Finding Text
Finding 2024-010 U.S. Department of Health and Human Services Assistance Listing Number 93.224, 93.527 – Health Center Program Cluster Material Weakness and Noncompliance over Special Tests and Provisions Repeat Finding: Yes, 2023-005 Criteria: According to 42 USC 254b(k)(3)(E), (F), and (G); 42 CFR sections 51c.303(e), (f), and (g), and 42 CFR sections 56.303(e), (f), and (g)), 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. Condition and Context: The City did not provide the support showing compliance for 25 out of 25 patients selected. Cause: There is no management oversight in this area. Also, employees have not been properly trained and are not consistently utilizing the Allscripts software that maintains patient data. Effect or Potential Effect: The City is not compliant with federal regulations which could result in the federal government imposing additional requirements or withholding, disallowing or suspending grant funds. Questioned Costs: Unknown. Recommendation: All elements required for the sliding fee discount should be properly maintained in Allscripts. Employees should be properly trained on the software, and a user manual should be created related to patient intake so patient records are consistent and documented appropriately. Views of Responsible Officials: Management agrees with the finding. Refer to the Corrective Action Plan Section of this report.