HRSA Revises FQHC Forms for Identifying Services and Site

The Health Resources and Services Administration of the U.S. Department of Health and Human Services (“HRSA”) published a Program Assistance Letter on May 13, 2014, to explain revisions that were made to the forms federally qualified health centers (“FQHCs”) and FQHC look-alike health centers (collectively “Health Centers”) use to document their approved scope of project. HRSA updated Form 5A, which lists approved in-scope of services, to rename services, consolidate certain services, and update terminology.  Additionally, HRSA revised Form 5B which lists the approved sites in scope, to eliminate redundant or unnecessary fields and add two fields for each site to include each site’s unique Medicare (required) and NPI (optional) numbers.

To ensure accurate and complete information for each Health Center, HRSA is instituting a scope alignment validation (“SAV”) process.  First, HRSA plans to migrate existing data from the Health Centers current Form 5A and 5B into the new forms.  Once the migration is completed, the Health Centers will be provided with access to these updated forms.  Each Health Center will be required to review the forms and submit complete and accurate information to HRSA via the EHB.  Health Centers will have a one-time opportunity to validate the data and certify the accuracy of their current in-scope sites and services.  Once the new forms are updated, HRSA will no longer use the old forms.  Previews of the revised forms can be accessed here.  Health Centers should look for correspondence from HRSA in the coming weeks.

If you have any questions regarding the new forms or process, we urge you to reach out to the Garfunkel Wild attorney with whom you regularly work to speak with a member of our FQHC team.

~ Submitted by J Adest and T Hubbell