S14 - Academic Standards/Rules Review/Coal Ash/Funds, Sec. 11.5: Audit Administration of Medicaid Program (SL 2015-7)

Overview: Sec. 11.5 of S.L. 2015-7 directs the State Auditor to conduct a performance audit of county departments of social services' administration of the North Carolina Medicaid program. The audit must include the examination of at least all of the following:

• The accuracy of Medicaid application eligibility determinations.
• The timeliness of Medicaid application determinations.
• The accuracy of Medicaid re-enrollment eligibility determinations.
• The timeliness of Medicaid re-enrollment eligibility determinations.
• The accuracy of presumptive Medicaid application determinations.
• The timeliness of presumptive Medicaid application determinations.
• The controls and oversight county departments of social services have in place to ensure accurate and timely processing of Medicaid applications and re-enrollment.

The State Auditor must submit a preliminary report to the Joint Legislative Oversight Committee on Health and Human Services and to the Fiscal Research Division by June 1, 2015, and complete the performance audit by February 1, 2016.

This section became effective April 13, 2015.