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J1 Waiver Application Schedule

The Federal Fiscal Year begins on October 1, therefore many of the states start their review of J1 Applicants in the beginning of October. The chart below is a summary of information, for more details regarding the application process and application submission windows, please see our State-By-State regulations information located below these charts.


October

November

December

January

February

March

Alabama (Non-Metropolitan Areas)
Arizona, Michigan (10/1-11/30)
Illinois, Indiana, Kentucky (10/1-10/31)
North Carolina (10/15)
New Hampshire (10/1-8/15)

 

Florida (11/1 Deadline)
Nevada (11/1-8/1)

Colorado, Delaware (Application Review Session)
New York (12/1 Deadline)

Alabama (Metropolitan Areas)
Michigan, Illinois (If spots not filled in October)
North Carolina (1/15)

Delaware (Application Review Session)

Colorado (Application Review Session)

 


April

May

June

July

August

September

North Carolina (4/15)

Delaware (Application Review Session)

Colorado (Application Review Session)

North Carolina (7/15)

Colorado, Delaware (Application Review Session)
Texas (9/1 until full)


States that review applications from 10/1 until all spots are filled:
  • California
  • Connecticut
  • Georgia
  • Hawaii
  • Idaho
  • Iowa
  • Kansas
  • Louisiana
  • Maine
  • Massachusetts
  • Minnesota
  • Missouri
  • Montana
  • Nebraska
  • New Mexico
  • Pennsylvania
  • Ohio
  • Oklahoma
  • Oregon
  • Rhode Island
  • Washington
  • West Virginia
  • Wisconsin
States that DO NOT have an application deadline (Rolling Review Process):
  • Alaska
  • Arkansas
  • Maine
  • Mississippi
  • New Jersey
  • North Dakota
  • South Carolina
  • South Dakota
  • Tennessee
  • Utah
  • Vermont
  • Virginia
  • Wyoming

CONRAD STATE 30
J1 VISA WAIVER PROGRAM

Approximately 1,000 J1 visa waivers are issued each year to physicians who agree to practice in underserved areas in the United States. This is a tremendous increase from the 70 J1 visa waivers issued in 1990, and certainly verifies the extent of which many communities across the United States continue to face severe difficulties in attracting U.S. physicians to meet their respective health care needs. At present, there are approximately 3,200 foreign-born physicians practicing in underserved areas compared to only 2,000 American physicians practicing in underserved areas.

The Conrad State 30 J1 Visa Waiver program is indeed the most common method of obtaining a J1 visa waiver for physicians willing to enter into a 3 year employment contact in a designated health professional shortage area (HPSA) or medically undeserved area (MUA). The Conrad 30 program provides for the approval of up to 30 J1 visa waivers for each US State. Each U.S. State, by regulation, has enacted their own specific requirements that a foreign physician must meet in order to qualify for consideration for inclusion in this program.

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STATE BY STATE SUMMARY OF THE CONRAD STATE 30 PROGRAM

Alabama

Practice Areas: Family, General, OB/GYN, Pediatrics, Psych, Internal Med

Specialists: Yes; up to 15 specialists may be awarded waivers once all primary care needs are met.

Application Review: Hospitals in the Alabama State Rural Health Plan and Alabama employers in non-Metropolitan Statistical areas can submit applications for sub-specialists on the first work day of October; Other Alabama sub-specialist employers can submit applications the first Monday of the first full work week the following January until all spaces are filled.

Notes: Physician must submit documentation that he/she tried all other Alabama state waiver programs first, employer contracts cannot contain non-compete clauses, must include a specified liquid damages clause, and must incorporate all the terms and conditions of the Alabama Waiver Program. Alabama Department of Public Health’s roles are to establish policies and procedures in coordination with appropriate health authorities, review and processing of waiver applications and monitoring compliance with the program.

Contact: Kristi Mitchell
Recruitment Coordinator
Office of Primary Care and Rural Health
Alabama Department of Public Health
201 Monroe Street, Suite 1040
Montgomery, AL  36104
(334) 206-5229 or (800) 255-1992

E-mail: Kristi.Mitchell@adph.state.al.us

Website: http://www.adph.org/ruralhealth/index.asp?ID=885

Alaska

Practice Areas: Family Practice, Internal Medicine, OB/GYN & Pediatrics, Dentist, and Mental Health

Specialists: Yes; Alaska currently allows for 10 specialists each year.

Application Review: Year-round Rolling Review

Notes: All specialties may apply.  Alaska does not recruit directly. Physicians must contact the US State Department and potential employers.

Contact: Triptaa Surve, MPH, JD
State of Alaska/DHSS/DHCS/HPSD
3610 C St.
Suite 990
Anchorage, AK 99503
(907) 334-2640

E-mail: triptaa.surve@alaska.gov

Website: http://www.hss.state.ak.us/dhcs/Healthplanning/workforce/workforce_home.htm

Arizona

Practice Areas: Family, General, Pediatrics, OB/GYN, General Internal, Internal, Psych

Specialists: Yes; seven waivers are reserved for specialists.

Application Review: 10/1/2010-11/30/2010

Notes: Primary Care and Psychiatrists must fill 22 of the 30 slots. If slots remain available, applications post-marked by March 30, 2011 will be considered. Preference is given to Spanish speakers (or other significantly represented languages). The employer must use a sliding discount-to-fee schedule based on current Federal Poverty Guidelines. One slot is reserved to be used at the discretion of the Arizona Health Administration.

Contact: Christy Zavala
Office of Health Systems Development
Division of Public Health Services
Arizona Dept. of Health Services
1740 W. Adams St, Ste 205
Phoenix AZ, 85007-2670
Phone: (602) 542-1066 

E-mail: zavalac@azdhs.gov

Website: http://azdhs.gov/hsd/visa_waiver.htm

Arkansas

Practice Areas: Family, General, Pediatrics, OB/GYN, General Internal, Psych

Specialists: Yes; Specialists are selected if they can demonstrate need for their services.

Application Review: Applications are received and processed as received throughout the year.

Notes: Arkansas does use the Flex-5 spots. Facility must have been in operation for at least six months.

Contact: Health Facility Services, Attn: Connie Melton
Arkansas Department of Health
5800 West 10th Street
Suite 400
Little Rock, AR 72204
Phone: 501-661-2201
Fax: 501-661-2165

E-mail: connie.melton@arkansas.gov

Website: www.healthyarkansas.gov

California

Practice Areas: California targets primary care physicians who have completed a U.S. residency training program in one of the following practice areas Family Medicine, General Pediatrics, General Obstetrics/Gynecology, General Internal Medicine or General Psychiatry with no subsequent specialty training.

Specialists: No.

Application Review: Rolling Review based on applications received 10/1 until full.

Notes: Physicians with Fellowship training may apply if they are willing to practice ONLY primary care. The facility must accept Medicaid/Medicare and medically indigent patients. Applications must include all IAP-66 forms and I-94 forms for the physician and any family members. If the physician is contractually obligated to return to his/her home country, a letter of "No Objection" from the home country must be included with the application.

The California J-1 Visa Waiver Program does not provide job placement or employment referral services.  Applicants must locate employment prior to contacting the J-1 Visa Waiver Program. The facility cannot assist in acquiring permanent residence status for the physician until these requirements have been met for at least two years. The sponsoring health facility must provide a certified copy of the contract detailing the full-time employment of the applicant physician at said health facility. The contract must contain a provision that requires the applicant physician to work at the health facility in which he/she is employed for a total of not less than three years. The applicant physician must agree to begin employment within 90 days of receiving a J-1 Visa Waiver. Additionally, the applicant physician’s position must be full time (40 hours per week). 

The primary care physician must practice primary care medicine full-time at a health facility that is located in the geographic area or areas that are designated by the Secretary of Health and Human Services as a Health Professional Shortage Area (HPSA) or Medically Underserved Area (MUA). 

Recruitment/retention efforts must be described by the sponsoring health facility. It must be clearly demonstrated that a suitable American replacement for the applicant physician cannot be found through recruitment or any other means. The health facility's plan must be detailed on how they plan to retain the applicant physician beyond the three year commitment.

Contact: Tina Nagy
Phone: 916.449.5753

E-mail: Tina.Nagy@dhcs.ca.gov

Website: http://www.dhcs.ca.gov/services/rural/Pages/J-1VisaWaiver.aspx

Colorado

Practice Areas: Family, General, General Internal Med, Pediatrics, OB/GYN, Specialty care, General psychiatry

Specialists: Yes; the facility must demonstrate justification based on local need and must be willing and able to take Medicaid/Medicare

Application Review: Applications are reviewed by committee. The committee meets four times a year in March, June, September and December. Applications must be received two weeks before the committee meeting. Call the Primary Care Office for exact dates: 1 (303)692-2470

Notes: Applications are not accepted directly from physicians or attorneys.

Contact: Primary Care Office, PSD-A5
Colorado Department of Public Health and Environment
4300 Cherry Creek Drive South
Denver, CO 80246-1350 
Phone: 303-692-2466

E-mail: cdphe.psdrequests@state.co.us

Website: http://www.cdphe.state.co.us/pp/primarycare/j1,html

Connecticut

Practice Areas: Family, Pediatrics, OB/GYN, General Internal Medicine, General Psych

Specialists: Yes; all specialties and sub-specialties are considered.

Application Review: Rolling Review based on Applications received 10/1 until full

Notes: Application must include a DPH-1 form.

Contact: Stephen Carragher
410 Capitol Avenue MS #12APP
PO Box 340308 
Hartford, CT 06134 
Phone: 860-509-7590 
Fax: 860-509-8457 

E-mail: stephen.carragher@ct.gov –OR- Stephen.Carragher@po.state.ct.us

Website: http://www.dph.state.ct.us/Licensure/apps/J1app.pdf

Delaware

Practice Areas: Family Medicine, Pediatrics, Internal Medicine, OB/GYN.

Specialists:  Yes; Specialist will be considered if the facility can document sufficient need for the specialty.

Application Review:  All applications are accepted until June 30th of each year.  There is a J-1 board that meets four times (first Tuesday of February, May, September and December) a year to review all applications received.

Notes:  Sites must be pre-approved to sponsor a J-1 physician.  There is a $200.00 site application fee and $250.00 physician application fee.  These fees are non-refundable.

Contact:  Joan Barnwell
Conrad 30/J-1 Program Manager
Division of Public Health
Family Health & Systems Management Section
417 Federal Street
Dover, DE  19901
Telephone:  302-744-4555
Fax:  302-739-3313

E-mail:  Joan.Barnwell@state.de.us

Website:  http://www.dhss.delaware.gov.dhss/dph/j1visahome.html

Florida

Practice Areas: Family Practice, Pediatrics, Internal Medicine, Ob /GYN or Psychiatry. The physician may also have a sub-specialty.

Specialists: Yes; Physician may have a sub-specialty so long as no less than 20 hours per week are spent providing clinical primary care. Up to 5 spots are available for full-time specialists.  If slots remain unfilled after the initial review period, additional slots will be available for full time specialists. 

Application Review: Applications for the next Fiscal Year must be received by November 1 of the previous year.  (Ex. 2010/2011 cycle must be received by November 1, 2010)

 Notes: Priority is given to safety-net providers such as county health departments, federally qualified health centers, community mental health centers, homeless clinics, and public hospital outpatient clinics. Within 1 year of the J-1 Physician placement, total patients should consist of 20% Medicaid and 10% discounted/sliding fee schedule. Fees must be discounted for patients of all providers, not just the J-1 physician. FLEX spots (non-HPSA-MUA/P) waivers will only be considered if there are unused waivers after the initial application review and scoring period

Contact: Karen Lundberg
J-1 coordinator Department of Health J-1 Visa Waiver Program
Office of Health Professional Recruitment
4052 Bald Cypress Way, Bin C-15
Tallahassee, FL, 32399-1735 
Phone: 850-245-4446 ext 2704

E-mail: Karen_Lundberg@doh.state.fl.us -OR- DHAT_Webmanager@doh.state.fl.us

Website: http://www.doh.state.fl.us/Workforce/recruit1/Waivers.html

Georgia

Practice Areas: Family Practice, Pediatrics, Internal Medicine, Ob/GYN, Psychiatry and most types of specialties. The 30 slots are divided as follows:

20-Primary Care: Open to physicians who completed a residency program in internal medicine, family practice, pediatrics, obstetrics/gynecology; or psychiatry

10-Specialist: Open to physician who completed a residency program or fellowship in any specialty.

Application Review: Rolling Review based on Applications received until full; takes 6-8 weeks for application to be processed.

Notes: The contract must contain the following statement verbatim "Inasmuch as the parties agree that the damages would be difficult to calculate if the physician willfully, voluntarily and without reasonable cause, terminates the agreement before the completion of at least a three-year term, the parties agree that such an act shall result in an obligation by the physician to pay Employer $250,000 as a liquidated damage clause." Contracts cannot contain non-compete clauses, nor any other constraints on future competition. All physicians must be board eligible and become board certified within one year of receiving their waiver. ARC waiver eligible counties are generally excluded from the State 30 program.

Contact: Donna Crews
Program Coordinator of Primary Care
Georgia State Office of Rural Health Services
502 South Seventh Street
Cordele, GA 31015 
Phone: 229-401-3088 
Fax: 229-401-3077

E-mail: dcrews@dch.ga.gov 

Website: http://www.dch.georgia.gov/PCO

Hawaii

Practice Areas: Family Practice, Pediatrics, Internal Medicine, Ob/GYN or Psychiatry

Specialists: Yes; Specialties will be considered if the facility can document sufficient need for the specialty.

