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Available for Public Use Term/Acronym Definition FCC Federal Communications Commission HCP Health Care Provider – a physical site for which funding is sought. Sites with different physical addresses are considered separate sites and require a separate eligibility determination. HCP Number Health Care Provider number - an HCP number is obtained through submission of FCC Form 460. Consortium A group of two or more sites that apply as a single entity (whether part of the same system or organization, or separate health care providers). FCC Form 460 Form for determining if a site meets the minimum eligibility criteria and thus can apply to the Connected Care Pilot My Portal USAC’s online application management system used to submit forms
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Available for Public Use Consortium FCC Form 460 • Member Site • Individual FCC Form 460 • Member Site Individual FCC Form 460 • Member Site Individual FCC Form 460
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Available for Public Use Mountain View Health Consortium Consortium Mountain View Hospital Consortium Leader Jane Smith Project Coordinator - Employee at Mountain View Hospital Mountain View Health - Mountain View Health Mountain View Health Springfield – Valley District – Lake District Member HCP Member HCP Member HCP
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Available for Public Use Category Eligible Services Examples Patient Broadband Internet New or upgraded broadband connections Broadband Connections o Access Services/Health (whether for health care provider or Digital Subscriber Line o Care Provider Broadband participating patients) necessary for Cable Modem o Data Connections connected care services for the Pilot Other Copper Wireline o Program Optical Carrier/Fiber to the End-User o Terrestrial Fixed Wireless o Mobile Wireless (e.g., 3G, LTE, 4G, 5G) o Satellite o Broadband over Powerline • Firewall Service • Other Connected Care Services for connected care that capture, HIPAA compliant (or requirement waived) video services • Information Services transmit (including video visits), and store HIPAA compliant (or requirement waived) telehealth health care data for connected care. This solutions/packages/platforms, suites of services. • includes information services with “store - One-time, annual, recurring monthly costs for and- forward” technology, patient reported information service • outcome platforms, and remote patient Licenses, subscriptions, or recurring charges necessary monitoring capabilities to monitor patients. for providers to access or use eligible information service. Note: This eligible services chart is illustrative and is not intended to be exhaustive.
Available for Public Use Category Eligible Services Examples • Network Equipment Certain network equipment necessary to Equipment that terminates a carrier’s or other provider’s make newly acquired or upgraded Internet transmission facility and any router/switch that is directly service for the HCP/Patient for the Pilot connected to either the facility or the terminating Program functional (e.g., routers) or equipment. • necessary to manage, control, or operate a Network equipment that helps manage, control, or supported broadband service. operate a supported broadband service (consortia applicants only) • Servers used exclusively for eligible broadband services • Routers (including at patient’s home) • Switches • Miscellaneous Various miscellaneous costs associated with Installation, Activation, and Initial Configuration eligible services listed above may be eligible (including implementation and integration costs for support. Applicants should request necessary to integrate eligible information services with eligible miscellaneous services in the same existing systems). • category as the associated service being Fees and charges that are a necessary component of an obtained or installed. eligible service: • Shipping charges • Taxes, surcharges, and other reasonable charges incurred in obtaining an eligible product or service Note: This eligible services chart is illustrative and is not intended to be exhaustive.
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