Health Center Program Scope of Project
Guidance for health centers on how to accurately document scope of project and when to submit a change in scope request to HRSA.
Final
Issued by: Health Resources and Services Administration (HRSA)
Issue Date: April 15, 2020
Scope of Project
Add a temporary service site to the scope of project in response to emergency events
View Temporary Sites PAL (PDF - 185 KB)
Use and document telehealth within scope of project
View Telehealth PAL (PDF - 177 KB)
Self-Assess scope accuracy for services provided
View Health Center Self-Assessment Worksheet Form 5A: Services Provided (PDF - 1.11 MB)
A health center’s scope of project defines the activities supported by the Health Center Program project budget. Specifically, scope of project defines the approved service sites, services, providers, service area(s) and target population(s). This page provides information on how to accurately document scope of project and when to submit a Change in Scope (CIS) request to HRSA.
What is Change in Scope?
CIS 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 CIS 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 - 127 KB).
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.
* 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 - 144 KB)
Resources
Services
- 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 - 142 KB)
- Form 5A Service Descriptors (PDF - 289 KB)
- Form 5A Column Descriptors (PDF - 111 KB)
- Health Center Self-Assessment Worksheet for Form 5A: Services Provided (PDF - 1.1 MB)
- Updating Form 5A (Describes which changes require Formal CIS vs. Scope Adjustment Requests) (PDF - 566 KB)
- CIS Assurances (PDF - 172 KB)
Sites
- 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 - 432 KB)
- TA Resource: Recording Suites, Floors or Buildings on Form 5B (PDF - 125 KB)
- How to Create a CIS Map Using UDS Mapper
(PDF - 1.39 MB) - Sample Map (PDF - 1.39 MB)
- CIS Assurances (PDF - 172 KB)
Target Populations
- Add New Target Population Checklist (PDF - 2 MB)
- How to Create a CIS Map Using UDS Mapper (PDF - 1.39 MB)
- Sample Map (PDF - 1.39 MB)
- CIS Assurances (PDF - 172 KB)
Other Activities
- EHB Sample Form 5C: Other Activities/Locations (PDF - 103 KB)
- CIS Assurances (PDF - 172 KB)
Related Scope Policies and Resources
Change in Scope Request
- PIN 2008-01: Defining Scope of Project & Policy for Requesting Changes (PDF - 224 KB)
- PAL 2009-11: New Scope Verification Process (PDF - 38 KB)
- PAL 2014-10: Updated Process for Change in Scope Submission, Review and Approval Timelines (PDF - 126 KB)
Service Changes
Site Changes
- PIN 2007-09: Service Area Overlap: Policy & Process (PDF - 838 KB)
- PAL 2011-07: Sites, Scope of Project, and Capital Projects (PDF - 437 KB)
- PAL 2020-05: Requesting a Change in Scope to Add Temporary Service Sites in Response to Emergency Events (PDF - 185 KB)
Target Population Changes
- PIN 2009-05: Policy for Special Populations-Only Grantees Requesting a Change in Scope to Add a New Target Population (PDF - 80 KB)
Telehealth
- PAL 2020-01: Telehealth and Health Center Scope of Project (PDF - 177 KB)
Contact for More Information
Have an EHBs system related question about Change in Scope (CIS)?
Please contact the Health Center Program Support online or via phone: 877-464-4772 7:00 a.m. to 8:00 p.m. ET., Monday through Friday (except federal holidays)
Contact your health center’s project officer with other CIS questions.
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.