Wisconsin Primary Care Programs

How do I Request a Shortage Designation?

Health Professional Shortage Area designation (primary care, dental or mental health HPSA):

• Please send a written request by e-mail to Anne Dopp at anne.dopp@dhs.wisconsin.gov

• Your request needs to identify:

  • what type of HPSA you are requesting (primary care, dental or mental health)
  • the geographic service area for your request
  • why your community needs a HPSA - which HPSA-linked benefits does your community need (federal loan repayment, Rural Health Clinic certification, Medicare provider bonus payments)

Medically Underserved Area/Population designation for new communities to apply for federal community health center funding:  

• Please fill out the attached request checklist and send to Anne Dopp at anne.dopp@dhs.wisconsin.gov  or  Fax:  608-266-2584
• Checklist to request a new MUA/MUP designation (PDF, 312 KB)

• This request checklist will help you identify:

• which path you are taking to try to start a new Community Health Center (new applicant, planning grant, partner with existing CHC, etc)
• which area you are targeting for a new CHC site
• where your community is in readiness to meet all federal requirements to submit an application for a new CHC

Reminders:

• Plan ahead - it can take 6-12 months to review, collect the required provider data, submit a state application to HRSA, and for HRSA to approve a new designation.
• No guarantees - the Primary Care Office works very hard to see if communities can meet federal criteria for a shortage designation, but can not guarantee that an area will meet the criteria required by federal law.

Medically Underserved Area/Population designation for new communities to apply for federal community health center funding:  

• Please fill out the attached request checklist and send to Anne Dopp at anne.dopp@dhs.wisconsin.gov  or  Fax:  608-266-2584
• Checklist to request a new MUA/MUP designation (PDF, 312 KB)

• This request checklist will help you identify:

  • which path you are taking to try to start a new Community Health Center (new applicant, planning grant, partner with existing CHC, etc)
  • which area you are targeting for a new CHC site
  •  where your community is in readiness to meet all federal requirements to submit an application for a new CHC

Reminders:

• Plan ahead - it can take 6-12 months to review, collect the required provider data, submit a state application to HRSA, and for HRSA to approve a new designation.
• No guarantees - the Primary Care Office works very hard to see if communities can meet federal criteria for a shortage designation, but can not guarantee that an area will meet the criteria required by federal law.

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Last Revised: January 25, 2012