EIN: 156000468
UEI: FRKPXEEMQC99
Audited by: Insero & Co. CPA's, LLP
Oversight agency: 93 [Department of Health and Human Services]
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Data as of September 14, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on September 23, 2025. Under 2 CFR 200.521(d), a pass-through entity that provided federal funds to this organization for this audit period must issue a management decision on these findings by March 23, 2026 (176 days ago).
What is a management decision? →FAC accepted this audit on September 30, 2024 — management decision was due March 30, 2025.
We noted for three of the 40 cases selected, that verification of status as a U.S. citizen or qualified Non-Citizen was not documented. All three cases were approved by the State. In the case of State approval, the system will note the status has been verified, verified with issues, or unverified. In all three cases the State did not note verification of status and the County failed to check that the individual was properly verified in the system. Cause: The State did not update the system to show that individuals' status was verified. The County failed to check that the individual was properly verified in the system. Effect or Potential Effect: The County could be paying Medicaid expense for ineligible individuals. Questioned Costs: None. Context: Three out of 40 individuals selected were unverified. Repeat Finding: This is not a repeat finding. Recommendation: We recommend the County verify that all individuals’ Citizenship status has been properly documented in the system. Views of Responsible Officials of the Auditee: In response to the finding, the Unit Supervisor is working with the NYS Department of Health for the correct process to receive notifications when the verification remains blank. Supervisors are currently monitoring for cases that are not verified and reaching out to the individuals for proof of citizenship.
Show full finding ▾Hide full finding ▴Issue: Noncompliance with Uniform Guidance Section 1137(d) of the Social Security Act, not verifying individual was a U.S. Citizen or Qualified Non-Citizen. Federal Agency: U.S. Department of Health and Human Services Federal Program: Medical Assistance Program/Medicaid Cluster Assistance Listing Number: 93.778 Pass-Through Agency : NYS Department of Health Criteria: Part of the eligibility requirements for Medicaid notes the individual must be a US citizen or a qualified non-citizen. Condition: We noted for three of the 40 cases selected, that verification of status as a U.S. citizen or qualified Non-Citizen was not documented. All three cases were approved by the State. In the case of State approval, the system will note the status has been verified, verified with issues, or unverified. In all three cases the State did not note verification of status and the County failed to check that the individual was properly verified in the system. Cause: The State did not update the system to show that individuals' status was verified. The County failed to check that the individual was properly verified in the system. Effect or Potential Effect: The County could be paying Medicaid expense for ineligible individuals. Questioned Costs: None. Context: Three out of 40 individuals selected were unverified. Repeat Finding: This is not a repeat finding. Recommendation: We recommend the County verify that all individuals’ Citizenship status has been properly documented in the system. Views of Responsible Officials of the Auditee: In response to the finding, the Unit Supervisor is working with the NYS Department of Health for the correct process to receive notifications when the verification remains blank. Supervisors are currently monitoring for cases that are not verified and reaching out to the individuals for proof of citizenship.
In response to the finding that Medicaid expenses could potentially be paid to ineligible individuals whose citizenship status was not documented in the IDR system, the Unit supervisor, Julie Whipple, is working with the NYS Department of Health for the correct process to receive notifications when the verification does not flag a code but instead remains blank. Following the discussion with the auditors in June 2024, Supervisors immediately began monitoring for the cases that are not verifying in the IDR system and reaching out to the individuals for proof of citizenship.
FAC accepted this audit on September 26, 2023 — management decision was due March 26, 2024.
FAC accepted this audit on September 28, 2022 — management decision was due March 28, 2023.
FAC accepted this audit on September 28, 2021 — management decision was due March 28, 2022.
FAC accepted this audit on September 29, 2020 — management decision was due March 29, 2021.
FAC accepted this audit on September 22, 2019 — management decision was due March 22, 2020.
FAC accepted this audit on September 18, 2018 — management decision was due March 18, 2019.
FAC accepted this audit on February 25, 2018 — management decision was due August 25, 2018.
GSA_MIGRATION
Show full finding ▾Hide full finding ▴Data source: This information comes from the Federal Audit Clearinghouse, the official repository of Single Audit data. All data is public domain. Verify this organization's audit history at fac.gov.
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