National Health Service Corps (NHSC) - For Sites

Announcements

The 2024 Recertification Cycle is open until 11:59 pm ET on September 30th!

Sign up for emails to be notified when the next cycle opens.

Becoming an NHSC Site

Eligible Sites 

Centers for Medicare & Medicaid Services Certified Rural Health Clinics
  • Provider-Based
  • Independent
Community Outpatient Facilities
  • Hospital-Affiliated
  • Non-Hospital-Affiliated
State Prisons
  • Must be medium or maximum security.
  • Must have at least 250 inmates
  • The ratio of the number of internees per year to the number of FTE primary care physicians serving the institution must be at least 100:1
Substance Use Disorder (SUD) Treatment Facilities
  • Substance Abuse and Mental Health Services Administration (SAMHSA) - Certified Opioid Treatment Programs (OTPs)
  • Office-Based Opioid Treatment (OBOT) Facilities
  • Non-Opioid Outpatient SUD Treatment Facilities
Other Eligible Site Types
  • Critical Access Hospitals (CAH)
  • Free Clinics
  • Mobile Units
  • Private Practice (Solo or Group)
  • School-Based Clinics
  • State or Local Health Departments

Auto Approved Sites 

American Indian Health Facilities
  • Indian Health Service (IHS) American Indian/Alaskan Native Health Facilities
  • Tribal/638 Health Facility
  • Dual-Funded (Tribal Health Clinic and FQHC-Funded)
  • Urban Indian Health Program
  • IHS Hospitals
Federal Prisons
  • Must be Medium or Maximum Security
  • Must have at least 250 Inmates
  • The ratio of the number of internees per year to the number of FTW Primary Care Physicians serving the institution must be at least 100:1
Federally Qualified Health Centers (FQHCs)
  • Community Health Center
  • Migrant Health
  • Homeless Program
  • Public Housing Program
  • School-Based Program
  • Mobile Clinic

 

Documents

Each document has been prepared in accordance with the site reference guidelines. It is important to note that it is not endorsed or affiliated with HRSA. 

You are welcome to use either the fillable PDFs or Word templates as needed, but please remove the highlighted disclaimer at the bottom and/or top of each page once prepared for your own organization. 

Fillable PDF's

Sliding Fee Schedule 

  • A Site Reference Guide compliant, fillable PDF, Sliding Fee Schedule for your use as needed. 

 

Sliding Fee Program Patient Application 

  • A Site Reference Guide compliant, fillable PDF, Sliding Fee Program Patient Application for your use as needed. 

 

Sliding Fee Policies and Procedures  

  • A Site Reference Guide compliant, fillable PDF, Sliding Fee Policies and Procedures for your use as needed. 

 

Public Notice Signage 

  • A Site Reference Guide compliant fillable PDF Public Notice Signage for your use as needed. 

 

Non-Discrimination Signage 

  • A Site Reference Guide compliant fillable PDF Non-Discrimination Signage for your use as needed. 

 

Workforce Recruitment and Retention Plan 

  • A Site Reference Guide compliant fillable PDF Workforce Recruitment and Retention Plan for your use as needed. 

 

MOUD Attestation 

  • A Site Reference Guide compliant fillable PDF MOUD Attestation for your use as needed. 

Word Templates

Sliding Fee Schedule 

  • A template of a compliant Sliding Fee Schedule, as outlined in the Site Reference Guide, for your use as needed. 

 

Sliding Fee Program Patient Application 

  • A template of a compliant Sliding Fee Program Patient Application, as outlined in the Site Reference Guide, for your use as needed. 

 

Sliding Fee Policies and Procedures 

  • A template of compliant Sliding Fee Policies and Procedures, as outlined in the Site Reference Guide, for your use as needed. 

 

Public Notice Signage 

  • A template of compliant Public Notice Signage, as outlined in the Site Reference Guide, for your use as needed. 

 

Non-Discrimination Signage 

  • A template of compliant Non-Discrimination Signage, as outlined in the Site Reference Guide, for your use as needed. 

 

Workforce Recruitment and Retention Plan 

  • A template of a compliant Workforce Recruitment and Retention Plan, as outlined in the Site Reference Guide, for your use as needed. 

 

MOUD Attestation 

  • A template of a compliant MOUD Attestation, as outlined in the Site Reference Guide, for your use as needed. 

Cheat Sheets

Ancillary Access to Care 

  • This document contains examples of documentation that can be used to show that your site offers culturally competent comprehensive care through referral arrangements for ancillary, inpatient, and specialty care that is not provided on-site. 

 

Behavioral Health

  • This document contains examples of documentation that can be used to show core, non-core, on-site and off-site Behavioral Health services.

 

Behavioral Health Agency - Online License Screenshot 

  • A list of steps to obtain a screenshot of your active BHA license using the BHA Greenbook. A copy of your active BHA license can be used to satisfy the on-site documentation requirements within the application. 

 

Public Notice Signage

  • A close-up and public view photo of your Public Notice Signage must be submitted within your application. This document contains an example of each photo that would be considered compliant. 

Examples

Sliding Fee Schedule 

  • An example of how our Sliding Fee Schedule fillable PDF/Word template can be used. 

 

Sliding Fee Program Patient Application 

  • An example of how our Sliding Fee Program Patient Application fillable PDF/Word template can be used. 

 

Sliding Fee Policies and Procedures 

  • An example of how our Sliding Fee Policies and Procedures fillable PDF/Word template can be used. 

 

Public Notice Signage 

  • An example of how our Public Notice Signage fillable PDF/Word template can be used. 

 

Non-Discrimination Signage 

  • An example of how our Non-Discrimination Signage fillable PDF/Word template can be used. 

 

Workforce Recruitment and Retention Plan 

  • An example of how our Workforce Recruitment and Retention Plan fillable PDF/Word template can be used. 

 

MOUD Attestation 

  • An example of how our MOUD Attestation fillable PDF/Word template can be used. 

 

Helpful Links

National Health Service Corps | NHSC (hrsa.gov)
NHSC Program Fact Sheets | NHSC (hrsa.gov)
Become an NHSC Site | NHSC (hrsa.gov)
BHW Program Portal User Guide for Site POCs (hrsa.gov)
National Health Service Corps Site Reference Guide (hrsa.gov)

 

Frequently Asked Questions 

When does the recertification application cycle open?

The recertification application cycle opened on August 19th and closes on September 30th. 

Who is the recertification application cycle for?

Your site would recertify during the recertification cycle if your site is coming up on the three-year application approval end date. The 2024 recertification cycle will focus on sites that are expiring on December 31st, 2024. If you have not received an email from the PCO about your upcoming expiration date, please reach out at pco@doh.wa.gov. 

How long is the application cycle?

During a typical cycle, sites have four to six weeks to submit their site application. 

How should my site prepare for the application?
How will I know if my site has been approved?

NHSC will notify you through the BHW portal. Once approved, NHSC will also provide your site with information on posting open job positions on the Health Workforce Connector. 

Will my site approval expire?

Once approved by NHSC, your application is valid for three years, with the exception of eligible auto-approved sites. Your site must remain in a HPSA and continue to meet NHSC eligibility requirements and maintain compliance throughout the approval period. 

Why isn't my facility listed as a NHSC site?
  • Your site may not be located in a Health Professional Shortage Area (HPSA). 
  • Your site does not meet all of the NHSC requirements. 
  • Your site may not have submitted an NHSC site application. 
  • The site approval expired and has not been recertified.