Finding 621887 (2022-003)

- Repeat Finding
Requirement
N
Questioned Costs
-
Year
2022
Accepted
2022-12-27

AI Summary

  • Core Issue: The sliding fee scale used by the Center is outdated, not reflecting the latest Federal Poverty Guidelines released in February 2022.
  • Impacted Requirements: Compliance with the Health Center Cluster Program mandates timely updates to the sliding fee scale based on current financial assessments.
  • Recommended Follow-Up: Implement procedures to ensure the sliding fee scale is updated promptly whenever new Federal Poverty Guidelines are issued.

Finding Text

Item 2022-003: Compliance with Sliding Fee Scale Requirements of the Health Center Cluster Program Major Program: Health Center Cluster - Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) - ALN/CFDA 93.22,1 and Grants for New and Expanded Services under the Health Center Program - ALN/CFDA 93.527 Criteria: The Health Center Cluster requires the Organization to perform a financial assessment on consumers in order to place them on a sliding fee scale. The sliding fee scale must be based on the current Federal Poverty Guidelines at the time of assessment. Condition: As of the time of the audit in mid-July, the Center's sliding fee scale had not yet been updated to incorporate the most recent Federal Poverty Guidelines which were released on February l, 2022. Questioned Costs: None Effect: Consumers may not be appropriately placed on the sliding lee scale Cause: The Organization's placement on the sliding fee scale necessary for financial assessment of consumers had not been updated to incorporate the most recent Federal Poverty Guidelines. Recommendation: The Organization should develop procedures that ensure the sliding fee scale discount schedule is updated timely upon release of the annual Federal Poverty Guidelines. Views of Responsible Officials: See management's corrective action plan.

Categories

HUD Housing Programs

Other Findings in this Audit

Programs in Audit

ALN Program Name Expenditures
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $1.02M
93.498 Provider Relief Fund $695,591
93.461 Covid-19 Testing for the Uninsured $395,833