Federal State Loan Repayment (SLRP)

ANNOUNCEMENT:

Medium
h2
Left
ANNOUNCEMENT:

The State Loan Repayment Program (SLRP) accepts provider applications year-round. Interested providers must take the eligibility quiz (link provided above) to determine if they qualify. Below are some additional resources to assist providers in successfully applying for SLRP.​

  • ​ND SLRP Policy Manual​
  • Provider Application Guidance​
  • Preview Application ​
  • Community Match Guidance​
  • Shortage Designation Maps
Medium
SITE ELIGIBILITY​

The following sites may be Auto-HPSAs in North Dakota: ​

  • ​Federally-Qualified Health Centers (FQHCs)​
  • Rural Health Clinics​
  • State/County Mental Health Hospitals​
  • Community Outpatient Facility​
  • State/County Health Department Clinic​
  • Indian Health Service Clinics​
  • Urban Indian Health Clinics​
  • State or Federal Correctional Facilities​
  • Immigration and Customs Enforcement Health Clinics​
  • FQHC Look-A-Likes​
  • Critical Access Hospital​
  • Long-Term Care Facilities (Medicare Certified Facilities Only)​
  • Community Mental Health Facility​
  • Free Clinic School-based Health Clinics​
  • Tribal Health Clinics​
  • Solo or Group Private Practices​
  • Mobile Units​

Public and nonprofit private sites are eligible, and the site must be located in a geographical Health Professional Shortage Area (HPSA). ​

You can identify if your site is a facility or geographical HPSA , sort by: state, county and primary care, mental health or dental.​

PROVIDER ELIGIBILITY​

Provider Selection includes the following criteria:​

  • Must be U.S. citizen​
  • Must not have outstanding contractual obligations unless completed before the SLRP contract has been signed (this includes recruitment bonuses).​
  • Must not have a judgement lien against their property.​
  • Must not be excluded, debarred, suspended or disqualified or have debts written off as uncollectible.​
  • Must not have breached a prior service obligation or have not had any service or payment obligation waived.​
  • Graduated from an accredited training program in the U.S., its possessions, territories or Canada.​
  • Approved/licensed by discipline specific licensing boards.​
  • Achievement of matching funds (community match)
  • Accept Medicare and Medicaid assignment.​
  • Agree to practice two years in selected area.​​

Eligible Professions​

  • Physicians (MD/DO)​
    • Family Medicine, Internal Medicine, Pediatrician, Obstetrics & Gynecology​
  • General/Pediatric Dentistry​
  • Primary Care Nurse Practitioner, Physician Assistant, Certified Nurse Midwife​
  • Clinical Psychologist, Clinical Social Worker, Licensed Professional Counselor, Marriage and Family Therapist, Psychiatric Nurse Specialist​
  • Registered Nurse​
  • Pharmacist​
INCENTIVE AND PAYMENT

Financial Incentives/Payments:​

  • The award amount may not exceed $50,000 per year for full-time participants, or $25,000 per year for half-time participants. $25,000 will be awarded through federal funds and $25,000 will be from the community match (please review community match criteria)​
     
  • If the applicant requests $50,000/year of federal funds, the community organization or facility must match (see match section below) $50,000. The facility/community organization has two years to pay the provider the funds, $25,000 per year paid by the organization/facility. The North Dakota Department of Health with pay the full contract amount of federal funds 90 days from the contract start date.​
TAX INFORMATION

The funds paid by the facility/community organization and the North Dakota Department of Health (federal funds) are all tax free, according to the ND Health Care Professional Loan Repayment Tax Information.​

  1. IRS Publication 970 states the following regarding student loan repayment assistance programs "Student loan repayments made to you are tax free if you received them for any of the following:
    1. The National Health Service Corps Loan Repayment Program.
    2. A state education loan repayment program eligible for funds under the Public Health Service Act.
    3. Any other state loan repayment or loan forgiveness program that is intended to provide for the increased availability of health services in underserved or health professional shortage areas (as determined by such state).
    4.  You cannot deduct the interest you paid on a student loan to the extent payments were made through your participation in the above programs."
  2. Payments under certain state loan repayment programs.
    1. In the case of an individual, gross income shall not include any amount received under section 338B(g) of the Public Health Service Act, under a state program described in section 338I of such Act, or under any other state loan repayment or loan forgiveness program that is intended to provide for the increased availability of health care services in underserved or health professional shortage areas (as determined by such state).
    2. Under 26 U.S.C. § 3401(a) (19), state loan repayment program payments are also not considered to be "wages" and are therefore exempt from federal employment tax (FICA).          
  3. Wages
    1. For purposes of this chapter, the term "wages" means all remuneration (other than fees paid to a public official) for services performed by an employee for his/her employer, including the cash value of all remuneration (including benefits) paid in any medium other than cash; except that such term shall not include remuneration paid.
    2. For any benefit provided to or on behalf of an employee, if at the time such benefit is provided, it is reasonable to believe that the employee will be able to exclude such benefit from income under section 74(c), 108(f)(4), 117, or 132. 
SELECTION OF APPLICANTS

