Current through Reg. 50, No. 187; September 24, 2024
(1)
FRAMEdental applicants must complete and submit the
following forms in the FRAMEworks portal:
(a)
The Florida Reimbursement Assistance for Medical Education - Dental
(FRAMEdental) Application. The
FRAMEdental Application, DH8017-PHSPM-07/2023, is
incorporated by reference and available at
https://www.flrules.org/Gateway/reference.asp?No=Ref-16373.
(b) The Florida Reimbursement Assistance for
Medical Education - Dental (FRAMEdental) Employment
Verification Form (PDF only). One form is required for each employer.
Signatures must be in ink. The FRAMEdental
Employment Verification Form, DH8018-PHSPM-07/2023, is incorporated by
reference and available at
https://www.flrules.org/Gateway/reference.asp?No=Ref-16374.
(c) The Florida Reimbursement Assistance for
Medical Education - Dental (FRAMEdental) Loan
Certification Form for each educational loan (PDF only). Signatures must be in
ink or utilize a legally binding eSignature. The
FRAMEdental Loan Certification Form,
DH8019-PHSPM-07/2023, is incorporated by reference and available at
https://www.flrules.org/Gateway/reference.asp?No=Ref-16375.
(2) The following document(s) must be
uploaded to the FRAMEworks portal, as applicable:
(a) For all practice locations that are in an
FQHC, upload documentation of dental shortage designation status. A PDF copy of
the HRSA "Find Shortage Areas State/County" query result for each practice site
location (
https://data.hrsa.gov/tools/shortage-area/hpsa-find)
is considered acceptable documentation.
(b) For all practice locations that are not
in an FQHC, but are designated by HRSA as having a shortage of dental health
professionals based on geographic location, special population, or facility,
upload a PDF copy of the query result for each practice site location from HRSA
"Find Shortage Areas by Address" query result for each practice site location
(
https://data.hrsa.gov/tools/shortage-area/by-address).
(3) If requested by the Department, an
applicant must provide documentation of status as a United States citizen (U.S.
born or naturalized) or United States national, as defined by
8 U.S.C.
1401 -
1440, shall be provided by the
applicant within 5 business days.
(4) The
FRAMEdental Employment Verification Form and the
FRAMEdental Loan Certification Form will be made
available on the Department's website at
https://www.fdohframe.com/s/forms.
(5) This rule will be reviewed and repealed,
modified, or renewed through the rulemaking process 5 years from the effective
date.
Rulemaking Authority 381.4019 FS. Law Implemented 381.4019
FS.
New 2-15-24.
