Audit 46213

FY End
2022-06-30
Total Expended
$900,248
Findings
6
Programs
3
Year: 2022 Accepted: 2022-12-20

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
45552 2022-001 Significant Deficiency Yes P
45553 2022-001 Significant Deficiency Yes P
45554 2022-001 Significant Deficiency Yes P
621994 2022-001 Significant Deficiency Yes P
621995 2022-001 Significant Deficiency Yes P
621996 2022-001 Significant Deficiency Yes P

Contacts

Name Title Type
MZLCRF2AWR75 Ciro Grassi Auditee
3049475500 Mary Fleece, CPA Auditor
No contacts on file

Notes to SEFA

Title: Basis of Presentation Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: Y Rate Explanation: The auditee used the de minimis cost rate. The accompanying Schedule of Expenditures of Federal Awards (the Schedule) includes the federal award activity of the Association under programs of the federal government for the year ended June 30, 2022. The information in this Schedule is presented in accordance with the requirements of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). Because the Schedule presents only a selected portion of the operations of Mountaineer Community Health Center, Inc., it is not intended to and does not present the financial position, changes in net assets,or cash flows of Mountaineer Community Health Center, Inc.
Title: Summary of Provider Relief Funds (PRF) and American Rescue Plan (ARP) Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: Y Rate Explanation: The auditee used the de minimis cost rate. The Provider Relief Fund (PRF) and American Rescue Plan (ARP) Rural Distribution areadministered by the Health Resources and Services Administration (HRSA) and support eligible health care providers in the battle against the COVID-19 pandemic. PRF provides relief funds to eligible providers of health care services and support for health care-related expenses or lost revenues attributable to coronavirus. ARP Rural Distribution addresses the disproportionate impact that COVID-19 has had on rural communities and rural health care providers. PRF and ARP RuralDistribution recipients must only use payments for eligible expenses, including services rendered, and lost revenues during the period of availability, as outlined in the table below. Providers must use a consistent basis of accounting to determine expenses. PRF and ARP Rural Distribution recipients may use payments for eligible expenses incurred prior to receipt of those payments (i.e.,pre-award costs) dating back to January 1, 2020, so long as they are to prevent, prepare for, and respond to coronavirus. Reporting Period 1 Payment Received Period - April 10, 2020 to June 30, 2020 - Period of Availability - January 1, 2020 to June 30, 2021 - PRF and ARP Rural Portal Reporting Time Period - July 1, 2021 to September 30, 2021 - Applicable Federal Expenditure Amount as of Prior Year June 30, 2021 $111,362 Applicable Federal Expenditures Applicable Amount as of June 30, 2022 and the subsequent period $0. Reporting Period 2 Payment Received Period - July 1, 2020 to December 31, 2020 - Period of Availability - January 1, 2020 to December 31, 2021 - PRF and ARP Rural Portal Reporting Time Period - January 1 2022 to March 31, 2022 - Applicable Federal Expenditure Amount as of Prior Year June 30, 2021 $0 - Applicable Federal Expenditures Applicable Amount as of June 30, 2022 and the subsequent period $0. Reporting Period 3 Payment Received Period - January 1, 2021 to June 30, 2021 - Period of Availability - January 1, 2020 to June 30, 2022 - PRF and ARP Rural Portal Reporting Time Period - July 1 2022 to September 30, 2022 - Applicable Federal Expenditure Amount as of Prior Year June 30, 2021 $0 - Applicable Federal Expenditures Applicable Amount as of June 30, 2022 and the subsequent period $0 Reporting Period 4 Payment Received Period - July 1, 2021 to December 31, 2021 - Period of Availability - January 1, 2020 to December 31, 2022 - PRF and ARP Rural Portal Reporting Time Period - January 1 2023 to March 31, 2023 - Applicable Federal Expenditure Amount as of Prior Year June 30, 2021 $0 - Applicable Federal Expenditures Applicable Amount as of June 30, 2022 $0 and the subsequent period to June 30, 2022 $84,348 Reporting Period 5 Payment Received Period - January 1, 2022 to June 30, 2022 - Period of Availability - January 1, 2020 to June 30, 2023 - PRF and ARP Rural Portal Reporting Time Period - July 1, 2023 to September 30, 2023 - Applicable Federal Expenditure Amount as of Prior Year June 30, 2021 $0 - Applicable Federal Expenditures Applicable Amount as of June 30, 2022 and the subsequent period $0
Title: Pass-through to Subrecipients Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: Y Rate Explanation: The auditee used the de minimis cost rate. There were no awards passed through to subrecipients.
Title: Assistance Listing (Catalog of Federal Domestic Assistance (CFDA)) Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: Y Rate Explanation: The auditee used the de minimis cost rate. Assistance Listing (AL) has replaced the Catalog of Federal Domestic Assistance (CFDA) for identifying federal programs.

