Chapter UWS 23

Chapter UWS 23

PHYSICIAN AND DENTIST LOAN ASSISTANCE PROGRAM

UWS 23.01   Purpose.

UWS 23.02   Definitions.

UWS 23.03   Mental health shortage area.

UWS 23.035   Dental health shortage area.

UWS 23.04   Priorities among eligible applicants.

UWS 23.05   Application process.

UWS 23.06   Breach of agreement.

UWS 23.07   Penalties for breach of agreement.

UWS 23.08   Waiver of penalties.

UWS 23.09   Suspension.

Ch. UWS 23 Note Note: Chapter Comm 122 as it existed on June 30, 1998 was repealed and new chapter Comm 122 was created effective July 1, 1998. Chapter Comm 122 was renumbered chapter UWS 23 under s. 13.92 (4) (b) 1., Stats., Register October 2011 No. 670.

UWS 23.01 UWS 23.01 Purpose. The purpose of this chapter is to establish provisions necessary for the administration of those aspects of the physician and dentist loan assistance program and the expanded loan assistance program which relate to the following:

UWS 23.01(1) (1) The identification of eligible practice areas as provided under s. 36.60 (1) (ag), Stats.

UWS 23.01(2) (2) The establishment of priorities among eligible applicants.

UWS 23.01(3) (3) The procedures under which physicians and dentists may apply for assistance under this chapter and the procedures under which the Board of Regents may make determinations in regard to physician and dentist applications.

UWS 23.01(4) (4) The penalties for breach of an agreement, and circumstances under which those penalties may be waived.

UWS 23.01 History History: Cr. Register, June, 1998, No. 510, eff. 6-1-98; CR 01-157: am. (intro.) and (3), Register June 2002 No. 558, eff. 7-1-02; correction in (1), (3) made under s. 13.92 (4) (b) 6., 7., Stats., Register October 2011 No. 670; 2015 Wis. Act 330 s. 20: am. (3) Register April 2016 No. 724, eff. 5-1-16.

UWS 23.02 UWS 23.02 Definitions. In this chapter:

UWS 23.02(1g) (1g) “Board of Regents” means the Board of Regents of the University of Wisconsin System.

UWS 23.02(1r) (1r) “Dental health shortage area” has the meaning contained in s. 36.60 (1) (ad), Stats.

UWS 23.02(3) (3) “Educational loan” means a health education assistance loan, a plus loan, a national direct student loan, a stafford loan, a health professions students loan, a supplemental loan for students, a guaranteed student loan from a state education financial aid office, a university sponsored student loan, a trust fund loan, a scholastic loan, a foundation loan or any other loan that the Board of Regents determines is exclusively for educational purposes, and that was obtained by the physician or dentist from a public or private lending institution for education in an accredited school of medicine, an accredited school of dentistry, or for post graduate medical or dental training.

UWS 23.02(4) (4) “Eligible practice area” has the meaning set forth in s. 36.60 (1) (ag), Stats.

UWS 23.02(5) (5) “Mental health shortage area” has the meaning contained in s. 36.60 (1) (ap), Stats.

UWS 23.02 History History: Cr. Register, June, 1998, No. 510, eff. 6-1-98; CR 01-157: renum. (1) to (4) to be (2) to (5) and am. (3), cr. (1), Register June 2002 No. 558, eff. 7-1-02; correction in (1g), (1r), (3), (4), (5) made under s. 13.92 (4) (b) 6., 7., Stats., (1), (2) renumbered to be (1r), (1g) under s. 13.92 (4) (b) 1., Stats., Register October 2011 No. 670; 2015 Wis. Act 330 s. 20: am. (1g), (3) Register April 2016 No. 724, eff. 5-1-16.

UWS 23.03 UWS 23.03 Mental health shortage area.

UWS 23.03(1) (1) The Board of Regents shall identify as a mental health shortage area any geographic area that conforms to the definition in s. UWS 23.02 (5).

UWS 23.03(2) (2) In addition to conforming to s. UWS 23.02 (5), a written agreement between the Board of Regents and a physician specializing in psychiatry shall require that the physician enter into an agreement with the board or boards created under s. 51.42, Stats., which operate in the mental health shortage area, to provide at least 8 hours of psychiatric care per week to clients of the board or boards. The Board of Regents may waive this requirement on a year-to-year basis upon a showing in writing by the physician that additional psychiatric services are not required by the county in the mental health shortage area, that the s. 51.42, Stats., board is not able to provide for such services at their reasonable and customary rate, or for other reasons approved by the Board of Regents.

UWS 23.03 History History: Cr. Register, June, 1998, No. 510, eff. 6-1-98; CR 01-157: am. Register June 2002 No. 558, eff. 7-1-02; correction in (1), (2) made under s. 13.92 (4) (b) 6., 7., Stats., Register October 2011 No. 670; 2015 Wis. Act 330 s. 20: am. (1), (2) Register April 2016 No. 724, eff. 5-1-16.

