PRESENTATION TITLE
Presentation Subtitle
National Health Service Corps:
Loan Forgiveness
April 15, 2014
Laura M Galbreath,...
Represents 2,500 community organizations that provide
safety-net mental health & substance abuse treatment
services to 8M ...
Agenda
 Overview of the National Health Service Corps
 Loan Repayment Program
 NHSC Approved Sites
 Becoming a NHSC Ap...
The National Health Service
Corps (NHSC)
• Builds healthy communities by supporting qualified health
care providers dedica...
NHSC Loan Repayment Program
• Loan repayment for qualifying educational loans
• Primary Care Disciplines
• Clinicians comp...
State Loan Repayment
Programs
Providers receive loan repayment in addition to a
competitive salary from their employers: NHSC-
approved sites
Apply to t...
NHSC Supported Disciplines
• Physicians MDs/Dos
• Family Medicine, Internal
Medicine, Geriatrics
Pediatrics, Psychiatrist ...
NHSC Clinicians
MD/
DOs
25%
NPs
17%
Nurse
Midwives
2%
PAs
14%
Dentist
12%
DH
2%
Mental
Health
29%NHSC Field Strength
Mental/Behavioral Health
Provider Service Requirements
• Full-time providers (40 hrs/wk)
 Minimum of 21 hrs/wk must be sp...
New NHSC Loan
Repayment Clinicians
LRP Responsibilities
• Specified minimum of hours per week
• Verify paid and unpaid hours
• Ensure that your employer main...
NHSC Site Eligibility
• Be located in a designated Health Professional Shortage Area (HPSA)
• Demonstrate an affiliation w...
Federally Designated Primary Care
Health Professional Shortage Areas
as of March 23, 2011
Prepared By:
Health Professions ...
Benefits of Membership for Sites
Recruit
providers and
residents
dedicated to
working where
they are needed
most
Post clin...
Quick Tips: 5 Easy Steps
Toward Joining the NHSC
• The below quick tips can help you begin the process of becoming an
NHSC...
NHSC for Behavioral Health
• Limits on number of BH professionals per site have been
raised
• Up to 36 per site may be sup...
Nuances for
BH Practice Settings
• Often, it is not obvious whether BH agencies are qualified
practice settings
• Calling ...
Substance Abuse
Providers
• Substance Abuse organizations not typically eligible
unless services are provided under umbrel...
Why NHSC for Integrated
Care Sites?
• Incentive for FQHCs who are automatically eligible to
post job openings and provide ...
25
NHSC Portal
26
NHSC On Facebook
Core Competencies for Integrated
Behavioral Health and Primary Care
A resource for primary and behavioral health care
orga...
CIHS and the Integrated Health Workforce
Producing and implementing integrated health
education curriculum and resources f...
Next Steps
• Connect with your local PC/MH providers
• Search the NHSC Jobs Center
• Check out the Virtual Job Fair
• Conn...
Thank You
Laura M Galbreath, MPP
laurag@thenationalcouncil.org
Twitter: laura3530
QUESTIONS &
ANSWERS
National Health Service Corps:  Loan Forgiveness, A Conversation You Cannot Afford to Miss.
National Health Service Corps:  Loan Forgiveness, A Conversation You Cannot Afford to Miss.
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National Health Service Corps: Loan Forgiveness, A Conversation You Cannot Afford to Miss.

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USC School of Social Work webinar held on Tuesday, April 15, 2 p.m. EDT (11 a.m. Pacific), entitled National Health Service Corps: Loan Forgiveness, A Conversation You Cannot Afford to Miss.

Presenter Laura Galbreath, director of the SAMHSA-HRSA Center for Integrated Health Solutions, discussed:

A history of the NHSC loan forgiveness program
Highlighted this program’s available resources
Explained how you can apply to participate


Published in: Education, Health & Medicine
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National Health Service Corps: Loan Forgiveness, A Conversation You Cannot Afford to Miss.

  1. 1. PRESENTATION TITLE Presentation Subtitle National Health Service Corps: Loan Forgiveness April 15, 2014 Laura M Galbreath, MPP
  2. 2. Represents 2,500 community organizations that provide safety-net mental health & substance abuse treatment services to 8M adults, children & families National voice for legislation, regulations, and practices that protect & expand access to adequately funded, effective mental health & addictions services
  3. 3. Agenda  Overview of the National Health Service Corps  Loan Repayment Program  NHSC Approved Sites  Becoming a NHSC Approved Site  Resources and Next Steps  Questions
  4. 4. The National Health Service Corps (NHSC) • Builds healthy communities by supporting qualified health care providers dedicated to working in areas of the United States with limited access to care. • Provides financial support to providers in the form of loan repayment and scholarship in exchange for working at NHSC- approved sites. • Today is a network of more than 14,000 providers and 17,000 sites.
  5. 5. NHSC Loan Repayment Program • Loan repayment for qualifying educational loans • Primary Care Disciplines • Clinicians complete their service obligation at NHSC- approved sites • Part-time Loan Repayment for 2-year and 4-year contracts • Loan Repayment is tax-free 5
  6. 6. State Loan Repayment Programs
  7. 7. Providers receive loan repayment in addition to a competitive salary from their employers: NHSC- approved sites Apply to the NHSC for loan repayment Providers find a job at an NHSC- approved site THEN 1 2
  8. 8. NHSC Supported Disciplines • Physicians MDs/Dos • Family Medicine, Internal Medicine, Geriatrics Pediatrics, Psychiatrist & OB/GYN • Nurse Practitioners • Physician Assistants • Certified Nurse Midwives Oral Health • Dentist • Dental Hygienist Primary Care Mental & Behavior Health • Health Service Psychologist • Licensed Clinical Social Worker • Licensed Professional Counselor • Marriage & Family Therapist • Psychiatric Nurse Specialist
  9. 9. NHSC Clinicians MD/ DOs 25% NPs 17% Nurse Midwives 2% PAs 14% Dentist 12% DH 2% Mental Health 29%NHSC Field Strength
  10. 10. Mental/Behavioral Health Provider Service Requirements • Full-time providers (40 hrs/wk)  Minimum of 21 hrs/wk must be spent at the NHSC approved site  19 hrs/wk can be spent in the inpatient setting (e.g. hospital or nursing home) or elsewhere (e.g., shelter) at the direction of the NHSC site  No more than 8 hrs/wk spent teaching AND  No more than 8 hrs/wk spent on administrative tasks • Half-time providers (20-39 hrs/wk)  Minimum of 11 hrs/wk must be spent at the NHSC approved site  9 hrs/wk can be spent in the inpatient setting (e.g. hospital or nursing home) or elsewhere (e.g., shelter) at the direction of the NHSC site  No more than 4 hrs/wk spent teaching and/or administrative tasks
  11. 11. New NHSC Loan Repayment Clinicians
  12. 12. LRP Responsibilities • Specified minimum of hours per week • Verify paid and unpaid hours • Ensure that your employer maintains its status as a NHSC approved site (3 years) • After two year….continuations are available
  13. 13. NHSC Site Eligibility • Be located in a designated Health Professional Shortage Area (HPSA) • Demonstrate an affiliation with an outpatient, ambulatory care clinic • Provide comprehensive primary care and related inpatient services • See all patients, regardless of ability to pay • Accept Medicare, Medicaid & Children’s Health Insurance Program beneficiaries • Utilize a sliding fee scale for low-income patients  Full discount for those below 100% of poverty  Schedule of discounts for those between 100% and 200% of poverty  The NHSC can provide you with examples
  14. 14. Federally Designated Primary Care Health Professional Shortage Areas as of March 23, 2011 Prepared By: Health Professions Resource Center Center for Health Statistics Texas Department of State Health Services March 23, 2011 Designation Status Not Designated Special Population Special Population Partial County Partial County Whole County
  15. 15. Benefits of Membership for Sites Recruit providers and residents dedicated to working where they are needed most Post clinical vacancies on the NHSC online national recruitment database Establish an integrated system of care that includes the uninsured and underinsured Receive community and site development assistance Network with other NHSC- approved sites Develop linkages with academic institutions and other organizations
