In USAC's continuing efforts to ensure carriers are successful at implementing FCC rules and program requirements, we have put together a list of some of the most common problem areas identified during audits and Payment Quality Assurance (PQA) reviews.
For more information about the audit process, review the BCAP page of our website. Using this information will help to expedite the audit process and should reduce or eliminate audit findings in the future.
For each common audit finding, we have outlined a description of the finding and some ways to prevent a finding like this in the future. We have also, where possible, provided some examples.
Understanding multiple programs with different rules is complicated. Rural Health Care (RHC) Program non-compliance is most often caused by an inadequate knowledge of or familiarity with program rules. USAC will continue to provide clarification and information to applicants in an effort to improve program compliance and success.
Ineligible entities (e.g. administrative offices, long-term care facilities, etc.) received funding for services. Any facility that does not meet all three of the requirements listed below is considered ineligible for funding:
Services were provided to ineligible facilities (e.g., administrative offices, long-term care facilities, etc.).
We encourage you to:
According to program rules, facilities must only use funded services solely for the purpose of providing healthcare (47 C.F.R. Section 54.603(b)(iv) and Section 54.642 (e)(1)(iii)). A common finding is that facilities are not using their funding as intended.
A facility did not inform USAC that health care provider sites had closed during the funding commitment time period and that they no longer were using the supported services to provide health care.
You must inform USAC if you are not using any of your funded services. This includes but is not limited to the result of a facility closing or service termination. Once you inform us of the end of service, we will make commitment adjustments and send you a revised Funding Commitment Letter.
RHC Program applicants must obtain services through a fair and open competitive bidding process. This means that all potential bidders must have access to the same information and the same opportunity to provide services.
Service providers assisted in preparation of the request for services and/or Request for Proposals (RFP), and participated in the evaluation of the bids received.
Avoid potential conflicts of interest and ensure an open and fair competitive bidding process by knowing the service providers role in bidding. If in doubt, call the RHC Program Help Desk. Be aware of these basic principles: