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Guidance Document

HRSA’S SHORTAGE

DESIGNATION MODERNIZATION

PROJECT (AUTO-HPSA)

OCTOBER 2019

Dear Providers:

On August 31, 2019, as part of the Shortage Designation Modernization Project (SDMP), the Health Resources

and Services Administration (HRSA) updated all automatically designated Health Professional Shortage Areas

(Auto-HPSAs).

As your Primary Care Officer, I wanted to ensure you had the most accurate information related to this update.

Therefore, with great enthusiasm, I present to you a Guidance Document for the HRSA’s Shortage Designation

Modernization Project (Auto-HPSA). This project began in 2013 with the development and implementation of the

online Shortage Designation Management System (SDMS). It includes the national automatic updates of Health

Professional Shortage Areas (HPSAs). The purpose of this document is to: 1) describe the national Auto-HPSA

designation update and its impact to providers, 2) define shortage designations by type, and 3) define state and

federal programs dependent on HPSA scores.

Across the country, there were 3,910 Auto-HPSA facility scores updated. Currently, in Louisiana, there are 79

Auto-HPSA sites. Across each provider type – Federally Qualified Health Centers & Look-a-likes, Rural Health

Clinics, and Indian Health Facilities – increases in scores are seen with each designation type. Increases are

especially noted in Dental and Mental Health Auto-HPSA designations.

This guidance document comes at a critical time for our state’s Primary Care Office (PCO). Over the last year, the

Bureau of Primary Care and Rural Health merged with the Bureau of Chronic Disease Prevention and Health

Promotion, known as Well-Ahead Louisiana. Well-Ahead is an initiative of the Department of Health that connects

Louisiana’s communities to a healthier future. Although higher HPSA scores provide facilities the opportunity to

participate in several national and state programs, the Well-Ahead PCO’s goal is to reduce healthcare provider

shortages across state and increase access to healthcare. This ensures longer, healthier, happier lives for our

residents.

Looking forward, the PCO will continue to facilitate the coordination of HPSA and Auto-HPSA designations. In

2020, it is my goal to complete the Statewide Primary Care Needs Assessment and publish a final report. From

there, we will gather state and federal partners to develop a long-term plan to reduce healthcare provider

shortages, strengthen current programs, and identify and/or develop new programs for the recruitment and

retention of the healthcare workforce.

Thank you for helping us move Louisiana’s health forward. For additional resources or more information, I

encourage you to visit our newly launched website, www.walpen.org.

Sincerely,

Nicole Coarsey

Well-Ahead Louisiana Primary Care Officer

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Well-Ahead Louisiana Primary Care Office ...................................................................................................... 4 Shortage Designation Modernization Project (Auto-HPSA) ........................................................................... 4

What types of facilities receive an Auto-HPSA designation? ............................................................................ 5

How does the national update of Auto-HPSAs affect NHSC and Nurse Corps? .............................................. 5

What is the difference between a Parish HPSA score and a facility’s Auto-HPSA Score?............................... 5

Should I use the Parish HPSA Score or the facility’s Auto-HPSA Score? ........................................................ 5

What can sites do to accurately reflect their score? .......................................................................................... 5

Louisiana’s Auto-HPSA National Update Results ............................................................................................ 6

Figure 1. Louisiana Auto-HPSA Score Change after the National Update ....................................................... 6

Figure 2. Federally Qualified Health Center and Look-A-Like........................................................................... 7

Figure 3. Rural Health Clinic ............................................................................................................................. 7

Figure 4. Indian Health Facility.......................................................................................................................... 7

Shortage Designations........................................................................................................................................ 8

Medically Underserved Areas (MUAs) and Medically Underserved Populations (MUPs) ................................ 8

HPSA designations ........................................................................................................................................... 8

Primary Care designations .................................................................................................................. 8

Dental designations ............................................................................................................................. 8

Mental Health designations ................................................................................................................. 9