Application Review: Applications are reviewed for completeness and appropriateness by the State Office of Rural Health.

Notes: Waivers are filled on a first come, first served basis. We do use the Flex spots when applicant can show sufficient need.

Contact: R. Scott Daniels, PhD
Performance Improvement/Flex Coordinator
Hawaii State Department of Health
Hawaii State Office of Rural Health
PO Box 1675
Honoka'a, HI 96727
Phone: 808/775-8811
Fax: 808/775-8889

E-mail: Scott.Daniels@doh.hawaii.gov

Website: http://www.hawaii.gov/health/family-child-health/rural-health/j1visa.html

Idaho

Practice Areas: Family Med, Internal Medicine, pediatrics, OB/GYN, Psych

Specialists: No

Application Review: Rolling Review based on Applications received 10/1 - full

Notes: Physician must first apply for a waiver through any organization with a federal or interested governmental agency authority which submits waiver requests for Idaho's underserved populations. Applications must include documentation as to why this route was not taken. Sites must pay a $1000 non-refundable application processing fee, accept Medicaid and Medicare patients and implement a sliding fee schedule for patients who are compromised in their ability to pay.

Contact: Laura Rowen
Primary Care Program Manager
450 W. State Street, 4th Floor
P.O. Box 83720
Boise, ID 83720-0036 
Phone: 208-334-5993 
Fax: 208-332-7262

E-mail: rowenl@dhw.idaho.gov

Website: http://www.healthandwelfare.idaho.gov/site/3459/default.aspx

Illinois

Practice Areas: Family, General Internal, General Pediatrics, OB/GYN, Combined Medicine/Pediatrics, Psychiatry

Specialists: Yes; they must be located in urban areas and either non-profit or public

Application Review: We take applications the month of October than again the month of January if we haven’t filled out in October. 

Notes: Facilities must have pre-approval and provide semi-annual documentation that at least 51% of patients served by the J1 physician are from underserved areas. 15 slots are reserved for urban facilities; 6 waivers reserved for rural psych, 12 for primary care physicians, and 12 for specialists. There are no restrictions after July.

Contact:  Bronwyn Jones-Leach 
Center for Rural Health 
Illinois Department of Public Health 
525 W. Jefferson 
Springfield, IL 62761 
217-782-1624 
217-782-2547 Fax

E-mail: Bronwyn.jones-leach@illinois.gov

Website: http://www.idph.state.il.us//pdf/j-1application_fy2005.pdf

Indiana

Practice Areas: Family, General, Pediatrics, General Internal Medicine, OB/GYN, Psychiatrists

Specialists: Yes; primary care is prioritized but specialists will be considered if they work in HPSA, MUA/P

Application Review: 10/1 – 10/31

Notes: Indiana will consider applicants for the Flex 5 located outside the HPSA, MUA/P but serving a large percentage of patients from those areas.

Contact: Natalie Brown, MPH
Shortage Designations and National Health Service Corps Program Director
Indiana Primary Health Care Association
1006 E. Washington Street, Suite 200
Indianapolis, IN 46202
Phone: (317) 630-0845
Fax: (317) 630-0849

E-mail: nbrown@indianapca.org

Website: http://www.indianapca.org/programs/j1waiver.html

Iowa

Practice Areas: Family, General, Pediatrics, General Internal Medicine, OB/GYN, Psychiatry

Specialists: Yes; Specialists and sub-specialists may fill up to 15 of the 30 slots

Application Review: Rolling Review based on applications received 10/1 until full

Notes: Iowa will use 10 Flex spots if justification is made as to the need for the physician.

Contact: Bobbi Buckner Bentz
Primary Care Office
Iowa Department of Public Health
Bureau of Health Care Access
Lucas State Office Building
321 East 12th Street
Des Moines, Iowa 50319 
Phone: (515) 281-7223

E-mail: bbuckner@idph.state.ia.us

Website: http://www.idph.state.ia.us/hpcdp/primary_care.asp

Kansas

Practice Areas: General Internal Medicine, Family Practice, Pediatrics, OB/GYN, Emergency Medicine and Psychiatry

Specialists: Yes; primary care physicians are prioritized but specialties are considered.  Need must be well documented

Application Review: Rolling review based on applications received 10/1 until full.

Notes: See website for program guidelines. Kansas will use the Flex-10 spots as long as a facility can document that the sponsoring employer and/or the physician are serving populations from HPSAs or MUA/P

Contact: Barbara Huske
State Primary Care Office Workforce Coordinator
Kansas Department of Health and Environment
Bureau of Local and Rural Health
1000 SW Jackson, Suite 340
Phone: (785) 296-2742
Fax: (785) 296-1231

E-mail: bhsuke@kdheks.gov

Website: http://www.kdheks.gov/olrh/j-1visa_waiver.html

Kentucky

Practice Areas: family, general practice, pediatrics, internal medicine, ob/gyn psychiatry

Specialists: Yes; Employer's must demonstrate a state or regional need for the specialist services

Application Review: 10/1-10/31

Notes: The population to primary care physician ratio can be no lower than 2000 to 1.

Contact: Gary Williams
Kentucky Department for Public Health
275 East Main Street HS2GW-A
Frankfort, Kentucky 40621 
Phone: 502-564-8966 ext 3740

E-mail: gary.l.williams@ky.gov

Website: http://chfs.ky.gov/dph/info/dpqi/ky+j1+visa+waiver+program.htm

Louisiana

Practice Areas: Primary Care (pediatrics, ob/gyn, internal medicine, family practice, general practice geriatrics, and psychiatry)

Specialists: Yes; up to 20% of the waivers (6 slots) may go to specialists until April 1 at that time completed applications are taken on a first-come, first-served basis regardless of physician specialty. All specialty applications must demonstrate a "dire need" for the specialty in order to obtain support for the physician’s waiver request.

Application Review: Rolling Review based on applications received 10/1 until full

Notes: Physicians must have completed a US residency in primary care. State 30 physicians must work in HPSAs, MUA/P locations do not qualify. 80% of the waivers are held for primary care and 20% are held for specialists until April 1, after which, all waivers are considered on a first-come, first-serve basis. Louisiana will consider FLEX applicants for a facility not in a HPSA so long as 30% or more of the patients served are residents of the HPSA or it's within a 30 minute drive of at least one HPSA. J1 physician's salary must be equal to at least 100% of the Level 2 of the prevailing wage found on the U.S. Dept. of Labor Wage Search on the DOL web page.

Contact: Dorie Tschudy
Program Manager
Bureau of Primary Care and Rural Health
Bienville Building, 8th floor
628 N. 4th Street
Baton Rouge, LA   70802
Office: 225-342-3506
Fax: 225-342-5839

E-mail: dorie.tschudy@la.gov

Website: http://new.dhh.louisiana.gov/index.cfm/page/792

Maine

Practice Areas: does not distinguish between primary and specialist care.

Specialists: Yes; all applications are considered, but only 10/30 spots can be specialists who can practice out of the Heath and Human Services designated health shortage areas.

Application Review: Rolling Review based on applications received 10/1 until full

Notes: A waiver request to the DOH must come from a health care facility in Maine on behalf of a J-1 physician (not directly from a J-1 physician). Applications take 30 days to review; any remaining applications after all 30 spots are filled will be carried over to the following fiscal year. Maine does use flex-10 positions.

Contact: Charles Dwyer, Director
Office of Rural Health and Primary Care
J-1 Visa Waiver Review
Department of Health and Human Services
#11 State House Station
Augusta, ME 04333-0011 
Phone: 207-287-5503

E-mail: Charles.Dwyer@maine.gov

Website: http://www.maine.gov/dhhs/boh/orhpc/

Maryland

Practice Areas: Family Practice, General Practice, General Pediatrics, Internal Medicine, OB/GYN, or General Psychiatry (“medical practice”)

Specialists: Yes; any specialist may apply

Application Review: Rolling monthly reviews

Notes: The physician must spend 32 of every 40 hours per week in direct patient care. A break in service exceeding 60 days will result in an extension of the service obligation equal to the amount of time of the break in service.  If the physician is absent from medical practice more than 180 consecutive days, the physician must submit to the PCO a verification of status statement.  This information is detailed in the J-1 Visa Waiver Policy, which can be found on the web site http://fha.maryland.gov/ohpp/pco_j1visa.cfm.

Contact: Judy Gerahty
Primary Care Organization
Maryland Department of Health and Mental Hygiene
OHPP-FHA-DHMH, 201
West Preston Street, 3rd Floor
Baltimore, Maryland 21201 
Phone: 410-767-5046 
Fax 410-333-7501

E-mail: jgerahty@dhmh.state.md.us or  OHPP@dhmh.state.md.us

Massachusetts

Practice Areas: internal medicine, pediatrics, family practice, OB/GYN and psychiatry.

Specialists: Yes; Specialists may apply but primary care physicians are prioritized.

Application Review: Rolling Review based on applications received 10/1 until full.

Notes: Physicians who speak languages significantly represented as an underserved population receive priority. No waivers are granted for research or teaching.

Contact: Nicole Watson
Recruitment and Retention Program Coordinator
Division of Primary Care & Health Access
250 Washington St. 5th Floor
Boston, MA 02108-4619
Tel: (617)624-6051
Fax:(617) 624-6062

E-mail: Nicole.Watson@state.ma.us

Website: http://www.mass.gov/dph/primarycare

Michigan

Practice Areas: Primary Care, internal medicine, pediatrics, family practice, OB/GYN and psychiatry.

Specialists: Yes; if Michigan does not receive at least 30 primary care applications, the Michigan Department of Community H Health (MDCH) will consider specialist applications; specialists practicing in an underserved area (HPSA and/or MUA/P) will be given priority over urban specialists.

Application Submission Window: 10/1 – 11/30, additional window in January if needed.

Notes: It is not necessary to have an employer sponsor in order to request an application packet. The applications may be requested in writing by physicians for a non-refundable fee of $100 payable to the "Michigan Health Council" along with the physician's full name, professional acronym (MD/DO), address, email, phone number, specialty and residency graduation date. Applications must include a $200 non-refundable processing fee and a $1200 fee that will be returned if the waiver is not recommended for sponsorship to the U.S. State Department. Michigan gives preference to physicians practicing in primary care or psychiatry in an underserved area (HPSAs and/or MUA/Ps). Flex-10 placements are considered, but are not given priority.

Contact: Deb Collier or Mary Creed
Michigan Health Council
2410 Woodlake Dr, Ste 440
Okemos, MI, 48864 
Phone: 517-347-3336 or 800-479-1666

E-mail: deb.collier@mhc.org or mary.creed@mhc.org

Website: http://www.mimom.org

Minnesota

Practice Areas: All

Specialists: Yes; Specialist applications will be considered but must supply comprehensive additional documentation.

Application Review: Rolling Review based on applications received 10/1 until full

Notes: All qualified applications are considered, in the order they are received. Direct patient care only, no teaching or research. Up to 10 Flex waivers are available to non-HPSA/MUA locations that can demonstrate that a significant portion of their patients reside in a neighboring HPSA/MUA.

Contact: Lorry Colaizy
Minnesota Department of Health
Office of Rural Health and Primary Care
Golden Rule Building
P.O. Box 64882
St. Paul, MN, 55164 
Phone: 651-201-3851 OR 800-366-5424

E-mail: Lawrence.colaizy@health.state.mn.us

Website: http://www.health.state.mn.us/divs/chs/j1/

Mississippi

Practice Areas: Family, internal, pediatrics, OB/GYN, Psych

Specialists: Yes; Specialist applications will be considered but must supply comprehensive additional documentation and a separate application.

Application Review: Applications accepted any time on a rolling review basis.

Notes: Facilities must submit a predetermination site application before applications for individual physicians are submitted. There is a $1500 non-refundable processing fee required with each application. Sites must provide evidence of 6 months national and regional recruitment efforts including print advertising and at least 4 certified letters to medical schools. Facilities must give priority to physicians other than J-1 (for example, physicians with H-1B status) who apply and are qualified. 51% of all patients must be from HPSAs. Physicians with four (4) year contracts are preferred.

Contact: Kara M. Aldridge
Office of Primary Care
Mississippi State Department of Health
Jackson, MS 39215-1700
Phone: 601-576-7216

E-mail: Kara.Aldridge@msdh.state.ms.us

Website: http://www.msdh.state.ms.us/msdhsite/_static/44,0,112,181.html

Missouri

Practice Areas: Family Practice, Pediatrics, Internal Medicine, OB/GYN and Psychiatry Specialists are prioritized. Primary care is prioritized.

Specialists: Yes; applications will be considered but must supply comprehensive additional documentation.

Application Review: Applications are accepted each year from October 1 through September 30 of the following year, until all 30 slots are filled. Employers must complete and submit an Employment Data Sheet form with the application package to establish participation eligibility. Download the Application Checklist.

The Missouri J-1 Visa/State 30 Program utilizes data from the licensing agencies in the state and health outcomes data to determine placements of the program participants.  For more details, Download the Program Information.

Click here for descriptions and rules set forth by the State of Missouri for the J-1 Visa Waiver rules (PDF File format).

Notes: Internal medicine physicians are selected on the basis of geographic areas serviced. Applicants whose spouses were Missouri residents or were previous J-1 Visa Waiver participants are given a higher priority. Employers must complete a pre-certification form to establish participation eligibility.

