Finding Text
2022-001 Federal Program ? Health Center Program Cluster, assistance listing numbers 93.224 and 93.527, from U.S. Department of Health and Human Services. Criteria or specific requirement ? Sliding fee discounts are applied to fees for health center services provided to all individuals and families with annual incomes at or below 200 percent of the Federal Poverty Guidelines (FPG). No sliding fee discount is applied to fees for health center services provided to individuals and families with annual incomes above 200 percent of the FPG. Condition ? Duffy Health Center, Inc. applied a sliding fee discount to fees provided to an individual with annual income above 200 percent of the FPG. Cause ? The individual?s monthly income was entered as annual income in Duffy Health Center, Inc.?s system. Effect or potential effect ? A sliding fee discount was incorrectly reported in Duffy Health Center, Inc.?s system. Questioned costs ? None. Context ? Of the twenty-five sliding fee discounts tested, one was applied to fees provided to an individual with annual income above 200 percent of the FPG. Recommendation ? We recommend that procedures be implemented to ensure patients? income is entered correctly based on the application for charity care. Views of responsible officials ? Management is implementing follow up summary reports that are reviewed for the reasonableness of an applicant?s annual income.