Finding 943867 (2023-002)

US Department of Treasury Program Names: Coronavirus State and Local Fiscal Recovery Fund Finding 2023-002 Untimely Adoption of Policy SIGNIFICANT DEFICIENCY Eligibility Criteria: Condition: Effect: Cause: Recommendation: Views of responsible officials and planned corrective actions: US Department of Health and Human Service Passed through the NC Dept of Health and Human Services Program Names: Medical Assistance Program (Medicaid; Title XIX) Finding 2023-003 IV-D Cooperation with Child Support SIGNIFICANT DEFICIENCY Eligibility Criteria: Condition: Questioned Costs: Context: Effect: Identification of a repeat finding: The County agrees with the finding. See Corrective Action Plan in the following section. For those certifications/re-certifications there was a chance that information was not properly documented and reconciled to NC FAST and a participant could have been approved for benefits for which they were not eligible. We examined 60 from a total of 1,380,866 Medicaid claims from the Medicaid beneficiary report provided by NC Department of Health and Human Services to re-determine eligibility. These findings are being reported with the financial statement audit as it relates to Medicaid administrative cost compliance audit. AL No.: 21.027 In accordance with the U.S. Department of Treasury 31 CFR Part 35, Coronavirus State and Local Fiscal Recovery Funds Final Rule and the Uniform Guidance, Eligible Projects Determination & Documentation Policy, Cost Principles/Allowable Costs Policy, Civil Rights Compliance / Nondiscrimination Policy, are required to be adopted as condition of receiving the funds. The County did not adopt required policies timely. The County could use the funds for unallowable costs that were prohibited by the Final Rule. County oversight of the new federal grant requirements to have the stated policies in place. Section III - Federal Award Findings and Questioned Costs The Child Support Enforcement Agency (IV-D) can assist the family in obtaining financial and/or medical support or medical support payments from the child’s non-custodial parent. Cooperation requirement with Social Services and Child Support Agencies must be met or good cause for not cooperating must be established when determining Medicaid eligibility. There were 1 errors discovered during our procedures that referrals between DSS and Child Support Agencies were not properly made. There was no known affect to eligibility and there were no known questioned costs. AL No.: 93.778 The finance office should review the grant agreement and the Uniform Guidance more carefully to ensure all compliance requirements are meet.