The location of the office or primary service location of a provider does not determine HPSA/PSA eligibility, nor is HPSA/PSA determined because a beneficiary resides in a HPSA or PSA. The key to HPSA or PSA eligibility is where the service is actually provided (i.e., place of service). For example:

• A physician providing a service in his/her office, the patient’s home, or in a hospital qualifies for the bonus payment as long as the specific location of the service is within an area designated as a HPSA or PSA.
• A physician may have an office in a HPSA or PSA, but go outside the designated HPSA/PSA area to provide the service. In this case, the physician would not be eligible for the bonus.
• The office address is not located within a HPSA or PSA. Therefore, the physician is not entitled to a bonus payment for services provided at this address. However, if this same physician travels to a nursing facility, the patient’s home, or a hospital within a HPSA or PSA designated area, the physician would be eligible for the bonus.