Clinical Staffing

In this section:

Primary Reviewer: Clinical Expert

Secondary Reviewer: Governance/Administrative Expert (as needed)

Authority: Sections 330(a)(1), (b)(1)-(2), and (k)(3)(I)(ii)(II)-(III) of the Public Health Service (PHS) Act; and 42 CFR 51c.303(a), 42 CFR 51c.303(p), 42 CFR 56.303(a), and 42 CFR 56.303(p)

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. Clinical staff includes licensed independent practitioners (for example, physician, dentist, physician assistant, nurse practitioner, clinical psychologist), other licensed or certified practitioners (for example, registered nurse, licensed practical nurse, registered dietitian, certified medical assistant, phlebotomist, respiratory therapist, licensed or certified behavioral health support staff), and other clinical staff providing services on behalf of the health center (for example, medical assistants, peer navigators, or community health workers in states, territories, or jurisdictions that do not require licensure or certification).

2. Health centers seeking coverage for themselves and their providers under the Health Center Federal Tort Claims Act (FTCA) Medical Malpractice Program should review the statutory and policy requirements for coverage, as discussed in the FTCA Health Center Policy Manual (PDF - 406 KB).

3. In states in which the licensing agency, specialty board or registry conducts primary source verification of education and training, the health center would not be required to duplicate primary source verification when completing the credentialing process.

4. The NPDB is an electronic information repository authorized by Congress. It contains information on medical malpractice payments and certain adverse actions related to health care practitioners, entities, providers, and suppliers. For more information, visit National Practitioner Data Bank.

5. The CDC has published recommendations and many states have their own recommendations or standards for provider immunization and communicable disease screening. For more information about CDC recommendations, visit CDC: Recommended Vaccines for Healthcare Workers.

6. This may be done, for example, through provisions in contracts and cooperative arrangements with such organizations or health center review of the organizations’ credentialing and privileging processes.

Date Last Reviewed: