General Policies & 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)
- 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)
- Health Center Program Compliance FAQs: Scope of Project FAQs
Change in Scope (CIS) Assurances
- CIS Assurances (PDF - 171 KB)
- Potential Impact of CIS Actions on Related Programs (hrsa.gov) (PDF)
Change in Services
Checklists
- Add a New Service to Scope Checklist (PDF - 176 KB)
- Delete Existing Service Checklist (PDF - 134 KB)
- Scope Adjustment Request Checklist: Services (PDF - 105 KB)
- Form 5A: Services Provided (PDF - 113 KB)
- Form 5A Service Descriptors (PDF - 315 KB)
- Form 5A Column Descriptors (PDF - 110 KB)
- Health Center Self-Assessment Worksheet for Form 5A: Services Provided (PDF - 1 MB)
- Updating Form 5A: Services Provided (PDF - 95 KB)
Policy
Change in Service Sites
Checklists
- 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
Form 5B: Service Sites
- Form 5B: Service Sites (PDF - 168 KB)
- Instructions for Form 5B: Service Sites
- Form 5B Scope Accuracy Worksheet (PDF - 424 KB)
- How to Create a Service Area Map Using UDS Mapper (PDF - 1 MB)
- Temporary Service Site Request: Submission Template (PDF - 183 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)
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 - 156 KB)
Date Last Reviewed: