Alaska's SHARP Program
What is the SHARP Program?
Alaska's SHARP Program is our statewide support-for-service effort that provides partial financial support to healthcare practitioners in medical, dental, and behavioral health disciplines. It is a public-private partnership working to improve the recruitment, retention, and distribution of health professionals for Alaska. SHARP offers two types of support-for-service benefit, either (a) education loan repayment, or (b) direct incentive, to practitioners in support of their work, and particular with Alaska's priority populations.
SHARP-1
SHARP-1 was and remains Alaska's fundamental state-operated support-for-service program effort. It is based on the state's receipt of competitive Health Resources and Services Administration (HRSA) partnership grants from the federal State Loan Repayment Program (SLRP). Alaska has now received four such grants from HRSA. All SHARP-1 contracts are partially HRSA-funded, with remainder derived from assorted non-federal sources, including employers. SHARP-1 contracts provide education loan repayment only, and, are based on licensed generalist practitioners providing service in federally designated Health Professionals Shortage Areas (HPSA) locations, mostly in outpatient primary care clinics.
SHARP-1 Application Cycle: Closed until later-spring 2021
SHARP-3
SHARP-3 is Alaska's upcoming, newest state-operated support-for-service program effort. SHARP-3 features (a) advances blended funding; (b) use of tax exemption for loan repayment; (c) very broad eligibility criteria for both employers and practitioners; (d) adjustable funding proportions between employers and contributor(s); and (e) pre-authorization of registered employers; and (f) a range of possible contributors. The Alaska Legislature unanimously passed SHARP-3 into law (AS18.29) and the Governor then signed on August 1, 2019.
SHARP-3 Application Cycle: Opening in January 2021, and then remain open.
Questions?
Please submit any questions by clicking this link: SHARP Inquiry Submission Form
SHARP Technical Assistance and Q&A sessions
Please drop into any of our SHARP Technical Assistance and Q&A sessions. These weekly Zoom meetings are for all practitioners, employers, leaders, and general public who are interested.
Tune in Fridays, 11:00am- 12:00pm (AK), January 8th - March 26th
Click here to join ANY of these Zoom meetings.
Meeting ID: 960 1503 1197
SHARP-1: Alaska's State Loan Repayment Program
SHARP-1 – Checklist for Eligibility to Apply
Basic Required Elements
Alaska’s SHARP-1 program option is based on our now-traditional HRSA partnership grant. Thus, know that HRSA has several stipulations as to basic eligibility requirements. The list of those basic requirements (at least) includes the following items.
Clinicians must:
- Be in an eligible medical, dental or behavioral health occupation
- Provide direct patient care (at least some)
- Provide primary care (outpatient, ambulatory clinic); generalist
- Have eligible education loan debt only (in your name only; & not co-mingled)
- Plan on participating in either full-time or half-time capacity
- Be finished with licensure-relevant school/training
- Hold a relevant occupational license
- Be able to start contract soon (e.g. between Oct & Dec)
- Be a U.S. citizen (or naturalized)
Employers must:
- Be a non-profit or government entities (and not for-profit)
- Have or be located within a federal HPSA designation
- Provide outpatient, clinic based care (in most all instances)
(if inpatient services, then only at CAHs in HPSAs, or tribal hospitals)
- Be Prepared to pay required employer match
Important:
The interested party CAN submit an application, even though any of these are items are NOT YET true. However, in order for the SHARP contract to actually begin (i.e. service credit begins to accrue), then all of these elements must be true.
If you still need clarification as to meaning on any of these items, please send an email request to sharp.inquiry@alaska.gov.
Health Professional Shortage Area (HPSA) Designation
Use data.HRSA.gov to determine HPSA scores in regions around Alaska
You can determine the HPSA scores for regions, facilities, and tribal health organizations throughout Alaska by using the Health Resources and Services Administration's HPSA Find website.
Go to
data.HRSA.gov and click on Find Shortage Areas. Once on this page select Search HPSAs by State/County.
SHARP-1: Recruitment and Retention
The purpose of the SHARP-I program option is to recruit and retain selected primary health care professionals to serve in federally designated Health Professional Shortage Areas (HPSA) in exchange for the repayment of qualifying educational loans, pursuant to a signed SHARP MOA with the State of Alaska.
