Department of Institutions Financial-Compliance Audit for the Two Fiscal Years Ended June 30 .. 1990

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In one of the cases, a check written by the board to spend down a patient's assets was not completely spent for more than two months. According to Medicaid personnel, if a check is written to a patient but the funds are not spent as of the first of the month, the patient would not be eligible for Medicaid for the month since the check would be a countable resource. As a result, this patient was not eligible for two months.
Board personnel indicated they monitor asset levels when the annual re-d
...etermination application is submitted to Medicaid and at various times throughout the year. Additional monitoring during the year is not always consistent. Board personnel indicated they understood the asset requirement to mean that a patient's assets must be below the maximum level at all times during the month.
Because the countable assets exceeded the maximum amounts allowed under federal regulations the patients were ineligible for Medicaid benefits. Consequently, we question the allowability of $4,714 in Medicaid federal assistance.


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