California Code of Regulations
Title 22 - Social Security
Division 2 - Department of Social Services-Department of Health Services
Part 2 - Health and Welfare Agency-Department of Health Services Regulations
Subdivision 6 - Preventive Medical Services
Chapter 5 - Assistance to Primary Care Clinics
Article 2 - Eligibility for Grant
Section 40533 - Application Content. Each Application Shall Include the Following Information

(a) The type of assistance applied for:

(b) The need for funds to continue current level of operation. In demonstrating such need the applicant shall take into account:

(c) The long-term prospect for financial stability.

(d) The proportion of services provided to high risk and/or medically underserved populations.

(e) The boundaries of the medical service area currently served by the clinic. Such area shall be designated by census tract.

(f) A list of services that are supported by the grant. Such presentation shall be in a form that conforms with generally accepted accounting procedures for nonprofit organizations.

(g) A specific plan of internal evaluation to measure the specific impact the grant will have on the primary health care level of service.