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Prior to the initial release of the Health Resources and Services Administration (HRSA) Health Center Compliance Manual, health centers were required to present providers to the Board of Directors for the approval of credentialing and privileging. Likewise, health centers were required to have the organization’s Credentialing and Privileging Policy approved by the Board of Directors.
Chapter Five, Clinical Staffing, of the HRSA Health Center Compliance Manual requires health centers to implement the following for all clinical staff members, including Licensed Independent Practitioners (LIP), Other Licensed and Certified Practitioners (OLCPS) and Other Clinical Staff (OCS). These requirements apply to all employees, individual contractors, volunteers and locum tenens (HRSA Compliance Manual, Chapter Five).
The “Related Considerations” section of Chapter Five, Clinical Staffing, of the HRSA Health Center Compliance Manual now allows for flexibility, as it relates to the requirements for credentialing and privileging of clinical staff. For example:
Although the health center is no longer required to present providers to the Board of Directors, industry standards support the continuation of this practice to keep the Board of Directors informed and mitigate the risk of malpractice. Additionally, although the health center is no longer required to obtain board approval for the Credentialing and Privileging Policy, it is important to remember the policy and any associated procedures must be reflective of current practice.