Finding 517476 (2024-001)

Significant Deficiency
Requirement
P
Questioned Costs
-
Year
2024
Accepted
2025-01-02
Audit: 335450
Organization: Asher Community Health Center (OR)
Auditor: Solutions CPAS

AI Summary

  • Core Issue: An applicant was incorrectly placed on the sliding fee discount scale due to a failure in recalculating annual income.
  • Impacted Requirements: This misplacement violates the organization's policies and federal program requirements for maintaining accurate discount scales.
  • Recommended Follow-Up: Review and reinforce the process for recalculating annual income to prevent future misplacements and ensure compliance.

Finding Text

program requirements state that the organization must maintain a sliding fee discount scale based on federal poverty levels. During testing, it was identified that an applicant was misplace on the sliding fee discount scale set by the organization's policies. One of the organization's key controls to ensure appropriate placement on the sliding fee discount scale is a recalculation of annual income for each applicant. The organization failed to appropriately calculate an applicant's annual income and misplace the applicant on the sliding ee discount scale out of alignment with policies set by the organization. The applicant was approved for the incorrect discount rates basded on the rates and scale set by the organization's policy. If similar errors were to occur, noncomplieance with the sliding fee discount scales required by federal program requirements could potentially occur

Corrective Action Plan

We recommend the personnel responsible for approving the applications provide a documented recalculation of the annual income for each applicant and that a secondary review and recalculation occur to ensure appropriate placement.

Categories

No categories assigned yet.

Other Findings in this Audit

  • 517477 2024-002
    Material Weakness
  • 517478 2024-002
    Material Weakness
  • 517479 2024-002
    Material Weakness
  • 517480 2024-002
    Material Weakness
  • 1093918 2024-001
    Significant Deficiency
  • 1093919 2024-002
    Material Weakness
  • 1093920 2024-002
    Material Weakness
  • 1093921 2024-002
    Material Weakness
  • 1093922 2024-002
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.224 Community Health Centers $80,066
93.526 Fip Verification $43,019
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $33,115