Loan Repayment - Federal State Loan Repayment Program (SLRP)- Currently accepting applications.  We accept, review and award by eligibility and application date while federal funds are available.

The purpose of this program is to form a partnership between the federal government (HRSA) and the North Dakota Department of Health to aid in the placement of healthcare professionals in areas of greatest need at public and nonprofit private sites.

The facility site must be in a Health Professional Shortage area or be a designated Health Professional Shortage facility. You will verify this by going to https://data.hrsa.gov/tools/shortage-area/hpsa-find. Search by state, county, and primary care, mental health, or dental. If your county or facility shows a score your facility is in an eligible location.

The provider must secure the matching funds for this program before applying. You can ask up to $50,000 federal funds and whatever you ask for of federal funds you must have a commitment from your facility or an organization in the community.

To qualify for SLRP you must hold one of the below licenses:

Physicians:  Allopathic Medicine and Osteopathic Medicine in the following specialties: Family Medicine, General Internal Medicine, Pediatrics, Obstetrics/Gynecology, Geriatrics, and Psychiatry

Dentistry: General and Pediatric Dentists and Registered Dental Hygienists

Advanced Practice Clinicians: Nurse Practitioners and Physician Assistants (specializing in adult, family, pediatrics, psychiatry/mental health, geriatrics, or women's health), Psychiatric Nurse Specialists, and Certified Nurse Midwives

Mental/Behavioral Health: Health Service Psychologists (Clinical and Counseling), Licensed Clinical Social Workers, Licensed Professional Counselors, Marriage and Family Therapists

Nursing: Registered Nurses

Pharmacy: Registered Pharmacists

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.
  • Accept Medicare and Medicaid assignment.
  • Agree to practice two years in selected area.

Hours of Service Requirements:

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

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.

If the applicant requests $50,000 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.

The funds paid by the facility/community organization and the North Dakota Department of Health (federal funds) are all tax free. See tax law at this link: http://www.ndhealth.gov/pco/hcptax.asp.

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 by looking at https://data.hrsa.gov/tools/shortage-area/hpsa-find sort by state, county and primary care, mental health or dental.

Matching Funds:

 

Community Matching

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.

Sites that qualify in North Dakota if a HPSA facility or area.

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

Application deadline:

SLRP applications are accepted in date order year round with awards issued based on qualifying criteria and availability of funds.

 

SLRP Application Process

Please review the site and provider eligibility requirements below before you start the application process.

Please have the four 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) Three letters of recommendation to upload. Letters could come from the facility where you will practice, a partner/colleague, someone in the community, or if in school, a letter from one of your professors. 

3) Copy of your North Dakota license to upload. If you do not have a license yet, attach a copy of the application and send the license when it is received.

4) 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.

5) Sliding Fee Scale Policy or Charity Care Plan Policy prepared to upload in the application. Long Term Care Facility applicants only must upload the following link for the Sliding Fee Scale Policy section/question in the application.  LTC Sliding Fee Scale.

Start Application (This application is for providers that have never received SLRP previously)

 

SLRP Continuation Policy and Procedure Manual

SLRP Continuation Policy and Procedure Manual

Continuation Application

Instructions SLRP Application

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.

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

 

Please contact Bobbie Will for additional information and submission of completed applications:
Bobbie Will, Director
North Dakota Primary Care Office
Office of Public Health Systems and Performance
600 E Boulevard Ave., Dept 301
Bismarck, ND 58505-0200
office: 701-595-2676 or fax: 701-328-4727
email:
blwill@nd.gov