Wisconsin Primary Care Programs - Request Designation

Request designation as a Health Professional Shortage Area (primary care, dental, or mental health HPSA)

  • Please send a written request by email to Wisconsin HPSA team.
  • Your request needs to identify:
    • The 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 including which HPSA-linked benefits your community needs (federal loan repayment, Rural Health Clinic certification, Medicare provider bonus payments).

Request designation as a Medically Underserved Area/Population (communities applying for new federal community health center funding)

  • Please send a written request by email to Wisconsin HPSA team.
  • In the email please 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 terms of in readiness to meet all federal requirements to submit an application for a new CHC.

Request Governor's designation as Rural Health Clinics Shortage Area

  • Please send a written request by email to Wisconsin HPSA team.
  • The Primary Care Office will prioritize requests for existing RHCs that do not have a current HPSA designation.
  • Your request needs to identify:
    • The reason for your request: to retain an existing RHC or to establish a new RHC in an area without a current HPSA designation.
    • The proposed service area.
    • RHC contact person who will help collect primary care physician FTE data for their service area (contact's name, phone, and email address).

Reminders

  • Plan ahead. It can take several months to review your request, 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 cannot guarantee that an area will meet the criteria required by federal law.
Last Revised: May 17, 2016