Before you begin a loan repayment application, you must be employed at a REAP approved site by the first day of the application cycle.
Approved sites
- If your workplace is not on the approved sites list, ask your site administrator or owner to submit a site application.
Site application
- Site applications are accepted year-round.
- Practice must be a private practice, offering full-scope outpatient primary care services, and providing care to patients for at least two years prior to application.
- Practice must be located in a rural or frontier county (Reference: Colorado County Designation map).
- Practice must be located in a federally designated Health Professional Shortage Area (Reference: Colorado County Designation map).
- Practice must accept current and new Medicaid, Medicare, and CHP+ and offer a slide fee scale based on family size and annual income for those at or below 200 percent of the Federal Poverty Level.
- Practice level proportion of Medicaid and SFS combined must exceed 10 percent of patients served in the previous 12 months to be eligible for consideration.
- Hours of operation must be conducive to patient and community access to clinic care.
- Current sliding fee scale policy detailing how a sliding fee scale will be uniformly applied to all patients who meet family size and income requirements.
- The policy must be updated every year according to current Federal Poverty Guidelines.
- Sliding fee scale patient application.
- Non-discrimination statement.
- Photo of signage posted in the clinic indicating the clinic:
- Serves all patients regardless of ability to pay.
- Offers discounted fees for patients.
- Does not deny services based on a person's race, color, sex, disability, religion, sexual orientation, or national origin.
- Accepts insurance, including Medicaid, Medicare, Children's Health Insurance program, and other programs accessible in Colorado, such as the Colorado Indigent Care Program.
The next REAP Loan Repayment application round will be open March 1-March 30, 2025.
Direct clinical care
- A medically necessary medical, dental, mental or behavioral health visit or a qualified preventive health visit is direct clinical care. The visit must be a face-to-face/one-on-one encounter between the patient and clinician during which time one or more services are rendered.
- Care rendered via telemedicine is not currently eligible to achieve the hours of direct care minimums.
Who is eligible?
- Doctors of osteopathic or allopathic medicine (family medicine, geriatrics, general internal medicine, general psychiatry, general child psychiatry, general pediatrics, and general obstetrics and gynecology).
- Clinical pharmacists (PharmD).
- Licensed clinical or counseling psychologists (Ph.D., Psy.D.).
- Licensed clinical social workers (master’s or doctoral degree in social work).
- Licensed professional counselors (master’s or doctoral degree with a major study in counseling).
- Licensed marriage and family therapists (master’s or doctoral degree with a major study in marriage and family therapy).
- Certified nurse-midwives.
- Nurse practitioners.
- Physician assistants.
- Psychiatric nurse specialist
If you are a DDS, DMD or RDH, you may be eligible for the state dental loan repayment program.
Full-time obligation
- $30,000 for physicians.
- $15,000 for physician assistants, advanced practice nurses, clinical pharmacists, and licensed mental health providers.
Part-time obligation
- $15,000 for physicians.
- $7,500 for physician assistants, advanced practice nurses, clinical pharmacists, and licensed mental health providers.
- Meet the hourly requirements for direct clinical contact during the entire service obligation.
You must be a Colorado resident and agree to:
- Work for a term of two years at the approved site.
- Work part-time or full-time.
Additional eligibility details include:
- Qualifying loans.
- Licensure.
- Employment status.
- Competing service obligations.