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Department of Health and Human Services, DHHS generic
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Audit: Overtime improperly paid to Medicaid managers

Published: 2013-02-14 13:01:00
Updated: 2013-02-14 18:25:36

A dozen Department of Health and Human Services employees improperly collected $580,758 in overtime over the last five years while working to upgrade a Medicaid billing system, according to a state audit released Thursday.

Angie Sligh, the program director for the Medicaid Management Information System, or MMIS, collected 41 percent of the overtime paid out, according to the audit. Eight other managers collected another 47 percent of the overtime, while three rank-and-file employees collected the remaining 12 percent.

"That is a lot of money, and almost half of it went to one person," State Auditor Beth Wood said. "I would say it's fair to call this abusive, (an) abuse of the system."

DHHS obtained verbal approval from the Office of State Personnel to pay the overtime to "regular staff" who otherwise were prohibited from receiving pay for extra hours worked, according to the audit. The agency bolstered its argument for the overtime by noting that the federal government would pick up the bulk of the costs and that speeding the MMIS implementation would eventually save the state money.

The lack of documentation about the exception to state personnel rules meant no controls were in place to monitor the payments, according to the audit.

"Prohibiting overtime pay for exempt employees provides for better control and management of the state’s and agencies’ budgets. Consequently, it is imperative that any exceptions be thoroughly vetted and justified," the audit states.

DHHS even assigned someone to manually enter the overtime into the state's payroll system because the system could account for the overtime since there was no record of it being approved, according to the audit. There is no way to determine if the times and amounts were entered correctly or the cost of using state personnel to handle the task.

The MMIS implementation didn't meet its 2011 deadline – DHHS officials have said it will be online this July – so the employees continued to collect overtime until last month, when new agency officials learned of it and stopped the practice, according to the audit.

"Neither one of (the new personnel officials) knew what was going on. Then, you have DHHS over there doing it, so they're not going to run out and tell anybody," Wood said.

The Office of State Personnel adopted new policies and procedures last fall to ensure exceptions to overtime rules are properly documented.

Wood said the case could result in criminal charges if an investigation determines that the employees were paid for time they didn't actually work.

"This whole process was not managed appropriately," she said.

The audit was the second time in about two weeks that an audit has criticized spending in the Medicaid program. Previously, auditors determined that mismanagement and lax oversight led to high administrative costs in the program.

New DHHS Secretary Aldona Wos said in a statement Thursday that she considers the findings to be serious and has "already taken steps to ensure improved accountability within the department."

Department officials declined to say whether any action has been taken against Sligh or any of the other employees who were paid overtime, saying the audit was about policies and procedures, not individuals.

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"I realize everyone is up in arms over this-but consider this-salaried employees-paid on a 40hr work week-are often expected to devote many additional hours, for no compensation-something the private sector would probably howl about-" - rachel

Really? When you are salaried, you are exempt from overtime, even in the private sector. My husband has been a salaried employee for decades, never gets a dime of overtime and he's pulled many 18-28 hr days and nights over those years. Apparently with Bev's crew, exempt didn't apply if she allowed this to happen with a select few of her appointed minions.

'Morrigan'; "Clean house, Dr Wos, and not just at the management level."

Maybe someone (assuming that you are not self-employed) should go up into your business, root out every nuance of questionable actions, and blame you and all of your co-workers as well.

There are numerous sincere and upstanding employees working within the NC Medicaid Division. If Wos, has been sent up to Dix Hill to paint all of DHHS with the red brush of shame I hope she can sleep at night. I truly hope that is not the case and that the woman has more scruples and integrity than that.

As for that new Computer system design that's been passed around like a leper through several different companies... If it fires up in July, you'll witness the biggest joke of the digital age reap havoc on the financial coffers of the Great State of North Carolina. It's one screw up behind the other that the designers won't correct. Wait till you lose hundreds of providers when they don't get their money...

I bet this is just the TIP OF THE ICEBERG*****there is all kinds of *CORRUPTION AND COVER UP*....government agencies are just FULL OF IT...I bet we will all be quite shocked at what might be revealed, if they look close enough.

I realize everyone is up in arms over this-but consider this-salaried employees-paid on a 40hr work week-are often expected to devote many additional hours, for no compensation-something the private sector would probably howl about-I remember when I first took a job with the state, salaried, and my boss informed me it was expected that I "donate" twenty hours per week to the state-this was in addition to subsidizing public parking so it was cheaper for those who had to use it-while we paid to park-

rachel

Are you serious!! I work in public accounting and i work plenty of 80 hour weeks with no overtime. For you to make that statement is completely uninformed.

beachmama, it's 580k over 6 years PAID TO TWELVE EMPLOYEES. Not 580k in Medicaid payments. Not 580k spread among all employees. This was done without documentation so those involved could claim ignorance. Really, not even an email confirming it was OK to pay them? Either way, they knew it was wrong.

