Finding Text
Assistance Listing Numbers 93.224 and 93.527 – Health Center Program Cluster
Award Numbers: H80CS00112, H8CCS34790, H8DCS36181 and H8ECS38688
Compliance Requirement: Special Tests and Provisions-Sliding Fee Discounts
Type of Finding: Material Weakness
Condition and
Context:
Supporting documents could not be located for two of the forty patients selected for
testing. As such, we were unable to determine eligibility.
Criteria: Health centers are required to have a corresponding schedule of discounts applied and
adjusted on the basis of the patient’s ability to pay and their eligibility. A patient’s
eligibility to pay is determined on the basis of the official poverty guidelines.
Effect: Sliding fee discounts given could potentially be incorrect, or the patient could be
ineligible.
Cause: The condition can be attributed to changeover in patient management software,
personnel, and passage of time.
Questioned
Costs:
None
Repeat Finding: Repeat finding of 2019-006
Recommendation: The Organization should be implementing and monitoring procedures to ensure that all
supporting documents are kept for determining patient eligibility.
Views of
Responsible
Official:
Management of the Organization concurs with the audit finding.