Finding 625326 (2022-001)

Significant Deficiency
Requirement
A
Questioned Costs
$1
Year
2022
Accepted
2023-03-19
Audit: 43116
Organization: Cmu (PA)

AI Summary

  • Core Issue: Improper billings for MH/ID services led to reimbursement for unallowable expenditures.
  • Impacted Requirements: Billings must be backed by actual expenditures; internal controls were ineffective.
  • Recommended Follow-Up: CMU should enhance internal controls to ensure all billings are properly verified and supported.

Finding Text

Finding 2022-001 Financial Statements/Activities Allowed or Unallowed ALN #93.778 Medicaid Cluster and DHS Mental Health/Intellectual Disabilities Program. Criteria: Billings for MH/ID services should be supported by actual expenditures related to the program. Condition: During the year under audit an employee submitted improper billings for MH/ID services. Cause: Internal controls were not operating effectively and proper verifications did not occur to ensure that reimbursed units of service were valid as documented by staff. Effect: CMU was reimbursed for unallowable expenditures for the MH/ID program. Questioned Costs: 12,831, which was accrued and paid back by CMU in September 2022. Recommendation: CMU should review internal controls and revise as necessary to ensure all billings to the Credible system for the MH/ID program are supported by actual expenditures. Management?s Response: CMU agrees with the finding and has implemented procedures to correct it. CMU has paid back the funds and has accrued for the amount in the financial statements.

Categories

Questioned Costs Allowable Costs / Cost Principles Internal Control / Segregation of Duties

Other Findings in this Audit

  • 48884 2022-001
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.778 Medical Assistance Program $1.54M
93.498 Provider Relief Fund $236,262
21.027 Coronavirus State and Local Fiscal Recovery Funds $90,728
96.011 Social Security - Disability Insurance $8,981