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Community Clinic Association of Los Angeles County

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Form 5A Compliance

October 23, 2020 @ 8:30 am - 12:00 pm


The training will assist FQHC’s and LAL determine if their Required and Additional Services-FORM 5A is correctly updated to reflect how they offer services at their health center. How and when to update the FORM 5A and what impacts FORM 5A. What impact FORM 5A has on; Clinical Staffing (including Credentialing & Privileging), Billing & Collections(fee schedule), Sliding Fee Discount Program Contracting & Subawards (including written referral arrangements), Budget, Board Authority and FTCA. Understanding why this is important if you are preparing for HRSA Operational Site visit (OSV) or not.

To make the most of this workshop, we advise participants to have with them a copy of their Clinic’s most current FORM 5A an well as every contract that they think is tied to column II and III of their FORM 5A.

Learning Objectives of the Training Include:

  • How to determine if your FORM 5A is correct
  • Understand what impacts FORM 5A
  • Understand all the areas FORM 5A impacts.
  • Importance of understanding why you FORM 5A should always be accurate

Presented by Lucy Reimche, CPA, MBA

Member and Affiliate Cost: $125

Register Now!

Non-Member Cost: $150

If you are not a member and wish to attend this training please email the training center at:


October 23, 2020
8:30 am - 12:00 pm
Event Category: