Audit 410665

Health Center Program Cluster Assistance Listing 93.224 and 93.527 U.S. Department of Health and Human Services Award No. 2 H80CS26560-12-00 Criteria or Specific Requirement: Special Tests and Provisions: Sliding Fee Discounts (42 USC 254(k)(3)(g); 42 CFR sections 51c.303(g); and 42 CFR sections 56.303 (f)) Condition: Patients received a sliding fee discount that was inconsistent with the documented sliding fee discount categories under the Organization's Policy. In addition, the Organization did not update the sliding fee scale for annual changes to the poverty guidelines timely. Cause: The Organization did not comply with its sliding fee policy. Effect or Potential Effect: Incorrect sliding fee discounts were given. Questioned Costs: None Context: A sample of 40 patients was tested out of the total population of 1,452 encounters and 11 errors were noted where patients received an incorrect sliding fee adjustment. The sampling methodology used is not and is not intended to be statistically valid. Identification as a Repeat Finding: Repeat Finding of 2024-003 Recommendation: We recommend that management continue to ensure that all personnel understand the sliding fee scale policy and adhere to the requirements and guidelines set forth in the policy. Procedures should be implemented to ensure that eligible patients receive discounts in accordance with the sliding fee scale and the Health Center Program Compliance Manual. In addition, management should ensure the Organization's sliding fee scale is updated annually in accordance with federal guidelines.

Health Center Program Cluster Assistance Listing 93.224 and 93.527 U.S. Department of Health and Human Services Award No. 2 H80CS26560-12-00 Program Year 2025 Criteria or Specific Requirement: Reporting (45 CFR 75.342) Condition: The Organization’s Uniform Data System (UDS) report did not agree to the underlying support. In addition, certain information in the Organization's Annual Federal Financial Report (FFR) did not agree to underlying support. Cause: The Organization does not properly review the information used in preparing and submitting the UDS report and the FFR. Effect or potential effect: Information provided is incorrect and does not provide accurate counts of patients or federal funds received. Questioned Costs: None Context: Errors and/or inadequate supporting documentation were identified for 3 out of 49 report attributes tested for the Organization's UDS report. Errors and /or inadequate supporting documentation was identified in the Organization's Annual FFR. Identification as a Repeat Finding: Repeat Finding of 2024-004 Recommendation: The Organization should develop internal processes for preparing information that will be reported in the UDS report and the FFR. In addition to this the Organization should develop a formal review process where a reviewer reviews and matches the amount to be reported with the documents used by the preparer.