16 Del. Admin. Code § 4104-12.0

Current through Register Vol. 28, No. 7, January 1, 2025
Section 4104-12.0 - Reporting Requirements
12.1 An annual reporting process is utilized for each J-1 physician practicing under a waiver to ensure the J-1 physician continues to practice in an underserved area of Delaware for the required three years. Included in this application is a copy of the Annual Practice Forms. The sponsoring site must deliver to DHSS a completed, signed form within thirty (30) days of the anniversary of the J-1 physician's start date. Additional forms may be requested by contacting the J-1 program manager at (302) 744-4555. The annual reporting forms must be submitted for each year of practice obligation. Failure to submit the forms render the sponsoring site non-compliant.
12.2 Notification of waiver status and commencement of employment contract must be submitted to DHSS upon receipt of written notification of approval from USCIS. This notification must include the date the three-year obligation commences.
12.3 Contract changes which result in the termination of a contract, a change in practice scope, and/or relocation from a site approved in the application request to a new site must be presented in writing to DHSS at least thirty (30) days prior to the change. All reporting requirements, changes in practice location and/or scope must be submitted to the following:

Conrad State 30 Program Manager

Delaware Division of Public Health

417 Federal Street, Jesse Cooper Building

Dover, Delaware 19901

16 Del. Admin. Code § 4104-12.0

17 DE Reg. 233( 8/1/2013)(Final)