YES!
The nature and purpose of an operational site visit is to assess whether a health center can demonstrate compliance with the HRSA statutory and regulatory requirements of the Health Center Program. That said, HRSA allows some flexibility within the process. Health centers may request technical assistance from the site visit team, and consultants may offer limited guidance or recommendations when appropriate. However, this assistance is informal and provided outside the formal scope of the review.
In practice, while HRSA does not explicitly encourage health centers to seek technical assistance during an OSV, it does acknowledge and accommodate such requests within the boundaries of maintaining the operational site visit’s core compliance-focused purpose.
The finalized HRSA site visit report will never record or include consultant recommendations or technical assistance information requested by health centers or offered by site visit team members.
Regulators are no longer satisfied with documentation alone; they want evidence that your compliance program actively prevents, detects, and corrects risk. Investigators expect to see how issues are identified early, investigated thoroughly, corrected effectively, and monitored over time. Boards demand measurable insight, and leadership needs confidence that exposure is managed before it becomes a liability. The standard has shifted from activity to impact.