80_FR_26658 80 FR 26569 - Recruitment of Sites for Assignment of Corps Personnel Obligated Under the National Health Service Corps Scholarship Program

80 FR 26569 - Recruitment of Sites for Assignment of Corps Personnel Obligated Under the National Health Service Corps Scholarship Program

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration

Federal Register Volume 80, Issue 89 (May 8, 2015)

Page Range26569-26571
FR Document2015-11049

The Health Resources and Services Administration (HRSA) announces that the listing of entities and associated Health Professional Shortage Area (HPSA) scores, which will receive priority for the assignment of National Health Service Corps (NHSC) scholarship recipients available for service during the period October 1, 2015, through September 30, 2016, is posted on the NHSC Jobs Center Web site at http://nhscjobs.hrsa.gov. The NHSC Jobs Center includes sites that are approved for service by NHSC scholars; however, entities on this list may or may not have current job vacancies.

Federal Register, Volume 80 Issue 89 (Friday, May 8, 2015)
[Federal Register Volume 80, Number 89 (Friday, May 8, 2015)]
[Notices]
[Pages 26569-26571]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-11049]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Recruitment of Sites for Assignment of Corps Personnel Obligated 
Under the National Health Service Corps Scholarship Program

AGENCY: Health Resources and Services Administration, HHS.

ACTION: General notice.

-----------------------------------------------------------------------

SUMMARY: The Health Resources and Services Administration (HRSA) 
announces that the listing of entities and associated Health 
Professional Shortage Area (HPSA) scores, which will receive priority 
for the assignment of National Health Service Corps (NHSC) scholarship 
recipients available for service during the period October 1, 2015, 
through September 30, 2016, is posted on the NHSC Jobs Center Web site 
at http://nhscjobs.hrsa.gov. The NHSC Jobs Center includes sites that 
are approved for service by NHSC scholars; however, entities on this 
list may or may not have current job vacancies.

Eligible HPSAs and Entities

    To be eligible to receive assignment of Corps members, entities 
must: (1) Have a current HPSA status of ``designated'' by the Division 
of Policy and Shortage Designation, Bureau of Health Workforce, HRSA as 
of January 1, 2015, for placements October 1, 2015, through December 
31, 2015, or as of January 1, 2016, for placements January 1, 2016, 
through September 30, 2016; (2) not deny requested health care services 
or discriminate in the provision of services to an individual because 
the individual is unable to pay for the services or because payment for 
the services would be made under Medicare, Medicaid, or the Children's 
Health Insurance Program (CHIP); (3) enter into an agreement with the 
state agency that administers Medicaid and CHIP, accept assignment 
under Medicare, see all patients regardless of their ability to pay and 
post such policy, and use and post a discounted fee plan; and (4) be 
determined by the Secretary to have (a) a need and demand for health 
manpower in the area; (b) appropriately and efficiently used Corps 
members assigned to the entity in the past; (c) general community 
support for the assignment of Corps members; (d) made unsuccessful 
efforts to recruit health professionals; (e) a reasonable prospect for 
sound fiscal management by the entity with respect to Corps members 
assigned there; and (f) demonstrated a willingness to support and 
facilitate mentorship, professional development, and training 
opportunities for Corps members.
    Priority in approving applications for assignment of Corps members 
goes to sites that (1) provide primary medical care, mental health, 
and/or oral health services that matches the discipline to a primary 
medical care, mental health, or dental HPSA of greatest shortage, 
respectively; (2) are part of a system of care that provides a 
continuum of services, including comprehensive primary health care and 
appropriate referrals (e.g. ancillary, inpatient, and specialty 
referrals) or arrangements for secondary and tertiary care; (3) have a 
documented record of sound fiscal management; (4) will experience a 
negative impact on the capacity to provide primary health services if a 
Corps member is not assigned to the entity, and (5) are a nonprofit or 
public entity to which Corps members may be assigned. Sites that 
provide specialized care, or a limited set of services, will receive 
greater scrutiny and may not receive approval as NHSC service sites. 
This may include clinics that focus on one disease or disorder or offer 
limited services, such as a clinic that only provides immunizations or 
a substance abuse clinic.
    Entities at which NHSC scholars are performing their service 
obligations must assure that (1) the position will permit the full 
scope of practice and that the clinician meets the credentialing 
requirements of the state and site; and (2) the NHSC scholar assigned 
to the entity is engaged in the requisite amount of clinical practice, 
as defined below, to meet his or her service obligation:

Full-Time Clinical Practice

    ``Full-time clinical practice'' is defined as a minimum of 40 hours 
per week for at least 45 weeks per service year. The 40 hours per week 
may be compressed into no less than 4 work days per week, with no more 
than 12 hours of work to be performed in any 24-hour period. Time spent 
on-call does not count toward the full-time service obligation, except 
to the extent the provider is directly treating patients during that 
period.
    For all health professionals, except as noted below, at least 32 of 
the minimum 40 hours per week must be spent providing direct patient 
care in the outpatient ambulatory care setting(s) at the NHSC-approved 
service site(s) during normally scheduled office hours. The remaining 8 
hours per week must be spent providing direct patient care for patients 
at the approved practice site(s), providing direct patient care in 
alternative settings as directed by the approved practice site(s), or 
performing practice-related administrative activities.
    Teaching activities at the approved service site shall not exceed 8 
hours of the minimum 40 hours per week, unless the teaching takes place 
in a HRSA-funded Teaching Health Center (see Section 340H of the Public 
Health Service Act, 42 U.S.C. Section 256h). Teaching activities in a 
HRSA-funded Teaching Health Center shall not exceed 20 hours of the 
minimum 40 hours per week.

[[Page 26570]]

    For obstetrician/gynecologists, certified nurse midwives, family 
medicine physicians who practice obstetrics on a regular basis, 
providers of geriatric services, pediatric dentists, and behavioral/
mental health providers, at least 21 of the minimum 40 hours per week 
must be spent providing direct patient care in the outpatient 
ambulatory care setting(s) at the NHSC-approved service site(s) during 
normally scheduled office hours. The remaining 19 hours per week must 
be spent providing direct patient care for patients at the approved 
practice site(s), providing direct patient care in alternative settings 
as directed by the approved practice site(s), or performing practice-
related administrative activities. Of the remaining 19 hours per week, 
no more than 8 hours can be spent performing practice-related 
administrative activities. Teaching activities at the approved service 
site shall not exceed 8 hours of the minimum 21 hours per week 
providing direct patient care, unless the teaching takes place in a 
HRSA-funded Teaching Health Center, as noted above.
    For physicians (including psychiatrists), physician assistants, 
nurse practitioners (including those specializing in psychiatry or 
mental health), and certified nurse midwives serving in a Critical 
Access Hospital (CAH) that is certified by the Centers for Medicare & 
Medicaid Services (CMS) as a CAH under section 1820 of the Social 
Security Act, the full-time service requirements are as follows: At 
least 16 of the minimum 40 hours per week must be spent providing 
direct patient care in the CAH-affiliated outpatient ambulatory care 
setting(s) specified in the NHSC's Customer Service Portal, during 
normally scheduled office hours. The remaining 24 hours of the minimum 
40 hours per week must be spent providing direct patient care for 
patients at the CAH(s) or the CAH-affiliated outpatient ambulatory care 
setting specified in the Customer Service Portal, providing direct 
patient care in the CAH's skilled nursing facility or swing bed unit, 
or performing practice-related administrative activities. Of the 
remaining 24 hours per week, no more than 8 hours can be spent on 
practice-related administrative activities and teaching activities at 
the approved service site(s) shall not exceed 8 of the minimum 16 hours 
per week providing direct patient care, unless the teaching takes place 
in a HRSA-funded Teaching Health Center (see Section 340H of the Public 
Health Service Act, 42 U.S.C. Section 256h). Teaching activities in a 
HRSA-funded Teaching Health Center shall not exceed 20 hours of the 
minimum 40 hours per week.

Half-Time Clinical Practice

    ``Half-time clinical practice'' is defined as a minimum of 20 hours 
per week (not to exceed 39 hours per week), for at least 45 weeks per 
service year. The 20 hours per week may be compressed into no less than 
2 work days per week, with no more than 12 hours of work to be 
performed in any 24-hour period. Time spent on-call does not count 
toward the half-time service obligation, except to the extent the 
provider is directly treating patients during that period.
    For all health professionals, except as noted below, at least 16 of 
the minimum 20 hours per week must be spent providing direct patient 
care in the outpatient ambulatory care setting(s) at the NHSC-approved 
service site(s), during normally scheduled office hours. The remaining 
4 hours per week must be spent providing direct patient care for 
patients at the approved practice site(s), providing direct patient 
care in alternative settings as directed by the approved practice 
site(s), or performing practice-related administrative activities. 
Teaching and practice-related administrative activities shall not 
exceed a total of 4 hours of the minimum 20 hours per week.
    For obstetrician/gynecologists, certified nurse midwives, family 
medicine physicians who practice obstetrics on a regular basis, 
providers of geriatric services, pediatric dentists, and behavioral/
mental health providers, at least 11 of the minimum 20 hours per week 
must be spent providing direct patient care in the outpatient 
ambulatory care setting(s) at the NHSC-approved service site(s) during 
normally scheduled office hours. The remaining 9 hours per week must be 
spent providing direct patient care for patients at the approved 
practice site(s), providing direct patient care in alternative settings 
as directed by the approved practice site(s), or performing practice-
related administrative activities. Teaching and practice-related 
administrative activities shall not exceed 4 hours of the minimum 20 
hours per week.
    For physicians (including psychiatrists), physician assistants, 
nurse practitioners (including those specializing in psychiatry or 
mental health), and certified nurse midwives serving in a CAH, the 
half-time service requirements are as follows: At least 8 of the 
minimum 20 hours per week must be spent providing direct patient care 
in the CAH-affiliated outpatient ambulatory care setting(s) specified 
in the Customer Service Portal, during normally scheduled office hours. 
The remaining 12 hours of the minimum 20 hours per week must be spent 
providing direct patient care for patients at the CAH(s) or the CAH-
affiliated outpatient ambulatory care setting specified in the Practice 
Agreement, providing direct patient care in the CAH's skilled nursing 
facility or swing bed unit, or performing practice-related 
administrative activities. Teaching and practice-related administrative 
activities shall not exceed 4 hours of the minimum 20 hours per week.
    Half-time clinical practice is not an option for scholars serving 
their obligation through the Private Practice Option.
    In addition to utilizing NHSC scholars in accordance with their 
full-time or half-time service obligation (as defined above), NHSC 
service sites are expected to: (1) Report to the NHSC all absences 
through clinician in-service verifications every 6 months, including 
those in excess of the authorized number of days (up to 35 full-time 
days per service year in the case of full-time service and up to 35 
half-time days per service year in the case of half-time service); (2) 
report to the NHSC any change in the status of an NHSC clinician at the 
site; (3) provide the time and leave records, schedules, and any 
related personnel documents for NHSC scholars (including documentation, 
if applicable, of the reason(s) for the termination of an NHSC 
clinician's employment at the site prior to his or her obligated 
service end date); and (4) submit a Uniform Data System (UDS) report in 
the case of entities receiving HRSA grant support under Section 330 of 
the Public Health Service Act. The UDS report, as applicable, requires 
the site to assess the age, sex, race/ethnicity of, and provider 
encounter records for its user population and are aggregated at the 
organization level. Providers fulfilling NHSC commitments are approved 
to serve at a specific site or, in some cases, more than one site.

Evaluation and Selection Process

    For a site to be eligible for placement of NHSC scholars, it must 
be approved by the NHSC following the site's submission of a site 
application. Processing of site applications from solo or group 
practices will involve additional screening, including a site visit by 
NHSC representatives. The site application approval is good for a 
period of 3 years from the date of approval.
    In approving applications for the assignment of Corps members, the 
Secretary shall give priority to any such application that is made 
regarding the

[[Page 26571]]

provision of primary health services in a HPSA with the greatest 
shortage. For the program year October 1, 2015, through September 30, 
2016, HPSAs of greatest shortage for determination of priority for 
assignment of NHSC scholarship-obligated Corps personnel will be 
defined as follows: (1) Primary medical care HPSAs with scores of 16 
and above are authorized for the assignment of NHSC scholars who are 
primary care physicians, family nurse practitioners, physician 
assistants, or certified nurse midwives; (2) mental health HPSAs with 
scores of 16 and above are authorized for the assignment of NHSC 
scholars who are psychiatrists or mental health nurse practitioners; 
and (3) dental HPSAs with scores of 16 and above are authorized for the 
assignment of NHSC scholars who are dentists. The NHSC has determined 
that a minimum HPSA score of 16 for all service-ready NHSC scholars 
will enable it to meet its statutory obligation to identify a number of 
entities eligible for placement at least equal to, but not greater 
than, twice the number of NHSC scholars available to serve in the 2015-
2016 placement cycle.
    The number of new NHSC placements through the Scholarship Program 
allowed at any one site is limited to one of the following provider 
types: Physician (MD/DO), nurse practitioner, physician assistant, 
certified nurse midwife, or dentist. The NHSC will consider requests 
for up to two scholar placements at any one site on a case-by-case 
basis. Factors that are taken into consideration include community 
need, as measured by demand for services, patient outcomes, and other 
similar factors. Sites wishing to request an additional scholar must 
complete an Additional Scholar Request form available at http://nhsc.hrsa.gov/downloads/additionalrequestform.pdf.
    NHSC-approved sites that do not meet the authorized threshold HPSA 
score of 16 may post job openings on the NHSC Jobs Center; however, 
scholars seeking placement between October 1, 2015, and September 30, 
2016, will be advised that they can only compete for open positions at 
sites that meet the threshold placement HPSA score of 16. While not 
eligible for scholar placements in 2015-2016, vacancies in HPSAs 
scoring less than 16 will be used by the NHSC in evaluating the HPSA 
threshold score for the next scholarship placement cycle.

Application Requests, Dates, and Address

    The list of HPSAs and entities that are eligible to receive 
priority for the placement of NHSC scholars may be updated 
periodically. New entities may be added to the NHSC Jobs Center during 
a site application competition. Likewise, entities that no longer meet 
eligibility criteria, including those sites whose 3-year approval as an 
NHSC service site has lapsed or whose HPSA designation has been 
withdrawn or proposed for withdrawal, will be removed from the priority 
listing.

Additional Information

    Entities wishing to provide additional data and information in 
support of their inclusion on the proposed list of entities that would 
receive priority in assignment of NHSC Scholars, or in support of a 
higher priority determination, must do so in writing no later than June 
8, 2015. This information should be submitted to: Beth Dillon, 
Director, Division of Regional Operations, Bureau of Health Workforce, 
1961 Stout Street, Denver, CO 80294. This information will be 
considered in preparing the final list of entities that are receiving 
priority for the assignment of scholarship-obligated Corps personnel.
    The program is not subject to the provisions of Executive Order 
12372, Intergovernmental Review of Federal Programs (as implemented 
through 45 CFR part 100).

    Dated: April 30, 2015.
James Macrae,
Acting Administrator.
[FR Doc. 2015-11049 Filed 5-7-15; 8:45 am]
 BILLING CODE 4165-15-P



                                                                                      Federal Register / Vol. 80, No. 89 / Friday, May 8, 2015 / Notices                                            26569

                                                       Agenda: The agenda items for the June                announces that the listing of entities                secondary and tertiary care; (3) have a
                                                    2015 meeting will include, but are not                  and associated Health Professional                    documented record of sound fiscal
                                                    limited to: Updates from ACCV Adult                     Shortage Area (HPSA) scores, which                    management; (4) will experience a
                                                    Immunization Workgroup, the Division of
                                                                                                            will receive priority for the assignment              negative impact on the capacity to
                                                    Injury Compensation Programs (DICP),
                                                    Department of Justice (DOJ), National                   of National Health Service Corps                      provide primary health services if a
                                                    Vaccine Program Office (NVPO),                          (NHSC) scholarship recipients available               Corps member is not assigned to the
                                                    Immunization Safety Office (Centers for                 for service during the period October 1,              entity, and (5) are a nonprofit or public
                                                    Disease Control and Prevention), National               2015, through September 30, 2016, is                  entity to which Corps members may be
                                                    Institute of Allergy and Infectious Diseases            posted on the NHSC Jobs Center Web                    assigned. Sites that provide specialized
                                                    (National Institutes of Health), and Center for         site at http://nhscjobs.hrsa.gov. The                 care, or a limited set of services, will
                                                    Biologics, Evaluation and Research (Food                NHSC Jobs Center includes sites that are              receive greater scrutiny and may not
                                                    and Drug Administration). A draft agenda                approved for service by NHSC scholars;                receive approval as NHSC service sites.
                                                    and additional meeting materials will be
                                                                                                            however, entities on this list may or                 This may include clinics that focus on
                                                    posted on the ACCV Web site (http://
                                                    www.hrsa.gov/vaccinecompensation/                       may not have current job vacancies.                   one disease or disorder or offer limited
                                                    accv.htm) prior to the meeting. Agenda items            Eligible HPSAs and Entities                           services, such as a clinic that only
                                                    are subject to change as priorities dictate.                                                                  provides immunizations or a substance
                                                       Public Comment: Persons interested in                   To be eligible to receive assignment of            abuse clinic.
                                                    providing an oral presentation should submit            Corps members, entities must: (1) Have                  Entities at which NHSC scholars are
                                                    a written request, along with a copy of their           a current HPSA status of ‘‘designated’’               performing their service obligations
                                                    presentation to: Annie Herzog, Division of              by the Division of Policy and Shortage                must assure that (1) the position will
                                                    Injury Compensation Programs (DICP),                    Designation, Bureau of Health
                                                    Healthcare Systems Bureau (HSB), Health                                                                       permit the full scope of practice and
                                                                                                            Workforce, HRSA as of January 1, 2015,
                                                    Resources and Services Administration                                                                         that the clinician meets the
                                                                                                            for placements October 1, 2015, through
                                                    (HRSA), Room 11C–26, 5600 Fishers Lane,                                                                       credentialing requirements of the state
                                                                                                            December 31, 2015, or as of January 1,
                                                    Rockville, Maryland 20857 or email:                                                                           and site; and (2) the NHSC scholar
                                                    aherzog@hrsa.gov. Requests should contain               2016, for placements January 1, 2016,
                                                                                                                                                                  assigned to the entity is engaged in the
                                                    the name, address, telephone number, email              through September 30, 2016; (2) not
                                                                                                                                                                  requisite amount of clinical practice, as
                                                    address, and any business or professional               deny requested health care services or
                                                                                                                                                                  defined below, to meet his or her service
                                                    affiliation of the person desiring to make an           discriminate in the provision of services
                                                                                                                                                                  obligation:
                                                    oral presentation. Groups having similar                to an individual because the individual
                                                    interests are requested to combine their                is unable to pay for the services or                  Full-Time Clinical Practice
                                                    comments and present them through a single              because payment for the services would
                                                    representative. The allocation of time may be                                                                    ‘‘Full-time clinical practice’’ is
                                                                                                            be made under Medicare, Medicaid, or
                                                    adjusted to accommodate the level of                                                                          defined as a minimum of 40 hours per
                                                                                                            the Children’s Health Insurance
                                                    expressed interest. DICP will notify each
                                                                                                            Program (CHIP); (3) enter into an                     week for at least 45 weeks per service
                                                    presenter by email, mail, or telephone of                                                                     year. The 40 hours per week may be
                                                    their assigned presentation time. Persons               agreement with the state agency that
                                                                                                            administers Medicaid and CHIP, accept                 compressed into no less than 4 work
                                                    who do not file an advance request for a                                                                      days per week, with no more than 12
                                                    presentation, but desire to make an oral                assignment under Medicare, see all
                                                                                                            patients regardless of their ability to pay           hours of work to be performed in any
                                                    statement, may announce it at the time of the
                                                    public comment period. Public participation             and post such policy, and use and post                24-hour period. Time spent on-call does
                                                    and ability to comment will be limited to               a discounted fee plan; and (4) be                     not count toward the full-time service
                                                    space and time as it permits.                           determined by the Secretary to have (a)               obligation, except to the extent the
                                                       For Further Information Contact: Anyone              a need and demand for health                          provider is directly treating patients
                                                    requiring information regarding the ACCV                manpower in the area; (b) appropriately               during that period.
                                                    should contact Annie Herzog, DICP, HSB,                                                                          For all health professionals, except as
                                                                                                            and efficiently used Corps members
                                                    HRSA, Room 11C–26, 5600 Fishers Lane,                                                                         noted below, at least 32 of the minimum
                                                    Rockville, Maryland 20857; telephone (301)              assigned to the entity in the past; (c)
                                                                                                            general community support for the                     40 hours per week must be spent
                                                    443–6593, or email: aherzog@hrsa.gov.
                                                                                                            assignment of Corps members; (d) made                 providing direct patient care in the
                                                    Jackie Painter,                                         unsuccessful efforts to recruit health                outpatient ambulatory care setting(s) at
                                                    Director, Division of the Executive Secretariat.        professionals; (e) a reasonable prospect              the NHSC-approved service site(s)
                                                    [FR Doc. 2015–11097 Filed 5–7–15; 8:45 am]              for sound fiscal management by the                    during normally scheduled office hours.
                                                    BILLING CODE 4165–15–P                                  entity with respect to Corps members                  The remaining 8 hours per week must
                                                                                                            assigned there; and (f) demonstrated a                be spent providing direct patient care
                                                                                                            willingness to support and facilitate                 for patients at the approved practice
                                                    DEPARTMENT OF HEALTH AND                                mentorship, professional development,                 site(s), providing direct patient care in
                                                    HUMAN SERVICES                                          and training opportunities for Corps                  alternative settings as directed by the
                                                                                                            members.                                              approved practice site(s), or performing
                                                    Health Resources and Services                              Priority in approving applications for             practice-related administrative
                                                    Administration                                          assignment of Corps members goes to                   activities.
                                                                                                            sites that (1) provide primary medical                   Teaching activities at the approved
                                                    Recruitment of Sites for Assignment of                  care, mental health, and/or oral health               service site shall not exceed 8 hours of
                                                    Corps Personnel Obligated Under the                     services that matches the discipline to a             the minimum 40 hours per week, unless
asabaliauskas on DSK5VPTVN1PROD with NOTICES