Contact: Lee Temmen
Missouri Dept. of Health and Senior Services
Center for Health Improvement
920 Wildwood Drive
P.O. Box 570
Jefferson City, MO, 65109 
Phone: 573-751-6219 or 800-891-7415

E-mail: info@dhss.mo.gov or Lee.Temmen@dhss.mo.gov

Website: http://www.dhss.mo.gov/j1visa/index.html

Montana

Practice Areas: Family, Internal Medicine, Pediatrics, and Ob/GYN

Specialists: Yes; Specialists may apply but primary care physicians are prioritized

Application Review: Rolling Review based on applications received 10/1 until full

Notes: J-1 physicians' compensation must be at least equal to the local prevailing wage or the employer's actual wage for similarly employed U.S. workers, whichever is higher.

Contact: John Schroeck, M.Ed. 
Director, Montana Primary Care Office 
Department of Public Health and Human Services
1218 East 6th Avenue -OR- PO Box 202951 
Helena, MT 59620-2951
Phone: 406-444-3934 
Fax: 406-444-2750

E-mail: jschroeck@mt.gov

Website: http://www.dphhs.mt.gov/PHSD/Primary-Care/primary-care-j-1info.shtml

Nebraska

Practice Areas: Family, Internal Medicine, Pediatrics, and Ob/GYN.

Specialists: Yes; Nebraska will consider every application that the facility can demonstrate is in the state's best interest.

Application Review: Rolling Review based on applications received 10/1 until full.

Notes: Nebraska will consider Flex-10 applications.

Contact: Tom Rauner
Health and Human Services
Nebraska Office of Rural Health
301 Centennial Mall South
Lincoln, NE, 68509 
Phone: 402-471-1048 

E-mail: Thomas.rauner@nebraska.govofficeofruralhealth@hhss.ne.gov

Website: http://www.hhs.state.ne.us/orh/j1.htm

Nevada

Practice Areas: Family, Internal Medicine, Psychiatry, Pediatrics, and Ob/GYN

Specialists: Will be considered on a case by case basis. Employer must show there is a critical need for the specialist in the geographic area they will be serving. Must have support from hospital administrator where they will be practicing.

Application Review: Applications are accepted beginning November 1 through August 1.

Notes: 5 slots reserved for staffing needs determined at the discretion of the Health Division. There is a three (3) waiver maximum for any single clinic and no more than 70% of the placements may be in Clark County.

Contact: Douglas A. Schrauth
Health Resource Analyst II
Primary Care Office
Nevada State Health Division
4150 Technology Way, 2nd Floor
Carson City, NV 89706
Phone Number: 775-684-4047 or 775-684-4048
Fax Number: 775-684-5915

E-mail: dschrauth@health.nv.gov

Website: http://health.nv.gov/index.php?option=com_content&task=view&id=500&Itemid=982

New Hampshire

Practice Areas:  Family practice, Pediatrics, Obstetrics & Gynecology, Internal Medicine., and Psychiatry. Support specialties include: Geriatrics, General Radiology, Hospitalist, and General Surgery. Will consider applications for specialties and inpatient assignments if the healthcare facility can demonstrate a shortage of that specialty in the area of service.

Application: The Division of Public Health Services (DPHS), Rural Health & Primary Care Section (RHPC), has been given the responsibility within the State of New Hampshire to recommend and process J-1 Visa/Conrad 30 waiver applications. This program is coordinated with the U.S. Department of State (DOS) and the Bureau of Citizenship & Immigration Services (BCIS) of the U.S. Department of Homeland Security, is the federal agency that grants J1 Visa Waivers.

The J-1 Visa/ Conrad 30 Program allows New Hampshire to sponsor thirty (30) waiver applications per federal fiscal year, October 1 thru September 30 for primary care and sub-specialists.  Preference for J-1 waivers is usually given to physicians in primary care. Ten (10) waivers may be granted to "non-designated" areas also known as "flex slots". The request for waiver needs to come from the health facility or sponsoring immigration attorney on behalf of the J1 physician.  New Hampshire will notify the legal representative by e-mail, regarding the status of the application when the decision has been made by the DPHS, RHPC.

New Hampshire will accept J-1Visa waiver application packets from October 1st until August 15th each year.  Applications packets received after August 15 they will be held until the start of the new Federal Fiscal Year (Oct. 1st). Once applications are received they will be stamped with a date of receipt and on a case-by-case reviewed and granted on a rolling basis.  Designated slots will have priority over non-designated/ flex slots. For availability and to hold a flex spot for the federal fiscal year, the facility or legal representative will need to contact the Rural Health & Primary Care Workforce Coordinator. The New Hampshire DPHS, RHPC will review each waiver application to determine how the placement will improve the accessibility of care in the underserved area and to ensure that the proposed placement will not adversely affect or compromise the delivery of health care in underserved areas of the state. The submission of a complete waiver application to the New Hampshire DPHS, RHPC does not ensure that the DPHS, RHPC will recommend a waiver.  In all instances, the DPHS, RHPC reserves the right to recommend or decline any waiver application.

Special Notes: For available flex spots the facility or sponsoring immigration attorney should contact the workforce coordinator by e-mail at: droberts@dhhs.state.nh.us  Flex spots will require additional documentation on specific criteria's. This information is available on the New Hampshire's J1 Waiver website.  

The non-compliance provisions shall not be enforceable against physicians during the initial three-year period of employment pursuant to Department of State regulations regarding J1 waivers for foreign medical graduates. The facility requesting a J-1 physician must have in place a sliding-fee-schedule based on the current U.S. Department of Health & Human Services Federal poverty Guidelines. The physician, prior to employment, must meet all medical licensure requirements for the State of New Hampshire and must include a copy of his/her licensure from the NH Medical Licensure Board in before the application is approved and sent to the DOS. State of New Hampshire does not maintain a list of vacancies specifically for J1 Visa physicians or provide placement services. You may find job openings in New Hampshire in a variety of ways. You may wish to visit National Rural Recruitment and Retention Network: www.3rnet.org. or NH Recruitment Center: www.nhvtrc.org.  You may also search classified ads or professional journals or contact healthcare facilities directly.

Contact: David L. Roberts
Primary Care Workforce Coordinator
NH DHHS
Division of Public Health Services
Rural Health & Primary Care Section
Phone: (603) 271-2276
Fax: (603) 271-4506

E-mail: droberts@dhhs.state.nh.us

Website: http://www.dhhs.nh.gov/DHHS/RHPC/j1.htm

New Jersey

Practice Areas: Family Practice, Pediatrics, Obstetrics & Gynecology, and Internal Medicine

Specialists: Yes; Specialists are considered, but primary care is prioritized and the need for a specialist must be well documented.

Application Review: Year-round Rolling Review; New Jersey does not officially have "Flex" spots but has its own program similar to Flex.  

Notes: The Department's policy is completely discretionary, voluntary and may be modified or terminated at any time. The submission of a complete waiver package to the Department does not ensure that the Department will recommend a waiver. In all instances, the Department reserves the right to recommend or decline any request for a waiver. In order to facilitate review of the waiver requests by the New Jersey Department of Health and Senior Services, the request for waiver should come from a health care facility on behalf of a J-1 physician, and not directly from a J-1 physician or physician's representative.  All of the required information and documentation must be submitted in a single package with documents presented in the order set forth. All documents must contain the case number assigned by the U.S. Department of State.

