Finding 1206288 (2025-002)

Material Weakness Repeat Finding
Requirement
N
Questioned Costs
-
Year
2025
Accepted
2026-04-09

AI Summary

  • Core Issue: Health Centers failed to apply sliding fee discounts correctly, impacting eligible patients' access to affordable care.
  • Impacted Requirements: Compliance with Uniform Guidance and 42 CFR, specifically regarding the application of sliding fee discounts based on patients' ability to pay.
  • Recommended Follow-Up: Train staff on discount accuracy and documentation; implement supervisory reviews of discount applications to ensure compliance.

Finding Text

Finding: 2025-002 Sliding Fee Discounts Federal Programs: Department of Health and Human Services Health Center Program Cluster Assistance Listing No. 93.224 Criteria: Uniform Guidance, Special Tests & Provisions, Sliding Fee Discounts, 42 CFR, 56.303 Condition: Health Centers receiving funding under the Health Center Program Cluster must prepare and apply a sliding fee discount so that the amounts owed for health center services by eligible patients are discounted based on the patient’s ability to pay. During compliance testing the following errors were noted: • Certain patients received discounts for which they did not qualify • Certain patients did not receive discounts when they did qualify for discounts • Certain patients received discounts that were calculated incorrectly Cause: There were deficiencies in internal controls designed to ensure that proper sliding fee discounts were applied to patient accounts in accordance with the Organization’s sliding fee scale. The sliding fee scale file was not properly utilized in the application of discounts provided to certain patients. Effect: Discounts were not properly applied to patient accounts. Questioned Costs: None reported. Context/Sampling: For 10 of 48 self-pay patients selected for testing, discounts were not appropriately applied. This sample was not, and was not intended to be, a statistically valid sample. The finding appears to be a systemic issue. Repeat Finding from Prior Year: No Recommendation: It is recommended that staff be trained to review sliding fee discounts applied to ensure they are accurate and that proper documentation is obtained. In addition, it is recommended that supervisory level personnel select and review a sample of sliding fee applications and discounts to ensure that discounts are properly applied by staff. Views of Responsible Officials: Management concurs. Efforts will be made to implement corrective actions as recommended above. Contact Person: Earlene Daniels, CFO Anticipated Date of Completion: May 31, 2026

Corrective Action Plan

In Finding 2025-002, it was reported that the Organization did not properly apply the sliding fee discounts to certain patients who visited the Organization during the year ended November 30, 2025. Management recognizes the importance of complying with sliding fee guidelines and the Organization’s sliding fee policy. During the year ended November 30, 2025, the Organization experienced a significant amount of turnover in staff, including 61 terminations and 41 new hires. In response to Finding 2025-002, proper training will be given to employees and sliding fee discounts will be reviewed on a monthly basis by a supervisor to ensure compliance with the sliding fee policy.

Categories

Special Tests & Provisions Internal Control / Segregation of Duties

Programs in Audit

ALN Program Name Expenditures
93.224 CONSOLIDATED HEALTH CENTERS (COMMUNITY HEALTH CENTERS, MIGRANT HEALTH CENTERS, HEALTH CARE FOR THE HOMELESS, AND PUBLIC HOUSING PRIMARY CARE) $4.82M
93.217 FAMILY PLANNING_SERVICES $400,000