Health Center Program Site Visit Protocol

Health Resources and Services Administration (HRSA) site visits support the effective oversight of the Health Center Program. Operational Site Visits (OSVs) provide an objective assessment and verification of the status of each Health Center Program awardee's or look-alike’s compliance with the statutory and regulatory requirements of the Health Center Program. In addition, HRSA conducts site visits to assess and verify look-alike initial designation applicants for compliance with Health Center Program requirements to inform initial designation determinations.

The Health Center Program Site Visit Protocol (SVP) is the tool for assessing compliance with Health Center Program requirements during operational site visits (OSVs) and look-alike initial designation site visits. The SVP is designed to provide HRSA the information necessary to perform its oversight responsibilities using a standard and transparent methodology that aligns with the Health Center Program Compliance Manual (Compliance Manual).

Download the entire SVP (PDF - 1 MB) or download specific SVP sections:

Site Visit Resources

SVP Tools

The following tools are available to assist health centers in preparing for their site visit:

Frequently Asked Questions

Have questions on the Site Visit Protocol? View Frequently Asked Questions.

Health Center Program Compliance Manual

The Health Resources and Services Administration’s (HRSA) Bureau of Primary Health Care (BPHC) is responsible for effective and efficient oversight of the Health Center Program. This includes ensuring that health centers comply with applicable statutory and regulatory requirements for the Health Center Program. The Compliance Manual is the principal resource to assist health centers in understanding and demonstrating compliance with Health Center Program requirements. View the Health Center Program Compliance Manual.

Progressive Action Conditions Library

When HRSA determines that a health center is not demonstrating compliance with one or more of the Health Center Program requirements, a condition(s) is placed on its Notice of Award/Look-alike Designation. The uses a library of standard conditions that follows its Progressive Action policy and process, which fully aligns with the Compliance Manual. View the Progressive Action Conditions Library.

Preview the Updated Site Visit Protocol – Effective April 18, 2019

As part of continuous quality improvement efforts, HRSA collected feedback about the SVP and the OSV process from stakeholders, including health centers, strategic partners, site visit team reviewers, and HRSA staff. In response to this feedback, HRSA made several updates to the SVP to increase its effectiveness, clarity, consistency, and transparency. A summary of the significant changes and the SVP sections impacted is now available. No changes were made to the Compliance Manual or Health Center Program requirements.

HRSA will begin assessing compliance using this updated version of the SVP for all health center OSVs and look-alike initial designation visits occurring after April 18, 2019.

Date Last Reviewed:  March 2019