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NHSC LRP Online Application User Guide

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File Type	application/pdf
File Title	NHSC LRP Online Application User Guide
Author	Abby Fayomi
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OMB Number: 0915-0127
Expiration Date: 05/31/2027

BHW Management
Information System Solution
(BMISS)
National Health Service Corps (NHSC)
Loan Repayment Program (LRP)
FY 2023 Online Application User Guide
Created for March 2023 Release
Last Revised: 3/23/2023

Public Burden Statement:
The purpose of this information collection is to obtain information through the National Health Service Corps Loan Repayment Program that
is used to assess a Loan Repayment Program applicant’s eligibility and qualifications for the Loan Repayment Program, or for NHSC Site
Application and Recertification purposes. Clinicians interested in participating in the National Health Service Corps Loan Repayment
Program must submit an application to the National Health Service Corps. An agency may not conduct or sponsor, and a person is not
required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB control number for
this information collection is 0915-0127 and it is valid until 05/31/2027. This information collection is required to obtain or retain a benefit
(Section 338B [254f] (a)(1) of the Public Health Service Act). The information is protected by the Privacy Act, but it may be disclosed outside
the U.S. Department of Health and Human Services, as permitted by the Privacy Act and Freedom of Information Act, to Congress, the
National Archives, and the Government Accountability Office, and pursuant to court order and various routine uses as described in the
System of Record Notice 09-15-0037. Public reporting burden for this collection of information is estimated to average 0.5 hours per
response, including the time for reviewing instructions, searching existing data sources, and completing and reviewing the collection of
information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for
reducing this burden, to HRSA Reports Clearance Officer, 5600 Fishers Lane, Room 13N82, Rockville, Maryland, 20857.

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Contents
Figures ........................................................................................................................................................... 4
Introduction: NHSC LRP Online Application User Guide ................................................................................ 5
Section 1: BHW Portal ............................................................................................................................... 6
Section 2: Logging In .................................................................................................................................. 7
Section 3: Home Page ................................................................................................................................ 8
Section 4: NHSC Eligibility .......................................................................................................................... 9
Section 4: NHSC Eligibility (Continued) ................................................................................................ 10
Section 5: Program Eligibility ................................................................................................................... 11
Section 5: Program Eligibility (Continued) ........................................................................................... 12
Section 6: Application Information .......................................................................................................... 14
Section 6: Application Information (Continued) .................................................................................. 15
Section 6: Application Information (Continued) .................................................................................. 16
Section 6: Application Information (Continued) .................................................................................. 17
Section 7: General Information ............................................................................................................... 19
Section 7: General Information (Continued) ....................................................................................... 20
Section 7: General Information (Continued) ....................................................................................... 21
Section 7: General Information (Continued) ....................................................................................... 22
Section 8: Discipline, Training & Certification .......................................................................................... 25
Section 8: Discipline, Training & Certification (Continued) .................................................................. 27
Section 9: Employment............................................................................................................................ 29
Section 9: Employment (Continued) .................................................................................................... 30
Section 9a: Employment Site Not Found Webform ................................................................................. 35
Section 10: Employment Verification ...................................................................................................... 37
Section 11: Loan Information .................................................................................................................. 39
Section 12: Loan Details .......................................................................................................................... 44
Section 13: Supporting Documents ......................................................................................................... 49
Section 14: Self Certification.................................................................................................................... 52
Section 15: Review & Submit................................................................................................................... 55
Section 16: Submitted Landing Page........................................................................................................ 59
Section 17: Withdraw Application ........................................................................................................... 62
Section 18: Edit Application (Prior to Application Deadline) ................................................................... 65
2

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Section 19: Resolving Issues .................................................................................................................... 67

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Figures
Figure 1: BHW Portal ..................................................................................................................................... 6
Figure 2: Logging In........................................................................................................................................ 7
Figure 3: Home Page...................................................................................................................................... 8
Figure 4: NHSC Eligibility ................................................................................................................................ 9
Figure 5: Ineligible Landing Page ................................................................................................................. 10
Figure 6: Program Eligibility ......................................................................................................................... 11
Figure 7: Program Eligibility SUD Questions ................................................................................................ 12
Figure 8: Application Information 2 Year Application Types ....................................................................... 14
Figure 9: Application Information 3 Year Application Types ....................................................................... 15
Figure 10: Application Information All Application Types............................................................................ 16
Figure 11: Application Information Questions ............................................................................................. 17
Figure 12: Application Type Flowchart……………………………………………………………………………………………………. 18
Figure 13: General Information Page........................................................................................................... 19
Figure 14: General Information Page Cont. ................................................................................................. 20
Figure 15: General Information Page Cont. ................................................................................................. 21
Figure 16: General Information Page Cont. ................................................................................................. 22
Figure 17: Discipline, Training & Certification .............................................................................................. 25
Figure 18: Employment Page ....................................................................................................................... 30
Figure 19: Employment Sites Error Message ............................................................................................... 31
Figure 20: Display of MCTA Score…………………………………………………………………………………………………………. 34
Figure 21: Employment Site Not Found Webform....................................................................................... 35
Figure 22: Employment Site Not Found Webform ...................................................................................... 35
Figure 23: Employment Verification ............................................................................................................ 37
Figure 24: Loan Information ........................................................................................................................ 40
Figure 25: Manual Loans ............................................................................................................................. 41
Figure 26: Loan Details ................................................................................................................................ 42
Figure 27: Loan Details Cont. ....................................................................................................................... 46
Figure 28: Loan Supporting Documents ...................................................................................................... 47
Figure 29: Supporting Documents ............................................................................................................... 50
Figure 30: Self Certification.......................................................................................................................... 53
Figure 31: Review & Submit ........................................................................................................................ 56
Figure 32: Review & Submit Sites Error Message ........................................................................................ 57
Figure 33: Submitted Landing Page ............................................................................................................. 59
Figure 34: Submitted Landing Page Cont. .................................................................................................... 60
Figure 35: Withdraw Application ................................................................................................................. 62
Figure 36: Withdrawn Submitted Landing Page .......................................................................................... 63
Figure 37: Undo Withdrawal Landing Page.................................................................................................. 64
Figure 38: Edit Application Landing Page..................................................................................................... 66

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Introduction: NHSC LRP Online Application User Guide
Purpose: The NHSC LRP Online Application user guide serves as the main tool for the Customer Care
Center to answer applicant questions regarding issues applicants have when calling for resolution. In
addition to this user guide, the Customer Care Center Analysts must be familiar with the NHSC LRP
Application Program & Guidance, as some of the questions will be program based and will not be
discussed in this user guide. The primary intent of this user guide is to focus on the functionality
developed for the NHSC LRP Online Application.
Roles: The application will be filled out by external users. The Customer Care Center Analysts need to
understand the functionality to support external users should he/she encounter any problems with the
application.
Precondition: Applicant has a question regarding the NHSC LRP Online Application and contacts the
Customer Care Center for help to resolve an issue.

