Fiscal Year (FY) 2023 LAL RD Instructions & Resources

Health Center Program look-alikes (LALs) were established to ensure continued access to comprehensive, culturally competent, high-quality primary health care services for communities and populations currently served by LAL organizations. The Renewal of Designation (RD) application is a request for continued designation by an existing LAL.

FY 2023 LAL RD Instructions (PDF - 351 KB)
FY 2023 LAL RD HRSA Electronic Handbooks (EHBs) User Guide

Important Notice

Due to the ongoing COVID-19 public health emergency, HRSA has extended designation periods by one year for LALs that had a three-year designation period scheduled to end in FY 2022. Extension notices of LAL designation have been issued. These service areas are included in the FY 2023 RD (check your most recent Notice of Look-alike Designation).

LALs in a multi-year designation period, HRSA extended designation periods scheduled to end in FY 2023 by one year. These service areas will be included in the FY 2024 RD.

Contact for More Information

On this page:

Application Availability and Deadline Schedule
How to Apply
Application Resources
Technical Assistance Resources
Contact

Application Availability and Deadline Schedule

Designation Period Start Date	EHBs Access*	EHBs Deadline*
January 1, 2023	July 4, 2022	October 2, 2022
February 1, 2023	August 4, 2022	November 2, 2022
March 1, 2023	September 1, 2022	November 30, 2022
April 1, 2023	October 2, 2022	December 31, 2022
May 1, 2023	November 1, 2022	January 30, 2023
June 1, 2023	December 2, 2022	March 1, 2023

*EHBs access and deadline dates are auto-generated by EHBs. Please work within these dates and, if needed, request technical assistance prior to the deadline if the deadline falls on a weekend or holiday.

Application Schedule

The EHBs system will send an e-mail notice to your organization’s contacts identified in the system 180 days prior to the end of the current designation period to inform them the application is accessible. You will have 90 calendar days to complete the RD application and have your Authorizing Official (AO) submit it in EHBs. To prevent termination of LAL designation and all corresponding benefits, you are urged to submit your RD application by the established deadline (90 days prior to the end of your current designation period). See a list of FY 2023 RD deadlines.

How to Apply

HRSA requires you to apply electronically through EHBs. Existing LALs will receive an email notification from EHBs when the RD application is available for input and submission. If your organization contact(s) listed in EHBs do not receive an email regarding access 180 calendar days prior to the end of your current LAL designation period, contact your Health Center Engagement (HCE) Program Analyst via the BPHC Contact Form for additional guidance.

Application Resources

FY 2023 LAL RD Instructions (PDF - 351 KB)
FY 2023 LAL RD EHBs User Guide
EHBs: Updating Your Role in Your Health Center (PDF - 301 KB)
FY 2023 LAL RD Webinar
FY 2023 LAL RD Webinar Slides (PDF - 533 KB)

Forms

These RD forms must be completed in EHBs. The versions provided below are for reference and planning purposes only:

Cover Page (PDF - 35 KB)
Form 1A: General Information Worksheet (PDF - 187 KB)
Form 1C: Documents on File (PDF - 46 KB)
Form 2: Staffing Profile (PDF - 137 KB)
Form 3: Income Analysis (PDF - 175 KB)
Form 3A: Look-Alike Budget Information (PDF - 139 KB)
Form 4: Community Characteristics (PDF - 122 KB)
Form 5A: Services Provided (PDF - 113 KB)
Form 5B: Service Sites (PDF - 146 KB)
Form 5C: Other Activities/Locations (PDF - 100 KB)
Form 6A: Current Board Member Characteristics (PDF - 144 KB)
Form 6B: Request for Waiver of Board Member Requirements (PDF - 147 KB)
Form 8: Health Center Agreements (PDF - 108 KB)
Form 12: Organization Contacts (PDF - 94 KB)
Scope Certification Form (PDF - 151 KB)

Data and Mapping

How to Create a Service Area Map and Data Table (PDF - 3 MB)
Service Area Map and Table Sample (PDF - 246 KB)
Uniform Data System (UDS) Resources
UDS Mapper Tutorials

Technical Assistance Resources

Subscribe to the weekly Health Center Program Primary Health Care Digest
Health Center Program Compliance Manual
Uniform Data System (UDS) Reporting Policies

Contact

To make sure you receive our reply email, add 'BPHCAnswers@hrsa.gov' to your address book.

RD Application Questions

Karen A. Fitzgerald, M.P.H.
Public Health Analyst
HRSA Bureau of Primary Health Care
Office of Policy and Program Development
301-594-4300 | BPHC Contact Form

EHBs Application Assistance

Complete the BPHC Contact Form

Call 877-464-4772 (select option 1) 8:00 a.m. – 8:00 p.m. ET, Monday – Friday (except federal holidays)

Date Last Reviewed:

August 2022