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MIDDLESEX COUNTY BOARD OF SOCIAL SERVICESNon-Profit

EIN: 226002461

UEI: CKCUTB428AQ8

Audited by: WITHUMSMITH+BROWN, P.C.

Oversight agency: 93 [Department of Health and Human Services]

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Data as of September 2, 2026

MIDDLESEX COUNTY BOARD OF SOCIAL SERVICES9 audit years1 findings
9
Audit Years
1
Total Findings
0
Repeat Findings
$40.3M
Federal Awards Expended (FY 2024)

FY 2024-12-31

ADVERSE OPINION, NON-GAAP BASISLOW-RISK AUDITEE$40,336,384 federal awards expended

Management decision deadline — for entities that funded this organization

The FAC accepted this audit on September 29, 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 29, 2026 (158 days ago).

What is a management decision? →
2024-001
Eligibility
SIGNIFICANT DEFICIENCYOTHER MATTERS

Criteria: The requirements of the Memorandum of Understanding between State of New Jersey Department of Human Services and MCBSS state that client applications are to be entered into the Worker Portal within three (3) business days and for application status’s to be timely updated. Eligibility determinations are to be performed within applicable time requirements (except in unusual circumstances, eligibility must be determined within 45 days unless the person applies for Medicaid on the basis of disability in which case the time frame is 90 days maximum). Condition and Context: For one of sixty cases tested, MCBSS did not process both the application or complete the eligibility determination in accordance with the applicable time requirements. Cause: Understaffing in MCBSS’ Medicaid Department resulted in a delay of processing theapplication and completing the eligibility determination. Effect and Potential Impact: Failure to timely process redeterminations could result in ineligible individuals receiving benefits. Questioned Costs: None Recommendation: We recommend that MCBSS management ensure that the Medicaid department is sufficiently staffed to meet demand of incoming cases and to monitor incoming cases to ensure they are processed within the required timeframe.

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Full finding narrative

Criteria: The requirements of the Memorandum of Understanding between State of New Jersey Department of Human Services and MCBSS state that client applications are to be entered into the Worker Portal within three (3) business days and for application status’s to be timely updated. Eligibility determinations are to be performed within applicable time requirements (except in unusual circumstances, eligibility must be determined within 45 days unless the person applies for Medicaid on the basis of disability in which case the time frame is 90 days maximum). Condition and Context: For one of sixty cases tested, MCBSS did not process both the application or complete the eligibility determination in accordance with the applicable time requirements. Cause: Understaffing in MCBSS’ Medicaid Department resulted in a delay of processing theapplication and completing the eligibility determination. Effect and Potential Impact: Failure to timely process redeterminations could result in ineligible individuals receiving benefits. Questioned Costs: None Recommendation: We recommend that MCBSS management ensure that the Medicaid department is sufficiently staffed to meet demand of incoming cases and to monitor incoming cases to ensure they are processed within the required timeframe.

Corrective Action Plan

Management’s Response: There is no disagreement with the finding and recommendation noted above. MCBSS experienced short staffing of its Medicaid Department that resulted in a backlog of applications and eligibility determinations. MCBSS continues to monitor the staffing of the Medicaid Department and work towards filling vacant positions. Planned Implementation Date of Corrective Action: December 2025 Person Responsible for Corrective Action: Administrative Supervisor of Medicaid Department

About Eligibility →

FY 2023-12-31

ADVERSE OPINION, NON-GAAP BASISLOW-RISK AUDITEE$38,073,965 federal awards expendedNo findings recorded this year

FAC accepted this audit on September 30, 2024 — management decision was due March 30, 2025.

FY 2022-12-31

ADVERSE OPINION, NON-GAAP BASISLOW-RISK AUDITEE$39,675,523 federal awards expendedNo findings recorded this year

FAC accepted this audit on September 28, 2023 — management decision was due March 28, 2024.

FY 2021-12-31

ADVERSE OPINION, NON-GAAP BASISLOW-RISK AUDITEE$36,876,772 federal awards expendedNo findings recorded this year

FAC accepted this audit on September 27, 2022 — management decision was due March 27, 2023.

FY 2020-12-31

NON-GAAP BASISLOW-RISK AUDITEE$38,722,371 federal awards expendedNo findings recorded this year

FAC accepted this audit on November 23, 2021 — management decision was due May 23, 2022.

FY 2019-12-31

NON-GAAP BASISLOW-RISK AUDITEE$36,506,873 federal awards expendedNo findings recorded this year

FAC accepted this audit on September 22, 2020 — management decision was due March 22, 2021.

FY 2018-12-31

NON-GAAP BASISLOW-RISK AUDITEE$36,024,579 federal awards expendedNo findings recorded this year

FAC accepted this audit on September 18, 2019 — management decision was due March 18, 2020.

FY 2017-12-31

NON-GAAP BASISLOW-RISK AUDITEE$36,918,156 federal awards expendedNo findings recorded this year

FAC accepted this audit on September 27, 2018 — management decision was due March 27, 2019.

FY 2016-12-31

NON-GAAP BASISLOW-RISK AUDITEE$34,373,446 federal awards expendedNo findings recorded this year

FAC accepted this audit on September 5, 2017 — management decision was due March 5, 2018.

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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