Rural Essential Access Provider (REAP) Loan Repayment Program

• 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.
     

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.