Geographic designations ..................................................................................................................... 9

Population Group designations ........................................................................................................... 9

Facility designations ............................................................................................................................ 9

Application and Scoring Process HPSA ........................................................................................................... 9

How often does the PCO update HPSA designations? ................................................................................... 9

State and Federal Programs Dependent on HPSA Scores ............................................................................ 10

What is considered a competitive score? ........................................................................................................ 10

State Loan Repayment Program (SLRP) ........................................................................................................ 10

National Health Service Corps (NHSC) Loan and Scholarship Program ........................................................ 11

Conrad 30 (J-1 Visa) Waiver Program ............................................................................................................ 11

Small Town Health Professional Tax Credit Program ..................................................................................... 11

State Office of Rural Health ............................................................................................................................ 12

Louisiana’s Auto-HPSA Data Set, as of 8/31/2019 .......................................................................................... 12

Additional Resources ....................................................................................................................................... 13

SDMP Guidance Document

T AB LE O F CO NT EN TS

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Well-Ahead Louisiana’s Primary Care Office (PCO) is funded through the Health Resources and Services Administration's (HRSA) Bureau of Health Workforce (BHW)1. The PCO facilitates the coordination of activities within a state or territory that assess the need for primary care services and providers, promote the recruitment and retention of health care providers to fulfill identified needs, and reduce shortages of health care providers. This includes working with other state or territorial agencies, as well as organizations outside of the state whose policies affect health care services. The PCO manages the following workforce development programs:

Health Professional Shortage Area (HPSA) Designations

National Health Service Corps (NHSC) Loan and Scholarship Program

State Loan Repayment Program (SLRP)

Conrad 30 (J-1 Visa) Waiver Program

Small Town Health Professional Tax Credit Program

National Interest Waiver Program Goal of the Primary Care Office

The goal for the PCO is to build the capacity of community health systems to provide integrated, efficient and effective

health care services; improving the health status of Louisiana residents in rural and underserved areas. It has four

primary goals:

1. Conduct Primary Care Needs Assessment; 2. Maintain updated Health Professional Shortage Area (HPSA) designations; 3. Develop programs for the recruitment and retention of healthcare professionals; and 4. Develop a strategic, long-term plan to reduce health provider shortages and shortage designations.

This office is in the process of conducting a Statewide Primary Care Needs Assessment to identify health care providers and health service shortages, unmet needs and disparities in health outcomes by areas and population groups, and health workforce concerns. Results from the needs assessment will assist the Louisiana PCO in the development of a long-term plan to reduce health provider shortages and shortage designations which will include scheduled updates of HPSA designations, strengthening current PCO programs, and identifying and/or developing new programs for the recruitment and retention of health care professionals. All of these efforts will ultimately lead to adequate healthcare provider coverage in rural and underserved areas across Louisiana.

Shortage designation is authorized by Congress and is supported by HRSA and State Primary Care Offices through a

shared responsibility to better serve unserved and rural areas in need of health care access.

HRSA initiated the Shortage Designation Modernization Project (SDMP) to streamline the shortage designation process based on the principles of transparency, accountability, and parity. The project also aims to reduce the burden of data collection on state and territory Primary Care Offices by using standardized procedures and data sets.

1 HRSA Bureau of Health Workforce https://www.hrsa.gov/about/organization/bureaus/bhw/index.html

SDMP Guidance Document

W EL L- AH EA D LO UIS I ANA PR IMA RY CA RE O FF I CE

SDMP Guidance Document

S HO RT AG E DE SI GNA T ION M OD ERN I ZAT I ON PR OJ EC T

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SDMP began in 2013 with the development and implementation of the Shortage Designation Management System (SDMS). The SDMS uses standardized data from several trusted sources and accepts more localized data from state Primary Care Offices (PCOs). One component of the project is to update existing HPSAs using national, standardized data sets, facility-specific data and data provided by state PCOs. HRSA updated all automatically designated Health Professional Shortage Areas (Auto-HPSAs) on August 30, 2019. The updates continue to use the existing scoring criteria. No Auto-HPSA will ever lose their designation due to this type of update. The designation can only be removed if CMS certification is lost.

