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ALN 93.224

Health Center Program New Access Points (NAP)

NAP funds new health center service delivery sites in underserved communities. New organizations, look-alikes and existing health centers compete to open sites that deliver comprehensive primary care regardless of ability to pay. Awardees must have every proposed site operating and be compliant with all Health Center Program requirements within 120 days of the notice of award.

Draft this applicationOfficial program page

Program facts

Agency
Health Resources and Services Administration (HRSA), Bureau of Primary Health Care, U.S. Department of Health and Human Services
Assistance Listing
93.224
Statutory authority
Section 330 of the Public Health Service Act (42 U.S.C. 254b)
Award ceiling
Up to $650,000 per award in the most recent NOFO
Awards
The FY2025 NOFO planned about 77 awards from $50 million; HRSA announced roughly $102 million in NAP awards to 158 health centers for about 415 new sites in August 2026
Period of performance
1 year initially, then folded into the recipient's Health Center Program award
Cost share
None required
Cycle
NAP does not post every year. The most recent NOFO (HRSA-25-085) posted May 30, 2024 with a Grants.gov Phase 1 deadline of August 30, 2024 and an EHBs Phase 2 deadline of September 30, 2024. Watch HRSA BPHC announcements for the next round.

Program goals

  • Open all proposed sites within 120 days of the notice of award
  • Demonstrate compliance with all Health Center Program requirements within 120 days
  • Expand access in high-need and sparsely populated ZIP codes without current health center sites
  • Deliver required primary, mental health and substance use disorder services to all age groups

Scoring rubric

Criterion100 pts

  • Need (Unmet Need Score)20

    Calculated by HRSA from the Unmet Need Score of the service area ZIP codes on Form 5B. It is not scored by the panel, so ZIP code selection matters.

  • Need (panel review)10

    A reasonable service area based on boundaries and existing services, documented unmet need, community and patient board member input, and consultation with state and local agencies.

  • Response25

    Sites that minimize access barriers, a work plan that meets the 120-day objectives, a plan for all required services, mental health and SUD care, enabling services and a compliant sliding fee discount schedule.

  • Collaboration10

    Letters of support from area providers in Attachment 9, or documented requests for them, plus real coordination with community organizations.

  • Impact5

    A reasonable patient projection on Form 1A, use of patient and community input, and a QI/QA program that covers UDS reporting.

  • Resources/Capabilities15

    Appropriate structure, a direct-hire CEO reporting to the board, internal controls, billing and collections that never deny care for inability to pay, and PCMH experience or plans.

  • Governance10

    Board composition and authorities that comply with Section 330 as shown in the bylaws, co-applicant agreement and Form 6A.

  • Support requested5

    Consistent figures across the SF-424A, budget narrative, Form 2 and Form 3, and a reasonable federal cost per patient on the Summary Page.

Point values from the FY2025 NAP NOFO (HRSA-25-085). HRSA can add funding priority points: 5 for a high-need ZIP code, 5 for a sparsely populated area and up to 10 for qualifying look-alikes. Confirm against the next NAP posting.

Eligibility

  • Private nonprofit entities or public agencies in the U.S. or its territories
  • Tribal and urban Indian organizations
  • Current Health Center Program recipients adding new sites (competing supplement)
  • New organizations and Health Center Program look-alikes
  • Applicants must propose at least one new full-time service delivery site providing primary medical care as its main purpose

Required attachments

  • Attachment 1: Service Area Map and Table
  • Attachment 2: Bylaws (eligibility requirement)
  • Attachment 3: Project Organizational Chart
  • Attachments 4 and 5: Position descriptions and biographical sketches
  • Attachment 6: Co-Applicant Agreement (public agencies)
  • Attachment 8: Sliding Fee Discount Schedule
  • Attachment 9: Collaboration Documentation
  • Attachment 11: Evidence of Nonprofit or Public Agency Status (eligibility requirement)
  • Work Plan in EHBs and Forms 1A, 2, 3, 5A, 5B, 6A and 8

Formatting rules

  • 90-page limit; bylaws, co-applicant agreement, proof of status, the service area map and collaboration documentation do not count
  • Two-phase submission: Grants.gov first, then supplemental information in HRSA EHBs
  • HRSA standard format: 12-point readable font, single spacing, 1-inch margins, 8.5 x 11 page size

Why applications lose points

  • Missing bylaws or proof of nonprofit or public agency status, which stops the application before review
  • Choosing service area ZIP codes with a low Unmet Need Score, losing points the panel cannot restore
  • A site that cannot realistically open within 120 days of award
  • No letters of support from nearby health centers, and no evidence they were requested
  • Federal cost per patient far above peers because the patient projection is too low

How ELIXIR CONSUMERS helps with HRSA NAP

  1. 1.Lays out candidate ZIP codes beside your patient origin data so you can compare Unmet Need Score tradeoffs before you commit
  2. 2.Drafts the 120-day work plan from your site lease, hiring plan and credentialing timeline in the vault
  3. 3.Tracks every letter of support request with dates, so Attachment 9 can show outreach even when a partner never replies
  4. 4.Checks federal cost per patient on the Summary Page against your Form 1A projection
How the NOFO Parser works

More healthcare breakdowns

Questions, answered

Is the Need score entirely from the panel?

No. In the FY2025 NOFO, 20 of the 30 Need points came from HRSA's Unmet Need Score calculation for your service area ZIP codes. The panel scored the other 10.

Can an existing health center apply?

Yes, as a competing supplement applicant adding new sites to its scope of project.

How fast do we need to open?

All proposed sites must be operational and compliant within 120 days of the notice of award.

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