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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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Health Center Application Process

FTCA Redeeming applications were due by May 23, 2014

FTCA Application Office Hours Webcast Series

Each webcast comprises frequently asked questions, provides you an opportunity to ask additional questions, and includes a special guest who covers an important topic related to FTCA. Health centers submitting redeeming or initial deeming applications are strongly encouraged to attend. Please e-mail questions you would like discussed during office hours to ftcaapplicationta@hrsa.gov.

FTCA Deeming Office Hours and Office of General Counsel
Thursday, May 8, 2 to 3:15 pm ET

  • Application Logistics, FAQs, Questions
  • FTCA Professional Liability Issues and the Claims Process

Deeming Application Office Hours and How to Prepare for an FTCA Site Visit
Thursday, May 22, 2 to 3:15 pm ET

  • Application Logistics, FAQs, Questions
  • How to Prepare for an FTCA Site Visit

FTCA Application Technical Assistance and Deeming Process Webcast Series

Each webcast focuses on a different section of the Federal Tort Claims Act (FTCA) redeeming or initial deeming applications submitted by health centers. You are strongly encouraged to attend the live webcasts, though they will be available on demand.

Credentialing
Wednesday, April 2, 2 to 3:30 pm ET

  • Application Logistics
  • Credentialing

Risk Management and Tracking
Wednesday, April 9, 2 to 3:30 pm ET

  • Application Logistics
  • Risk Management and Tracking

Quality Improvement and Quality Assurance
Thursday, April 10, 2 to 3:30 pm ET

  • Application Logistics
  • Quality Improvement and Quality Assurance

The 2015 application process and guidance for submitting deeming applications for Federal Tort Claims Act (FTCA) medical malpractice coverage is detailed within Program Assistance Letter (PAL) 2014-03. The information found on this page is meant as a guide to applicants; download the PAL (PDF - 641 KB) for complete details.

Submitting FTCA Applications

To be considered complete, an initial or renewal application must contain all of the following documentation within EHB.

  1. Quality Improvement/Quality Assurance (QI/QA) Plan, with clear documentation that the Board reviewed and approved the plan within 3 years of the date of submission to HRSA (i.e., on or after April 5, 2011 for a renewal application). Details in PAL 2014-03 (PDF - 641 KB).
  2. Minutes from any six QI/QA committee meetings that took place between April 5, 2013 and the submission date of the application. Details in PAL 2014-03 (PDF - 641 KB).
  3. In addition to the minutes noted above, the health center may also submit health center committee reports that further evidence QI/QA activities. Details in PAL 2014-03 (PDF - 641 KB).
  4. Minutes from any six Board meetings evidencing oversight of QI/QA activities that took place between April 5, 2013 and the submission date of the application. Details in PAL 2014-03 (PDF - 641 KB).
  5. Credentialing and privileging policies and procedures. Details in PAL 2014-03 (PDF - 641 KB).
  6. A list of all licensed and certified staff members providing services at all health center sites and their current credentialing/privileging status. Details in PAL 2014-03 (PDF - 641 KB).
  7. Due to EHB technical requirements, the credentialing list must be in an Excel Spreadsheet compatible with EHB and include the following for all licensed and certified staff members (please see attachment 1 in PAL 2014-03 (PDF - 641 KB) for an example):
    • Name and Professional Designation (e.g., MD/DO, RN, CNM, DDS, LPN, PA, MA, NP, etc.);
    • Title/Position;
    • Specialty;
    • Employment Status (full-time employee, part-time employee, contractor or volunteer);
    • Hire Date;
    • Current Credentialing Date (must be within past 2 years); and
    • Next Expected Credentialing Date. Details in PAL 2014-03 (PDF - 641 KB).
  8. Board approved health center policies and procedures for the following:
    • Referral tracking;
    • Hospitalization tracking;
    • Diagnostic tracking (Note that the FTCA deeming application no longer requires separate clinical policies and procedures for x-ray and labs, where these activities are addressed by the diagnostic tracking policies and procedures). Details in PAL 2014-03 (PDF - 641 KB).
  9. Statement verifying whether or not there were any medical malpractice claims or allegations presented during the past 5 years, that any such claims or allegations were internally analyzed, and that appropriate actions were implemented as needed in response to such claims or allegations. Details in PAL 2014-03 (PDF - 641 KB).
  10. Electronic signature of the Executive Director certifying the contents of the application. Details in PAL 2014-03 (PDF - 641 KB).
  11. Deeming applications for any subrecipient(s) that appear on the health center’s most recent Form 5B, who are requesting FTCA coverage. Details in PAL 2014-03 (PDF - 641 KB).
Contact Information

If you have any questions regarding PAL 2014-03, the FTCA Program, application requirements (including credentialing, QI/QA Plan, etc.), or technical/EHB support, please contact the Bureau of Primary Health Care, BPHC Helpline by
Phone: 1-877-974-BPHC (877-974-2742)
8:30 am to 5:30 pm ET
Email BPHCHelpline@hrsa.gov