What types of facilities receive an Auto-HPSA designation? Auto-HPSAs are designations automatically assigned to certain types of facilities. These designations are initiated, submitted and designated by HRSA. By Statute, Auto-HPSA facilities are automatically designated as having a shortage. This designation type can be a better opportunity for facilities to apply for NHSC if their site has a higher score than the parish score. These types of Auto-HPSAs include:

Indian Health Facilities

Federally Qualified Health Centers (FQHC)

Section 330 Health Center Program grantees

FQHC Look-A-Likes (LALs)

CMS-certified Rural Health Clinics (RHCs) meeting NHSC Site Requirements

How does the national update of Auto-HPSAs affect NHSC and Nurse Corps?2 Changes in HPSA scores may impact a facility’s competitive status for the National Health Service Corps (NHSC) and Nurse Corps programs. The National Shortage Designation Update of Auto-HPSAs does not affect CMS HPSA Bonus Payments or rural health clinics’ enrollment/certification. If an organization’s score decreased because of the national update, it will not immediately affect current NHSC and Nurse Corps participants at the facility. They will be allowed to fulfill their service commitment without contract changes. Following their commitment, NHSC and Nurse Corps participants may apply for a continuation award if they remain in a HPSA. If NHSC and Nurse Corps participants want to transfer to another approved site, they must identify a site in the same tier. If NHSC participants are eligible for a continuation, they may continue to serve at any eligible site with a HPSA. What is the difference between a Parish HPSA score and a facility’s Auto-HPSA Score? A facility’s Auto-HPSA score stands on its own and does not have affiliation with the parish score. It is not affected if the parish loses its designation. The auto-HPSA score, unlike the facility score discussed in the HPSA section, remains active regardless of the score or designation of the parish. No Auto-HPSA will ever lose their designation due to this type of update. The designation can only be removed if CMS certification is lost. Should I use the Parish HPSA Score or the facility’s Auto-HPSA Score? Providers working in a facility with an auto-HPSA score can choose between that score and the parish score within which their facility is located. This gives them the option to choose the higher score.

What can sites do to accurately reflect their score?

Auto-HPSA sites are able to:

Submit accurate UDS data.

Work with the PCO to ensure all provider data is up-to-date.

Make sure the nearest source of care (NSC) is not located within the facility.

Compare facility data to the data used by HRSA for supplemental information (low birth weight/infant mortality rate, ratios of children under 18 and adults 64 and older) to ensure the most accurate data is provided. The PCO will update the fluoridation, substance abuse and alcohol abuse percentages annually.

2 HRSA “ Shortage Designation Modernization Project (SDMP)” https://bhw.hrsa.gov/shortage-designation/application-review-process/modernization-project

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In preparation for the Auto-HPSA National Update, the PCO worked to ensure facility scores were as accurate as possible. The PCO was able to upload supplemental information (fluoridation and substance abuse data) and worked one-on-one with facilities answering any questions. The data provided in this section is reflective of facility scores prior to the National Update comparing to scores on August 16, 2019. The data set used can be found on page 12 of this document. There are seventy-nine (79) Auto-HPSA sites in Louisiana.

FQHC & Look-a-Like = 36

Rural Health Clinic = 39

Indian Health Clinic = 4 Overall scores for Primary Care increased by 66% while 28% decreased. Both Dental Health and Mental Health Auto-HPSA scores show a sharp increase due to supplemental data the Louisiana PCO was able to provide. (Dental Health 82%; Mental Health 71%). A majority of the facilities whose scores increased are in rural areas.

Figure 1. Louisiana Auto-HPSA Score Change after National Update

Data for each site type was then separated out to see how changes in scores affected each site type.

SDMP Guidance Document

L OU IS I ANA ’ S AU TO - H PSA N AT I ONA L UP DA TE R ES UL TS

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Figure 2. Federally Qualified Health Center and Look-A-Like

Figure 3. Rural Health Clinic

Figure 3: Indian Health Facility

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What is a Health Professional Shortage Area (HPSA) Designation?

Throughout the U.S., there are geographic areas, populations, and facilities with too few primary care, dental

health and mental health providers and services. Health Professional Shortage Areas (HPSA) and Medically

Underserved Areas/Populations (MUA/P) are designations that help prioritize and focus our resources to help

meet the health care needs of medically underserved rural and urban areas of Louisiana. In conjunction with the

Primary Care Office, HRSA determines which of these should be “shortage designations,” and are therefore

eligible to receive additional federal resources. There are over 30 federal programs that use HPSA designations

as a requirement for their programs, including programs this office supports.

Medically Underserved Areas (MUAs) and Medically Underserved Populations (MUPs) identify geographic areas and populations with a lack of access to primary care services. MUAs have a shortage of primary care health services for residents within a geographic area such as:

a whole county;

a group of neighboring counties;

a group of urban census tracts; or

a group of county or civil divisions. MUPs have a shortage of primary care health services for a specific population subset within an established geographic area. These groups may face economic, cultural, or linguistic barriers to health care. Some examples include:

Homelessness

Low-income

Medicaid-eligible

Native American

Migrant farmworkers HPSA Designations3

HPSAs include designations that indicate health care provider shortages in primary care, dental health, or mental health. These shortages may be geographic-based, population-based, or facility-based. Primary Care designations pertain to an area’s access to physicians that practice principally in one of the following: family practice, general practice, internal medicine, pediatrics and OB/GYN. A ratio is used to

measure the level of primary care access. To be considered underserved a ratio of 3,500 possible patients to one (1) primary care physician full-time equivalency (FTE) is usually required. The ratio is 3,000:1 for High Needs (High Needs is used if the 100% Federal Poverty Level (FPL) for the area is over 20%). Provider FTEs are determined by taking the number of hours per week the physician spends in primary care services, either in-office or on-rounds at the hospital, divided by 40. The total of these FTEs are divided by the total resident/civilian population of the area. Dental designations are designated on a similar ratio scheme. Dental FTEs are calculated by starting with the number of hours of patient care worked per week by the dentist. The FTE is then weighted according to the

dentist’s age and number of dental assistants and hygienists the dentist employs. A ratio of 5,000 possible patients to one (1) dentist FTE is required, or 4,000:1 for High Needs areas. Mental Health designations look at the number of Psychiatrists only to calculate an area’s mental health ratio. A ratio of 30,000:1 is required. The ratio for High needs is 20,000:1. For each of the three HPSA designation types, there are three sub-categories, which include:

3 HRSA Health Workforce “Types of Designations?” https://bhw.hrsa.gov/shortage-designation/types

SDMP Guidance Document

S HO RT AG E DE SI GNA T ION S

9

1. Geographic designations – Take into account the entire resident/civilian population of the requested

area to all available physicians, dentists or psychiatrists.

2. Population Group designations – Louisiana most utilizes the Low-Income designations which use a ratio built upon the low income population of the area (those in the 200% FPL or lower) and the physicians providing services to this population.

3. Facility designations – Look at a facility’s outpatient census, waiting times, patients’ residences and in-house faculty to evaluate their designation eligibility. State Correctional facilities are included.

Shortage Designation Application and Scoring Process4

The PCO will conduct a Statewide Primary Care Needs Assessment, determine what areas are eligible for designations, and submit designation applications to HRSA. State PCOs submit applications for geographic, population, and certain facility HPSAs in the Shortage Designation Management System (SDMS) for primary care, dental health, and mental health. HRSA reviews these applications to determine if they meet the eligibility criteria for designation. The main eligibility criterion is that the proposed designation meets a threshold ratio for population to providers.

