Particularized Determination

The Federally Supported Health Centers Assistance Act of 1992, as amended in 1995 (FSHCAA) and 42 CFR section 6.6(d) authorizes FTCA coverage for services to non-health center patients in certain situations. Additional clarification of those specific situations can be found in FTCA Program regulatory amendments (see 78 Federal Register Notice 58202 (FRN)). The FRN indicates that activities that fit squarely within certain listed examples are approved for FTCA coverage under 42 CFR section 6.6(d) and section 224(g)(1)(B)(ii), as long as there is compliance with all other coverage requirements under FSHCAA. However, if any element of an activity or arrangement does not fit squarely into the examples listed within the FRN for non-health center patients, the covered entity may request consideration for a particularized determination of coverage for services in the health center's approved scope of project. Please refer to the Tip Sheet (PDF - 137 KB) for additional examples and submission process.