                                                    National Health Service Corps                           primary medical care, mental health, or               the teaching takes place in a HRSA-
                                                    Scholarship Program                                     dental HPSA of greatest shortage,                     funded Teaching Health Center (see
                                                    AGENCY: Health Resources and Services                   respectively; (2) are part of a system of             Section 340H of the Public Health
                                                    Administration, HHS.                                    care that provides a continuum of                     Service Act, 42 U.S.C. Section 256h).
                                                    ACTION: General notice.                                 services, including comprehensive                     Teaching activities in a HRSA-funded
                                                                                                            primary health care and appropriate                   Teaching Health Center shall not exceed
                                                    SUMMARY:  The Health Resources and                      referrals (e.g. ancillary, inpatient, and             20 hours of the minimum 40 hours per
                                                    Services Administration (HRSA)                          specialty referrals) or arrangements for              week.


                                               VerDate Sep<11>2014   16:38 May 07, 2015   Jkt 235001   PO 00000   Frm 00048   Fmt 4703   Sfmt 4703   E:\FR\FM\08MYN1.SGM   08MYN1


                                                    26570                             Federal Register / Vol. 80, No. 89 / Friday, May 8, 2015 / Notices

                                                       For obstetrician/gynecologists,                      Health Center shall not exceed 20 hours               normally scheduled office hours. The
                                                    certified nurse midwives, family                        of the minimum 40 hours per week.                     remaining 12 hours of the minimum 20
                                                    medicine physicians who practice                                                                              hours per week must be spent providing
                                                                                                            Half-Time Clinical Practice
                                                    obstetrics on a regular basis, providers                                                                      direct patient care for patients at the
                                                    of geriatric services, pediatric dentists,                 ‘‘Half-time clinical practice’’ is                 CAH(s) or the CAH-affiliated outpatient
                                                    and behavioral/mental health providers,                 defined as a minimum of 20 hours per                  ambulatory care setting specified in the
                                                    at least 21 of the minimum 40 hours per                 week (not to exceed 39 hours per week),               Practice Agreement, providing direct
                                                    week must be spent providing direct                     for at least 45 weeks per service year.               patient care in the CAH’s skilled
                                                    patient care in the outpatient                          The 20 hours per week may be                          nursing facility or swing bed unit, or
                                                    ambulatory care setting(s) at the NHSC-                 compressed into no less than 2 work                   performing practice-related
                                                    approved service site(s) during normally                days per week, with no more than 12                   administrative activities. Teaching and
                                                    scheduled office hours. The remaining                   hours of work to be performed in any                  practice-related administrative activities
                                                    19 hours per week must be spent                         24-hour period. Time spent on-call does               shall not exceed 4 hours of the
                                                    providing direct patient care for patients              not count toward the half-time service                minimum 20 hours per week.
                                                    at the approved practice site(s),                       obligation, except to the extent the                     Half-time clinical practice is not an
                                                    providing direct patient care in                        provider is directly treating patients                option for scholars serving their
                                                    alternative settings as directed by the                 during that period.                                   obligation through the Private Practice
                                                    approved practice site(s), or performing                   For all health professionals, except as            Option.
                                                    practice-related administrative                         noted below, at least 16 of the minimum                  In addition to utilizing NHSC scholars
                                                    activities. Of the remaining 19 hours per               20 hours per week must be spent                       in accordance with their full-time or
                                                    week, no more than 8 hours can be                       providing direct patient care in the                  half-time service obligation (as defined
                                                                                                            outpatient ambulatory care setting(s) at              above), NHSC service sites are expected
                                                    spent performing practice-related
                                                                                                            the NHSC-approved service site(s),                    to: (1) Report to the NHSC all absences
                                                    administrative activities. Teaching
                                                                                                            during normally scheduled office hours.               through clinician in-service
                                                    activities at the approved service site
                                                                                                            The remaining 4 hours per week must                   verifications every 6 months, including
                                                    shall not exceed 8 hours of the
                                                                                                            be spent providing direct patient care                those in excess of the authorized