Once designated, HRSA scores HPSAs on a scale of 0-25 for primary care and mental health, and 0-26 for dental health, with higher scores indicating a greater need.

4 HRSA Health Workforce “Shortage Designation Application and Review Process” https://bhw.hrsa.gov/shortage-designation/application-review-process

HPSA Scoring Calculations

Primary Care

Dental Health

Mental Health

Criteria Max Pts Awarded

Multiplier Total Points Possible

Max Pts Awarded

Multiplier Total Points Possible

Max Pts Awarded

Population: Provider Ratio

5 x 2 = 10 5 x 2 = 10 7

% of Population below FPL

5 x 1 = 5 5 x 2 = 10 5

Travel distance/time to NSC

5 x 1 = 5 5 x 1 = 5 5

Infant Mortality Rate or Low Birth Weight

5 x 1 = 5

Water Fluoridation x 1 = 1

Ratio of children under 18 to adults 18-64

3

Ratio of adults 65 and older to adults 18 – 64

3

Substance abuse prevalence

1

Alcohol abuse prevalence

1

Max Score: = 25 = 26 = 25

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How often does the Louisiana PCO update HPSA designations? The Louisiana PCO is dedicated to completing all HPSA designations, which requires compiling accurate data in a timely manner. The PCO contacts the licensing boards to obtain lists of healthcare providers that are cross-referenced with the National Provider Inventory (NPI) lists. Once a master list is created each provider on the list is contacted and surveyed. The data is then uploaded into HRSA’s Shortage Designation Management System (SDMS). At that point SDMS can be used to complete the designation process.

The Louisiana PCO has also created an equilibration chart, which allows all HPSA designations for the entire state to be reviewed and updated on a three-year rotation cycle, beginning on October 1 of each year and ending on September 30 of the following year, which is in keeping with HRSA’s update timeline. Further information about HPSAs, including the equilibration chart and the updated HPSA maps, can be found at http://ldh.la.gov/index.cfm/page/570

There are over thirty federal programs that use HPSA designations as a requirement for their programs, including program this office supports.

What is considered a competitive score? HRSA bases competitiveness for NHSC program on a number of factors and it can change from year to year. For the purposes of this report only, we define current NHSC competitiveness as a HPSA designation that has a score of 17 or above. Because more HPSA scores increased rather than decreased, NHSC projects that future competitiveness will be at a score of 18 or above.

When looking at the data from the Auto-HPSA National Update, 44 of the 79 Auto-HPSA sites have a competitive Primary Care Auto-HPSA score (56%). When looking at Dental scores, 69 or 87% of the Auto-HPSA facilities have a competitive score, and 68 or 86% have a competitive Mental Health score.

Primary Care Competitive Score of 17 or Higher

Dental Competitive Score of 17 or Higher

Mental Health Competitive Score of 17 or Higher

17 or Higher

Below 17 17 or Higher

Below 17

17 or Higher

Below 17

44 35 69 10 68 11

State Loan Repayment Program (SLRP)5

The purpose of the Louisiana State Loan Repayment Program (SLRP) is to encourage primary care practitioners to serve in health professional shortage areas. For the purpose of recruitment under this program, eligible primary care practitioners include physicians (allopathic or osteopathic) who have completed a residency in family practice, general practice, obstetrics/gynecology, internal medicine, pediatrics, or general psychiatry and dentists (DDS or DMD general or pediatric). Other eligible health care professionals include primary care physician assistants, certified nurse practitioners, certified nurse midwives, registered clinical dental hygienists, licensed clinical or counseling psychologists (Ph.D. or equivalent required), health service psychologists (Ph.D. or equivalent required), psychiatric nurse specialists, licensed professional counselors (Masters or Ph.D. required), marriage and family therapists (Masters or Ph.D. required) and licensed clinical social workers

5 Louisiana State Loan Repayment Program http://www.ldh.la.gov/index.cfm/page/1195

SDMP Guidance Document

P RO GR AMS D EP END EN T ON H PS A SCO RE S

The Big Data Challenge

Two of the largest scoring criteria rely on data about providers who accept Medicaid or sliding fee scale patients within a 30 or 40 minute travel time from the site (depending on discipline). There is no national data set for this. HRSA charged PCOs with collecting this data, and entering it into the HPSA database.

