To establish criteria for determining who is eligible to receive health care and victim advocacy services at University Health Services (UHS).
Policy:
UHS generally provides care for adult patient/clients. This may include minors (age 12 and above only) under the following circumstances:
A patient/client under age eighteen (18) who is enrolled or accepted for enrollment at the University of Wisconsin-Madison.
A patient/client participant in a residential summer youth camp or clinic operating under the auspices of the UW-Madison Pre-College Council and for which UHS is providing recreational camp health services for whom UHS has a signed parent/guardian consent form.
The following are generally eligible to receive the full range of services offered by UHS:
Currently enrolled students of the University of Wisconsin-Madison who have paid the campus segregated health fee for the academic term during which services are sought;
Spouses and partners of students described above (subject to adequate verification to be defined by UHS) if they have paid a fee equivalent to the campus segregated health fee paid by enrolled students for the academic term during which services are sought;
Scholars, Student Health Insurance Plan (SHIP) Continuation members, and spouses and partners of students, scholars or SHIP Continuation members enrolled in the UW-Madison student health insurance plan who are required to receive their primary care through UHS;
Students who were enrolled in the immediately preceding spring semester but are not enrolled in the summer who have elected to pay the summer health fee;
Participants in formally affiliated, but non UW-Madison educational programs located on the UW-Madison campus through prior arrangement by responsible UW-Madison staff or faculty and Executive Leadership Council (ELC) approval for coverage and payment of fees established by that arrangement;
Spouses/partners of the above if the basic arrangement for participants includes such coverage;
Students newly admitted or reenrolled for any fall semester who request and receive services during the summer session immediately preceding the fall semester of their admission (as defined below) and who pay for such services on a fee-for-service basis (e.g., SOAR attendees); and
Students’ partners who attend as part of a couple/partner counseling visit in Mental Health Services.
The following are eligible to receive specified limited services at UHS:
Certain UW-Madison staff and faculty (as determined by written arrangements and directions, which may include fees, between UHS and responsible UW-Madison officials) who receive services through the UHS Occupational Medicine Program;
Non-students whose eligibility to receive specified services is authorized by any other contract or agreement that has been executed and approved in accordance with state, university, and campus rules and procedures and who either pay fees at the time of service or whose fees are paid on their behalf by an agency of government in accordance with the agreement; and
Established patients or clients whose eligibility for services ordinarily would have ended under this policy but whose continued eligibility for services is determined in writing by either the director of Medical Services or the co-director of Mental Health Services to be in the best interests of the patient or client and UHS and who may pay for services received on a fee-for-service basis; and
For Survivor Services only: Established clients whose eligibility for services ordinarily would have ended or not been provided for under this policy but whose extended or continued eligibility for services is determined in writing by the Coordinator of Survivor Services. These services must be requested by the client, agreed upon by the victim advocate, be directly related to victimization, and are to be provided only when referral to another agency may have an adverse impact on the client. In order to maintain victim advocacy legal privilege, the service shall be provided at no charge.
Determination of eligibility to receive services shall be in accordance with the academic calendar of the UW-Madison campus as it reflects dates for the following:
Fall semester: Eligibility shall begin on August 15th and shall extend through the Saturday immediately preceding the Martin Luther King, Jr., Day holiday.
Spring semester: Eligibility shall begin on the Sunday immediately preceding the Martin Luther King, Jr., Day holiday and shall extend through the Saturday following the last day that grades are in.
Summer session: Eligibility shall begin on the Sunday immediately preceding the first day of summer session classes and shall extend through August 31st.
Eligibility to receive health care services ends upon withdrawal, suspension, or expulsion from the University. Victim advocacy services may be provided on a limited term with written authorization to clients who have withdrawn from the university. No portion of the segregated or summer health fee will be refunded to any student whose UHS service eligibility ends before the expiration of the academic term for which the fee was paid.
Procedure:
This policy shall be placed on the website of UHS as the Director of Administrative Services shall determine and shall be the means by which all UHS clinicians and staff respond to questions of eligibility by students or others seeking health care services at UHS.
The Administrative Services unit shall be responsible for reflecting the current eligibility status of patients and clients in the clinical information system of UHS. The primary source of such supporting data shall be the enrollment records of the University of Wisconsin-Madison created and maintained by the Registrar of the Madison campus in the UW-Madison universal directory system (UDS).
UHS staff who have questions concerning the eligibility of any individual seeking services may direct those questions to the following in the order shown:
The manager of the Budget and Finance unit or the staff of that unit;
the Director of Administrative Services; and
The Executive Director.
Any person who believes that he or she has improperly been denied services at UHS may address a letter to the Director of Administrative Services. In the event of further dispute, the matter may be appealed to the Executive Leadership Council but the decision of the Executive Director shall be final.
Policy Administration
Approval Authority:
Associate Vice Chancellor & Executive Director
Policy Manager:
Associate Vice Chancellor & Executive Director
Contact:
Executive Assistant, University Health Services -- Pam Miller, pamela.miller@wisc.edu
