The Center agrees with the finding and understood it would repeat from FY2021 because TCHC would not have time to correct issues that would impact the FY2022 audit. The health center received additional training on-site from the practice management system vendor in May/June 2022; during this training, sliding fee setup in the system was reviewed and training provided to update. In response, as of May 2022, the incomes were updated in the system to correspond to the 2022 poverty guidelines set up and updated in February 2023 for 2023 poverty guidelines. Management is in the process of updating written procedures to reconcile with actual steps occurring, including the responsible person, etc. In addition, an audit procedure will be further refined so periodic surveys can determine if policies and procedures are being followed. The health center continues to have turnover at the front desk staff due to COVID-19 and attrition, which gives rise to the need for training staff on the sliding fee policy and procedure when onboarded as well annually. All these steps will be completed by February 28, 2023.