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  1. Overview. The Form 5A service descriptors outline the general elements for all services, both Required and Additional, to assist in accurate recording of the approved Health Center Program scope of project.

  2. Form 5A Service Delivery Method Descriptors. Description. These are services provided directly by the health center and for which the health center pays and bills.

  3. 10 Αυγ 2023 · Purpose: This worksheet is a self-assessment tool for health centers to use to evaluate the accuracy of their HRSA scope of project, specifically the accuracy of Form 5A: Services Provided (Form 5A).

  4. The Form 5A Self-Assessment Worksheet is a structured document developed by HRSA that corresponds to the sections of Form 5A in the HRSA Electronic Handbooks (EHB) and is designed to guide health centers through the process of gathering and organizing the required information.

  5. 15 Απρ 2020 · Specifically, scope of project defines the approved service sites, services, providers, service area (s) and target population (s). This page provides information on how to accurately document scope of project and when to submit a Change in Scope (CIS) request to HRSA.

  6. Purpose: This worksheet is a self-assessment tool for health centers to evaluate the accuracy of their HRSA scope of project, specifically the accuracy of Form 5A: Services Provided (Form 5A).

  7. Identify how the scope of project elements are reflected in Forms 5A, 5B, and 5C. Utilize applicable HRSA guidance and other techniques to avoid common pitfalls associated with recording your health center’s scope of project.

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