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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.

This is an overview of our requirements. Review complete details in our Site Reference Guide (PDF - 788 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:

  • State Prison
  • Centers for Medicare & Medicaid Services Certified Rural Health Clinics
    • Provider-based
    • Independent
  • Critical Access Hospitals (CAH)
  • Community Mental Health Centers (CMHC)
  • State or Local Health Departments
  • Community Outpatient Facilities
    • Hospital-affiliated
    • Non-hospital-affiliated
  • Private Practices (Solo or Group)
  • School-Based Clinics
  • Mobile Units
  • Free Clinics
  • Substance Use Disorder Treatment Facilities (including Substance Abuse and Mental Health Services Administration (SAMHSA)-certified OTPs, OBOTs, and non-opioid outpatient SUD treatment facilities)

Eligible Auto-Approved Site Types

These site types may be eligible auto-approved NHSC sites:

Ineligible Site Types

These site types aren't 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 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
    • Clinics that only provide STD/HIV/TB services.

Note: If you're 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 - 358 MB). It has 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.

Here's a summary of those 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)

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.
  • 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.


  • 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 -1.3 MB) to us with your site application, during site re-certification, 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.

Behavioral Health Services Certification

If your site provides behavioral health services, your site administrator must submit the NHSC Comprehensive Behavioral Health Services Checklist (PDF - 397 KB).

These NHSC-approved sites are EXEMPT from the Comprehensive Behavioral Health Services Certification process:

  • FQHCs
  • FQHC Look-Alikes
  • ITUs
  • Federal Prisons
  • State Prisons (only for the purposes of the Behavioral Health Requirements)
  • ICE Health Service Corps

Site administrators with sites that may be eligible for NHSC auto-approval must contact us directly to add new sites to the BHW Customer Service Portal.

How to apply

Follow the steps of our NHSC site application process.

Contact Us

Call 1-800-221-9393
(TTY: 1-877-897-9910)
M - F, 8 am - 8 pm ET
(except federal holidays)
Email us
BHW Customer Service Portal

Email Sign Up

Site Guidance

         (PDF - 358 KB)

         (PDF - 878 KB)

         (PDF - 878 KB)

NHSC Experience

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="" target="blank"><img alt="HRSA National Health Service Corps" data-entity-type="" data-entity-uuid="" src="" /></a>