Section R434-100-5 - RequestsThe health care facility or the physician must submit to the Department a written request for the J-1 visa waiver.
(1) The request must include from the health care facility: (a) the specialty of physician that the facility has been unable to recruit; (b) documentation that it implements a sliding fee scale, payment schedule, or similar method that demonstrates that it provides discounts to medically indigent patients; and(c) an assurance letter that the health care facility and its principals are not under investigation f o r, under probation f o r, or under restriction for:(i) Children's Health Insurance Program, Medicaid, or Medicare fraud;(ii) violations of Division of Occupational and Professional Licensing statute or rules; or(iii) other violations of law that may indicate that it may not be in the public interest that a waiver of the two-year home residency requirement be granted.(2) The request must include from the physician: (a) a completed application that includes professional experience, education, licenses and certificates, specialty or specialties, research, honors, professional memberships, and three professional references;(b) a copy of IAP-66 forms "Certificate of Eligibility for Exchange Visitor (J-1) Status" and INS forms I-94 for the physician and the physician's spouse and children; and(c) the case number issued by the United States Department of State indicating payment of the federal fee required to apply for the visa waiver.(3) The request must also include: (a) a copy of the complete contract between the J-1 visa waiver physician and the health care facility;(b) any required processing fees; and(c) other information requested by the Department as may be reasonably necessary to determine whether it is in the public interest that a waiver of the two-year home residency requirement be granted.Utah Admin. Code R434-100-5
Amended by Utah State Bulletin Number 2021-21, effective 10/13/2021Amended by Utah State Bulletin Number 2021-22, effective 10/13/2021