Scope of Project
Health center maintains its funded scope of project (sites, services, service area, target population, and providers), including any increases based on recent grant awards.
Authority: 45 CFR Part 75.308
A health center’s scope of project defines the activities that are supported, all or in part, by Section 330 grant funds. Specifically, scope defines the
- approved service sites,
- service area(s) and
- target population(s).
For each health center, the Health Center Program approved scope of project must be consistent with statutory and regulatory requirements and the mission of the health center. Project scope evolves over time and expands each time a health center receives increased funding through new grant awards.
It is critical that health centers regularly review scope of project Forms 5A, 5B and 5C in EHB to ensure they are up to date and accurate. It is also important that health centers review all Policy Information Notices (PINs) and Program Assistance Letters (PALs) linked from this page in order to understand scope of project, including the Change in Scope process.
Health centers are reminded to consider the impact of a Change in Scope request and to ensure the accuracy of their scope of project for the purposes of Medicaid and Medicare FQHC reimbursement, FTCA coverage (eligible to grantees only), and 340B Drug Pricing Program benefits, as appropriate. While identification within a scope of project is required for participation in these programs, it is not a guarantee that these benefits will be realized. Each of these programs has a specific application process and a comprehensive set of requirements, of which scope of project is only one.
Change in Scope
When does a health center need to submit a Change in Scope request?
Change in Scope (CIS) requests must be submitted on-line through EHB at least 60 days before you intend to implement a change that would
- add a new service or service delivery site,
- terminate an existing service or service delivery site, or
- add a new target population.
Preparing a Change in Scope Request
- Read the CIS EHB User Guide (PDF - 4 MB) for detailed information on the submission process.
- For formal CIS requests, review PAL 2014-10: Updated Process for Change in Scope Submission, Review and Approval Timelines.
- Download the sample forms and instructions below to help you gather the information and documentation necessary to submit the CIS request through EHB. Do not submit these sample forms. These are printable previews of the on-line forms in EHBs.
- Complete and submit the official forms on-line through EHB.
Instructions, Sample Forms, and Resources
The forms below are printable previews of the on-line forms in EHB and are provided to help gather the information and documentation necessary to submit the CIS request through EHB. Please do not submit these forms. Use them as reference, but complete and submit the forms on-line through EHB.
Financial Impact Guidelines and Analysis required for all formal Change in Scope requests
- Guidelines for Change in Scope Financial Impact Analysis Completion (PDF - 182 KB)
- Sample Change in Scope Financial Impact Analysis (XLS - 22 KB)
- EHB Sample Form 5A (PDF - 60 KB)
- Form 5A Service Descriptors (PDF - 230 KB)
- Form 5A Column Descriptors (PDF - 111 KB)
- Add a New Service to Scope (PDF - 3 MB)
- Delete Existing Service (PDF - 3 MB)
- EHB Sample Form 5B (PDF - 65 KB)
- Form 5B Instructions (PDF - 186 KB)
- Add New Service Site (PDF - 4 MB)
- Convert Admin-Only Site to Service Delivery Site (PDF - 4 MB)
- Convert Existing Service Delivery Site to Admin-Only Site (PDF - 3 MB)
- Delete Existing Service Delivery Site (PDF - 4 MB)
- Replace Existing Service Delivery Site (PDF - 4 MB)
- TA Resource: Recording Suites, Floors or Buildings on Form 5B (PDF - 125 KB)
- Add New Target Population (PDF - 2 MB)
- EHB Sample Form 5C (DOC - 16 KB)
Verification and Maintenance
Once a formal Change in Scope request has been submitted, reviewed and approved, the health center must verify that the change has been implemented. The Notice of Award (for grantees), or the HRSA notification (for look-alikes), approves the Change in Scope and provides instructions for verification.
Policies & Procedures
Change in Scope Request
PAL 2011-07: Sites, Scope of Project, and Capital Projects (PDF - 437 KB)
Target Population Changes
Verification and Maintenance
Scope Alignment Validation Follow-Up Actions (PDF - 111 KB)
PAL 2009-11: New Scope Verification Process (PDF - 38 KB)
Policy Information Notices (PINS) articulate policies and procedures health centers must follow. Program Assistance Letters (PALS) explain processes and procedures of importance to health centers.
Have an EHB system related question about Change in Scope (CIS)?
Please contact the BPHC Helpline online or via
Phone: 1-877-974-BPHC (2742)
8:30 am to 5:30 pm ET, Monday through Friday
Contact your health center’s project officer with other CIS questions.