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Section 1: BHW Portal
The BHW Portal allows applicants to navigate to the NHSC LRP application. Note: Applicant will skip this
page if he/she links directly from the HRSA website.
Steps:
1. Applicant selects “Applying for the NHSC Loan Repayment Program.”
2. System displays log in page (see Section 2)
3. Applicant can log in

Figure 1: BHW Portal

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Section 2: Logging In
After activating an account, the applicant will be able to log in. The applicant will enter his/her email
address and password used in creating his/her account. If the applicant forgets his/her password,
he/she can reset his/her password by selecting the “Forgot your password?” link.
Steps:
1. Applicant enters his/her email address and password
2. Applicant selects (Login) and the system brings him/her to the Not Started Home page

Figure 2: Logging In

Business Rules:
• The applicant will be warned after his/her second failed log in attempt
o The applicant’s account will be locked after the third failed log in attempt
o The applicant can select “Forgot your password?” to reset his/her account, or;
• Contact the Customer Care Center to have his/her account unlocked
• System shall not allow user to create account if Applicant’s Primary Email is already tied to a
BMISS participant account

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Section 3: Home Page
The Not Started Home page is the first page the applicant will see on his/her initial log in. Once the
applicant has started the application, his/her status will change to “In Progress” and the applicant will be
directed to the NHSC LRP “In Progress” Home Page when logging in.
Steps:
1. Applicant reviews the information displayed on the Home Page for all NHSC LRP programs
2. Once an applicant has finished reviewing the necessary information, they will click “Start My
Application” to begin their NHSC LRP application process

Figure 3: Home Page

•

Applicants are requested to read the following documents prior to starting his/her application:
o Application and Program Guidance (APG)
o Applicant Checklist
If the applicant logs in to his/her previously saved application, the applicant will be directed to the Home
page and the application will display an “In Progress” status. The applicant will be able to continue with
his/her last saved page or jump to any completed section of the application by selecting the blue
hyperlink.
8

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Section 4: NHSC Eligibility
The Eligibility page ensures that the applicant meets the qualification requirements to apply for an NHSC
LRP application. If the applicant is deemed eligible, he/she will be able to continue with the application.
If an individual does not pass the initial screening portion of the online application, he/she will not be
able to continue with the application.
Steps:
1.
2.
3.
4.

Applicant answers all required questions
Applicant selects (Save & Continue) once all questions have been answered
Applicant will move forward to the General Information page if he/she is eligible
Applicant will be directed to the In Progress – Ineligible landing page if found ineligible

Figure 4: NHSC Eligibility

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Section 4: NHSC Eligibility (Continued)

Figure 5: Ineligible Landing Page

•
•

•

Select any tool tip for additional information on specific question
System shall require response to the following questions if applicant indicates that he/she has
an existing service obligation:
o “Will your obligation be satisfied on or before the deadline for meeting the NHSC clinical
practice requirements (July 18, 2023)?
o Are you a uniformed service member or member of the reserve corps?
System shall direct user to ineligible landing page if one or more of the following answers are
selected
o Current, full, permanent, etc. License = No
o Applicant US Citizen or National = No
o Existing service obligation = Yes and:
o Completed before submission= No and:
o Uniformed service member = No
o Applicant judgment lien = Yes
o Applicant defaulted federal debt = Yes
o Applicant in breach of service obligation = Yes
10

OMB Number: 0915-0127
Expiration Date: 05/31/2027

•

o Applicant defaulted prior service obligation = Yes
System shall require the service verification document if:
o Yes to Existing Service Complete prior to submission; and
o No or Yes to Uniformed Service member

Section 5: Program Eligibility
The Program Eligibility page ensures that the applicant is matched with the NHSC program(s) that they
are most suited to apply for. An applicant’s answers to these questions will determine their results on
proceeding the Application Screen. If an individual does not pass this secondary screening portion of the
online application, he/she will be taken to an ineligible landing page.
Steps:
1.
2.
3.
4.

Applicant will complete the first required question
Applicant will complete any additional required fields that populate (up to four questions total).
Applicant selects “Save & Continue” once all questions have been answered
Applicant will move forward to the Application Information page to see their “Eligible
Application Types” results
5. Applicant will be directed to the In Progress – Ineligible landing page if found ineligible (see
Figure 5 above)

Figure 6: Program Eligibility

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Section 5: Program Eligibility (Continued)

Figure 7: Program Eligibility SUD Questions

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Business Rules:
• An applicant will be required to complete any questions populated on the Program Eligibility
screen.
• If an applicant answers a question and no additional questions are populated, the applicant may
proceed to “Save and Continue” and continue to see their eligible results on the Application
Information screen.
• If an applicant is found ineligible based on their combination of responses, they will be
redirected to an ineligible landing page.

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Section 6: Application Information
The Application Information page requires the applicant to identify which application type they would
like to be considered for throughout the rest of the application process. The responses provided on the
preceding Program Eligibility screen will affect displayed results for “Eligible Application Types” on the
Application Information screen.
Steps:
1. Applicant selects their application type from options displayed under the Eligible Application
Types
2. Applicant answers required fields
a. Required fields denoted with an asterisk (*).
3. Applicant responds to any additional questions which may
4. Applicant selects “Save & Continue” once he/she have answered all the required fields
5. Applicant will be directed to the General Information page if all required fields are entered

Figure 8: Application Information 2 Year Application Types

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Section 6: Application Information (Continued)

Figure 9: Application Information 3 Year Application Types

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Section 6: Application Information (Continued)

Figure 10: Application Information All Application Types

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Section 6: Application Information (Continued)

Figure 11: Application Information Questions

Business Rules:
• Applicant must select an application type from their “Eligible Application Types” to continue to
the General Information page.
o An applicant can only select one application type.
o An applicant can change the application type they select at any point prior to the
submission of their application.

