(A) An individual who will not have an outstanding obligation for dental service to the federal government, a state, or other entity at the time of participation in the dentist loan repayment program and meets one of the following requirements may apply for participation in the dentist loan repayment program:
(1) A dental student enrolled in the final year of dental school; or
(2) A dental resident in the final year of residency training in general or pediatric dentistry; or
(3) A person who is licensed under Chapter 4715. of the Revised Code to practice dentistry in the state of Ohio.
(B) The application shall be submitted by a date and on a form prescribed by the department. The form shall require an applicant to set forth the following information:
(2) Current and permanent mailing address;
(3) Telephone number;
(4) The dental college the applicant is attending or has attended, dates attended and verification of attendance;
(5) If the applicant is currently a dental resident, or has previously completed a dental residency program, the facility or institution where the residency was completed or is being performed, and if completed, the date of completion;
(6) A summary of the educational expenses for which reimbursement is sought under the dentist loan repayment program and verification of expenses;
(7) Verification of United States citizenship or legal alien status;
(8) Verification of license to practice dentistry under Chapter 4715. of the Revised Code and proof of good standing; and
(9) Any other information requested by the department of health.
(C) The director of health shall grant an application for placement in a dental health resource shortage area and participation in the dentist loan repayment program if both of the following apply
(1) The general assembly has appropriated adequate funds for the dentist loan repayment program; and
(2) The director finds that the applicant is eligible for placement and participation and that, in accordance with the priorities established under rule 3701-56-04 of the Administrative Code, the applicant is needed in a dental health resource shortage area.
(D) Upon granting an application, the director shall notify and enter into discussions with the applicant. The object of the discussions is the placement of the applicant in a dental health resource shortage area in which, according to the priorities established under rule 3701-56-04 of the Administrative Code, the applicant is most needed. The department may also refer an applicant to the Ohio dental association for assistance in being recruited to a site within a dental health resource shortage area at which the applicant will agree to be placed.
(E) If the dental health care provider site, the director and applicant agree on the applicant's placement in a particular dental health resource shortage area and the amount of the applicant's educational expenses to be repaid, the applicant shall prepare, sign, and deliver to the director a letter of intent agreeing to that placement. The dentist loan repayment advisory board shall determine the amounts that will be paid as loan repayments on behalf of participants in the dentist loan repayment program.
(F) In the event that it is necessary to establish priorities among applicants, the director shall consider the following factors:
(1) The applicant's background and career goals;
(2) The length of time the applicant is willing to provide dental services in a dental health resource shortage area;
(3) The applicant's expressed interest in working and staying in an underserved area and whose family members are interested in the lifestyle associated with areas of underservice;
(4) The extent to which the applicant has sought or undertaken culturally or economically diverse experiences;
(5) The amount of the loan balance for which the applicant is requesting repayment assistance;
(6) To ensure an equitable distribution of dentists desiring to practice in a dental health resource shortage area, preference will be given to applicants desiring to practice in a dental health resource shortage area which has not had a dentist placed in the preceding four years in the area either through the Ohio dentist loan repayment program or through the federal national health service corps scholarship and loan repayment programs.
(G) Each applicant will be evaluated against the factors listed in paragraph (F) of this rule. A score will be given to an applicant's response to each factor and each factor will be weighted using the criteria scoring sheet attached to this rule as an appendix.
Each applicant will be given a total score. In addition, the director may instruct staff to interview applicants to gather responses not easily evaluated from the applicant's written application. The applicants with the highest scores will be recommended for funding provided that funds are authorized and available. When necessary due to limited funds from the general assembly, payments of less than twenty five thousand dollars in the first and second years or thirty five thousand dollars in the third and fourth years may be made in order to maximize the number of dentists granted loan repayment in dental health resource shortage areas.
3701-56-02 Appendix A
Prioritization of Loan Repayment Candidates Criteria scoring sheet