COMMUNITY HEALTH CARE

Finding 2019-001: Application of Sliding Fee Discounts Federal Agency: U.S. Department of Health and Human Services Federal Program: Consolidated Health Centers Grant CFDA Number: 93.224 and 93.527 Award Period: 6/1/2018 ? 5/31/2019 Type of Finding: Significant Deficiency in Internal Control over Compliance and Compliance Criteria Per Title 42 Chapter 1 Subchapter D Section 51c303(f), ?Health centers must have a schedule of fees or payments for the provision of their health services consistent with locally prevailing rates or charges designed to cover their reasonable costs of operation. They are also required to have a corresponding schedule of discounts applied and adjusted on the basis of the patient?s ability to pay.? Condition Found and Context During our testing of 25 sliding fee discounts for health center patients qualifying for reduced charge visits, we identified two visits …

Corrective action: U.S. Department of Health and Human Services, Health Resources and Services Administration Community Health Care respectfully submits the following corrective action plan for the year ended May 31, 2019. Audit period: June 1, 2018 ? May 31, 2019 The findings from the schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FINDINGS?FEDERAL AWARD PROGRAMS AUDITS SIGNIFICANT DEFICIENCY 2019-001 Application of Sliding Fee Discounts Recommendation: Management?s close supervision and review is the best means to ensure all requirements are met. We recommend implementation of a second level independent r…