OMB Number: 0915-0127
Expiration Date: 05/31/2027

•
•

•

Applicant must provide a response to any additional required questions displayed to continue to
the General Information page.
Applicant can navigate back to the Application Information page and change their response.
o Note: If the applicant has initiated an Employment Verification, they must first cancel
that request prior to changing their application type from full-time to half-time or vice
versa.
For applicants who answer “Yes” to question number 9, DNHSC will verify dental residency
completion and approved applicants will receive priority ranking based on a THCGME Program
Linkage
The following flowchart outlines applicable application types based on responses provided on
the Program Eligibility screen:

Figure 12: Application Type Workflow

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Section 7: General Information
The General Information page consists of questions about the applicant’s contact and background
information. Some information (such as First and Last Name, etc.) is pre-populated from the answers the
applicant entered when creating his/her account.
Steps:
1. Applicant answers required fields. Required fields denoted with an asterisk (*).
2. Applicant selects (Save & Continue) once he/she have answered all the required fields
3. Applicant will be directed to Discipline, Training and Certification page upon selecting continue if
all required fields are entered

Figure 13: General Information Page

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Section 7: General Information (Continued)

Figure 14: General Information Page Cont.

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Section 7: General Information (Continued)

Figure 15: General Information Page Cont.

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Section 7: General Information (Continued)

Figure 16: General Information Page Cont.

Business Rules:
• The following fields are populated from answers from the create account process
o First Name
o Last Name
o Middle Initial
o Title
o Suffix
• System shall require that Applicant Birth Date is prior to application cycle start date
• System shall make State/Province/Region a country other than the United States is selected as
the country
• System shall display error message and not allow user to continue if user enters SSN that is tied
to a participant portal account
• Error message will request the applicant to login with existing participant portal account
• System shall display error message and not allow user to continue if user enters SSN that is tied
to another application in current cycle
• Error message will request for the applicant to login with existing application account
• System will display error message and will not allow user to continue if a current participant is
applying and the SSN does not match the SSN in the participant record

OMB Number: 0915-0127
Expiration Date: 05/31/2027

•
•
•
•
•

•
•

•

Error message will request for the applicant to edit SSN or contact Customer Care
Center to update participant record
System shall mask the SSN and require the user to enter the SSN twice
Error message will request the user re-enter his/her SSN if the SSNs do not match
System shall allow applicant to continue if SSN exists within another application for a different
program in the current cycle and applicant is using the existing account information
Note: If applicant modifies the SSN number in one application, it will automatically update the
SSN for all other applications in the same cycle
System shall display error message and not allow applicant to continue if logged in with
participant portal information and SSN entered does not match.
o Display error message that SSN does not match existing portal account: edit SSN or
contact Customer Care Center to update participant record.
System shall display the NPI number if applicant provided it in a prior application. The NPI
number can be updated by the applicant.
The system will store ONLY the most recent NPI number and record whether it is a full, partial,
or non-match, defined as:
o Full match: NPI number found + the first and last name match
o Partial match: NPI number found + the first and/or last name do not match
o Non-match: NPI number not found
System shall display an error message if the NPI number is a partial-match: “We were unable to
successfully validate the NPI number entered based on the first and last name provided. Below
please find the name associated with this NPI number. Note: This validation does not affect the
eligibility of or ability to submit your application. If you would like to make a change click ‘Go
Back’. [Last name, First Name,]
System shall display an error message if the NPI number is a non- match: “We were unable to
validate the NPI number entered. Note: This validation does not affect the eligibility of or ability
to submit your application. If you would like to make a change click ‘Go Back’.
System shall display an error message if the NPI number is associated with an organizational
NPI, instead of an individual person: “We are unable to validate the organization NPI number
entered. Please enter your individual NPI number. Note: This validation does not affect the
eligibility of or ability to submit your application. If you would like to make a change click ‘Go
Back’. (See screenshot to left).
The system shall allow the applicant to enter a Residency Program Identification Number (RPIN)
if applicable
o The system shall accept an RPIN that is maximum of 10 characters consisting of numbers
only. Letters and/or special characters will not be accepted by the system.
o If an applicant enters and saves a Residency Program Identification Number and then
returns to the General Information page, the previously entered RPIN should display in
the form field.
o If an applicant completely deletes their RPIN and saves and continues to the next page,
the previously deleted Residency Program Identification Number should not be saved.
23

OMB Number: 0915-0127
Expiration Date: 05/31/2027

•
•

The applicant may access the ACGME database via the link: https://apps.acgme.org/ads/public
to look up their Residency Program Identification Number
Note: To expedite resolving an issue the Customer Care Center should provide the error code
listed in the error message when entering a log.

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Section 8: Discipline, Training & Certification
The Discipline, Training and Certification page asks for details about an applicant’s previous work and
education. The set of questions will change dynamically based on the discipline that the applicant
selects. For example, an applicant who selects the Dentist discipline will be prompted to answer a
question regarding his/her specialty, where as an applicant who selects the Health Service Psychologist
discipline will be prompted to answer a question about practicing independently.
Steps:
1. Applicant answers required fields
2. User selects (Save & Continue) once he/she have answered all the required fields
3. Applicant will be directed to the Employment page

Figure 17: Discipline, Training & Certification

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Section 8: Discipline, Training & Certification (Continued)
Business Rules for NHSC LRP 2yr and NHSC SUD LRP Applicants:
• System shall require applicant to select a specialty if the applicant selects one of the following
disciplines:
o Dentist
o Osteopathic Physician
o Allopathic Physician
o Nurse Practitioner
o Physician Assistant
o Psychiatric Nurse Specialist
• System shall require applicants with a specialty in Geriatrics to upload a copy of his/her
Geriatrics Certification on the Supporting Documents page
• System shall require all applicants to answer question, “Do you meet the degree, training, and
certification requirements for this discipline and specialty, as defined in the
NHSC LRP
Application and Program Guidance?” Those who select “No” will be directed to the ineligible
landing page
• System shall require applicant to enter the date he/she completed his/her residency within the
RESIDENCY INFORMATION section if applicant selects one of the following disciplines:
o Osteopathic Physician
o Allopathic Physician
o Dentist (with Pediatrics Specialty only)
• System shall require applicant to enter Residency Program Name, City, State if discipline
selected is:
o Osteopathic Physician
o Allopathic Physician
o Dentist (with Pediatrics Specialty only)
• The Residency Program Completion date must be after the Degree Received Date
• System shall require applicant to verify that he/she is able to practice without supervision if
discipline selected is:
o Health Service Psychologist
o Licensed Professional Counselor
o Marriage and Family Therapist
o Licensed Clinical Social Worker
• If applicant confirms that he/she cannot practice without supervision, he/she will be directed to
the ineligible landing page
• System shall not allow applicant to change discipline if any employment sites have been added
to employment/EV page
• An applicant must cancel any initiated or complete EVs in order to change his/her discipline

