FY 2024 SAC Compliance Assessment Guide | Bureau of Primary Health Care

This guide lists the specific Compliance Manual elements that will be assessed during Fiscal Year (FY) 2024 Service Area Competition (SAC), along with the corresponding application components. In the SAC notice of funding opportunity (NOFO), these application components are noted with a bolded, underlined asterisk (_*_). If conditions are placed on your award due to noncompliance with any of the Compliance Manual elements noted in this document, you will be awarded a 1-year period of performance.

Table 1 presents the information in the order found in the Compliance Manual. Table 2 presents the same information, but in the order found in the SAC NOFO.

Table 1: SAC Compliance Assessment by Compliance Manual Chapter and Element

Compliance Manual Chapter	Element	Project Narrative (PN), Form, or Attachment Noted with _ *_
Chapter 9: Sliding Fee Discount Program	b. Sliding Fee Discount Program Policies	PN Response section, items 5a – e
Chapter 9: Sliding Fee Discount Program	c. Sliding Fee for Column I Services	Attachment 10: Sliding Fee Discount Schedule(s)
Chapter 9: Sliding Fee Discount Program	e. Incorporation of Current Federal Poverty Guidelines	Attachment 10: Sliding Fee Discount Schedule(s)
Chapter 11: Key Management Staff	b. Documentation for Key Management Staff Positions	Attachment 4: Position Descriptions for Key Management Staff
Chapter 11: Key Management Staff	d. CEO Responsibilities	PN Resources/Capabilities section, item 3b Form 2: Staffing Profile Attachment 3: Project Organizational Chart Attachment 4: Position Descriptions for Key Management Staff
Chapter 12: Contracts and Subawards	e. HRSA Approval for Contracting Substantive Programmatic Work	Form 8: Health Center Agreements
Chapter 12: Contracts and Subawards	f. Required Contract Provisions	Form 8: Health Center Agreements
Chapter 12: Contracts and Subawards	g. HRSA Approval to Subaward	Form 8: Health Center Agreements
Chapter 12: Contracts and Subawards	h. Subaward Agreement	Form 8: Health Center Agreements
Chapter 14: Collaborative Relationships	a. Coordination and Integration of Activities	PN Collaboration section, items 1a – c Attachment 9: Collaboration Documentation
Chapter 14: Collaborative Relationships	b. Collaboration with Other Primary Care Providers	PN Collaboration section, item 2 Attachment 9: Collaboration Documentation
Chapter 16: Billing and Collections	c. Participation in Insurance Programs	PN Resources/Capabilities section, item 5b
Chapter 16: Billing and Collections	h. Policies or Procedures for Waiving or Reducing Fees	PN Resources/Capabilities section, item 5a
Chapter 17: Budget	a. Annual Budgeting for Scope of Project	Budget Narrative SF-424A
Chapter 17: Budget	b. Revenue Sources	Form 3: Income Analysis Budget Narrative SF-424A
Chapter 19: Board Authority	a. Maintenance of Board Authority Over Health Center Project	PN Governance section, items 3a – c Form 8: Health Center Agreements Attachment 2: Bylaws Attachment 3: Project Organizational Chart Attachment 6: Co-Applicant Agreement Attachment 8: Articles of Incorporation (new applicants only)
Chapter 19: Board Authority	b. Required Authorities and Responsibilities	PN Governance section, items 2a – g Attachment 2: Bylaws Attachment 6: Co-Applicant Agreement
Chapter 20: Board Composition	a. Board Member Selection and Removal Process	Attachment 2: Bylaws
Chapter 20: Board Composition	b. Required Board Composition	PN Governance section, items 1a – g Attachment 2: Bylaws Attachment 6: Co-applicant Agreement
Chapter 20: Board Composition	c. Current Board Composition	Form 4: Community Characteristics (new applicants) Form 6A: Board Member Characteristics
Chapter 20: Board Composition	e. Waiver Requests	Form 6B: Request for Waiver of Board Member Requirements

