Finding 554939 (2024-001)

Significant Deficiency Repeat Finding
Requirement
N
Questioned Costs
-
Year
2024
Accepted
2025-04-14

AI Summary

  • Core Issue: Incorrect income data entry for 2 patients and use of net income instead of gross income for 3 patients led to improper sliding fee discounts.
  • Impacted Requirements: The Sliding Fee Discount Program requires gross income figures, which was not followed in the calculations.
  • Recommended Follow-Up: Review and update training on income data entry and ensure compliance with program requirements regarding income calculations.

Finding Text

During our compliance testing of federal awards, we noted that income information for 2 out of 30 patients tested was incorrectly entered into the system, leading to improper application of sliding fee discounts. Additionally, for 3 out of 30 patients tested, sliding fee calculations were accurate when using net income. However, the Sliding Fee Discount Program application explicitly requires gross income figures. Neither the program application form nor the related policies indicated that net income should be utilized.

Categories

No categories assigned yet.

Other Findings in this Audit

  • 554938 2024-001
    Significant Deficiency Repeat
  • 1131380 2024-001
    Significant Deficiency Repeat
  • 1131381 2024-001
    Significant Deficiency Repeat

Programs in Audit

ALN Program Name Expenditures
93.224 Health Center Program (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $1.57M
93.526 Grants for Capital Development in Health Centers $22,858
10.558 Child and Adult Care Food Program $4,111
93.778 Medical Assistance Program $3,841