                                                    minimum 21 hours per week providing
                                                                                                            for patients at the approved practice                 number of days (up to 35 full-time days
                                                    direct patient care, unless the teaching
                                                                                                            site(s), providing direct patient care in             per service year in the case of full-time
                                                    takes place in a HRSA-funded Teaching
                                                                                                            alternative settings as directed by the               service and up to 35 half-time days per
                                                    Health Center, as noted above.
                                                                                                            approved practice site(s), or performing              service year in the case of half-time
                                                       For physicians (including                            practice-related administrative                       service); (2) report to the NHSC any
                                                    psychiatrists), physician assistants,                   activities. Teaching and practice-related             change in the status of an NHSC
                                                    nurse practitioners (including those                    administrative activities shall not                   clinician at the site; (3) provide the time
                                                    specializing in psychiatry or mental                    exceed a total of 4 hours of the                      and leave records, schedules, and any
                                                    health), and certified nurse midwives                   minimum 20 hours per week.                            related personnel documents for NHSC
                                                    serving in a Critical Access Hospital                      For obstetrician/gynecologists,                    scholars (including documentation, if
                                                    (CAH) that is certified by the Centers for              certified nurse midwives, family                      applicable, of the reason(s) for the
                                                    Medicare & Medicaid Services (CMS) as                   medicine physicians who practice                      termination of an NHSC clinician’s
                                                    a CAH under section 1820 of the Social                  obstetrics on a regular basis, providers              employment at the site prior to his or
                                                    Security Act, the full-time service                     of geriatric services, pediatric dentists,            her obligated service end date); and (4)
                                                    requirements are as follows: At least 16                and behavioral/mental health providers,               submit a Uniform Data System (UDS)
                                                    of the minimum 40 hours per week                        at least 11 of the minimum 20 hours per               report in the case of entities receiving
                                                    must be spent providing direct patient                  week must be spent providing direct                   HRSA grant support under Section 330
                                                    care in the CAH-affiliated outpatient                   patient care in the outpatient                        of the Public Health Service Act. The
                                                    ambulatory care setting(s) specified in                 ambulatory care setting(s) at the NHSC-               UDS report, as applicable, requires the
                                                    the NHSC’s Customer Service Portal,                     approved service site(s) during normally              site to assess the age, sex, race/ethnicity
                                                    during normally scheduled office hours.                 scheduled office hours. The remaining 9               of, and provider encounter records for
                                                    The remaining 24 hours of the                           hours per week must be spent providing                its user population and are aggregated at
                                                    minimum 40 hours per week must be                       direct patient care for patients at the               the organization level. Providers
                                                    spent providing direct patient care for                 approved practice site(s), providing                  fulfilling NHSC commitments are
                                                    patients at the CAH(s) or the CAH-                      direct patient care in alternative settings           approved to serve at a specific site or,
                                                    affiliated outpatient ambulatory care                   as directed by the approved practice                  in some cases, more than one site.
                                                    setting specified in the Customer                       site(s), or performing practice-related
                                                    Service Portal, providing direct patient                administrative activities. Teaching and               Evaluation and Selection Process
                                                    care in the CAH’s skilled nursing                       practice-related administrative activities              For a site to be eligible for placement
                                                    facility or swing bed unit, or performing               shall not exceed 4 hours of the                       of NHSC scholars, it must be approved
                                                    practice-related administrative                         minimum 20 hours per week.                            by the NHSC following the site’s
                                                    activities. Of the remaining 24 hours per                  For physicians (including                          submission of a site application.
                                                    week, no more than 8 hours can be                       psychiatrists), physician assistants,                 Processing of site applications from solo
                                                    spent on practice-related administrative                nurse practitioners (including those                  or group practices will involve
                                                    activities and teaching activities at the               specializing in psychiatry or mental                  additional screening, including a site
asabaliauskas on DSK5VPTVN1PROD with NOTICES




