Letter of Exemption

If you are a health care provider (HCP) that is owned or controlled by the consortium leader, you need to file an current (i.e. through the funding year for which funding is requested) letter of exemption (LOE). The LOE authorizes the consortium leader to file forms and act on your behalf in matters related to the HCF Program. The LOE is written by the participating HCP and should be addressed to “USAC review staff” or “to whom it may concern.”

Requirements

Items that you should include in the LOE:

  • Name of the entity authorized to submit forms on behalf of the HCP/consortium member.
  • Physical location or address of the HCP/consortium member site(s).
  • Signature, title, and contact information (including mailing address, phone number, and email address) of the officer, director, or other employee of the consortium member submitting the LOE.
  • Date of signature.
  • A statement from the consortium leader verifying that the consortium leader owns and operates the member HCPs listed on the LOE document and/or that the member HCPs listed on the LOE document are ineligible sites.

Submitting the LOE

  • USAC recommends that you submit the LOE on the letterhead of the participating health system or consortium member.
  • You must submit the LOE to USAC using RHC Connect when filing the FCC Form 460. To review the step-by-step process, review the RHC Connect LOA/LOE Submission User Guide.

 

The material on these webpages is provided for general information only and should not be relied upon or used as the sole basis for making decisions without consulting the RHC program rules, orders, and other primary sources of information. Applicants and service providers are ultimately responsible for knowing and complying with all RHC program rules and procedures.