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Health Center Program Compliance Manual Resources

Compliance Manual en Español 

HRSA makes the Spanish translation of the Health Center Program Compliance Manual (PDF - 996 KB) as a resource for the Spanish-reading public. HRSA has made every effort to ensure an accurate Spanish translation of the official material in English. The English version of the Health Center Program Compliance Manual is the official issuance, and any differences in the translation are not binding and have no legal effect.  

HRSA welcomes your feedback on this translation. You may submit feedback through Health Center Program Support , and select Issue Type: "Compliance Manual General Inquiry." 

Frequently Asked Questions 

Have questions about the Health Center Program Compliance Manual? View Frequently Asked Questions

Progressive Action Conditions Library 

When HRSA determines that a health center is not demonstrating compliance with one or more of the Health Center Program requirements, HRSA places a condition(s) on that health center’s Notice of Award/Look-alike Designation. HRSA uses a library of standard conditions, aligned with the Compliance Manual, that follow the Progressive Action policy and process described in the Health Center Program Compliance Manual, Chapter 2, Health Center Program Oversight. View the Progressive Action Conditions Library. 

Site Visit Protocol 

The Site Visit Protocol (SVP) is a tool to assist HRSA in performing its oversight of health centers. The SVP includes a standard and transparent methodology that aligns with the Health Center Program Compliance Manual. 

HRSA updated the SVP in 2021 to improve current oversight and timelines. View a summary of the  SVP updates.

Summary of Comments and HRSA Responses on the Draft Health Center Program Compliance Manual 

HRSA released the draft Health Center Program Compliance Manual for public comment from August 2016 through November 22, 2016.  HRSA made a substantial number of revisions to the Health Center Program Compliance Manual to incorporate suggestions and requests for further clarification from more than 700 comments submitted by individuals and groups. 

View a summary of the comments for each section and chapter, and HRSA’s responses to these comments (PDF - 790 KB). Because HRSA revised the Health Center Program Compliance Manual since issuing this summary, comments and response summaries marked with an asterisk and in italics no longer reflect current Health Center Program Compliance Manual language. 

Bipartisan Budget Act of 2018 Revisions 

The Bipartisan Budget Act of 2018 amended Section 330 of the Public Health Service Act (42 U.S.C. 254b), the authorizing statute of the Health Center Program. View a list of revisions and the relevant impacted Health Center Program Compliance Manual chapters and sections (PDF - 582 KB)

The Primary Health Care Digest 

Look for updates and other information pertaining to the Health Center Program Compliance Manual and its implementation. Sign-up to receive the newsletter each week in your inbox.

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