Form 8 LRP Application User Guide

Bureau of Health Workforce
NC LRP Internal Online Application User Guide

Nurse Corps (NC)
Loan Repayment Program (LRP)
Online Application User Guide
February 2025

OMB No. 0915-0140 Expiration Date: xx/xx/xxxx
Public Burden Statement: The purpose of this information collection is to obtain information through the Nurse Corps
Loan Repayment Program that is used to assess a Loan Repayment Program applicant’s eligibility and qualifications for the
Loan Repayment Program and to monitor a participant’s compliance with the program’s service requirements. Applicants
interested in participating in the Nurse Corps Loan Repayment Program must submit an application to the Nurse 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 0915-0140 and
it is valid until xx/xx/xxxx. This information collection is required to obtain or retain a benefit (Section 846 of the Public
Health Service Act, as amended [42 U.S.C. 297n]). 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 xx 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 14NWH04, Rockville, Maryland, 20857.
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NC LRP Internal Online Application User Guide
CONTENTS
Part 1 | Introduction...................................................................................................................................................... 5
NC LRP Online Application User Guide ..................................................................................................................... 5
Part 2 | Registration and Log-in..................................................................................................................................... 6
Creating an Account .................................................................................................................................................. 6
Logging-In .................................................................................................................................................................. 6
Failed Log-in Attempts .......................................................................................................................................... 7
Forgot Your Password? ............................................................................................................................................. 7
First Time Log-in ........................................................................................................................................................ 8
Part 3 | Welcome .......................................................................................................................................................... 9
Steps ...................................................................................................................................................................... 9
Business Rules ..................................................................................................................................................... 12
NC LRP Eligibility ..................................................................................................................................................... 13
Steps .................................................................................................................................................................... 13
Business Rules ..................................................................................................................................................... 15
Personal Information .............................................................................................................................................. 16
Steps .................................................................................................................................................................... 16
Business Requirements ....................................................................................................................................... 18
Education Information ............................................................................................................................................ 21
Steps .................................................................................................................................................................... 21
Business Requirements ....................................................................................................................................... 23
Professional Information | License Type ............................................................................................................... 25
Steps .................................................................................................................................................................... 25
Business Requirements ....................................................................................................................................... 26
Professional Information | Employment Location Search .................................................................................... 26
Steps .................................................................................................................................................................... 26
Business Requirements ....................................................................................................................................... 30
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Professional Information | Facility Not Found - Inactive ...................................................................................... 32
Steps .................................................................................................................................................................... 32
BusinEss Requirements ....................................................................................................................................... 33
Professional Information | Facility Not Found ...................................................................................................... 34
Steps .................................................................................................................................................................... 34
Business Requirements ....................................................................................................................................... 35
Professional Information | Employment Verification ........................................................................................... 36
Steps .................................................................................................................................................................... 36
Business Requirements ....................................................................................................................................... 38
Professional Information | Professional Information ........................................................................................... 38
Steps .................................................................................................................................................................... 38
Business Requirements ....................................................................................................................................... 39
Professional Information | Telehealth ................................................................................................................... 39
Steps .................................................................................................................................................................... 39
Business Requirements ....................................................................................................................................... 41
Loan Information .................................................................................................................................................... 42
Loan Information | Electronic Loan Information ................................................................................................... 42
Steps .................................................................................................................................................................... 43
Business Requirements ....................................................................................................................................... 47
Loan Information | Manual Loan Information....................................................................................................... 48
Steps .................................................................................................................................................................... 49
Business Requirements ....................................................................................................................................... 51
Documents .............................................................................................................................................................. 55
Steps .................................................................................................................................................................... 55
Business Requirements ....................................................................................................................................... 57
Review ..................................................................................................................................................................... 59
Steps .................................................................................................................................................................... 59
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Business Requirements ....................................................................................................................................... 60
Certify and Submit .................................................................................................................................................. 61
Steps .................................................................................................................................................................... 61
Business Requirements ....................................................................................................................................... 62
Submitted Application ............................................................................................................................................ 63
Steps .................................................................................................................................................................... 63
Business Requirements ....................................................................................................................................... 64
Edit Application (Prior to Application Deadline) .................................................................................................... 65
Steps .................................................................................................................................................................... 65
Business Requirements ....................................................................................................................................... 66
Withdraw Submitted Application (Prior to Application Deadline) ....................................................................... 67
Steps .................................................................................................................................................................... 67
Business Rules ..................................................................................................................................................... 68
Part 4 | Resolving Issues .............................................................................................................................................. 69

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PART 1 | INTRODUCTION
NC LRP ONLINE APPLICATION USER GUIDE
Purpose: The Nurse Corps (NC) Loan Repayment Program (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 NC LRP
Application Program & Guidance (APG), 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 NC 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 they encounter any problems with the application.
Precondition: Applicant has a question regarding the NC LRP Online Application and contacts the Customer Care
Center for help to resolve an issue.

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PART 2 | REGISTRATION AND LOG-IN
The Bureau of Health Workforce (BHW) requires that all Applicants create a BHW Program Portal account. Creating
and activating an account allows an Applicant to apply online. An Applicant can access the Program Portal here.
This section of the user guide will highlight how to create and log-into your Program Portal account.

CREATING AN ACCOUNT
To create a program portal account an Applicant can navigate to the Sign-Up page and complete the required
fields below.

LOGGING-IN
Once an account for the Program Portal has been created and activated, you can log-into the portal from the NC
LRP Applicant sign-in page.
Enter the email address and password you used when creating your account. If you forget your password, you can
reset it by selecting the Forgot your password? link.

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FAILED LOG-IN ATTEMPTS
If the email and password combination is incorrect, the system will display a warning message. After three (3)
unsuccessful login attempts your account will be locked and cannot be accessed until the password is reset using
the Forgot your password link.

FORGOT YOUR PASSWORD?
If you forget your account password or would like to reset it, select the Forgot your password? link. You will be
required to enter your email address and an answer to your security question in the fields provided to reset your
password.

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FIRST TIME LOG-IN
If you are logging-in to the My BHW account for the first time, you will be taken directly to the Application Home
page. Before beginning an NC LRP application, the user will be required to complete an eligibility check. This will
determine which BHW programs a user is eligible to apply for.
A user may also choose to get a head start on a BHW application by creating a profile via the button ‘Create Profile’.
This will require the user to provide contact, personal, education, training and career information that will
automatically migrate into any application the user chooses to start. Upon completion of the eligibility check, the
user can begin an NC LRP application by clicking the ‘Apply Now’ button within the NC LRP Application card.

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PART 3 | WELCOME
Nurse Corp (NC) Loan Repayment Program (LRP) online application Welcome page is the first page the Applicant
will see on their initial log-in. Once the Applicant has started their application, their status will change to “In
Progress”.

STEPS
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2.

Applicant reviews the information displayed on the Welcome page for NC LRP program.
Once an Applicant has finished reviewing the necessary information, they will click Start Application
button to begin the NC LRP application process.

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BUSINESS RULES
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Applicants are requested to read the following documents prior to starting their application:
o Application and Program Guidance (APG)
o Cycle Dates
o Applicant Overview
o Documents Needed
o Paperwork Reduction Act Public Burden Statement
If Applicants log in to their previously saved application, they will be directed to the last saved NC LRP
application page and the application status will be "In Progress". Applicants will be able to continue with
their last saved page or jump to any completed section of the application by selecting the left navigation
menu.
Applicants may return to the Welcome page at any time to reference application information, view their
status or retrieve their application ID.

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NC LRP ELIGIBILITY
The Eligibility page ensures that the Applicant meets the qualification requirements to apply for a NHSC LRP
application. If the Applicant is deemed eligible, they will be able to continue with the application. If an individual
does not pass the initial screening portion of the online application, they will not be able to continue with the
application.

STEPS
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Applicant answers all required questions.
Applicant selects Save & Continue button once all questions have been answered.
Applicant will move forward to the Personal Information page if they are eligible.
Applicant will be directed to the Ineligible modal (pop-up) if found ineligible.

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BUSINESS RULES
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Applicant can select any tool tip for additional information on specific question.
System shall require response to the following questions if Applicant indicates that they have an existing
service obligation:
o Will your obligation be satisfied on or before the Nurse Corps Loan Repayment Program
application submission deadline of [Application Deadline Date]?
o Are you a uniformed service member or member of the Reserve Corps?
System shall direct user to the Ineligible landing page if one or more of the following answers are
selected:
o Licensed, certified, or registered in discipline/specialty = No
o Applicant US Citizen or National = No
o Existing service obligation = Yes and:
 Completed before submission= No and:
 Uniformed service member = No
o Applicant judgment lien = Yes
o Applicant defaulted federal debt = Yes
o Applicant in breach of service obligation = Yes
o Applicant defaulted prior service obligation = Yes
If the ineligible modal is prompted, the user will be unable to proceed with their application.

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PERSONAL INFORMATION
The Personal 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 account creation process.

STEPS
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Applicant answers required fields.
Applicant selects Continue button once they have answered all the required fields on the Name card.
Home (Permanent) Address card will appear on the Personal Information page.
Applicant selects Continue button once they have answered all the required fields on the Home
(Permanent) Address card.
Contact Information card will appear on the Personal Information page.
Applicant selects Continue button once they have answered all the required fields on the Contact
Information card.
Place of Birth card will appear on the Personal Information page.
Applicant selects Continue button once they have answered all the required fields on the Place of Birth
card.
Demographics card will appear on the Personal Information page.
Applicant selects Continue button once they have answered all the required fields on the Demographics
card.
NC LRP Service card will appear on the Personal Information page.
Applicant selects Save & Continue button once they have answered all the required fields on the NC LRP
Service card.
Applicant will be directed to Education Information page upon selecting Save & Continue button if all
required fields are entered.

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BUSINESS REQUIREMENTS
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The following fields are populated for existing users and new users through account creation:
o First Name
o Last Name
All fields are required unless Optional is indicated.
System shall pre-populate the preferred email address.
Preferred Email Address as read-only with the login email address information.
If Applicant selects a non-US Country, then State/Territory/Region/Province becomes a free form input
field and Zip code length constraints are no longer applicable.
System shall require Applicant to enter a preferred phone number.
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The alternate phone number is required if Applicant selects the option that the number is international.
System shall require the Date of Birth is prior to application cycle start date.
System shall not allow Applicant to change Date of Birth if electronic loans are present.
System shall mask the SSN and require Applicant to enter the SSN twice.
o Error message will display if entered SSN do not match.
o Applicant is required to re-enter their SSN if the SSNs do not match.
o Applicant can edit SSN and re-enter numbers.
System shall display error message and not allow Applicant to continue if they enter an SSN that is tied to
an existing user.
o Error message will request Applicant to login with existing portal account.
Logging in with an existing user account, system shall mask the SSN and does not allow Applicant edits
SSN.

Masked SSN if log in with existing user.

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SSN and DOB cannot be edited if electronic loans are present.

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EDUCATION INFORMATION
The Education Information card asks the Applicant about all nursing-related education attended, since the NC LRP
program only accepts debt related to nursing degree programs.

STEPS
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Applicant searches for and adds a school from which they attended in the past.
Applicant indicates the dates the education started and ended.
Applicant uploads the transcript(s) of the school attended.

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BUSINESS REQUIREMENTS
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System shall require Applicant to select at least one school they attended in the past.
The "options that apply to this school" are as follows:
o Option 1 or
o Option 2 or
o Options 1 and 2 or
o Option 3 or
o Options 2 and 3
System shall require Applicant to upload at least one transcript from the school they attended.

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PROFESSIONAL INFORMATION | LICENSE TYPE
The Discipline and Specialty card asks for details about an Applicant’s discipline. Applicant sees only the discipline
menu upfront all other menu options (including specialty) are dynamic based on the discipline selection. The
system will display Specialty/ Clinical Support Professional/ Behavioral Health Paraprofessional field names
depending on the corresponding options selected under the discipline. The Specialty/ Clinical Support
Professional/ Behavioral Health Paraprofessional menu options will change dynamically based on the discipline
selected by the Applicant.

STEPS
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3.

Applicant selects the required License Type, Functional Role, and Specialty.
Applicant indicates if they are applying as Nurse Faculty member.
a. If non-Nurse Faculty member, Applicant indicates if they will be serving in a women's health
facility and birth center.
b. If Nurse Faculty member, Applicant indicates if they are tenured.
Applicant wis directed to the Employment Location Search card.

Nurse Faculty License Type
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Non-Nurse Faculty License Type

BUSINESS REQUIREMENTS
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System shall require Applicant to select a License Type, Functional Role, and Specialty.

PROFESSIONAL INFORMATION | EMPLOYMENT LOCATION SEARCH
The Employment Location Search section garners the Applicant’s current employment information. The Applicant
can select one or multiple sites where they are or will be employed if a non-Nurse Faculty member. If a Nurse
Faculty member, the Applicant can select one and only one school where they are or will be employed.
The following procedure is for non-Nurse Faculty members.
NC LRP Facility Eligibility NC LRP-approved facilities (non-Nurse Faculty/schools) exist in BMISS, are active and
have a HPSA Score. NCLRP-NF (Nurse Faculty) schools exist in BMISS and are active.

STEPS
1.

If the Applicant is a non-Nurse Faculty member, Applicant will indicate if they work at multiple critical
shortage facility sites.
a. If the answer is Yes, an additional question will be displayed to determine if the Applicant is
working for the same employer at all sites.
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b.

Note: if not all sites are with the same employer, the Applicant is ineligible for the NCLRP
program but will still be able to apply.
2. Applicant selects State/Territory/Region/Province and/or enters a Zip Code.
3. System will display search results when Applicant selects State/Territory/Region/Province.
4. Applicant can further filter facilities by entering the zip code of their site.
5. System will populate all NC facilities within the selected State and/or input Zip Code values.
6. Applicant will be able to select the checkbox next to the desired facility(s) where they are or will be
employed.
7. Once Applicant selects the desired facility(s), they can click the Add Sites button.
8. If the facility(s) are found eligible, the system will display the facility(s) under the Sites Added table.
9. If Applicant has selected all facility(s), they shall select “Yes, all my facilities have been added” radio
button to the question “Have you listed each facility where you work or will begin working?”.
10. System shall display and require all Applicants to answer question “Have you listed each site where you
work?” If they have, they will select “Yes, all my facilities have been added”. If not, they will select “No,
some of my sites are not yet added. I will come back to this section and add them before submitting”.
11. Applicant Continue button once they have answered all the required fields.

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Non-Faculty Employment Location Search.

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Faculty Employment Location Search.
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BUSINESS REQUIREMENTS
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The system shall require Applicant to enter at least one facility for Add Sites button to be enabled.
The system shall require Applicant to enter at least one facility, or check the site not found box for
Continue button to be enabled.
For Non-Faculty, Applicant may add an unlimited number of facilities.
For Faculty, Applicant can only add 1 school.
The system shall list all facilities for which BHW has an existing site record.
The system shall display facilities in the search results that are within the provided State and/or Zip Code
criteria.
The system shall allow Applicant to select one/all facility(s) from the search results.
The system will display ten facilities per page on the search results.
The system will display pagination if more than ten facilities are obtained in the search results.
The system shall check the facility eligibility when Applicant clicks the ‘Add Sites’ button.
For Faculty, the system shall disable other checkboxes from the search result if 1 school is checked.
For Faculty, the system shall disable “Employment location not found” checkbox if 1 school is added.
For Faculty, if Applicant attempt to search for another school after a school is already added, the system
shall disable all checkboxes from the search result.
Applicant shall be able to add an NC eligible facility if there are no active POC(s).
o System shall display an “The site you have selected does not have an active POC” alert message.
Only facility(s) or school(s) meeting these criteria will be added successfully under the ‘Sites Added’ or
‘School Added’ table.
Applicant may delete a facility or school that has been added and no EV(s) has been initiated.
Applicant will not be able to submit the application if Applicant selects “No” to "Have you listed each site
where you work or will begin working?"
Applicant will be able to submit the application if Applicant selects “Yes” to "Have you listed each site
where you work or will begin working?" AND all Employment Verifications have been completed.
The system should display an error if the Applicant has checked the Employment location not found box
and attempts to answer "Yes" to "Have you listed each site where you work or will begin working?"
question.
The system shall allow Applicant to continue to the next section, Employment Verification (EV), if they
select “Employment location not found”.
The system shall require Applicant to cancel EV before deleting a facility or school if an EV has been
initiated.

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Faculty - Checkbox Disabled for Location Search Results.

Faculty - Checkbox Disabled for Employment location not found.

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Non-Faculty – NC Site is eligible but no active POC Alert Message.

PROFESSIONAL INFORMATION | FACILITY NOT FOUND - INACTIVE
The Employment Location Search may find locations that are inactive. The Applicant may select these sites and
initiate a Site Not Found request whereby Program will evaluate the request and determine eligibility. If the site is
found to be eligible, the Applicant will receive an email indicating as such and the site will have to be added again,
but as an Active site this time. All subsequent activities (e.g., Employment Verification) must be followed.

STEPS
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Applicant selects State/Territory/Region/Province and/or enters a Zip Code.
System will display search results when Applicant selects State/Territory/Region/Province.
Applicant can further filter facilities by entering the zip code of their site.
Applicant will be able to select the checkbox next to the desired facility(s) where they are or will be
employed. In this scenario, the employment site will be displayed as Inactive.
Once Applicant selects the desired facility(s), they can click the Add Sites button.
The site address and Point(s) of Contact will be displayed for the selected Inactive site. The user can
optionally identify the site’s CSF Type and Profit Status, if known.
Applicant may choose to add one or more Points of Contact, as desired.
Applicant will Submit the information to initiate the Site Not Found request.
After receiving the decision by Program, the Applicant will either add the newly Active site (upon
approval) or remove the request of the request is denied.

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BUSINESS REQUIREMENTS
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If the facility(s) added exists but are inactive, the system will display a yellow error box with “Site Exists
And Not Active” header and the following message:
o Your site may be eligible for the Nurse Corps Loan Repayment Program but is not active. Please
submit a Site Not Found request to activate it.
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•

The user will be required to enter site information to submit a Site Not Found request for Program review.

PROFESSIONAL INFORMATION | FACILITY NOT FOUND
The Employment Location Search may find locations that do not exist in the BMISS database. The Applicant may
identify these sites and initiate a Site Not Found request whereby Program will evaluate the request and
determine eligibility. If the site is found to be eligible, the Applicant will receive an email indicating as such and the
site will have to be added, but as an Active site this time. All subsequent activities (e.g., Employment Verification)
must be followed.

STEPS
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6.
7.
8.

Applicant selects State/Territory/Region/Province and/or enters a Zip Code.
System will display search results when Applicant selects State/Territory/Region/Province.
Applicant can further filter facilities by entering the zip code of their site.
In this scenario, the employment site will not be displayed, as it does not exist in the BMISS database.
Applicant will check the ‘Employment location not found?’ Checkbox and answer the questions in the Site
Not Found Request.
Applicant must add a Point of Contact and Save the POC, when requested.
Applicant will Submit the information to initiate the Location Not Found request.
After receiving the decision by Program, the Applicant will either add the newly Active site (upon
approval) or remove the request of the request is denied.

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Location Not Found Request Status table.

BUSINESS REQUIREMENTS
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System shall allow Applicant to continue to the next card if they select the Site Not Found checkbox.
The Site Not Found checkbox should automatically uncheck if the user has answered "Yes" that all their
sites have been added after successfully adding at least one eligible site.

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PROFESSIONAL INFORMATION | EMPLOYMENT VERIFICATION
Within the Employment Verification (EV) card of the online application, employment facility Points of Contact
(POCs) are required to answer questions regarding the Applicant’s current or future employment information.
Applicants will not be able to view the information submitted by the Facility POC upon submission of their
application. Based on the answers provided by the Facility 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 their
application, cancel the existing EV, and re-initiate a new one.

STEPS
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6.

7.

Facility(s) selected by the Applicant in the Facility Search card will be listed in the Employment Verification
table.
Applicant clicks the facility name to review the address, phone number, and point of contact for their
employed facility(s).
Applicant can initiate individual EVs by clicking Initiate verification next to the appropriate facility.
Applicant can cancel individual EVs by clicking Cancel verification next to the appropriate facility.
Applicant selects Continue button once they have initiated their EV(s).
Applicant may navigate to the Professional Information card without initiating EV(s), as there may be
cases where the Applicant’s facility is not listed in the system and the Facility Not Found Request is under
review.
Applicant is directed to the Professional Information card.

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BUSINESS REQUIREMENTS
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The system shall generate an Employment Verification (EV) request for each facility successfully added on
the Facility Search card.
If no facilities have been added, the Employment Verification card will not populate any EV's to initiate at
this time, the Applicant will be able to hit Continue button on the EV card to proceed to the next card and
the rest of their application.
An EV request will not be generated for facility found ineligible on the Facility Search card.
System shall require Applicant to cancel an EV before trying to delete a facility if an EV has been initiated
for that facility.
The system shall display EV status as “Not Started” until the Applicant initiates the EV.
The system shall display EV status as “Pending” once the EV is initiated.
Once the Facility Point of Contact (PCO) completed the EV, the system shall display EV status as
“Completed”.
If the Facility POC indicated that Applicant does not work at the facility, the system shall display EV status
as “Unverified”.
Applicant can reinitiate “Unverified” EV status.
The system shall disable initiate button if EV status is “Pending” or “Completed”.
Applicant can cancel completed EV.
For any cancelled EVs, the system shall display them in the “Historical Requests” table.
o System shall display EVs with status of “Cancelled” and “Completed Cancelled”.
The system shall deem employment verification section complete when all EV(s) in the Employment
Verification table are complete.
To delete a facility from “Sites Added” table, Applicant must cancel any EVs that are “Pending” or
“Completed”.

PROFESSIONAL INFORMATION | PROFESSIONAL INFORMATION
The Professional Information card consists of questions about the Applicant’s information related to their NPI
Number, if one exists, and their telehealth services, if they exist.

STEPS
1.
2.
3.

Professional Information card will display on the Professional Information page.
Applicant will enter their NPI Number if one exists.
Applicant will see the Telehealth card upon selecting Continue button if all required fields are entered.

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BUSINESS REQUIREMENTS
•
•

The system shall require Applicant to answer all the required fields.
The system shall require Applicant to enter their National Provider Identifier (NPI) if they select “Yes” to
“Do you have an individual National Provider Identifier Number?”
o The system shall accept an NPI that is maximum of 10 characters consisting of numbers only.
o Letters and/or special characters will not be accepted by the system.
o If Applicant completely deletes their NPI and continues to the next card, the previously deleted
NPI will not be saved.
o Applicant may search their NPI number if they forgot their NPI number through
https://npiregistry.cms.hhs.gov/search

PROFESSIONAL INFORMATION | TELEHEALTH
The Telehealth card consists of completely optional questions about the Applicant’s telehealth information.

STEPS
1.
2.
3.
4.

Applicant answers required fields on the prior cards.
Applicant clicks Continue button on the Professional Information Card.
Telehealth card will appear on the Professional Information page.
Applicant will be directed to the Loan Information page on selecting Save & Continue button if all
required fields are entered on the Professional Information page.

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Telehealth – Yes, Provide Telehealth

Telehealth – No, Does Not Provide Telehealth

Telehealth – I Don’t Know
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BUSINESS REQUIREMENTS
•
•
•

•

System shall allow Applicant to proceed to the “Loan Information” page if they skip the Telehealth section
since the section is optional.
System shall not display additional Telehealth sub-questions if they select “No” to the question “Do you or
will you personally provide some form of telehealth in your Substance Use Disorder Employment?”
System shall display additional Telehealth sub-questions if they select either “Yes” or “I don’t know” to
the question “Do you or will you personally provide some form of telehealth in your Substance Use
Disorder Employment?”
System shall require Applicant to complete the following additional Telehealth sub-questions if “Yes” or “I
don’t know” is selected.
o When providing telehealth
o What percentage of your clinical practice is/will be spent providing telehealth services?

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LOAN INFORMATION
The Loan Information page captures the loan data that an Applicant will submit with their Nurse Corps Loan
Repayment Program application. If an Applicant has a National Student Loan Data System (NSLDS) account and
wishes to submit federal loans as part of their NC LRP application, they will have the option to retrieve and submit
their federal loans. Applicants also can 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.

LOAN INFORMATION | ELECTRONIC LOAN INFORMATION
Applicant has a National Student Loan Data System (NSLDS) account and wishes to submit federal loans as part of
their NC LRP application, they can retrieve electronic loans through the Department of Education.

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STEPS
1.
2.
3.
4.

5.

6.
7.

Applicant clicks LOG INTO YOUR STUDENT AID ACCOUNT button.
Applicant is direct to the Department of Education's Federal Student Aid login page and logs in using their
Federal Student Aid (FSA) ID.
Applicant will be automatically redirected to their NC LRP application after authentication.
If NSLDS authentication and retrieval is successful, Applicant’s loan(s) will display in the “Electronic Loans”
table.
a. Applicant can view a read-only version of their loan details by clicking the View button next to
each loan electronically retrieved.
b. Applicant will have to confirm their PLUS loan on the loan details page by clicking the Edit button
next to the PLUS loan electronically retrieved.
c. Note: The social security number and date of birth entered on the Personal Information page of
the application must match the social security number and date of birth on file with the
Department of Education.
Applicant may update loans previously retrieved from NSLDS by clicking the Update all Electronic Loans
button.
a. Applicant will be direct to the Department of Education's Federal Student Aid log-in page and
logs- in using their FSA ID as detailed in Step 2.
Applicant can remove electronically retrieved loans by clicking the Remove All Electronic Loans button
and confirming selection on pop-window.
Applicant can (optionally) indicate which electronic loans to consider for their debt/salary ration by
checking the Include for Consideration checkbox in the first column in the loans table.

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Department of Education's Federal Student Aid Login Window

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Department of Education's Federal Student Aid Login Window Continued

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Electronic Loans – Electronic Retrieved Successfully
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Electronic Loans – Federal PLUS Loan Question

BUSINESS REQUIREMENTS
•
•
•
•
•
•
•
•

•
•
•
•
•

System shall require at least one loan (Electronic or Manual) to be added to continue the application.
System shall not require Applicant to retrieve loans electronically.
System shall check to see if Applicant has already manually added federal loans and not display the “Loginto your Student Aid Account” button.
System will deactivate the “Log-into your Student Aid Account” button and display a notice if the
Applicant is using Internet Explorer version 11 or lower.
The Department of Education's Federal Student Aid system now requires two-factor authentication.
System shall redirect Applicant to their application and prompt data exchange between Health & Human
Services and Department of Education 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 titled “Electronic Loans”.
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 direct Applicant to Loan Details page if Manually Enter Your Loans button is selected from
Loan Information page.

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Electronic Loans – Remove Electronic Loans

Electronic Loans – Electronic Retrieval Failed

Electronic Loans – Federal PLUS Loans Alert

LOAN INFORMATION | MANUAL LOAN INFORMATION
The Loan Information is the details page that captures additional loan data that the Applicant will submit for each
manual loan they will submit with the application.
Please note: If an Applicant submits all loans using their NSLDS login and does not manually add any loans to their
application, they will not have access to the loan information page.

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STEPS
1.
2.
3.

4.

5.
6.
7.

Applicant clicks Manually Enter Your Loans / Add Loan button.
Applicant is directed to Add Manual Loan Details page.
Applicant enters in all required fields.
a. Name of current servicing lender (select from drop down)
b. Type of loan (select from drop down)
c. Loan account number
d. Original date of loan
e. Original amount of loan
f. Current balance and date (Principle & accrued interest)
g. As of (enter date)
h. Is loan in default?
i. Is loan under federal judgment?
j. Purpose of loan
k. Name of the school this used was used to attend.
l. Is the loan consolidated?
If Applicant selects “Other” for current servicing lender, the Applicant will be prompted to complete the
following fields:
a. Servicer Name
b. Lending Institution phone number
c. Lending Institution fax number
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.
If the Applicant selects “Yes” to “Was this loan sold?” the Applicant will be required to provide the name
of the original servicing lender.
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.
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8.
9.

Applicant will be able to upload Loan Documents.
Applicant will be required to upload all the required Loan Supporting documents for their manually
entered loans to be complete.
a. Applicant will be prompted to upload an Account Statement if Applicant indicated “Type of Loan”
was.
i. Private
ii. Federal loan
b. Applicant will be prompted to upload NSLDS Aid Summary Detailed Information if Applicant
indicated “Type of Loan” was Federal.
c. Applicant will be prompted to upload Disbursement Report if Applicant indicated “Type of Loan”
was Non-Federal.
d. Applicant will be prompted to submit a Consolidated Loan Document if Applicant answered “Yes”
to “Is this a consolidated loan?”
10. Applicant clicks Save and is directed to the Loan Information page.
11. All manually added loans will be displayed in the “Manually Loans” table.
12. Applicant can add another loan, edit/remove an existing manual loan, or click Save & Continue to be
directed to the Documents page.

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BUSINESS REQUIREMENTS
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•

All manual loan fields are required unless indicated “Optional”.
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 Applicant to enter a “Current Balance as of Date” more than 30 days prior to
current date.
System shall not allow Applicant to enter a “Current Balance as of Date” after the present 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 Applicant to submit a Consolidated Loan Document, if “Yes” to Consolidated Loan
System shall require Applicant to submit the “Required Loan Supporting Document” for each loan.
System shall allow Applicant 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.
System shall not allow Applicant to enter "Date of Judgement" after the current date.
System shall not allow Applicant to enter "Date of Default" after the current date.
System shall not allow Applicant to enter "Original date of the loan" after the current date.
System shall not allow Applicant to enter "Original date of the loan" after the Current balance (Principal &
accrued Interest) "as of" date.
If Applicant selects the type of loan which falls under Federal category loans, system will not display Log
into Your Student Aid Account button.
Applicant shall not be required to upload any or all loan documents at the time of loan upload.
o However, Applicant will be required to upload all documents prior to submission.
Applicant can add another loan, edit/remove an existing manual loan, or click Save & Continue to be
directed to the Documents page

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Manual Loans – Federal Loan Document Types

Manual Loans – Federal PLUS Alert Message

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Manual Loans – Private Loan Document Types

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DOCUMENTS
The Documents page allows the Applicant to upload their 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 requirements below).

STEPS
1.
2.

Applicant selects the Select or Drop File Here button to select the document they would like to upload.
Applicant browses to find the document they will upload.
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3.
4.
5.
6.
7.

Applicant selects the document type(s) they would like to upload.
Applicant enters an optional comment and selects Upload button.
Applicant will repeat steps above for all required documents.
Applicant clicks Save & Continue button.
Applicant is directed to the Review Page.

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BUSINESS REQUIREMENTS
•

•

•
•
•
•
•
•
•
•

All Applicants are required to upload the following documents.
o Proof of U.S. Citizenship, U.S. National or Lawful Permanent Resident
o Authorization to Release Information
o An Active Health professional license showing the expiration date, certificate, or registration.
o Nursing License
System shall require the Applicant to upload a “Verification of Existing Service Obligation/Member of
Reserve Document” if Applicant answered “Yes” to Existing Service completed prior to submission at the
Eligibility page.
System may require the Applicant to upload a “Women’s healthcare nurse practitioner certification from
the NCC” if Applicant indicated their specialty was in Women’s Health Care/OG-GYN.
System may require the Applicant to upload a “Certification in OB/GYN specialties from the NCC and/or
ANCC” if Applicant indicated their specialty was in Women’s Health Care/OG-GYN.
System shall require the Applicant to upload a “Certification from the ANCC to practice as an APRN” if
Applicant indicated their License Type was Registered Nurse.
System shall allow Applicant to upload documents up to 5 MB in size.
System shall only allow Applicant to upload documents with file name consist of letters (a-z), dash (-), or
underscore (_).
System shall enable ability to delete documents after Applicant has uploaded the document(s).
System shall allow Applicant to override a previous documents upload.
The document comment is optional.
o If a comment is entered for an uploaded document, system shall display the comment in the
Document Review.

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Required Documents Alert Message

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REVIEW
The Review page displays a summary of the sections that make up the online application and the status of each
section. It allows the applicant to verify if any sections are complete or not complete. It also prevents the applicant
from submitting their application if any of sections are not complete.

STEPS
1.
2.
3.

Applicant reviews the status of the sections they have completed.
Applicant agrees to the review acceptance.
Applicant will be directed to Certify and Submit page upon selecting the review acceptance checkbox and
clicking the Certify to Submit button.

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BUSINESS REQUIREMENTS
•
•

•

•

•
•
•
•

All pages and all required fields must be completed for the Applicant to navigate to the Certify and Submit
page.
The following sections can have an “In Progress” status when Applicant has already completed the page:
o Professional Information: Applicant cannot continue to Certify and Submit page if the following
occurs: 1) Site not found is requested; 2) “No” to "Have you listed each site where you work or
will begin working?"; 3) Employment Verification is initiated and not yet completed by a Site
POC.
o Loan Information: Applicant cannot continue to Certify and Submit page if the Manual Loan
documents are not uploaded.
The system shall display a validation error message if the Applicant has not added all their employment
location(s).
o Message: Please ensure that all of your sites are listed under the Professional Information, Sites
Added, section before submitting your NC LRP application.
The system shall display a validation error message if EV(s) are not completed.
o Message: Please ensure that you have completed the Professional Information, Employment
Verification, section before continuing your NC LRP application.
The system shall display a validation error message if required loan document(s) are not uploaded.
o Message: Please ensure that you have completed the Loans section before submitting.
The system shall display a validation error message if required documents are not uploaded.
Applicant must check the Review Acceptance checkbox to be allowed to continue to the Certify and
Submit page.
If the Applicant navigates away from the Review page or updates a page previously completed with ‘Save
& Continue’, the system shall reset the Review Acceptance checkbox.

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CERTIFY AND SUBMIT
The Certify & Submit page is the last page of the application. The Applicant must agree to all certifications to
successfully submit their Nurse Corp (NC) Loan Repayment Program (LRP) application.

STEPS
1.
2.
3.

Applicant reads each certification.
Applicant indicates that they agree by selecting each checkbox.
Applicant selects Submit button.

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BUSINESS REQUIREMENTS
•
•
•
•

•

The system shall require that Applicant has responded to each certification question to be able to
proceed.
The system shall not allow application to be submitted after the application deadline.
The system will clear the Certify and Submit page if Applicant navigates to another section of the
application prior to submitting their application.
If Applicant responds “Yes” to the Eligibility page question, “Are you a uniformed service member or
member of the reserve corps?”, then the system shall require Applicant to certify that they are in the
armed services on the Self-Certify Page by selecting the checkbox “I certify that I am a Reserve
Component of the Armed Forces or National Guard.”
The system shall require Applicant to enter a correct password to submit the application successfully.

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SUBMITTED APPLICATION
After the Applicant submits their NC LRP application, they will be directed to the Nurse Corp (NC) Loan Repayment
Program (LRP) Submitted landing page. The Applicant will see an application status of “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.” On the Submitted landing page, the Applicant will have the ability to
edit their application and download both the application response PDF report and the Facility POC employment
verification response PDF report.

STEPS
1.
2.
3.
4.
5.

Applicant is directed to the Submitted landing page upon a successful application submission.
Applicant can download their Application Summary Report in PDF from the submitted screen.
Applicant can edit their application by clicking Edit your Submitted Application button.
Applicant can withdraw their application by clicking Withdraw your Application button. See Withdraw for
additional steps.
There are several possible reasons why Applicant may be found ineligible. Some common reasons that
Applicants are found ineligible upon submission include, but not limited to:
a. The Applicant has an existing service obligation that has not been completely satisfied on or
before the submission date of the application.

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BUSINESS REQUIREMENTS
•
•
•

•
•
•
•
•
•
•
•

Applicant can view the Submitted landing page upon a successful application submission.
Applicant can download their Application Summary Report and Download Employment verification
responses both in PDF form from the submitted screen.
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 facility point of contact (POC)
indicated that they do not meet the required work hours per week to be eligible for an award.
o If Applicant's license has expired prior to the submission deadline.
o The EV submitted by one or more of the Applicant's Facility POCs indicates that Applicant does
not have an unrestricted license.
o The EV submitted by the Applicant’s Facility POC indicated that their employment start date is
after the deadline of the NC LRP Application submission date/cycle close date.
o Applicant did not receive a degree or complete their residency on or before the submission date
of the application.
o Applicant has an existing service obligation that has not been completely satisfied on or before
the submission date of the application.
System shall display Edit your Submitted Application button when Application Cycle is open.
System shall not display Edit your Submitted Application button when Application Cycle is close.
System shall display Download Application PDF hyperlink.
System shall display Download Employment Verification Responses hyperlink.
System shall display Withdraw your Application when Application Cycle is open.
System shall not display Withdraw your Application when Application Cycle is close.
Applicant shall be able to withdraw their application during “Under Review” process.
Applications with “Submitted Ineligible” will not see Withdraw your Application button.

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EDIT APPLICATION (PRIOR TO APPLICATION DEADLINE)
After the Applicant submits their NC LRP application, they will be directed to the Nurse Corp (NC) Loan Repayment
Program (LRP) Submitted landing page. The Applicant will see an application status of “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.” On the Submitted landing page, the Applicant will have the ability to
edit their application and download both the application response PDF report and the Facility POC employment
verification response PDF report.

STEPS
1.
2.
3.

4.
5.
6.
7.
8.

From the Submitted landing page, Applicant clicks the Edit your Submitted Application button.
The system will be directed to the Welcome page.
The Applicant can navigate to any section of their application to make the necessary edits.
a. If Applicant wishes to cancel a completed Employment Verification (EV), they must follow the
instructions outline in Professional Information | Employment Verification section of the user
guide to re-initiate the EV(s) and have the EV(s) completed by the Applicant’s Facility POC(s).
b. If Applicant wishes to change the Facilities added, they must first cancel a completed EV, then
they must follow the instructions outline in Professional Information | Employment Verification
section, search and add a site and continue with the Employment Verification to re-initiate the
EV(s) and have the EV(s) completed by the Facility POC(s).
Once Applicant has made their edits, they must click ‘Save & Continue’ at the bottom of the page where
edits were made to properly capture and save the edits.
Once all edits are completed and saved, Applicant will navigate to the Review page to check the Review
Acceptance checkbox once again on the Review page.
Applicant navigates to the Certify & Submit page to complete all certifications.
Applicant enters their password.
Applicant selects ‘Submit’ and is directed to the Submission landing page.

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BUSINESS REQUIREMENTS
•
•

The Applicant will not be able to edit their application after the application cycle closes.
An Applicant must successfully resubmit their application by the application deadline, otherwise their
application will not be considered for a NC LRP award.

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WITHDRAW SUBMITTED APPLICATION (PRIOR TO APPLICATION DEADLINE)
If an Applicant would like to withdraw their application after submission, they may do so prior to the application
deadline.

STEPS
1.
2.
3.
4.

Applicant selects Withdraw your Application button from the application submitted landing page.
Applicant selects Cancel button to exist the Withdraw Application pop up modal and no action is taken.
At the Withdraw Application pop up modal, Applicant selects Withdraw button to withdraw their
application.
Applicant is directed to Withdrawn submitted landing page.

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BUSINESS RULES
•

The applicant may withdraw their application by clicking on the Withdraw your application button and
then a popup module will display.
o If the applicant decides to withdraw their application, then their status will be updated to
‘Withdrawn’, the popup window will close and navigate the user to a withdrawn page.
o The applicant will only be able to withdraw their application if they are in any of the following
statuses:
 SUBMITTED_REVIEW_NOT_STARTED
 SELECTED_FOR_REVIEW
 REVIEW_INELIGIBLE
 REVIEW_INCOMPLETE
 UNDER_QUALITY_REVIEW
 UNDER_EXCEPTION_REVIEW
 AWAITING_SCORES_AWARD_AMOUNT
 ELIGIBLE_COI
 UNDER_REVIEW_VERIF
o Only when the application cycle is open Applicant can undo their withdrawn application by
selecting the Undo Withdrawn button. Applicant’s status will then be updated from
“Withdrawn” to “In Progress” and navigate the user to the Welcome page.
 Applicant will need to resubmit their application (even if no edits or updates were
made).
 Note: All the information will be saved from the previous submit, but Applicant will
need to select the certify and submit checkboxes prior to resubmitting.

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PART 4 | RESOLVING ISSUES
1.

For Technical Issues:
a. Production Support Process: When a technical issue is encountered, e.g. Applicant cannot upload
their Resume, the Customer Care Center should log the issue in the BMISS Issue Tracker. The NC
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 to solve the
problem. Applicant details should include the following:
• Applicant information: Full name, last four of SSN, email, phone number.
• The exact NC 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.

b.
c.

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.
Online Application Program Issues: For program/policy related questions, please submit a ticket
in EMS.
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 they encountered the problem
• Detailed summary of the problem
• Supporting Document (if applicable)

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