Audit 355041

2024-002: Health Centers Cluster – ALN# 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care), ALN# 93.527 Grants for New and Expanded Services under the Health Center Program, June 30, 2024 - Special Tests and Provisions Criteria: The Organization must prepare and apply a sliding fee discount schedule (SFDS) so that the amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient’s ability to pay. Condition: The Organization did not retain documentation or other evidence that patients were eligible for adjustment (discount) that was received. We consider this finding to be instances of noncompliance with regard to the Special Tests and Provisions compliance requirement. Effect: By not retaining the proper documentation it would possible for patients to receive services they were not eligible for. Questioned Costs: $0 Cause: Control procedures did not function as designed as applications were not completed by patients, leading to the finding with special tests and provisions. Recommendation: Management should review the control procedures in place related to sliding fee procedures and ensure proper documentation is collected for each patient to determine proper sliding fee eligibility. Views of Responsible Officials: Management agrees with the finding and a response is included in the Corrective Action Plan.

2024-002: Health Centers Cluster – ALN# 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care), ALN# 93.527 Grants for New and Expanded Services under the Health Center Program, June 30, 2024 - Special Tests and Provisions Criteria: The Organization must prepare and apply a sliding fee discount schedule (SFDS) so that the amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient’s ability to pay. Condition: The Organization did not retain documentation or other evidence that patients were eligible for adjustment (discount) that was received. We consider this finding to be instances of noncompliance with regard to the Special Tests and Provisions compliance requirement. Effect: By not retaining the proper documentation it would possible for patients to receive services they were not eligible for. Questioned Costs: $0 Cause: Control procedures did not function as designed as applications were not completed by patients, leading to the finding with special tests and provisions. Recommendation: Management should review the control procedures in place related to sliding fee procedures and ensure proper documentation is collected for each patient to determine proper sliding fee eligibility. Views of Responsible Officials: Management agrees with the finding and a response is included in the Corrective Action Plan.

2024-002: Health Centers Cluster – ALN# 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care), ALN# 93.527 Grants for New and Expanded Services under the Health Center Program, June 30, 2024 - Special Tests and Provisions Criteria: The Organization must prepare and apply a sliding fee discount schedule (SFDS) so that the amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient’s ability to pay. Condition: The Organization did not retain documentation or other evidence that patients were eligible for adjustment (discount) that was received. We consider this finding to be instances of noncompliance with regard to the Special Tests and Provisions compliance requirement. Effect: By not retaining the proper documentation it would possible for patients to receive services they were not eligible for. Questioned Costs: $0 Cause: Control procedures did not function as designed as applications were not completed by patients, leading to the finding with special tests and provisions. Recommendation: Management should review the control procedures in place related to sliding fee procedures and ensure proper documentation is collected for each patient to determine proper sliding fee eligibility. Views of Responsible Officials: Management agrees with the finding and a response is included in the Corrective Action Plan.

2024-002: Health Centers Cluster – ALN# 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care), ALN# 93.527 Grants for New and Expanded Services under the Health Center Program, June 30, 2024 - Special Tests and Provisions Criteria: The Organization must prepare and apply a sliding fee discount schedule (SFDS) so that the amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient’s ability to pay. Condition: The Organization did not retain documentation or other evidence that patients were eligible for adjustment (discount) that was received. We consider this finding to be instances of noncompliance with regard to the Special Tests and Provisions compliance requirement. Effect: By not retaining the proper documentation it would possible for patients to receive services they were not eligible for. Questioned Costs: $0 Cause: Control procedures did not function as designed as applications were not completed by patients, leading to the finding with special tests and provisions. Recommendation: Management should review the control procedures in place related to sliding fee procedures and ensure proper documentation is collected for each patient to determine proper sliding fee eligibility. Views of Responsible Officials: Management agrees with the finding and a response is included in the Corrective Action Plan.