Rocky Mountain Human Services

Criteria and Condition: RMHS is responsible for obtaining Professional Medical Information Page (PMIP) for all participants in the Medical Assistance Program, Assistance Listing Number 93.778, from a certified medical professional to verify participant is qualified under a Medicaid waiver. Context: RMHS intake procedures requires inputs of all required documentation. When clients are transferred from another case management program, all documentation is provided directly to RMHS. Cause: A large number of clients were transferred from different case management providers during the CMA redesign. Effect: Prior case management providers did not retain PMIPs for all clients and were therefore not transferred to RMHS with other documentation.

2024-001 Schedule of Expenditures of Federal Awards – Significant Deficiency

Criteria and Condition: RMHS is responsible for sending recertification reminders related to VA Supportive Services for Veteran Families, assistance listing number 64.033, from the client management software. All participants in the HAV program are required to undergo recertification every 90 days to receive benefits from the SSVF program, except Shallow Subsidies participants, who are required to recertify every two years.

Context: RMHS client management software will send out reminders to clients to ensure timely recertification to evaluate housing barriers, housing situation and eligibility for services.

Cause: Due to short staffing, recertification reminders sent from RMHS’ client management software were not being monitored for timeliness.

Effect: Participants were not receiving timely notification for the need to complete recertification.

Recommendation: We recommend RMHS management members monitor timeliness of participant certification to ensure participants meet eligibility requirements and ensure software is functioning properly.

Views of Responsible Officials and Planned Corrective Actions: RMHS has implemented procedures to ensure participants are receiving timely notification for the need to recertify and have taken steps to ensure the client management software is functioning properly.