Finding 1078097 (2023-001)

Significant Deficiency
Requirement
ALN
Questioned Costs
-
Year
2023
Accepted
2024-10-02

AI Summary

  • Core Issue: A sliding fee discount was applied without proper documentation of patient eligibility.
  • Impacted Requirements: Compliance with the sliding fee discount schedule under ALN 93.224/93.527 is not met.
  • Recommended Follow-up: Ensure that all health centers maintain records proving patient eligibility for discounts.

Finding Text

Under the compliance requirement for Special Tests and Provisions for ALN 93.224/93.527, “health centers 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”. In one identified instance a sliding fee discount was applied, but no records that prove patients eligibility were kept.

Categories

Special Tests & Provisions Eligibility

Other Findings in this Audit

  • 501655 2023-001
    Significant Deficiency
  • 501656 2023-001
    Significant Deficiency
  • 501657 2023-001
    Significant Deficiency
  • 1078098 2023-001
    Significant Deficiency
  • 1078099 2023-001
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.224 Community Health Centers $1.50M
93.994 Maternal and Child Health Services Block Grant to the States $32,013