EIN: 550599096
UEI: QGV7M7JRZG85
Audited by: Forvis Mazars, LLP
Oversight agency: 93 [Department of Health and Human Services]
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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 (85 days ago).
What is a management decision? →FAC accepted this audit on December 24, 2024 — management decision was due June 24, 2025.
FAC accepted this audit on February 6, 2024 — management decision was due August 6, 2024.
FAC accepted this audit on January 8, 2023 — management decision was due July 8, 2023.
FAC accepted this audit on June 1, 2022 — management decision was due December 1, 2022.
FAC accepted this audit on September 19, 2021 — management decision was due March 19, 2022.
Health Center Program Cluster CFDA Nos. 93.224 and 93.527 U.S. Department of Health and Human Services Award No. 6 H80CS00080-19-06 Program Year 2020 Criteria of Specific Requirement ? Special Tests and Provisions: Sliding Fee Discounts (42 USC 254(k)(3)(g); 42 CFR Sections 51c.303(g); and 42 CFR Sections 56.303(f)) Condition ? Patients who were eligible for sliding fee discounts under the Organization?s policy were given incorrect sliding fee discounts. Certain sliding fee discounts were incorrectly calculated based on the remaining balance rather than being calculated based on the gross charges as required by the Health Center Program Compliance Manual. Questioned Cost ? None Context ? A sample of 25 encounters were tested out of the total population of 143,728 eligible encounters. The sampling methodology used is not, and is not intended, to be statistically valid. Of the 25 encounters tested, 3 were determined to have resulted in an improper sliding fee adjustment based on the Organization?s approved sliding fee policy, approved sliding fee table and screening of patient eligibility. Effect ? Improper sliding fee discounts were given to patients. Cause ? The Organization did not comply with their sliding fee policy. Identification as a repeat finding, if applicable ? Not applicable. Recommendation ? Procedures should be implemented to ensure that eligible patients receive discounts in accordance with the sliding fee scale. Management should ensure that sliding fee discounts that are provided to patients are in compliance with the Health Center Program Compliance Manual.
Show full finding ▾Hide full finding ▴Health Center Program Cluster CFDA Nos. 93.224 and 93.527 U.S. Department of Health and Human Services Award No. 6 H80CS00080-19-06 Program Year 2020 Criteria of Specific Requirement ? Special Tests and Provisions: Sliding Fee Discounts (42 USC 254(k)(3)(g); 42 CFR Sections 51c.303(g); and 42 CFR Sections 56.303(f)) Condition ? Patients who were eligible for sliding fee discounts under the Organization?s policy were given incorrect sliding fee discounts. Certain sliding fee discounts were incorrectly calculated based on the remaining balance rather than being calculated based on the gross charges as required by the Health Center Program Compliance Manual. Questioned Cost ? None Context ? A sample of 25 encounters were tested out of the total population of 143,728 eligible encounters. The sampling methodology used is not, and is not intended, to be statistically valid. Of the 25 encounters tested, 3 were determined to have resulted in an improper sliding fee adjustment based on the Organization?s approved sliding fee policy, approved sliding fee table and screening of patient eligibility. Effect ? Improper sliding fee discounts were given to patients. Cause ? The Organization did not comply with their sliding fee policy. Identification as a repeat finding, if applicable ? Not applicable. Recommendation ? Procedures should be implemented to ensure that eligible patients receive discounts in accordance with the sliding fee scale. Management should ensure that sliding fee discounts that are provided to patients are in compliance with the Health Center Program Compliance Manual.
Community Care of West Virginia, Inc. (CCWV) has reviewed its sliding fee discount policy and determined that revisions were needed in order to fully comply with the requirements set forth by Special Tests and Provisions: Sliding Fee Discounts (42 USC 254(k)(3)(g); 42 CFR Sections 51c.303(g); and 42 CFR Sections 56.303(f)). As such, revisions were made to the policies listed below. These revised Financial Policies were approved by the Community Care of West Virginia, Inc.?s board of directors at its board meeting on April 26, 2021. 14.0 Patient Revenue and Receivable Monthly Process & Sliding Fee Discount Program ? Revisions to wording and headers/bold text were made in order to clarify compliance within the policy. 14.74 Sliding Fee Discount Program ? This policy was revised to bring the policy into compliance o Wording that the less than 100% FPL fee is ?nominal from a patient?s perspective? o Updates to the Sliding Fee Discount Scale for medical services to change from a percentage of charge to a flat fee for all sliding fee tiers. This was a change that has been discussed with CCWV auditors. It will allow sliding fee patients to have a fixed dollar amount they will be charged at each visit and will help them to better plan financially for getting needed medical services. This change will ensure that patients over 100% of FPL are paying more than the 100% FPL nominal fee. o Updates to the Sliding Fee Discount Scale for dental services to ensure that patients over 100% of FPL are paying more than the 100% FPL nominal fee. ? This policy was also updated to include specific language from the Site Visit Guide and HRSA Compliance Manual to clarify policy compliance. Grammatical updates and paragraph formatting/restructuring were made for better flow after additional wording from the Site Visit Guide and Compliance Manual were inserted. ? Additional revisions were made to clarify compliance within the policy. o Paragraph headers and/or bold text to clarify the sections for HRSA compliance. With the above revisions to CCWV?s Financial Policies, board approval, and implementation of the policies, we believe the noted audit finding has been rectified.
FAC accepted this audit on January 16, 2020 — management decision was due July 16, 2020.
FAC accepted this audit on December 10, 2018 — management decision was due June 10, 2019.
FAC accepted this audit on March 25, 2018 — management decision was due September 25, 2018.
FAC accepted this audit on January 27, 2017 — management decision was due July 27, 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.
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