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Business Rules for NHSC RC LRP Applicants:
• System shall require applicant to select a specialty if the applicant selects one of the following
disciplines:
o Dentist
o Osteopathic Physician
o Allopathic Physician
o Nurse Practitioner
o Physician Assistant
o Psychiatric Nurse Specialist
o Substance Use Disorder Professional
• System shall require applicants with a specialty in Geriatrics to upload a copy of his/her
Geriatrics Certification on the Supporting Documents page
• System shall require all applicants to answer question, “Do you meet the degree, training, and
certification requirements for this discipline and specialty, as defined in the 2019 NHSC Rural
Community LRP Application and Program Guidance?” Those who select “No” will be directed to
the ineligible landing page
• System shall require applicant to enter the date he/she completed his/her residency within the
RESIDENCY INFORMATION section if applicant selects one of the following disciplines:
o Osteopathic Physician
o Allopathic Physician
o Dentist (with Pediatrics Specialty only)
• System shall require applicant to enter Residency Program Name, City, State if discipline
selected is:
o Osteopathic Physician
o Allopathic Physician
o Dentist (with Pediatrics Specialty only)
• The Residency Program Completion date must be after the Degree Received Date
• System shall require applicant to verify that he/she is able to practice without supervision if
discipline selected is:
o Health Service Psychologist
o Licensed Professional Counselor
o Marriage and Family Therapist
o Licensed Clinical Social Worker
• System shall require Substance Use Professionals to select their ‘Substance Use Professional
Type’
o Registered Nurse
o Pharmacist
o State Licensed or Certified Counselor
o Certified Nurse Anesthetist
• If applicant confirms that he/she cannot practice without supervision, he/she will be directed to
the ineligible landing page

OMB Number: 0915-0127
Expiration Date: 05/31/2027

•
•

System shall not allow applicant to change discipline if any employment sites have been added
to employment/EV page
An applicant must cancel any initiated or complete EVs in order to change his/her discipline

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Section 9: Employment
The Employment page garners the applicant’s current employment information. The applicant can select
one or multiple sites where he/she is or will be employed.
Steps:
1. Applicant selects State in the drop down.
2. Applicant selects a City in the drop down.
3. System will populate participating sites based on HPSA type (derived from the
Discipline/Specialty selected on the Discipline, Training & Certification page) within the State
and City selected.
4. Applicant will select site(s) where he/she is or will be employed by clicking (Add Site) button.
5. If applicant has selected all site(s), applicant will click the “Yes, all my sites have been added”
radio button.
6. If an applicant’s site is not displayed in the search results, the applicant will check the “Check
this box if your site is not listed in the search results” box.
a. To submit a Site Not Found Request, see section 11a steps in the following section
7. Applicant (Save and Continue) once he/she has answered all the required fields

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Section 9: Employment (Continued)

Figure 18: Employment Page

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Figure 19: Employment Sites Error Message

Business Rules for all NHSC LRP Applicants:
• On the Employment page, if the user selects a site under the Critical Access Hospital (CAH) or
Inpatient Hospital or Facility site type, the system shall apply a validation that will require the
user to search and add multiple sites
o If the user selects a site under the CAH or Inpatient Hospital or Facility site type and
does NOT add additional sites, the system shall display an error message with the
following language:
• You have selected a Critical Access Hospital (CAH), Inpatient Hospital or Facility, or an American
Indian Health Facility. You must also add an affiliated outpatient facility as an additional site.
o If the user does NOT select a CAH or Inpatient Hospital or Facility site type, the
validation error message about adding multiple sites will NOT be displayed
o The validation should apply for all NHSC LRP application types
• If the user is an RCLRP, Certified Registered Nurse Anesthetist applicant, the validation will
not apply
o The system will check that multiple sites have been added along with the CAH, Inpatient
Hospital or Facility or American Indian Health Facility site.
• If the user selects a site under the American Indian Health Facility site type, the system shall
apply a validation that will require the user to add multiple sites.
o If the user selects a site under the American Indian Health Facility site type with an
additional site sub-type of Outpatient Facility they will not be required to add multiple
sites.

OMB Number: 0915-0127
Expiration Date: 05/31/2027

•

If the user selects a site under the American Indian Health Facility site type, without an
additional site subtype of Outpatient Facility and does not add multiple sites, then they
will receive an error message and be required to add multiple sites:
You have selected a Critical Access Hospital (CAH), Inpatient Hospital or Facility, or an American
Indian Health Facility. You must also add an affiliated outpatient facility as an additional site.
o If an applicant adds two American Indian Health Facility site types and one has an
additional site subtype of Outpatient Facility, and the other is not an Outpatient
Facility then they would pass the validation.
o If an applicant adds one American Indian Health Facility site type with an additional site
subtype of Outpatient Facility and one CAH or Inpatient Hospital site type then they
would pass the validation.
o If an applicant adds one American Indian Health Facility site type without an additional
site subtype of Outpatient Facility and one CAH or Inpatient Hospital site type then they
would not pass the validation.
o The validation should apply for all NHSC LRP application types
• If the user is an RCLRP, Certified Registered Nurse Anesthetist applicant, the
validation will not apply

Business Rules for NHSC LRP 2yr and NHSC SUD LRP Applicants:
• System shall require applicant to enter at least one site for Save and Continue to be enabled
• Applicant may add an unlimited number of sites
• System shall list only sites in “Site City” with eligible and approved sites that serve the discipline
selected
• Applicant may delete a site that has been added
• System shall place Employment Information page status as “In Progress” if applicant selects
check box indicating that he/she cannot find his/her site
• System shall place overall Employment Information page status as “In Progress” if applicant
selects “No” to are all your sites added
• System shall place overall Employment Information page status as “Complete” if applicant
selects “Yes” to are all your sites added
• System shall allow applicant to continue to the next section, Employment Verification (EV), if
he/she selects “site not found”
• System shall require applicant to cancel EV before trying to delete a site if an EV has been
initiated
Business Rules for NHSC RC LRP Applicants:
• If the user is a Certified Registered Nurse Anesthetist and an RCLRP applicant and they select a
Critical Access Hospital (CAH), Inpatient Hospital or Facility or American Indian Health Facility
the system should NOT display the error message on the Employment page to add multiple
sites.
• System shall require applicant to enter at least one site for Save and Continue to be enabled

