Finding 1164524 (2025-003)

Federal Agency: Department of Health and Human Services Federal Program Name: Certified Community Behavioral Health Clinic Expansion Grants Assistance Listing Number: 93.696 Federal Award Identification Numbers: 1H79SM088933 and 5H79SM088933-02 Award Periods: 9/30/2023 – 9/29/2024 and 9/30/2024 – 9/29/2025 Type of Finding: • Significant Deficiency in Internal Control over Compliance • Other Matters Criteria or specific requirement: CCBHCs are required to utilize a sliding fee scale that ensures that services to patients are not denied or limited due to an individual's inability to pay for services. Wilder has established a sliding fee policy and schedule based on current federal poverty guidelines. Condition: During our audit testing, we noted that the sliding fee scale was not being accurately followed in some instances. Context: During our testing 2 out of 30 selections did not use the correct sliding scale fee based on information provided by the client. The patients were charged $0 instead of a required $5 fee. Cause: Personnel did not calculate the correct fee based on the sliding fee scale. Effect: Participants would not be charged the correct fee based on the sliding fee scale. Repeat finding: Not a repeat finding Recommendation: CLA recommends training employees to review the sliding fee scale carefully to ensure the appropriate fee is charged. Views of responsible officials: There is no disagreement with the audit finding.