Finding Details

#2022-001 Sliding Fee Discounts Documentation U.S. Department of Health and Human Services Health Center Program Cluster: Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care)- AL #93.224 Grants for New and Expanded Services Under the Health Center Program - AL #93.527 Condition: The Center lacked documentation on sliding fee discount eligibility for 1 (one) patient under the Center's policy. Criteria: Special Tests and Provisions: Sliding Fee Discounts - Health Centers must prepare and apply a sliding fee discount schedule so that the amounts owed for Health Center services by eligible patients are adjusted ( discounted) based on the patient's ability to pay. Cause: The condition is attributable to the lack of internal controls to ensure that the proper sliding fee documentation is being collected and retained to support the determination of adjustments to patient charges. Effect: The Center did not always follow policies and procedures and may not have properly calculated the sliding fee discount given to the patients, and the discount given may not have been based on the patient's ability to pay. Context: A sample of 40 patient encounters were tested out of the population of 207 sliding fee discount transactions. Of the 40 patient encounters tested, it was determined that the Center lacked documentation on sliding fee eligibility to support 1 (one) patient encounter tested. Recommendation: We recommend the Center provide training to employees to ensure that the sliding fee discounts are being properly applied, supported and documented. In addition, we recommend the employees administering the sliding fee discounts be properly monitored and supervised to ensure compliance with program documentation. Views of Responsible Officials and Planned Corrective Action: The Mountaineer Community Health Center, Inc. 's management will take the necessary steps to ensure that the sliding fee discounts are being properly applied and documented to support the determination of adjustments to patient charges. Identification of Repeat Finding: The finding was reported in the prior year's audit as finding #2021-001. Total Questioned Costs $ -0-
#2022-001 Sliding Fee Discounts Documentation U.S. Department of Health and Human Services Health Center Program Cluster: Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care)- AL #93.224 Grants for New and Expanded Services Under the Health Center Program - AL #93.527 Condition: The Center lacked documentation on sliding fee discount eligibility for 1 (one) patient under the Center's policy. Criteria: Special Tests and Provisions: Sliding Fee Discounts - Health Centers must prepare and apply a sliding fee discount schedule so that the amounts owed for Health Center services by eligible patients are adjusted ( discounted) based on the patient's ability to pay. Cause: The condition is attributable to the lack of internal controls to ensure that the proper sliding fee documentation is being collected and retained to support the determination of adjustments to patient charges. Effect: The Center did not always follow policies and procedures and may not have properly calculated the sliding fee discount given to the patients, and the discount given may not have been based on the patient's ability to pay. Context: A sample of 40 patient encounters were tested out of the population of 207 sliding fee discount transactions. Of the 40 patient encounters tested, it was determined that the Center lacked documentation on sliding fee eligibility to support 1 (one) patient encounter tested. Recommendation: We recommend the Center provide training to employees to ensure that the sliding fee discounts are being properly applied, supported and documented. In addition, we recommend the employees administering the sliding fee discounts be properly monitored and supervised to ensure compliance with program documentation. Views of Responsible Officials and Planned Corrective Action: The Mountaineer Community Health Center, Inc. 's management will take the necessary steps to ensure that the sliding fee discounts are being properly applied and documented to support the determination of adjustments to patient charges. Identification of Repeat Finding: The finding was reported in the prior year's audit as finding #2021-001. Total Questioned Costs $ -0-
#2022-001 Sliding Fee Discounts Documentation U.S. Department of Health and Human Services Health Center Program Cluster: Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care)- AL #93.224 Grants for New and Expanded Services Under the Health Center Program - AL #93.527 Condition: The Center lacked documentation on sliding fee discount eligibility for 1 (one) patient under the Center's policy. Criteria: Special Tests and Provisions: Sliding Fee Discounts - Health Centers must prepare and apply a sliding fee discount schedule so that the amounts owed for Health Center services by eligible patients are adjusted ( discounted) based on the patient's ability to pay. Cause: The condition is attributable to the lack of internal controls to ensure that the proper sliding fee documentation is being collected and retained to support the determination of adjustments to patient charges. Effect: The Center did not always follow policies and procedures and may not have properly calculated the sliding fee discount given to the patients, and the discount given may not have been based on the patient's ability to pay. Context: A sample of 40 patient encounters were tested out of the population of 207 sliding fee discount transactions. Of the 40 patient encounters tested, it was determined that the Center lacked documentation on sliding fee eligibility to support 1 (one) patient encounter tested. Recommendation: We recommend the Center provide training to employees to ensure that the sliding fee discounts are being properly applied, supported and documented. In addition, we recommend the employees administering the sliding fee discounts be properly monitored and supervised to ensure compliance with program documentation. Views of Responsible Officials and Planned Corrective Action: The Mountaineer Community Health Center, Inc. 's management will take the necessary steps to ensure that the sliding fee discounts are being properly applied and documented to support the determination of adjustments to patient charges. Identification of Repeat Finding: The finding was reported in the prior year's audit as finding #2021-001. Total Questioned Costs $ -0-
