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  1. 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. On Form 5A Service Descriptors (PDF), you will find descriptions of the required and additional services and Form 5A Column Descriptors (PDF) provides descriptions of the three service delivery methods used by health centers.

  4. 17 Μαΐ 2021 · Tips are provided to avoid gotchas, such as using the self-assessment worksheet, service descriptors, and column descriptors, as well as involving multiple staff and the project officer when completing Form 5A.

  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. 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.

  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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