Finding 9914 (2023-008)

Significant Deficiency Repeat Finding
Requirement
E
Questioned Costs
-
Year
2023
Accepted
2024-01-25
Audit: 13548
Organization: Edgecombe County (NC)

AI Summary

  • Core Issue: The County failed to conduct timely reviews of Medicaid eligibility after SSI terminations, leading to potential ineligibility for benefits.
  • Impacted Requirements: Compliance with Medicaid Manual MA-3120, which mandates a 5-day initiation for reviews and completion within 4 months.
  • Recommended Follow-Up: Implement internal file reviews, retrain staff on documentation standards, and ensure all records include necessary verifications and clear case notes.

Finding Text

US Department of Health and Human Services Passed through the NC Dept. of Health and Human Services Program Name: Medical Assistance Program (Medicaid; Title XIX) AL # 93.778 Finding: 2023-008 Untimely Review of SSI Termination SIGNIFICANT DEFICIENCY ELIGIBILITY Program Name: Medical Assistance Program (Medicaid; Title XIX) AL# 93.778 SIGNIFICANT DEFICIENCY/ NONCOMPLIANCE: Finding 2023-004, 2023-005, 2023-006, 2023-007, 2023- 008 also apply to State requirements and State Awards. Questioned Costs: There was no known affect to eligibility and there were no known questioned costs. Context: We examined 60 from a total of 911,554 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. Criteria: In accordance with the Medicaid Manual MA-3120, the State sends notification to the County when a participant is no longer eligible under Supplemental Security Income (SSI) determination, the County is required to initiate the ex parte review within 5 workdays of the date the termination appears on the SSI Termination Report, and complete the redetermination within 4 months of the month the case appears on the SSI Termination Report and notify the recipient about applicant's ongoing eligibility for Medicaid. Condition: There were 1 applicant/beneficiaries not reviewed timely and determined to be eligible for Medicaid when their SSI benefits were terminated. Section IV. State Award Findings Effect: The County did not initiate ex parte review timely, therefore, no eligibility review was completed in the required time period. The lack of follow up and certification lead to applicants receiving Medicaid benefits for which they were not eligible. Cause: Ineffective communication between departments within the Department of Social Services. One area within DSS received State communications that applicants would no longer be eligible for SSI benefits and the County needed to conduct an application process. This information was not shared with other departments in DSS from which the recipient was also receiving benefits. Recommendation: Files should be reviewed internally to ensure proper documentation is in place for eligibility. Workers should be retrained on what files should contain and the importance of complete and accurate record keeping. We recommend that all files include online verifications, documented resources of income and those amounts agree to information in NC FAST. The results found or documentation made in case notes should clearly indicate what actions were performed and the results of those actions. Views of responsible officials and planned corrective actions: The county agrees with the finding. Please refer to the corrective action plan for details. Identification of a repeat finding: This is a repeat finding from the immediate previous audit, 2022-007.

Corrective Action Plan

Finding: 2023-008 Untimely Review of SSI Termination Section III - Federal Award Findings and Question Costs (continued) Corrective Action: MA-1000 SSI Medicaid Automated Process Section VII - SSI Terminations training will be conducted with all workers. SSI termination reports will be monitored to ensure that there is not an untimely review of terminated SSI recipients. Documentation templete will be used to ensure that all online verifications have been completed and the evidence matches the information in NCFAST. Medicaid Supervisors and Quality Control workers will review files internally to ensure that OVS is ran and AB is evaluated for all Medicaid programs when SSI is terminated. Name of contact person: Veronica Lyons, Tina Radford, Virginia Ewuell, & Angel Joyner - Medicaid Supervisors Corrective actions for finding 2023-004, 2023-005, 2023-006, 2023-007, 2023-008 also apply to the State Award findings. Edgecombe County, NC Section IV - State Award Findings and Question Costs Corrective Action: MA-2261 1/3 Reduction, MA-2280 CAP, and MA-2230 Financial Resources training completed with all workers. Caseworkers will be instructed to end date evidence and start a new evidence for the new receritification period to show the updated information. Caseworkers will be instructed to run OVS/AVS prior to working any evidence in the case. Documentation template will serve as a reminder to ensure online verifications are ran on each case. Medicaid Supervisors and Quality Control workers will review files internally to ensure policy is applied to all cases and online verifications are completed and documented. Proposed Completion Date: Training and implementation of additional reviews and procedures will be implemented by February 15, 2024. Proposed Completion Date: Training and implementation of additional reviews and procedures will be implemented by February 15, 2024.

Categories

Eligibility Reporting Significant Deficiency

Other Findings in this Audit

  • 9910 2023-004
    Significant Deficiency Repeat
  • 9911 2023-005
    Significant Deficiency Repeat
  • 9912 2023-006
    Significant Deficiency Repeat
  • 9913 2023-007
    Significant Deficiency Repeat
  • 586352 2023-004
    Significant Deficiency Repeat
  • 586353 2023-005
    Significant Deficiency Repeat
  • 586354 2023-006
    Significant Deficiency Repeat
  • 586355 2023-007
    Significant Deficiency Repeat
  • 586356 2023-008
    Significant Deficiency Repeat

Programs in Audit

ALN Program Name Expenditures
21.027 Coronavirus State and Local Fiscal Recovery Funds $5.99M
93.778 Medical Assistance Program $1.78M
93.563 Child Support Enforcement $984,140
93.558 Temporary Assistance for Needy Families $944,426
10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $732,296
93.568 Low-Income Home Energy Assistance $634,693
10.760 Water and Waste Disposal Systems for Rural Communities $503,000
93.658 Foster Care_title IV-E $465,309
93.667 Social Services Block Grant $415,990
10.557 Special Supplemental Nutrition Program for Women, Infants, and Children $233,159
93.994 Maternal and Child Health Services Block Grant to the States $203,961
93.045 Special Programs for the Aging_title Iii, Part C_nutrition Services $164,484
93.044 Special Programs for the Aging_title Iii, Part B_grants for Supportive Services and Senior Centers $142,342
93.596 Child Care Mandatory and Matching Funds of the Child Care and Development Fund $119,410
20.600 State and Community Highway Safety $72,727
93.268 Immunization Cooperative Agreements $71,746
93.217 Family Planning_services $55,168
93.659 Adoption Assistance $41,632
97.042 Emergency Management Performance Grants $39,032
93.767 Children's Health Insurance Program $34,381
93.391 Activities to Support State, Tribal, Local and Territorial (stlt) Health Department Response to Public Health Or Healthcare Crises $32,961
93.069 Public Health Emergency Preparedness $31,126
93.991 Preventive Health and Health Services Block Grant $30,651
93.053 Nutrition Services Incentive Program $28,576
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $24,544
93.116 Project Grants and Cooperative Agreements for Tuberculosis Control Programs $21,061
16.001 Law Enforcement Assistance_narcotics and Dangerous Drugs_laboratory Analysis $13,500
93.674 John H. Chafee Foster Care Program for Successful Transition to Adulthood $9,896
93.645 Stephanie Tubbs Jones Child Welfare Services Program $6,630
93.556 Promoting Safe and Stable Families $2,333
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $1,925