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(Master or Ph.D. required). The mission of the program is to alleviate and ultimately overcome the state's problem of a health care professional shortage in rural and urban areas.

National Health Service Corps (NHSC) Loan and Scholarship Program6

The National Health Service Corps (NHSC) https://nhsc.hrsa.gov/ offers tax-free loan repayment assistance to support qualified clinicians who work at an NHSC-approved site in a designated HPSA. The HPSA may be a geographic area, population group, public or nonprofit private medical facility or other public facility, and private for-profit facilities. There are currently three (3) programs:

1. NHSC Scholarship Program The NHSC Scholarship Program awards scholarships to studentspursuing eligible primary care health professions training. In return, scholars commit to providingprimary care health services in HPSA's. This is offered one year of scholarship for one year of servicewith a two year minimum/four year maximum.

2. NHSC Loan Repayment Program The NHSC Loan Repayment Program offers tax-free loanrepayment assistance to support qualified clinicians who work at an NHSC-approved site in adesignated HPSA.

3. NHSC Student to Service Loan Repayment Program Students in their last year of medical or dentalschool receive loan repayment assistance in return for at least three years of service at an NHSC-approved site in a designated HPSA.

Conrad 30 (J-1 Visa) Waiver Program7

The Conrad program allows each State's Department of Health to sponsor up to 30 international medical graduates each year for waiver of the two-year home residency requirement of the physician's J1 visa.

The purpose of the Conrad State 30 (J-1 Visa Waiver) Program is to recruit needed primary care and specialty physicians, into federally designated health professional shortage areas (HPSA). The Louisiana Department of Health (LDH) will support the request for the waiver through the Conrad State 30 program once all of the following criteria are met.

The J-1 medical doctor must:

Agree to be employed full-time in H-1B non-immigrant status at a health care facility located in an areadesignated by U.S. Department of Health and Human Services (HHS) as a Health ProfessionalShortage Area (HPSA), Medically Underserved Area (MUA) or Medically Underserved Population(MUP).

Obtain a contract from the health care facility located in an area designated by HHS as a HPSA, MUA orMUP.

Obtain a “no objection” letter from his or her home country if the home government funded his or herexchange program.

Agree to begin employment at the health care facility within 90 days of receipt of the waiver, not thedate his or her J-1 visa expires.

Small Town Health Professional Tax Credit Program The Small Town Health Professional credit provides an individual income tax credit for certified medical primary care health professionals including: 1) physicians possessing an unrestricted license by the State of Louisiana to practice medicine; 2) dentists licensed by the State of Louisiana to practice dentistry; or 3) primary care nurse practitioners, primary care physician assistants, and optometrist licensed by the State of Louisiana.

Revised Statute 47:297(H) authorizes a credit for a certified medical primary care health professional who is practicing as a physician, dentist or primary care nurse practitioner and who meets certain requirements. The secretary is authorized by R.S. 47:297(H) (5) to establish the method of allocating and reserving available tax credits to primary health care professionals for a specific time period. The purpose of this regulation is to provide the requirements and procedures for applying for and reserving tax credits as well as the time periods applicable for claiming any tax credits so authorized.

