Federal Grant Compliance Navigator for Healthcare
Interpret federal grant regulations and identify healthcare compliance gaps
What You Can Do
You can rapidly interpret complex federal grant regulations, map compliance requirements across Uniform Guidance (2 CFR 200) and agency-specific terms, and identify institutional compliance gaps without waiting for legal counsel. The skill systematically analyzes grant agreements, flags regulatory risks, and produces remediation strategies and compliance documentation that withstands federal audits.
Features
Explains 2 CFR 200 provisions, allowable costs, indirect cost structures, and procurement requirements specific to your grant
Identifies NIH, CDC, HRSA, CMS, SAMHSA, and other agency supplemental terms and conditions
Compares institutional practices against regulatory requirements and flags unresolved risks
Generates compliance matrices, policy justifications, and remediation plans suitable for federal review
Addresses HIPAA, 42 CFR, PHS requirements, OIG guidelines, and state healthcare regulations
Evaluates whether activities, charges, and time allocations comply with federal standards
Analyzes disclosure requirements, subrecipient monitoring obligations, and institutional policy gaps
Identifies updates to grant terms, new guidance issuances, and compliance deadline shifts
Example Output
Example 1: Gap Analysis Output
- Requirement: Uniform Guidance 2 CFR 200.430 requires documented effort reporting for federally funded personnel
- Current Practice: Timesheets submitted quarterly
- Gap: Timesheets not time-stamped; salary charges not reconciled to effort documentation
- Risk Level: Medium (audit finding likely)
- Remediation: Implement monthly timesheet sign-off with certification statement; reconcile payroll to effort reports monthly
- Timeline: 30 days to implement
Example 2: Compliance Matrix
| Requirement | Your Practice | Compliant? | Evidence Needed | Action |
|---|---|---|---|---|
| Indirect cost rate documentation | Federally negotiated IDC | Yes | Current F&A agreement | Annual review |
| Subrecipient monitoring | Annual financial review | No | Risk assessment, site visits | Add quarterly compliance certification |
| Effort reporting certification | Monthly submission | Partial | Dated signatures required | Implement e-signature timestamps |
What's Included
- SKILL.md: Complete instruction file with regulatory frameworks and analysis protocols
- Federal Grant Compliance Checklist: Uniform Guidance checklist mapped to healthcare grant types (NIH, CDC, HRSA, CMS, SAMHSA)
- Compliance Gap Analysis Template: Structured matrix to identify requirement-practice mismatches and risk ratings
- Agency Requirements Reference Guide: Summary of supplemental terms and conditions by funding agency
- Audit Remediation Workplan: Template for documenting corrective actions with timeline and responsibility assignment
- Cost Allocation & Effort Reporting Framework: Guidelines for compliant salary charging and timesheet documentation
Who It's For
- Federal Grants Managers — Interpreting compliance requirements and managing regulatory obligations across multiple grants
- Compliance Officers — Conducting gap analyses, responding to audit findings, and developing institutional policies
- Healthcare Finance Directors — Evaluating cost allocation, indirect cost structures, and effort reporting compliance
- Grants Administrators — Onboarding new federal awards and training staff on regulatory requirements
- Research Finance Teams — Ensuring NIH, CDC, and other research grant compliance in academic health centers
Best For
- New grant onboarding — Rapidly mapping requirements for newly awarded federal healthcare grants
- Pre-audit compliance reviews — Identifying gaps before federal monitoring or closeout audits
- Policy development — Creating institutional compliance policies aligned with Uniform Guidance and agency terms
- Audit response — Documenting remediation strategies and supporting evidence for compliance inquiries
- Staff training — Explaining complex regulations to grants staff, finance teams, and department administrators in accessible language
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