Condition: The Council lacked adequate controls over its sliding fee discount program to ensure applications were properly processed, recorded, and received the correct discount. For three of the 40 patient files reviewed who received a sliding fee discount, patient information was inadequate to determine the proper sliding fee discount or the patient was given incorrect discounts based on information provided. Criteria: Health centers must prepare and apply a sliding fee discount schedule and policy so that the amounts owed for health center services by eligible patients are adjusted based on the patient’s ability to pay (42 USC 254(k)(3)€, (F), and (G); 42 CFR sections 51c.303(e), (f), and (g); and 42 CFR sections 56.303(e), (f), and (g)). Cause: The Council did not always follow the review process in place to verify that eligible patients received the applicable sliding fee discount according to the Council’s policy. Effect: The Council’s SFS patients’ services were not properly discounted; therefore, those patients were not charged the correct discounted fee in accordance with federal requirements. Recommendation: It is recommended to develop proper controls around the collection of sliding fee applications, verifying required patient information is present and complete, and apply the sliding fee discount in accordance with written policies. This will ensure the Council can detect and prevent ineligible patients from receiving the discount and comply with federal compliance requirements. In order to ensure that SFS discounts are properly calculated and documented, the Council should increase the frequency of random reviews of its SFS applications in order to help detect and correct errors or incomplete applications on a timely basis. View of responsible officials: Management acknowledges this condition related to lack of adequate controls over the sliding fee discount program and is creating controls that will assure compliance with requirements.
Condition: The Council did not meet its financial reporting obligations under the grant during the year. The Council did not file the Data Collection Form (SF-SAC) by the due date of March 31, 2024. Criteria: The Council is required to file the Data Collection Form (SF-SAC) within 30 days of the receipt of the audit or 9 months after year-end, whichever is first. Cause: The Data Collection Form was not filed within the required period due to a delay in preparations for the audit. Effect: The Council was not in compliance with federal regulations. Recommendation: We recommend audit preparations are completed on a timely basis to ensure that the reporting deadline is met. View of responsible officials: Management acknowledges the delay in preparation of the audit due to staffing challenges and has since hired additional resources.
Condition: The Council lacked adequate controls over its sliding fee discount program to ensure applications were properly processed, recorded, and received the correct discount. For three of the 40 patient files reviewed who received a sliding fee discount, patient information was inadequate to determine the proper sliding fee discount or the patient was given incorrect discounts based on information provided. Criteria: Health centers must prepare and apply a sliding fee discount schedule and policy so that the amounts owed for health center services by eligible patients are adjusted based on the patient’s ability to pay (42 USC 254(k)(3)€, (F), and (G); 42 CFR sections 51c.303(e), (f), and (g); and 42 CFR sections 56.303(e), (f), and (g)). Cause: The Council did not always follow the review process in place to verify that eligible patients received the applicable sliding fee discount according to the Council’s policy. Effect: The Council’s SFS patients’ services were not properly discounted; therefore, those patients were not charged the correct discounted fee in accordance with federal requirements. Recommendation: It is recommended to develop proper controls around the collection of sliding fee applications, verifying required patient information is present and complete, and apply the sliding fee discount in accordance with written policies. This will ensure the Council can detect and prevent ineligible patients from receiving the discount and comply with federal compliance requirements. In order to ensure that SFS discounts are properly calculated and documented, the Council should increase the frequency of random reviews of its SFS applications in order to help detect and correct errors or incomplete applications on a timely basis. View of responsible officials: Management acknowledges this condition related to lack of adequate controls over the sliding fee discount program and is creating controls that will assure compliance with requirements.
Condition: The Council did not meet its financial reporting obligations under the grant during the year. The Council did not file the Data Collection Form (SF-SAC) by the due date of March 31, 2024. Criteria: The Council is required to file the Data Collection Form (SF-SAC) within 30 days of the receipt of the audit or 9 months after year-end, whichever is first. Cause: The Data Collection Form was not filed within the required period due to a delay in preparations for the audit. Effect: The Council was not in compliance with federal regulations. Recommendation: We recommend audit preparations are completed on a timely basis to ensure that the reporting deadline is met. View of responsible officials: Management acknowledges the delay in preparation of the audit due to staffing challenges and has since hired additional resources.
