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Federal Reports
Report Date
Agency Reviewed / Investigated
Report Title
Type
Location
Office of Personnel Management
Audit of the U.S. Office of Personnel Management's Fiscal Year 2016 Improper Payments Reporting
Civil money penalty (CMP) collections received by the Minnesota Department of Human Services (State agency) during our audit period totaled $592,000. However, the State agency reimbursed nursing facilities $114,000, or only about 20 percent of the amount collected, for expenditures incurred during the same time period. Although expenditures incurred during the audit period were generally allowable, we identified claims of $5,000 for nursing facility staff wages and supplies that were already supported by other Federal and State funding sources.
Kentucky did not always determine Medicaid eligibility in accordance with Federal and State requirements. Of our sample of 120 beneficiaries, Kentucky correctly determined eligibility for 111 beneficiaries, but it did not determine eligibility for the remaining 9 beneficiaries in accordance with Federal and State requirements. Specifically, Kentucky did not always electronically or manually verify income and citizenship. In addition, although it did not violate an eligibility requirement, Kentucky did not perform, or maintain documentation of, identity-proofing for 40 beneficiaries in accordance with Federal requirements. The Federal identity-proofing requirements are intended to reduce the potential for identity theft.