The 2009 Arizona J-1 Visa Waiver program is closed for the 2010 fiscal year. Please check back in late summer for information regarding the next program submission cycle.

Providers supported for the 2010 program cycle must submit their current contact information, employment start date, H-1B approval notice and copy of AZ medical license upon beginning their obligation in order to credit their service. Additionally, quarterly encounter reports must be submitted throughout the course of the obligation. See the reporting section below for details.

To determine if a site is designated as a Health Professional Shortage Area (HPSA) or Medically Underserved Area/Population (MUA/P), enter the complete street address of the location on the Shortage Designation Advisor website.

Requests for site eligibility determination must be made in writing and submitted to the program manager or specialist as noted on the Contact Us webpage.

Sliding discount-to-fee schedules must be based on current Federal Poverty Guidelines and adhere to A.A.C. R9-1-504 sliding fee schedule submission and content.

Sample Sliding Discount-to-Fee Schedule            [PDF]

Sample Notice of Discount                                        [PDF]

The Department of Health and Human Services also has a J-1 waiver program available. For more information visit their website at: http://www.globalhealth.gov/exchangevisitorprogram/
 

The Arizona Department of Health Services requests that physicians who have received support for their J-1 Visa Waiver submit an Encounter Form quarterly. Reporting is submitted on a predetermined schedule as indicated below:

If your start or end employment date falls between these reporting dates, use the date and indicate employment begin or employment end, as appropriate.