EIN: 454960453
UEI: KRM9RWPBZ955
Audited by: BDMP ASSURANCE, LLP
Oversight agency: 93 [Department of Health and Human Services]
View federal awards & risk assessment →
Data as of September 7, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on December 19, 2025. Under 2 CFR 200.521(d), a pass-through entity that provided federal funds to this organization for this audit period must issue a management decision on these findings by June 19, 2026 (82 days ago).
What is a management decision? →FAC accepted this audit on December 20, 2024 — management decision was due June 20, 2025.
FAC accepted this audit on December 22, 2023 — management decision was due June 22, 2024.
FAC accepted this audit on January 24, 2023 — management decision was due July 24, 2023.
FAC accepted this audit on January 23, 2022 — management decision was due July 23, 2022.
FAC accepted this audit on January 12, 2021 — management decision was due July 12, 2021.
Finding Number: 2020-001 Finding Type: Compliance Information on the Federal Program: Program Name: Health Center Program Cluster (CFDA numbers 93.224 and 93.527) Federal Award: H80CS25680 for the grant period January 1, 2020 through December 31, 2020 Federal Agency: U.S. Department of Health and Human Services, Health Resources and Services Administration Criteria: In accordance with 42 USC 254(k)(3)(F), as an FQHC, the Organization must prepare and apply a sliding fee discount schedule so that the amounts charged by the Organization for services provided to eligible patients are adjusted (discounted) based on the patient's ability to pay. Condition Found and Context: In two instances in our sample of 25 sliding fee discounts tested, the Organization did not apply the correct sliding fee discount to patient charges, based on its sliding fee discount policy. The total difference between the discount and the policy was less than 1% of the sample tested. Cause and Effect: The Organization brought billing in-house in April 2019. During the billing system setup, the sliding fee discounts were setup as insurances which limited the functionality of the discounts resulting in more manual adjustments than if the sliding fee discounts were appropriately setup in the billing system. The two errors were the result of manual adjustments. One error resulted in a patient be charged more and the other resulted in a patient being charged less for services than was required under the Organization?s sliding fee discount policy. Questioned Costs: None Repeat Finding: Yes, 2019-001 Recommendation: While management has engaged an external consultant to assist in correcting the setup of the billing system and improve billing processes, we continue to recommend management strengthen its monitoring processes for the sliding fee discount program, including, but not limited to, testing samples of discounts applied to patient balances throughout the year to ensure compliance with the sliding fee discount policy. Views of a Responsible Official and Corrective Action Plan: Management agrees with the finding. The policy will be revised to establish documented reviews of sliding fee scale adjustments throughout the year to help ensure compliance with the Organization's sliding fee discount policy.
Show full finding ▾Hide full finding ▴Finding Number: 2020-001 Finding Type: Compliance Information on the Federal Program: Program Name: Health Center Program Cluster (CFDA numbers 93.224 and 93.527) Federal Award: H80CS25680 for the grant period January 1, 2020 through December 31, 2020 Federal Agency: U.S. Department of Health and Human Services, Health Resources and Services Administration Criteria: In accordance with 42 USC 254(k)(3)(F), as an FQHC, the Organization must prepare and apply a sliding fee discount schedule so that the amounts charged by the Organization for services provided to eligible patients are adjusted (discounted) based on the patient's ability to pay. Condition Found and Context: In two instances in our sample of 25 sliding fee discounts tested, the Organization did not apply the correct sliding fee discount to patient charges, based on its sliding fee discount policy. The total difference between the discount and the policy was less than 1% of the sample tested. Cause and Effect: The Organization brought billing in-house in April 2019. During the billing system setup, the sliding fee discounts were setup as insurances which limited the functionality of the discounts resulting in more manual adjustments than if the sliding fee discounts were appropriately setup in the billing system. The two errors were the result of manual adjustments. One error resulted in a patient be charged more and the other resulted in a patient being charged less for services than was required under the Organization?s sliding fee discount policy. Questioned Costs: None Repeat Finding: Yes, 2019-001 Recommendation: While management has engaged an external consultant to assist in correcting the setup of the billing system and improve billing processes, we continue to recommend management strengthen its monitoring processes for the sliding fee discount program, including, but not limited to, testing samples of discounts applied to patient balances throughout the year to ensure compliance with the sliding fee discount policy. Views of a Responsible Official and Corrective Action Plan: Management agrees with the finding. The policy will be revised to establish documented reviews of sliding fee scale adjustments throughout the year to help ensure compliance with the Organization's sliding fee discount policy.
Corrective Action Plan Finding Number: 2020-001 Condition Found and Context: In two instances in our sample of 25 sliding fee discounts tested, the Organization did not apply the correct sliding fee discount to patient charges, based on its sliding fee discount policy. The total difference between the discount and the policy was less than 1% of the sample tested. Cause and Effect: The Organization brought billing in-house in April 2019. During the billing system setup, the sliding fee discounts were setup as insurances, which limited the functionality of the discounts, resulting in more manual adjustments than if the sliding fee discounts were appropriately setup in the billing system. The two errors were the result of manual adjustments. One error resulted in a patient be charged more and the other resulted in a patient being charged less for services than was required under the Organization?s sliding fee discount policy. Individual Responsible for Corrective Action: Douglas Mpay, Financial Assistance Manager Corrective Action Planned: Greater Portland Health will establish documented reviews of sliding fee scale adjustments throughout the year to help ensure compliance with the Organization's sliding fee discount policy. While review of sliding fee scale adjustments were conducted for FY2020 discounts, the review process for FY2021 and beyond will include these additional features to better control all types of sliding fee scale adjustments: 1. The dental team and Financial Assistance Manager will collaborate to review all dental sliding fee adjustments, ensuring that the right type of slide (dollar or percentage-based) is applied to all eligible dental procedures. 2. The Financial Assistance Manager and CFO will determine if the sliding fee waiver can be applied automatically to eligible patients in the EHR, NextGen. If waived sliding fees can be applied automatically, that feature will be set up in the EHR. 3. The Financial Assistance Manager, with support from Financial Assistance Counselors, will periodically review all sliding fee adjustments made since the last review, and determine whether the slide was applied in accordance with the patient?s documented sliding fee eligibility. In particular, that review will include checks that any patients eligible for a sliding fee waiver have their fee waived entirely for the relevant encounters. Anticipated Completion Date: February 2021 (and ongoing)
2019-001
FAC accepted this audit on January 15, 2020 — management decision was due July 15, 2020.
