All new LHDs seeking PPHR recognition must implement the program through the state-supported model. The model requires that the PPHR application process for all LHDs within the state be coordinated by a state-level entity, such as a state health department or State Association of County and City Health Officials (SACCHO). This approach encourages collaboration and coordination between state and local health departments, and between LHDs in the same state. It also takes into account limited funding and avoids duplication of effort among states and applicants.
The state-supported model requires that a state identify a minimum number of applicants, as determined by NACCHO, to submit PPHR applications. The coordinating state agency must also identify a state lead to be a liaison between LHD applicants and NACCHO. An agency may begin the PPHR application process only after connecting with its state lead. Agencies recognized before the implementation of the state-supported model are eligible to apply for re-recognition if their status has not expired. NACCHO will work directly with these applicants as they prepare PPHR applications for national review.
NACCHO actively works with states to promote PPHR as a framework to improve the preparedness and response of their LHDs. Currently, NACCHO is collaborating with the following states to implement PPHR: