Fla. Admin. Code R. 64W-1.007 (2026)
Continued Eligibility
(1) The physician and employer must complete and the physician must submit to the Department the Conrad 30 Waiver Program Practice Status Report (DH8012-PHSPM-04/2026) eff. 04-2026, incorporated by reference and available at https://flrules.org/Gateway/reference.asp?No=Ref-19557 and at http://www.floridahealth.gov/provider-and-partner-resources/community-health-workers/conrad-30-program-j-1-visa/index.html, on or before June 30 of each year during the employment period. A USCIS Notice of Action form, including the Informational pages, should be included with each submission.
(2) If a Practice Status Report is not received annually, the physician will not receive a completion letter from the Primary Care Office Director.
(3) If the information in the Practice Status Report does not match the information in the initial application and any subsequent changes supported by the Department and approved by USCIS, the physician will not receive a completion letter.
Rulemaking Authority 381.4018(3) FS. Law Implemented 381.4018 FS. History–New 8-12-21, Amended 8-23-26.
Effective: 8/23/2026.