|
HSD Contact: |
Fabian Valle, Program Manager or Tanja M. James, Program Specialist
(Contact Us)
(Fact
Sheet)
|
| Purpose: |
To provide an incentive for primary care providers and dentists to provide
ambulatory primary care services in urban or rural, public, non-profit practices
located in federally designated
HPSAs (Health
Professional Shortage Areas).
Program funds are used to repay qualifying educational loans in return for
primary care service provision. |
| Eligibility: |
Arizona licensed and/or certified:
- Physicians
- Dentists
- Physician assistants
- Nurse practitioners
- Nurse
mid-wives
(General
Practice, Family Medicine, Dentistry, OB/GYN, Pediatrics, or Internal Medicine
are required specialties)
|
| Requirements: |
- Must be a United States citizen
- Have a valid offer of employment at an eligible service
site
- Contract with the State of Arizona to serve full-time for a minimum of
two years
- Provide primary care services at the approved service site
- Be appropriately
licensed and/or certified
- Have no other unfulfilled obligations
|
|
Service
Sites: |
- Must be a
public, non-profit organization
- accept AHCCCS and Medicare assignments
- Have a
sliding-discount-to-fee scale in place
- Be located in a federally designated
HPSA
Sliding discount-to-fee schedules must be based
on current Federal Poverty
Guidelines and adhere to
A.A.C. R9-1-504
sliding fee schedule submission and content.
Locating eligible employment is the
responsibility of the physician. The following organizations frequently list
employment opportunities. The provider should confirm site program eligibility
before entering into agreements if they wish to be considered for the program.
Arizona Association
of Community Health Centers
3R Net
For a list of sites that offer a sliding discount-to-fee scale and
may be eligible for these programs, refer to our
Sliding Fee Scale Clinics
web page. Please
contact this office to determine if a site is eligible or follow the
instructions below.
To determine if a site is designated as a Health Professional Shortage Area (HPSA) or Medically Underserved Area/Population (MUA/P), enter the complete street address of the location on the Shortage Designation Advisor website.
|
| Award
Amounts: |
Varies
based upon type of provider and priority ranking of the service site.
The priority ranking is determined by such variables as geographic
location and need, etc. The award is in addition to the compensation
package offered by the employer. Award ranges are as follows: |
| |
|
Application
Deadlines:
|
Quarterly:
March 15, June 15, September 15, December 15
|
|
Forms: |
For your
convenience, see list of electronic forms below:
-
Completed applications must be mailed.
- Only applications with original signatures will be
accepted.
- Electronic
or faxed submissions will not be accepted.
The
following links are in PDF format. To download,
Acrobat
Reader™ is required.
The
following forms are for use by contracted Loan Repayment Program
providers. These forms are based contract start dates and must be
submitted to ADHS quarterly with the appropriate
original signatures in order to process Loan Repayment Program payments.
Obligated
service begins on the date indicated on the contract. Service prior to the
start date does not count toward the service obligation. Loan repayments are
made directly to the lender(s) indicated by the
provider. Payments are generated quarterly by the submission of the service
verification and encounter reports immediately following the completion of
obligated service. |
|
Notices: |
Rural Private Primary Care Provider Loan
Repayment Program: Funding is currently available for loan
repayment to primary care providers and dentists working in private,
for-profit clinics located in
rural
AzMUAs
(Arizona Medically Underserved
Areas).
Looking for volunteer opportunities for healthcare professionals? The Arizona Emergency System for the Advance Registration of Volunteer Health Professionals (AZ-ESAR-VHP) is a secure, Web-based system used to register, qualify and credential Arizona health care professionals before a major public health or medical emergency.
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