§  54.646   Site and service substitutions.

   (a) A Consortium Leader (or health care provider, if participating
   individually) may request a site or service substitution if:

   (1) The substitution is provided for in the contract, within the change
   clause, or constitutes a minor modification;

   (2) The site is an eligible health care provider and the service is an
   eligible service under the Healthcare Connect Fund;

   (3) The substitution does not violate any contract provision or state,
   Tribal, or local procurement laws; and

   (4) The requested change is within the scope of the controlling request
   for services, including any applicable request for proposal used in the
   competitive bidding process.

   (b) Support for a qualifying site and service substitution will be
   provided to the extent the substitution does not cause the total amount
   of support under the applicable funding commitment to increase.

   [ 78 FR 13991 , Mar. 1, 2013]

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