Applications are reviewed at the time of submission.  Applications are checked for completeness, provider eligibility , and site eligibility ​

Community memorandum of understanding for the community match (hyperlink to community match) must be complete. ​

If site and provider eligibility are met, and community match is secured, a contract will be extended to the provider. ​

CONTRACT OBLIGATIONS​

Full-Time Employment. For the purpose of SLRP, Full-time clinical practice is defined, as a minimum of 40 hours/week, for a minimum of 45 weeks each service year. The 40 hours per week may be compressed into no less than 4 days/week, with no more than 12 hours of work to be performed in any 24-hour period. As noted in the practice requirements by discipline (below), participants must spend a designated minimum number of hours/week providing patient care. Participants do not receive service credit for hours worked over the required 40 hours/week and excess hours cannot be applied to any other workweek. Also, time spent "on call" will not be counted towards the service obligation, except to the extent the provider is providing patient care during that period. Additional rules apply based on discipline and practice location. For these rules, please see "Full-Time Clinical Practice Requirements, by Discipline" section at this site. https://nhsc.hrsa.gov/sites/default/files/NHSC/loan-repayment/lrp-application-guidance.pdf​

Half-Time Employment. For the purpose of SLRP, Half-time clinical practice is defined, as 20-39 hours/per week, for a minimum of 45 weeks each service year. The minimum 20 hours/week may be compressed into no less than 2 days/ week, with no more than 12 hours of work to be performed in any 24-hour period. As noted in the practice requirements by discipline (below), participants must spend a designated minimum number of hours/week providing patient care. Participants do not receive service credit for hours worked over the required 20 hours/week and excess hours cannot be applied to any other workweek. Also, time spent "on call" will not be counted towards the service obligation, except to the extent the provider is providing patient care during that period. Additional rules apply based on discipline and practice location. For these rules, please see "Half-Time Clinical Practice Requirements, by Discipline" section at this site.  https://nhsc.hrsa.gov/sites/default/files/NHSC/loan-repayment/lrp-application-guidance.pdf​

COMMUNITY MATCH​

DRAFT: Cost Sharing/Matching is REQUIRED for this program. Applicants must secure (non-federal) contributions toward SLRP contracts in an amount not less than $1 for each $1 of federal funds requested. Applicants have some flexibility in meeting the required match. For example, applicants may use:​

  • Donations from eligible practice sites.​
  • Donations from private foundations, corporations, community organizations and/or philanthropies; and​
  • Donations from rurally-oriented organizations requesting that those funds be used to support placement of practitioners in rural areas.​
SLRP CONTINUATION

(BUTTON) Start CONTINUATION SLRP application (select this option if you are requesting a continuation on a current SLRP contract)​

(Link) SLRP Continuation Policy and Procedure Manual​

Continuation Application for years 3, 4 or 5:​

Instructions SLRP Application (The below section is only for SLRP Awardees that are concluding the first contract for years 1 and 2.)​

Please have the following items COMPLETED and available for upload before you start filling out the application.​

  1. Lending statement (combine all statements to upload as one document) verifying outstanding educational loan(s) balance for upload to the application.​
     
  2. This Program requires a community representative stating the community (organization within your community, public or private, or clinical site where you practice) will pay matching funds for two years.  This match is a 1:1 (federal funds:community funds) match. Please identify and have the commitment from a community or your facility prior to filling out the application. You will provide the contact person's name and email for the matching funds on the application and they will receive a Memorandum of Understanding agreement via email.​

(BUTTON) Start Continuation Application (This application is for providers that are currently in SLRP and want to continue)​

Medium

Back to LRP Page