State Loan Repayment Program

Loan Repayment

The North Carolina Office of Rural Health administers the North Carolina State Loan Repayment Program (SLRP). This program helps behavioral health providers provide primary and psychiatric care to people in rural and underserved areas. The Office of Rural Health Placement Services team works to identify opportunities to practice in an integrated care setting that matches the providers personal and professional needs with community needs. These integrated care opportunities are in a variety of practice settings including Federal Community Health Centers (also known as Federally Qualified Health Centers, or FQHCs), State-Sponsored Rural Health Centers, County Health Departments, State Mental Health Hospitals, Alcohol and Drug Abuse Treatment Centers, Community Mental Health Facilities, and others.
Based on the amount of relevant educational loans, hours worked per week, and working at an integrated care site, SLRP offers educational loan repayment awards up to $50,000. The awards are granted in exchange for a two-year service commitment in a team-based setting that provides access to comprehensive behavioral health services to rural communities with a Health Professional Shortage Area score of 15 or above; i.e., an integrated primary/behavioral health care setting. If funding is available, one-year extensions may be requested after completion of the initial two-year service commitment. Eligibility survey link can be found at the bottom of this page. 


2019-2020 SLRP Guidelines

Tax Liability

  • Not taxable

Service Commitment

  • Minimum two-year service commitment

  • Possible awards for additional 1-year service commitments


1. Office of Rural Health anticipates awarding SLRP contracts based on availability of funds the applicant’s allowable loan debt, full licensure of the provider, Mental Health HPSA site score and providers delivering integrated care
2. Provider must be working at a site located in a Mental Health HPSA of 15 or above
3. Site must provide primary care/behavioral health integrated care services and complete Integrated Care Clinic Self-Assessment Questionnaire
4. Applications will not be denied based upon the individual’s race, color, sex, national origin, disability, religion, age, sexual orientation, or gender identity


Guidelines are subject to change at any time and are contingent upon funding and per the discretion of the Office of Rural Health.

Qualifying Disciplines

  • PA: Physician Assistant in Mental and Behavioral Health (New)
  • NP/ PMHNP: Nurse Practitioner/ Psychiatric and Mental Health Nurse Practitioner (New)
  • MD/DO: Psychiatrist (New)
  • LCAS: Licensed Clinical Addiction Specialist (New)
  • LCSW: Licensed Clinical Social Worker
  • LCMHC: Licensed Clinical Mental Health Counselors
  • LMFT: Licensed Marriage and Family Counselor
  • PNS: Psychiatric Nurse Specialist
  • HSP: Health Service Psychologist (Clinical & Counseling)

Qualifying North Carolina Sites (Team-Based Integrated Care Setting) Include

New. All Qualifying Sites Must Complete The Integrated Care Clinic Self Assessment Tool

  • Free and Charitable Clinics (New)
  • School-Based Healthcare Programs (New)
  • CABHA: Critical Access Behavioral Health Agencies (New)
  • State Mental Health Hospitals (New)
  • ADATCs: Alcohol and Drug Abuse Treatment Centers (New)
  • Federally Qualified Health Centers (FQHCs)
  • Migrant Health Centers
  • FQHC Look-Alikes
  • CMS Rural Health Clinics
  • State Designated Rural Health Centers
  • Community Mental Health Facilities
  • Community Outpatient Facilities
  • State and County Health Department Clinics
  • Critical Access Hospitals
  • ITU: Indian Health Service Facilities, Tribally-Operated 638 Health Programs, and Urban Indian Health Programs (ITU)
  • Non-Profit Private Practices (Solo or Group)

SLRP Program Timeline

The SLRP application period is currently closed.
SLRP has an open application period every two years. We anticipate the next open application period to be in the Fall of 2021 (around September). The best way to stay up to date with ORH's information and open application periods is to subscribe to our Constant Contact. To subscribe please visit and scroll all the way down to the end of the page under "Office of Rural Health Constant Contact Subscription Form".


Maya Sanders: 919-527-6476

Clint Cresawn: 919-527-6496

Karen Gliarmis: 919-527-6452