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ATTACHMENT A
Overview
-- Criteria for Prior Approval of a
Change in Federal Scope Request
All requests for change in Federal
scope of project requiring prior approval
will be reviewed by HRSA to determine
if the request complies with the following
criteria:
- meets the "no additional section
330 funding" requirement;
- does not shift resources away from
providing services for the current
target population;
- furthers the mission of the health
center by increasing or maintaining
access and improving or maintaining
quality of care for the current target
population;
- is fully consistent with section
330 of the PHS Act, applicable regulations
and policies, including appropriate
governing board representation for
changes in service sites and populations
served;
- provides for appropriate credentialing
and privileging of providers;
- does not eliminate or reduce access
to a required service;
- does not result in the diminution
of the grantee’s total level or quality
of health services currently provided
to the target population;
- continues to serve a Medically Underserved
Area (MUA) or Medically Underserved
Population (MUP). Please note that
the service site does not have to
be located in an MUA to serve it;
- demonstrates approval from the health
center’s Board of Directors regarding
the change of scope and documentation
of this approval in the Board minutes;
and
- does not significantly affect the
current operation of another health
center located in the same or adjacent
service area, as demonstrated by a
Board of Directors-endorsed letter
of support from neighboring health
centers or an explanation why such
a letter(s) cannot be obtained.
Requests for a change in Federal scope
of project to add specialty services
must meet all of the following additional
requirements:
- demonstrates, in narrative format
and with data, that there is current
unmet need in the target population
for the proposed new service;
- demonstrates that the proposed new
service is necessary for the adequate
support of primary health care to
the target population (i.e., demonstrates
that the proposed services function
as a logical extension of the required
primary health care services already
provided by the health center and/or
that the proposed services complement
the required primary health care services);
- demonstrates that adding the new
service will not jeopardize the health
center’s overall financial stability
and will be accomplished with no additional
grant funds; and
- describes the location of the proposed
new service, and demonstrates that
the services will be provided at an
approved site within the scope of
project, a proposed new site proximate
to available FQHC services, or at
a location where in-scope services
are provided but that does not meet
the definition of a service site.
issued
December 18, 2008 |
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