From what my recruiter has said, my scroll came back from congress and that was when I was notified I was selected. The final approval is an official memorandum from the Health Services Directorate saying I can commission and move forward with my contract. Not sure what is correct anymore, but my recruiter has been do HPSP recruiting for a few years so I hope it's right. He's good at responding promptly and tries to keep me as informed as possible.
And covid might be making everything go slower than usual.
Happy waiting!
Just thought of this, since mine is waiting at Health Services Directorate, it may be because I had to get a vision waiver (astigmatisms), so I may be under a different process.