Audit

Audit  Audit of the Catastrophic Illness in Children Relief Fund

During the period of July 1, 2017 through June 30, 2019 the audit found CICRF reimbursed applicants $24,455 for medical expenses without required documentation. The audit recommends CICRF develop monitoring controls to ensure that its staff has all required documentation before reimbursing medical expenses.

Organization: Office of the State Auditor
Date published: April 20, 2022

Executive Summary

In accordance with Section 12 of Chapter 11 of the Massachusetts General Laws, the Office of the State Auditor has conducted a performance audit of the Catastrophic Illness in Children Relief Fund (CICRF) for the period July 1, 2017 through June 30, 2019. The purpose of this audit was to determine whether CICRF met the needs of families that applied for financial assistance, whether it sought federal matching funds (also called federal financial participation) in accordance with state regulations for all eligible medical expenses, and whether it disbursed funds only to eligible applicants and only for qualified expenses.

Below is a summary of our findings and recommendations, with links to each page listed.  

Finding 1
 

CICRF reimbursed applicants $24,455 for medical expenses without required documentation.

Recommendation
 

CICRF should develop monitoring controls to ensure that its staff has all required documentation before reimbursing medical expenses.

Finding 2
 

CICRF did not process applications in a timely manner.

Recommendation
 

CICRF should develop formal performance standards for employees, including attainable, time-based goals for processing and reviewing applications.

Finding 3
 

CICRF did not pursue federal matching funds for $49,588 of qualified medical services.

Recommendation
 

CICRF should review all its reimbursements to determine whether any qualify for federal matching funds and should coordinate with MassHealth to seek federal matching funds for all eligible expenditures.

 

A PDF copy of the Audit of the Catastrophic Illness in Children Relief Fund is available here.

Contact

Phone

Fax

(617) 727-3014

Address

Massachusetts State House
Room 230
Boston, MA 02133

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