De-Mystifying the New Compliance Manual & Its Impact on the Program Requirements
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In August 2017, HRSA issued the Health Center Program Compliance Manual, providing a streamlined and consolidated resource to assist Federally Qualified Health Centers in understanding and demonstrating compliance with their programmatic requirements. The Manual replaces prior guidance with one document that explains each requirement’s statutory and regulatory mandates (which collectively form the framework of every health center’s project) and incorporates a new approach to “everyday compliance” by addressing both the elements of compliance and documentation necessary for verification. In late December 2017, HRSA issued a new Site Visit Protocol, which aligns with the Manual and reflects a more objective assessment tool for use during both Operational Site Visits and on-site reviews for initial FQHC Look-Alike Designations.
Both the Manual and the Protocol are effective now! Is your health center prepared for the recent changes to compliance with HRSA requirements and the on-site assessment process? 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 Partners Marcie Zakheim, Molly Evans and Ted Waters for this two-day hands-on training as they walk health centers through:
- The chapters of the Compliance Manual, including the elements that comprise each chapter, the documentation required to verify compliance, and areas where health centers retain explicit discretion and flexibility;
- Key differences between prior guidance and the Compliance Manual;
- The new on-site evaluation tool - the Site Visit Protocol - including assessment methodologies designed for each element;
- Updates to the Operational Site Visit (OSV) review process;
- 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 potential consequences of non-compliance, including 1-year project periods and potential loss of 330-grant funds, it is critical that every health center be and remain vigilant. Whether you are expecting an OSV in the near future or looking to bolster your current operations as part of an ongoing HRSA compliance effort, this training is for you!
At this training participants will:
- Understand the key differences between the prior guidance and the new manual and its impact on OSVs.
- Understand the specific steps necessary to demonstrate compliance and areas where health centers retain discretion.
- Learn which PINs and PALs have been replaced by the new manual and which current guidance is still effective.
De-Mystifying the New Compliance Manual & Its Impact on the Program Requirements
Wednesday, June 27, 2018 - Thursday, June 28, 2018
*All specific times are subject to change*
WEDNESDAY, JUNE 27, 2018 8:30 AM – 5:00 PM
8:30 am – 9:00 am REGISTRATION & CONTINENTAL BREAKFAST
9:00 am – 9:30 am WELCOME & INTRODUCTION TO THE HEALTH CENTER PROGRAM COMPLIANCE MANUAL AND THE HRSA REVIEW PROCESS
9:30 am – 10:30 am WORKING WITHIN THE "BOX": KEY ELEMENTS AND REQUIREMENTS OF SCOPE OF PROJECT
10:30 am – 10:45 am BREAK
10:45 am – 12:15 pm THE HEART OF YOUR HEALTH CENTER PROJECT PART 1: NEED, SERVICE DELIVERY, AND ACCESS TO CARE
- Chapter 3: Needs Assessment
- Chapter 4: Required & Additional Health Services (including contracts and MOUs)
- Chapter 14: Collaborative Relationships
12:15 pm – 1:15 pm LUNCH
1:15 pm – 2:15 pm THE HEART OF YOUR HEALTH CENTER PROJECT PART 2: ACCESS TO AND CONTINUITY OF CARE
- Chapter 6: Accessible Locations and Hours of Operation
- Chapter 7: Coverage for Medical Emergencies During and After-Hours
- Chapter 8: Continuity of Care & Hospital Admitting
2:15 pm – 3:15 pm QUALITY AND DATA ARE KEY!
- Chapter 10: Quality Improvement / Assurance
- Chapter 18: Program Monitoring and Data Reporting Systems
3:15 pm – 3:30 pm BREAK
3:30 pm – 5:00 pm PERSONNEL DYNAMICS - ENSURING APPROPRIATE MANAGEMENT AND STAFF
- Chapter 11: Key Management Staff
- Chapter 5: Clinical Staffing
THURSDAY, JUNE 28, 2018 8:30 am – 5:00 pm
8:30 am – 9:00 am BREAKFAST
9:00 am – 11:00 am INTERNAL CONTROLS AND ENSURING FISCAL VIABILITY
- Chapter 12: Contracts and Sub-awards – Procurement Process and Sub-Recipient Agreements
- Chapter 13: Conflict of Interest Policy
- Chapter 15: Financial Management & Accounting Systems
- Chapter 17: Budget
11:00 am – 11:15 am BREAK
11:15 am – 12:30 pm INTERNAL CONTROLS AND ENSURING FISCAL VIABILITY (CONT.)
12:30 pm – 1:30 pm LUNCH
1:30 pm – 3:00 pm ENSURING THE CORE MISSION: MAKING CARE AFFORDABLE WHILE MAXIMIZING REIMBURSEMENT
- Chapter 9: The Sliding Fee Discount Program
- Chapter 16: Billing and Collection
3:00 pm – 3:15 pm BREAK
3:15 pm – 4:30 pm THE "COMMUNITY" IN COMMUNITY HEALTH CENTER: THE GOVERNING BOARD OF DIRECTORS
- Chapter 19: Board Authority
- Chapter 20: Board Composition
4:30 pm - 5:00 pm QUESTIONS & WRAP-UP
Hyatt Place Washington DC/Georgetown/West End
The Wink - Washington, DC
Kimpton Hotel Palomar 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
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]
A partner in the firm’s health law practice group, Molly advises health centers on the management of clinical, employment and workforce related risks, with a particular focus on professional liability, Federal Tort Claims Act, and HIPAA matters. From her experience as both a private attorney and in-house counsel, Molly knows the importance of managing liability and risk issues in mission-driven organizations. [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 focuses his practice on helping organizations to solve problems, often in crisis situations. 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 illustrated by his selection as a 2014, 2015, and 2018 Washington, D.C. Super Lawyer in health care. Ted routinely handles challenging issues for clients such as government audits, internal investigations, and litigation, deftly guiding them to a resolution. His priority is to help each organization carry out its mission and ensure that legal challenges do not distract from that focus. From his more than a decade of experience running the firm, Ted understands acutely the challenges of keeping an organization running, and offers practical, down-to-earth counsel to support organizational leaders in doing just that. [Full Bio]
Conference participants can earn up to 14 CPE credits in Specialized Knowledge and Applications.
- Prerequisites: None
- Target Audience: Health Center Executive Staff, Clinical Leadership and Human Resources Staff, but all are welcome.
- Advanced Preparation: None
- Program Level: All
- Delivery Method: Group-Live
Feldesman Tucker Leifer Fidell 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.learningmarket.org.
- 14.00 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.
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Cost for this 2 Day Training:
Early bird rate (until April 30): $825 per person
Regular registration (May 1 - June 11): $875 per person
Late registration (June 12 - June 26): $950 per person
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