CDASS Audit Response
Executive Summary Audit Reply
Medicaid at the federal and state level support the utilization of consumer directed service delivery options. In order to move forward it is imperative that the Legislative Audit Committee understand the facts and the nuances that make this option credible, reliable, and cost efficient when meeting the needs of clients in the Long Term Care system. We do not believe there was malice or incompetence on the part of the auditors. This is a very unique program and completely outside of the box in terms of usual government programs. Auditors likely have no comparison for a program like this. The attached response is meant to provide a detailed explanation and correction.
1) Auditors used a monthly assessment for a budget process that is annual. Monthly spending does not have to equal 1/12th of the annual allocation.
2) Auditors did not use adequate sample and did not speak to enough clients to understand how the program works.
3) Auditors did not appear to understand the concept of budget authority, and that the allocation development uses metrics such as hours for specific tasks, but that those metrics become irrelevant after allocation development.
We believe that people from all political perspectives can agree that a program that gives clients increased personal responsibility, promotes employment, brings jobs to Colorado, and reduces unnecessary bureaucracy is a good thing that should be protected and preserved.
If members want to meet with client representatives that have a deep understanding of the program please contact Julie Reiskin at 303-667-4216 or firstname.lastname@example.org and a meeting will be facilitated with a couple of representatives from your district.