Finding 1241470 (2025-003)

Material Weakness Repeat Finding
Requirement
N
Questioned Costs
-
Year
2025
Accepted
2026-11-02
Audit: 415558
Organization: Adelante Healthcare, Inc. (AZ)

AI Summary

  • Answer: One instance of incorrect sliding fee eligibility was found during compliance testing.
  • Trend: This error did not significantly impact the overall program.
  • List: Review eligibility criteria to prevent future errors and ensure accurate discounts.

Finding Text

During our compliance testing of sliding fee discounts for the Organization, there was one instance in which sliding fee eligibility was determined incorrectly. Subsequently the discount provided to the patient was improperly determined. The identified exception was immaterial to the program overall.

Corrective Action Plan

Management is reviewing and strengthening the Sliding Fee Discount Program (SFDP) to ensure compliance with regulatory and internal requirements. Corrective actions focus on clarifying income verification and documentation standards, enhancing staff training, and implementing periodic monitoring to ensure consistent application of the sliding fee scale. As part of these efforts, the Organization plans to conduct robust and targeted staff training. The training will include all staff members and cover SFDP eligibility, income verification, documentation requirements, and proper application of discounts in alignment with HRSA Program Requirements. Expected outcomes include improved consistency in SFDP application across departments, increased staff understanding of compliance requirements, fewer incomplete or unsupported applications, and stronger documentation and audit readiness. The Organization will monitor closely and supervise the application of the sliding fee scale, and it will set accountability standards for its application.

Categories

Eligibility

Programs in Audit

ALN Program Name Expenditures
93.224 HEALTH CENTER PROGRAM $7.01M
10.557 WIC SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN $4.10M
93.527 GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $486,528
10.561 STATE ADMINISTRATIVE MATCHING GRANTS FOR THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM $175,654
93.332 COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED EXCHANGES $134,853
93.870 MATERNAL, INFANT AND EARLY CHILDHOOD HOME VISITING GRANT $99,976
93.767 CHILDREN'S HEALTH INSURANCE PROGRAM $32,699