Health Center Program Site Visit Protocol

The Site Visit Protocol (SVP) is a guide to the operational site visits (OSVs) we conduct at health centers. It includes what we look for and how we assess compliance.

It aligns with the Health Center Program Compliance Manual.

Changes made to the SVP

In 2023, we improved the format of the SVP and made it easier to read. In 2025, we aligned language to current guidance and ensured accurate links. We also revised the single audit threshold in Financial Management and Accounting Systems consistent with updates to the Department of Health and Human Services (HHS) Grants Policies & Regulations.

We stopped assessing the Federal Tort Claims Act (FTCA) portion of OSVs on October 27, 2023. We will continue to assess FTCA risk management and claims management requirements during FTCA-specific applications and site visits.

Print the entire Site Visit Protocol (PDF - 1 MB)