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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.
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.
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.
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.
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.
The Health Center Program application forms provide essential information to HRSA staff and objective review committee panels for application evaluation; funding recommendation and approval; designation; and monitoring.
The descriptors are broadly written to acknowledge the variety of staff and provider types that may deliver any one service and to ensure individual health centers understand where and how to appropriately record the services they provide within the Health Center Program scope of project on Form 5A.
