Texas Primary Care Office (TPCO) Information

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The Mission of the Texas Primary Care Office (TPCO):
To improve the health of Texans who live in underserved areas through timely and accurate assessment, planning, and assistance, to increase access to primary care providers of medical, dental, and mental health services.

The Programs:
Several programs and services are available through the TPCO to assist health professionals, clinics, hospitals, and health care providers improve access to health care services. The programs include National Health Service Corps (NHSC) and recruiting resources to help the health professional and practice site find a successful match. Applications are no longer available for state-funded Loan Repayment Programs, including Physician Education Loan Repayment Dental Education Loan Repayment and Children's Medicaid Loan Repayment.

The TPCO Staff:
TPCO Staff is available to answer questions and assist you with information about the incentive programs, find opportunities and search for the right provider. They can be reached by e-mail at TexasPCO@dshs.state.tx.us or by calling (512) 458-7518. We know that navigating the acronyms, programs, requirements, vacancies, and geography of Texas can be challenging. We are here to help you.

Finding Jobs/Finding Providers:
www.TexasHealthMatch.com is one resource for finding job opportunities in Texas. The site allows both providers and sites to create profiles and search for the best matches. This is a free data base, hosted by East Texas Area Health Education Center (ETAHEC) in partnership with the TPCO and Texas Department of Rural Affairs (TDRA). Other sites that may be helpful include: National Health Service Corps (NHSC): http://nhsc.hrsa.gov; Texas Association of Community Health Centers (TACHC): http://www.tachc.org; and The Rural Recruiting and Retention Network (3RNet): http://www.3rnet.org.

National Health Service Corps (NHSC) Physician Education Loan Repayment Program (PELRP) Dental Education Loan Repayment Program (DELRP) Children’s Medicaid Loan Repayment Program (CMLRP)

Program Description
Note: Applications are no longer available for state-funded Loan Repayment Programs, including Physician Education Loan Repayment Dental Education Loan Repayment and Children's Medicaid Loan Repayment.

The National Health Service Corps Loan Repayment Program (NHSC LRP) provides tax free student loan repayment assistance to primary care medical, dental and mental health clinicians in exchange for service at an approved site in a Health Professional Shortage Area (HPSA). The Physician Education Loan Repayment Program (PELRP) provides loan repayment funds to physicians who agree to practice in a Health Professional Shortage Area (HPSA), and provide health care services to recipients enrolled in Medicaid, and the TX Children's Health Insurance Program (CHIP). The Dental Education Loan Repayment Program (DELRP) provides loan repayment funds to general and pediatric dentists who agree to practice in a Dental Health Professional Shortage Area (DHPSA). The Children's Medicaid Loan Repayment Program (CMLRP) provides student loan repayment assistance to physicians and dentists who provide services to children on Medicaid

Eligibility Requirements

US Citizen

Appropriate degree, license or certification, and work experience as applicable for discipline (see Application Bulletin)

Accept Medicaid, Medicare, & SCHIP as full payment

Not deny service based on ability to pay

Work full-time at an eligible site

No concurrent service obligation

Have not ever defaulted on a federal or state obligation

Have completed residency and/or fellowship training at the time of application

Be practicing in a designated Health Professional Shortage Area (HPSA) training at the time of application

Have full physician license with no restrictions from the Texas Medical Board at the time of application

Must provide care to Medicaid & CHIP enrollees

No concurrent service obligation

Have eligible outstanding student loans.

Must be Board Eligible in years 1 – 3 and Board Certified in a primary care specialty by year 4

Must provide four consecutive years of services in a HPSA in Texas

Be a citizen or Legal Permanent Resident

Have completed residency and/or fellowship training at the time of application

Current unrestricted license

Work in an eligible site

Practice in an approved specialty

Accept Medicaid as full payment

Have eligible outstanding student loans

Not deny service based on ability to pay

No concurrent service obligation

Must provide one year of service services in a DHPSA in Texas

Have a current unrestricted license from the appropriate licensing board

Subspecialists must have board certification or be eligible to sit for the applicable subspecialty board.

Have a Medicaid number before applying

Have eligible outstanding student loans

No concurrent service obligation

Must agree to provide services for 4 consecutive years and meet the appropriate target number of Medicaid visits

Eligible Sites

Must practice in an NHSC approved site located in a Designated Health Professional Shortage Area (HPSA) Designated Primary Care Health Professional Shortage Area (HPSA) or Mental Health Professional Shortage Area (MHPSA) in Texas Designated Dental Health Professional Shortage Area (DHPSA) in TX

Federally Funded Community Health Center

Site location is not an eligibility criterion.  However, it is used as a scoring variable.

Scoring criteria are available on the DSHS web at: http://www.dshs.state.tx.us/c hpr/CMLRP.shtm

Application Cycles and Deadline

Applications are currently being accepted in cycles.  Contact NHSC for current application deadlines

Applications are no longer available for state-funded Loan Repayment Programs, including Physician Education Loan Repayment Dental Education Loan Repayment and Children's Medicaid Loan Repayment.

