DAP HEALTH, INC.

Department of Health and Human Services Federal Financial Assistance Listing #93.224 and #93.527 Health Centers Program Cluster pecial Tests and Provisions Material Weakness in Internal Control over Compliance and Noncompliance Criteria: Health centers must prepare and apply a sliding fee discount schedule (sliding fee discounts) so that the amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient’s ability to pay. The sliding fee discount is based on an individual’s or family’s income in relation to the Federal Poverty Guideline (FPG). In order to support a patient’s eligibility to receive a sliding fee discount, the health center is required to obtain certain documentation from the patient and/or family to support the patient’s or family's income in relation to the FPG. Condition: The Organization failed to obtain the required inco…

Corrective action: Department of Health and Human Services Federal Financial Assistance Listing #93.224 and #93.527 Health Centers Program Cluster Special Tests and Provisions – Material Weakness in Internal Control over Compliance and Noncompliance Finding Summary Health centers must prepare and apply a sliding fee discount schedule (Sliding Fee Discounts) so that the amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient’s ability to pay. Internal controls in place did not ensure that the sliding fee discount was not given until all income verification was obtained. Or in cases where the sliding fee discount was given pending income verification, the inc…

Department of Health and Human Services Federal Financial Assistance Listing #93.224 and #93.527 Health Centers Program Cluster Reporting Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria: Health Center Program awardees and look-alikes are required to report a core set of information, including data on patient characteristics, services provided, clinical processes and health outcomes, patients’ use of services, staffing, costs, and revenues as a part of a standardized reporting system known as the Universal Data System (UDS). There are very specific criteria on how the UDS Report is to be completed contained in the UDS Manual published by the Health Resources and Services Administration. The information needs to be reported annually on a calendar year basis regardless of a grantee’s fiscal year-end. Condition:One table within the UDS Report did no…

Corrective action: Department of Health and Human Services Federal Financial Assistance Listing #93.224 and #93.527 Health Centers Program Cluster Reporting – Significant Deficiency in Internal Control over Compliance and Noncompliance Finding Summary One table within the Universal Data System (UDS) Report did not reconcile to DAP Health, Inc. supporting information. The table that did not reconcile to the supporting information was Table 5, Staffing and Utilization. Table 5 reports the number of clinic visits by both physicians and Nurse Practitioners (NP), Physician Assistants (PA), and Certified Nurse Midwives (CNM). Responsible Individuals Rigo Garcia, Analytics Manager and Bill Lee, Director of Inform…

Department of Housing and Urban Development Federal Financial Assistance Listing #14.241 Housing Opportunities for Persons with AIDS (HOPWA) Reporting Material Weakness in Internal Control Over Compliance and Material Noncompliance Criteria Grantees receiving funding through the HOPWA program must complete and submit the HUD-4155 Consolidated Annual Performance Report (APR) and Consolidated Annual Performance and Evaluation Report (CAPER) (Consolidated APR/CAPER) no later than 90 days after the close of their program or operating year. The Consolidate APR/CAPER provides information on program accomplishments that supports program evaluation and the ability to measure program beneficiary outcomes as related to maintaining housing stability, preventing homelessness, and improving access to care and support. Condition Certain information related to Short-Term Rent, Mortgage and Utility (STR…

Corrective action: Department of Housing and Urban Development Federal Financial Assistance Listing #14,421 Housing Opportunities for Person with AIDS (HOPWA) Reporting – Material Weakness in Internal Control over Compliance and Material Noncompliance Finding Summary Internal controls were not in place to ensure that the monthly expenditure information that was summarized and used to prepare the Consolidate Annual Performance and Evaluation Report (Consolidated APR/CAPER) was reconciled to the general ledger which led to differences between the expenditures reported in the Consolidated APR/CAPER and the actual expenditures reflected in the general ledger. In addition, internal controls were not in place to ens…

Department of Health and Human Services Federal Financial Assistance Listing #93.224 and #93.527 Community Health Center Cluster Reporting Material Weakness in Internal Control Over Compliance Criteria Health Center Program awardees and look-alies are required to report a core set of information, including data on patient characteristics, services provided, clinical processes and health outcomes, patients’ use of services, staffing, costs, and revenues as a part of a standardized reporting system known as the Universal Data System (UDS). There is very specific criteria on how the UDS is to be completed contained in the UDS Manual published by the Health Resources and Services Administration. The information needs to be reported annually on a calendar year basis regardless of a grantees’ fiscal year-end. Condition Certain tables within the UDS Report did not reconcile to the information c…

Corrective action: Department of Housing and Urban Development Federal Financial Assistance Listing #93.224 and #93.527 Community Health Center Cluster Reporting – Material Weakness in Internal Control over Compliance Finding Summary Certain tables within the Universal Data System (UDS) Report did not reconcile to DAP Health, Inc. supporting information. The tables that did not reconcile to the supporting information include Table 4, Selected Patient Characteristics, and Table 5, Staffing and Utilization. Table 4 reports the total number of patients seen while Table 5 reports the number of clinic visits by the various types of providers. The primary causes of the differences were due to DAP Health, Inc. acquir…

Department of Health and Human Services Federal Financial Assistance Listing #93.224 and #93.527 Community Health Center Cluster Special Tests and Provisions Material Weakness in Internal Control Over Compliance and Noncompliance Criteria Health centers must prepare and apply a sliding fee discount schedule (sliding fee discounts) so that the amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient’s ability to pay. The sliding fee discount is based on an individual’s or family’s income in relation to the Federal Poverty Guideline (FPG). In order to support a patient’s eligibility to receive a sliding fee discount, the health center is required to obtain certain documentation from the patient and/or family to support the patient’s or family’s income in relation to the FPG. Condition The Organization failed to obtain the required income v…

Corrective action: Department of Housing and Urban Development Federal Financial Assistance Listing #93.224 and #93.527 Community Health Center Cluster Special Tests and Provision – Material Weakness in Internal Control over Compliance and Noncompliance Finding Summary Health centers must prepare and apply a sliding fee discount schedule (Sliding Fee Discounts) so that the amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient’s ability to pay. Internal controls in place did not ensure that the sliding fee discount was not given until all income verification was obtained. Or in cases where the sliding fee discount was given pending income verification, the i…