We require National Health Service Corps (NHSC)-approved sites—with the exception of auto-approved NHSC sites—to submit a Site Recertification Application every three years.
Typically, we accept submissions for a period of six to eight weeks.
Prepare for Site Recertification
Meet All Requirements
- Function as part of a system of care that either offers or assures access to ancillary, inpatient, and specialty referrals.
- Provide services without regard to a person’s race, color, sex, national origin, disability, religion, age*, sexual orientation, or gender identity.
*Age is not an applicable discriminatory factor for pediatric, geriatric, or obstetrics/gynecology sites.
Health Professional Shortage Areas (HPSAs)
- Be located in, and treat patients from, a federally-designated Health Professional Shortage Area (HPSA).
- Provide culturally competent and linguistically-appropriate, comprehensive primary care services (medical, dental, and/or behavioral), which correspond to the designated HPSA type.
Payment for Services
NHSC-approved sites (with some exceptions) must:
- Provide services for free (or, for a nominal charge, consistent with the site’s policy) to individuals and families with annual incomes at or below 100% of the Federal Poverty Guidelines.
- Provide services at a discount based on family size and income for individuals and families with incomes above 100% and, at or below, 200% of the Federal Poverty Guidelines.
- Sliding Fee Discount Program (PDF - 965 KB)
- Make every reasonable effort to secure payment according to the schedule of fees.
- Accept assignment for Medicare beneficiaries, and have an appropriate agreement with the applicable state agency for Medicaid and CHIP beneficiaries.
- Prominently post signage (onsite and online, if applicable) stating that:
- Your site will not deny services based on a patient’s inability to pay.
- Your site will not deny services for any reason – including: race, color, sex, national origin, disability, religion, age*, sexual orientation, or gender identity.
- *Age is not an applicable discriminatory factor for pediatric, geriatric, or obstetrics/gynecology sites.
- Discounts are available based on family size and income.
- The availability of the Sliding Fee Discount Program (PDF - 965 KB).
- NHSC-approved sites must provide the NHSC with documentation that no one is charged or billed for services, and individuals are not denied health service because of inability to pay.
- Free clinics
- Correctional facilities
- Indian Health Service Facilities, Tribally-Operated 638 Health Programs, and Urban Indian Health Programs (ITUs)
Clinician Recruitment & Retention
- Use a clinician credentialing process that, at a minimum, includes reference review, licensure verification, and a query of the National Practitioner Data Bank (NPDB).
- Adhere to sound fiscal management policies and adopt clinician recruitment and retention policies to help the patient population, the site, and the community obtain maximum benefits.
- Maintain a clinician recruitment and retention plan.
- Have a current copy of the plan onsite for review.
- Adopt recruitment policies to keep up clinical staffing levels to properly serve the community.
- Agree not to reduce an NHSC clinician’s salary due to NHSC support.
- Allow NHSC clinicians to maintain a primary care clinical practice (full-time or half-time) as indicated in their contract with NHSC and must be knowledgeable of the clinician’s specific NHSC service requirements.
- Support NHSC clinicians with funding and arrangements, including clinical coverage, for their time away from the site to attend or participate in NHSC-sponsored meetings, webinars, and other continuing education programs.
- Make appropriate and efficient use of assigned NHSC clinicians, or risk losing status as an NHSC-approved site and/or deactivation.
Communication, Submissions & Site Visits
- Communicate any change in site or clinician employment status to us.
- Maintain all personnel and practice records associated with an NHSC clinician.
- Make records available for review by NHSC representatives.
- Complete and submit continuous data on the NHSC Site Data Tables (PDF – 432 KB) to us at time of Site Application, Recertification, and NHSC site visits.
- Must have six months of data.
- Submit a completed NHSC Comprehensive Behavioral Health Services Checklist (PDF 1.2 MB), if you provide behavioral health services.
- Comply with requests for a site visit from the NHSC or the state PCO with adherence to all NHSC requirements.
Submit a NHSC Site Recertification Application
Follow these steps in the Bureau of Health Workforce (BHW) Customer Service Portal:
- Log in during the open recertification cycle.
- Select the site name.
- You may submit a recertification for an “Approved” or “Inactive” site, but not a “Terminated” site.
- Need Assistance box > select Recertify.
- Start the NHSC Site Recertification Application.