Contact: Linda D. Anderson
New Jersey State Department of Health and Senior Services
Capital Plaza
50 East State Street
P. O. Box 364, 6th Floor
Trenton, NJ 08625-0364
Phone: (609) 292-1495

E-mail: Linda.Anderson@doh.state.nj.us

Website: http://www.state.nj.us/health/fhs/j1/index.shtml

New Mexico

Practice Areas: Family Practice, Pediatrics, Obstetrics & Gynecology, and Internal Medicine

Specialists: Yes; Specialists will only be considered for facilities in MUA's and MUP's

Application Review: New Mexico accepts applications continuously until all 30 Waivers have been filled.  The New Mexico J-1 Waiver Program is a first come first serve program.  The New Mexico Department of Health does not reserve J-1 Waiver slots.

Notes: Between 3 and 5 slots are reserved for NM state facilities. The J-1 physician cannot be the sole practioner at the facility. To use a flex spot, physicians must be licensed by the state of New Mexico, the Facility must provide a substantial amount of medical care to patients who reside in HPSAs, MUA/Ps, and that the services are needed.

Online Application:  http://nmhealth.org/PHD/OPRH.shtml

Contact: Gabriel D. Chavez, Jr.
Program Coordinator
New Mexico Department of Health
Health Systems Bureau
Office of Primary Care and Rural Health
300 San Mateo Blvd. NE, Suite 900
Albuquerque, New Mexico 87108
Phone: (505) 841-5866
Fax:     (505) 841-5885 or (505) 222-8675

E-Mail: gabriel.chavez1@state.nm.us

New York

Practice Areas - All

Specialists: Yes, specialists are considered - but their need must be well-documented.

Application Review: Applications must be post-marked by 12/1 and are reviewed competitively. Decisions are made by March.

Notes: Will consider qualified Flex-10 applications. New application guidelines/materials usually available by September on our website below.

Contact: Steve Swanson
New York State Department of Health
New York "State 30" Program
Corning Tower - Room 1084
Empire State Plaza
Albany, NY 12237-0053 
Phone: 518-473-7019 
Fax: 518-474-0572 

E-mail: sas03@health.state.ny.us

Website: http://www.health.state.ny.us/professionals/j-1_visa_waivers/  

North Carolina

Practice Areas: Family Practice, General Internal Medicine, General Pediatrics, or Obstetrics/Gynecology.

Specialists: Yes; Specialists are considered, but primary care is prioritized and the need for a specialist must be well documented.

Application Review: Rolling Review based on applications due January 15, April 15, July 15 and October 15.

Notes: Sites must gain pre-approval by calling Wanda Greene before submitting an application. Physicians must apply to other interested government agencies before applying for the State 30 program. Applicants must include a minimum four (4) year contract. 10 slots are reserved for primary care. The remaining 20 spots may go to primary or specialties which support primary care: general surgery, cardiology, gastroenterology, anesthesia, orthopedic surgery, emergency medicine or hospitalists. These specialties are prioritized, but other specialists may apply.

Contact: Wanda Greene
NC Office of Rural Health & Community Care
2009 Mail Service Center
Raleigh, NC 27699-2009
Phone: 919-733-2040 extension 211
Fax: 919-733-8300

E-mail: wanda.greene@dhhs.nc.gov

Website: www.ncruralhealth.org

North Dakota

Practice Areas: Family Practice, Pediatrics, Internal Medicine, OB/GYN and Psychiatry

Specialists: No; Specialists are only considered in extreme circumstances

Application Review: Year-round Rolling Review

Notes: General surgery is considered a part of primary care. After all 30 slots are filled any remaining applications are given a priority number and carried over for review in the following fiscal year. The facility cannot help the physician attain legal permanent resident status for at least three (3) years. Flex spots are used on a first come, first serve basis based on need.

Contact: Gary Garland
Director of the Primary Care Office
North Dakota Department of Health
600 E Blvd Ave, Dept 301
Bismarck, ND 58505-0200 
Phone: 701-328-4839 
Fax: 701-328-1890 

E-mail:ggarland@nd.gov

Ohio

Practice Areas:  Preference is for primary care physicians (Family Practice, General Internal Medicine, Obstetrics/Gynecology, General Pediatrics, Combined Internal Medicine/Pediatrics and General Psychiatry).  Primary care physicians who have completed fellowship training in Geriatrics, Adolescent Medicine, Child/Adolescent or Geriatric Psychiatry also meet the definition of primary care for purposes of the program.   

Specialists: Yes; non-primary care specialists and subspecialists are eligible but must meet additional requirements outlined in the program policy.        

Application Review:  Please visit program website for information on the current year’s application and review process.

Notes: Sponsoring health care facilities as well as J-1 physicians must accept Medicaid, Medicare and uninsured patients, and must provide a sliding fee scale based on 200 percent of the current federal poverty level.

Contact: Coleen Schwartz
Ohio Department of Health
J-1 Visa Waiver Program
Primary Care and Rural Health
246 North High Street
Columbus, Ohio 43215
Phone: 614-466-1629, 614-644-8508
Fax: 614-644-9850 

E-mail: bchs@odh.ohio.gov

Website: http://www.odh.ohio.gov/odhPrograms/chss/PCRH_Programs/recruitment/jvisa.aspx

Oklahoma

Practice Areas: Family Practice, Pediatrics, Internal Medicine, OB/GYN and Psychiatry

Specialists: Yes; Specialists are considered, but primary care is prioritized and the need for a specialist must be well documented. Letters from the facility and demonstrated need should be provided to show eligibility before a full application is submitted. Flex-10 applications should document the number of similar positions in the county, define the demographics, and describe the effects of not having the position in the community. OSDH will determine if the application is in the best interest of the community to assure health care access advancement.

Application Review: Rolling Review based on applications received 10/1 until full

Notes: Only 2 slots will be given to any single county per year and only 1 slot per employer per year.

Contact: Michael Brown
Director of Primary Care
Oklahoma Dept of Health/Office of Primary Care
1000 NE 10th Street
Oklahoma City, OK 73117-1299 
Phone: (405) 271-8428 
Fax: 405-271-2886 

E-mail: mikebr@health.state.ok.us

Website: http://www.health.state.ok.us/program/pco/index.html

Oregon

Practice Areas: Family Practice, Pediatrics, Internal Medicine, OB/GYN and Psychiatry

Specialists: Yes; 6 of the 30 slots are reserved for specialists.

Application Review: First Come, First Served Rolling Review process. Based on applications received 10/1 until full; there is a 2-3 week processing time.

Notes: Applicants must contact the coordinator before applying. Priority is given to physicians in family practice or psychiatry. There is a $2000 application fee.

