services Passed through the N.C. Department of Health and Human Services Medical Assistance Programs Assistance Listing # 93.778 Finding 2022-001 Nonmaterial Noncompliance - Eligibility Criteria: The County should have adequate documentation for each participant that supports each eligibility determination and the information entered into NC FAST, and to ensure all required physical documentation is located in the file to properly document eligibility with program requirements. The County should ensure all countable resources are computed accurately and all income information is entered into NCFAST correctly. Condition: There were 10 out of 60 participants tested with various filing errors noted below. Due to the COVID-19 Public Health Emergency, there were waivers in place during the fiscal year. In all instances, participants were found to be eligible for benefits. Questioned costs: None Context: There was one instance where the countable resources was not computed accurately in NCFAST. There were three instances where income was not entered into NCFAST correctly. There was one instance where the DMA-5097 was not on file. There were two instances where the income from the tax return was not counted correctly. There was one instance where the OVS was not run on a client. There were two instances where the OLV was not documented in the system. Effect: By not having the required documentation in the files or information being incorrectly documented, eligibility cannot be readily substantiated and there is a risk that the County could not immediately substantiate the eligibility determination. Cause: The increased workload caused by the global pandemic, coupled with Federal and State directives to not reduce or terminate benefits. Recommendation: Although this issue will occur from time to time considering the volume of case files that the County processes and maintains, we recommend procedures be reinforced in order to ensure all proper documentation is kept and maintained. Management?s Response: Management agrees with the finding but wishes to stress that Federal directives mandated eligibility for all applicants. Management also wishes to note that due to the pandemic they were unable to fully staff and properly train workers who were found and hired.

Categories

Eligibility Matching / Level of Effort / Earmarking

Other Findings in this Audit

Programs in Audit

ALN Program Name Expenditures
21.023 Emergency Rental Assistance Program $37.51M
21.027 Coronavirus State and Local Fiscal Recovery Fund $2.85M
10.557 Special Supplemental Nutrition Program for Women, Infants, and Children $2.65M
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $2.46M
93.596 Child Care Mandatory and Matching Funds of the Child Care and Development Fund $893,723
93.568 Low-Income Home Energy Assistance $759,010
93.268 Immunization Cooperative Agreements $757,300
93.563 Child Support Enforcement $590,906
93.674 John H. Chafee Foster Care Program for Successful Transition to Adulthood $443,324
93.U01 Adoption Fostercare $361,580
21.019 Coronavirus Relief Fund $304,137
93.283 Centers for Disease Control and Prevention_investigations and Technical Assistance $280,142
93.217 Family Planning_services $240,258
93.045 Special Programs for the Aging_title Iii, Part C_nutrition Services $224,924
16.710 Public Safety Partnership and Community Policing Grants $219,317
93.767 Children's Health Insurance Program $207,733
93.498 Provider Relief Fund $176,500
93.617 Voting Access for Individuals with Disabilities_grants to States $173,890
16.803 Recovery Act - Eward Byrne Memorial Justice Assistance Grant (jag) Program/ Grants to States and Territories $154,789
93.645 Stephanie Tubbs Jones Child Welfare Services Program $153,054
93.556 Promoting Safe and Stable Families $152,111
95.001 High Intensity Drug Trafficking Areas Program $148,306
93.940 Hiv Prevention Activities_health Department Based $142,273
93.667 Social Services Block Grant $127,257
93.044 Special Programs for the Aging_title Iii, Part B_grants for Supportive Services and Senior Centers $112,815
10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $105,491
93.053 Nutrition Services Incentive Program $102,061
10.555 National School Lunch Program $96,598
93.136 Injury Prevention and Control Research and State and Community Based Programs $95,784
93.539 Pphf Capacity Building Assistance to Strengthen Public Health Immunization Infrastructure and Performance Financed in Part by Prevention and Public Health Funds $92,699
93.994 Maternal and Child Health Services Block Grant to the States $92,175
93.069 Public Health Emergency Preparedness $80,000
97.042 Emergency Management Performance Grants $78,071
16.922 Equitable Sharing Program $74,005
20.507 Federal Transit_formula Grants $70,665
16.738 Edward Byrne Memorial Justice Assistance Grant Program $69,713
93.558 Temporary Assistance for Needy Families $69,463
20.509 Formula Grants for Rural Areas and Tribal Transit Program $58,162
20.600 State and Community Highway Safety $41,060
20.513 Enhanced Mobility of Seniors and Individuals with Disabilities $38,809
93.658 Foster Care_title IV-E $37,088
93.305 National State Based Tobacco Control Programs $36,799
16.034 Coronavirus Emergency Supplemental Funding Program $36,692
93.566 Refugee and Entrant Assistance_state Administered Programs $31,119
93.758 Preventive Health and Health Services Block Grant Funded Solely with Prevention and Public Health Funds (pphf) $30,646
93.391 Activities to Support State, Tribal, Local and Territorial (stlt) Health Department Response to Public Health Or Healthcare Crises $29,044
93.778 Medical Assistance Program $27,576
93.116 Project Grants and Cooperative Agreements for Tuberculosis Control Programs $8,002
93.659 Adoption Assistance $1,110
93.977 Preventive Health Services_sexually Transmitted Diseases Control Grants $100