Table 2: Compliance Manual Chapter and Element for Each Item Noted for Compliance Assessment

Project Narrative, Form, or Attachment Noted with _ *_	Compliance Manual Chapter	Element
Project Narrative Response section, items 5a ⁠–⁠ e	Chapter 9: Sliding Fee Discount Program	b. Sliding Fee Discount Program Policies
Project Narrative Collaboration section, items 1a – c	Chapter 14: Collaborative Relationships	a. Coordination and Integration of Activities
Project Narrative Collaboration section, item 2	Chapter 14: Collaborative Relationships	b. Collaboration with Other Primary Care Providers
Project Narrative Resources/Capabilities section, item 3b	Chapter 11: Key Management Staff	d. CEO Responsibilities
Project Narrative Resources/Capabilities section, item 5a	Chapter 16: Billing and Collections	h. Policies or Procedures for Waiving or Reducing Fees
Project Narrative Resources/Capabilities, item 5b	Chapter 16: Billing and Collections	c. Participation in Insurance Programs
Project Narrative Governance section, items 1a – g	Chapter 20: Board Composition	b. Required Board Composition
Project Narrative Governance section, items 2a – g	Chapter 19: Board Authority	b. Required Authorities and Responsibilities
Project Narrative Governance section, items 3a – c	Chapter 19: Board Authority	a. Maintenance of Board Authority Over Health Center Project
Budget Narrative	Chapter 17: Budget	a. Annual Budgeting for Scope of Project b. Revenue Sources
SF-424A	Chapter 17: Budget	a. Annual Budgeting for Scope of Project b. Revenue Sources
Form 2: Staffing Profile	Chapter 11: Key Management Staff	d. CEO Responsibilities
Form 3: Income Analysis	Chapter 17: Budget	b. Revenue Sources
Form 4: Community Characteristics (new applicants)	Chapter 20: Board Composition	c. Current Board Composition
Form 6A: Board Member Characteristics	Chapter 20: Board Composition	c. Current Board Composition
Form 6B: Request for Waiver of Board Member Requirements	Chapter 20: Board Composition	e. Waiver Requests
Form 8: Health Center Agreements	Chapter 12: Contracts and Subawards	e. HRSA Approval for Contracting Substantive Programmatic Work f. Required Contract Provisions g. HRSA Approval to Subaward h. Subaward Agreement
Form 8: Health Center Agreements	Chapter 19: Board Authority	a. Maintenance of Board Authority Over Health Center Project
Attachment 2: Bylaws	Chapter 19: Board Authority	a. Maintenance of Board Authority Over Health Center Project b. Required Authorities and Responsibilities
Attachment 2: Bylaws	Chapter 20: Board Composition	a. Board Member Selection and Removal Process b. Required Board Composition
Attachment 3: Project Organizational Chart	Chapter 11: Key Management Staff	d. CEO Responsibilities
Attachment 3: Project Organizational Chart	Chapter 19: Board Authority	a. Maintenance of Board Authority Over Health Center Project
Attachment 4: Key Management Staff Positions	Chapter 11: Key Management Staff	b. Documentation for Key Management Staff Positions d. CEO Responsibilities
Attachment 6: Co-Applicant Agreement	Chapter 19: Board Authority	a. Maintenance of Board Authority Over Health Center Project b. Required Authorities and Responsibilities
Attachment 6: Co-Applicant Agreement	Chapter 20: Board Composition	b. Required Board Composition
Attachment 8: Articles of Incorporation (new applicants only)	Chapter 19: Board Authority	a. Maintenance of Board Authority Over Health Center Project
Attachment 9: Collaboration Documentation	Chapter 14: Collaborative Relationships	a. Coordination and Integration of Activities b. Collaboration with Other Primary Care Providers
Attachment 10: Sliding Fee Discount Program Schedule(s)	Chapter 9: Sliding Fee Discount Program	c. Sliding Fee for Column I Services e. Incorporation of Current Federal Poverty Guidelines

Date Last Reviewed:

April 2023