Finding 626378 (2022-004)

Significant Deficiency
Requirement
AB
Questioned Costs
-
Year
2022
Accepted
2023-01-03

AI Summary

  • Core Issue: Discrepancies were found between employee day sheets and approved timesheets, leading to understated program time reported for Medicaid reimbursements.
  • Impacted Requirements: Accurate tracking and reporting of employee time are essential for compliance with NCDHHS policies and for maximizing federal and state reimbursements.
  • Recommended Follow-Up: Implement a review control process for weekly timesheets to ensure all program time is accurately reflected and reported.

Finding Text

Information on the federal program: Medicaid Cluster (Medicaid), Assistance Listing Number 93.778, U.S. Department of Health and Human Services, passed through the N.C Department of Health and Human Services (NCDHHS), Division of Medical Assistance. Criteria: Per the NCDHHS policy manual, salaries, wages, and fringe benefits of Department of Social Service employees hired under the state merit system are allowable. Salaries shall be allocated to programs by time distribution methods and supported by payroll and attendance records for individuals. Condition: Employee?s time is tracked through the use of day sheets in which employees track their time by service code in 5-minute increments. Day sheets are used to complete weekly timesheets which are approved by supervisors. We noted eight out of forty day sheets selected had more program minutes than what was reported on the employee?s approved time sheet. Context/Cause: As the day sheets included more program time than was included on the employee?s approved timesheet, the time spent on this program was understated during the 1571 monthly reimbursement request to the State. We noted the above condition in 8 out of 40 samples reviewed. There are no questioned costs to report because essentially, the County expended more in eligible dollars on the program than was reimbursed. Effects: Inaccurate reporting of time coded to programs affects the total federal and state reimbursement for the program. Recommendation: We recommend that the County implements a review control over weekly timesheets to ensure the timesheets include all program time coded on the daysheets. Auditee?s Response: We concur with the findings and are currently implementing controls to ensure the timesheets are appropriately reviewed to ensure the proper amounts are reported to NCDHHS.

Categories

Reporting Cash Management

Other Findings in this Audit

  • 49933 2022-004
    Significant Deficiency
  • 49934 2022-004
    Significant Deficiency
  • 49935 2022-004
    Significant Deficiency
  • 49936 2022-004
    Significant Deficiency
  • 49937 2022-004
    Significant Deficiency
  • 626375 2022-004
    Significant Deficiency
  • 626376 2022-004
    Significant Deficiency
  • 626377 2022-004
    Significant Deficiency
  • 626379 2022-004
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
10.766 Community Facilities Loans and Grants $66.59M
66.468 Capitalization Grants for Drinking Water State Revolving Funds $489,043
93.045 Special Programs for the Aging_title Iii, Part C_nutrition Services $228,874
10.557 Special Supplemental Nutrition Program for Women, Infants, and Children $181,171
93.558 Temporary Assistance for Needy Families $168,714
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $141,020
93.268 Immunization Cooperative Agreements $88,135
93.994 Maternal and Child Health Services Block Grant to the States $72,984
93.069 Public Health Emergency Preparedness $69,565
10.665 Schools and Roads - Grants to States $67,045
93.596 Child Care Mandatory and Matching Funds of the Child Care and Development Fund $61,587
93.778 Medical Assistance Program $45,732
97.042 Emergency Management Performance Grants $39,286
93.217 Family Planning_services $34,059
93.991 Preventive Health and Health Services Block Grant $30,607
93.116 Project Grants and Cooperative Agreements for Tuberculosis Control Programs $26,202
93.658 Foster Care_title IV-E $24,718
93.053 Nutrition Services Incentive Program $24,379
93.110 Maternal and Child Health Federal Consolidated Programs $21,113
20.106 Airport Improvement Program $20,572
93.767 Children's Health Insurance Program $14,823
93.044 Special Programs for the Aging_title Iii, Part B_grants for Supportive Services and Senior Centers $11,446
93.499 Low Income Household Water Assistance Program $11,175
93.667 Social Services Block Grant $10,640
93.556 Promoting Safe and Stable Families $8,784
93.568 Low-Income Home Energy Assistance $8,461
10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $8,052
93.659 Adoption Assistance $5,344
93.674 John H. Chafee Foster Care Program for Successful Transition to Adulthood $2,889
93.563 Child Support Enforcement $1,918
93.645 Stephanie Tubbs Jones Child Welfare Services Program $320