Service Obligation

MiLES awardees commit to serving two years of full-time clinical practice at an approved service site. Below is an overview of the service commitment requirements. Prior to applying, you should read the complete detailed description of this information in the MiLES Program Guidance (PDF) available on the Resources page.


Qualified Practice Sites

MiLES-approved practice sites are health care facilities that generally provide outpatient primary and mental health services to populations residing in urban or rural Health Professional Shortage Areas (HPSAs) or Medically Underserved Area or Population (MUA/P). Any score is fine as long as the area or site has a designation. Psychiatry practice site locations must have a Mental Health HSPA designation.
Examples include:

  • Federally Qualified Health Centers (FQHCs)

  • Rural Health Clinics (RHCs)

  • Indian Health Service, Tribal or Urban Indian Health Clinics

  • Public Health Departments

  • Hospital-affiliated outpatient primary care practices

  • Solo or group private practices

  • Critical Access Hospitals (CAHs)

  • Indian Health Service Hospitals (IHS)

The following are not eligible MiLES practice sites, even if they are located in a HPSA or MUA/P:

  • County/local prisons

  • Inpatient Hospitals (except for CAHs or IHS Hospitals)

  • Other Inpatient Facilities

  • Clinics that limit care to veterans/active duty personnel (e.g. VA Medical Centers and Clinics, Military Bases, Civilian Health Care Providers in the Tricare Network)


Dates of Service
Your service commitment begins on the date agreed upon by you and your MiLES-approved employer. Your first day of employment must be within 3 months (90 days) of graduating from residency. Your last day of service comes two years (to the day) after your start date.

Service Hours & Activities
You must work at least 40 hours/week, for a minimum of 45 weeks each service year. That work must be within the profession for which you applied, and we awarded you via the MiLES contract, at your MiLES-approved site(s).

  • You may compress the 40 hours/week into no fewer than four days/week.

    • No more than 12 hours of work in any 24-hour period.

  • You must spend a designated minimum number of hours/week providing patient care.

    • Count no more than eight hours toward the minimum 40 hours/week for administrative, management or other activities

    • Count no more than eight hours toward the minimum 40 hours/week for teaching activities.

  • You do not receive service credit for any hours you work over the required 40 hours/week.

Note: Your service contract with us is separate and independent from your employment contract with your MiLES-approved site.

Verifying Your Service Hours
Every six months, we'll verify that you fulfilled your service commitment by meeting clinical practice requirements.

You'll complete and sign an In-Service Verification (ISV) form, then send it along to your practice site manager to verify your total work hours. After signing it, they submit it to the MiLES office.

Note: It is your responsibility to ensure that your practice site manager submits the ISV on time.

You can read more about the ISV process and requirements, clinical practice requirements, and how to report time away from your site in the MiLES Program Guidance (PDF) available on the Resources page.

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