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Determine Your Eligibility and Apply for a Continuation Contract

With a continuation contract, you can extend your service by one year in exchange for loan repayment.

You must be an eligible, current National Health Service Corps Loan Repayment Program (NHSC LRP) or NHSC Students to Service Loan Repayment Program (S2S LRP) participant.

MAT Award Enhancement

Get an additional $5,000 in award funding.

Are you eligible?
You must possess a DATA 2000 Waiver and provide Medication-Assisted Treatment (MAT) at your NHSC-approved site. Learn more.

You must be one of the following:

  • Physician (Doctor of Medicine (MD)/Doctor of Osteopathic Medicine (DO))
  • Physician assistant (PA)
  • Nurse practitioner (NP)
  • Certified nurse-midwife (CNM)

Want a DATA 2000 Waiver?
Take free MAT training to get the DATA 2000 Waiver.

Note: The continuation contract application process is the same as the NHSC LRP.

How to receive additional funding

The following are FY 2020 continuation contract award levels for the NHSC (LRP and S2S) and the *MAT Award Enhancement:

Service Year Full-Time *Full-Time
(with DATA 2000 Waiver)
Half-Time *Half-Time
(with DATA 2000 Waiver)
3rd year of NHSC Service $20,000 $25,000 $10,000 $15,000
4th year of NHSC Service $20,000 $25,000 $10,000 $15,000
5th year of NHSC Service and beyond $10,000 $15,000 $5,000 $10,000

When to apply

We will email you and your site once the application cycle opens if you are eligible.

How to apply

Determine your eligibility and follow program requirements:

NHSC Loan Repayment Program

You may be eligible to continue loan repayment beyond the initial contract, one year at a time, and pay off all qualifying educational loans.

How do you remain eligible for the program?

You must have:

Do we guarantee continuation contracts?

There is no guarantee that you will receive a continuation contract for continued participation in the program beyond the initial contract.

Continuation awards will be made at the government’s discretion and depend on the availability of appropriated funds.

How can you increase the possibility of receiving a continuation contract?

To pursue a continuation contract, you must have a record of compliance with NHSC LRP requirements.

If you fail to comply with program requirements in a timely manner during the respective contract period, we may not select you.

What factors influence our decision?

  • You fail to apply all previously awarded NHSC LRP funds to your qualifying educational loans, as listed on your Participant Authorization Worksheet (PAW).
  • You fail to submit 6-month In-Service Verification (ISV) forms on time.
    • If any ISV is more than 60 days delinquent, we may consider you unqualified.
  • You convert from a full-time to half-time schedule without first obtaining NHSC approval.
  • You fail to alert the NHSC that you left, or will leave one or more of your NHSC-approved sites, without notifying the NHSC in advance of your departure.
  • You transfer to another site prior to obtaining NHSC approval or you request excessive transfers (more than two voluntary transfers).
  • You fail to adhere to other program timelines and policies. If you fail to:
    • Disclose information regarding your service that impacts compliance with the terms and conditions of an NHSC contract (e.g., working at an additional site);
    • Submit documentation for service requests in a timely manner (e.g., transfer request documents); or
    • Demonstrate flexibility in practice locations prior to official NHSC site assignment (in cases of unemployed clinicians).
  • You have excessive absences.
  • You have more than 35 workday absences per service year, without a documented medical, personal, or otherwise substantiated reason meeting the criteria for a suspension of the service obligation.

Note: If some of the above factors apply while you serve your initial contract, and you do not resolve them promptly, this may result in a breach of contract. This would put you in default of your NHSC LRP contract.

NHSC Students to Service Loan Repayment Program

Once you complete the initial three-year service contract, you may be eligible to apply for additional loan repayment funds.

This allows you to pay any remaining educational loans through one-year continuation service contracts.

How do you maintain program eligibility?

You must:

  • Have remaining unpaid qualifying educational loans;
  • Have applied all previously received S2S LRP payments, during the contract period, to reduce your qualifying educational loans;
  • Continue to serve at an NHSC-approved site; and
  • Meet all other program requirements in effect at the time we consider you for a continuation contract.

Do we guarantee continuation contracts?

There is no guarantee that you will receive a continuation contract.

We give continuation contracts at our discretion. It also depends on the availability of appropriated funds.

How do you apply?

We will notify you via email if you are eligible to apply for a continuation contract.

Medication-Assisted Treatment (MAT) Award Enhancement

You can receive additional funding if you possess or obtain a DATA 2000 Waiver and demonstrate that you are providing MAT at your NHSC-approved site.

FY 2020 award levels for the NHSC LRP and MAT Award Enhancement

Note: The continuation contract process remains the same as the NHSC LRP.

What is the DATA 2000 Waiver?

The Drug Addiction Treatment Act of 2000 (DATA 2000) Waiver allows clinicians to dispense or prescribe approved Schedule III, IV, and V narcotic medications (e.g. buprenorphine) in settings other than an opioid treatment program (OTP).

Eligible disciplines include:

  • Physicians (MD/DO)
  • Physician assistants
  • Nurse practitioners
  • Certified nurse-midwives

Can you receive training for the waiver?

Yes. NHSC has partnered with the Substance Abuse and Mental Health Service Administration’s (SAMHSA) Provider Clinical Support System (PCSS) to connect qualified behavioral health opioid and substance use disorder (SUD) clinicians to free Medication-assisted Treatment (MAT) Waiver training.

This NHSC-PCSS collaboration supports clinicians who provide evidence-based SUD treatment in communities that need it most.

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