General guidance
Policies
- Health Center Program Scope of Project Policy Manual (PDF - 693 KB)
- PAL 2020-01: Telehealth and Health Center Scope of Project (PDF - 176 KB)
- PAL 2026-04: Health Center Program Scope of Project System Improvements (PDF - 306 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)
*Note: Persons using assistive technology may not be able to fully access information in this file. For assistance, please use the BPHC Contact Form.
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