Condition: The Council lacked adequate controls over its sliding fee discount program to ensure applications were properly processed, recorded, and received the correct discount. For three of the 40 patient files reviewed who received a sliding fee discount, patient information was inadequate to determine the proper sliding fee discount or the patient was given incorrect discounts based on information provided. Criteria: Health centers must prepare and apply a sliding fee discount schedule and policy so that the amounts owed for health center services by eligible patients are adjusted based on the patient’s ability to pay (42 USC 254(k)(3)€, (F), and (G); 42 CFR sections 51c.303(e), (f), and (g); and 42 CFR sections 56.303(e), (f), and (g)). Cause: The Council did not always follow the review process in place to verify that eligible patients received the applicable sliding fee discount according to the Council’s policy. Effect: The Council’s SFS patients’ services were not properly discounted; therefore, those patients were not charged the correct discounted fee in accordance with federal requirements. Recommendation: It is recommended to develop proper controls around the collection of sliding fee applications, verifying required patient information is present and complete, and apply the sliding fee discount in accordance with written policies. This will ensure the Council can detect and prevent ineligible patients from receiving the discount and comply with federal compliance requirements. In order to ensure that SFS discounts are properly calculated and documented, the Council should increase the frequency of random reviews of its SFS applications in order to help detect and correct errors or incomplete applications on a timely basis. View of responsible officials: Management acknowledges this condition related to lack of adequate controls over the sliding fee discount program and is creating controls that will assure compliance with requirements.
Condition: The Council did not meet its financial reporting obligations under the grant during the year. The Council did not file the Data Collection Form (SF-SAC) by the due date of March 31, 2024. Criteria: The Council is required to file the Data Collection Form (SF-SAC) within 30 days of the receipt of the audit or 9 months after year-end, whichever is first. Cause: The Data Collection Form was not filed within the required period due to a delay in preparations for the audit. Effect: The Council was not in compliance with federal regulations. Recommendation: We recommend audit preparations are completed on a timely basis to ensure that the reporting deadline is met. View of responsible officials: Management acknowledges the delay in preparation of the audit due to staffing challenges and has since hired additional resources.
Condition: The Council lacked adequate controls over its sliding fee discount program to ensure applications were properly processed, recorded, and received the correct discount. For three of the 40 patient files reviewed who received a sliding fee discount, patient information was inadequate to determine the proper sliding fee discount or the patient was given incorrect discounts based on information provided. Criteria: Health centers must prepare and apply a sliding fee discount schedule and policy so that the amounts owed for health center services by eligible patients are adjusted based on the patient’s ability to pay (42 USC 254(k)(3)€, (F), and (G); 42 CFR sections 51c.303(e), (f), and (g); and 42 CFR sections 56.303(e), (f), and (g)). Cause: The Council did not always follow the review process in place to verify that eligible patients received the applicable sliding fee discount according to the Council’s policy. Effect: The Council’s SFS patients’ services were not properly discounted; therefore, those patients were not charged the correct discounted fee in accordance with federal requirements. Recommendation: It is recommended to develop proper controls around the collection of sliding fee applications, verifying required patient information is present and complete, and apply the sliding fee discount in accordance with written policies. This will ensure the Council can detect and prevent ineligible patients from receiving the discount and comply with federal compliance requirements. In order to ensure that SFS discounts are properly calculated and documented, the Council should increase the frequency of random reviews of its SFS applications in order to help detect and correct errors or incomplete applications on a timely basis. View of responsible officials: Management acknowledges this condition related to lack of adequate controls over the sliding fee discount program and is creating controls that will assure compliance with requirements.
Condition: The Council did not meet its financial reporting obligations under the grant during the year. The Council did not file the Data Collection Form (SF-SAC) by the due date of March 31, 2024. Criteria: The Council is required to file the Data Collection Form (SF-SAC) within 30 days of the receipt of the audit or 9 months after year-end, whichever is first. Cause: The Data Collection Form was not filed within the required period due to a delay in preparations for the audit. Effect: The Council was not in compliance with federal regulations. Recommendation: We recommend audit preparations are completed on a timely basis to ensure that the reporting deadline is met. View of responsible officials: Management acknowledges the delay in preparation of the audit due to staffing challenges and has since hired additional resources.
Condition: The Council lacked adequate controls over its sliding fee discount program to ensure applications were properly processed, recorded, and received the correct discount. For three of the 40 patient files reviewed who received a sliding fee discount, patient information was inadequate to determine the proper sliding fee discount or the patient was given incorrect discounts based on information provided. Criteria: Health centers must prepare and apply a sliding fee discount schedule and policy so that the amounts owed for health center services by eligible patients are adjusted based on the patient’s ability to pay (42 USC 254(k)(3)€, (F), and (G); 42 CFR sections 51c.303(e), (f), and (g); and 42 CFR sections 56.303(e), (f), and (g)). Cause: The Council did not always follow the review process in place to verify that eligible patients received the applicable sliding fee discount according to the Council’s policy. Effect: The Council’s SFS patients’ services were not properly discounted; therefore, those patients were not charged the correct discounted fee in accordance with federal requirements. Recommendation: It is recommended to develop proper controls around the collection of sliding fee applications, verifying required patient information is present and complete, and apply the sliding fee discount in accordance with written policies. This will ensure the Council can detect and prevent ineligible patients from receiving the discount and comply with federal compliance requirements. In order to ensure that SFS discounts are properly calculated and documented, the Council should increase the frequency of random reviews of its SFS applications in order to help detect and correct errors or incomplete applications on a timely basis. View of responsible officials: Management acknowledges this condition related to lack of adequate controls over the sliding fee discount program and is creating controls that will assure compliance with requirements.
Condition: The Council did not meet its financial reporting obligations under the grant during the year. The Council did not file the Data Collection Form (SF-SAC) by the due date of March 31, 2024. Criteria: The Council is required to file the Data Collection Form (SF-SAC) within 30 days of the receipt of the audit or 9 months after year-end, whichever is first. Cause: The Data Collection Form was not filed within the required period due to a delay in preparations for the audit. Effect: The Council was not in compliance with federal regulations. Recommendation: We recommend audit preparations are completed on a timely basis to ensure that the reporting deadline is met. View of responsible officials: Management acknowledges the delay in preparation of the audit due to staffing challenges and has since hired additional resources.
Condition: The Council lacked adequate controls over its sliding fee discount program to ensure applications were properly processed, recorded, and received the correct discount. For three of the 40 patient files reviewed who received a sliding fee discount, patient information was inadequate to determine the proper sliding fee discount or the patient was given incorrect discounts based on information provided. Criteria: Health centers must prepare and apply a sliding fee discount schedule and policy so that the amounts owed for health center services by eligible patients are adjusted based on the patient’s ability to pay (42 USC 254(k)(3)€, (F), and (G); 42 CFR sections 51c.303(e), (f), and (g); and 42 CFR sections 56.303(e), (f), and (g)). Cause: The Council did not always follow the review process in place to verify that eligible patients received the applicable sliding fee discount according to the Council’s policy. Effect: The Council’s SFS patients’ services were not properly discounted; therefore, those patients were not charged the correct discounted fee in accordance with federal requirements. Recommendation: It is recommended to develop proper controls around the collection of sliding fee applications, verifying required patient information is present and complete, and apply the sliding fee discount in accordance with written policies. This will ensure the Council can detect and prevent ineligible patients from receiving the discount and comply with federal compliance requirements. In order to ensure that SFS discounts are properly calculated and documented, the Council should increase the frequency of random reviews of its SFS applications in order to help detect and correct errors or incomplete applications on a timely basis. View of responsible officials: Management acknowledges this condition related to lack of adequate controls over the sliding fee discount program and is creating controls that will assure compliance with requirements.
Condition: The Council did not meet its financial reporting obligations under the grant during the year. The Council did not file the Data Collection Form (SF-SAC) by the due date of March 31, 2024. Criteria: The Council is required to file the Data Collection Form (SF-SAC) within 30 days of the receipt of the audit or 9 months after year-end, whichever is first. Cause: The Data Collection Form was not filed within the required period due to a delay in preparations for the audit. Effect: The Council was not in compliance with federal regulations. Recommendation: We recommend audit preparations are completed on a timely basis to ensure that the reporting deadline is met. View of responsible officials: Management acknowledges the delay in preparation of the audit due to staffing challenges and has since hired additional resources.
