Ariz. Admin. Code § R9-15-209 - [Effective 6/30/2023] Allocation of Loan Repayment Funds

A. Each fiscal year, for an initial application or renewal application that demonstrates a primary care provider's and the primary care provider's service site's compliance with A.R.S. Title 36, Chapter 21 and this Article, the Department shall allocate loan repayment funds according to this Section and in the following order to the primary care provider with the highest health service priority:

1. During the April allocation process, primary care providers with a HPSA score of 14 or more who are approved to participate for a third year in the:

a. Primary Care Provider LRP, or

b. Rural Private Primary Care Provider LRP;

2. During the June allocation process, if there are additional loan repayment funds available after the allocation process in subsection (A)(1), primary care providers who are approved for initial participation for two years in the:

a. Primary Care Provider LRP, or

b. Rural Private Primary Care Provider LRP; and

3. During the October allocation process, if there are additional loan repayment funds available after the allocation process in subsection (A)(2), primary care providers delineated in subsection (B) in the:

a. Primary Care Provider LRP; or

b. Rural Private Primary Care Provider LRP.

B. A primary care provider is allowed to apply for participation in the LRP according to the requirements in this Chapter and be allocated loan repayment funds according to subsection (A)(3), if the primary care provider has:

1. Completed the first two years of participation in the LRP but was denied approval to continue participation because no loan repayment funds were available during the allocation process;

2. Previously participated in the LRP, completed at least the first two years of participation, and is applying to resume participation in the LRP;

3. Completed the first two years of participation in the LRP and is currently providing primary care services at a service site with a HPSA score below 14, and is applying to continue participation in the LRP during the same calendar year as the completion of the first two years;

4. Completed the first three years of participation in the LRP and is applying to continue participation in the LRP during the same calendar year as the completion of the first three years of participation; or

5. Submitted an initial application during the same calendar year that demonstrated the primary care provider's and the primary care provider's service site's compliance with A.R.S. Title 36, Chapter 21 and this Article but was denied approval to participate because:

a. There were no loan repayment funds available;

b. For an initial application, the primary care provider's employer employs four other primary care providers approved to participate in the LRP; or

c. For an initial application, the primary care provider's service site employs two other primary care providers approved to participate in the LRP.

C. The Department shall use monies donated to the LRP to supplement allocations made according to A.R.S. Title 36, Chapter 21 and this Article based on a primary care provider's health service priority and, if applicable, any designation made for the donation according to subsection (D).

D. A person donating monies to the LRP shall designate whether the donation is for:

1. The LRP to use at the discretion of the Department for loan repayment allocations or for LRP administrative costs; or

2. One of the following:

a. The Primary Care Provider Loan Repayment Program established according to A.R.S. § 36-2172;

b. The Rural Private Primary Care Provider Loan Repayment Program established according to A.R.S. § 36-2174;

c. A specific type or types of primary care provider; or

d. A specific county in Arizona;

E. If state loan repayment funds and state-appropriated funds are depleted, but there are donated funds available and the primary care provider with the next highest health service priority is not designated to receive the donated funds according to (D)(2) the donated monies are not allocated during the current allocation process.

F. The Department shall determine the amount of loan repayment funds allocated to a primary care provider based on the primary care provider's service site's highest HPSA score as determined in R9-15-207(B)(2) or R9-15-208(B)(1) or (2), as follows:

1. If a service site's highest HPSA score is 18 to 26 points, 100 percent of the maximum annual amount;

2. If a service site's highest HPSA score is 14 to 17 points, 90 percent of the maximum annual amount; and

3. If a service site's highest HPSA score is 0 to 13 points, 80 percent of the maximum annual amount.

G. The Department shall allocate loan repayment funds to physicians and dentists according to the following:

Contract Year of Service	Maximum Annual Amount for Full-Time
HPSA Score of 18-26	HPSA Score of 14-17	HPSA Score of 0-13
Initial two years	$65,000	$58,500	$52,000
Third year	$35,000	$31,500	$28,000
Fourth year	$25,000	$22,500	$20,000
Fifth year and continuing	$15,000	$13,500	$12,000

Contract Year of Service	Maximum Annual Amount for Half-Time
HPSA Score of 18-26	HPSA Score of 14-17	HPSA Score of 0-13
Initial two years	$32,500	$29,250	$26,000
Third year	$17,500	$15,750	$14,000
Fourth year	$12,500	$11,250	$10,000
Fifth year and continuing	$7,500	$6,750	$6,000

H. The Department shall allocate loan repayment funds to pharmacists, advance practice providers, and behavioral health providers according to the following:

Contract Year of Service	Maximum Annual Amount for Full-Time
HPSA Score of 18-26	HPSA Score of 14-17	HPSA Score of 0-13
Initial two years	$50,000	$45,000	$40,000
Third year	$25,000	$22,500	$20,000
Fourth year	$20,000	$18,000	$16,000
Fifth year and continuing	$10,000	$9,000	$8,000

Contract Year of Service	Maximum Annual Amount for Half-Time
HPSA Score of 18-26	HPSA Score of 14-17	HPSA Score of 0-13
Initial two years	$25,000	$22,500	$20,000
Third year	$12,500	$11,250	$10,000
Fourth year	$10,000	$9,000	$8,000
Fifth year and continuing	$5,000	$4,500	$4,000

I. When calculating the allocation of loan repayment funds for a primary care provider who resumes participation in the LRP, the Department shall consider the loan repayment contract year of service to be the succeeding year following the actual loan repayment contract years of service completed during the primary care provider's previous participation in the LRP.

J. If the Department has inadequate funds to provide the maximum annual amount allowable and a primary care provider agrees to accept the lesser amount, the Department shall allocate the lesser amount agreed to by the primary care provider.

K. If the Department determines no loan repayment funds are available during a fiscal year for allocations based on an initial application or a renewal application, the Department shall provide a notice at least 30 calendar days before the initial or renewal application submission date that the Department is not accepting initial or renewal applications.

Notes

Ariz. Admin. Code § R9-15-209

New Section made by final rulemaking at 7 A.A.R. 2823, effective August 9, 2001 (Supp. 01-2). Adopted by exempt rulemaking at 22 A.A.R. 851, effective 4/1/2016.