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Indiana State Loan Repayment Program (IN-SLRP)

Overview

The Indiana State Loan Repayment Program (IN-SLRP) is a workforce retention program that provides student loan repayment to health professionals to encourage the full-time delivery of primary care, mental, and dental healthcare services at practices located in federally designated health professional shortage areas (HPSAs) in Indiana. HPSAs are geographic areas, population groups, or healthcare facilities that have been designated by the Health Resources and Services Administration (HRSA) as having a shortage of health professionals.

In exchange for a two-year service commitment, IN-SLRP recipients can receive up to $20,000 to repay their outstanding student loans. Participants may reapply for the program once; in this case, they could receive up to an additional $20,000 for an additional two-year service commitment, for a total of up to $40,000 for four years of service.

Project ECHO

To further improve the quality of care to underserved populations, IN-SLRP awardees participate in an ECHO (Extension for Community Healthcare Outcomes) learning project. Project ECHO connects a massive network of health professionals with specialist teams who share resources, tools, and strategies for improving treatment for specific populations, diseases, or conditions. Learning projects contain a series of interactive educational sessions where teams and providers share their knowledge and experiences. IN-SLRP participants must attend all live sessions for their ECHO learning project to fulfill the ECHO requirement. After the completion of an ECHO, IN-SLRP recipients can continue their service in the workforce with an improved lens on how to deliver care.

Eligibility

  • Disciplines
    • Physicians – Allopathic (MDs) or Osteopathic (DOs) including specialties:
      • Family Medicine
      • Obstetrics/Gynecology
      • General Internal Medicine
      • Gerontology
      • General Pediatrics
      • General Psychiatry
    • General Practice Dentists (D.D.S OR D.M.D)
    • Registered Clinical Dental Hygienists (DHs)
    • Primary Care Nurse Practitioners (NPs)
    • Primary Care Physician Assistants (PAs)
    • Certified Nurse-Midwives (NMs)
    • Registered Nurses (RNs)
    • Health Service (Clinical or Counseling) Psychologists (CPs)
    • Licensed Clinical Social Workers (CSWs)
    • Psychiatric Nurse Specialists (PNSs)
    • Licensed Professional Counselors (LPCs)
    • Marriage and Family Therapists (MFTs)
    • Alcohol and Substance Abuse Counselors with Indiana Licenses
  • Professional Requirements

    To be eligible, healthcare professionals must meet the following criteria:

    • Must be a U.S. citizen.
    • Must not be in breach of a health professional service contract to the federal government, a state or local government, or other entity.
    • Must not have a judgment lien against their property for a debt to the U.S.
    • Hold an unlimited license (if applicable) to practice a health care profession listed above in Indiana.
    • Must have outstanding student loans and use award money only to pay outstanding student loans incurred during undergraduate or graduate education.
    • Must agree to provide services in a public or private not-for-profit setting in a federally designated shortage area approved by the Indiana Department of Health (IDOH) for two years.
    • Must perform the service obligations at an eligible site, i.e., public or nonprofit private entity located in a federally designated health professional shortage area (HPSA) appropriate for their discipline and providing primary health care services.
    • Must provide full-time primary health care services, which is defined as a minimum of 40 hours per week for at least 45 weeks per year for two (2) years at an eligible site. At least 32 of the minimum 40 hours per week must be spent providing clinical service. These services must be conducted during normally scheduled clinic hours in the ambulatory care setting office(s), with the remaining hours spent providing inpatient care to patients of the eligible site and/or in practice-related administrative activities, with administrative activities not to exceed 20% of their full-time tour.
    • Obstetricians/Gynecologists and Certified Nurse Midwives are expected to spend at least 21 hours per week providing ambulatory care services during normally scheduled office hours, with the remaining hours spent providing inpatient care to patients of the eligible site and/or in practice-related administrative activities, with administrative activities not to exceed 20 percent of their full-time tour.
    • Must charge for their professional services at the usual and customary prevailing rates in the area in which such services are provided, except that if a person is unable to pay such charge, such person shall be charged at a reduced rate or not charged any fee.
    • Must agree to provide primary health care services to any individual seeking care. The IN-SLRP participants must agree not to discriminate based on the patient’s ability to pay for such care or on the basis that payment for such care will be made pursuant to Medicare or Medicaid.
    • Must agree to accept assignment under Medicare for all services for which payment may be made under Part B of Title XVIII and enter into an appropriate agreement with the state agency that administers the state plan for medical assistance under Title XIX to provide service to individuals entitled to medical assistance under the plan.
    • Must pay the amount specified in their IN-SLRP Program contract default provision if they fail to complete their service obligation for any reason.
  • Practice Site Requirements

    To be eligible, practice sites must meet the following criteria:

    • Committed to employing health care professionals full-time for a minimum of two (2) consecutive years.
    • Must be a public or non-profit private entity located in and providing health care services in a federally designated HPSA. A non-profit private entity means an entity that may not lawfully hold or use any part of its net earnings to the benefit of any private shareholder or individual and which does not hold or use its net earnings for that purpose.
    • Must be located in a primary care, mental health, or dental health federally designated HPSA.
    • Must charge for professional services at the usual and customary prevailing rates except for free clinics.
    • Must provide discounts for individuals with limited incomes (i.e., use a sliding fee scale).
  • Taxability of Awards

    Public Law 108-357, enacted October 22, 2004, makes all funds disbursed on or after January 1, 2004 under the NHSC Loan Repayment Program and the State Loan Repayment Program exempt from gross income and employment taxes. See U.S.C. 108(f)(4) regarding income tax and 26 U.S.C. 3121(a)(20) regarding employment tax. This law also excludes these funds from being taken into account as wages in determining benefits under the Social Security Act.

Apply to IN-SLRP

Submit your IN-SLRP application and required documents.

Apply Now

Not Eligible?

View additional repayment resources.

Learn More

Frequently Asked Questions

Contact Us

Gabby Long

IN-SLRP Manager

SLRP@isdh.IN.gov

Madisen Mrotek

Office of Primary Care Manager

SLRP@isdh.IN.gov