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 (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. Found here.
- 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, which are used to assess and verify compliance with the Health Center Program Requirements for both CHC grantees and Look-Alikes. Found here.
- Policy Information Notices (PINs) and Program Assistance Letters (PALs): The Compliance Manual replaced most PINs and PALs starting in August 2017. However there are a few that 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 here and are listed in the Compliance Manual.
- Health Center Program Look-Alikes: Full details, including initial designation instructions and resources, can be found here.
- Federal Tort Claims Act (FTCA): An overview of FTCA for CHC grantees and links to FTCA policies for CHCs, is found here.
Health Center Public Acts and Regulatory Documents
Selected legislation and regulation governing the CHCs and the Health Center Program include, but are not limited to, the following:
- 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
There are numerous online data resources that can be used to better understand the health outcomes and access to care for a community. For CHCs, some of the most used data resources include:
- Uniform Data System (UDS) reports: CHCs report data annually on particular clinical, financial and operations measures. Parameters for reporting the data, along with the most recent national, statewide, and CHC-specific data can be found here.
- UDS Mapper: Via HealthLandscape comes a resource that combines UDS reports, data from other sources, such as the U.S. Census Bureau, and mapping software. The UDS Mapper can be found here.
- Health Resources and Services Administration Geospatial Warehouse: The Geospatial Warehouse offers a number of resources including mapping, demographic data, and Federal grantee information and profiles. For more information click here.
- Primary Care Office (PCO) and CCHN Health Indicators Resource: In partnership with the PCO, CCHN created this 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. To access the dataset click here.
- Colorado Health Institute (CHI) Data Resources: CHI maintains up-to-date information on what data is available, where data is available, and at what level data is available. For more information click here.