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How to Meet NHSC Site Eligibility Requirements

To become a National Health Service Corps (NHSC) site, your site must be a certain type, and meet a list of requirements.

We provide an overview of our requirements below, however we expect you to review complete details in our Site Reference Guide (PDF – 915 KB).

Site Types

Review the types below to determine if your site type is eligible to become an NHSC site.

Eligible Site Types

The following site types are eligible to become NHSC-approved:

Eligible Auto-Approved Site Types

The following site types may be eligible auto-approved NHSC sites:

Ineligible Site Types

The following site types are not eligible to become an NHSC site, even if it is located in, or serves, a Health Professional Shortage Area (HPSA).

  • Inpatient Hospitals
    • Exceptions: Medicare-approved CAHs and some IHS and tribal hospitals
  • Clinics that limit care to veterans and active duty military personnel
    • Veteran’s Health Administration Medical Centers, Hospitals, and Clinics
    • Military bases
    • Civilian health care providers in the TRICARE Network
  • Other types of inpatient facilities and inpatient rehabilitation programs
  • Residential facilities
  • Local, county, or city correctional facilities
  • Home-based health care settings of patients or clinicians
  • Specialty clinics and/or service specific sites limited by gender, age, organ system, illness, or categorical population
    EXAMPLES:
    • Sites that only provide crisis intervention and addiction treatment.
    • Sites that only have substance abuse treatment centers.
    • Clinics that only provide STD/HIV/TB services.

Note: If you are unsure of your site’s type or if you have questions about your site’s ineligibility, use this map to find, and email the Division of Regional Operations (DRO) contact in your state.

Site Requirements

Review the NHSC Site Agreement (PDF – 179 MB), for the full set of requirements your site must meet – both at the time of application and continuing as long as you maintain NHSC site status.

Below is a summary of those requirements.

General

  • 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)

Payment for Services

NHSC 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.
  • 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.
    • Discounts are available based on family size and income.
    • The availability of the Sliding Fee Discount Program (PDF – 965 KB).
  • NHSC 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.

EXCEPTIONS INCLUDE:

  • 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.

Clinician Support

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 with your site application, during site recertification, and before/during site visits. 

    • Must have six months of data.
  • Comply with requests for a site visit from the NHSC or the State PCO with adherence to all NHSC requirements.

Does your site provide behavioral health services?

If so, your site administrator must submit a completed NHSC Comprehensive Behavioral Health Services Checklist (PDF - 1.2 MB).

These requirements impact all current and prospective NHSC sites—except auto-approved sites, Certified Mental Health Clinics and Critical Access Hospitals—that provide behavioral health services.

Ready to submit your application?

Follow the steps of our NHSC site application process.

Contact Us

Call 1-800-221-9393
(TTY: 1-877-897-9910)
M - F, 8:00 am - 8:00 pm ET
(except federal holidays)

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NHSC Site updates

Site Guidance

         (PDF - 179 KB)

         (PDF - 915 KB)

NHSC Experience

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NHSC Site Badge

NHSC Site Badge

To embed the HRSA NHSC Site badge in your website, copy and paste the source code below:

<a href="http://bit.ly/2Lpqlaq" target="blank"><img alt="HRSA National Health Service Corps" data-entity-type="" data-entity-uuid="" src="https://nhsc.hrsa.gov/sites/default/files/NHSC/images/nhsc-badge-site-badge.png" /></a>