4 Program Overview Purpose The NURSE Corps Loan Repayment Program (LRP) is a result of a National commitment to alleviate the critical shortage of nurses in the United States and U.S. territoriesThe NURSE Corps (LRP) offers financial assistance to repay up to 85% of eligible loans leading to a degree in nursing. Professions included are:Registered Nurses (RN) including advanced practice nurses, (i.e., Nurse Practitioners)Nurse Faculty
5 Program Overview Basic Eligibility To be eligible for the NURSE Corps Loan Repayment Program, the applicant must:Be a U.S. citizen (either U.S. born or naturalized), U.S. National, or Lawful Permanent ResidentHave an associates degree, bachelor’s degree, master’s degree, doctoral degree, or a diploma in nursingHave a current, full, permanent, unencumbered, unrestricted RN license valid in the state in which they are employedHave outstanding, qualified nursing education loans
6 Program Overview Types of Awards Initial 2-year Award: NURSE Corps participants receive a payment equal to 60% of their current, outstanding, qualifying educational loan balances incurred while pursuing education in nursing; in return for a 2-year service commitment at a Critical Shortage Facility (CSF)Continuation Award: After the completion of the initial 2-years of service qualifying NURSE Corps Loan Repayment Program participants may receive an additional 25% of their original loan balance for a third year of service.All awards are subject to Federal Taxes
8 Program Overview CSF Types Critical Access Hospital Disproportionate Share HospitalFederally Qualified Health Center and Look-AlikesIndian Health Service Health CenterNative Hawaiian Health CenterPublic HospitalRural Health ClinicSkilled Nursing FacilityState/Local Public Health and/or Human Services DepartmentHome Health AgencyHospice ProgramNon-Profit, Non-Disproportionate Share HospitalNursing HomeAmbulatory Surgical Center
9 Program Overview Service Requirements Registered Nurses (RN) must provide full-time service, defined as working at least 32 hours per week for a minimum of 45 weeks per year, at a Critical Shortage FacilityNo more than 7 weeks (35 days) per service year may be spent away from facility for vacation, holidays, continuing education, illness, maternity/paternity/adoption, or any other reason.
10 Program Overview Service Requirements (Cont.) Nurse Faculty (NF) must work at an accredited public or private nonprofit school of nursing and provide full-time service, as defined by the school.Nurse Faculty members must work for a minimum of 9 months per service year.No more than 7 weeks (35 days) per service year may be spent away from facility for vacation, holidays, continuing education, illness, maternity/paternity/adoption, or any other reason.
11 Program Overview Highlights The NURSE Corps currently consist of over 2500 dedicated nursing professionalsUp to 50% of funding is set aside for Nurse PractitionersUp to 20% of funding is set aside for Nurse FacultyIn 2012, 86% of NURSE Corps LRP initial 2-year awards were made to nurses working at a CSF in a HPSA with a score of 14 or higher
13 NURSE Corps 101 Step #1: Application and Program Guidance You must read the NURSE Corps Application and Program Guidance (APG) carefully prior to starting the application for loan repayment.The APG is the comprehensive policy document for the NURSE Corps Loan Repayment Program with detailed instructions on how to apply and where to find resources.The APG outlines the 2013 tier and funding preferences that are applied to each application reviewed.
14 NURSE Corps 101 Step #2: Gather Required Documents Proof of U.S. Citizenship:Applicants must provide documentation of being a U.S. citizen (either U.S. born or naturalized), U.S. National, or Lawful Permanent Resident (e.g., U.S. birth certificate, a copy of a certificate of citizenship or naturalization, U.S. passport ID page, or Green Card).Transcripts:Applicants must provide a transcript/diploma for each school where nursing education loans were incurredCurriculum Vitae/ Resume:Provide a document of all education, training, and degrees, and accounts for all time period/employment since the applicant’s completion of a qualifying health profession education.
15 NURSE Corps 101 Step #2: Gather Required Documents (Cont.) Loan Documentation:Qualifying Educational Loans include loans obtained for actual costs paid for:Tuition, fees, and other reasonable educational expenses (see Definitions) for qualifying nursing education; andReasonable living expenses (see Definitions) incurred while enrolled in qualifying nursing education.Consolidated Loans must only include qualifying nursing loans of the applicant; if not, the entire consolidation does not qualify
16 NURSE Corps 101 Step #2: Gather Required Documents (Cont.) Loan Documentation (Cont.):Please Note: If submitting a Perkins loan, additional documentation must be provided showing the loan is not subject to cancellationOther Supporting DocumentationAuthorization to Release Information FormAuthorization to Release Employment Information FormPlease note: required documents may need to be scanned and uploaded to the BCRS application portal for final submission. It is highly recommended that uploaded documents be submitted in a PDF format
17 NURSE Corps 101 Step #3: Complete Online Application All applications must be completed and submitted online via the BCRS Application Portal at: https://programportal.hrsa.gov/extranet/application/nelrp/login.seamThe application deadline is February 28, 2013 at 7:30 p.m. (EST)All required documents must be submitted via the BCRS Program Portal.
