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

Program Assistance Letter 2013-10: Program Update: On-Site Compliance R eviews for Initial Designation and Designation Period Changes. U.S. Department of Health and Human Services Health Resources and Services Administration Bureau of Primary Health Care September 26, 2013. AGENDA.

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

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  1. 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 Services Health Resources and Services Administration Bureau of Primary Health Care September 26, 2013

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

  3. Approximate Time Frames

  4. Initial Designation Application Process Optional Interim Applicant Response Technical Assistance (PCAs, HRSA, NCAs) Disapproval Preliminary HRSA review for completeness and eligibility Application preparation and submission Compliance review (on-site and paper application) Notice of Look-Alike Designation Approval Look-alike determination Newly designated look-alike applies to CMS and State Medicaid agency for FQHC Medicare and Medicaid reimbursement and other FQHC benefits Disapproval

  5. 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.

  6. 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

  7. Question & Answer

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