An Audit Report on Performance Measures at the Department of Aging and Disability Services Page: 4 of 17
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An Audit Report on
Performance Measures at the Department of Aging and Disability Services
SAO Report No. 14-032
Summary of Management's Response
The Department agreed with the audit recommendations in this report. The
Department's detailed management responses are presented immediately
following each set of recommendations in the Detailed Results section of this
report.
Summary of Information Technology Review
Auditors assessed controls over the Department's information systems and
automated processes used for the Department's performance measure data. The
Department uses the Client Assignment and Registration (CARE) system; the Texas
Medicaid and Healthcare Partnership's (TMHP) Claims Management System (CMS);
and the Compliance, Assessment, Regulation and Enforcement System (CARES) as
its primary information systems to collect, calculate, and report the four key
performance measures tested.
The Department uses CARE to place consumers on the HCS interest list. Auditors
relied on application controls testing performed in a previous State Auditor's
Office audit', reviewed CARE data for completeness by reviewing queries used to
generate data, and interviewed employees knowledgeable about CARE to
determine that the data in CARE was reliable for purposes of this audit.
TMHP is the service entity that provides the Department with Medicaid claims
processing data that the Department uses to calculate performance measure
results. Auditors reviewed the report on controls for fiscal year 2013 that was
conducted in accordance with the American Institute of Certified Public
Accountants' Statement on Standards for Attestation Engagements (SSAE) No. 16
completed for TMHP's CMS system, reviewed the claims data transfers for
completeness, and interviewed employees knowledgeable about the system to
determine that the data in the system was reliable for purposes of this audit.
The Department uses CARES to maintain inspection results. Because the
Department did not retain the detailed records used to calculate the performance
measure related to CARES, auditors were unable to determine whether the
inspection data in CARES was reliable for purposes of this audit.
1 An Audit Report on the Department ofAging and Disability Services' Home and Community-based Services Program (State
Auditor's Office Report No. 10-014, November 2009).iii
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Texas. Office of the State Auditor. An Audit Report on Performance Measures at the Department of Aging and Disability Services, report, May 2014; Austin, Texas. (https://texashistory.unt.edu/ark:/67531/metapth517573/m1/4/: accessed July 17, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu.; crediting UNT Libraries Government Documents Department.