FY 2021 Service Area Competition (SAC) Compliance Assessment Guide

This guide lists the specific Compliance Manual elements that will be assessed during the SAC application review, 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 project period.

Table 1 presents the information in the order found in 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:  August 2020