10-144 C.M.R. ch. 512, § IV - WRITTEN ASSURANCES REQUIRED
A. Is enrolled
or has been accepted for enrollment in a fulltime study program for Nurse
Practitioners, Physician Assistants, Physicians, or Certified Nurse Midwives in
programs approved by the Secretary.
B. Has obtained written guarantee of
community scholarship funds to match the state and federal funds.
C. Agrees, while enrolled in a health
professions school, to maintain an acceptable level of academic standing (as
determined by the school) in accordance with regulations issues by the
Secretary pursuant to Section 338 A(f)(1)(B)(iii) of the PHS Act.
D. Agrees to meet the educational and
licensure requirements necessary to become a certified primary care Nurse
Practitioner, Physician Assistant, Physician, or Certified Nurse
Midwife.
E. Upon completion of the
educational program, agrees to practice in the HPSA in which the lead community
organization is located and in which he/she resides.
1. Begins practice within 2 months of
completion of the educational program, unless a specific alternative commitment
has been made with the community.
2. Continues practice for the number of years
equal to the number of years for which the scholarships are provided, or for a
period of 2 years, whichever is longer.
F. Agrees to provide care to
clients/patients:
1. Regardless of the
person's ability to pay for care.
2. Whose payment for care will be made
pursuant to the program established in Title XVIII (Medicare) or Title XIX
(Medicaid) of the Social Security Act; and
3. Under Section 1842(b)(3)(B)(ii) of the
Social Security Act for all services for which payment may be made under Part B
of Title XVIII.
G. Will
enter into an appropriate agreement with the State Bureau of Medical Services,
which administers the State plan for medical assistance under Title XIX of such
Act to provide services to individuals entitled to medical assistance under the
plan.
H. Will use scholarship funds
received from the State, Federal grant or community organization only:
1. For tuition, fees and reasonable living
expenses incurred while in full-time study at the approved program.
2. For a monthly stipend of not more than the
amount per month authorized under Section 338(A)(g)(1)(B) of the Act.
3. In an amount equal to or less than the
total amount required for the purposes indicated in #1 and #2 above in any
year.
Notes
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