Alabama Rural Medical Service Awards (ARMSA)

ARMSA gives service-payback loans to primary care physicians (PCPs), Obstetricians (OBs) and primary care nurse practitioners (NPs) in return for their practicing in Alabama rural communities that have a shortage of PCPs. The program is sponsored by the Alabama Department of Public Health’s (ADPH) Office of Primary Care and Rural Health. It was developed by Governor Kay Ivey’s policy office and funded by a legislative act. The award is $50,000 per year for a maximum of 3 years for PCPs and OBs and $30,000 per year for a maximum of 3 years for NPs.

Provider Eligibility

The award cycle is annual. ARMSA is available to fully licensed PCPs (family physicians, general practice physicians, internal medicine physicians, pediatricians, and Med-Peds physicians), OBs (obstetricians) and primary care NPs (nurse practitioners).

• Fully Licensed PCPS who are interested in practicing in an ARMSA service area and have not practiced within three years of October 1, 2024 in any ARMSA service area within the state.
• OBs who are interested in practicing in an ARMSA service area and have not practiced within three years of October 1, 2024 in any ARMSA service area within the state.
• Primary Care NPs who have at least three years' experience providing primary care and are interested in practicing in an ARMSA service area. The applicant may not have practiced within three years of October 1, 2024 in any ARMSA service area within the state.

Interactive ARMSA Map, Community Lookup, and PCSA Table

Loan Payback Service Requirements

A PCP and OB must practice full-time ambulatory primary care medicine at a location within an ARMSA designated rural primary care service area. A certified NP providing primary care must have and maintain a collaborative practice agreement with a PCP who is practicing ambulatory primary care at a location within the same ARMSA designated rural primary care service area in which he/she is to fulfill his/her service obligation. A contract with ADPH is required. No payment shall be allowed for a PCP, OB or NP who has practiced within 3 years of October 1, 2024, in a primary care service area with a deficit, or surplus of less than 2 PCPs.

Loan Repayment

For a PCP and OB, the loan is repaid through a recipient’s contractual service obligation of full-time practice per year, not to exceed 3 years total, in an ARMSA-approved Alabama primary care service area with a shortage of PCPs or OBs. For a certified NP providing primary care, the loan is repaid by practicing in a collaborative practice agreement with a PCP who is practicing ambulatory primary care within the same ARMSA-approved primary care service area in which he/she is to fulfill his/her service obligation.

Alabama Rural Medical Awards

• ARMSA is administered by ADPH’s Office of Primary Care and Rural Health.
• The University of Alabama Birmingham School of Medicine Office for Family Health, Education & Research assists the ARMSA effort through identifying the eligible areas and assessing initial eligibility of ARMSA applicants.
• Find out more by visiting the Alabama Office of Healthcare Workforce or contacting [email protected].