#2022-001 Sliding Fee Discounts Documentation U.S. Department of Health and Human Services Health Center Program Cluster: Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care)- AL #93.224 Grants for New and Expanded Services Under the Health Center Program - AL #93.527 Condition: The Center lacked documentation on sliding fee discount eligibility for 1 (one) patient under the Center's policy. Criteria: Special Tests and Provisions: Sliding Fee Discounts - Health Centers must prepare and apply a sliding fee discount schedule so that the amounts owed for Health Center services by eligible patients are adjusted ( discounted) based on the patient's ability to pay. Cause: The condition is attributable to the lack of internal controls to ensure that the proper sliding fee documentation is being collected and retained to support the determination of adjustments to patient charges. Effect: The Center did not always follow policies and procedures and may not have properly calculated the sliding fee discount given to the patients, and the discount given may not have been based on the patient's ability to pay. Context: A sample of 40 patient encounters were tested out of the population of 207 sliding fee discount transactions. Of the 40 patient encounters tested, it was determined that the Center lacked documentation on sliding fee eligibility to support 1 (one) patient encounter tested. Recommendation: We recommend the Center provide training to employees to ensure that the sliding fee discounts are being properly applied, supported and documented. In addition, we recommend the employees administering the sliding fee discounts be properly monitored and supervised to ensure compliance with program documentation. Views of Responsible Officials and Planned Corrective Action: The Mountaineer Community Health Center, Inc. 's management will take the necessary steps to ensure that the sliding fee discounts are being properly applied and documented to support the determination of adjustments to patient charges. Identification of Repeat Finding: The finding was reported in the prior year's audit as finding #2021-001. Total Questioned Costs $ -0-
#2022-001 Sliding Fee Discounts Documentation U.S. Department of Health and Human Services Health Center Program Cluster: Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care)- AL #93.224 Grants for New and Expanded Services Under the Health Center Program - AL #93.527 Condition: The Center lacked documentation on sliding fee discount eligibility for 1 (one) patient under the Center's policy. Criteria: Special Tests and Provisions: Sliding Fee Discounts - Health Centers must prepare and apply a sliding fee discount schedule so that the amounts owed for Health Center services by eligible patients are adjusted ( discounted) based on the patient's ability to pay. Cause: The condition is attributable to the lack of internal controls to ensure that the proper sliding fee documentation is being collected and retained to support the determination of adjustments to patient charges. Effect: The Center did not always follow policies and procedures and may not have properly calculated the sliding fee discount given to the patients, and the discount given may not have been based on the patient's ability to pay. Context: A sample of 40 patient encounters were tested out of the population of 207 sliding fee discount transactions. Of the 40 patient encounters tested, it was determined that the Center lacked documentation on sliding fee eligibility to support 1 (one) patient encounter tested. Recommendation: We recommend the Center provide training to employees to ensure that the sliding fee discounts are being properly applied, supported and documented. In addition, we recommend the employees administering the sliding fee discounts be properly monitored and supervised to ensure compliance with program documentation. Views of Responsible Officials and Planned Corrective Action: The Mountaineer Community Health Center, Inc. 's management will take the necessary steps to ensure that the sliding fee discounts are being properly applied and documented to support the determination of adjustments to patient charges. Identification of Repeat Finding: The finding was reported in the prior year's audit as finding #2021-001. Total Questioned Costs $ -0-
#2022-001 Sliding Fee Discounts Documentation U.S. Department of Health and Human Services Health Center Program Cluster: Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care)- AL #93.224 Grants for New and Expanded Services Under the Health Center Program - AL #93.527 Condition: The Center lacked documentation on sliding fee discount eligibility for 1 (one) patient under the Center's policy. Criteria: Special Tests and Provisions: Sliding Fee Discounts - Health Centers must prepare and apply a sliding fee discount schedule so that the amounts owed for Health Center services by eligible patients are adjusted ( discounted) based on the patient's ability to pay. Cause: The condition is attributable to the lack of internal controls to ensure that the proper sliding fee documentation is being collected and retained to support the determination of adjustments to patient charges. Effect: The Center did not always follow policies and procedures and may not have properly calculated the sliding fee discount given to the patients, and the discount given may not have been based on the patient's ability to pay. Context: A sample of 40 patient encounters were tested out of the population of 207 sliding fee discount transactions. Of the 40 patient encounters tested, it was determined that the Center lacked documentation on sliding fee eligibility to support 1 (one) patient encounter tested. Recommendation: We recommend the Center provide training to employees to ensure that the sliding fee discounts are being properly applied, supported and documented. In addition, we recommend the employees administering the sliding fee discounts be properly monitored and supervised to ensure compliance with program documentation. Views of Responsible Officials and Planned Corrective Action: The Mountaineer Community Health Center, Inc. 's management will take the necessary steps to ensure that the sliding fee discounts are being properly applied and documented to support the determination of adjustments to patient charges. Identification of Repeat Finding: The finding was reported in the prior year's audit as finding #2021-001. Total Questioned Costs $ -0-