Health Center Program New Access Points (HRSA-19-080)

Overview

The purpose of Health Center Program New Access Points (NAP) funding is to improve the health of the nation’s underserved communities and vulnerable populations by expanding access to affordable, accessible, quality, and cost effective primary health care services. NAP funding provides operational support for new service delivery sites for the provision of comprehensive primary health care services (i.e., new access points). Applicants must propose at least one full-time, permanent new access point site that has primary medical care as its main purpose.

Who Can Apply?

Organizations eligible to compete for NAP funds include public or nonprofit private entities, including tribal, faith-based, and community-based organizations. Applications may be submitted by new organizations or by existing Health Center Program award recipients to expand their network of service delivery sites to serve additional underserved populations. Section III of any given NAP NOFO will provide the full list of eligibility criteria.

Technical Assistance Resources

The following resources are useful when developing a NAP application.

• Applicant Technical Assistance Webinar (Pre-Recorded) | Presentation Slides (PDF - 1.2 MB)
• NAP Q/A Session Recording
• NAP Additional Q/A session recording
• Helpful Tips Video Series
• Frequently Asked Questions (PDF - 415 KB)
• EHBs NAP Applicant User Guide (PDF - 4.46 MB) provides instructions on how to submit in EHBs.
• HRSA SF-424 Two-Tier Application Guide (PDF - 569 KB) provides instructions on how to submit in Grants.gov.
• Health Center Program Requirements Resources include Scope of Project documents and the Compliance Manual, which assists health centers in understanding and demonstrating compliance with Health Center Program requirements.
• Unmet Need Score (UNS) Resources: HRSA will use a standardized assessment of primary care need based on public data sources on critical health determinants to automatically generate an unmet need score (UNS) for your NAP application. The UNS for each service area zip code proposed in the application (on Form 5B: Service Sites) is combined to establish the overall UNS for the application, which accounts for up to 20 points in the NEED section of the application score and is a factor in one of the funding priorities.
  • UNS Webinar Recording  | Presentation Slides (PDF - 1.58 MB)
  • Unmet Need Score Question & Answer Session Recording
  • UNS Resource Guide (PDF - 554 KB)
  • UNS Workbook (XLS - 26 MB) | UNS Workbook: Video 
  • UNS Frequently Asked Questions (PDF – 367 KB)
• Priority Point Resources
  • If your proposed NAP full-time service site (as indicated by the site address zip code on Form 5B), is located in a hot spot zip code, HRSA may add 5 points to your application score. See List of Hot Spots (XLS - 216 KB).
  • If one of your proposed NAP service sites operating at least 20 hours a week (as indicated by the site address zip code on Form 5B), is located in a Level 4 frontier and remote (FAR) area, HRSA may add 5 points to your application score. See the Am I Rural? Tool  for guidance.
  • If your organization was designated as a Health Center Program look-alike prior to October 1, 2018, and meets all 5 criteria listed in the NAP NOFO, HRSA may add 10 points to your application score. See your folder in HRSA EHBs for your scope, compliance, and UDS information.

Application Components

The following samples and templates are for planning purposes only.

• Sample Budget Templates
  • SF-424A (PDF - 136 KB) | SF-424A: Video
  • Budget Narrative (PDF - 263 KB)
• Attachment 1: Service Area Map and Table
  • Instructions for Service Area Map and Table  (PDF - 1.38 MB)
• Attachment 12: Operational Plan Template (PDF - 200 KB)

Program Specific Forms

Forms collect important data that contribute to a full picture of the proposed project. The following samples and video demos are for planning purposes only.

• Form 1A: General Information Worksheet (242 KB) | Form 1A: Video
• Form 1B: BPHC Funding Request Summary (PDF - 185 KB) | Form 1B: Video
• Form 1C: Documents on File (PDF - 157 KB)
• Form 2: Staffing Profile (PDF - 331 KB)
• Form 3: Income Analysis (PDF - 325 KB) 
• Form 4: Community Characteristics (PDF - 313 KB)
• Form 5A: Services Provided (PDF - 287 KB)
• Form 5B: Service Sites (PDF - 254 KB)
• Form 5C: Other Activities/Locations (PDF - 175 KB)
• Form 6A: Current Board Member Characteristics (PDF - 202 KB)
• Form 6B: Request for Waiver of Board Member Requirement (PDF - 209 KB)
• Form 8: Health Center Agreements (PDF - 176 KB)
• Form 10: Emergency Preparedness Report (PDF - 285 KB)
• Form 12: Organization Contacts (PDF - 136 KB)
• Summary Page (PDF - 264 KB)

Performance Measures

The Clinical and Financial Performance Measures forms record the proposed project’s clinical and financial goals.  The following samples and templates are for planning purposes only.

• List of NAP Performance Measures (PDF - 219 KB)
• Clinical Performance Measure Form Field Guide and Sample (PDF - 223 KB)
• Performance Measure Fillable Form (PDF - 102 KB)
• Performance Measures: Video

For more information on performance measures, see:

• Health Center Data for information on the Uniform Data System (UDS), the reporting system for Health Center Program performance measures and patient data.
• 2019 UDS Manual (PDF - 1.7 MB) for definitions and UDS reporting details.
• Healthy People 2020 (PDF - 99 KB) for a table outlining the Healthy People 2020 objectives related to Health Center Program performance measures.

One-Time Funding

Of the $650,000 maximum, applicants may request one-time funding up to $150,000 in Year 1 only for one-time costs for equipment and/or minor alteration/renovation. The following samples and templates are for planning purposes only.

• Equipment List (PDF - 182 KB)
• Alteration/Renovation Project Cover Page (PDF - 193 KB)
• Alteration/Renovation Sample Budget Justification (PDF - 140 KB)
• Other Requirements for Sites (PDF - 231 KB)
• Environmental Information and Documentation (EID) Checklist (PDF - 764 KB)
• Landlord Letter of Consent Sample (PDF - 55 KB)

Additional Resources

• HRSA Electronic Handbooks (EHBs) Registration and Help
• Health Center Program Support Networks (PCAs and NCAs)
• State Primary Care Offices
• UDS Mapper 
• Medically Underserved Area/Population (MUA/MUP) Designations
• HRSA Scoring Rubric (PDF - 125 KB)
• Legislative Mandates in Grants Management for FY 2019 (PDF - 82 KB)
• Sign up to receive the weekly Health Center Program Primary Health Care Digest
• Track Your Grant Application

Contacts

Program Information

NAP Technical Assistance Web Form
301-594-4300
NAP Response Team
HRSA Bureau of Primary Health Care
Office of Policy and Program Development

Budget Information

Terry Hatchett and Brian Feldman
HRSA Division of Grants Management Operations
Office of Federal Assistance Management
(301) 443-7525 and (301) 443-3190
THatchett@hrsa.gov and BFeldman@hrsa.gov

EHBs Application Assistance

Health Center Program Support Web Form
877-464-4772, Monday - Friday, 7 a.m. to 8 p.m. ET (excluding federal holidays)