Contact: Dia Shuhart
Physician Visa Waiver Program
Phone: (503) 373-0364

E-mail: Dia.Shuhart@state.or.us

Website: http://www.dhs.state.or.us/publichealth/hsp/conrad/index.cfm

Pennsylvania

Practice Areas: Family Practice, Pediatrics, Internal Medicine, OB/GYN and Psychiatry

Specialists: Yes; Specialists may apply but primary care physicians are prioritized

Application Review: Rolling Review based on applications received 10/1 until full

Notes: A site must be pre-approved before individual J-1 physician applications can be submitted. To use a flex spot, the facility must state its intent to apply for the slot in a "letter of need" and document that 20% of the patients are from a primary care HPSA or MUA/P or 30% from a low income HPSA. Only one request may be made per facility each year.

Contact: Waiver Program Administrator
Department of Health
Bureau of Health Planning
Division of Health Professions Development
625 Forster Street, Rm. 1033
Harrisburg, PA 17120 
Phone: 717-772-5298 
Fax: 717-705-6525 

E-mail: waiverprograms@state.pa.us

Website:  www.health.state.pa.us/pco

Rhode Island

Practice Areas: Family Practice, Pediatrics, Internal Medicine, OB/GYN and Psychiatry

Specialists: Yes; Specialists may apply but primary care physicians are prioritized.

Application Review: Each case will be given a priority number at the end of each review period.

Notes: The Rhode Island Department of Health will not approve applications that include employment contracts with "non-compete" clauses. Priority is given to Spanish speaking, English proficient physicians, and community and state employers. 

Contact: Bruce W. McIntyre, JD
RI Department of Health
Board of Medical Licensure and Discipline
3 Capitol Hill Room 205
Providence, RI 02908 
Phone: 401-222-3855 or 401-222-7890
Fax: 401-222-2158 

E-mail: Bruce.McIntyre@health.ri.gov

Website: http://www.health.ri.gov/hsr/professions/visa/j1visa.php

South Carolina

Practice Areas: Family Practice, Pediatrics, Internal Medicine, OB/GYN and Psychiatry

Specialists: Yes; Specialists may apply but primary care physicians are prioritized

Application Review: Facilities may submit a request for a J-1 waiver slot at any time.

Notes: All employees

Practice Areas: Foyers must be pre-approved by the Primary Care Office and assigned a J-1 waiver slot before a waiver application will be accepted for processing. To gain approval, contact Mark Jordan. Physicians must submit a Department of State data sheet and a $230 processing fee to US Dept. of State to establish a case number before submitting an application to the South Carolina Department of Health and Environmental Control. The facility must have been providing care for a minimum of 12 months in the state of South Carolina prior to submitting its request and must agree to submit semi-annual reports to the PCO. The reports must provide the status of the physician who received the wavier and information on the numbers of patients seen by payment category. The physician's contract may not include a restrictive covenant/no compete clause.

Contact: Mark Jordan, Office of Rural Health, Migrant Health and Primary Care 
SC Department of Health and Environmental Control, 2600 Bull Street, Columbus, SC 29201 
Phone: 803-898-0766 
Fax: 803-898-0445 

E-mail: JordanMa@dhec.sc.gov

Website: http://www.dhec.sc.gov/health/opc/j1.htm

South Dakota

Family Practice, Pediatrics, Internal Medicine, OB/GYN and Psychiatry

Specialists: Yes; all specialists may apply.

Application Review: Applications are accepted on a rolling basis. Special program applications are reviewed according to the following:

Prior to April 1 of each federal fiscal year, under the special program the department may approve no more than five applications for a J-1 physicians proposing to practice in any urban area and no more than five applications for J-1 physicians proposing to practice in any non-urban area.  An urban area is defined as any municipality having a population of 50,000 or more persons as well as any area within 10 miles of the boundaries of such municipality.  The department may approve any application on or after April 1.

Notes: Facilities cannot include "non-compete" clauses in the physician contracts. The facility must also submit annual reports demonstrating a significant portion of the patients are from HPSA MUA/Ps and that all other criteria for the waiver have been met. To use a flex-spot, the facility must demonstrate a need and describe how the physician will serve underserved areas. There is a $200 program fee for applications. Physicians must spend at least 32 hours in direct patient care and may spend up to 8 hours a week on administrative duties.

Contact: Josie Petersen
Office of Rural Health
South Dakota Department of Health
600 E. Capitol Avenue
Pierre, SD 57501 
Phone: (605) 773-3517 

E-mail: josie.petersen@state.sd.us

Website: http://doh.sd.gov/RuralHealth/J1.aspx

Tennessee

Practice Areas: Family Practice, Pediatrics, Internal Medicine, OB/GYN and Psychiatry

Specialists: Tennessee lists 35 accepted specialties, though other specialists may apply if there is a demonstrated need for their services.

Application Review: Applications are accepted on a rolling basis. Before June 30, 10 slots are reserved for specialists. After June 30, all spots are eligible to all employers.

Notes: All primary care providers must be placed in rural areas, while all specialists must have hospital associations. Only 1 specialist per hospital is allowed to be on J1 Status before April 1. Flex spots are delegated selectively. Applications must arrive by certified mail from the sponsoring employer on behalf of the physician.

Contact: Ann Cranford, Director
Recruitment and Retention Program
Community Health Systems
425 5th Avenue, North
4th Floor, Cordell Hull Bldg
Nashville, TN  37243-5210
Phone: 615-741-2101
Fax: 615-253-2100

E-mail: ann.cranford@tn.gov

Website: http://health.state.tn.us/rural/j1visa0.html

Texas

Practice Areas: Family Practice, Pediatrics, Internal Medicine, OB/GYN and Psychiatry

Specialists: Yes; it is a first come-first program and the need for a specialist must be well documented.

Application Review: Applications accepted starting September 1, 2010. Applications received before that date will be returned, the first 30 complete and eligible applications will be considered for recommendation.

Notes: Applications must include the $2500 fee. Applications that are not recommended will have the fee returned; there is a partial refund if the application is withdrawn. Additionally, applicants must include between four (4) and six (6) letter of community support. Texas will consider applications for Flex spots beginning March 1, 2011 if waiver slots are available.

Contact: Clay Daniel or Connie Berry 
Texas Primary Care
J-1 Mail Code 1937 
Texas Department of State Health Services
1100 West 49th Street M328
Austin TX, 78756 
Phone: 512-458-7518 

E-mail: clay.daniel@dshs.state.tx.us, connie.berry@dshs.state.tx.us or TexasPCO@dshs.state.tx.us

Website: http://www.dshs.state.tx.us/chpr/j1info.shtm

Utah

Practice Areas: Family Practice, Pediatrics, Internal Medicine, OB/GYN and Psychiatry

Specialists: Yes, but under the five (5) flex spots only.

