West Virginia Department of Health and Human Resources Bureau for Public Health

1. West Virginia Department of Health and Human Resources Bureau for Public Health Office of Maternal, Child and Family Health, Oral Health Program Office of Health Systems and Health Promotion, Division of Rural Health Dental Workforce Loan Reimbursement

2. Dental Workforce Dilemma: WVU SoD Graduate Retention 2007 2008 2009 2010 2011 • Total Graduates 47 45 50 47 48 • Number Graduates 17 24 21 13 6 Practicing in WV • % of Graduates 36.1% 53.3% 42.0% 27.6% 12.5% Practicing in WV Percentages based off of 1236 dentists who responded to dental census survey

3. Dental Workforce Dilemma: Key Findings from WV Dental Census 17% of dentists intend to retire within the next 1 to 5 years 18% of dentists intend to retire within the next 6 to 10 years West Virginia will lose more than 35% of dentists over the next 10 years

4. Student Indebtedness: Facts and Figures Average level of debt for DDS students (as of the SoD graduating class of 2012) is $145,346.  Average monthly loan payments for $150,000 is $1,726.20 for 10 years with a 6.8% interest rate. Average salary for a General Dentist working in WV is $148,050 (US Department of Labor & Statistics). DDS students are eligible to have $90,000 of student loans repaid through the Dental Workforce Loan Reimbursement and other federal and state programs.

5. WV Oral Health Program • Our Mission: To promote and improve the oral health of all West Virginians • Our Responsibilities include administering the WV State Oral Health Plan • Monitoring workforce trends and projections • Developing strategies to address oral health disparities • The HRSA grant will allow us to improve access to care for the citizens of West Virginia

6. Grant Overview • WV OHP received HRSA funding through competitive grant process • Awarded approximately 1.5 million dollars • 3 year project • A portion of the funding will be used to address dental graduate retention in effort to improve access to care in Dental Health Professional Shortage Areas (DHPSA) • Funding will also be used to provide technical support for dentists located in isolated areas via teledentistry and a technical assistance team

7. Program Overview • Loan Repayment opportunities for 5 graduating or licensed dentists annually for at least the next three years.  • Repayment program requires you to practice in Dental Health Professional Shortage Areas (DHPSA) in WV • Offers loan repayments of $25,000/ year  for the first two years of service, with an optional $20,000 for the next two years (through a secondary loan source).

8. Loan Repayment Program: Application Requirements Must practice in a Dental Health Professional Shortage Area (DHPSA) Must see a minimum of 20% Medicaid or Children’s Health Insurance Program (CHIP) patients Must practice full-time (32-40 hours per week) for a minimum of one year at an eligible site. Preference will be given to applicants who indicate willingness to commit to two years.

9. Dental Health Professional Shortage Areas (DHPSAs) • What is a DHPSA? • Dental Health Professional Shortage Areas (DHPSA) - are designated by HRSA (Health Resources and Services Administration) as having shortages of dental health providers and may be geographic, demographic or institutional.

10. West Virginia DHPSA DHPSA designations frequently change. For the most accurate DHPSA listing in WV go to http://hpsafind.hrsa.gov/

11. The Supplementary Application Process • The WV State Loan Repayment Program (SLRP) • Key Points: • Available to dentists, primary care physicians, nurse practitioners, nurse midwives, physician assistants • Requires obligated services in the HPSA in WV for a non-profit employer • SLRP will pay for tuition expenses, reasonable training expenses, and living expenses • US citizens who are licensed to practice in WV can apply

12. State Loan Repayment Program (SLRP) • Criteria: • Must practice full-time general clinical dentistry • Must practice 40 hours per week, 45 weeks per year • Agree not to discriminate against patients on the basis of their ability to pay for their dental services • Complete a minimum 2-year service obligation • Maximum repayment is $40,000.00 over the 2 year obligation • Info: contact www.wvochs.org

13. Recruitment and Retention Community Project (RRCP) • Purpose: recruit and retain primary health care providers (general dentists) into underserved communities (DHPSA). • Support can span a maximum of 4 years • Requirements: • Be located in a DHPSA • Provide full continuum of care, 40 hours per week, 45 weeks per year • Have an open policy to provide care regardless of a person’a ability to pay • Be able to provide 50 percent matching dollars from sponsoring community organization • Grant is for $20,000 per year • Info: contact www.wvochs.org

14. Dental Workforce Advisory Panel Dr. Jason Roush, State Dental Director Dr. David Felton, Dean, WVU School of Dentistry Christina Mullins, Principal Investigator, OMCFH Gina Sharps, Regional Oral Health Educator, Marshall University Lena Holtz, student representative, WVU School of Dentistry Karen Pauley, Loan & Grants Coordinator, Division of Rural Health Richlyn Yond, Epidemiologist,WVOHP Teri Harlan, Practice Transformation Facilitator, WVPCA Deonna Williams, Children’s Dentistry Coordinator, WVOHP

15. You are Invited! The West Virginia Oral Health Program, Division of Rural Health, and the West Virginia School of Dentistry invite you to STAY IN WEST VIRGINIA!!!

16. For more information please contact: Dr. Jason M. Roush, DDS Jason.m.roush@wv.gov Paper applications are on hand today. For the electronic version please contact Deonna Williams @ deonna.m.williams@wv.gov On Behalf Dental Workforce Advisory Panel Thank YOU!