§ 54.632   Letters of agency (LOA).

   (a) Authorizations. Under the Healthcare Connect Fund, the Consortium
   Leader must obtain the following authorizations.

   (1) Prior to the submission of the request for services, the Consortium
   Leader must obtain authorization, the necessary certifications, and any
   supporting documentation from each consortium member to permit the
   Consortium Leader to submit the request for services and prepare and
   post the request for proposal on behalf of the member.

   (2) Prior to the submission of the funding request, the Consortium
   Leader must secure authorization, the necessary certifications, and any
   supporting documentation from each consortium member to permit the
   Consortium Leader to submit the funding request and manage invoicing
   and payments on behalf of the member.

   (b) Optional two-step process. The Consortium Leader may secure both
   required authorizations from each consortium member in either a single
   LOA or in two separate LOAs.

   (c) Required Information in LOA. (1) An LOA must include, at a minimum,
   the name of the entity filing the application (i.e., lead applicant or
   Consortium Leader); name of the entity authorizing the filing of the
   application (i.e., the participating health care provider/consortium
   member); the physical location of the health care provider/consortium
   member site(s); the relationship of each site seeking support to the
   lead entity filing the application; the specific timeframe the LOA
   covers; the signature, title and contact information (including phone
   number, mailing address, and email address) of an official who is
   authorized to act on behalf of the health care provider/consortium
   member; signature date; and the type of services covered by the LOA.

   (2) For HCPs located on Tribal lands, if the health care facility is a
   contract facility that is run solely by the tribe, the appropriate
   tribal leader, such as the tribal chairperson, president, or governor,
   shall also sign the LOA, unless the health care responsibilities have
   been duly delegated to another tribal government representative.

   [ 78 FR 13985 , Mar. 1, 2013]

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