OMB Number: 0915-0127
Expiration Date: 05/31/2027

•
•
•
•

•

•
•
•
•
•
•

Applicant may add an unlimited number of sites
System shall list only sites in “Site City” with eligible and approved NHSC sites
NHSC Rural Community LRP Applicants can work in either Primary Care or Mental Health HPSA.
All applicants applying for the NHSC Rural Community LRP must be working at a NHSC site which
provides evidence based Substance Use Disorder treatment. Only sites meeting this criteria will
be able to be selected by applicants on the Employment page.
For all applicants applying for the NHSC Rural Community LRP, the employment search will only
allow the addition of NHSC approved sites, in rural communities, that provide SUD services. Only
sites meeting this criteria will be able to be selected by applicants on the Employment page.
Applicant may delete a site that has been added
System shall place Employment Information page status as “In Progress” if applicant selects
check box indicating that he/she cannot find his/her site
System shall place overall Employment Information page status as “In Progress” if applicant
selects “No” to are all your sites added
System shall place overall Employment Information page status as “Complete” if applicant
selects “Yes” to are all your sites added
System shall allow applicant to continue to the next section, Employment Verification (EV), if
he/she selects “site not found”
System shall require applicant to cancel EV before trying to delete a site if an EV has been
initiated

MCTA Scores
•

A “MCTA” is a Maternity Care Health Professional Target Area, which is an area within a
HPSA that has a shortage of maternity health care professionals

•

The system shall display MCTA scores for NHSC LRP applicants on the Employment section
of the NHSC LRP application, next to the already existing HPSA score.
• MCTA scores will display for applicants who select sites with a Primary Care
(PC) HPSA Type.
• MCTA scores should only display for applicants who fall under the following
discipline/specialties:
• Discipline: Physician Assistant with Women's Health specialty
• Discipline: Nurse Practitioner with Women's Health specialty
• Discipline: Osteopathic Physician with OB/GYN specialty
• Discipline: Allopathic Physician with OB/GYN specialty
• Discipline: Osteopathic Physician with Family Practice w/OB
specialty
• Discipline: Allopathic Physician with Family Practice w/OB
specialty
• Discipline: Certified Nurse Midwife (no specialty exist)
33

OMB Number: 0915-0127
Expiration Date: 05/31/2027

•

If an applicant is not MCTA eligible, it means that they don’t have a Primary Care HPSA added and
their discipline/specialty does not align with the women’s health definition for NHSC.

Figure 20: Display of MCTA Score

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Section 9a: Employment Site Not Found Webform
The Employment page garners the applicant’s current employment information. The applicant can select
one or multiple sites where he/she is or will be employed. If an applicant is unable to find, select, or
identify their employment site can submit a Site Not Found Request via a Webform submission.
Steps:
1. To submit a Site Not Found request, an applicant will need to generate the Site Not Found
Webform by selecting the box that states “Check this box if your site is not listed in the search
results” (see screenshot above)
2. Applicant will complete all required fields on the generated webform
3. Applicant will hit submit to send their Site Not Found request and wait for analyst response to
their inquiry

Figure 21: Employment Site Not Found Webform

Figure 22: Employment Site Not Found Webform

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Business Rules:
• To generate a Site Not Found webform, an applicant must check the box that states “Check this
box if your site is not listed in the search results” (see screenshot above)
o System shall require the applicant to complete and submit a Site Not Found Webform if
an applicant has the “Check this box if your site is not listed in the search results”
selected
o If this box is selected, an applicant must either complete and submit their Site Not
Found Webform or uncheck this box in order to save and continue beyond the
Employment screen of the application
• The system shall require the applicant to answer all questions on the Site Not Found Webform
in order to submit the Webform
• The system shall prevent an applicant from submitting a Site Not Found Webform more than
three times
o If an applicant attempts to submit any additional Webforms beyond three submissions,
they will receive an alert and will be blocked from submitting additional Webforms

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Section 10: Employment Verification
Within the Employment Verification section of the online application, employment site Points of Contact
(POCs) are required to answer questions regarding the applicant’s current or future employment
information. Applicants will be able to view the information submitted by the site POC upon submission
of his/her application. Based on the answers provided by the Site POC, an applicant may be deemed
ineligible upon submission. If this occurs and the applicant believes it is incorrect, the applicant will be
able to edit his/her application, cancel the existing EV, and re-initiate a new one.
Steps:
1. Sites selected by the applicant in the Employment section will be listed in the CURRENT
REQUESTS table.
2. Applicant may click the site name to review that the address, phone number and point of
contact are listed for his/her site(s)
3. Applicant may initiate all EVs by clicking (Initiate All) if none of the EVs have been initiated
4. Applicant can initiate individual EVs by clicking (Initiate) next to the appropriate site
5. Applicant selects (Save and Continue) once he/she has initiated his/her EV(s)
• An applicant may navigate to the Loans page without initiating EV(s), as there may be
cases where the applicant’s site is not listed in the system and the site is under review
6. Applicant is directed to the Loans page

Figure 23: Employment Verification

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Business Rules:
• System shall generate an EV request for each site added on the Employment page
• System shall display EV status as “Not Started” until the applicant initiates the EV
• System shall only allow applicant to select “Initiate All” if each EV status is “Not Started”
• System shall allow applicant to reinitiate EV if EV status is “Returned-Unverified”
o An EV will be returned unverified if the site POC indicated that the applicant does not
work at that site
• System shall disable initiate button if EV status is “In Progress” or “Complete”
o The applicant will still be able to cancel the EV
• System shall deem employment page complete when all EV(s) in the CURRENT REQUESTS table
are complete
• In order to delete a site on the Employment page, the applicant must cancel any EVs that are “In
Progress” or “Completed”