Service Obligation
2 year minimum. May extend for 1-year periods after initial 2 years completed dependent on availability of funds 4 consecutive years 12 consecutive months.

May renew annually.

4 consecutive years
Approved Specialties
Allopathic or Osteopathic Physician (MD or DO)

Family Medicine

General Pediatrics

General Internal Medicine

Obstetrics/Gynecology

Nurse Practitioner

Certified Nurse-Midwife

Physician Assistant

General Practice Dentist

Registered Clinical Dental Hygienist

Mental or Behavioral Health Professional

Psychiatrist (MD or DO)

Health Service Psychologist

Clinical Social Worker

Psychiatric Nurse Specialist Marriage & Family Therapist

Licensed Professional Counselor

Specialty is a ranking criteria, not an eligibility criteria

Priority Specialties:

Family Practice

Osteopathic Family Practice

Obstetrics/Gynecology

General Internal Medicine

General Pediatrics

Psychiatry

Geriatrics

For specialties other than primary care, the Texas Department of State Health Service (DSHS) must determine there is a critical need for the applicant’s specialty in the Health Professional Shortage Area(HPSA) where the practice is located

General Dentistry

Pediatric Dentistry

Allopathic or Osteopathic Physician:

Any medical specialty or sub-specialty that provides services to Medicaid children.

Dentists:

General and Pediatric

Maximum Annual Repayment Amount

$25,000 each year for first 2 years (Total $50,000)

Year 3                $35,000

Year 4                $35,000

Year 5                $25,000

Year 6                $20,000

Year 7 & beyond $15,000

 

For those with student loan debt of $160,000 or more

Year 1                $25,000

Year 2                $35,000

Year 3                $45,000

Year 4                $55,000

Annual amounts pro-rated for debt below $160,000

A physician working in a part time capacity of more than 20 hours per week of direct patient care, but less than the 32.5 hours per week for full payment, may receive a prorated amount of loan repayment assistance based on the percentage of time worked.

$10,000 annually

The repayment amount will be pro-rated for 12 consecutive months of part-time service

Up to a total of $140,000

Year 1  $20 K or $40 K

Year 2  $15 K or $30 K

Year 3  $20 K or $40 K

Year 4  $15 K or $30 K

Annual payment amounts dependent on the number of verified Medicaid visits

Eligible Loans

Loans for higher education

Made by a government entity or commercial lending institution

Not in default

Not being repaid through another program

Not consolidated with ineligible loans

Not made during residency

Loans for higher education;

Not in default

Not have an existing service obligation

Not be subject to repayment  through another student loan repayment or loan forgiveness program

Must not be from an insurance policy or pension plan

Not made during residency

Loans for higher education

Not in default

Not have an existing service obligation

Not consolidated with ineligible loans

Must not be from an insurance policy or pension plan

Loans for higher education

Not in default

Not have an existing service obligation

Not consolidated

Must not be from an insurance policy or pension plan

Breach of Contract

Must Repay

All funds received for contract period not completed plus interest

Penalty equal to the number of months of obligated service that were not completed, multiplied by $7,500

The amount eligible to be recovered will not be less than $31,000

Breach of a federal contract will affect eligibility of provider to receive federal assistance in the future

Will not receive funds, and will be removed from the program

Will be ineligible to apply for National Health Service Corps.

Will not be eligible to apply for any other loan repayment programs in Texas

Will not receive funds, and will be removed from the program

Will be ineligible to apply for National Health Service Corps.

May not be eligible to apply for any other loan repayment programs in Texas

Will not receive funds, and will be removed from the program

Will be ineligible to apply for National Health Service Corps.

Will not be eligible to apply for any other loan repayment programs in Texas

For Additional Information and How to Apply
Note: Applications are no longer available for state-funded Loan Repayment Programs, including Physician Education Loan Repayment Dental Education Loan Repayment and Children's Medicaid Loan Repayment.

TX Primary Care Office

(512) 458-7518

TexasPCO@dshs.state.tx.us

http://nhsc.hrsa.gov

TX Primary Care Office

(512) 458-7518

TexasPCO@dshs.state.tx.us

Link to PELRP Fact Sheet

TX Primary Care Office

(512) 458-7518

TexasPCO@dshs.state.tx.us

Link to DELRP Fact Sheet

TX Primary Care Office

(512) 458-7518

TexasPCO@dshs.state.tx.us

Link to CMLRP Fact Sheet

Other Links:

Nursing Education LRP: Federal loan repayment program for registered nurses, administrated by the Health Resources and Services Administration, Bureau of Health Professions: http://bhpr.hrsa.gov/nursing/loanrepay.htm

Faculty LRP: The Faculty Loan Repayment Program helps eligible health professions faculty from disadvantaged backgrounds to repay their student loans: http://bhpr.hrsa.gov/dsa/flrp/

Texas Primary Care Office

Phone: (512) 458-7518

Last updated January 10, 2012