FAC Explorer

Finding 1131282 (2024-001)

Significant Deficiency
Requirement
A
Questioned Costs
-
Year
2024
Accepted
2025-04-11
Audit: 353413
Organization: Tyler Family Circle of Care (TX)
Auditor: Clifton Larson Allen LLP

AI Summary

  • Core Issue: Incorrect sliding fee discounts were applied in three cases.
  • Impacted Requirements: Compliance with the sliding fee discount schedule under ALN 93.224/93.527.
  • Recommended Follow-Up: Review and correct the sliding fee discounts to ensure they align with patients' ability to pay.

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 three identified instances the sliding fee discounts applied were incorrect.

Categories

Special Tests & Provisions

Other Findings in this Audit

  • 554840 2024-001
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.526 Grants for Capital Development in Health Centers $375,385
93.217 Family Planning Services $224,157
93.224 Health Center Program (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $198,362
93.268 Immunization Cooperative Agreements $187,000
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $175,395
93.527 Grants for New and Expanded Services Under the Health Center Program $48,076
10.766 Community Facilities Loans and Grants $23,397