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PIN 2005-17
(Acrobat/PDF)
This
Program Information Notice (PIN) announces revisions
to PIN 2003-21: Federally Qualified Health Center
(FQHC) Look-Alike Application and Guidelines. Here
is a list of the modifications that are effective
immediately.
- New
Address. The new address to send all submissions
(e.g., letters of intent, applications for new designation,
requests for change in scope, and recertification
applications) is:
Attn: Elizabeth Darling
Public Health Analyst
Health Resources and Services Administration
Bureau of Primary Health Care
Division of Health Center Development
Parklawn Building
5600 Fishers Lane
Mail Stop 17-61
Rockville, MD 20857.
- Program
Eligibility. The BPHC will not accept and will
return all applications that do not meet the program
eligibility requirements. Organizations may re-submit
a new application when these requirements are met.
Please refer to Section IV on pages four and five
of PIN 2003-21 for a list of the eligibility requirements.
- Application
Process. The estimated timeframe for the Bureau
of Primary Health Care’s (BPHC) review of applications
for new FQHC Look-Alike designation has been increased
to 90-120 days. Please refer to Section VI on pages
seven and eight of PIN 2003-21 for additional information
about the application process.
If the BPHC is unable to determine whether an application
is compliant with all FQHC Look-Alike requirements
and/or an application is missing any of the required
attachments, the BPHC will return the application
with feedback to strengthen the application. The applicant
may re-submit a new application that demonstrates
compliance with all FQHC Look-Alike program requirements.
Please refer to Attachment A on pages 13-24 of PIN
2003-21 for a detailed description of FQHC Look-Alike
application requirements.
- Change
in Scope of Project. Designated FQHC Look-Alikes
must submit requests for changes in scope (CIS) of
project at least 60 days before making the change
operational. After the BPHC approves the CIS request,
FQHC Look-Alikes have 120 days to document that the
change has been implemented. For example, when adding
a site, FQHC Look-Alikes must submit confirmation
that the site is open and providing services. Please
refer to Section XI on pages 10 and 11 of PIN 2003-21
for additional information about the process for submitting
requests for CIS.
- Health
Services. “Table 3, Providers,” must
include the name of each provider and the number of
full-time equivalents that corresponds to each provider.
Applicants must demonstrate that the organization
maintains, either directly or through contractual
arrangements, a core staff of full-time primary care
providers appropriate for the population served (i.e.,
family practice, pediatricians, internists, etc.,
physicians and mid-level practitioners). A core staff
of several part-time employees does not meet this
requirement. Applicants that do not directly employ
a core staff of primary care providers are subject
to the requirements in PIN 98-24 regarding contracting
for core staff. Please also refer to Attachment A,
Section B on pages 15-19 of PIN 2003-21 for additional
information about application requirements relating
to health services.
- Management
and Finance. For organizations that have been
operational less than one year and do not have an
audit, the BPHC will accept monthly financial statements
for the most recent six-month period. The financial
statements must demonstrate that the organization’s
revenues are equal to at least 90 percent of expenditures.
Please refer to Attachment A, Section C on pages 19
–22 of PIN 2003-21 for additional information
about application requirements relating to management
and finance.
- Automatic
HPSA Designation. FQHC Look-Alikes receive automatic
Health Professional Shortage Area (HPSA) designation.
Please refer to Program Assistance Letter 2005-4 for
detailed information regarding the HPSA designation.
Policy Home
Issued
May 2, 2005 - Last reviewed November 22, 2006
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