Information on the Federal Program: Program Name: Health Center Program Cluster (CFDA numbers 93.224 and 93.527) Federal Award: H80CS25680 for the grant period January 1, 2019 through December 31, 2019 Federal Agency: U.S. Department of Health and Human Services, Health Resources and Services Administration Criteria: In accordance with 42 USC 254(k)(3)(F), as an FQHC, the Organization must prepare and apply a sliding fee discount schedule so that the amounts charged by the Organization for services provided to eligible patients are adjusted (discounted) based on the patient's ability to pay. Condition Found and Context: In one instance in our sample of 25 items tested, the Organization did not apply the correct sliding fee discount to patient charges, consistent with its sliding fee discount policy. The total difference between the discount and the policy was less than 1% of the sample tested. Cause and Effect: The error was a result of human error in the review and approval of the patient's sliding fee discount application. Three dependents were not taken into consideration for family size and the patient's application was approved based on a family size of one rather than a family size of four. The error resulted in the patient paying more for services than was required under the Organization sliding fee discount policy. Questioned Costs: None Repeat Finding: No Recommendation: We recommend management strengthen its monitoring processes for the sliding fee discount program, including, but not limited to, testing samples of discounts applied to patient balances throughout the year to ensure compliance with the sliding fee discount policy. Views of a Responsible Official and Corrective Action Plan: Management agrees with the finding. The policy will be revised to establish documented reviews of sliding fee scale adjustments throughout the year to ensure compliance with the Organization's sliding fee discount policy.
Show full finding ▾Hide full finding ▴Information on the Federal Program: Program Name: Health Center Program Cluster (CFDA numbers 93.224 and 93.527) Federal Award: H80CS25680 for the grant period January 1, 2019 through December 31, 2019 Federal Agency: U.S. Department of Health and Human Services, Health Resources and Services Administration Criteria: In accordance with 42 USC 254(k)(3)(F), as an FQHC, the Organization must prepare and apply a sliding fee discount schedule so that the amounts charged by the Organization for services provided to eligible patients are adjusted (discounted) based on the patient's ability to pay. Condition Found and Context: In one instance in our sample of 25 items tested, the Organization did not apply the correct sliding fee discount to patient charges, consistent with its sliding fee discount policy. The total difference between the discount and the policy was less than 1% of the sample tested. Cause and Effect: The error was a result of human error in the review and approval of the patient's sliding fee discount application. Three dependents were not taken into consideration for family size and the patient's application was approved based on a family size of one rather than a family size of four. The error resulted in the patient paying more for services than was required under the Organization sliding fee discount policy. Questioned Costs: None Repeat Finding: No Recommendation: We recommend management strengthen its monitoring processes for the sliding fee discount program, including, but not limited to, testing samples of discounts applied to patient balances throughout the year to ensure compliance with the sliding fee discount policy. Views of a Responsible Official and Corrective Action Plan: Management agrees with the finding. The policy will be revised to establish documented reviews of sliding fee scale adjustments throughout the year to ensure compliance with the Organization's sliding fee discount policy.
Finding Number: 2019-001 Condition Found: In one instance in a sample of 25 items tested, the Organization did not apply the correct sliding fee discount to patient charges, based on its sliding fee discount policy. The total difference between the discount and the policy was less than 1% of the sample tested. Cause and Effect: The error was a result of human error in the review and approval of the patient's sliding fee discount application. Three dependents were not taken into consideration for family size and the patient's application was approved based on a family size of one rather than a family size of four. The error resulted in the patient paying more for services than was required under the Organization sliding fee discount policy. Individual Responsible for Corrective Action: Douglas Mpay, Financial Assistance Manager Corrective Action Planned: The Financial Counselor Manager has designed a process of running a report and selecting a set of sliding scale applications to verify that the correct sliding fee scale was assign to patients and that the family size and income combination matches the category of the sliding fee scale. This internal review process will be completed multiple times per year. The first review is underway. Additionally, while managers already review and approve each new sliding fee scale application in the NextGen Electronic Health Record (EHR), the list of items to be verified has been expanded to include items on the Practice Management (PM) side of NextGen. Those additional PM checks include verification that the sliding fee scale is correctly applied to charges in the patient account, based on income and family size. Anticipated Completion Date: February 2020
FAC accepted this audit on March 11, 2019 — management decision was due September 11, 2019.
FAC accepted this audit on February 9, 2018 — management decision was due August 9, 2018.
FAC accepted this audit on February 13, 2017 — management decision was due August 13, 2017.
Data source: This information comes from the Federal Audit Clearinghouse, the official repository of Single Audit data. All data is public domain. Verify this organization's audit history at fac.gov.
Browse other Single Audit organizations in Vermont →
Track your findings and corrective action plans across audit cycles.
Start tracking findings →Add it to a monitored group and get alerted when a new audit, finding, repeat finding, or management-decision deadline shows up — instead of checking back.
Checking several at once? Portfolio view →
© 2026 Single Audit Intelligence. All data is public domain.
