There is no administrative or judicial review regarding

• the identification of a county or area;
• the assignment of a physician to a county;
• the assignment of a specialty of any physician; and/or
• a postal zip code to a county or other area.

HPSA/PSA bonus payments are not subject to the formal appeals process.

Visit the CMS Website to stay up to date on changes to the HPSA/PSA process.