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H H S Department of Health and Human Services
Health Resources and Services Administration
Primary Care: The Health Center Program

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FTCA Policies


Federal Tort Claims Act (FTCA) Medical Malpractice Program Regulations: Clarification of FTCA Coverage for Services Provided to Non-Health Center Patients

FTCA Medical Malpractice Program Regulations Video


Program Assistance Letter 2015-03 (PDF - 273 KB)
Calendar Year 2016 Requirements for Federal Tort Claims Act (FTCA) Coverage for Health Centers
This Program Assistance Letter (PAL) addresses the process that health centers must take in order to submit their FTCA deeming and redeeming applications for calendar year 2016.

Program Assistance Letter 2014-09 (PDF - 103 KB)
Notice of Federal Tort Claims Act (FTCA) Health Center Policy Manual Update
This PAL is intended to announce, and disseminate the clarifications and updates that will be published in the Federal Tort Claims Act (FTCA) Health Center Policy Manual which will supersede Policy Information Notice (PIN) 2011-01.

Federal Tort Claims Act Health Center Policy Manual (PDF - 369 KB)
The FTCA Health Center Policy Manual is the primary source for information on the FTCA program for Health Center Program grantees and related stakeholders. It has been updated to reflect recent amendments to the FTCA Health Center regulations, set forth in the Code of Federal Regulations, title 42, part 6 (42 CFR part 6). The updated FTCA Health Center Policy Manual supersedes PIN 2011-01, which consolidated and incorporated the content of various listed Policy Information Notices (PINs) and Program Assistance Letters (PALs).

Policy Information Notice 2007-16 (PDF - 227 KB)
Federal Tort Claims Act (FTCA) Coverage for Health Center Program Grantees Responding to Emergencies
This PIN clarifies the scope of Federal Tort Claims Act (FTCA) coverage for FTCA-deemed Health Center Program grantees during an emergency. This PIN does not address a health center’s scope of project for purposes of Medicaid/Medicare reimbursement during an emergency or eligibility for the 340B Drug Pricing Program during an emergency.

Policy Information Notice 2002-22 (PDF - 81 KB)
Clarification of Bureau of Primary Health Care Credentialing and Privileging Policy Outlined in Policy Information Notice 2001-16
This PIN provides guidance and clarifications related to the requirements that all Health Centers must follow when credentialing and privileging each licensed or certified health care practitioner to determine if they meet Health Center standards.

Policy Information Notice 2001-16 (PDF - 36 KB)
Credentialing and Privileging of Health Center Practitioners
The Federally Supported Health Centers Assistance Act of 1992 (Act) requires that each deemed health center that participates in the FTCA must credential all its physicians and other licensed or certified health care practitioners. This requirement under the Act covers more health practitioners than the JCAHO or AAAHC requirement. In order to bring clarity to the requirements health centers must meet, BPHC is adopting a credentialing and privileging policy that is consistent with the broader requirement of the Federally Supported Health Centers Assistance Act of 1992.

BPHC Helpline

If you have any questions regarding the FTCA Program or claims filing, please contact us online or via 
Phone: 1-877-974-BPHC (2742)
8:30 am to 5:30 pm ET, Monday through Friday

What are PINs/PALs?

Policy Information Notices (PINs) - define and clarify policies and procedures that must be followed for program eligibility.

Program Assistance Letters (PALs) - summarize and explain items of significance for health centers, including, for example, HRSA program implementation activities, recently enacted laws, final regulations, and/or new HHS initiatives.