                                                    approved service site(s) shall not exceed               health), and certified nurse midwives                 visit by NHSC representatives. The site
                                                    8 of the minimum 16 hours per week                      serving in a CAH, the half-time service               application approval is good for a
                                                    providing direct patient care, unless the               requirements are as follows: At least 8               period of 3 years from the date of
                                                    teaching takes place in a HRSA-funded                   of the minimum 20 hours per week                      approval.
                                                    Teaching Health Center (see Section                     must be spent providing direct patient                  In approving applications for the
                                                    340H of the Public Health Service Act,                  care in the CAH-affiliated outpatient                 assignment of Corps members, the
                                                    42 U.S.C. Section 256h). Teaching                       ambulatory care setting(s) specified in               Secretary shall give priority to any such
                                                    activities in a HRSA-funded Teaching                    the Customer Service Portal, during                   application that is made regarding the


                                               VerDate Sep<11>2014   16:38 May 07, 2015   Jkt 235001   PO 00000   Frm 00049   Fmt 4703   Sfmt 4703   E:\FR\FM\08MYN1.SGM   08MYN1


                                                                                      Federal Register / Vol. 80, No. 89 / Friday, May 8, 2015 / Notices                                              26571

                                                    provision of primary health services in                 be added to the NHSC Jobs Center                      ADDRESSES:  Submit your comments to
                                                    a HPSA with the greatest shortage. For                  during a site application competition.                Information.CollectionClearance@
                                                    the program year October 1, 2015,                       Likewise, entities that no longer meet                hhs.gov or by calling (202) 690–6162.
                                                    through September 30, 2016, HPSAs of                    eligibility criteria, including those sites
                                                                                                                                                                  FOR FURTHER INFORMATION CONTACT:
                                                    greatest shortage for determination of                  whose 3-year approval as an NHSC
                                                                                                                                                                  Information Collection Clearance staff,
                                                    priority for assignment of NHSC                         service site has lapsed or whose HPSA
                                                                                                                                                                  Information.CollectionClearance@
                                                    scholarship-obligated Corps personnel                   designation has been withdrawn or
                                                                                                                                                                  hhs.gov or (202) 690–6162.
                                                    will be defined as follows: (1) Primary                 proposed for withdrawal, will be
                                                    medical care HPSAs with scores of 16                    removed from the priority listing.                    SUPPLEMENTARY INFORMATION:        When
                                                    and above are authorized for the                                                                              submitting comments or requesting
                                                    assignment of NHSC scholars who are                     Additional Information                                information, please include the
                                                    primary care physicians, family nurse                      Entities wishing to provide additional             document identifier HHS–OS–0990–
                                                    practitioners, physician assistants, or                 data and information in support of their              New–60D for reference. Information
                                                    certified nurse midwives; (2) mental                    inclusion on the proposed list of entities            Collection Request Title: State and
                                                    health HPSAs with scores of 16 and                      that would receive priority in                        Territorial Health Disparities Survey
                                                    above are authorized for the assignment                 assignment of NHSC Scholars, or in                    Abstract: The Office of Minority Health
                                                    of NHSC scholars who are psychiatrists                  support of a higher priority                          (OMH), Office of the Secretary (OS) is
                                                    or mental health nurse practitioners;                   determination, must do so in writing no               requesting approval from the Office of
                                                    and (3) dental HPSAs with scores of 16                  later than June 8, 2015. This information             Management and Budget (OMB) for a
                                                    and above are authorized for the                        should be submitted to: Beth Dillon,                  new data collection activity for the State
                                                    assignment of NHSC scholars who are                     Director, Division of Regional                        and Territorial Health Disparities
                                                    dentists. The NHSC has determined that                  Operations, Bureau of Health                          Survey (STHD Survey).
                                                    a minimum HPSA score of 16 for all                      Workforce, 1961 Stout Street, Denver,                    OMH has a long history of
                                                    service-ready NHSC scholars will enable                 CO 80294. This information will be                    collaborating with states to improve
                                                    it to meet its statutory obligation to                  considered in preparing the final list of             minority health outcomes and reduce
                                                    identify a number of entities eligible for              entities that are receiving priority for the          health and health care disparities. A
                                                    placement at least equal to, but not                    assignment of scholarship-obligated                   strong partnership with state and
                                                    greater than, twice the number of NHSC                  Corps personnel.                                      territorial offices is a key to continue
                                                    scholars available to serve in the 2015–                   The program is not subject to the                  progress toward eliminating health
                                                    2016 placement cycle.                                   provisions of Executive Order 12372,
                                                       The number of new NHSC placements                                                                          disparities. To best facilitate continued
                                                                                                            Intergovernmental Review of Federal                   partnerships, OMH needs information
