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Quality Assurance, Risk Management, Claims Management and Credentialing and Privileging activities have increasingly become more important to HRSA. In January 2019, HRSA issued a Federal Tort Claims Act (FTCA) specific Site Visit Protocol and has begun to perform FTCA on-site visits. These FTCA on-site visits are conducted over two days and are focused on Quality Assurance, Risk Management, Claims Management and Credentialing and Privileging activities to a much more detailed extent than required for FTCA applications.