Service Contract
Interested parties can view an inspection copy of the current SHARP-I Memorandum of Agreement:
Service Contract Benefit
Education loan-debt repayment support is paid in an amount of up to the maximum annual benefit for the practitioner.
- Those maximum amounts are: Tier-1: $35,000 - $47,000, and Tier-2:
$20,000 - $27,000, with the maximum amounts (within each Tier) dependent
upon whether the position is categorized as “regular fill” vs. “very
hard-to-fill.”
- All SHARP education loan repayments are exempt from federal personal income tax according to federal regulation.
- SHARP’s support-for-service awards are strictly in addition to (and
are not a supplanting of) the clinician’s regular employer-provided wage
and benefit.
- Once a practitioner has received and completed an initial two-year
contract award, and remains in good standing, he/she is welcome to apply
again. However, all applications occur through the SHARP program’s
standard competitive process.
- Receiving an initial contract does not automatically ensure receipt of a second contract.
SHARP is moving to a new, and improved Quarterly Work Report format
Use of new “JotForm” format begins for THIS quarter (CY’20-Q1), with “Report Month” in April.
Your agency’s SHARP Site Rep. is the person who submits your Quarterly Report.
• Clinicians can certainly assist your Site Rep in preparation.
• SHARP will no longer accept the old PDF form.
• As well, SHARP will only accept the QWR, via the JotForm, from the Site Rep.
All of the questions (fields) are the same as on the old PDF form.
• Also, the quarterly submission time remains the same.
As to work-flow, the Site Rep completes the QWR JotForm.
• Then, the form-with-date is automatically sent to the clinician for inspection.
Web-link to SHARP Quarterly Work Report JotForm.
BASICS OF SHARP-I
Eligible Occupations
Tier-1: Award Amount $35,000 per year; Very Hard-to-Fill $47,000 per year.
- Primary Care Physician (MD or DO), includes Psychiatrists
- Pharmacist
- Dentist (DDS or DMD)
- Psychologist (Clinical or Counseling)
- Nurse Practitioner with Doctorate
Tier-2: Award Amount $20,000; Very Hard-to-Fill $27,000 per year.
- Nurse Practitioner
- Physician Assistant
- Registered Nurse
- Certified Nurse Midwife
- Clinical Social Worker (LCSW)
- Psychiatric Nurse Specialist (PNS)
- Licensed Professional Counselor (LPC)
- Marriage & Family Therapist (MFT)
- Registered Clinical Dental Hygienist
Technical Assistance for Those Applying for SHARP-1:
Important Notice about Concurrent Service Obligations
Concurrent service obligations are not allowed
in the SHARP Program. SHARP participants can only receive one
support-for-service award. In some cases an employer will offer the
clinician a signing bonus and/or moving expenses as a service
obligation. Clinicians who receive these benefits can participate in the
SHARP Program as long as the employer stipulates that these benefits don’t constitute a service obligation.
SHARP: Providing Support-for-Service to Health Care Practitioners
Overview
The purpose of SHARP is to address the worsening shortage of certain health professionals in the state by increasing the number and improving the distribution of healthcare professionals who provide direct patient care. SHARP particularly focuses on increasing the access to healthcare for higher-needs populations by working to increase the recruitment and retention of selected health care practitioners. SHARP provides support-for-service to practitioners in the form of either repayment of qualifying education loans and/or payment of direct incentive, pursuant to a signed SHARP contract with the State of Alaska.
SHARP featured in the Alaska Legislative Digest March 18, 2018
Read about Alaska's SHARP Program in the Alaska Journal of Commerce.
NPR Series "Our Land" Features SHARP Program Physician Working in Klukwan.
Check out the article on the SHARP Program in Northwest Pulse, the e-newsletter of the Northwest Regional Primary Care Association.
What People are Saying About SHARP
SHARP is working and we're making progress!
Funding
SHARP is operated by the State of Alaska, Department of Health and Social Services, and is jointly supported by funds from several sources including the State of Alaska’s General Fund, the Alaska Mental Health Trust Authority, and the U.S. Dept. of Health & Human Services, Health Resources & Services Administration (HRSA), and required partial employer match.
Employer Agencies in Alaska that have Used the SHARP Program
Looking for a health care job in Alaska?
Frequently we are asked by clinicians interested in working in Alaska about the best way to find a job, or if we can help them find a job. We emphasize that we are not a job referral agency. In general we do not know which health care agencies are recruiting for which positions. We do, however, want clinicians and employers to get acquainted with the goal of providing health care in under-served areas of the state.
We have reached out to Alaska health care facilities and asked them to provide contact information to enabled candidates to inquire about health care opportunities. Many facilities have responded generously with the names and email addresses of staff to contact about employment. The websites of these facilities are also provided. Job searchers should go to the websites to see specifically which jobs are available.
It continues to be our mission to build the Alaska health care workforce. As employers continue to send their contact information to us we will update this list of recruiting agencies. This list is not all inclusive and only contains the information that health care facilities have sent us. You should use this list as a way to develop a network of contacts and to become better acquainted with the health care system in Alaska.
As part of your search for health care opportunities in Alaska you should also register with 3RNet, the Rural Recruitment and Retention Network for employers and candidates.
SHARP-3: Looking into the Future
A new component to Alaska’s SHARP Program, SHARP-3, is still in development. The now-open Public Comment Period will last 60 days and is required before SHARP-3 opens for applications.
The purpose of SHARP is to address the increasing shortage of certain health professionals in the state by increasing the number and expanding the distribution of health professionals. SHARP works to enhance recruitment and retention of health professionals to serve in state-designated locations and facilities in exchange for the repayment of qualifying education loans or payment of direct incentive, pursuant to a signed SHARP contract. Our traditional, long-enduring SHARP-1 component continues to present. Now, our new SHARP-3 component will soon open.
The purpose of SHARP-3 is to expand program eligibilities greatly as to occupation, practice setting, and locale. SHARP-3 is to allow for multiple funding source, tax exemption for loan repayment, the establishment of a multi-year operations fund, adjustable funding-source proportions between employer and contributor, pre-authorization of registered employers, and a broad range of possible contributors. The intent of SHARP-3 is to increase the availability of healthcare services throughout the state, especially to individuals who are underserved or in health care professional shortage or rural areas.
Alaska’s SHARP-3 program option was established through the passage of SB-93 in Alaska’s 31st Legislature, and is also known as the Health Care Professionals Workforce Enhancement Program (Chapter 15, SLA 19) and enacted as Alaska Statute AS 18.29. It is operated by the State of Alaska, Department of Health and Social Services and exclusively supported by non- federal sources, including from employers and other contributors.
The planned SHARP-3 service contract will be available for inspection throughout SHARP-3’s upcoming Public Comment Period. A web-link to the SHARP-3 service contract is provided here below.
SHARP-3 Annual Report to Council - SFY 2020
SHARP-3 Statute and Proposed Regulations
NOTICE OF PROPOSED CHANGES ON
THE HEALTH CARE PROFESSIONALS WORKFORCE ENHANCEMENT PROGRAM IN THE
REGULATIONS OF THE DEPARTMENT OF HEALTH & SOCIAL SERVICES.
For the SHARP-3 Proposed Regulations click on
The Department of Health & Social Services proposes to adopt
regulations on a workforce enhancement program for health care
professionals. The program is a public-private partnership. The purpose
of the program is to increase access to health care services for all
Alaskans by improving recruitment, retention and distribution of health
care professionals.
THE SHARP-3 WRITTEN COMMENT PERIOD ENDED JULY 15
A written comment period for SHARP-3 ended on July 15. In accordance with the written comments process as presented on June 15th, please use the link provided here to access three letters received during the 7-AAC 24 Public Comment Period. These are:
- Letter from Mat-Su Health Foundation
- Letter from Alaska State Hospital & Nursing Home Association
- Letter from Alaska Mental Health Trust Authority
Questions?
- Robert Sewell, Ph.D., Program Director
Alaska's SHARP Program
Section of Rural and Community Health Systems
P.O. Box 110610
Juneau, AK 99811-0610
Email: robert.sewell@alaska.gov
Phone: (907) 465-4065