Application Review: Year-round Rolling Review

Notes: Only the following counties are eligible for J-1 Visa Waiver placements: Cache, Daggett, Duchesne, Emery, Garfield, Grand, Juab, Kane, Piute, Utah, and Wayne; As well as select primary care HPSA designated census tracts: Central Weber, Magna, Midvale, South, Southeast, and West Valley (located in Salt Lake), and Weber counties.

Contact: Ms. Erin L. Olsen
Office of Primary Care and Rural Health
Utah Department of Health
P.O. Box 142005
Salt Lake City, Utah 84114-2005
PHONE: 801-273-6618

E-mail: elolsen@utah.gov

Website: http://health.utah.gov/primarycare/employment.html

Vermont

Practice Areas: Family Practice, Pediatrics, Internal Medicine, OB/GYN and Psychiatry

Specialists: Yes; Specialists are considered, but primary care is prioritized and the need for a specialist must be demonstrated.

Application Review: Year-round Rolling Review

Notes: Facilities must notify the Vermont Department of Health that they plan to request a J-1 waiver slot before a job offer is made to the physician. Physicians must have a 3-year minimum contract. If an exception to the three years is requested, the facility must explain this to the Vermont Department of Health before the job offer is made. Vermont accepts applications for Flex-10spots.

Contact: John Olson, M.Ed AND Tammy McKenzie
Rural Health & Primary Care Office Chief
Vermont Department of Health
Office of Rural Health and Primary Care
108 Cherry Street, PO Box 70
Burlington, VT, 05402
Phone: (802) 951-1259

Email:  John.Olson@ahs.state.vt.us

Also, applicants should contact Bi-State Primary Care Association: Tammy McKenzie, Recruitment & Retention Coordinator, for Bi-State’s Recruitment Center for initial screening and consultation at (802)229-0002, Ext. 221

E-mail: tmckenzie@bistatepca.org

Website: http://www.vdh.state.va.us/healthpolicy/healthcareworkforce/j1visawaiver.htm

Virginia

Practice Areas: Family Physicians, General Internists, Pediatricians, OB/GYN and general psychiatrists are strongly encouraged to apply and get priority processing. However, specialists can apply for the waiver.

Specialists: Yes; Specialists are considered, but primary care is prioritized. If the facility is a multi-specialty practice group, specialists will be considered.

Application Review: Year-round Rolling Review; allow at least two (2) weeks processing times.

Notes: The Virginia Department of Health does not recruit directly for this program. J-1 Physicians are encouraged to utilize the free, 3RNet recruitment network for employment opportunities in Virginia, or contact employers directly. Please adhere to Virginia's guidelines before submitting an application. A J-1 Waiver Application request must come from a qualifying practice entity with a signed contract. Virginia prioritizes submissions received from J-1 and H-1B visa holders and offers assistance first to those who have been trained in Virginia. The applicant or the applicant's lawyer must submit an original and one hard-copy of the application. Applications that are faxed or electronically delivered will not be reviewed. The facility must also complete a “Medical Practice Site and Program Description” form. The physician's contract cannot include a non-compete clause. Flex- 10 applications should document the number of similar positions in the county, define the demographics, describe the effects of not having the position in the community and a letter of support from the District Health Director and/or community practitioners, hospital administrators etc.

Contact: Ebony Braxton
Workforce Specialist
Virginia Department of Health 
Office of Minority Health and Public Health Policy 
109 Governor Street, Suite 1016-East 
Richmond, VA 23219 
(804) 864-7420- Direct
(804) 864-7440- Fax

Website: http://www.vdh.state.va.us/healthpolicy/primarycare/incentives/j1visa/index.htm

Wisconsin

Practice Areas: Family Practice, Pediatrics, Internal Medicine, OB/GYN and Psychiatry

Specialists: Yes. For specialists practicing in a non-designated area, the facility must document 40% of the total number of specialty patients in the past year can be from surrounding designated areas.

Application Review: Applications are accepted October 1 and evaluated on a first-come, first-served basis until all 30 slots are filled.

Notes: Full-time is defined as 40 hours primary/medical care per week, with at least 32 hours in direct patient care. Signed Applicant Physician and Employer Assurances sheets are required. Applications for Flex-5 spots will be considered on a first-come, first-served basis and based on need.

Contact: Primary Care Office
Wisconsin Division of Public Health
1 West Wilson Street Room 118
P.O. Box 2659
Madison, WI 53701-2659
Phone: 608-264-7734
Fax: 608-266-2584

E-mail: cynthia.virnig@dhs.wisconsin.gov

Website: http://dhs.wisconsin.gov/health/PrimaryCare/J_1Visa/index.htm

Washington

Practice Areas: Family Practice, Geriatrics, Pediatrics, Internal Medicine, OB/GYN and Psychiatry

Specialists: Yes; 10 slots are reserved for specialists

Application Review: Rolling Review based on applications received 10/1 until full

Notes: Geriatrics specialists can be accepted as a primary care physician. Hospitalists are accepted as primary care physicians but limited to one waiver per site per year.  Facilities must prove 6 months of active recruitment in the 12 months prior to submitting a waiver application. Flex-5 applications are considered for remaining spots beginning April 1.

Contact: Jennell Prentice
J-1 Physician Visa Waiver Program
Office of Community and Rural Health
P.O. Box 47853 
Olympia, WA 98504-7853
Phone: 360-236-2814 
Fax: 360-236-2830 

E-mail: jennell.prentice@doh.wa.gov

Website: http://www.doh.wa.gov/hsqa/ocrh/R&R/j1.htm

West Virginia

Practice Areas: Family Practice, Pediatrics, Internal Medicine, OB/GYN and Psychiatry

Specialists: Yes; Specialists are considered, but primary care is prioritized and the need for a specialist must be demonstrated.

Application Review: Rolling Review based on applications received 10/1 until full

Notes: Facilities must be pre-approved. Physicians must sign a minimum three-year contract. Facilities must supply semi-annual reports.

Contact: Monique Mahone, J1 coordinator
West Virginia Department of Health and Human Resources, Bureau for Public Health
Office of Community and Rural Health Services
Division of Recruitment
350 Capital Street Room 515
Charleston WV 25301 
Phone: 304-558-4382 

E-mail: Monique.W.Mahone@wv.gov

Website: http://www.wvochs.org/dr/j-1.aspx

Wyoming

Practice Areas: Family Practice, Pediatrics, Internal Medicine, OB/GYN and Psychiatry

Specialists: Yes; no preference given to primary care

Application Review: Year-round Rolling Review – Wyoming has never filled all vacancies.

Notes: Facility must document recruitment efforts over the past 3 years, including recruitment service agreements.

Contact: Jeff Hopkins 
Wyoming Department of Health
Office of Rural Health
Qwest Building Ste 510
6101 Yellowstone Road
Cheyenne, WY 82002 
Phone: 307-777-2930
Fax: 307-777-8545 

E-mail: Jeff.Hopkins@heatlh.wyo.gov

Website: http://wdh.state.wy.us/rfhd/rural/index.html

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