18 NURSE Corps 101 Step #3: Complete Online Application (Cont.) Employment VerificationInitiated by applicant and sent electronically to the selected site(s) point of contact (POC) for verification.If during the application your site is not listed as an option, a request to the NURSE Corps to add your site will be initiated.Application can not be submitted until the verification has been completed by the POC.Please consider that it may take up to 5 business days or longer to have your employment verified by your site(s) POC.Please note:If you transfer during the application process; your application will be made ineligible
19 NURSE Corps 101 Step #3: Complete Online Application (Cont.) Upload Loan Documentation:Account Statements reflecting:Current Outstanding BalanceCurrent Interest RateDisbursement Report/Other LenderDocuments reflecting:Type of LoanOriginal Loan AmountOriginal Loan DateConsolidation Dates (if applicable)Upload Other Supporting DocumentsSigned Authorization to Release InformationSigned Authorization to Release Employment InformationPlease note:If loans are consolidated during the application process; the loans will be made ineligible
20 NURSE Corps 101 Step #3: Complete Online Application (Cont.) Application SubmissionApplicant must certify that all information submitted with application is accurate and truthfulReview all information found in uploaded documents and ensure that the data submitted into the online application matchesInconsistent information within the application may lead to an applicant being deemed ineligibleAll applicants will be informed of their award status no later than September 30, 2013Withdraw your ApplicationAn applicant may withdraw his/her application at any time prior to the Secretary signing the contract and remain eligible to apply for NURSE Corps LRP in the future.
21 NURSE Corps 101 Step #3: Complete Online Application (Cont.) Withdrawing your ApplicationAn applicant may withdraw his/her application at any time prior to the Secretary signing the contract and remain eligible to apply for NURSE Corps LRP in the future.Once the NURSE Corps contract becomes effective, the applicant is obligated to provide 2-years of full-time service at the CSF or school of nursing identified in the application.
22 NURSE Corps 101 Step #4: Application Review Applications submitted for the Loan Repayment Program will not be reviewed by the NURSE Corps until after February 28, 2013Information from other sources will be used to determine eligibility (e.g. credit report, National Practitioner Data Bank and Healthcare Integrity and Protection Data Bank)Data collected in the online application will provide an initial ranking of applications for purposes of the funding preference tiers.
23 NURSE Corps 101 Step #4: Application Review The NURSE Corps applies funding preferences to determine the sequential order in which qualified applicants will be considered for an award.A funding preference will be given to applicants with the greatest financial need, defined as the debt to salary ratio of the applicant is 20 percent or greater. (e.g., total qualifying educational loans divided by base annual salary)Applicants will then be grouped into funding preference tiers starting with the first tier, awards will be made in order of decreasing debt to salary ratio until funds are expended.
24 Funding Preference Tiers Critical Shortage Facility HPSA Score NURSE Corps 101Step #4: Application Review: Funding Preferences for (RNs)Debt to Salary RatioFunding Preference Tiers20 Percent or AboveCritical Access Hospital; Disproportionate Share Hospital; Federally‐Qualified Health Center and Look Alike; Indian Health Service Health Center; Public Hospital; NativeHawaiian Health Care Center; Rural Health Clinic; Skilled Nursing Facility; State or Local Public Health or Human Services DepartmentPrimary Care or Mental HPSA Score 14 or aboveTier 1Primary Care or Mental HPSA Score between 10 ‐13Tier 2Primary Care or Mental HPSA Score between 0 – 9Tier 3Ambulatory Surgical Center; Nursing Home; Home Health Agency; Hospice Program; Non‐Profit, Non‐ Disproportionate Share HospitalPrimary Care or Mental HPSA Score between 0 ‐ 25Tier 4Critical Shortage Facility HPSA ScoreType of FacilitiesFunding Preference
25 NURSE Corps 101Step #4: Application Review: Funding Preferences for (NF)Debt toSalary RatioSchools of NursingPreference Tiers20 Percent orAboveFaculty teaching in schools of nursing with 50 percent of student enrollment from disadvantaged backgroundsTier 1All other Schools of NursingTier 2*Please refer to the Program Guidance for complete list funding preferences*
26 NURSE Corps 101 Step #5 Selection for Award Once your application has been recommended for approval you will receive a Confirmation of Interest (COI) from the NURSE CorpsThe COI will require the applicants action to:Confirm all practice site(s) and loan amounts are correctSign the NURSE Corps contract via a E-signatureSubmit banking information of designated financial institutionApplicants will be found ineligible if they are no longer working at the site submitted with application.
