NHSC Substance Use Disorder Workforce Loan Repayment Program

To combat the nation’s opioid crisis, HRSA launched the NHSC SUD Workforce LRP.

The most effective treatment for opioid addiction is a comprehensive approach that incorporates medication and behavioral health counseling.

The program supports the recruitment and retention of health professionals needed in underserved areas to expand access to SUD treatment and prevent overdose deaths.

In exchange for loan repayment, you must serve at least three years at an NHSC-approved SUD treatment facility in a Health Professional Shortage Area (HPSA).

Maternity Care Target Areas

In addition to awarding loan repayment program participants who serve in HPSAs, we also will use designated Maternity Care Target Area (MCTA) scores to distribute maternity care health professionals.

MCTAs are specific areas located within primary care HPSAs that have a higher need for maternity care services. We award maternity care health providers using either the primary care HPSA or the MCTA score for their site, whichever is higher.

Maternity care health professionals are obstetricians/gynecologists, family medicine physicians who practice obstetrics on a regular basis, and certified nurse midwives. Maternity care health professionals serving exclusively in mental HPSAs are not eligible to apply to the NHSC SUD Workforce LRP.

Which loan repayment program fits me best?

Compare our NHSC loan repayment programs — then choose the right one for you.

On this page:

Award enhancement for Spanish-language proficiency

For the 2025 NHSC SUD Workforce LRP application cycle, we aim to address language access barriers to healthcare. To support this effort, we will provide a one-time award enhancement of up to $5,000 for a total loan repayment award of:

  • Up to $80,000 for full-time participants.
  • Up to $42,500 for half-time participants.

Award amounts are based on the outstanding balance of an applicant’s qualifying educational loans. Participants must complete the three-year service obligation regardless of the amount of their award. 

Who is eligible for the enhancement?

If you indicated that you have proficiency in Spanish, and your site affirms you provide services in Spanish to patients with limited English proficiency, after the application closes you will receive an email containing a link to schedule a Spanish-language competency assessment. This assessment will be conducted by a vendor approved by the General Services Administration.

To be eligible for the award enhancement, your score on the assessment must be at least a three (3) or higher.

Note: If your loans are less than the maximum $75,000 (full-time) or $37,500 (half-time) award amounts, you will not receive the award enhancement even if you are eligible under the other criteria.

Determine your eligibility

Do I qualify for the NHSC SUD Workforce LRP?

You qualify if you meet these requirements:

  • A United States citizen (U.S. born or naturalized) or a United States national.
  • A provider (or eligible to participate as a provider) in the Medicare, Medicaid, and the State Children’s Health Insurance Program, as appropriate.
  • Fully trained and licensed to practice in the NHSC-eligible discipline and state in which you are applying to serve. This page lists eligible disciplines and specialties for primary care, dental care and mental/behavioral health care and maternity care.
  • A health professional in an eligible discipline with qualified student loan debt for education that led to your degree.
  • Working or have accepted a position at an NHSC-approved SUD treatment facility by the application deadline.
  • Using either your NHSC-approved site’s mental or primary care HPSA score.

You can now check your eligibility in your My BHW. After you select Applying for the NHSC LRP on the main portal page, see the Eligibility box at the top of the page.

Are military reservists eligible?

Yes. Find out about specific guidelines and requirements for military reservists.

Which disciplines and specialties are eligible?

We offer awards to providers who use evidence-based treatment models to treat substance use disorders. Evidence-based SUD treatment helps fight this epidemic through specific eligibility.

You must be trained and licensed to provide SUD treatment at NHSC-approved evidenced-based SUD treatment facilities.

How to apply

We guide you through the application and award process:

To apply for the NHSC SUD Workforce LRP, you must understand and follow our requirements.

Before you apply

It takes up to three weeks to complete an application. This includes all required and supplemental documentation and access to a credit report. Failure or refusal to unfreeze/unlock a frozen credit report will disqualify your application.

  • Provide answers in your application that match your supporting documents. If they don’t, we’ll reject your application.
  • You must submit a legible, complete online application by the application deadline
  • Save each document as a PDF file before uploading to your application. Do not attempt to upload files larger than 5MB, or files saved as TIFF, JPEG, PNG, HEIC, and TXT.

How can my application receive priority?

You will receive priority if you:

  • Serve in an opioid treatment program;
  • Have specialized training to provide SUD treatment (for example, Licensure/Certification;
  • Have a license or certification in substance use disorder interventions, such as master’s-level substance use disorder counselors.

What makes an application complete?

You must include:

  • Online application;
  • Required supporting documents; and
  • Additional supplemental documentation (if applicable).

Application requirements

The following provides an overview of the application requirements. Find our complete set of requirements and instructions in the application and program guidance.

After you apply

After you submit your online application, you’ll see a receipt of submission.

How can I view my application and its status?

Log into your My BHW account to view your application status. Use My BHW to download a copy of your application, supporting documents, or completed EVs.

Can I make edits after I submit my application?

After you submit the online application, you may make edits and upload new documents. You must make all edits, certify, and resubmit your final, complete application by the application deadline. We will not consider applications in an "In Progress" status for an award

Can I withdraw my application?

Yes, you may withdraw your application any time before the Secretary of Health & Human Services (HHS), or their designee, signs the contract.

How do you evaluate me?

We review all applications after the application deadline passes. We use various selection factors and funding priorities  to evaluate each application and make award decisions.

Additionally, the NHSC SUD Workforce LRP has Tiering for Funding Priorities.

Notifying award finalists

If you become an award finalist, we will email by September 30. You must log into your My BHW account to confirm:

  • Your continued interest in receiving an award.
  • That your loan and employment information is valid.
  • That you have read and understand the LRP contract.

You will e-sign confirmation of receipt and provide your direct deposit banking information. If awarded, we use this information for award funds disbursement.

Note: You must respond by the deadline we provide in the Confirmation of Interest email.

What if I don’t respond in time?

If you miss the deadline for the Confirmation of Interest process, we may not consider your application.

If you still wish to participate in the program, you will need to submit a new application during a future NHSC SUD Workforce LRP application cycle for first-time applicants. You will be considered along with other applicants based on that cycle’s program requirements.

Who makes award determinations?

Only the HHS Secretary or their designee can make an NHSC SUD Workforce LRP award.

When will you notify me of an award?

You will receive final notification of an award, including your service obligation dates, no later than September 30.

Will you notify me if you don't select me for an award?

Yes. If we do not select you for an award, we will email you no later than September 30.

NHSC Loan Repayment Contract and service obligation

When does my service obligation begin?

Your service obligation begins on the date that the HHS Secretary or the Secretary’s designee countersigns your contract.

Can I terminate my contract?

Yes, however you must review the Application and Program Guidance and your contract to understand the timeline requirements and limitations for termination. If you terminate, you will be required to repay all funds received under the contract.

*If you use assistive technology, you may not be able to access information in these files. For help, contact us at 800-221-9393.

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