Fla. Admin. Code Ann. R. 64W-4.005 - Award Prioritization
(1) Applications
for reimbursement or loan repayment will be prioritized in tiers, as described
below.
(a) Tier 1 consists of eligible
applicants who are Florida residents.
(b) Tier 2 consists of eligible applicants
who are Florida residents and received an award in a prior state fiscal year,
but not in the state fiscal year immediately preceding the application state
fiscal year.
(c) Tier 3 consists of
eligible applicants who are Florida residents that have never received an award
under this program.
(d) Tier 4
consists of eligible applicants who are not Florida residents.
(2) Within each tier, applicants
will be prioritized from highest to lowest by the following method:
(a) The FRAME Prioritization Score will be
computed using a weighted total of 85% of the Adjusted HPSA Score plus 15% of
the Service Score, plus 10% of the percentage of the practitioner's practice
that is composed of Medicaid patients (as a whole number, not a percentage),
plus the Recruitment Factor, if eligible. Eligible HPSA Scores will be for the
applicable discipline (primary care or mental health) as set forth in paragraph
64W-4.001(10)(b),
F.A.C.
(b) The Adjusted HPSA Score
will be computed by:
1. For only one practice
location: (average weekly direct patient care hours provided, [DPCH] ÷
40) x HPSA Score).
2. For multiple
practice locations: each location will be scored individually using the above
calculation and the results will be added together.
(c) The Service Score will be computed by
(end date of application period - date of applicant's first day with the
employer) ÷ 100)). If the applicant works for multiple employers, the
applicant's longest employer's start date will be used.
(d) The Recruitment Factor is an additional
2.5 points added to the score if the eligible provider began providing services
for their employer in a HPSA after the beginning of the same state fiscal year
as the application period. For all others the recruitment factor is
0.
(e) The calculations set forth
in paragraphs (2)(a), (b), (c), and (d) above are illustrated in Figure 1
below.
Figure 1.
(((DPCH/40)×HPSA Score) × .85) + ((Longest Employment by Days)/100×.15) + (Medicaid Percentage/10) + Recruitment Factor
(3)
Primary care settings not in a designated HPSA in their discipline (primary
care or mental health) will use the HPSA Score of 1 less than the lowest HPSA
score in their discipline that was designated on January 15, or the next
business day if the 15th falls on a weekend or holiday, but not less than zero
for the HPSA Score in the computed Adjusted HPSA Score.
(4) All HPSA Scores will be the score that
was applicable on January 15, or the next business day if the 15th falls on a
weekend or holiday.
(5) Loan
repayment funds will be disbursed directly to lenders.
(6) Payments made to a lender cannot exceed a
recipient's outstanding qualified principal loan balance and all payments made
by the Department shall only be applied to the recipient's principal
balance.
(7) In the event that
there are mathematical ties (to the eighth decimal place) in the priority
scores where funding will be exhausted, those applicants with a tied priority
score will be funded in the following order of precedence:
(a) First, by the highest Adjusted HPSA score
as calculated in paragraph (2)(b). In the event this does not resolve the tied
priority scores, then
(b) Second,
by the highest Medicaid participation percentages as reported on the FRAME
Employment Verification Form. In the event this does not resolve the tied
priority scores, then
(c) The
remaining amount of funding will be equally divided among the tied
applicants.
(8) All
applicants who are prioritized to receive an award will be notified in writing
via email to the email address designated in their FRAME Application. Such
applicants must complete the award confirmation in the FRAMEworks portal
located at https://www.fdohframe.com/s/ within
fifteen calendar days of the date the notice is sent. Any applicant that does
not confirm their award within the required timeframe will be ineligible to
receive an award. Should any awards be declined or become ineligible based on
non-responsiveness, the next prioritized applicants will be eligible for an
award and upon email notification must confirm such award pursuant to this
subsection.
(9) This rule will be
reviewed and repealed, modified, or renewed through the rulemaking process five
years from the effective date.
Notes
Rulemaking Authority 381.402 FS. Law Implemented 381.402 FS.
New 4-20-23, Amended 2-15-24.
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(1) Applications for reimbursement or loan repayment will be prioritized in tiers, as described below.
(a) Tier 1 consists of eligible applicants that are Florida residents.
(b) Tier 2 consists of eligible applicants that are not Florida residents.
(2) Within each tier, applicants will be prioritized from highest to lowest by the following method:
(a) The FRAME Prioritization Score will reflect a weighted total of 75% of the Adjusted Primary Care HPSA Score and 25% of the Service Score.
(b) The Adjusted Primary Care HPSA Score will be computed by:
1. For only one practice location: (average weekly direct patient care hours for the month immediately preceding application, [DPCH] ÷ 40) x Primary Care HPSA Score).
2. For multiple practice locations: each location will be scored individually using the above calculation and the results will be added together.
(c) The Service Score will be computed by (end date of application period - date of applicant's first day with the employer) ÷ 100)). If the applicant works for multiple employers, the applicant's longest employer's start date will be used.
(d) The calculations set forth in paragraphs (2)(a), (b), and (c) above are illustrated in Figure 1 below.
Figure 1.
Click here to view image
(3) Underserved areas not designated by HRSA as a primary care HPSA will use a Primary Care HPSA Score of 1 less than the lowest primary care HPSA score designated on January 15, or the next business day if the 15th falls on a weekend or holiday, but not less than zero for the Primary Care HPSA Score in the computed Adjusted Primary Care HPSA Score. All Primary Care HPSA Scores will be the score that was applicable on January 15, or the next business day if the 15th falls on a weekend or holiday. Any applicant working at a facility that is eligible to have its own HPSA score will use that facility's Primary Care HPSA score.
(4) Loan repayment funds will be disbursed directly to lenders.
(5) Payments made to a lender cannot exceed a recipient's outstanding qualified principal loan balance and all payments made by the Department shall only be applied to the recipient's principal balance.
(6) In the event that there are mathematical ties (to the eighth decimal place) in the priority scores where funding will be exhausted, those applicants with a tied priority score will be funded in the following order of precedence:
(a) First, by the highest Adjusted Primary Care HPSA score as calculated in paragraph (2)(b). In the event this does not resolve the tied priority scores, then
(b) Second, by the highest Medicaid participation percentages as reported on the FRAME Employment Verification Form. In the event this does not resolve the tied priority scores, then
(c) The remaining amount of funding will be equally divided among the tied applicants.
(7) This rule will be reviewed and repealed, modified, or renewed through the rulemaking process five years from the effective date.
Notes
Rulemaking Authority 1009.65 FS. Law Implemented 1009.65 FS.
New 4-20-23, Amended 2-15-24.