EIN: 946000525
UEI: YLX2B1GBX891
Audited by: BROWN ARMSTRONG ACCOUNTANCY CORPORATION
Cognizant agency: 93 [Department of Health and Human Services]
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Data as of August 28, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on February 9, 2026. 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 August 9, 2026 (20 days ago).
What is a management decision? →FAC accepted this audit on March 19, 2025 — management decision was due September 19, 2025.
FAC accepted this audit on February 14, 2024 — management decision was due August 14, 2024.
FAC accepted this audit on March 20, 2023 — management decision was due September 20, 2023.
FAC accepted this audit on January 31, 2022 — management decision was due July 31, 2022.
FAC accepted this audit on April 7, 2021 — management decision was due October 7, 2021.
FAC accepted this audit on January 20, 2020 — management decision was due July 20, 2020.
2019-002 ? Redetermination Eligibility Finding Program: Medical Assistance Program CFDA No.: 93.778 Federal Agency: U.S. Department of Health and Human Services Passed Through: State Department of Health Care Services Award Year: Fiscal Year 2018-2019 Compliance Requirement: Eligibility Questioned Costs: None Criteria In accordance with Section 42. CFR 435.916 of the Code of Federal Regulations, recipients of Medicaid must be renewed annually. Condition During our testing of eligibility, we noticed that a new redetermination package for 2 out of 40 participants tested was not generated when it should have been. This led to the two participants receiving Medi-Cal benefits even though their monthly total income exceeded the Medi-Cal income limit. Cause of Condition A new redetermination package was not generated by the C-IV system and the social worker did not review the file on a timely basis. Effect or Possible Effect of Condition Participant data may be inaccurate and could lead to eligibility errors and inaccurate benefit calculations. This could result in participants receiving benefits even if they are ineligible. Recommendation We recommend that the County enforce the established policies and procedures regarding initial and ongoing determination for eligibility to ensure the accuracy of the participant data, and eligibility determinations are performed annually and supported by proper documentation found in the participant files. Management Response and Corrective Action Plan See separate corrective action plan provided by management.
Show full finding ▾Hide full finding ▴2019-002 ? Redetermination Eligibility Finding Program: Medical Assistance Program CFDA No.: 93.778 Federal Agency: U.S. Department of Health and Human Services Passed Through: State Department of Health Care Services Award Year: Fiscal Year 2018-2019 Compliance Requirement: Eligibility Questioned Costs: None Criteria In accordance with Section 42. CFR 435.916 of the Code of Federal Regulations, recipients of Medicaid must be renewed annually. Condition During our testing of eligibility, we noticed that a new redetermination package for 2 out of 40 participants tested was not generated when it should have been. This led to the two participants receiving Medi-Cal benefits even though their monthly total income exceeded the Medi-Cal income limit. Cause of Condition A new redetermination package was not generated by the C-IV system and the social worker did not review the file on a timely basis. Effect or Possible Effect of Condition Participant data may be inaccurate and could lead to eligibility errors and inaccurate benefit calculations. This could result in participants receiving benefits even if they are ineligible. Recommendation We recommend that the County enforce the established policies and procedures regarding initial and ongoing determination for eligibility to ensure the accuracy of the participant data, and eligibility determinations are performed annually and supported by proper documentation found in the participant files. Management Response and Corrective Action Plan See separate corrective action plan provided by management.
Finding 2019-002 ? Redetermination Eligibility Finding (Significant Deficiency) Program: Medical Assistance Program CFDA No.: 93.778 Federal Agency: U.S. Department of Health and Human Services Passed Through: State Department of Health Care Services Award Year: Fiscal Year 2019-2018 Compliance Requirement: Eligibility Questioned Costs: None Management?s Response or Department?s Response For the first incident, the Medi-Cal RE was due to be processed August 2018. On April 24, 2018, the Journal Entry indicates the client was over modified adjusted gross income (MAGI) income limit and no full Medi-Cal hierarchy was requested by client. The case should have discontinued on April 24, 2018, for the June 2018 benefit month. For the second incident, the June 2018 Medi-Cal RE was sent out on April 6, 2018, and received on April 20, 2018. The worker closed the case on June 20, 2018, in error (Notice of Action was incorrect). Medi-Cal RE was processed on July 10, 2018, and discontinuance was rescinded. However, the worker did not confirm income reported on their 2017 Tax Statement. Medi-Cal should not have been closed in June 2018 as the RE packet had been received. When the worker received the income reported on the 2017 Tax Statement, the worker should have contacted the client to see if this was reasonably anticipated income since the client has seasonal employment. Views of Responsible Officials and Corrective Action The first case should have discontinued on April 24, 2018, for the June 2018 benefit month and will be discontinued once the client provides response, with an estimated date of February 2020. For the second case, the worker will contact the client in December 2019 to request current income. In addition to the specific corrective actions listed for each incident above, the Department provided training to staff in November 2019 about monthly caseload management, including time management and reports to be used for follow-up processing. The department will also provide additional training to staff in February of 2020, to contact the client in order to confirm when there is a discrepancy between Projected Annual Income (PAI) and Current Monthly Income (CMI). Anticipated Completion Date Estimated date of February 2020. Contact Information of Responsible Official Name: Lynn Perez Title: Deputy Director, Self Sufficiency Services Division Phone: (707) 253-4697
FAC accepted this audit on March 17, 2019 — management decision was due September 17, 2019.
FAC accepted this audit on March 21, 2018 — management decision was due September 21, 2018.
FAC accepted this audit on March 20, 2017 — management decision was due September 20, 2017.
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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