Scope of Project Resources

General guidance

• Welcome to Health Center Scope of Project 101 | Welcome to Health Center Scope of Project slides (PDF - 1003 KB)
• Introducción al Alcance del Proyecto del Programa para los Centros de Salud | Introducción al Alcance del Proyecto del Programa para los Centros de Salud diapositivas (PDF - 1 MB)
• Health Center Program Compliance FAQs: Scope of Project FAQs

Policies

• PIN 2008-01: Defining Scope of Project & Policy for Requesting Changes (PDF - 224 KB)
• PAL 2009-11: New Scope Verification Process (PDF - 141 KB)
• PAL 2014-10: Updated Process for Change in Scope Submission, Review and Approval Timelines (PDF - 126 KB)
• PAL 2020-01: Telehealth and Health Center Scope of Project (PDF - 176 KB)

Change in Scope (CIS) assurances

• CIS Assurances (PDF - 171 KB)
• Maintaining an Accurate Scope of Project 

Change in services

Resources

• Add a New Service to Scope Checklist (PDF)
• Delete Existing Service Checklist (PDF - 144 KB)
• Scope Adjustment Request Checklist: Services (PDF - 105 KB)
• Updating Form 5A: Services Provided (PDF - 95 KB)

Form 5A: services provided

• Form 5A: Services Provided (PDF - 63 KB)
• Form 5A Service Descriptors (PDF - 293 KB)
• Form 5A Column Descriptors (PDF - 110 KB)
• Health Center Self-Assessment Worksheet for Form 5A: Services Provided (PDF - 3 MB)

Policy

• PIN 2009-02: Specialty Services & Health Centers' Scope of Project (PDF - 2 MB)

Change in sites

Resources

• Add New Service Site Checklist (PDF - 272 KB)
• Delete Existing Service Site Checklist (PDF - 134 KB)
• Scope Adjustment Request Checklist: Sites (PDF - 105 KB)
• Requesting Temporary Service Sites in Response to an Emergency Events: Resource and Submission Template
• Temporary Service Site Request: Submission Template (PDF - 183 KB)
• Create a Service Area Map Using Health Center Program GeoCare Navigator
• Guidance for Completing a Change in Scope Request to Add Transitional Care in Carceral Setting to Your Scope of Project (PDF - 248 KB)
• EHBs Quick Reference Guide for Transitional Care in Carceral Setting CIS Requests (PDF - 1 MB)

Form 5B: Service Sites

• Form 5B: Service Sites (PDF - 155 KB)
• Instructions for Form 5B: Service Sites
• Form 5B Scope Accuracy Worksheet (PDF - 291 KB)

Policies

• PIN 2007-09: Service Area Overlap: Policy & Process (PDF - 837 KB)
• PAL 2011-07: Sites, Scope of Project, and Capital Projects (PDF - 436 KB)
• PAL 2020-05: Requesting a Change in Scope to Add Temporary Service Sites in Response to Emergency Events (PDF - 266 KB)
• Policy Information Notice (PIN) 2024-05: Health Center Program Policy Guidance Regarding Services to Support Transitions in Care for Justice-Involved Individuals Reentering the Community (PDF - 482 KB)
• Summary of Public Comments and HRSA Responses on the Draft Health Center Program Policy Guidance Regarding Services to Support Transitions in Care for Justice-Involved Individuals Reentering the Community (PDF - 342 KB)

Change in target populations

Checklist

Add New Target Population Checklist (PDF - 99 KB)

Policy

PIN 2009-05: Policy for Special Populations-Only Grantees Requesting a Change in Scope to Add a New Target Population (PDF - 79 KB)

Change in other activities

Form 5C: Other Activities/Locations (PDF - 113 KB)