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 UWS 23 Note Note: Chapter Comm 122 as it existed on June 30, 1998 was repealed and new chapter Comm 122 was created effective July 1, 1998.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.
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.
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.
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.
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(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.
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.
UWS 23.05(2) (2) The board of regents shall provide application materials.
UWS 23.05 History History: Cr. Register, June, 1998, No. 510, eff. 6-1-98; am. (1) (a), Register June 2002 No. 558, eff. 7-1-02; correction in (1) (intro.), (d), (2) made under s. 13.92 (4) (b) 6., 7., Stats., Register October 2011 No. 670.
UWS 23.06 UWS 23.06 Breach of agreement.
UWS 23.06(1)(1) The following actions, if taken by a physician or dentist who has entered into an agreement with the board of regents under the state physician and dentist loan repayment program for repayment of loans entirely from state funds, after July 1, 1998, shall constitute a breach of that agreement:
UWS 23.06(1)(a) (a) No longer practicing at an eligible clinic.
UWS 23.06(1)(b) (b) Reducing hours below the minimum required by the board of regents.
UWS 23.06(1)(c) (c) Failing to treat medicare or medicaid patients.
UWS 23.06(1)(d) (d) Failing to apply funds received from the board of regents to repayment of eligible loans.
UWS 23.06(1)(e) (e) Failing to timely supply documentation required by the board of regents.
UWS 23.06(1)(f) (f) Failing to work at least 45 weeks per year.
UWS 23.06(1)(g) (g) Failing to meet the additional requirements outlined for psychiatrists in s. UWS 23.03 and dentists in s. UWS 23.035.
UWS 23.06(2) (2) The following actions, if taken by a physician or dentist who has entered into an agreement with the board of regents under the expanded loan assistance program under s. 36.60 (9), Stats., shall constitute a breach of that agreement:
UWS 23.06(2)(a) (a) No longer practicing at a public or private, nonprofit entity.
UWS 23.06(2)(b) (b) Reducing hours below the minimum required by the board of regents.
UWS 23.06(2)(c) (c) Failing to take medicare assignment.
UWS 23.06(2)(d) (d) Failing to treat medicaid patients.
UWS 23.06(2)(e) (e) Failing to apply funds received from the board of regents to repayment of eligible loans.
UWS 23.06(2)(f) (f) Failing to timely supply documentation required by the board of regents.
UWS 23.06(2)(g) (g) Failing to work at least 45 weeks per year.
UWS 23.06(2)(h) (h) Failing to use a sliding fee scale or comparable method of determining payment arrangements for patients who are not eligible for medicare or medical assistance and who are unable to pay the customary fee for the physician's or dentist's services. Sliding fee scales may vary from clinic to clinic but, at a minimum, shall address persons with incomes below 200% of the federal poverty level.
UWS 23.06 History History: Cr. Register, June, 1998, No. 510, eff. 6-1-98; CR 01-157: am. (1) (intro.), (2) (intro.) and (h), cr. (1) (g), Register June 2002 No. 558, eff. 7-1-02; correction in (1) (intro.), (b), (d), (e), (g), (2) (intro.), (b), (e), (f) made under s. 13.92 (4) (b) 6., 7., Stats., Register October 2011 No. 670.
UWS 23.07 UWS 23.07 Penalties for breach of agreement.
UWS 23.07(1)(1) A physician or dentist who breaches an agreement with the board of regents in the first year of the physician's or dentist's obligation shall repay to the board of regents the amount already received plus an amount equal to the total months of obligation multiplied by $1,000.
UWS 23.07(2) (2) A physician or dentist who breaches an agreement with the board of regents in the second year of the physician's or dentist's obligation shall repay to the board of regents the amount already received plus an amount equal to the number of months remaining in the agreement multiplied by $1,000.
UWS 23.07(3) (3) A physician or dentist who breaches an agreement with the board of regents in the third year of the physician's or dentist's obligation shall repay to the board of regents the amount already received for the months remaining in the agreement plus an amount equal to the number of months remaining in the agreement multiplied by $1,000.
UWS 23.07 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), (3) made under s. 13.92 (4) (b) 6., Stats., Register October 2011 No. 670.
UWS 23.08 UWS 23.08 Waiver of penalties. The board of regents may waive any penalty for breach of agreement if the physician or dentist is unable to serve or repay due to a permanent physical or mental impairment that prevents the physician or dentist from working in the physician's or dentist's profession. The physician or dentist shall provide verification of his or her condition from an appropriate board certified specialist or specialists that will reasonably convince the board of regents that the physician or dentist will be unable to continue working in the physician's or dentist's profession.
UWS 23.08 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 made under s. 13.92 (4) (b) 6., Stats., Register October 2011 No. 670.
UWS 23.09 UWS 23.09 Suspension. A physician's or dentist's contract may be suspended by the board of regents, without penalty, for a period of time agreed upon by the physician and the board of regents for certain hardships, including an extended illness or family leave that exceeds the maximum of 7 weeks allotted each year, or termination of employment that requires the physician or dentist to seek employment in another eligible practice area.
UWS 23.09 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 made under s. 13.92 (4) (b) 6., Stats., Register October 2011 No. 670.
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