Rural Essential Access Provider (REAP) Loan Repayment Program
Before you begin a loan repayment application, you must be employed at a REAP approved site by the first day of the application cycle.
If your workplace is not on the REAP approved sites list, request your site administrator or owner submit a site application.
Site applications are accepted year-round.
- Private practice, offering full scope outpatient primary care services, providing care to patients for at least two years prior to application.
- Practice must be located in a rural or frontier county. See County Designations.
- Practice must be located in a federally designated Health Professional Shortage Area.
- Accepting current and new Medicaid, Medicare, CHP+ and offering 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 must together 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 services.
Required documentation to be submitted with site application
- Current sliding fee scale policy that details how a sliding fee scale will be uniformly applied to all patients who meet family size and income requirements. It 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.
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.
Eligible health professions
- 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.
- Agree to work for a term of two years at the approved site.
Work part time or full time.
Meet the hourly requirements for direct clinical contact during the entire service obligation.