Steve Shotwell B-218 West Fee Hall, MSU

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1 Steve Shotwell B-218 West Fee Hall, MSU

2 Michigan Center for Rural Health Information Our Mission To coordinate, plan, and advocate for improved health for Michigan s rural resident s and communities. Our Vision "The Michigan Center for Rural Health will be universally recognized as the center of expertise for rural health in Michigan through creative visionary education, service, and research.

3 Agenda for Today 1. Introductions 2. Overview of Loan Repayment Program Options a) National Health Service Corps b) State Loan Repayment Program 3. HPSA Score discussion 4. Updates to SLRP and NHSC 5. Questions?

4 Federal and State Clinician Loan Repayment Programs National Health Service Corp Student to Service Program Scholar Program Loan Repayment Program Michigan Department of Community Health State Loan Repayment Program

5 NHSC Overview The NHSC is committed to improving the health of the Nation s underserved: Uniting communities in need with caring health professionals Supporting providers by subsidizing their educational costs.

6 A network of 10,000 primary health care professionals in over 14,000 sites

7 NHSC Overview What is the need? Approximately 53 million people live in communities with limited access to primary health care. The NHSC is working to change this by helping these communities recruit and retain primary care clinicians.

8 NHSC Overview Where do the NHSC clinicians serve? NHSC clinicians practice in geographic areas that have been designated by the Secretary of the Department of Health and Human Services as having a shortage of health professionals. These areas are called Health Professional Shortage Areas (HPSAs).

9

10 FY 2013 NHSC Funding Award estimates by program Programs Estimated Number of Awards Applications S2S Loan Repayment Program NHSC Loan Repayment Program *Approximately 2,200 new & 2,000 Continuations 4,200 7,600 NHSC Scholarship Program 200 1,373 State Loan Repayment Program 32 32

11 As of September 30, 2013, nearly 8,900 NHSC clinicians were working in communities with limited access to health care Physicians 26% Mental/ Behavioral Health Providers* 28% Nurse Midwives 2% Nurse Practitioners 17% Dentists 12% Dental Hygienists 2% Physician Assistants 13% *Mental and Behavioral Health Provider disciplines include: Health Service Psychologist, Licensed Clinical Social Worker, Psychiatric Nurse Specialist, Marriage and Family Therapist, and Licensed Professional Counselor

12 The NHSC provides financial support to providers in exchange for working at NHSC-approved sites. REPAYMENT LOAN PROGRAM SCHOLARSHIP PROGRAM

13 Scholarship Program

14 Scholarship Program What is the Scholarship Program? Students dedicated to practicing primary care in health professional shortage areas (HPSAs) can compete for educational scholarships. In return for this scholarship support, they must agree to practice in communities across the nation where the need is greatest.

15 Scholarship Program FY Awards 100 Physicians; 30 Physicians Assistants; 50 Dentists; 7 Nurse Practitioners and Nurse Midwives 1,739 Applications Received

16 Scholarship Program What is the service commitment? One year of service for each year of scholarship support (with a minimum 2-year commitment). Scholars are responsible for contacting potential employers and securing employment at an approved NHSC Scholar Site. NHSC will assign Scholars to sites only if they are unable to find employment on their own.

17 Scholarship Program What support is provided? The NHSC provides full payment for up to 4 years of: Tuition and fees Reasonable educational expenses Monthly stipend

18 Scholarship Program Who is eligible to participate? The NHSC s Scholarship Program is open to U.S. Citizens who are full-time students enrolled, or accepted for enrollment, at fully accredited U.S. health professions schools.

19 Scholarship Program NHSC Scholarship Program Application Information Bulletin: Complete information on Scholarship Program selection criteria can be viewed in the NHSC Scholarship Application Information Bulletin at

20 Scholarship Program What are the residency requirements? Scholars attending medical school are expected to complete residency programs in one of the following areas: Family medicine General pediatrics General internal medicine Obstetrics/gynecology Psychiatry Rotating internship (D.O.s only) with a request to complete one of the above specialties

21 HPSA Scores Ask me about the importance of the HPSA SCORE

22 Loan Repayment program

23 Loan Repayment Program What is the service commitment? A minimum 2-year commitment for full-time clinical practice at an approved clinic It is possible to amend the contract beyond the initial 2 years for additional loan repayment. In this case, support is offered 1 year at a time.

24 Loan Repayment Program NHSC LRP participants serve at one of more than 14,000 NHSC-approved sites located in federally designated Health Professional Shortage Areas (HPSAs). A higher HPSA score indicates greater community need, so the NHSC Loan Repayment Program offers two levels of loan repayment awards.

25 Loan Repayment Program HPSA score of 14 or above $50,000 for a 2-year full-time commitment $25,000 for a 2-year part-time commitment HPSA score of 13 or below $30,000 for a 2-year full-time commitment $15,000 for a 2-year part-time commitment

26 Extend Your Service An NHSC LRP participant may be eligible to continue loan repayment beyond the initial contract, one year at a time, and pay off all qualifying educational loans.

27 Please Ask me about the significance of the SCORE AGAIN

28 Loan Repayment Program Who is eligible to participate? U.S. citizens and U.S. Nationals Do not have any outstanding service obligation. Ask me for examples?

29 Eligible Professions Physician: MD or DO Dentist: DDS or DMD Family Nurse Practitioner: master's degree or postmaster's certificate Certified Nurse-Midwife: master's degree or postmaster's certificate Physician Assistant: associate, bachelor's or master's degree

30 Qualifying Debt Government (Federal, State, or local) and commercial loans for undergraduate or graduate education obtained by the participant for: School tuition, other reasonable educational expenses, and reasonable living expenses Ask me about Consolidating Loans?

31 Loan Repayment Program NHSC Website Jobs Center

32 Michigan State Loan Repayment Program The State Loan Repayment Program (SLRP) allows physicians, dentists, nurse practitioners, nurse midwives and physician assistants an opportunity to quickly pay off their educational loans.

33 State Loan Repayment Program This program focuses on career opportunities with emphasis on quality and comprehensive primary care, in settings ranging from metropolitan to rural areas. The primary mission of SLRP is to assist Michigan's underserved communities in filling their health provider needs. Priority on HPSA site not score.

34 Prioritized Sites State-funded Primary Care Clinics Federally Qualified Health Centers (FQHCs) and FQHC Look-Alikes Critical Access Hospital (CAH) - Administered Primary Care Clinics Certified Rural Health Clinics (CRHCs) Designated as Facility HPSAs

35 Prioritized Sites Local Health Departments State-funded Institutions State Psychiatric Hospitals Forensic Medicine Centers CMH Agencies State Correctional Facilities

36 State Loan Repayment Program Service Commitment A minimum 2-year commitment for full-time clinical practice at an approved clinic. Community Match Program. 20% Match It is possible to amend the contract beyond the initial 2 year contract.

37 State Loan Repayment Program Support Provided Up to $25,000 per year for a maximum of $200,000 over 8 years of service. Obstetrics providers practicing in Northern Michigan (in, or north of, Mason, Lake, Osceola, Clare, Gladwin, and Arenac Counties) may receive up to $ per year for a maximum of $200,000.

38 State Loan Repayment Program Eligible Applicants American Citizens practicing in one of the approved sites in one of the primary care professions.

39 State Loan Repayment Program For More Information Contact: Ken Miller State Health Consultant Specialist Michigan Department of Community Health

40 Questions? For More Information Contact: Steve Shotwell Michigan Center for Rural Health Ryan Grinnell Michigan Primary Care Association

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