Finding 1161857 (2024-006)

Material Weakness Repeat Finding
Requirement
N
Questioned Costs
-
Year
2024
Accepted
2025-11-04

AI Summary

  • Core Issue: Two patients received incorrect sliding fee discounts due to outdated guidelines.
  • Impacted Requirements: Compliance with the Federal Poverty Guidelines for determining patient eligibility.
  • Recommended Follow-Up: Implement and monitor updated procedures to ensure current guidelines are used for sliding fee calculations.

Finding Text

Assistance Listing Numbers 93.224 Community Health Centers Grant Number H80CS00112 US Department of Health and Human Services Finding 2024-006 Compliance Requirement: Special Tests and Provisions-Sliding Fee Discounts Type of Finding: Significant Deficiency Criteria: Health centers are required to adjust the amounts owed for health center services based of the patient’s ability to pay and their eligibility. A patient’s eligibility to pay is determined on the basis of the official poverty guidelines. Condition: Of the twenty-five patients selected for testing the Federal Poverty Guideline (FPG) was inaccurately applied for two patients. Cause: The condition can be attributed to turnover in patient management personnel which resulted in the use of an outdated Sliding Fee Table. Effect or Potential Effect: Two patients received discounts greater than the amount they were eligible to receive. Questioned Costs: None Repeat Finding: The is not a repeat finding. Recommendation: The Organization should be implementing and monitoring procedures to ensure that information used to determine sliding fee is based on guidelines that are current. Views of Responsible Officials: Management agrees with the finding.

Corrective Action Plan

Finding 2024-006 Compliance Requirement: Special Tests and Provisions-Sliding Fee Discounts Significant Deficiency Assistance Living Number 93.224 Health Center Programs Grant Award Number H80CS00112 US Department of Health and Human Services Condition: Of the twenty-five-patients selected for testing the Federal Poverty Guideline (FPG) was inaccurately applied for two patients. Action Planned in Response to the Finding: In the past year, the collection and retention of sliding fee discount qualifying documents have been integrated and the calculation performed by the clinic’s electronic medical record system. An employee was added, in part, to provide oversite of the sliding discount process. Official Responsible for Ensuring the CAP: Darian Davis Planned Completion Date: December 2025

Categories

Special Tests & Provisions Subrecipient Monitoring Eligibility Significant Deficiency

Other Findings in this Audit

  • 1161846 2024-003
    Material Weakness Repeat
  • 1161847 2024-003
    Material Weakness Repeat
  • 1161848 2024-003
    Material Weakness Repeat
  • 1161849 2024-004
    Material Weakness Repeat
  • 1161850 2024-004
    Material Weakness Repeat
  • 1161851 2024-004
    Material Weakness Repeat
  • 1161852 2024-005
    Material Weakness Repeat
  • 1161853 2024-005
    Material Weakness Repeat
  • 1161854 2024-005
    Material Weakness Repeat
  • 1161855 2024-006
    Material Weakness Repeat
  • 1161856 2024-006
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.224 HEALTH CENTER PROGRAM (COMMUNITY HEALTH CENTERS, MIGRANT HEALTH CENTERS, HEALTH CARE FOR THE HOMELESS, AND PUBLIC HOUSING PRIMARY CARE) $273,437
93.426 THE NATIONAL CARDIOVASCULAR HEALTH PROGRAM $9,046