Policy Information Notice 2008-01
TABLE OF CONTENTS
TABLE OF CONTENTS ............................................................................................................................................ 1
I. PURPOSE .......................................................................................................................................................... 2
II. APPLICABILITY ............................................................................................................................................. 2
III. DEFINING SCOPE OF PROJECT ................................................................................................................ 2
A. ROLE OF THE BOARD IN SCOPE OF PROJECT ............................................................................................................ 4
B. FIVE CORE ELEMENTS OF SCOPE OF PROJECT ......................................................................................................... 4
1. SERVICE SITES ................................................................................................................................................................. 4
a) Definition of a Service Site ....................................................................................................................................... 5
b) Permanent Service Sites ............................................................................................................................................ 5
c) Seasonal Service Sites ............................................................................................................................................... 5
d) Special Instructions for Recording Mobile Van Sites ............................................................................................... 6
e) Intermittent Sites ....................................................................................................................................................... 6
f) Migrant Voucher Screening Sites.............................................................................................................................. 6
g) Other Activities ......................................................................................................................................................... 7
2. SERVICES ......................................................................................................................................................................... 9
a) Requirements and Discussion of Services ................................................................................................................. 9
b) Delivery Method and Scope of Project ................................................................................................................... 10
c) Recording Services and Delivery Method ............................................................................................................... 12
3. PROVIDERS ..................................................................................................................................................................... 12
a) Requirements and Discussion of Providers ............................................................................................................. 12
b) Instructions for Recording Providers....................................................................................................................... 13
c) FTCA Considerations.............................................................................................................................................. 13
4. SERVICE AREA ............................................................................................................................................................... 14
a) Requirements and Discussion of Service Area ........................................................................................................ 14
b) Recording Service Area .......................................................................................................................................... 14
5. TARGET POPULATION ..................................................................................................................................................... 15
a) Requirements and Discussion of Target Population ................................................................................................ 15
b) Recording Target Population .................................................................................................................................. 16
IV. CHANGE IN SCOPE REQUESTS ............................................................................................................... 16
A. CHANGE IN SCOPE REQUESTS THAT REQUIRE PRIOR APPROVAL .................................................................... 16
1. TYPES OF CHANGE IN SCOPE REQUESTS THAT REQUIRE PRIOR APPROVAL ...................................................................... 16
2. SPECIAL INSTRUCTIONS FOR ADDING A SERVICE SITE ..................................................................................................... 17
a) Adding Sites in the Same Building, Complex or Campus ....................................................................................... 17
b) Adding Migrant Voucher Screening Sites ............................................................................................................... 17
c) Changing from Intermittent to Permanent or Seasonal Sites ................................................................................... 18
d) Sites Offering a Single Service ............................................................................................................................... 18
3. SPECIAL INSTRUCTIONS FOR ADDING A SERVICE ............................................................................................................. 18
4. SPECIAL INSTRUCTIONS FOR RELOCATION OF A SITE ....................................................................................................... 19
5. SPECIAL INSTRUCTIONS FOR DELETING A SITE OR SERVICE ............................................................................................. 19
6. SPECIAL CONSIDERATIONS FOR CHANGES IN SCOPE OF PROJECT ..................................................................................... 20
a) Future Federal Funding to Support a Change in Scope Request ............................................................................. 20
b) Financial Impact ...................................................................................................................................................... 20
c) Impact on Neighboring Health Centers ................................................................................................................... 20
7. CRITERIA FOR PRIOR APPROVAL OF A CHANGE IN SCOPE REQUEST ................................................................................. 21
B. OTHER CHANGE IN SCOPE REQUESTS ...................................................................................................................... 22
C. CHANGE IN SCOPE DURING EMERGENCIES FOR HEALTH CENTERS ................................................................ 23
V. PROCESS FOR CHANGE IN SCOPE OF PROJECT REQUESTS ........................................................ 24
A. MECHANISM TO SUBMIT REQUESTS FOR PRIOR APPROVAL .............................................................................. 24
B. CHANGE IN SCOPE DETERMINATIONS AND TIMELINE ........................................................................................ 25
C. EFFECTIVE DATE OF APPROVAL ................................................................................................................................ 25
VI. ADDITIONAL SCOPE OF PROJECT POLICY ISSUES ......................................................................... 26
A. SCOPE OF PROJECT AND FTCA COVERAGE ............................................................................................................. 26
B. SCOPE OF PROJECT AND FQHC MEDICAID PPS OR ALTERNATIVE METHODOLOGY REIMBURSEMENT . 27
C. SCOPE OF PROJECT AND MEDICARE FQHC COST-BASED REIMBURSEMENT ................................................. 27
D. SCOPE OF PROJECT AND THE SECTION 340B DRUG PRICING PROGRAM ......................................................... 28
E. SCOPE OF PROJECT AND ACCREDITATION .............................................................................................................. 28
VII. CONTACT INFORMATION ........................................................................................................................ 28