Scope of Project Resources

General guidance

Policies

• Health Center Program Scope of Project Policy Manual (PDF - 693 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)

Resources

• Summary of Public Comments and HRSA Responses on the Draft Health Center Program Scope of Project Policy Manual (PDF - 683 KB)
• Guidance: Final Health Center Program Scope of Project Policy Manual Federal Register Notice
• Health Center Program Compliance FAQs: Scope of Project FAQs

Change in Scope (CIS) assurances

• CIS Assurances (PDF - 171 KB)

Change in services

Resources

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

• 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)