Scope of Project
A health center’s scope of project defines the activities that are supported by the Section 330 project budget. Specifically, scope of project defines the approved service sites, services, providers, service area(s) and target population(s). A health center’s scope of project may evolve over time and may expand through new grant awards or approval of a Change in Scope request.
Per 45 CFR Part 75.308, each health center must maintain its funded scope of project (sites, services, service area, target population, and providers), including any increases based on recent grant awards.
It is critical that health centers regularly review their scope of project Forms 5A, 5B, and 5C in EHBs to ensure they are up to date and accurate. It is also important that health centers review all Policy Information Notices (PINs) and Program Assistance Letters (PALs) linked from this page to understand how to document scope of project and when to submit a Change in Scope request to HRSA.
* Health centers are reminded to consider the impact of a Change in Scope request and to ensure the accuracy of their scope of project for the purposes of Medicaid and Medicare FQHC reimbursement, FTCA coverage (eligible to grantees only), and 340B Drug Pricing Program benefits, as appropriate. While identification within a scope of project is required for participation in these programs, it is not a guarantee that these benefits will be realized. Each of these programs has a specific application process and a comprehensive set of requirements, of which scope of project is only one. More information is available in the following resource: Potential Impact of CIS Actions on Related Programs (PDF - 120 KB).
What is Change in Scope?
Change in scope requests may include the following: adding a new service or service delivery site, deleting a service or service delivery site, or adding a new target population.
Some proposed changes to a health center's approved scope of project require prior approval from HRSA in EHBs. Health centers should submit Change in Scope requests online through EHBs at least 60 days before implementing a change.
Preparing and Submitting a Change in Scope Request
Step 1: Review resources, sample forms, and instructions below to help you determine whether and how to submit a request to change your health center’s scope of project.
Step 2: Consult with health center Project Officer on proposed change.
Step 3: For formal CIS requests, review PAL 2014-10: Updated Process for Change in Scope Submission, Review and Approval Timelines.(PDF)
Step 4: Utilize resources, sample forms, and instructions below to help you gather the information and documentation necessary to submit the CIS request through EHBs.
Step 5: Complete and submit the official forms online through EHBs.
Step 6: Once a formal Change in Scope request has been submitted, reviewed, and approved, a Notice of Award (NoA) (for grantees) or a HRSA notification (for look-alikes) will be issued.
Step 7: Health centers must then verify in EHBs that the change has been implemented within 120 days of HRSA’s NoA/notification (see Step 6). Once verified, the change will be officially documented in the health center's approved scope of project.
- Add a New Service to Scope Checklist (PDF - 3 MB)
- Delete Existing Service Checklist (PDF - 3 MB)
- Scope Adjustment Request Checklist: Services (PDF - 81 KB)
- EHB Sample Form 5A: Services Provided (PDF - 60 KB)
- Form 5A Service Descriptors (PDF - 230 KB)
- Form 5A Column Descriptors (PDF - 111 KB)
- Updating Form 5A (Describes which changes require Formal CIS vs. Scope Adjustment Requests) (PDF - 566 KB)
- CIS Assurances (PDF - 152 KB)
- Add New Service Site Checklist (PDF - 4 MB)
- Delete Existing Service Site Checklist (PDF - 4 MB)
- Scope Adjustment Request Checklist: Sites (PDF - 106 KB)
- EHB Sample Form 5B: Service Site (PDF - 65 KB)
- Form 5B Instructions (PDF - 186 KB)
- TA Resource: Recording Suites, Floors or Buildings on Form 5B (PDF - 125 KB)
- How to Create a CIS Map Using UDS Mapper (PDF)
- Sample Map (PDF)
- CIS Assurances (PDF - 152 KB)
- Change in Scope Request
- Service Changes
- Site Changes
- Target Population Changes
Have an EHBs system related question about Change in Scope (CIS)?
Please contact the BPHC Helpline online or via
Phone: 1-877-974-BPHC (2742)
8:30 a.m. to 5:30 p.m. ET, Monday through Friday
Contact your health center’s project officer with other CIS questions.