Family Care Audit Guide

… Guide is to be used for audits of Resource Centers and Care Management … Interview the finance manager (lead finance person) to assure they have a working …

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Family Care Audit Guide contents:
1 Introduction … 1
1.1 Applicable audit standards… 1
1.2 OMB Circular A-133 is not applicable … 2
1.3 Entities operated by local governments… 2
1.4 Effective date… 3
1.5 Updates to the Family Care Audit Guide… 3
1.6 When the audit report is due… 3
1.7 What to include in the audit report … 3
1.8 Where to send the audit report … 4
1.9 Questions on audit requirements … 4
2 Compliance Requirements for Resource Centers… 5
2.1 Accounting requirements/annual expenditure report… 6
2.2 Medicaid cost center for information and assistance activities … 6
2.3 Functional screen federal financial participation (FFP)… 7
3 Compliance Requirements for Care Management Organizations … 9
3.1 General accounting requirements… 9
3.2 Capitation receivable… 10
3.3 Cost share receivable… 11
3.4 Client funds … 11
3.5 Fixed assets… 11
3.6 Incurred but not reported provider claims (IBNR) … 12
3.7 Capitation unearned… 14
3.8 Capacity for financial solvency and stability … 14
3.9 Capitation revenue … 17
3.10 Care management services … 17
3.11 Administrative expenses… 18
3.12 Financial statement and data certification… 19
3.13 Audits of service providers … 19

Download Family Care Audit Guide pdf from www.doa.state.wi.us, 24 pages, 207.97KB.
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