Compliance Manual Part VI: Credentialing & Privileging and Quality Improvement / Assurance
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Compliance Manual Part VI:  Credentialing & Privileging and Quality Improvement / Assurance

When: Tuesday, February 12, 2019
1PM to 2:30PM
Where: United States
Contact: This is not an OACHC event.

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In the past few years, HRSA has transitioned its compliance efforts from requiring FQHCS to utilize multiple guidance documents to ensure adherence to health center program requirements to issuing the Health Center Program Compliance Manual (the Manual), a consolidated resource to assist FQHCs in understanding, demonstrating, and operationalizing compliance.

The Manual, which supersedes most (but not all) prior guidance, incorporates a new approach to everyday compliance by addressing:

-Each requirement’s statutory and regulatory basis
-Key elements of compliance that form the framework of every health center’s project
-Documentation necessary for verification of compliance
-Areas where health centers maintain discretion
-To assist in evaluating compliance, HRSA has also issued a Site Visit Protocol (the SVP), which aligns with the Manual and reflects a more objective assessment tool. Both the Manual and the Protocol are currently being used by HRSA for on-site reviews of grantees and FQHC look-alike entities (Operational Site Visits - OSVs) as well as for desk audits of project and designation renewal applications.

Given the possible consequences of non-compliance, including 1-year project periods for non-compliance with a single element and potential loss of 330-grant funds, it is critical that every health center be and remain vigilant whether you are expecting an OSV, submitting your SAC / RD application, or looking to bolster current operations as part of ongoing compliance efforts. 

Health Center Executive Staff
Clinical Leadership
Quality and Credentialing/Privileging Staff
Financial Leadership and Staff
Compliance Officers
Board members
Other Staff assisting with HRSA compliance and/or OSV preparation


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