Finding Text
Health Center Program Cluster –
CFDA Nos. 93.224 and 93.527
U.S. Department of Health and Human Services
Award No. 6 H80CS26561, February 1, 2023-January 31, 2024
Award No. 6 H80CS26561, February 1, 2022-January 31, 2023
Award No. 1 H8FCS41198, April 1, 2021-March 31, 2023
Award No. 6 C14CS39928, September 1, 2020-August 31, 2023
Award No. 1 H8HCS44996, September 1, 2021-August 31, 2022
Award No. 6 H8HCS44996, September 1, 2022-August 31, 2023
Award No. 6 H2ECS45563, May 1, 2022-April 30, 2023
Award No. 6 H2ECS45563, May 1, 2023-April 30, 2024
Criteria or Specific Requirement – Special Tests and Provisions: Sliding Fee Discounts
(42 USC 254(k)(3)(g); 42 CFR sections 51c.303(g); and 42 CFR sections 56.303 (f))
Condition – Patients received a sliding fee discount that was inconsistent with the
stated sliding fee discount categories under the Organization’s policy.
Questioned cost – None
Context – A sample of 40 patients were tested out of the total population of 23,865
encounters. The sampling methodology used is not and is not intended to be
statistically valid. Two patients received a sliding fee adjustment that was inconsistent
with the approved policy for the proper sliding fee adjustments based on their income
documentation.
Effect – Sliding fee discounts were given to patients that were inconsistent with the
Organization’s sliding fee discount policy.
Cause – The Organization did not comply with their sliding fee policy.
Identification as a repeat finding, if applicable – Is a repeat finding of 2022-002.
Recommendation – We recommend management continue to ensure all personnel
understand the sliding fee scale policy and adhere to the requirements and guidelines
set forth in the policy. Procedures should be implemented to ensure that eligible
patients receive discounts in accordance with the sliding fee scale and the Health
Center Program Compliance Manual.