There are a number of resources that provide detailed information on what it means to be a Community Health Center (CHC). The documents listed below should be reviewed to learn more about the requirements of the CHC model.
Health Center Program Requirement Resources
The Health Resources and Services Administration’s (HRSA) Bureau of Primary Health Care (BPHC) has created numerous resources to help current and potential CHCs understand the program requirements:
The Health Center Program Compliance Manual: A detailed, streamlined, and consolidated resource, the Compliance Manual is intended to assist CHCs in understanding and demonstrating compliance with the Health Center Program.
Health Center Program Site Visit Protocol: Used as a resource in combination with the Compliance Manual and as a guide to direct HRSA site visits, when CHC grantees and Look-Alikes are assessed and compliance with the Health Center Program Requirements is verified.
Policy Information Notices (PINs) and Program Assistance Letters (PALs): The Compliance Manual replaced most PINs and PALs starting in August 2017. However, a few remain in effect that provide important guidance to CHCs on topics such as Emergency Preparedness, CHC scope of project, and requirements for Federal Tort Claims Act coverage. All of the PINs and PALs that remain in effect are found in chronological order.
Health Center Program Look-Alikes
Federal Tort Claims Act (FTCA)
Health Center Public Acts and Regulatory Documents
Section 330 of the Public Health Service (PHS) Act (42 U.S.C. 254b)
Code of Federal Regulations, Title 42, Part 51c, Grants for Community Health Services
Code of Federal Regulations, Title 42, Part 56, Grants for Migrant Health Services and Centers
Code of Federal Regulations, Title 45, Part 75, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for HHS Awards
Code of Federal Regulations, Title 42, Part 491, Subpart A – Rural Health Clinics: Conditions for Certification; and FQHC Conditions for Coverage
Uniform Data System (UDS) reports: CHCs report data annually on particular clinical, financial, and operations measures. The reports also lay out parameters for reporting the data, along with the most recent national, statewide, and CHC-specific data.
UDS Mapper: Via HealthLandscape this resource that combines UDS reports, data from other sources, such as the U.S. Census Bureau, and mapping software. Anyone can sign up for a free account to use the site.
Health Resources and Services Administration Data Warehouse: Besides UDS reports, the Data Warehouse offers several resources including mapping, demographic data, and Federal grantee information and profiles.
Primary Care Office (PCO) and CCHN Health Indicators Resource: In partnership with CCHN, the PCO created a resource on county-level core health indicators and identified access barriers that are often required for CHC funding or Look-Alike designation applications.
Colorado Health Information Dataset: The Colorado Health Information Dataset is an interactive data system from the Colorado Department of Public Health and Environment including birth, death, population, behavioral risk factors, cancer, pregnancy, injury, and tobacco statistics.
Colorado Health Institute (CHI) Data Resources: The Colorado Health Information Dataset is an interactive data system from the Colorado Department of Public Health and Environment including birth, death, population, behavioral risk factors, cancer, pregnancy, injury, and tobacco statistics.
For more information on how to access and/or utilize these CHC resources, please contact:
Kim Moyer, Health Center Data and Operations Manager