                                                    through the Scholarship Program                         Programs (as implemented through 45
                                                    allowed at any one site is limited to one                                                                     about the current activities, challenges,
                                                                                                            CFR part 100).                                        and resources within state and
                                                    of the following provider types:
                                                    Physician (MD/DO), nurse practitioner,                    Dated: April 30, 2015.                              territorial offices of minority health. The
                                                    physician assistant, certified nurse                    James Macrae,                                         State and Territorial Health Disparities
                                                    midwife, or dentist. The NHSC will                      Acting Administrator.                                 Survey is intended to support OMH
                                                    consider requests for up to two scholar                 [FR Doc. 2015–11049 Filed 5–7–15; 8:45 am]            informational needs by collecting,
                                                    placements at any one site on a case-by-                BILLING CODE 4165–15–P
                                                                                                                                                                  organizing, and presenting a variety of
                                                    case basis. Factors that are taken into                                                                       information about states and U.S.
                                                    consideration include community need,                                                                         territories, including the current status
                                                    as measured by demand for services,                     DEPARTMENT OF HEALTH AND                              of minority health and health
                                                    patient outcomes, and other similar                     HUMAN SERVICES                                        disparities, the organization and
                                                    factors. Sites wishing to request an                                                                          operation of state and territorial offices
                                                    additional scholar must complete an                     Office of the Secretary                               of minority health, and state/territorial
                                                    Additional Scholar Request form                                                                               implementation of federal standards and
                                                                                                            [Document Identifier: HHS–OS–0990–New–
                                                    available at http://nhsc.hrsa.gov/                                                                            evidence-based practices designed to
                                                                                                            60D]
                                                    downloads/additionalrequestform.pdf.                                                                          address disparities and improve
                                                       NHSC-approved sites that do not meet                 Agency Information Collection                         minority health. The STHD Survey,
                                                    the authorized threshold HPSA score of                  Activities; Proposed Collection; Public               which will focus on the activities,
                                                    16 may post job openings on the NHSC                    Comment Request                                       staffing, and funding of State Minority
                                                    Jobs Center; however, scholars seeking                                                                        Health Entities, is part of a larger project
                                                    placement between October 1, 2015, and                  AGENCY:   Office of the Secretary, HHS.               to catalog the extent of health disparities
                                                    September 30, 2016, will be advised that                ACTION:   Notice.                                     and the activities underway to reduce
                                                    they can only compete for open                                                                                them in each state and U.S. territory.
                                                    positions at sites that meet the threshold              SUMMARY:   In compliance with section                 The STHD Survey supports OMH’s
                                                    placement HPSA score of 16. While not                   3506(c)(2)(A) of the Paperwork                        goals of working with states and
                                                    eligible for scholar placements in 2015–                Reduction Act of 1995, the Office of the              territories to improve the health of racial
                                                    2016, vacancies in HPSAs scoring less                   Secretary (OS), Department of Health                  and ethnic minority populations and
                                                    than 16 will be used by the NHSC in                     and Human Services, announces plans                   eliminate health disparities. While
                                                                                                            to submit a new Information Collection                existing, state/territorial-specific
asabaliauskas on DSK5VPTVN1PROD with NOTICES




                                                    evaluating the HPSA threshold score for
                                                    the next scholarship placement cycle.                   Request (ICR), described below, to the                information sources (e.g., quantitative
                                                                                                            Office of Management and Budget                       data points available from the Agency
                                                    Application Requests, Dates, and                        (OMB). Prior to submitting the ICR to                 for Healthcare Research and Quality’s
                                                    Address                                                 OMB, OS seeks comments from the                       National Healthcare Disparities Report
                                                       The list of HPSAs and entities that are              public regarding the burden estimate,                 State Snapshots) offer important facts
                                                    eligible to receive priority for the                    below, or any other aspect of the ICR.                about the status of health disparities,
                                                    placement of NHSC scholars may be                       DATES: Comments on the ICR must be                    they do not provide context around the
                                                    updated periodically. New entities may                  received on or before July 7, 2015.                   efforts underway to reduce them.


                                               VerDate Sep<11>2014   16:38 May 07, 2015   Jkt 235001   PO 00000   Frm 00050   Fmt 4703   Sfmt 4703   E:\FR\FM\08MYN1.SGM   08MYN1



Document Created: 2018-02-21 10:24:33
Document Modified: 2018-02-21 10:24:33
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionGeneral notice.
FR Citation80 FR 26569 

2025 Federal Register | Disclaimer | Privacy Policy
USC | CFR | eCFR