Information you will need to apply as an HCP site:

  • Site or consortium information
    • The FCC Form Application number and the HCP number will already be filled in
    • If we are applying for you as a consortium, enter our FCCRN in line Rx.Health’s FCCRN is:  0029423944
      • If you are applying as an individual HCP, enter the FCCRN you obtained from Step 1 of this cheat sheet.
    • Non-Profit Tax ID (EIN)

  • Eligibility Category
    • You must fall into one of the following eligibility categories:

  • Contact information of primary account holder/ project coordinator
  • NPI, Organization Taxonomy Code (registry search provided on form):

 

 

  • Supporting Documentation
    • Examples may include: Hospital licenses, with the address clearly posted, to verify a non-profit hospital
    •  A recent bill or lease, with the address clearly posted, to verify the HCP address provided on the FCC Form 460
    •  Public tax documents to verify the Non-Profit Tax ID (EIN)
    •  Health Resources and Services Administration (HRSA) accreditation to verify a community health center

 

If you are applying as a Consortium yourself, the process is similar to above except:

  • For Consortium Information, you will need to enter the consortium FCCRN obtained in CORES from Step 1
  • For Eligibility Category, Consortium of the above will already be preselected
  • For Supporting Documentation, an example that could be included with the FCC Form 460 is recent bill or lease, with the address clearly posted, to verify the address provided.
  • For Consortium Leader Information, you will need to have a written agreement allocating legal and financial responsibilities and upload it