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Florida Administrative Code (Last Updated: June 27, 2024) |
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64. Department of Health |
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64W. Division of Public Health Statistics and Performance Management |
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64W-4. Florida Reimbursement Assistance for Medical Education Program |
1(1) Applications for reimbursement or loan repayment will be prioritized in tiers, as described below.
16(a) Tier 1 consists of eligible applicants that are Florida residents.
27(b) Tier 2 consists of eligible applicants that are not Florida residents.
39(2) Within each tier, applicants will be prioritized from highest to lowest by the following method:
55(a) The FRAME Prioritization Score will reflect a weighted total of 75% of the Adjusted Primary Care HPSA Score and 25% of the Service Score.
80(b) The Adjusted Primary Care HPSA Score will be computed by:
911. For only one practice location: (average weekly direct patient care hours 103for the month immediately preceding application, [DPCH] ÷ 40) x Primary Care HPSA Score).
1172. For multiple practice locations: each location will be scored individually using the above calculation and the results will be added together.
139(c) 140The Service Score will be computed by (148end 149date of application period – date of applicant’s first day with the employer) ÷ 100)). If the applicant works for multiple employers, the applicant’s longest employer’s start date will be used.
180(d) The calculations set forth in paragraphs (2)(a), (b), and (c) above are illustrated in Figure 1 below.
198Figure 1.
200(3) Underserved areas not designated by HRSA as a primary care HPSA will use a Primary Care HPSA Score of 1 less than the lowest primary care HPSA score designated on January 15, or the next business day if the 15th falls on a weekend or holiday, but not less than zero for the Primary Care HPSA Score in the computed Adjusted 262Primary Care HPSA Score. 266All Primary Care HPSA Scores will be the score that was applicable on January 15, or the next business day if the 15th falls on a weekend or holiday. Any applicant working at a facility that is eligible to have its own HPSA score will use that facility’s Primary Care HPSA score.
318(4) Loan repayment funds will be disbursed directly to lenders.
328(5) Payments made to a lender cannot exceed a recipient’s outstanding qualified principal loan balance 343and all payments made by the Department shall only be applied to the recipient’s principal balance.
359(6) In the event that there are mathematical ties (to the eighth decimal place) in the priority scores where funding will be exhausted, those applicants with a tied priority score will be funded in the following order of precedence:
398(a) First, by the highest Adjusted Primary Care HPSA score as calculated in paragraph (2)(b). In the event this does not resolve the tied priority scores, then
425(b) Second, by the highest Medicaid participation percentages as reported on the FRAME Employment Verification Form. In the event this does not resolve the tied priority scores, then
453(c) The remaining amount of funding will be equally divided among the tied applicants.
467(7) This rule will be reviewed and repealed, modified, or renewed through the rulemaking process five years from the effective date.
488Rulemaking Authority 4901009.65 FS. 492Law Implemented 4941009.65 FS. 496History–New 4-20-23, Amended 2-15-24.