Condition: The Council lacked adequate controls over its sliding fee discount program to ensure applications were properly processed, recorded, and received the correct discount. For three of the 40 patient files reviewed who received a sliding fee discount, patient information was inadequate to determine the proper sliding fee discount or the patient was given incorrect discounts based on information provided. Criteria: Health centers must prepare and apply a sliding fee discount schedule and policy so that the amounts owed for health center services by eligible patients are adjusted based on the patient’s ability to pay (42 USC 254(k)(3)€, (F), and (G); 42 CFR sections 51c.303(e), (f), and (g); and 42 CFR sections 56.303(e), (f), and (g)). Cause: The Council did not always follow the review process in place to verify that eligible patients received the applicable sliding fee discount according to the Council’s policy. Effect: The Council’s SFS patients’ services were not properly discounted; therefore, those patients were not charged the correct discounted fee in accordance with federal requirements. Recommendation: It is recommended to develop proper controls around the collection of sliding fee applications, verifying required patient information is present and complete, and apply the sliding fee discount in accordance with written policies. This will ensure the Council can detect and prevent ineligible patients from receiving the discount and comply with federal compliance requirements. In order to ensure that SFS discounts are properly calculated and documented, the Council should increase the frequency of random reviews of its SFS applications in order to help detect and correct errors or incomplete applications on a timely basis. View of responsible officials: Management acknowledges this condition related to lack of adequate controls over the sliding fee discount program and is creating controls that will assure compliance with requirements.
Condition: The Council did not meet its financial reporting obligations under the grant during the year. The Council did not file the Data Collection Form (SF-SAC) by the due date of March 31, 2024. Criteria: The Council is required to file the Data Collection Form (SF-SAC) within 30 days of the receipt of the audit or 9 months after year-end, whichever is first. Cause: The Data Collection Form was not filed within the required period due to a delay in preparations for the audit. Effect: The Council was not in compliance with federal regulations. Recommendation: We recommend audit preparations are completed on a timely basis to ensure that the reporting deadline is met. View of responsible officials: Management acknowledges the delay in preparation of the audit due to staffing challenges and has since hired additional resources.
Condition: The Council lacked adequate controls over its sliding fee discount program to ensure applications were properly processed, recorded, and received the correct discount. For three of the 40 patient files reviewed who received a sliding fee discount, patient information was inadequate to determine the proper sliding fee discount or the patient was given incorrect discounts based on information provided. Criteria: Health centers must prepare and apply a sliding fee discount schedule and policy so that the amounts owed for health center services by eligible patients are adjusted based on the patient’s ability to pay (42 USC 254(k)(3)€, (F), and (G); 42 CFR sections 51c.303(e), (f), and (g); and 42 CFR sections 56.303(e), (f), and (g)). Cause: The Council did not always follow the review process in place to verify that eligible patients received the applicable sliding fee discount according to the Council’s policy. Effect: The Council’s SFS patients’ services were not properly discounted; therefore, those patients were not charged the correct discounted fee in accordance with federal requirements. Recommendation: It is recommended to develop proper controls around the collection of sliding fee applications, verifying required patient information is present and complete, and apply the sliding fee discount in accordance with written policies. This will ensure the Council can detect and prevent ineligible patients from receiving the discount and comply with federal compliance requirements. In order to ensure that SFS discounts are properly calculated and documented, the Council should increase the frequency of random reviews of its SFS applications in order to help detect and correct errors or incomplete applications on a timely basis. View of responsible officials: Management acknowledges this condition related to lack of adequate controls over the sliding fee discount program and is creating controls that will assure compliance with requirements.
Condition: The Council did not meet its financial reporting obligations under the grant during the year. The Council did not file the Data Collection Form (SF-SAC) by the due date of March 31, 2024. Criteria: The Council is required to file the Data Collection Form (SF-SAC) within 30 days of the receipt of the audit or 9 months after year-end, whichever is first. Cause: The Data Collection Form was not filed within the required period due to a delay in preparations for the audit. Effect: The Council was not in compliance with federal regulations. Recommendation: We recommend audit preparations are completed on a timely basis to ensure that the reporting deadline is met. View of responsible officials: Management acknowledges the delay in preparation of the audit due to staffing challenges and has since hired additional resources.