NC HSM Loan Forgiveness & Repayment: Options & Requirements

by Marcus Liu - Business Editor
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North Carolina Health Services Management Loan Forgiveness and Repayment Options

The Health Services Management (HSM) Program in North Carolina offers financial assistance to qualified residents committed to working in healthcare or education within the state. This assistance comes with specific requirements for loan forgiveness or cash repayment, along with options for deferment. This article details the available options and requirements as of March 21, 2026.

Loan Forgiveness Option

Graduates of the HSM program may be eligible for loan forgiveness if they meet certain criteria. This option allows recipients to eliminate their loan balance by fulfilling service obligations.

Requirements for Loan Forgiveness

  • Graduate from the program at the degree level for which financial assistance was received.
  • Obtain the necessary licensure or certification in their field.
  • Secure full-time employment in a qualified position.

How to Apply for Loan Forgiveness

  1. Submit verification of graduation to the North Carolina State Education Assistance Authority (NCSEAA).
  2. Notify NCSEAA of your intent to repay through loan forgiveness within 90 days of graduation.
  3. Obtain licensure in the field for which funding was provided.
  4. Secure a qualified position.
  5. Complete a Loan Forgiveness Application and submit it to NCSEAA for approval.

Further information can be found in the Frequently Asked Questions about Loan Forgiveness.

Cash Repayment Option

If loan forgiveness criteria are not met, recipients must repay the loan in cash within ten years of graduation or withdrawal from the HSM program. Repayment can be made in a lump sum or through monthly installments.

Detailed instructions and additional information regarding cash repayment are available in the Frequently Asked Questions: HSM Cash Repayment.

Deferment Option

A deferment allows for a temporary postponement of loan forgiveness or cash repayment. Although, interest will continue to accrue on the outstanding principal balance at a rate of ten percent during the deferment period.

How to Apply for Deferment

To apply for deferment, complete and return a Postponement/Deferment Form to NCSEAA for approval.

More information about deferment can be found in the Frequently Asked Questions: HSM Deferment.

Program Overview and Eligibility

The Bachelor of Science in Health Services Management programs at institutions like East Carolina University , UNC Charlotte , and North Carolina A&T State University prepare students for roles in healthcare management. These programs are designed to build upon the tradition of producing outstanding graduates for premier organizations. The UNC Charlotte program, for example, aims to develop future entry-level health services leaders to advance health equity and well-being.

The Health Systems Management B.S. At UNC Charlotte prepares students as entry-level generalists, with the average annual salary for these positions being $35,530. The field is expected to see increased demand due to the aging baby-boom population and advancements in healthcare technology.

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