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Service Area Competition Application Technical Assistance

About the Service Area Competition (SAC)

A SAC application is a request for Federal financial assistance to support comprehensive primary health care services for a competitively announced underserved area or population. All available service areas are currently served by Health Center Program grantees whose project periods are ending in FY 2012.

Eligible Applicants

Applicants must be public or nonprofit private entities, such as tribal, faith-based, or community-based organizations, that propose to serve a service area and its associated population(s) identified in the Funding Opportunity Announcement. Eligible applicants include:

• A current Health Center Program grantee whose project period ends on, or after, October 31, 2011 and before October 1, 2012 that seeks to continue serving its current service area.
  
• A health center not currently funded through the Health Center Program that seeks to serve an entire announced service area.
  
• A current Health Center Program grantee that seeks to serve an entire announced service area in addition to its current service area.

Program Requirements

An applicant must:

1. Provide services to the entire announced service area.
2. Provide services to the same target population currently being served (i.e., applicants may not propose to serve only a segment of the existing population being served) in an announced service area.
3. Provide the same or comparable comprehensive primary health care services presently being provided.
4. Request an equal or lesser amount of Federal funding than currently received by the Health Center Program grantee in an announced service area.

Program Specific Forms

• Form 1A: General Information Worksheet (Word - 69 KB)
• Form 2: Staffing Profile (Word - 58 KB)
• Form 3: Income Analysis (Word – 106 KB)
• Form 4: Community Characteristics (Word – 87 KB)
• Form 5A: Services Provided (Word – 115 KB)
• Form 5B: Service Sites (Word – 50 KB)
• Form 5C: Other Activities/Locations (Word – 38 KB)
• Form 6A: Current Board Member Characteristics (Word – 56 KB)
• Form 6B: Request for Waiver of Governance Requirements (Word – 41 KB)
• Form 8: Health Center Agreements (Word – 65 KB)
• Form 9: Need for Assistance Worksheet (Word – 91 KB)
• Form 10: Annual Emergency Preparedness Report (Word – 63 KB)
• Form 12: Organization Contacts (Word – 47 KB)

Performance Measures

• Clinical Performance Measures (Word – 121 KB)
• New and Revised Clinical Performance Measures (PDF - 296 KB)
• Financial Performance Measures (Word – 79 KB)