De-Mystifying the Compliance Manual
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.
Is your health center prepared for the recent changes to compliance with HRSA requirements and the compliance assessment processes – both on-site and through the grant application? Have you reviewed the newest HRSA guidance with an eye towards shoring up your own operations and, as necessary, establishing your HRSA compliance work-plan? Specifically,
- Do you have HRSA-compliant written agreements in place for in-scope services provided by contract and/or formal referral?
- Are your providers appropriately credentialed and privileged and does your quality improvement system meet all current standards?
- Have you fully implemented the sliding fee discount program requirements?
- Have your billing and collection policies struck the balance between maximizing reimbursement and maintaining optimum access?
- Is your financial management system sufficient for federal accountability purposes?
- Is your Board of Directors exercising required authorities and meeting its composition requirements, and do you have documentation to verify compliance?
Join FTLF for this hands-on training covering:
- The Chapters of the Compliance Manual, including the elements of each, the documentation required to verify compliance, and areas where health centers retain explicit discretion and flexibility;
- The on-site evaluation tool - the Site Visit Protocol - including assessment methodologies designed for various elements;
- Updates to the OSV and Service Area Competition (SAC) and Look-Alike Renewal Designation (RD) review processes;
- Key hotspots under the new guidance; and
- Compliance tips from our presenters’ years of experience working first-hand with health centers.
- 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
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.
After this training, you will be able to:
- Understand the elements of the HRSA programmatic requirements addressed in the Manual and the SVP.
- Identify the specific steps necessary to demonstrate compliance and areas where health centers retain discretion.
- Discuss the newest developments in the OSV and application review processes from an insider’s perspective.
NOTE: The two sessions listed below will NOT be addressed in the workshop and will be provided via pre-recorded webinar prior to the on-site training. Please review the webinars prior to arrival and come prepared with your questions! The webinars can be accessed by clicking the gray "Take Course" button on either the "Overview" or "Register" tab once you have registered for the course.
- Introduction to the Health Center Program Compliance Manual and HRSA Review Process
- Working within the “Box”: Key Elements and Requirements of Scope of Project
Monday, March 25, 2019
9:00 am - 5:00 pm
|9:00 am - 9:15 am||Introduction to the Training|
|9:15 am - 10:45 am||The "Community" in Community Health Center: The Governing Board of Directors (Chapters 19 & 20)|
|10:45 am - 11:00 am||Break|
|11:00 am - 12:30 pm||The Heart of Your Health Center Project: Need, Services, & Continuity of Care - Part 1 (Chapters 3, 4, 6, 7, 8, & 14)|
12:30 pm - 1:30 pm
Lunch (provided by FTLF)
|1:30 pm - 2:15 pm||The Heart of Your Health Center Project: Need, Services, & Continuity of Care - Part 2|
|2:15 pm - 3:15 pm||Quality is Key! (Chapter 10)|
|3:15 pm - 3:30 pm||Break|
|3:30 pm - 5:00 pm||Personnel Dynamics - Ensuring Appropriate Management and Staff (Chapters 5 & 11)|
|5:00 pm||Happy Hour|
Tuesday, March 26, 2019
9:00 am - 5:00 pm
|9:00 am - 10:45 am||Internal Controls and Ensuring Fiscal Viability: Part 1 (Chapters 12, 13, 15, & 17)|
|10:45 am - 11:00 am|
|11:00 am - 12:30 pm||Internal Controls and Ensuring Fiscal Viability: Part 2|
|12:30 pm - 1:30 pm||Lunch (provided by FTLF)|
|1:30 pm - 3:30 pm||Ensuring the Core Mission: Making Care Affordable While Maximizing Reimbursement (Chapters 9 & 16)|
|3:30 pm - 3:45 pm||Break|
|3:45 pm - 4:30 pm||It's All up with Data (Chapter 18)|
|4:30 pm - 5:00 pm||Questions & Wrap-Up|
Hyatt Place Washington DC/Georgetown/West End
Kimpton Hotel Palomar DC
The Wink - Washington, DC
The St. Gregory Hotel - Dupont Circle
Kimpton Hotel Madera
The Embassy Row Hotel
The Dupont Circle Hotel
Hilton Garden Inn - Washington DC/Georgetown Area
Embassy Suites - Georgetown
Marty has dedicated his entire career to serving the needs of health centers both inside government and out. From 1998 through 2004, Marty directed the Health Center Federal Tort Claims Act medical malpractice program, writing much of the policy that is in effect today. Marty Bree has more than thirty years of experience working with health centers and the FTCA Program. [Full Bio]
Serving as Managing Partner of the firm since 2003, and a member of the Health Law and Federal Grants practices since 1992, Ted is a national authority in the area of federal grants, particularly in the health and community service spheres. He advises clients on all aspects of program requirements, including issues such as cost-based reimbursement, governance and the never-ending list of grant administration matters. Ted’s expertise in financial, cost reporting, reimbursement, and administrative issues is widely recognized and he routinely handles government audits, internal investigations, and litigation. [Full Bio]
A partner at the firm, Marcie specializes in health care law, particularly in the areas of federal grants, grant-related requirements and grants management related to the federal health center program. Health centers turn to Marcie as a resource for knowing not only the letter of the law, but also the likely interpretation of requirements by federal policymakers, including the Health Resources and Services Administration (HRSA). [Full Bio]
Participants can earn up to 15.6 CPE credits in Specialized Knowledge and Applications upon completion of all course requirements.
- Prerequisites: None
- Target Audience: 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
- Advanced Preparation: None
- Program Level: All
- Delivery Method: Group-Live
Feldesman Tucker Leifer Fidell LLP is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website www.nasbaregistry.org (formerly www.learningmarket.org).
- 15.60 CPEFTLF is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors.
Each registration must be in the name of the individual(s) who will attend. This allows FTLF to communicate important course information to the actual attendee(s), add training materials and handouts to the right account, and properly assign certificates of attendance or CPE credits.
To register for this training:
- For yourself: login to your account and register with your personal information
- For someone else: login with the ATTENDEE’S login information or create an account for the ATTENDEE and register from the ATTENDEE's account
- For a group: email Learning@ftlf.com to complete group registration
If you encounter problems or have questions, Contact us.
We accept payment by PayPal, credit card, and check. Payment for any live training is due upon registration. If payment is not received in full prior to the start of the event, FTLF reserves the right to cancel your order and deny you entrance to the training.
Cost for this 2-Day Training:
(First 5 registrants)
(Until March 10)
(March 11 - March 24)
All cancellation requests must be received in writing at firstname.lastname@example.org. Requests for refunds will be granted according to the following schedule:
- Requests received 30 or more days prior to the event will receive a full refund.
- Requests received between 11 to 29 days prior to the event will receive a 50% refund.
- Requests received within 10 days of the event start date are not eligible for a refund.
If there are extenuating circumstances regarding your cancellation, please reach out to the FTLF Training Team directly at email@example.com.