And it's not all the auditor found. Go back and read both audits.

Angie probably put in more time than she got paid for. It is nothing for salaried state employees as technical project leads or managers to put in 25 plus hours overtime per week. There are even state employees who are subject to the Federal Standard Labor Act who put in a lot of over time per week and not get paid. Overall this state is getting over big time. What is being reported here is nothing compared to what the state is guilty of.

HS, how should I know?

"Guess McCrory will have to pick another demographic to suffer for the incompetence of the workers who caused this – he has already hosed over the unemployed."

I almost never say this, but McCrory didn't hire these people or cover up for them. Bev did, over and over and over. Blame her. He's trying to fix it.

"I know of an empolyee of DHHS a neighbor of mine who "works from home at least two days a week" all they do is get a jump on happy hour by noon.."

If he's at DMA, I'm 95% sure I know who he is. Trust me, he "won't remember" having done anything wrong. Another "forgetful" fellow did that successfully, coached him, and he got away with something too. The opposing party was called a liar twice.

Clean house, Dr Wos, and not just at the management level.

This whole department needs to be overhauled,money that could have been used to help people that need it is being given to the people who are suppose to be there to help the needy. Maybe it should start with educated personnel who have the qualifications to be doing social work and case managers,background checks also need to be done...start firing!

ol well cut there pay until its paid back.just look at what the crooked politics have done now.If it will benefit you use it on your taxes.Juast another example of fine goverment. The cost of cat food & $14,500 for a sex change operation are just two of the wackier tax write-offs that the Internal Revenue Service has allowed.

McCrory and Beth Wood are uncovering quite a pile of dirt under all the rugs Bev spread. He gets to clean up her mess.

"And Mr. McCrory allowing illegals immigrants' children to have license and ids on 3/25/13 - let's investigate that as well."

You need to blame Obama on this one, he gave the federal legal status and as such, can get DL's as a result.

something needs to be done , this is unexceptable and costing taxpayers money.do something McCory

The only reason the project isn't completed yet is because "someone" went totally against OSP rules and approved OT pay for "Exempt" employees. Exempt means.....NOT eligible for OT pay and work until the work is done. That is why you make the big bucks. What is surprising to me is "only 12%" of the OT pay was for regular staffers (hint......the non-exempt employees). We ALL know who does the work and I can assure you if only 12% of the OT went to non-exempt staff, the Exempt management wasn't doing very much. If OT for management had not been approved, this project would have been finished a year ago. Just sayin!!!

This isn't really news. When a federal government agency doesn't screw something up, then that will be news.

I realize everyone is up in arms over this-but consider this-salaried employees-paid on a 40hr work week-are often expected to devote many additional hours, for no compensation-something the private sector would probably howl about-I remember when I first took a job with the state, salaried, and my boss informed me it was expected that I "donate" twenty hours per week to the state-this was in addition to subsidizing public parking so it was cheaper for those who had to use it-while we paid to park-

Zonk: I don't like it and I don't condone it.

$580,758 in OT pay to employees of DHHS, much of whom were EXEMPT & Salaried (head shaking sadly) and yet - no $ for the proper care of those with Mental Illness (children, as well)- no $ for the proper care of those with Substance Abuse issues - no $ for the Deaf & Blind, the MR/DD population... no $... no $.. no $ to provide services.. no $

and the DHHS employees received $580,758 in OT pay, much of whom would normally - in private sector - would never receive to implement a online system to "supposedly" help detect fraud & implement services more efficiently... which was THEIR JOB.

anyone see the irony, not humorous, in this?

I've always worked for hourly pay, even as a professional. The one place that I worked where my supervisor was salaried and everyone else was hourly, here's how it went: the hourly employees worked 8:30-5. The "supervisor" worked, well, around 10:30 to 3:30 (depending on if she had a hair appointment that week). Oh, throw in about 45 minutes for lunch (hourly got 30 minutes). As messed up as that is, there's upposed to be a check in the system--if you're salaried, then YOU DON'T GET OVERTIME PAY. She was supposed to stay as long as needed to finish our work if we couldn't in our allotted hours. That never happened, of course.

Will this be a part of Bev Perdues record WRAL. Oh wait, I'm sorry you only started to keep up with the Governors promises after McCory was elected.