UWS 23.035 UWS 23.035 Dental health shortage area.

UWS 23.035(1) (1) The Board of Regents shall identify as a dental health shortage area any geographic area that conforms to the definition in s. UWS 23.02 (1r).

UWS 23.035(2) (2) In addition to conforming to s. UWS 23.02 (1r), the dentist shall agree to the following:

UWS 23.035(2)(a) (a) In year 1 of the dentist’s agreement with the Board of Regents, the dentist shall provide dental services to at least 50 unduplicated medical assistance or badger care recipients, not to fall below a minimum of $8,000 in claims paid.

UWS 23.035(2)(b) (b) In year 2 of the dentist’s agreement with the Board of Regents, the dentist shall provide dental services to at least 70 unduplicated medical assistance or badger care recipients, not to fall below a minimum of $11,000 in claims paid.

UWS 23.035(2)(c) (c) In year 3 of the dentist’s agreement with the Board of Regents, the dentist shall provide dental services to at least 90 unduplicated medical assistance or badger care recipients, not to fall below a minimum of $15,000 in claims paid.

UWS 23.035(3) (3) In this section, ”unduplicated” means that a recipient may only be counted once for the year regardless of the number of visits during the year.

UWS 23.035(4) (4) The Board of Regents may waive the requirements of sub. (2) on a case-by-case and year-to-year basis upon an administrative review that shows the dentist made a significant effort to achieve the targets contained in sub. (2) and that the dentist has credible plans, as determined by the Board of Regents, to meet the following year’s targets, if applicable.

UWS 23.035 History History: CR 01-157: cr. Register June 2002 No. 558, eff. 7-1-02; correction in (1), (2), (4) made under s. 13.92 (4) (b) 6., 7., Stats., Register October 2011 No. 670; 2015 Wis. Act 330 s. 20: am. (1), (2) (a) to (c), (4) Register April 2016 No. 724, eff. 5-1-16.

UWS 23.04 UWS 23.04 Priorities among eligible applicants. If the cost of repaying the educational loans of all eligible applicants, when added to the cost of educational loan repayments scheduled under existing agreements, exceeds the total amount in the appropriations under s. 20.285 (1) (jc) and (ks), Stats., the Board of Regents shall establish priorities among eligible applicants based on the following considerations:

UWS 23.04 Note Note: Section 20.285 (1) (jc) and (ks) were repealed by 2011 Wis. Act 32.

UWS 23.04(1) (1) Extremely high need for medical or dental care. The degree to which there is an extremely high need for medical or dental care in the eligible practice area in which the physician or dentist proposes to practice.

UWS 23.04(2) (2) Physician and dentist retention. The likelihood of long term retention of the physician or dentist.

UWS 23.04(3) (3) Per capita income. The average per capita income in the eligible practice area in which the physician or dentist plans to practice.

UWS 23.04(4) (4) Financial support for physician or dentist recruitment and retention. The extent of local financial support provided to recruit or retain the physician or dentist for the eligible practice area.

UWS 23.04(5) (5) Length of service. The degree to which the physician or dentist is new to the eligible practice area.

UWS 23.04(6) (6) Provision of obstetric services. The agreement of a primary care physician to provide obstetric services.

UWS 23.04(7) (7) Geographic distribution. The geographical distribution of physicians and dentists with whom the Board of Regents has existing agreements and the geographical distribution of eligible applicants.

UWS 23.04(8) (8) Educational loan balance. The educational loan balance of the eligible applicant.

UWS 23.04(9) (9) Provision of medical assistance and badger care services. If already in practice, the degree to which a dentist provides medical assistance and badger care services in the dental practice.

UWS 23.04 History History: Cr. Register, June, 1998, No. 510, eff. 6-1-98; CR 01-157: am. (intro.), (1) to (5) and (7), cr. (9), Register June 2002 No. 558, eff. 7-1-02; correction in (intro.), (7) made under s. 13.92 (4) (b) 6., 7., Stats., Register October 2011 No. 670; 2015 Wis. Act 330 s. 20: am. (intro.), (7) Register April 2016 No. 724, eff. 5-1-16.

UWS 23.05 UWS 23.05 Application process.

UWS 23.05(1) (1) Applications shall be in such form as the Board of Regents may require and shall contain the following information:

UWS 23.05(1)(a) (a) Evidence pertaining to dates of accredited medical or dental school attendance and graduation.

UWS 23.05(1)(b) (b) Evidence of educational loan indebtedness and education loan outstanding balance.

UWS 23.05(1)(c) (c) The location of the applicant’s current or proposed practice.

UWS 23.05(1)(d) (d) Any other information the Board of Regents may require to make a determination in accordance with the provisions of s. 36.60, Stats., and this chapter.