6 NHSC Loans and Scholarships https://bhw.hrsa.gov/loansscholarships 7 Conrad 30 (J-1 Visa) Waiver Program http://www.ldh.la.gov/index.cfm/page/792

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State Office of Rural Health The State Office of Rural Health (SORH) also uses HPSAs for Rural Health Clinic (RHC) development in Louisiana. A potential RHC must be located in a rural and underserved area of the state. The current HPSA or MUA is used to verify that the location is underserved. In 2018 SORH worked with over 60 RHCs on new development, moving their facilities, or changes in ownership, which all use this requirement.

Data Set Key

Federally Qualified Health Centers + Look-A-Likes

Rural Health Clinics

Indian Health Facilities

New Score or Score Increased

Score Decreased

NS: No Score

Primary Care Score Dental Health Score Mental Health Score

Pre

National Update

Post National Update

Pre National Update

Post National Update

Pre National Update

Post National Update

Abbeville General Hospital Clinic

NS 14 NS 16 NS 18

Baptist Community Health Services, Inc.

NS 7 NS 13 NS 17

Basile Rural Health Clinic NS 16 NS 20 NS 20

Bastrop Outpatient Rural Health Clinic

NS 19 NS 20 NS 19

Baton Rouge Primary Care Collaborative, Inc.

15 24 19 26 21 19

Bienville Family Clinic NS 19 19 20 NS 17

Bunkie General Hospital Family Care Clinic

NS 19 17 18 NS 21

Bunkie General Hospital Rural Health Clinic

NS 19 17 18 NS 21

C A S S E Dental Health Institute

17 23 26 25 19 20

Capitol City Family Health Center, Inc.

16 14 23 21 20 20

Catahoula Parish Hospital District #2

14 16 23 24 11 22

Chadha Medical Clinic 6 7 14 17 NS 19

Chitimacha Health Center 16 12 9 12 18 11

Citizens Rural Clinic NS 17 19 20 NS 18

SDMP Guidance Document

L OU IS I ANA ’ S AU TO - H PSA D AT A S ET , AS O F 8/ 31 /2 01 9

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Common Ground Health Clinic

4 17 5 21 9 19

Coushatta Health Center 13 11 9 10 NS 13

Crowville Health Center NS 17 19 20 NS 19

David Raines Community Health Center, Inc.

16 23 20 25 21 19

Delhi Rural Health Clinic 8 20 8 20 10 18

Desoto Healthcare Center Inc.

NS 22 NS 20 NS 18

Elton Rural Health Clinic 4 16 9 20 12 20

Erath Delcambre Community Care Clinic

17 14 5 16 19 18

Excelth, Incorporated 15 20 20 21 19 20

Family First Medicine, APMC 0 19 NS 20 NS 17

Family Medical Clinic 13 21 19 29 15 19

Franklin Medical Center RHC - Winnsboro

14 19 22 18 21 19

H I V/ A I D S Alliance For Region Two, Inc.

16 14 20 20 15 20

Healthy Steps Pediatrics NS 18 NS 19 NS 21

Iberia Comprhesive Com Health Cntr, Inc.

19 20 13 22 8 18

Innis Community Health Center, Inc.

18 21 23 26 21 22

Jefferson Community Health Care Centers, Inc.

20 11 23 25 17 15

Jefferson Parish Human Services Authority

18 9 19 25 20 17

Jena NS 14 NS 14 NS 16

Leonard P Neumann Jr MD, APMC

NS 20 NS 20 NS 19

Madison Parish Hospital Rural Health Clinic

11 20 17 20 12 19

Marillac Community Health Centers

17 12 18 21 18 22

Maurice Community Care Clinic

NS 16 NS 18 NS 19

Mer Rouge Outpatient Rural Health Clinic

NS 19 NS 18 NS 19

Mercy Medical Health Center NS 19 NS 20 NS 17

Minden Family Care Center 5 18 NS 20 NS 17

Morehouse Community Medical Centers, Inc.

