Overview
Compliance is the quiet work that protects everything else — your funding, your FTCA coverage, your reputation, and ultimately the patients who rely on you. We help newly designated FQHCs prepare for their first Operational Site Visit and support established centers in keeping board governance, policies, and documentation continuously aligned to HRSA expectations.
Why compliance is non-negotiable
Once you’re designated, staying compliant matters as much as getting there. FQHCs and Look-Alikes operate under constant pressure from:
- HRSA audits and Operational Site Visits
- FTCA renewal requirements
- Sliding fee scale enforcement
- Governance and bylaws scrutiny
- Continuously evolving policy and documentation demands
Lapses put funding, reputation, and patient care at risk. We make sure you’re protected.
What’s included
Operational Site Visit (OSV) preparation
- Mock OSVs and full documentation review
- Gap analysis and corrective action planning
- On-site or virtual readiness training
FTCA support & risk management
- Application assistance and renewal tracking
- Risk management plans and staff education
- Coverage validation and audit prep
Board governance & bylaws
- Board training and role clarity
- Review of governance structure, minutes, and charters
- Bylaw alignment with HRSA and FQHC regulations
Policy review & development
- Sliding fee scale, financial eligibility, and quality assurance
- Administrative, clinical, and operational policies
- Custom policy packages aligned to current HRSA standards
Ongoing compliance monitoring
- Monthly or quarterly audits
- Checklist-driven oversight across compliance domains
- Leadership reports and alerts for upcoming deadlines
Our approach
- Baseline. A documented assessment of where you stand against the 19 program requirements.
- Prioritize. Risk-ranked corrective actions tied to your next OSV or FTCA renewal.
- Remediate. Policies, governance, and documentation built or rebuilt with your team.
- Sustain. Recurring oversight so you’re never scrambling before a deadline again.
What you’ll walk away with
- Customized compliance plan
- Templates and documents (policy, board, HR, clinical)
- Training for admin staff and board members
- Timeline tracking and deadline management
- Support before, during, and after OSVs
Who this is for
- Newly designated FQHCs preparing for their first OSV
- Look-Alikes maintaining their status
- Clinics under audit stress or facing risk citations
- Leaders managing HRSA, FTCA, and board expectations
- Any team that wants to stop scrambling and start feeling prepared
Common questions
What’s the difference between a mock OSV and real OSV preparation?
A mock OSV simulates the audit experience so we can identify and close gaps before HRSA arrives. Around it we layer coaching, documentation reviews, and timeline management leading up to the real visit.
Can you train our board and internal team?
Yes. We deliver live and recorded training on governance, compliance standards, and audit readiness for boards, executives, and clinic managers.
Is this a one-time service or ongoing?
Both. Many clinics start with a single compliance audit and then opt into quarterly or monthly oversight to stay continuously aligned.