On this page:
- Health Center Application
- Health Center Volunteer Health Professionals (VHP) Application
- Free Clinics Application
Health Center Application
The 2023 application process and guidance for submitting deeming applications for Federal Tort Claims Act (FTCA) medical malpractice coverage is detailed within Program Assistance Letter (PAL) 2022-01 (PDF - 599 KB).
Health centers may submit an initial deeming application via the electronic, web-based EHB system at any time during the year when the system is open to accept applications. However, we strongly suggest that grantees request initial FTCA coverage well in advance of their desired coverage start date.
After reviewing the FTCA PAL, grantees submitting an initial deeming application should consult with the FTCA Program if they have any additional questions.
All currently deemed grantees must submit a FTCA redeeming application and submit redeeming applications for any sub-recipients (as applicable) on or before July 8, 2022 in order to be eligible to be deemed for the entirety of CY 2023 without a gap in coverage.
Grantees are responsible for ensuring that the information needed to complete their redeeming application has been successfully submitted to HRSA through the EHB. If additional information or clarification is needed to support an application, HRSA may notify the grantee through the EHB. The grantee will be given 10 business days from the date of such EHB notification to resubmit the application with the requested information. It is important that grantees provide a timely response to all requests for information in order to assure a timely review and notification. Grantees that do not provide a responsive submission within 10 business days after receiving notice may have their application determined incomplete and voided. If the application is voided, the grantee will receive notification and will be required to resubmit its redeeming application if it wishes to obtain deemed status.
FTCA Application Tool Kit
HRSA periodically will update this section to include presentations and resources that will focus on the application preparation, submission, and deeming process.
- CY 2023 Health Center FTCA Deeming Technical Assistance Webinar
- CY 2022 Health Center VHP FTCA Deeming Technical Assistance Webinar | Presentation (PDF - 496 KB)
- CY 2022 Health Center FTCA and NPDB Technical Assistance Webinar | Presentation (PDF - 833 KB)
- FTCA EHB User Guide (PDF - 1 MB)
- FTCA Technical Assistance Resource on Tracking Policies (PDF - 301 KB)
- FTCA Compliance Tool: Risk Management Annual Report to Board (PDF - 882 KB)
- FTCA Compliance Tool: Risk Management Training Plan (PDF - 399 KB)
- Annual Report to Governing Board Webinar* | Presentation (PDF - 1 MB)
- Quarterly Risk Assessment Webinar* | Presentation (PDF - 1 MB)
- Tracking, Monitoring, and Addressing Near Misses, Adverse Events, and Sentinel Events Webinar* | Presentation (PDF - 1 MB)
- Risk Management Training Webinar* | Presentation (PDF - 1 MB)
- Obesity and Pregnancy Webinar* | Presentation (PDF - 2 MB)
*Note: A post webinar survey must be completed before a Certificate of Completion will be issued. All post webinar surveys must be completed by 09/30/2022. The surveys will be closed on October 1, 2022. After the surveys are closed, they will not be reopened, and Certificates of Completion will not be issued.
Send an email to firstname.lastname@example.org and request a post webinar survey (include “survey” and “Certificate of Completion” in the subject line of the email). An email with a link to the post webinar survey will be sent to you. After the post webinar survey is submitted, a Certificate of Completion will be sent from email@example.com.
Contact firstname.lastname@example.org if you have questions or experience any technical difficulties with the post webinar survey.
Credentialing and Privileging
- FTCA Compliance Tool: Credentialing and Privileging Process (PDF - 411 KB)
- FTCA Credentialing and Privileging List for Health Centers Quick Reference Guide (PDF - 1 MB)
FTCA Deemed Status Badge
BPHC has adopted a Federally Supported Health Centers Assistance Act (FSHCAA) Federal Tort Claims Act (FTCA) Deemed Status Badge. The badge recognizes health centers that HRSA has deemed as Public Health Service employees under the Federally Supported Health Centers Assistance Act (FSHCAA). To reference usage guidelines, view the FSHCAA FTCA Deemed Status Badge page.
Health Center Volunteer Health Professionals (VHP) Application
Health Center VHP Deeming Applications [OPEN FOR SUBMISSIONS]
Congress has permanently extended the Health Center Volunteer Health Professionals (VHP) Program that was due to sunset on September 30, 2022. The EHB system will open Thursday, October 6, 2022, to allow sponsoring health centers to submit supplemental applications for which their currently deemed VHPs can obtain continued coverage for calendar year (CY) 2023. Failure to submit a supplemental application will result in the termination of coverage after December 31, 2022, for currently deemed VHPs. To avoid a gap in coverage for currently deemed VHPs, all sponsoring health centers must submit a supplemental application prior to December 2, 2022. Please see the FTCA VHP website and the VHP PAL (PDF - 504 KB).
VHP Application Toolkit
- Health Center VHP FTCA Program Video
- VHP Brochure (PDF - 97 KB)
- VHP Sample Volunteer Agreement (PDF - 25 KB)
- VHP Sample Limited Liability Notice (PDF - 23 KB)
- Calendar Year – 2023 Volunteer Health Professional Federal Tort Claims Act (FTCA) Deeming Sponsorship Application Instructions (PDF - 504 KB)
Free Clinics Application
Initial Deeming Application
Free clinics that apply for the first time to the FTCA Free Clinic Program will be required to have an Unique Entity Identifier (UEI) number and be registered within the System for Award Management (SAM), in order to create an account and submit an initial application via the Electronic Handbook (EHB). For more information about the new initial application process, please see the current PAL (PDF - 365 KB).
Renewal Deeming Application
Free clinics that currently sponsor deemed individuals must reapply on an annual basis for continued FTCA coverage. The annual redeeming application form should be submitted using HRSA’s web based Electronic Handbook (EHB) system. For more information, see the current PAL (PDF - 365 KB).
Supplemental Deeming Application
During the course of the year, sponsoring free clinics may wish to add additional eligible individuals for deemed status. In order to supplement the free clinic’s list of covered individuals, a supplemental application must be completed and submitted. The supplemental application must be submitted using HRSA’s web based Electronic Handbook (EHB) system.
General Application Submission Instructions
As a part of continued efforts to streamline and automate data reporting processes, the Bureau of Primary Health Care (BPHC) has developed a Free Clinic FTCA deeming module within the HRSA EHB. View the EHB web based application.
All Initial, Redeeming, and Supplemental applications require an attachment explaining any and all disciplinary actions and medical malpractice claims alleged against the eligible individuals the free clinic is sponsoring for deeming. This information is required for the past ten (10) years for new applicants and five (5) years for renewal applicants. Please do not attach a report from the National Practitioner Data Bank (NPDB). These reports do not describe the actions taken by the sponsoring free clinic or the applicant in response to the claims.
Free Clinic Application Toolkit
- CY 2023 FTCA Free Clinic Deeming Technical Assistance Webinar | Presentation (PDF - 942 KB)
- FTCA Free Clinic Checklist (PDF - 145 KB)
- Free Clinic Application Categories (PDF - 74 KB)
- Electronic Handbook (EHB) Free Clinics FTCA FAQs
- Sample Liability Letter (PDF - 13 KB)
- Sample Liability Letter (Spanish) (PDF - 14 KB)
For assistance, please use the BPHC Contact Form or call 877-464-4772, Option 1. 8 a.m. to 5:30 p.m. ET, Monday - Friday (except federal holidays).