Federal Programs
RHO Home>Rural Health Workforce>Federal Programs
The National Rural Recruitment and Retention Network (3R Net)
The National Rural Recruitment and Retention Network (3R Net) is made up of state organizations such as State Offices of Rural Health, Area Health Education Centers, Cooperative Agreement Agencies, and State Primary Care Associations. These not-for-profit organizations help health professionals locate practice sites in rural areas throughout the country.

Rural practice sites can post job openings on 3R Net to be viewed by health care providers seeking jobs in rural areas. Providers seeking positions can also post their availability. While provider postings largely represent physicians, the program is beginning to include nurses and dentists.

The Rural Health Office is the contact in Arizona for 3-R Net. Any rural health facility—hospital, clinic, health center, IHS facility, or private practice—can post job openings in primary care to the Rural Recruitment and Retention (3RNet) Web site. The postings can be viewed by hundreds of health care providers seeking jobs; since January 2004, over 650 health care providers interested in working in Arizona have registered at the site.

National Health Service Corp
The National Health Service Corps (NHSC) recruits primary care physicians, nurse practitioners, physician assistants, certified nurse-midwives, dentists, dental hygienists, and mental health professionals to provide care in federally designated Health Professional Shortage Areas (HPSAs) in exchange for loan repayment assistance or scholarships.

The National Health Service Corps assists underserved communities recruit and retain health care providers. The application to receive recruitment and retention assistance from the NHSC is available online at: http://nhsc.bhpr.hrsa.gov/applications/rraa.asp.
According to the NHSC’s Recruitment and Retention Assistance Web site, the NHSC requires that a number of eligibility criteria be met in order for a site to receive assistance. These criteria include:

  • Be located in a federally designated HPSA.
  • Documentation of sound fiscal management.
  • Use a sliding-fee schedule or documented methods to reduce fees that ensure no financial barriers to care exist, accept assignment of Medicare, and enter into an agreement with the State agency that administers Medicaid.
  • Proof of the capacity to maintain a competitive salary, benefits, and malpractice coverage package.
    NHSC sites must provide requested health care services regardless of the individual’s ability or method of payment. NHSC sites must not discriminate in the provision of services to an individual because of (1) the individual's ability to pay for the services; or (2) because payment for the services would be made under the Medicare, Medicaid, or State Children's Health Insurance Programs.
    To meet these requirements entities must:
  • Provide health care services at no charge, or at a nominal charge, to patients whose incomes are at or below 200% of the federal poverty guidelines, which are revised annually in March. NHSC sites utilize different practices to ensure that no barriers to care exist, including establishing a schedule of discounts based on patients' ability to pay.
  • Accept assignments under the Medicare program.
  • Enter into an appropriate agreement with the State agency administering the Medicaid program.
  • Enter into an appropriate agreement with the State agency administering the State Children's Health Insurance Program.
  • Prominently advertise a statement that explicitly communicates the fact that no one will be denied access to services due to inability to pay. In accordance with the breadth and scope of the NHSC service area, when applicable, this signage should be translated into the appropriate language/dialect.

The entity shall take reasonable and appropriate steps to collect all payments due for health care services provided by the entity, including payments from any third party (including a Federal, State, or local government agency and any other third party) that is responsible for part or all of the charge for such services.