Audit 7197

#2021-002 – Misapplication of the Sliding Fee Scale CFDA Number: 93.224 and 93.527 Health Centers Cluster (Repeat Finding) Condition: Alluvion Health did not properly follow its sliding fee scale policy and procedures for patients that applied for a sliding fee discount and did not properly maintain documentation to support qualification and the sliding fee discount received. Criteria: The Health Center Program Compliance Manual requires a health center to have operating procedures for assessing and re-assessing all patients for income and family size consistent with approved sliding fee discount program policies. Effect: No material noncompliance or questioned costs were noted in the period under audit. Context: Our testing detected 4 out of 60 patients selected for testing either did not have proper documentation to support their qualification of the sliding fee discount received or received an incorrect discount. Cause: Inconsistent application of the policies and procedures approved by Alluvion Health. Recommendation: We recommend Alluvion Health review its current policies and procedures and continue to provide training to all staff members handling the sliding fee scale assessments to ensure assessments are performed in accordance with policy. Management Response to Findings: See corrective action plan.

#2021-003 – Misapplication of the Sliding Fee Scale CFDA Number: 93.224 and 93.527 Health Centers Cluster (Repeat Finding) Condition: Alluvion Health did not file the required report submission in a timely manner during the year ended June 30, 2021. Criteria: According to Alluvion Health’s notice of grant award for the period under audit, Alluvion Health must submit various quarterly and annual reports as part of the requirements for receiving grant awards under its major federal program. These reporting requirements include an annual Uniform Data System (UDS) report, an annual Federal Financial Report (FFR), and quarterly FFRs. Effect: If the report submissions are not filed by the required deadline, Alluvion Health is out of compliance with the terms and conditions of the grant award. Context: Our testing detected 1 out of 3 reports tested was not filed in a timely manner. Cause: Inconsistent application of the policies and procedures approved by Alluvion Health. Recommendation: We recommend Alluvion Health review its current policies and procedures and develop a process to ensure timely filing in the future. Management Response to Findings: See corrective action plan.

#2021-002 – Misapplication of the Sliding Fee Scale CFDA Number: 93.224 and 93.527 Health Centers Cluster (Repeat Finding) Condition: Alluvion Health did not properly follow its sliding fee scale policy and procedures for patients that applied for a sliding fee discount and did not properly maintain documentation to support qualification and the sliding fee discount received. Criteria: The Health Center Program Compliance Manual requires a health center to have operating procedures for assessing and re-assessing all patients for income and family size consistent with approved sliding fee discount program policies. Effect: No material noncompliance or questioned costs were noted in the period under audit. Context: Our testing detected 4 out of 60 patients selected for testing either did not have proper documentation to support their qualification of the sliding fee discount received or received an incorrect discount. Cause: Inconsistent application of the policies and procedures approved by Alluvion Health. Recommendation: We recommend Alluvion Health review its current policies and procedures and continue to provide training to all staff members handling the sliding fee scale assessments to ensure assessments are performed in accordance with policy. Management Response to Findings: See corrective action plan.

#2021-003 – Misapplication of the Sliding Fee Scale CFDA Number: 93.224 and 93.527 Health Centers Cluster (Repeat Finding) Condition: Alluvion Health did not file the required report submission in a timely manner during the year ended June 30, 2021. Criteria: According to Alluvion Health’s notice of grant award for the period under audit, Alluvion Health must submit various quarterly and annual reports as part of the requirements for receiving grant awards under its major federal program. These reporting requirements include an annual Uniform Data System (UDS) report, an annual Federal Financial Report (FFR), and quarterly FFRs. Effect: If the report submissions are not filed by the required deadline, Alluvion Health is out of compliance with the terms and conditions of the grant award. Context: Our testing detected 1 out of 3 reports tested was not filed in a timely manner. Cause: Inconsistent application of the policies and procedures approved by Alluvion Health. Recommendation: We recommend Alluvion Health review its current policies and procedures and develop a process to ensure timely filing in the future. Management Response to Findings: See corrective action plan.

