Guide to Understanding Florida's FQHCs and 330 Expansion ...

Overview of 330 “Expanded Medical Capacity” Funding
Who is Eligible to Apply for Expanded Medical Capacity (EMC) Funding
EMC sites are defined as service delivery sites within an existing health center’s current approved
scope of project which are being expanded to significantly increase access to primary health care
services to underserved populations in communities where the health center’s ability to provide care
falls short of meeting the need for services. The sites proposed for a medical expansion must be
listed on the existing 330 applicant’s most recently approved Form 5-Part B/Exhibit B from a
service area competition, change in scope, or non-competing continuation application.
What Can EMC Funds Be Used For
Strategies for expanded medical capacity may include but are not limited to expanding existing
primary care medical services, adding new medical providers where excess facility capacity exists,
expanding hours of operations, or providing additional medical services through contractual
relationships (e.g., obstetrics and gynecology services) at an existing health center site.
A portion of the funds may be used to: (1) hire outreach workers and other enabling services staff
to increase penetration in support of the capacity expansion; (2) hire administrative, nursing, and
other support staff (e.g., translators, data analysts, etc.) necessary to support services provided
through this expansion and achieve the goals and objectives of the proposal; and (3) support onetime
minor capital costs in Year 1 only (up to $150,000) for renovating and expanding existing sites
or replacing and expanding existing sites to a location proximate to the current health center(s).
What Can EMC Funds Not Be Used For
EMC funds may not be used to expand capacity at sites operated outside of a grantee’s current
approved scope of project. EMC funds may not be used to establish new sites, or to expand nonmedical
services.
What Constitutes a “Significant Increase in New Users”
All EMC applicants must ensure that proposed strategies will result in a significant increase in the
number of health center users served by existing delivery sites as defined below.
• Health centers that propose to expand medical capacity of an existing CHC program,
regardless of whether EMC funding is also requested to serve a special population must
demonstrate an increase in users of 25 percent of the total number of users the organization
reported in the last year’s UDS, or 3000 new users – whichever is less.
• MHC (migrant health centers), HCH (health centers for the homeless) and/or PHPC
(public housing primary care) only health centers (that do not receive 330e “community
health center” funding) proposing to expand medical capacity by initiating a CHC program
for the first time must demonstrate a minimum increase of 3000 new users.
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