MUA area advice, hadron and others

D

depechemods

Registered Users (C)
i am finishing up three years in HPSA area , because of some problems i want to start my own practice . the whole county is HPSA ( on basis of low income /migrant population) but i am told it is not MUA but MUP for the same reason. so can i start practice anywhere after three years as long as i see migrant popu/ have sliding scale etc or i will have to start practice in the same area i work in .
 
It is my understanding that the text of the law says 'after 5 years of service in an area determined by the secretary of health and human services to have a shortage of healthcare providers or a facility under the jurisdiction of the secretary of veterans affairs' or something like that.
I believe (and this is indeed just my belief, not knowledge) that any HPSA/MUA would do for the conclusion of your 5 years.

However, I would stay in the same county/service area and serve the same population. I would also get an updated letter by the state department of health indicating that your practice in this and such area is in the public interest.

But again: I don't ask my attorney for medical advice, so anything I say regarding matters of law is a pure laymans perspective.
 
well clarification,
when i look at the designation for HPSA/MUA, it says whole county is designated for low income /migrant population. But it is a big county with rural area where i am working and even some small/average size cities. So can i open clinic after three years anywhere in the county (even in the city) as long as i see migrant population/low income or confine close to the existing area or play safe and stick to existing area( the CHC that i work for sees pts for $15 if no insurance, so there would be not much to take home by opening clinic there)
2.. is there a certain % of low income/migrant population that i have to see (federally mandated ) to qualify as HPSA
 
I don't know.

If a county is not designated as HPSA by geography but rather an underserved population, I have no idea how the state and USCIS handle this. It is my understanding that the key ingredient for the successfull NIW is the support of the state DPH.
 
thanks for your reply, i have not been able to get any concrete answer from the DOH, although i have not talked with the main person incharge ( fearing that she might talk about it to my employer).
but on the other hand i think worse come worse if open my own practice in the same area DOH should have no problem.
?? does 140/485 approval get affected even if i am unable to make much money while in practice, i already have an approved 140 , so i believe i will have to send an amended 140 for the new area
 
You might be ok if you keep a branch office close to the place you are at right now. This doesn't have to be anything fancy, maybe a church or some group supporting the farm workers has a facility you could use/convert for 2 days per week or so. The rest of the time, you can work somewhere in the suburban part of the county. If you see plenty of your indingent clients at the satellite, you can show good numbers if DOH ever asks. Some states (I believe FL) have set numbers of sliding scale patients you have to see in order to keep their support ( a good way for the establishment to ensure that your practice doesn't turn a profit and that you leave the state as soon as possible).
 
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