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Section 11: Loan Information
The Loan Information page captures the loan data that an applicant will submit with his/her NHSC LRP
application. If an applicant has a National Student Loan Data System (NSLDS) account, and wishes to
submit federal loans as part of his/her NHSC LRP application, he/she will have the option to retrieve and
submit his/her federal loans. Applicants also have the ability to manually add non-federal loans to their
application, or to enter federal loan data manually as well. The steps to retrieve loans using the NSLDS
and/or to add loans manually are listed below.
Steps to Access your Loans:
1. Applicants navigate to LOG INTO YOUR NATIONAL STUDENT LOAN DATA SYSTEM ACCOUNT and
clicks
2. Applicant is direct to the Department of Education's Federal Student Aid login page and logs in
using their FSA ID
3. Applicant will be automatically redirected to his/her NHSC LRP application after authentication.
4. If NSLDS authentication and retrieval is successful, the applicant’s loan(s) will display in the
“Electronically Imported From Your NSLDS Account” table
a. Applicant can view a read only version of his/her loan details by clicking the “View”
button next to each loan electronically retrieved.
b. The date and time of the last successful transaction with the NSLDS will be displayed for
reference
c. Note: The social security number and date of birth entered in the General Information
section of the application must match the social security number and date of birth on
file with the Department of Education
5. Applicant will answer “Yes” or “No” to “Do you have additional Loans that need to be added?”
a. If applicant answers “No,” the button will become available and the applicant will be
directed to Supporting Documents section of the application
b. If applicant answers “Yes” applicant will be directed to Loan Details page (see Section
12)
6. Applicant may update loans previously retrieved from NSLDS by clicking the (Update Loans)
button
a. Applicant will be direct to the Department of Education's Federal Student Aid login page
and logs in using their FSA ID as detailed in Step 2
7. Applicant can remove electronically retrieved loans by clicking the (Remove All Loans) button
and confirming selection on pop-window
8. Applicant will be able to view a comprehensive report of all NSLDS federal loan data retrieved
and submitted with his/her application upon submission of his/her application
Steps to add loans manually:
1. Applicant clicks on the “Don’t have a Federal Student Aid ID or want to enter loans Manually?”
link under the “Need Help?” heading
2. Within the pop-up window, applicant clicks the ‘Add Loans Manually’ button
3. Applicant is directed to Loan Details page (see Section 12)
39

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Figure 24: Loan Information

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Figure 25: Manual Loans

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Figure 26: Loan Details

Business Rules:
• System shall require at least one loan (Electronic or Manual) to be added to continue
• System shall not require applicant to retrieve loans electronically
• System shall check to see if applicant has already manually added federal loans and de-activate
“Access your Loans” button
• System will deactivate the “Access your Loans” button and display a notice if the applicant is
using Internet Explorer version 9 or lower

OMB Number: 0915-0127
Expiration Date: 05/31/2027

•
•
•

•
•
•
•
•
•

System shall redirect applicant to his/her application and prompt data exchange between HHS
and DoED when user successfully authenticates
System will verify an applicant’s date of birth and social security number matches what the
Department of Education has on file
If the data exchange was not successful due to incomplete NSLDS data, the system shall display
the following message “Certain loan information needed to successfully transmit from the
NSLDS to your online application was incomplete. Please reach out to the NSLDS and try again OR - add your loans manually.”
System shall display federal loans electronically retrieved under a table tiled “Electronically
Imported From Your NSLDS Account”
System will require applicant to answer an additional question on the loans details page for all
electronic Federal PLUS loans
System shall require user to re-authenticate with the Departments of Education to update
electronic loans
System shall require applicant to confirm their decision to remove loans via a pop-up window
System shall ask applicant if additional loans need to be added before allowing to more forward
to Supporting Documents
System shall direct applicant to Loan Details page if “Add Loans Manually” button is selected
from Loan Information page

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Section 12: Loan Details
The Loan Details page captures additional loan data that the applicant will submit for each manual loan
he/she will submit with the application.
Please note: If an applicant submits all loans using his/her NSLDS login and does not manually add any
loans to his/her application, he/she will not have access to the loan details page.
Steps:
1. Applicant enters in all required fields:
a. Name of current servicing lender (select from drop down)
b. Loan account number
c. Original date of loan
d. Original amount of loan
e. Current balance and date
f. Type of loan (select from drop down)
g. Is loan in default?
h. Is loan under federal judgment?
i. Interest Rate
j. Purpose of loan
k. Is the loan consolidated?
2. If applicant selects “Other” for current servicing lender, the applicant will be prompted to
complete the following fields:
a. Lending Institution name
b. Lending Institution phone number
c. Lending Institution fax number
3. If the applicant selects “Yes” to “Is this loan in default?” or “Is this loan under Federal Court
Judgment?” the applicant will be required to enter the date of default/judgment
4. If the applicant selects “Yes” to “Was this loan sold?” the applicant will be required to provide
the name of the original servicing lender
5. If the applicant selects “Yes” to the question “Is this a consolidated loan?” the applicant will be
required to enter the following information:
a. Number of loans consolidated
b. Original account number for each loan that was consolidated
c. Original date of each loan included in the consolidation
d. Original amount of each loan included in the consolidation
6. After the applicant enters all information, he/she will click and will be directed to Loan
Supporting Documents Page
7. Applicant will be prompted to upload all Required Loan Supporting documents for his/her
manually entered loans
a. Applicant will be prompted to upload a Federal Perkins Loan Supporting if applicant
indicated “Type of Loan” was
i. Federal Perkins
44

OMB Number: 0915-0127
Expiration Date: 05/31/2027

ii. Perkins Expanded Lending
b. Applicant will be prompted to submit a Consolidated Loan Document if applicant
answered “Yes” to “Is this a consolidated loan?”
8. Applicant clicks and is directed to the Loan Information page. All manually added loans will be
displayed in the “Manually Added Loans” table
9. Applicant can add another loan, edit/remove an existing manual loan or click to be directed to
the Supporting Documents section

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Figure 27: Loan Details Cont.

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Figure 28: Loan Supporting Documents

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Business Rules:
• System shall allow account number to be alpha –numeric and allow special characters
• System shall not allow “Current Balance As of Date” to be prior to “Original Date of Loan”
• System shall not allow user to enter a “Current Balance As of Date” more than 30 days prior to
current date
• System shall not allow user to enter a “Current Balance As of Date” after the present date
• If loan is not consolidated, System shall require that “Original Date of Loan” be:
o No more than 3 months prior to earliest school start date
o No more than 3 months after latest school end date
• System shall require “Consolidated Loan Dates” to be :
o No more than 3 months prior to earliest school start date
o No more than 3 months after latest school end date
• If loan is consolidated, “Original Date of Loan” must be prior to all “Original Date of Loan” for all
consolidated loans
• If loan is in default/under court judgment “Original Date of Loan” must be prior to Date of Court
Judgment/Date of Default
• System shall require the user to upload the Perkins Loan Supporting document to submit
application if “Type of Loan” is Perkins
• System shall require user to submit a Consolidated Loan Document, if “Yes” to Consolidated
Loan
• System shall require user to submit the “Required Loan Supporting Document” for each loan
• System shall allow user to continue to next section without uploading all or any required loan
documents. Loan page status will be “In Progress” until all required documents have been
uploaded for each loan and applicant will not be able to submit application

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Section 13: Supporting Documents
The Supporting Documents page allows the applicant to upload his/her required documents. Please
note that some of the documents displayed on the Supporting Documents page appear dynamically,
based answers provided on the online application (see business rules below).
Steps:
1.
2.
3.
4.
5.
6.

