November 11, 2022 Fr: Linda Maxon Re: Single Audit Finding: CliftonLarsonAllen LLP Audit Finding #2022-001, for Coast Community Health Centers fiscal year audit period ending 1/31/2022 With respect to the audit finding, Coast Community Health Center will address the following: ? Review and further develop trainings for front-desk staff on the appropriate procedures to assist in preparation and required completion of the sliding fee applications and proof of income forms. ? Review and further develop trainings for staff on appropriate evaluation of the forms and determining the appropriate category on which to place patients regarding the sliding fee program ? Review and further develop trainings for staff on monitoring the periodic update of the patients sliding fee application and related information ? Review and further develop trainings for staff on coordinating initial placement and subsequent updates with billing so the billing system is consistent with the supporting information for the sliding fee program ? Review document retention procedures regarding the sliding fee program to ensure each patient participating in the program has documentation supporting their classification within the billing system ? Finance staff will, at minimum quarterly, review and audit a sample of sliding fee patients to ensure that discounts are being applied appropriately and that documentation of eligibility is being collected This should address the deficiencies noted in correct placement of patients on the sliding fee scale and the issue of missing supporting documentation. Respectfully Submitted, Linda S. Maxon Chief Executive Officer