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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

Program Information Notices (PINs) and Program Assistance Letters (PALs) relating to the FTCA

Health Center FTCA Regulations

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

FTCA Training Video

Health Center Policies

Program Assistance Letter 2014-09
Notice of Federal Tort Claims Act (FTCA) Health Center Policy Manual Update

This Program Assistance Letter (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

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).

Program Assistance Letter 2014-03
Calendar Year (CY) 2015 Requirements for Federal Tort Claims Act (FTCA) Medical Malpractice Coverage for Health Centers

This PAL addresses the process that Health Centers must take in order to submit their FTCA deeming and redeeming applications for calendar year 2015.

Policy Information Notice 2007-16
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
Clarification of Bureau of Primary Health Care Credentialing & Privileging Policy

PIN 2002-22  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.

Free Clinics

Program Assistance Letter 2014-04
Calendar Year 2015 Federal Tort Claims Act (FTCA) Deeming Application for Free Clinics

This Program Assistance Letter (PAL) supplements Program Information Notice (PIN) 2011-02, Free Clinics Federal Tort Claims Act (FTCA) Program Policy Guide and provides guidance on the Calendar Year (CY) 2015 deeming application process for medical malpractice liability coverage. This PAL contains instructions for free clinics on how to apply to HRSA for medical malpractice coverage under the FTCA for CY 2015.

Policy Information Notice 2011-02
Free Clinics Federal Tort Claims Act (FTCA) Program Policy Guide

The Free Clinics FTCA Program Policy Guide is the primary source for information on the Free Clinics FTCA Program. This PIN explains and outlines the policies for the Free Clinics Federal Tort Claims Act (FTCA) Program. It includes an explanation of the Program including covered individuals, covered services and activities, and the claims process. It also clarifies program requirements such as credentialing and privileging systems, risk management activities, data reporting, and providing patients a notice of limited liability.

Program Assistance Letter 2011-03
Free Clinics Federal Tort Claims Act (FTCA) Program Data Reporting for 2010 and 2011

This Program Assistance Letter (PAL) explains the data reporting expectations for free clinics sponsoring deemed individuals under the Free Clinics FTCA Program. Specifically, it explains the reporting methods for 2010 data to be collected in early 2011 and informs sponsoring free clinics of the additional 2011 data that will be requested in early 2012.

Program Assistance Letter 2010-11
Calendar Year 2011 Federal Tort Claims Act (FTCA) Deeming Application for Free Clinics

This PAL supplements PIN 2004-24 (http://bphc.hrsa.gov/ftca/freeclinics/) and provides guidance on the Calendar Year (CY) 2011 deeming application process for Federal Tort Claims Act coverage. Medical malpractice coverage under the FTCA is provided to certain qualified free clinic individuals (covered individuals) by 42 U.S.C. 233(o) of the Public Health Service (PHS) Act, as amended.

Program Assistance Letter 2010-08
Requirements for Medical Malpractice Coverage for Free Clinic Board Members, Officers, Employees, and Individual Contractors under the Affordable Care Act Amendment to 42 U.S.C. 233(o)

This PAL supplements PIN 2004-24 (http://bphc.hrsa.gov/ftca/freeclinics/) and provides guidance on adding medical malpractice coverage for free clinic board members, officers, employees and contractors under the Affordable Care Act (Public Law 111-148), which amended the Public Health Service (PHS) Act, 42 U.S.C. 233(o). 42 U.S.C. 233(o), as amended, provides for the medical malpractice coverage of certain qualified free clinic individuals (covered individuals) under the FTCA. 

Policy Information Notice 2004-24
FTCA Coverage of Free Clinics Volunteer Health Care Professionals

This PIN has been superseded by PIN 2011-02. 

Contact Us

If you have any questions regarding the FTCA Program or claims filing, please contact the Bureau of Primary Health Care, BPHC Help Line by
Phone: 1-877-974-BPHC (877-974-2742)
8:30 am to 5:30 pm ET
Email: BPHCHelpline@hrsa.gov

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.