Compliance Manual Update, and More! HRSA PHC Digest

HRSA BPHC Primary Health Care Digest

August 28, 2018


Updated Compliance Manual and Related Resources Now Available
Last week, HRSA announced updates to these resources:

The changes align with the amended Health Center Program statute (Section 330 of the Public Health Service Act).

HRSA also created a consolidated Frequently Asked Questions web page that provides answers to common questions regarding Health Center Program requirements, compliance, and oversight.

For general inquiries about the Compliance Manual or the Site Visit Protocol, please contact the BPHC Helpline online or by phone: 877-974-BPHC (2742) from 8:30 a.m. to 5:30 p.m. ET, Monday through Friday (except federal holidays). For specific questions related to your health center, please contact your Project Officer.

What's New

Don’t Miss a Message from HRSA
The email notices sent by HRSA’s Electronic Handbooks (EHBs), specifically in reference to communications about Service Area Competition (SAC)/Renewal of Designation, will come from “HRSA GEMS” ( By adding this email address to a “safe senders” or contacts list, you may avoid messages going to your junk folder. 

SAC HRSA-19-014 Deadline Reminder
SAC applications for service areas with an April 1, 2019, project period start date (HRSA-19-014) are due in by 11:59 p.m. ET on Monday, September 17, and EHBs by 5:00 p.m. ET on Wednesday, October 17. Technical assistance (TA) materials are available on the SAC TA website.

Helpful Tips for Submitting Diabetes Action Plans
As a part of the HRSA Health Center Program Diabetes Quality Improvement Initiative, 2018 operational site visits and diabetes targeted TA visits include action planning relating to the Uniform Data System (UDS) diabetes measure.

Make sure health center staff register for Action Plan privileges in EHBs, which will allow them to access the Action Plan. Important Tip: After reviewing the Plan, click “Mark as Complete” and then “Confirm and Send” to return the Plan to HRSA. See the Diabetes Action Plan User Guide for illustrations of the EHBs steps.

Once HRSA has approved your diabetes Action Plan, you can track progress, send quarterly progress notes for HRSA staff to review, and finally resolve the Action Plan finding after the three diabetes performance improvement actions have been achieved.

For assistance with the EHBs Action Plan module, please contact the BPHC Helpline online or by phone: 877-974-BPHC (2742) from 8:30 a.m. to 5:30 p.m. ET, Monday through Friday (except federal holidays).

A recent HRSA webinar focused on diabetes performance improvement and action planning. Watch the recording. Health center colleagues shared how they prepared for the root cause analysis discussion of their UDS diabetes measure at recent site visits and their performance improvement action plan. Presentations featured Lorain County Health & Dentistry (Ohio) and Share Our Selves (California). 

HRSA's Health Workforce Advisory Committee Nominations
HRSA's Federal Advisory Committees advise or make recommendations on matters relating to HHS programs, responsibilities, or activities. HRSA receives nominations on a continuous basis. Visit the HRSA Federal Advisory Committees web page for more information.

Two of the Health Workforce Program’s Advisory Councils request nominations for voting members of their National Advisory Council on Nursing Education and Practice and Advisory Committee on Training in Primary Care Medicine and Dentistry. If you are interested in learning more or to submit your nomination, contact

CMS Proposes Revision to Care Management and Communication-based Technology Services
CMS issued a Federal Register Notice seeking comment on the proposed rule that addresses changes to the Medicare physician fee schedule and other Medicare Part B payment policies. The proposed changes seek to ensure that payment systems are updated to reflect changes in medical practice and the relative value of services, as well as changes in the statute. The proposed rule is open for comments until Monday, September 10. Learn more.

The calendar year 2019 Physician Fee Schedule Proposed Rule proposes revisions to care management services payments and payment for virtual communication services (not telehealth) for Federally Qualified Health Centers (FQHCs) and Rural Health Centers (RHCs). A recent webinar, “Care Management and Communications-Based Technology Services in RHCs,” describes these revisions. (View the webinar recording and materials at the Rural Health Information Hub.) While the information in the webinar is specific to RHCs, the same provisions apply to FQHCs. 

2018–19 Flu Season: Recommendations of the Advisory Committee on Immunization Practices
Flu season is coming and CDC recently published an update to the recommendations of the Advisory Committee on Immunization Practices. See their current recommendations.

U.S. Preventive Services Task Force (USPSTF) Update
USPSTF released a final recommendation statement on screening for cervical cancer. They found women aged 21-65 years benefit from screening; the recommended methodology depends on age. View their screening recommendations and the evidence on which these are based.


Health Center Program Disaster Relief Page
Earlier this year, HRSA refreshed its Health Center Program disaster relief page. It brings together guidance about Change in Scope for Temporary Sites, FTCA coverage, and 340B enrollment during an emergency. 

