EIN: 954177752
UEI: HE1KT26J1VN5
Audited by: CHW LLP
Oversight agency: 93 [Department of Health and Human Services]
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Data as of August 28, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on April 27, 2026. 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 October 27, 2026 (59 days from today).
What is a management decision? →In our sample of 40 tested items, for two selections patient information was not in accordance with policy to correctly determine the proper sliding fee discount and/or the patient eligibility, and for one selection the sliding fee application expired. Questioned Cost: None. Effect: Lack of strict enforcement of the policy of sliding fee eligibility determination and compliance may have resulted in Center providing discounted services greater to or less than the appropriate amounts to beneficiaries. Cause: Inadequate retention of the sliding fee program documentation requirements and Center policies by employees involved in sliding fee process. Recommendation: Training should be provided to employees on the sliding fee program requirements. Center should perform regular audits of sliding fee transactions to identify weaknesses in compliance. Views of Responsible Officials and Corrective Action Plan: Center agrees with the finding and will implement additional controls to ensure that this does not recur. Please refer to the corrective action plan.
Show full finding ▾Hide full finding ▴N Special Tests and Provisions ALN: 93.224 Program: Community Health Center Cluster Agency: US Department of Health and Human Services Compliance Requirement: N- Special Tests and Provisions Repeat Finding: No Criteria: Federal grant compliance provisions require that the Center correctly identify a patient's ability to pay and that the rates for services be adjusted accordingly based on the sliding fee schedule. Center is required to follow its sliding fee policy when providing discounts to eligible patients. Condition: In our sample of 40 tested items, for two selections patient information was not in accordance with policy to correctly determine the proper sliding fee discount and/or the patient eligibility, and for one selection the sliding fee application expired. Questioned Cost: None. Effect: Lack of strict enforcement of the policy of sliding fee eligibility determination and compliance may have resulted in Center providing discounted services greater to or less than the appropriate amounts to beneficiaries. Cause: Inadequate retention of the sliding fee program documentation requirements and Center policies by employees involved in sliding fee process. Recommendation: Training should be provided to employees on the sliding fee program requirements. Center should perform regular audits of sliding fee transactions to identify weaknesses in compliance. Views of Responsible Officials and Corrective Action Plan: Center agrees with the finding and will implement additional controls to ensure that this does not recur. Please refer to the corrective action plan.
Corrective Action: The Center will: - Provide immediate re-training to staff on issues identified, and - Continue to provide ongoing training to current and new staff involved in Sliding Fee Discount Program (SFDP) on program requirements and proper implementation of sliding fee determination and billing, and - Have updated procedures for the Sliding Fee Discount Program approval process in which all sliding fee required documents are reviewed and approved by a Clinic Manager or his/her designee for program compliance within 3-5 business days. Revise SFDP application form to add the space where Clinic Manager or designee can document the reviewed by and date of approval, and - Continue ongoing SFDP Chart Audits to assess compliance with policy and guidelines, staff knowledge, and provide feedback, as needed.
FAC accepted this audit on March 31, 2026 — management decision was due October 1, 2026.
FAC accepted this audit on May 26, 2025 — management decision was due November 26, 2025.
FAC accepted this audit on March 14, 2024 — management decision was due September 14, 2024.
FAC accepted this audit on March 13, 2023 — management decision was due September 13, 2023.
FAC accepted this audit on August 9, 2022 — management decision was due February 9, 2023.
FAC accepted this audit on March 3, 2021 — management decision was due September 3, 2021.
FAC accepted this audit on March 3, 2020 — management decision was due September 3, 2020.
FAC accepted this audit on March 4, 2019 — management decision was due September 4, 2019.
FAC accepted this audit on May 16, 2018 — management decision was due November 16, 2018.
FAC accepted this audit on April 19, 2017 — management decision was due October 19, 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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