Finding 611813 (2022-101)

Section III - Federal Award Findings and Questioned Costs 2022-101 Special Tests and Provisions (Noncompliance, Material Weakness) Assistance Listing Number and Name: 93.224 Health Center Program Federal Agency: Department of Health and Human Services Compliance Requirement: Special Tests and Provisions Questioned Costs: Unknown Criteria: Patients applying for Sliding Fee Discount Schedule (SFDS) should have their income levels adequately documented and accurately calculated, and patients should be given the proper discount based upon their income level in accordance with 42 CFR Section 51c.303(f). Condition: Incorrect copay were applied to 2 of 40 sliding fee discount schedule (SFDS) patient encounters that were selected for testing. Cause: Unknown Effect: The Center was not in compliance with the requirement to provide SFS patients with the proper discount based upon the patients' income levels in accordance with 42 CFR Section 51c.303(f). Recommendation: To help ensure that SFS discounts are properly calculated and applied, the Center should strictly adhere to its formal written policies and procedures, and perform random reviews of its SFDS applications in order to detect and correct errors on a timely basis.