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Missouri

MO

Conrad State 30 J-1 waiver program overview, slot data, processing times, and application guidance for Missouri.

Official source · Verified against State DOH / 3RNET · Last verified: 2026-03-28
30
Conrad 30 Slots
0
Flex Slots
30
Total Available
60-90 days
Processing Time

Application Window

Opens October 1, closes October 31 — very short 1-month window. Site approval required from MO DHSS. Reviewed within 20 days.

Timeline Overview

Estimated Total Timeline6-12 months
State Processing Time60-90 days
Federal Fiscal Year StartOctober 1

Specialty Priorities

Family MedicineInternal MedicinePsychiatryOB/GYN

Priority Areas

Primary CareRural HealthMUA/MUPBehavioral Health

Requirements

Must serve in a HPSA or MUA for 3 years. Missouri DHSS sponsors applications. Missouri fills all 30 Conrad slots annually and does NOT support flex waivers (0 flex usage reported). Also eligible for DRA waivers for qualifying Bootheel-region counties. Full unrestricted MO medical license required.

Application Tips

Missouri fills all 30 Conrad slots every year and has zero flex slot usage. Ozarks and southeast Bootheel region have highest HPSA scores and greatest need. DRA pathway available for Bootheel counties (unlimited slots). Kansas City and St. Louis metro have limited HPSA-designated community health centers. Rural western and south-central Missouri has growing demand. Missouri has a flat 4.8% state income tax.

Waiver Jobs in Missouri

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Quick Facts

3-year service commitment required
Must serve in HPSA or MUA designated area
Employer must sponsor the waiver application
Apply early in federal fiscal year (starts October 1)

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