In this section:

Primary Reviewer: Fiscal Expert

Secondary Reviewer: N/A

Authority: Section 330(e)(5)(A) and Section 330(k)(3)(I)(i) of the Public Health Service (PHS) Act; and 45 CFR 75.308(a) and 45 CFR 75 Subpart E

Health Center Program Compliance Manual Related Considerations

Documents the Health Center Provides

Compliance Assessment

Select each element below for the corresponding text of the element, site visit team methodology, and site visit finding questions.


1. A health center’s “total budget” includes the Health Center Program federal award funds and all other sources of revenue in support of the health center scope of project.

2. Any aspects of the requirement that relate to the use of Health Center Program federal award funds are not applicable to look-alikes.

3. See 45 CFR Part 75 Subpart E: Cost Principles.

4. For example, health centers may not use HHS federal award funds to support salary levels above the salary limitations on federal awards.

5. As these other lines of business are not included in the health center’s total budget, they are not subject to Health Center Program requirements and not eligible for related Health Center Program benefits (for example, payment as a Federally Qualified Health Center (FQHC) under Medicare/Medicaid/CHIP, 340B Drug Pricing Program eligibility, Federal Tort Claims Act (FTCA) coverage).

Date Last Reviewed: