0

Rural Essential Access Provider (REAP) Loan Repayment Program

#FFFFFF

 
Before you begin a loan repayment application, you must be employed at a REAP approved site by the first day of the application cycle.
#FFFFFF

Approved sites

Site application

#FFFFFF

  • Practice must be a private practice, offering full-scope outpatient primary care services, and providing care to patients for at least two years prior to application.
  • Practice must be located in a rural or frontier county (Reference: Colorado County Designation map).
  • Practice must be located in a federally designated Health Professional Shortage Area (Reference: Colorado County Designation map).
  • Practice must accept current and new Medicaid, Medicare, and CHP+ and offer a slide fee scale based on family size and annual income for those at or below 200 percent of the Federal Poverty Level.
  • Practice level proportion of Medicaid and SFS combined must exceed 10 percent of patients served in the previous 12 months to be eligible for consideration.
  • Hours of operation must be conducive to patient and community access to clinic care. 
     

  • Current sliding fee scale policy detailing how a sliding fee scale will be uniformly applied to all patients who meet family size and income requirements. 
  • Sliding fee scale patient application.
  • Non-discrimination statement.
  • Photo of signage posted in the clinic indicating the clinic:
    • Serves all patients regardless of ability to pay.
    • Offers discounted fees for patients.
    • Does not deny services based on a person's race, color, sex, disability, religion, sexual orientation, or national origin.
    • Accepts insurance, including Medicaid, Medicare, Children's Health Insurance program, and other programs accessible in Colorado, such as the Colorado Indigent Care Program.
       
#FFFFFF

 

 

The next REAP Loan Repayment application round will be open March 1-March 30, 2025.

#FFFFFF

Direct clinical care

  • A medically necessary medical, dental, mental or behavioral health visit or a qualified preventive health visit is direct clinical care. The visit must be a face-to-face/one-on-one encounter between the patient and clinician during which time one or more services are rendered.
  • Care rendered via telemedicine is not currently eligible to achieve the hours of direct care minimums.

Who is eligible?
  • Doctors of osteopathic or allopathic medicine (family medicine, geriatrics, general internal medicine, general psychiatry, general child psychiatry, general pediatrics, and general obstetrics and gynecology).
  • Clinical pharmacists (PharmD).
  • Licensed clinical or counseling psychologists (Ph.D., Psy.D.).
  • Licensed clinical social workers (master’s or doctoral degree in social work).
  • Licensed professional counselors (master’s or doctoral degree with a major study in counseling).
  • Licensed marriage and family therapists (master’s or doctoral degree with a major study in marriage and family therapy).
  • Certified nurse-midwives.
  • Nurse practitioners.
  • Physician assistants.
  • Psychiatric nurse specialist

If you are a DDS, DMD or RDH, you may be eligible for the state dental loan repayment program.
 

Full-time obligation
  • $30,000 for physicians.
  • $15,000 for physician assistants, advanced practice nurses, clinical pharmacists, and licensed mental health providers.
Part-time obligation
  • $15,000 for physicians.
  • $7,500 for physician assistants, advanced practice nurses, clinical pharmacists, and licensed mental health providers.
  • Meet the hourly requirements for direct clinical contact during the entire service obligation.

You must be a Colorado resident and agree to:
  • Work for a term of two years at the approved site.
  • Work part-time or full-time.
     

Additional eligibility details​ include:
  • Qualifying loans.
  • Licensure.
  • Employment status.
  • Competing service obligations.
#FFFFFF

Questions

Email Kathy Jacobsen at kathy.jacobsen@state.co.us with any questions.