The USCIS will permit a transfer to a new state, employer and location so long as the physician commits to complete the waiver service in an underserved area. The following is a helpful checklist for those considering such a transfer and demonstrating that extenuating circumstances exist for such:
- Status of New Location: Does the new practice location qualify as a HPSA, MUA or MUP. If it was once qualified, is the designation current. If the practice location does not qualify, can the state issue a facility designation for that location so that it would likely qualify. A request for a specific site/facility designation is typically easier to obtain than an entire service area designation. A transfer may also be approved for locations that are not designated but provide service to patients in designated areas.
- Termination Notice on Present Contract: Most physician contracts contain a clause that permits either the physician or the employer to terminate the contract with notice. A review of the present contract will ensure that the appropriate notice provisions are complied with before the termination.