South Carolina Did Not Report Approximately $108.6 Million of the Federal Share of Medicaid and CHIP Collections Subject to the Increased COVID-19 Federal Medical Assistance Percentage
Learn how the AI-generated research projects were createdOverall Conclusion
South Carolina did not accurately calculate and report the Federal share of Medicaid and CHIP collections subject to the increased COVID-19 FMAP during the audit period, resulting in underreporting of approximately $108.6 million; four recommendations were issued to CMS and the State to correct and prevent future misstatements.
Source Document
Audit Scope
Examination of South Carolina's calculation and reporting of the Federal share of Medicaid and CHIP collections subject to the increased COVID-19 FMAP during the audit period. The exact audit period is not specified in the provided text.
Key Findings Summary
South Carolina did not accurately calculate and report the Federal share of approximately $108.6 million in Medicaid and CHIP collections that were subject to the increased COVID-19 FMAP during the audit period.
The misstatement included $8.6 million in collections received during the first quarter when the increased FMAP applied.
AI-Assisted
AI Scope Summary
This audit evaluated whether South Carolina accurately calculated and reported the Federal share of Medicaid and CHIP collections subject to the increased COVID-19 FMAP during the audit period. It found underreporting of about $108.6 million and issued four recommendations to adjust CMS reports, refund amounts, and strengthen reporting policies for future FMAP changes.
AI-Generated Insight
The audit highlights the risk of misapplying COVID-19-related FMAP increases to Medicaid and CHIP collections and underscores the need for stronger internal controls, explicit policies, and clear CMS reporting procedures to ensure accurate Federal shares.
Audit Objectives
Determine whether South Carolina accurately calculated and reported the Federal share of Medicaid and CHIP collections subject to the increased COVID-19 Federal Medical Assistance Percentage (FMAP).
Audit Findings (2)
South Carolina did not accurately calculate and report the Federal share of approximately $108.6 million in Medicaid and CHIP collections that were subject to the increased COVID-19 FMAP during the audit period.
The misstatement included $8.6 million in collections received during the first quarter when the increased FMAP applied.
Recommendations (4)
Adjust future CMS reports to reflect the Federal share of at least $8,592,050 in collections that were not appropriately calculated and reported during the first quarter of the increased COVID-19 FMAP period and refund this amount.
Develop and implement written policies and procedures to report the actual amounts from its accounting records on the CMS reports and reconcile its accounting records to the amounts of Medicaid collections it reports on the CMS reports.
Establish and implement written policies and procedures to appropriately calculate the Federal share of Medicaid collections during periods with unexpected or retroactive FMAP changes.
Adjust future CMS reports to reflect the Federal share of $99,983,506 in underreported collections during the audit period and refund this amount.