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Coverage for Medical Emergencies During and After Hours

In this section:

Primary Reviewer: Clinical Expert

Secondary Reviewer: TBD

Authority: Section 330(b)(1)(A)(IV) and Section 330(k)(3)(A) of the Public Health Service (PHS) Act; and 42 CFR 51c.102(h)(4), 42 CFR 56.102(l)(4), 42 CFR 51c.303(a), and 42 CFR 56.303(a)

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. Health centers may choose to provide samples of patient records before or during the site visit. If patient records will be provided during the site visit, this should be communicated to the site visit team before the site visit to avoid any disruption or delay in the site visit process.

2. Medical emergencies may, for example, include those related to physical, oral, behavioral, or other emergent health needs.

3. See [Health Center Program Compliance Manual] Chapter 6: Accessible Location and Hours of Operation for more information on hours of operation.

4. See [Health Center Program Compliance Manual] Chapter 12: Contracts and Subawards for more information on oversight over such arrangements.

5. Under Section 602 of Title VI of the Civil Rights Act and the Department of Health and Human Services implementing regulations (45 CFR Section 80.3(b)(2)), recipients of federal financial assistance, including health centers, must take reasonable steps to ensure meaningful access to their programs, services, and activities by eligible limited English proficient (LEP) persons. Visit Office for Civil Rights: Guidance to Federal Financial Assistance Recipients Regarding Title VI and the Prohibition Against National Origin Discrimination Affecting Limited English Proficient Persons - Summary for further guidance on translating vital documents for LEP persons.

6. See [Health Center Program Compliance Manual] Chapter 8: Continuity of Care and Hospital Admitting for more information on continuity of care.

Date Last Reviewed: