If you are a RHC ineligible for a HPSA score, you can apply for an automatic HPSA. This is a different designation than a HPSA under a geographic or low-income designation. For more information and to apply, visit http://bhpr.hrsa.gov/shortage/hpsas/ruralhealthhpsa.html. There are certain requirements that your clinic must meet to be eligible for this score which include a Sliding Fee Scale in accordance with the Federal Poverty Guidelines. With a HPSA score, your RHC certification is secure and you may be eligible to be an approved site for the National and Colorado Health Service Corps loan repayment programs.