Updated Process for Requesting a Change in Scope to Add Temporary Sites in Response to Emergency Events

The purpose of this Program Assistance Letter (PAL) is to update information regarding the process for requesting a change in scope to the federal scope of project to add temporary locations in response to emergency events. For ease of reference, this PAL contains an attachment which consolidates the related scope policy contained in Policy Information Notice (PIN) 2008-01, “Describing Scope of Project and Policy for Requesting Changes” (specifically Section II.c of the PIN) and PIN 2007-16, “Federal Tort Claims Act (FTCA) Coverage for Health Center Program Grantees Responding to Emergencies.”

This PAL 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. This PAL also does not address Federal Tort Claims Act (FTCA) coverage for FTCA-deemed Health Center Program grantees during an emergency. 

For information on FTCA coverage for FTCA-deemed Health Center Program grantees, please refer to the “Federal Tort Claims Act (FTCA) Health Center Policy Manual” (PIN 2011-01)2. 

In addition, for general information on health center emergency preparedness, please refer to “Health Center Emergency Management Expectations” (PIN 2007-15)3.

This PAL applies to all health centers funded under sections (e), (g), (h), and (i) of the Health Center Program authorized in section 330 of the Public Health Service (PHS) Act (42 U.S.C. 254b) (“section 330”). It also applies to organizations designated as look-alikes under the authority of section 1861(aa)(4) and section 1905(l)(2)(B) of the Social Security Act, since these facilities are subject to all Health Center Program requirements.