All applications begun in the HRSA EHB on or after February 8, 2013 are required to comply with the application instructions below. Applications started prior to February 8, 2013 will be reviewed under the 2011/2012 guidance.
Look-Alike Initial Designation Application Instructions (PDF – 677 KB)
Look-Alike Initial Designation Frequently Asked Questions (PDF – 627 KB)
BPHC Program Assistance Letter (PAL) 2013-10, “Look-Alike Program Update: On-Site Compliance Review for Initial Designation and Designation Period Changes” — This PAL describes changes to the Look-Alike Initial Designation application review process and the maximum designation periods for newly-designated and existing look-alike health centers. For more information about this PAL, please see the following links:
Health Center Program look-alikes support the health of the Nation’s underserved communities and vulnerable populations by increasing access to comprehensive, culturally competent, quality primary health care services. Look-Alikes are health centers that operate and provide services consistent with all statutory, regulatory, and policy requirements that apply to Health Center Program grantees, but do not receive funding under section 330.
Organizations eligible for look-alike designation include public or nonprofit private entities, including tribal, faith-based, and community-based organizations. Applicants must propose to expand their network of service delivery sites to serve new underserved populations.
Under the Calendar Year 2013 Look-Alike Initial Designation instructions, applicants must propose to establish a new access point that:
Look-Alikes are expected to demonstrate compliance with the applicable requirements of section 330 of the PHS Act, 42 Code of Federal Regulations (C.F.R.) Part 51c (Grants for Community Health Centers), and 42 C.F.R. Part 56 (Grants for Migrant Health Services and Migrant Health Centers), as applicable. Organizations are encouraged to review the section 330 program requirements, in addition to the applicable statutes, regulations, and policies (located in the Resources section of this page) for look-alikes prior to developing an application.
All forms are located and completed in HRSA’s Electronic Handbook (EHB) system. Below are samples of the forms found in EHB.
Renewal of Designation and Annual Certification Applications
Electronic Handbooks (EHB) User Guides
Annual Certification and Renewal of Designation Technical Assistance Call
Data, Measures, and Mapping
PIN 2014-01 Health Center Program Governance (01/27/2014)
Additional technical assistance for current and prospective look-alikes is found at your state's Primary Care Association (PCA), Primary Care Office (PCO), or any of HRSA's National Cooperative Agreement organizations. For a list of contacts, see Partner Links.
Look-Alike Frequently Asked Questions (PDF – 627 KB)