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Before you begin a loan repayment application, you must be employed at a REAP approved site by the first day of the application cycle.
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Approved sites
- If your workplace is not on the approved sites list, ask your site administrator or owner to submit a site application.
Site application
- Site applications are accepted year-round.
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- 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.
- The policy must be updated every year according to current Federal Poverty Guidelines.
- 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.
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The next REAP Loan Repayment application round will be open March 1-March 30, 2025.
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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.
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