Finding Text
2024-002: Health Centers Cluster – ALN# 93.224 Health Center Program (Community
Health Centers, Migrant Health Centers, Health Care for the Homeless, and
Public Housing Primary Care), ALN# 93.527 Grants for New and Expanded
Services under the Health Center Program, June 30, 2024 - Special Tests and
Provisions
Criteria: The Organization 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.
Condition: The Organization did not retain documentation or other evidence that
patients were eligible for adjustment (discount) that was received. We consider this
finding to be instances of noncompliance with regard to the Special Tests and Provisions
compliance requirement.
Effect: By not retaining the proper documentation it would possible for patients to
receive services they were not eligible for.
Questioned Costs: $0
Cause: Control procedures did not function as designed as applications were not
completed by patients, leading to the finding with special tests and provisions.
Recommendation: Management should review the control procedures in place related
to sliding fee procedures and ensure proper documentation is collected for each patient
to determine proper sliding fee eligibility.
Views of Responsible Officials: Management agrees with the finding and a response
is included in the Corrective Action Plan.