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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. These are services provided on behalf of the health center by another entity via a formal written contract/agreement, where the health center is accountable for paying and/or billing ...
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).
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.
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).
The Service Descriptors for Form 5A: Service Delivery Methods (Service Delivery Method Descriptors) outline the description and specific requirements for each of the three service delivery methods. Complete the Worksheet: Utilize the Form 5A Worksheet as a checklist to ensure all necessary information has been collected.
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.