15 24 16 26 17 21

Mqvn Community Development Corp

17 20 21 25 21 20

New Orleans, City Of 17 11 20 17 19 19

No/Aids Task Force 19 13 16 19 21 16

North Webster Medical Clinic 13 19 11 20 18 18

Northeast Louisiana Health Center

11 19 18 20 16 18

Oak Grove Medical Clinic 9 17 18 20 19 19

Odyssey House Louisiana, Inc.

18 12 16 21 20 18

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Our Lady Of The Lake Physician Group New Roads

NS 17 NS 20 NS 20

Outpatient Medical Center, Inc.

12 13 21 25 17 15

Primary Health Services Center

14 22 17 26 16 17

Priority Health Care 21 10 17 21 20 16

Rapides Primary Health Care Center, Incorporated

18 17 23 23 15 21

Reddy Family Medical Center White Castle

17 18 16 18 17 19

Reddy Family Medical Clinic Donaldsonville

12 12 11 14 16 17

Reddy Family Medical Clinic Pierre Part

18 18 17 17 16 17

Reddy Family Medical Clinic Plaquemine

17 11 16 14 17 18

Reddy Family Medical Of Napoleonville

18 12 17 17 12 13

Reeves Memorial Medical Center - RHC

NS 19 NS 20 NS 16

Richland, Parish Of 15 22 20 22 21 23

RKM Primary Care 16 11 20 20 11 20

S M C Doctors Clinic 13 19 11 20 18 18

Savoy Family Care 3 12 20 20

Southeast Community Health Systems

15 17 20 24 14 20

Southwest Louisiana Primary Health Care Center, Inc.

17 17 21 18 22 22

St Gabriel Health Clinic, Inc. 16 13 17 22 20 21

St. Charles Community Health Center, Inc.

19 12 20 21 16 20

St. Thomas Community Health Center, Inc.

16 15 20 19 22 20

Start Community Clinic 15 19 19 20 19 18

Start Corporation 21 11 20 19 21 17

Sterlington Outpatient Rural Health Clinic

NS 19 NS 20 NS 19

SWLA Center For Health Services

15 12 19 21 18 17

Teche Action Board, The 17 14 21 24 23 16

Tensas Community Health Center

20 20 18 26 11 18

The Family Practice Clinic 15 21 19 19 14 19

Total Family Medical LLC NS 10 NS 16 NS 19

Tunica Biloxi Trb, L H P NS 14 NS 12 NS 15

Ville Platte Family Care NS 12 NS 20 NS 20

Winn Community Health Center

15 17 16 25 17 23

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Well-Ahead Louisiana Website: www.wellahadla.com

Well-Ahead Louisiana Provider Education Network website: www.walpen.org

Louisiana PCO website: http://www.ldh.la.gov/index.cfm/page/570

HRSA Website: https://bhw.hrsa.gov/

HRSA Federal Office of Rural Health Policy: https://www.hrsa.gov/rural-health/index.html

HRSA Funding Opportunities: https://bhw.hrsa.gov/fundingopportunities/

HRSA Loans and Scholarships: https://bhw.hrsa.gov/loans-scholarships

HRSA Shortage Designation Information: https://bhw.hrsa.gov/shortage-designation

HRSA Shortage Designation Modernization Project (SDMP): https://bhw.hrsa.gov/shortage-designation/application-review-process/modernization-project

Auto-HPSA Portal Training Webinar Recordings: https://bhw.hrsa.gov/sdmp

HRSA Data Warehouse: https://data.hrsa.gov/

HRSA Mapping Tool: https://data.hrsa.gov/hdw/tools/MapTool.aspx

HPSA Find: https://data.hrsa.gov/tools/shortage-area/hpsa-find

For questions about Shortage Designations, email SDB@hrsa.gov or call 301-594-5168.

For questions about the Shortage Designation Modernization Project, email sdmp@hrsa.gov.

For questions about the NHSC or Nurse Corps questions, visit this link: https://www.hrsa.gov/about/contact/bhwhelp.aspx or call 1-800-221-9393

SDMP Guidance Document

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