The BPHC website will experience a temporary service outage on Saturday, July 2, 2016 for scheduled server maintenance. We apologize for the inconvenience.

Health Center Application Process

The EHB System will open to accept Redeeming and Initial applications on April 22, 2016.  Please note: FTCA Redeeming applications are due May 27, 2016

2016 FTCA Deeming Application Technical Assistance:

General Information and Risk Management
On-demand Webinar | Presentation (PDF - 216 KB)

General Information and Credentialing and Privileging
On-demand Webinar | Presentation (PDF - 407 KB)

Quality Improvement and Quality Assurance, Professional Liability and EHB Updates

The 2017 application process and guidance for submitting deeming applications for Federal Tort Claims Act (FTCA) medical malpractice coverage is detailed within Program Assistance Letter (PAL) 2016-03. The information found on this page is meant as a guide to applicants; download the PAL (PDF - 430 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 1, 2013, for a renewal application). Details in PAL 2016-03 Section VIII page 6, item 1 (PDF - 430 KB).
  2. Minutes from any six QI/QA committee meetings that took place between April 1, 2015, and the submission date of the application. Details in PAL 2016-03 page 7, item 2 (PDF - 430 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 2016-03 page 7, item 2 (PDF - 430 KB).
  4. Minutes from any six Board meetings evidencing oversight of QI/QA activities that took place between April 1, 2015, and the submission date of the application. Details in PAL 2016-03 page 7, item 3 (PDF - 430 KB).
  5. Credentialing and privileging policies. Details in PAL 2016-03 page 7, item 4 (PDF - 430 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 2016-03 page 7, item 4 (PDF - 430 KB).  
  7. The credentialing list must be in an Excel Spreadsheet compatible with EHB.
  8. The Excel Spreadsheet must include the following information for all licensed and certified staff members:
    • 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 2016-03 page 7, item 4 (PDF - 430 KB).  
  9. Board approved health center policies for the following:
    • Referral tracking;
    • Hospitalization tracking;
    • Diagnostic tracking (Note that the FTCA deeming application no longer requires separate clinical policies for x-ray and labs, where these activities are addressed by the diagnostic tracking policies). Details in PAL 2016-03 page 8, item 5 (PDF - 430 KB).  
  10. 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 2016-03 page 8, item 6 (PDF - 430 KB).   
  11. Electronic signature of the Executive Director certifying the contents of the application. Details in PAL 2016-03 page 9, item 7 (PDF - 430 KB).
  12. 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 2016-03 page 9, item 8 (PDF - 430 KB).  

Technical Assistance

HRSA periodically will update this section to include presentations and resources that will focus on the application preparation, submission, and deeming process.