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GOV’T AUDIT INSIDER: Separate reporting of Medicaid waiver admin costs needed in Wisconsin

Healthcare Auditing Weekly, July 27, 2004

The Centers for Medicare & Medicaid Services requested an audit of the Wisconsin Department of Health and Family Services (state agency) to determine whether the agency's administrative claims costs were properly allocated and adequately supported. According to an OIG audit report released June 30, the state agency generally exercised adequate control over its administrative costs.  However, the OIG recommended that the state segregate and separately report cost claims for the Medicaid Family Care waiver programs, annually update allocation rates for county information and assistance costs, and screen for unreasonable and unallowable county expenditures. During the audit, the OIG did the following: 
     

• Segregated Family Care waiver program costs 
       
• Reconciled costs claimed on the CMS-64s to the segregated costs incurred 
  
• Reviewed the findings reported by the state's independent program review organization 
  
• Reviewed the State Single Audit reports and working papers for applicability to the scope of our review 
  
• Reviewed the county Single Audit reports and working papers for compliance with the Family Care Audit guides issued by the state agency
• Evaluated the extent of state agency oversights of counties
  
• Evaluated a sample of state agency administrative costs claimed
  
• Determined that administrative costs for three state agency offices were not allocated for federal reimbursement under the Family Care Program
  
• Examined, in detail, the costs claimed by the Fond du Lac County Resource Center 

Click here to read the audit report "Audit of Medicaid Family Care Administrative Costs Claimed for the Period October 1, 1999 through December31, 2002," (A-05-03-00067).

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