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U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICESBureau of Primary Health Care Health Center ProgramLookAlike Renewal of Designation Application InstructionsIssuance Date: July 3, 2019All applications
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How to fill out look-alike renewal of designation

01
To fill out a look-alike renewal of designation, follow these steps:
02
Access the application form from the designated website or platform.
03
Provide your personal information, including your name, contact details, and identification.
04
Indicate the specific designation you are renewing and the original designation it resembles.
05
Upload any supporting documents required to verify your eligibility for the renewal.
06
Review all the entered information for accuracy and completeness.
07
Submit the completed application form online or through the designated submission method.
08
Pay the applicable renewal fees, if any, as per the provided instructions.
09
Await a confirmation or notification regarding the status of your look-alike renewal of designation.

Who needs look-alike renewal of designation?

01
Individuals or entities that have obtained a look-alike designation need to renew it.
02
This includes those who have been granted special permissions to use a similar designation
03
to an existing official designation for branding or other specific purposes.
04
The renewal ensures that the use of the look-alike designation remains valid and compliant
05
with any regulations or agreements in place. It is typically required periodically to maintain
06
the authorization to use the look-alike designation.
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Look-alike renewal of designation refers to the process through which healthcare organizations that are qualifying as look-alike facilities must renew their designation to continue receiving certain benefits and recognitions associated with that status.
Health centers that have previously been designated as look-alikes are required to file the look-alike renewal of designation.
To fill out the look-alike renewal of designation, organizations must complete the required forms, providing updated information, financial statements, governance documentation, and evidence of continued compliance with eligibility criteria.
The purpose of the look-alike renewal of designation is to ensure that the health center continues to meet the necessary eligibility criteria and to facilitate the ongoing availability of federal support and benefits.
Organizations must report updated demographic information, financial status, governance structure, services provided, and any changes in operational status or compliance with federal regulations on the look-alike renewal of designation.
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