Applicant selects the document he/she would like to upload
Applicant selects (browse) to find the document he/she will upload
Applicant selects (Upload) when appropriate document is selected
Applicant repeats steps above for all required documents
Applicant clicks (Save and Continue)
Applicant is directed to the Self Certification Page

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Figure 29: Supporting Documents

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Business Rules:
• All applicants are required to upload the “Proof of U.S. Citizenship or U.S. National” document
• All applicants are required to upload the “Eligible Health Professional Degree” document
• Prior NHSC LRP participants are required to provide documentation that he/she applied all of
the previously disbursed award funds
o Proof of Payment History for prior NHSC LRP Service is required for past NHSC LRP
participants (verified by applicant’s SSN)
o Proof of Payment History for prior NHSC LRP Service is optional for new applicants or
past applicants who were not awarded
• Applicants can upload their proof of residency program documents for the document slot “Proof
of Residency”
• Applicants are encouraged to upload PDF documents
• System shall allow applicant to upload documents up to 5 MB in size
System shall require applicant to upload a “Disadvantaged Background” supporting document if
applicant answered “Yes” to Disadvantaged Background question on General Information page
System will require the applicant to upload a “Geriatrics Certification” supporting document if
he/she selected geriatrics as his/her specialty
• System shall require the applicant to upload Existing Service Obligation documentation if the
applicant answered “Yes” to Existing Service completed prior to submission on the Eligibility
page
• System shall enable ability to delete documents after applicant has uploaded the document(s)

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Section 14: Self Certification
The Self Certification page allows the applicant to certify that he/she has read and agreed to the terms
and agreements displayed on the page. The set of certifications displayed will dynamically change
depending on the applicant’s discipline, specialty, and military service. The applicant must agree to all
certifications in order to continue.
Steps:
1. Applicant reads each certification
2. Applicant indicates that he/she agrees by selecting each checkbox
3. Applicant selects (Save and Continue)

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Figure 30: Self Certification

Business Rules:
• If the applicant selected “Yes” to the sub question of Q3 on the Eligibility page, “Are you a
uniformed service member or a member of a reserve corps,” then a military service certification
will populate. If the applicant answered “No,” the certification will not populate

OMB Number: 0915-0127
Expiration Date: 05/31/2027

•
•
•
•

Based on EV responses, applicants identified as PPO will be required to certify a Certification for
Private Practice Option Request on the Self-Certification page prior to application submission
Applicant will not be able to complete Self-Certification page if EV(s) are not complete
System shall require that the applicant has responded to each certification question to be able
to proceed
System will clear Self Certification page if the applicant proceeds to Review and Submit page,
but then navigates to another section of the application prior to submitting his/her application

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Section 15: Review & Submit
The Review & Submit page is the last page of the application that contains a table with each section and
its corresponding status. All sections must be complete in order for the applicant to submit the
application. The applicant can select the top navigation menu or a page name link in the table to view
each section.
Steps:
1. Applicant reviews his/her application and confirms each section (less Review & Submit) is
complete
2. Applicant enters his/her password
3. Applicant selects (Submit)

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Figure 31: Review & Submit

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Figure 32: Review & Submit Sites Error Message

Business Rules:
• On the Review & Submit page, the system shall apply a validation that checks if the user
correctly entered sites on the Employment page.
o If the user is a Certified Registered Nurse Anesthetist and an RCLRP applicant, the
system will not check if multiple sites were added the site types.
o If the user is NOT a Nurse Anesthetist and NOT completing an RCLRP application, the
system will check for the following:
▪ Has the user added a CAH or Inpatient Hospital or Facility site type as a site?
o If the user has added a CAH or Inpatient Hospital or Facility site type, the system will
check if multiple sites have at least one outpatient facility has been added on the
Employment page with the Outpatient site type.
▪ If the user has NOT added multiple sites, the system shall display an error
message with the following language:
• You have selected a Critical Access Hospital (CAH), Inpatient Hospital or
Facility, or an American Indian Health Facility. You must also add an
affiliated outpatient facility as an additional site. Please return to the
Employment section.
o All existing validations will remain in effect. All users must have at least one site, and
employment verifications must be completed before final submission, etc.
• If the user adds an American Indian Health Facility site type, the system will check if the site's
additional site sub-type is an Outpatient Facility.
57

OMB Number: 0915-0127
Expiration Date: 05/31/2027

•
•

•

•
•
•
•
•

If the additional site sub-type is an Outpatient Facility, the system will not check for
multiple sites and no error message will display.
o If the additional site sub-type is not an Outpatient Facility, the system will check for
multiple sites
▪ If the user did not add multiple sites, the system shall display an error message
with the following language:
• You have selected a Critical Access Hospital (CAH), Inpatient Hospital or
Facility, or an American Indian Health Facility. You must also add an
affiliated outpatient facility as an additional site. Please return to the
Employment section.
o If the user did add multiple sites, the system will not display an error message
o On Employment page, if the user adds one American Indian Health Facility site type
without an additional site subtype of Outpatient Facility and one CAH or Inpatient
Hospital site type, the system shall display the error message mentioned above
The user must have the minimum number of sites added (based on their discipline/application
type and site type) in order to successfully submit their application.
If the user is a Certified Registered Nurse Anesthetist and an RCLRP applicant and has added a
CAH or Inpatient Hospital or Facility site type on the Employment page, the system should NOT
display the site validation error on Review & Submit page.
If an analyst changes an existing site type from CAH, Inpatient Hospital or Facility, or American
Indian Health Facility to another site type before the applicant has reached the "Review &
Submit" page, the system should not display the site validation error on Review & Submit page.
If an analyst changes an existing site type to a CAH, Inpatient Hospital or Facility or American
Indian Facility from another site type before the applicant has reached the "Review & Submit"
page, the system should check for multiple sites and/or an additional site sub-type of Outpatient
Facility and display an error message if applicable.
System shall not allow application to be submitted after the application deadline
All page statuses except for Review and Submit must be complete for applicant to submit
his/her application
Applicant must enter in his/her correct password in order to submit the application
System shall direct user to landing page with links to uploaded documents and copy of
application upon submission
System shall check if start date on an EV is less than dates entered for the following:
o For MD, DO, DDS/DMD (with only pediatric) disciplines
o “Residency Complete Date”

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Section 16: Submitted Landing Page
After the applicant submits his/her NHSC LRP application, he/she will be directed to the Submitted
landing page and the overall application status will change to either “Submitted” or “Submitted –
Ineligible.” If any of the responses on the online application deem an applicant ineligible, the status
upon submission will be “Submitted – Ineligible.” If the responses submitted deem the applicant eligible,
the application status will be “Submitted.” On the Submitted landing page, the applicant will have the
ability to edit or withdraw his/her application. The applicant will have the ability to edit his/her
application until the application deadline. The applicant may withdraw his/her application until the
applicant receives a Confirmation of Interest (COI), if applicable.

Figure 33: Submitted Landing Page

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Figure 34: Submitted Landing Page Cont.

Business Rules:
• Applicant can navigate to the Submitted landing page by clicking the “Home” button
• There are several possible reasons why an applicant may be found ineligible. Some common
reasons that applicants are found ineligible upon submission include, but not limited to:
o The Employment Verification (EV) submitted by the applicant’s site point of contact
(POC) indicated that he/she does not meet the required work hours per week to be
eligible for an award
o The EV submitted by the applicant’s site POC indicated that he/she does not have a
current, full, unrestricted, and unencumbered license
60

OMB Number: 0915-0127
Expiration Date: 05/31/2027

o
o
o

The EV submitted by the applicant’s site POC indicated that his/her employment start
date is after the last eligible employment start date for the given fiscal year
The applicant did not receive a degree or complete his/her residency on or before the
submission date of the application
The applicant has an existing service obligation that has not been completely satisfied
on or before the submission date of the application

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Section 17: Withdraw Application
An applicant has the option to withdraw his/her application after submission. The applicant may
withdraw his/her application until the applicant receives a COI, if applicable. The applicant may resubmit
the current application by using the Undo Withdrawal button. However, the applicant must resubmit
his/her application by the application deadline to be considered for an award.
Steps:
1. From the Submitted landing page an applicant clicks the (Withdraw Your Application) button
2. The applicant will be directed to the “Withdraw Application” screen for confirmation
3. The applicant clicks (Withdraw) and is directed to the Submitted Home page
• Note: The applicant’s status will be updated to “Withdrawn”
4. On the Submitted landing page the applicant may undo his/her withdrawal by clicking (Undo
Withdrawal), if the application deadline has not passed
5. If the applicant clicks (Undo Withdrawal), he/she will be directed to the In Progress Landing
Page
6. The applicant may make any changes to his/her application when application status is “In
Progress,” prior to the application deadline
7. The applicant may also select (Continue) and will be directed to the Self Certification page
8. Applicant indicates that he/she agrees to all certifications by selecting all the checkboxes
9. Applicant (Save and Continue)
10. Applicant is directed to the Review and Submit page
11. Applicant reviews the application
12. Applicant enters his/her password
13. Applicant selects (Submit) and is directed to the Submitted landing page

Figure 35: Withdraw Application

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Figure 36: Withdrawn Submitted Landing Page

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Figure 37: Undo Withdrawal Landing Page

Business Rules:
• The ability to withdraw an application will be disabled when the applicant is sent a COI
• If an applicant wishes to re-submit his/her application, he/she must resubmit by the application
deadline

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Section 18: Edit Application (Prior to Application Deadline)
If an applicant would like to edit his/her application after submission, he/she may do so prior to the
application deadline. If an applicant edits his/her application, the applicant must re-submit his/her
application by the application deadline. If the applicant does not resubmit his/her application, the
applicant will not be considered for an NSHC LRP award.
Steps:
1. The applicant clicks Edit Application
2. The applicant clicks or pop-up (below)
3. The applicant will be directed to the In Progress landing page if he/she clicks or the applicant will
remain on the submitted landing page if he/she clicks
4. The applicant can navigate to any section of his/her application to make the necessary edits
• If the applicant wishes to cancel a completed EV, he/she must follow the instructions
outline in Section 10, Employment Verification of the user guide to re- initiate the EV(s)
and have the EV(s) completed by the applicant’s site POC(s).
5. Once the applicant has made his/her edits, the applicant must click Save & Continue at the
bottom of the page where edits were made in order to save the edits
6. Once all edits are made and saved, the applicant will navigate to the Self-Certification page
7. Applicant indicates that he/she agrees to all the certifications by selecting each checkbox.
8. Applicant (Save and Continue)
9. Applicant is directed to the Review and Submit page
10. Applicant reviews the application
11. Applicant enters his/her password
12. Applicant selects (Submit) and is directed to the Submitted landing page

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Figure 38: Edit Application Landing Page

Business Rules:
• The applicant will not be able to edit his/her application after the application cycle closes
• An applicant must resubmit his/her application by the application deadline, if he/she wants to
be considered for a NHSC LRP award
• The applicant will be directed to the In Progress landing page when selecting “Edit”

OMB Number: 0915-0127
Expiration Date: 05/31/2027

Section 19: Resolving Issues
Please use the following instructions to resolve any inquiries an NHSC LRP applicant might have:
1. For Technical Issues:
a. Production Support Process: When a technical issue is encountered, e.g. Applicant
cannot upload his/her Resume, the Customer Care Center should log the issue in the
BMISS Issue Tracker. The NHSC LRP Application BMISS Hypercare team will monitor the
BMISS Issue Tracker to define and resolve the issue. Once the issue is resolved, the
Hypercare team will notify the Customer Care Center Analyst of the resolution.
b. Capturing Issues: It is important to capture and log as much detail as possible. The
BMISS Hypercare Support Team will need enough information to recreate the issue in
order to solve the problem. Applicant details should include the following:
• Applicant information: Full name, last four of SSN, email, phone number
• The exact NHSC LRP Online Application screen the applicant was on when the
issue occurred (screenshot if applicable)
• The Web Browser the applicant was using (e.g. Internet Explorer, Firefox, etc.)
• The frequency of the issue (e.g. always, sometimes, etc.)
2. For Program Related Issues:
a. Division Support Process: If an applicant has a program question, the Customer Care
Center will try to answer the problem by referring to the Application and Program
Guidance. If the Customer Care Center is unable to answer the question, then the
Applicant’s question and information are recorded, and the Customer Care Center
submits a ticket in the Escalation Management System (EMS). DNHSC analysts will
answers the question and the Customer Care Center responds back to the Applicant.
b. Online Application Program Issues: For program/policy related questions, please submit
a ticket in EMS.
c. Capturing Applicant Information: The following applicant information should be
captured with as much detail of the issue as possible:
• First and Last Name
• Email Address
• Phone Number
• Last four digits of SSN
• Section of Online Application the user was on when he/she encountered the
problem
• Detailed summary of the problem
• Supporting Document (If applicable)