Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 23 - GRANTS › Rule 2 - Health Care Professional Recruitment and Retention Program › Section 2-10 - Applicants

Current through July 10, 2024
Authority: IC 16-46-5-19
Affected: IC 16-46-5
Sec. 10.
(a)
				Applicants may choose only from those areas appearing on the department's
				annual list.
(b) A health care
				professional must apply for a loan repayment on an application form supplied by
				the department.
(c) Health care
				professionals participating in the student loan repayment program must meet the
				following conditions:
(1) Be a U.S.
				citizen.
(2) Have no outstanding
				contractual obligation for health professional service to the U.S. government,
				or a state or other entity, unless the service obligation will be completely
				satisfied before the contract has been signed. Be aware that certain bonus
				clauses in employment contracts may impose a service obligation.
(3) Not be in breach of a health professional
				service contract to the U.S. government, state or local government, or other
				entity.
(4) Not have a judgment
				lien against their property for a debt to the United States.
(5) Perform their service obligation at a
				site designated as eligible by the department.
(6) Provide primary health care service
				either full-time or part-time as provided for by Section 338B of the Public
				Health Service Act (
				42 U.S.C.
				254l-1 ), as amended, Section 331(i) of the
				Public Health Service Act (
				42 U.S.C.
				254d(i) ), as amended, and
				as future changes in the governing statute may dictate, including the
				following:
(A) Full-time services are defined
				as a minimum of forty (40) hours per week for at least forty-five (45) weeks
				per year at an eligible site. At least thirty-two (32) of the forty (40) hours
				per week must be spent providing clinical service. Fulltime services are
				subject to the following:
(i) These services
				must be conducted during normally scheduled clinic hours in the ambulatory care
				setting office or offices, with the remaining hours spent providing inpatient
				care to patients of the eligible site or in practice related administrative
				activities, or both, with administrative activities not to exceed twenty
				percent (20%) of their full-time service requirement.
(ii) Time spent "on-call" is not considered
				part of the full-time service requirement.
(iii) Obstetrician/gynecologists and
				certified nurse midwives are expected to spend not less than twenty-one (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 or in practice related administrative activities,
				or both, with administrative activities not to exceed twenty percent (20%) of
				their full-time service requirement.
(B) Part-time services are defined as a
				minimum of twenty (20) hours per week, not to exceed thirty-nine (39) hours per
				week, for a minimum of forty-five (45) weeks per year. Part-time services are
				subject to the following:
(i) The twenty (20)
				hours per week may be compressed into not less than two (2) work days per week,
				with not more than twelve (12) hours of work to be performed in any twenty-four
				(24) hour period.
(ii) Participants
				do not receive service credit for hours worked over the required twenty (20)
				hours per week, and excess hours cannot be applied to any other work
				week.
(iii) Full-time work done by
				a half-time participant will not change the participant's half-time status.
				Time spent "on call" will not count towards the service requirement, except to
				the extent the provider is directly serving patients during that period.
(7) 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, the person shall be charged at a reduced rate or not
				charged any fee.
(8) Agree to
				provide primary health services to any individual seeking care. The program
				participants must agree not to discriminate on the basis of the patient's
				ability to pay for such care on the basis that payment for such care will be
				made pursuant to Medicare or Medicaid.
(9) Agree that they will:
(A) accept assignment under Medicare (Section
				1842(b)(3)(B)(ii) of the Social Security Act) for all services for which
				payment under Part B of Title XVIII; and
(B) enter into an appropriate agreement with
				the state agency that administers the state plan for medical assistance under
				Title XIX to provide services to individuals entitled to medical assistance
				under the plan.
(10) Pay
				the amount specified in the program contract default provisions for failure to
				complete their service obligation for any reason.