Apply by August 31: STAR² Center Recruitment Bootcamp
The Association of Clinicians for the Underserved is a HRSA-funded National Cooperative Agreement (NCA). Join their STAR² Center Recruitment Bootcamp to revamp your recruitment processes in just 30 minutes a week! This is a “back to basics” program of webinars, office hours, and assignments intended for health center staff with limited recruitment experience. The program will run from September 26 to December 19. Apply by Friday, August 31.

An Overview of Free Training and Support Resources for Obtaining the DATA-2000 Waiver to Prescribe Buprenorphine for Treating Opioid Use Disorder
HRSA hosts experts from SAMHSA’s Providers Clinical Support System (PCSS) – Medication Assisted Treatment (MAT) Program. Speakers will provide information on no-cost training and mentoring programs that health center prescribers (physicians, nurse practitioners, and physician assistants) and their primary care teams can access to receive the training and educational resources they need to support evidence-based treatment of opioid use disorder.

Wednesday, September 12
3:00-4:00 p.m. ET
Join the webcast the day of the session
Conference line: 866-454-4207
Passcode: 778222

Clinician Consultation Center Substance Use Warmline
HRSA sponsors The University of California-San Francisco’s Clinician Consultation Center Warmline to support primary care providers at health centers. Get free, expert clinical advice on substance use disorder (SUD) treatment for managing complex patients with addiction, chronic pain, and behavioral health issues. Both online and phone consultations are available. The Warmline is accessible by phone toll free at 855-300-3595 and operates from 9:00 a.m.-8:00 p.m. ET, Monday-Friday. Providers can also upload cases online. Learn more.

Medical Respite Training Symposium
The National Health Care for the Homeless Council is a HRSA-funded NCA. Join the National Health Care for the Homeless Council and Respite Care Providers’ Network for the first-ever Medical Respite Training Symposium from October 1 to 2 in Phoenix, Arizona. This singular, CME-accredited conference features two days of intensive workshops illuminating the unique care model that is medical respite care. Learn more and register now.

Advancing Excellence in Transgender Health Conference
The National LGBT Health Education Center, a HRSA-funded NCA, developed the Advancing Excellence in Transgender Health conference in response to numerous queries from clinicians and health care staff seeking to learn about providing high-quality care for adults, adolescents, and children who are questioning their gender identity or who identify as transgender or gender non-binary.

This conference (September 21 to 23) is designed to train the whole health care team (including physicians, behavioral health care providers, physician assistants, nurses, and other staff) in providing competent and confident gender-affirmative health care, grounded in research evidence and best clinical practices.

See a list of topics, more information, or register now

Infection Control and Prevention Resources and Accreditation and Patient-Centered Medical Home Initiative
HRSA supports accreditation and recognition for health centers that meet national quality standards through the HRSA Accreditation and Patient-Centered Medical Home Recognition Initiative. Among these standards, infection control and prevention are pivotal for the delivery of high quality care and patients’ safety. According to the CDC, “All health care settings, regardless of the level of care provided, must make infection prevention a priority and must be equipped to observe Standard Precautions.”

The following list of infection control and prevention TA resources may be useful for your health center.


The Joint Commission’s information and recommended strategies relating to patient safety and infection control:

The Joint Commission’s training and TA resources:

ECRI Institute’s Infection Control Resources (login required):

For additional questions on accreditation, please contact us

In case you missed it:
Visit the Primary Health Care Digest archive.

Do you forward the Digest to others?
Encourage them to subscribe.

To learn more about HRSA and its programs:
Sign up for the biweekly “HRSA eNews” newsletter.

Technical Assistance & Training


Visit the training calendar to learn details about or register for events.


UDS Mapper Advanced Topics: What's New with the UDS Mapper?
Hosted by HRSA
(multiple sessions)

Wednesday, September 5
2:00-3:00 p.m. ET
Register here

Friday, September 14
2:00-3:00 p.m. ET
Register here

Monday, September 24
11:00 a.m.-12:00 p.m. ET
Register here

Tribal Grants Webinar Series: Effective Grants Management/Administration & Reporting
Hosted by HRSA
Wednesday, September 12
1:00-2:30 p.m. ET
Register here

An Overview of Free Training and Support Resources for Obtaining the DATA-2000 Waiver to Prescribe Buprenorphine for Treating Opioid Use Disorder
Hosted by HRSA
Wednesday, September 12
3:00-4:00 p.m. ET
Join the webcast the day of the session
Conference line: 866-454-4207
Passcode: 778222

Fiscal Year 2018 Health Center Quality Improvement Award TA Webinar
Hosted by HRSA
Thursday, September 13
1:00-2:00 p.m. ET
Join the webinar the day of the session
Call-in: 800-238-9007
Passcode: 486761

BPHC All-Programs Webcast
Tuesday, September 25
2:30-3:30 p.m. ET
Webcast information coming soon.
To submit questions in advance, send an email to by Thursday, September 20, with the subject line "BPHC All-Programs Question."

Managing Your Health Center’s Cost of Care
Hosted by Capital Link, a HRSA-funded NCA
Wednesday, September 26
2:00-3:00 p.m. ET
Register here