  16. 16. Quick Tips: 5 Easy Steps Toward Joining the NHSC • The below quick tips can help you begin the process of becoming an NHSC-approved site.  Read CIHS’ manual Understanding the National Health Service Corps to learn about the program and its application process.  Determine if you are located in a Health Professional Shortage Area (HPSA) by entering your address in HRSA’s HPSA Locator.  Contact your State Primary Care Office (PCO). Your PCO will walk you through the application process and answer any of your questions.  Review the NHSC Service Site Reference Guide for details about what it means to be an NHSC site before you begin the application process.  Apply online at the NHSC website (you must first created an online account).
  17. 17. NHSC for Behavioral Health • Limits on number of BH professionals per site have been raised • Up to 36 per site may be supported by NHSC • Higher HPSA scores= more BH clinicians supported • Highest HPSA bracket (scores between 14-26) allows for up to 18 psychiatrists plus 18 other BH providers • Lowest HPSA bracket (scores 0-9) allows for up to 12 psychiatrists plus 12 other BH providers
  18. 18. Nuances for BH Practice Settings • Often, it is not obvious whether BH agencies are qualified practice settings • Calling the State PCO can help to clarify • Community Behavioral Health Organizations usually qualify under “clinic networks” in a mental health HPSA • Remember: BH sites must be designated as a HPSA for the discipline(s) within which they wish to hire!
  19. 19. Substance Abuse Providers • Substance Abuse organizations not typically eligible unless services are provided under umbrella of Mental Health or Primary Care services. • Due to the fact that individuals receiving substance abuse services are not specifically categorized by HRSA as “underserved” • Clinicians providing substance abuse services within an otherwise eligible site may be eligible for NHSC benefits- must be classified as one of the eligible provider types
  20. 20. Why NHSC for Integrated Care Sites? • Incentive for FQHCs who are automatically eligible to post job openings and provide loan repayment for behavioral health providers in these sites. • A creative strategy for behavioral health agencies to recruit primary care providers OR for primary care agencies to recruit behavioral health providers (Note: The agency must have be in a designated Primary Care Professional Shortage Area AND a Mental Health Professional Shortage Area)
  21. 21. 25 NHSC Portal
  22. 22. 26 NHSC On Facebook
  23. 23. Core Competencies for Integrated Behavioral Health and Primary Care A resource for primary and behavioral health care organizations as they shape job descriptions, orientation programs, supervision, and performance reviews for workers delivering integrated care.  Interpersonal Communication  Collaboration & Teamwork  Screening & Assessment  Care Planning & Care Coordination  Intervention  Cultural Competence & Adaptation  Systems Oriented Practice  Practice- Based Learning & Quality Improvement  Informatics
  24. 24. CIHS and the Integrated Health Workforce Producing and implementing integrated health education curriculum and resources for: • Psychiatrists Working in Primary Care • Consumers serving as Peer Educators • Case Managers as Health Navigators • Addiction Professionals Working in Primary Care • Primary Care Clinicians Working in Behavioral Health Settings • Care Management in Primary Care for current Behavioral Health Workforce • Mental Health First Aiders in Rural Communities • Social Worker Standard of Practice and Field Placement
  25. 25. Next Steps • Connect with your local PC/MH providers • Search the NHSC Jobs Center • Check out the Virtual Job Fair • Connect with NHSC Regional Offices • Bookmark your calendar for Corps Community Day events, part of National Primary Care Week in October. • Get Connected via social media • Get Involved – Support Network and NHSC conference
  26. 26. Thank You Laura M Galbreath, MPP laurag@thenationalcouncil.org Twitter: laura3530
  27. 27. QUESTIONS & ANSWERS

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