27 NURSE Corps 101 Step #5 Selection for Award Contracts of NURSE Corps LRP award recipients will be countersigned by the Secretary of Health and Human Services or his/her designee.Please note that a contract is not effective until signed/executed by the Secretary or his/her designee.Award recipients will receive an award notice via that will include:The NURSE Corps award letterA copy of the NURSE Corps signed contractA Payment Authorization Worksheet (PAW)Welcome packet from the BCRS Program Portal
28 NURSE Corps 101 Reasons for Denials Judgment liens arising from Federal debtExisting Service ObligationsDefaulted on any Federal payment or service obligationsAny existing Federal, State or local government debt written off as uncollectableCurrently excluded, debarred, suspended, or disqualified by a Federal agency from participating in a covered transaction;Employed by a staffing or travel nurse agencyWorking on an ‘as-needed’ (PRN) basisHave a temporary or inactive nursing licenseLicensed as an LPN or vocational nurseAre self-employedWork for a for-profit facility or for-profit school of nursing
29 NURSE Corps 101 Reasons for Denials (Cont.): Ineligible Site: Free-standing clinics that do not qualify as a facility previously mentionedRenal dialysis centersPrivate practice officesAssisted living facilitiesClinics in prisons and correctional facilitiesPrivate, for-profit facilities
31 NURSE Corps Participation Award paymentsPayments are made monthly via an electronic fund transfer to the participant’s checking or savings account, provided during the Confirmation of Interest .The first direct deposit is made in the month following the effective date of the contract.
32 NURSE Corps Participation In-Service Verifications (ISV)The NURSE Corps LRP verifies service every 6 months through with ISV through the BCRS Program Portal.Both the participant and site are both responsible for certifying the participant’s compliance or noncompliance during that 6-month period.Failure to complete the ISV may lead to a stop of payments and recommendation for default.
33 NURSE Corps Participation TransfersParticipants may only transfer facilities after receiving an awardLeaving the approved service site without prior NURSE Corp LRP approval will result in immediate suspension of payments until the transfer is completeParticipants may only transfer to a facility that falls into their awarded funding tierNurse faculty may not transfer to a CSF to work as an RN (and vice versa)
34 NURSE Corps Participation Continuation Award (Optional 3rd Year)Participants may be eligible for a 3rd year of loan repayment in exchange for an additional year of service at a CSF or as a faculty member at an eligible school of nursing.Third year eligibility requires the participant to remain in full compliance with the NURSE Corps policies for the duration of the initial two-year service agreement.Participants must submit an application for the 3rd year no later than 30 days prior to the end of the second service year or no later than June 30, 2013; whichever date is sooner.
35 NURSE Corps Participation Breaching ContractsFailure to begin or complete any service obligation may result in:Repaying all NURSE CORPS Loan Repayment Program payments received, plus interest at maximum legal prevailing rateA continuation contract will only require repayment of the 3rd year award.Disqualifies individual from receiving future awards from NURSE Corps Loan Repayment Program and some other Federal programsAny indebtedness owed to the Federal government is due within 3 years of the participant’s service breach date.
36 NURSE Corps Participation SuspensionsProvides temporary relief to a participant if he/she has short-term circumstances that make compliance impossible or reprehensibleGranted on a short-term basis for the following reasons:Leave of Absence for Medical or Personal ReasonsMaternity/Paternity/Adoption LeaveCall to Active Duty from a Reserve component in the Armed ForcesWaiversPermanently relieve the participant of all or part of the NURSE Corps Loan Repayment Program obligation
38 Things to Remember Begin the application process early!! Read the Application and Program GuidanceHave all required documents collected and complete prior to starting the online applicationEnsure all data submitted with the online application matches the uploaded required documentsDo not change facilities/schools once the application deadline has passedUnderstanding the deadline to withdrawDo not Consolidate loans during review period
39 Things to Remember Additional Resources NURSE Corps LRP Call Center Monday through Friday (except Federal holidays), 8:00am to 8:00pm EST.TTY –BCRS Application Portal https://programportal.hrsa.gov/extranet/application/nelrp/login.seamApplication and Program Guidance
40 Things to Remember Additional Resources NURSE CORPS Loan Repayment Program Web Site:HPSA by State and CountyHRSA Geospatial WarehouseQuick Access ReportsFind Shortage AreasHPSAs by State and County