What? government workers improperly overpaid? Cannot be! This almost never happens, gov't workers are the best, most honest dependable people on the planet. I am just shocked!

bunch of crooks, what else is new

WOW!!! Let me tell you this...most of us state employees are hard-working people, who usually have to work two jobs to make ends me. I would like to know how they got around it, Timesheets have two designations: 1)Salaried, or 2)Subject to 40 hours. A lot of us haven't had raises in over a decade nor have our jobs been reclassified in over 20 years. This angers me, because situations such as this one at DHHS give state employees as a whole a bad reputation. It sounds to me as if some folks in DHHS and State Personnel need to get pink slip.

not surpising that once again a gov't entity screwed up!

Exempt employees get overtime? Wow. Yet another "oversite" in the mass mismanagement of funds in NC. And we will pay them anyway, cause OMG, they've already got it. What a scam.

Are you kidding, the biggest money problem that the DHHS has is 580,000 over 6 years as compared to a budget of what. If this is all the state auditor found and this is why we think our Medicaid program has problems and shouldn't be expanded, we need to look at the real reason the legislature and McCrory thinks we need to fix what is broke in our state first

Of course! The Dems let this slide without an audit for years. Kudos to McCrory for pushing these audits!

Heads better roll.

This is just another case of a Republican led, business minded administration cleaning up years of ignorance and abuse of taxpayer monies. The people that don't like it are the people that condone it !

And will the new system go live as scheduled on July 1st Morrigan?

wait a minute...I thought liberals said there was no waste in government and that it can't be run more efficiently!?!?

Another one of obama's "green energy battery companies" has folded. We've been paying them to play games and they've produced 0 batteries while hosing the American taxpayer. We buy all our Volt batteries overseas.

CarolinianByChoice.... so you believe regardless of who created the problem, if McCroy straightens it out, he is scr*ewing someone over. If he corrects this wastful spending problem (embezzlement), he is hurting someone???? Interesting how you think....

NC is the worst run state in the counttry and that is BOTH parties,not just one.It has the most crooked politicians and state and government wotkers of all. And all you people do is sit back and and "Pleasa sir can I have another?"..Remember you can't have any pudding unless you eat your meat.

See, we've known that medicaid was improperly run for years.

The good ole boy system in local and state government will never die and thats the problem and root of things like this. They need to audit the ABC system as well because I'm 100% the good ole boy system is full blast over there with leadership hiring sons and other relatives to run things.

Improper or illegal?

$8300.00 per person per year average.

Come on Libbies, where are you? Grand Union? OlNCNative, goldenspray, junkmail, I really would like your opinion!

The SCARY thing here is....this is just 12 folks. Multiply this by God knows how many other issues...but we cant cut it because if you do it shows you hate the poor!

Isn't this embezzlement? Why no names mentioned in this article? Who is being protected and why?

Medicaid is a joke anyway. People use it so they can stay home and live off of our tax money. They should jsut do away with it and save the state and us money well the us that work for a living.

If this happened in the private sector, the people responsible would be fired, and those over-paid would have to refund the overpayments. But, not government....if they make a huge incompetent mistake it's just swept under the cover, everyone gets to keep the money given to them, and no one gets fired....It was just an oversite....sorry about that tax payers...

Whoever received and granted the "verbal authorization" ought to be the ones who have to pay this back - absolutely ridiculous that established procedures were deviated from and no one bothered to document it!

Can't blame Dems or Reps; it all boils down to the plain and simple greed of nefarious individuals. No wonder this project wasn't completed on time, the folks working on it would have had to say goodbye to their gravy train!

Guess McCrory will have to pick another demographic to suffer for the incompetence of the workers who caused this – he has already hosed over the unemployed.

ooops!

THey should have to pay it back, and should NOT be getting a raise anytime soon. Would say they should lose their jobs but I know that won't happen. Shame though as there are many HONEST people out there needing a job!

The way this is written, there is no indication that the employees did anything dishonest. Nothing about falsified time cards, just that they shouldn't have received overtime pay. Some manager approved or said it was approved, it's not the fault of the employees, at least the way this is written.

I know of an empolyee of DHHS a neighbor of mine who "works from home at least two days a week" all they do is get a jump on happy hour by noon on most days, set their computer up on their bed, watch tv, never get out of their bath robes, never answer a direct phone call yet collect a pay check from the state, nice work if you can get it!

EllenGraham:

If you have no idea what I was talking about, just Google "NC MMIS audit McCrory."

It has been all in the news, including WRAL, for more than a year.

When you catch up to the story, you will not be happy.

"So, will they be made to return the money? What will happen?" - jetset

Please! Bev Purdue didn't even try to collect over $140 million in fraudulently paid UE benefits.

Do you think they care about this pocket change? The whole thing is a fraud ring.

so a failed implementation three years ago and those people continued to ride the government. the republicans are cleaning house...

I agree - garnish their wages if they can not pay it back in full. I am so sick of everyone wasting MY money - they know they just need to vote to rob me of more. It's time someone pays for stealing our money.

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