#2021-002 – Misapplication of the Sliding Fee Scale CFDA Number: 93.224 and 93.527 Health Centers Cluster (Repeat Finding) Condition: Alluvion Health did not properly follow its sliding fee scale policy and procedures for patients that applied for a sliding fee discount and did not properly maintain documentation to support qualification and the sliding fee discount received. Criteria: The Health Center Program Compliance Manual requires a health center to have operating procedures for assessing and re-assessing all patients for income and family size consistent with approved sliding fee discount program policies. Effect: No material noncompliance or questioned costs were noted in the period under audit. Context: Our testing detected 4 out of 60 patients selected for testing either did not have proper documentation to support their qualification of the sliding fee discount received or received an incorrect discount. Cause: Inconsistent application of the policies and procedures approved by Alluvion Health. Recommendation: We recommend Alluvion Health review its current policies and procedures and continue to provide training to all staff members handling the sliding fee scale assessments to ensure assessments are performed in accordance with policy. Management Response to Findings: See corrective action plan.

#2021-003 – Misapplication of the Sliding Fee Scale CFDA Number: 93.224 and 93.527 Health Centers Cluster (Repeat Finding) Condition: Alluvion Health did not file the required report submission in a timely manner during the year ended June 30, 2021. Criteria: According to Alluvion Health’s notice of grant award for the period under audit, Alluvion Health must submit various quarterly and annual reports as part of the requirements for receiving grant awards under its major federal program. These reporting requirements include an annual Uniform Data System (UDS) report, an annual Federal Financial Report (FFR), and quarterly FFRs. Effect: If the report submissions are not filed by the required deadline, Alluvion Health is out of compliance with the terms and conditions of the grant award. Context: Our testing detected 1 out of 3 reports tested was not filed in a timely manner. Cause: Inconsistent application of the policies and procedures approved by Alluvion Health. Recommendation: We recommend Alluvion Health review its current policies and procedures and develop a process to ensure timely filing in the future. Management Response to Findings: See corrective action plan.

#2021-002 – Misapplication of the Sliding Fee Scale CFDA Number: 93.224 and 93.527 Health Centers Cluster (Repeat Finding) Condition: Alluvion Health did not properly follow its sliding fee scale policy and procedures for patients that applied for a sliding fee discount and did not properly maintain documentation to support qualification and the sliding fee discount received. Criteria: The Health Center Program Compliance Manual requires a health center to have operating procedures for assessing and re-assessing all patients for income and family size consistent with approved sliding fee discount program policies. Effect: No material noncompliance or questioned costs were noted in the period under audit. Context: Our testing detected 4 out of 60 patients selected for testing either did not have proper documentation to support their qualification of the sliding fee discount received or received an incorrect discount. Cause: Inconsistent application of the policies and procedures approved by Alluvion Health. Recommendation: We recommend Alluvion Health review its current policies and procedures and continue to provide training to all staff members handling the sliding fee scale assessments to ensure assessments are performed in accordance with policy. Management Response to Findings: See corrective action plan.

#2021-003 – Misapplication of the Sliding Fee Scale CFDA Number: 93.224 and 93.527 Health Centers Cluster (Repeat Finding) Condition: Alluvion Health did not file the required report submission in a timely manner during the year ended June 30, 2021. Criteria: According to Alluvion Health’s notice of grant award for the period under audit, Alluvion Health must submit various quarterly and annual reports as part of the requirements for receiving grant awards under its major federal program. These reporting requirements include an annual Uniform Data System (UDS) report, an annual Federal Financial Report (FFR), and quarterly FFRs. Effect: If the report submissions are not filed by the required deadline, Alluvion Health is out of compliance with the terms and conditions of the grant award. Context: Our testing detected 1 out of 3 reports tested was not filed in a timely manner. Cause: Inconsistent application of the policies and procedures approved by Alluvion Health. Recommendation: We recommend Alluvion Health review its current policies and procedures and develop a process to ensure timely filing in the future. Management Response to Findings: See corrective action plan.