u.s. department of health and human services health resources and services administration

Program Assistance Letter 2013-10: Program Update: On-Site Compliance Reviews for Initial Designation and Designation Period Changes

U.S. Department of Health and Human ServicesHealth Resources and Services Administration

Bureau of Primary Health Care

September 26, 2013

AGENDA

• Review Process Time Frames• Designation Period Changes• Resources for Technical Assistance • Question & Answer

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Approximate Time Frames

Step in ProcessApproximate Number of Days

Preliminary review 30

Compliance review 90

Optional applicant response 30 (if applicable)

Look-alike determination 30

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Initial Designation Application Process

Application preparation

and submission

Preliminary HRSA review for

completeness and eligibility

Compliance review (on-site and paper

application)

Look-alike determination

Optional Interim

Applicant Response

Disapproval

Notice of Look-Alike Designation

Newly designated look-alike applies to CMS and State Medicaid agency for FQHC

Medicare and Medicaid reimbursement and other FQHC benefits

Disapproval

Approval

Technical Assistance

(PCAs, HRSA, NCAs)

Designation Period Changes

• Three-year designation period – Purpose: Align look-alike designation periods

with grantee project periods– Initial Designation – from 2 years to 3 years– RD – from 5 years to 3 years

• These changes will affect existing look-alikes upon their next RD application.

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Technical Assistance

Primary Care Associations: http://www.bphc.hrsa.gov/technicalassistance/partnerlinks/

HRSA Look-Alike Team: 301-594-4300 or lookalike@hrsa.gov

PAL 2013-10: http://bphc.hrsa.gov/policiesregulations/policies/pal_2013-10.pdf

Site Visit Guide: http://bphc.hrsa.gov/administration/visitguidepdf.pdf

Look-Alike TA Webpage: http://bphc.hrsa.gov/about/lookalike/index.html OR

For existing Look-Alikes, contact your assigned Project Officer

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Question & Answer

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