What Does the State Health Department Do in a Conrad 30 Case?
The designated State Public Health Department or equivalent decides whether to sponsor the physician and, if approved, sends the waiver request and supporting documents directly to the Department of State.
The state controls whether it will sponsor
Federal eligibility does not require a state to use one of its waiver recommendations for a particular physician. The state reviews the application under its program rules and decides whether to request the waiver.
The designated state official issues the request
DOS requires a letter from the state public health department's designated official, who is designated by the state's governor.
The state letter contains case-specific information
Current DOS instructions call for the physician's name, country of last legal permanent residence, facility name and address, and applicable HPSA identification information.
The state transmits the materials directly
The state is the third party responsible for sending the Conrad supporting package to the Waiver Review Division.
Frequently Asked Questions
Can the employer replace the state health department?
No. The Conrad request must come from the designated state public health department or equivalent.
Who signs the state request?
The designated state official identified under the program.
Can the state decline a physician who meets federal requirements?
States administer their own sponsorship process and determine which qualifying applications they will recommend.
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