Code of Colorado Regulations
1000 - Department of Public Health and Environment
1015 - Prevention Services Division (1009, 1015, 1016 Series)
6 CCR 1015-7 - LOAN REPAYMENT PROGRAM FOR DENTAL PROFESSIONALS
Section 6 CCR 1015-7-1.5 - Application requirements
Universal Citation: 6 CO Code Regs 1015-7, ยง 1.5
Current through Register Vol. 47, No. 5, March 10, 2024
(1) An eligible dental professional, desiring to participate in the program, shall complete and submit an application to the Department in accordance with the application deadlines set by the Department. A complete application shall include all of the following:
(A) A current
copy of the eligible dental professional's license to practice in
Colorado;
(B) Evidence of having
met one or more of the eligibility requirements as described in §1.2
(1);
(C) Evidence of having met,
and the ability to maintain, a significant level of service as described in
§1.1 (16);
(D) A current
statement from the lending institution that holds the educational loan debt of
the eligible dental professional and reports the total outstanding loan balance
of the applicant and the account status as "current";
(E) A statement that discloses all other
current obligations of the eligible dental professional to perform dental
services in exchange for educational debt payments, tax considerations, bonus
agreements, or advances on salary;
(F) A statement from the lender, or a signed
statement from the eligible dental professional attesting that the loan was
used to finance the applicant's education in dentistry or dental
hygiene.
(2) A successful applicant to the program shall sign a loan repayment contract with the Department. The terms of the loan repayment contract shall be determined by the Department and shall include, but may not be limited to:
(A) The total annual amount of loan repayment
awarded to the program participant;
(B) A requirement that the program
participant agrees to provide significant levels of service to underserved
individuals for a minimum of two (2) years, as required by the program
participant's specific provider level, described in §§1.1 (2) through
(6);
(C) A requirement that the
program participant agrees to promptly notify the Department in writing if the
program participant:
(i) Decreases the level
of services provided to underserved individuals from that which is required in
the loan repayment contract; or
(ii) Ceases to provide care to underserved
individuals; or
(iii) Otherwise
fails or ceases to meet program eligibility requirements.
(D) Penalties and other enforcement remedies
available to the Department in the event the program participant breaches the
terms of the loan repayment contract.
(E) A requirement that the program
participant agrees to submit semi-annual reports to the Department evidencing
the number of underserved individuals served and other related practice
information.
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