D.C. Municipal Regulations (Last Updated: September 13, 2017) |
Title 22. HEALTH |
SubTilte 22-B. PUBLIC HEALTH AND MEDICINE |
Chapter 22-B60. HEALTH BENEFITS PLAN MEMBERS BILL OF RIGHTS |
Section 22-B6009. DENIAL, SUSPENSION AND REVOCATION OF CERTIFICATION
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6009.1The Director may deny an application for certification and suspend or revoke a certification issued to an IRO pursuant to the Act and these rules if:
(a)The Director finds that the entity or organization does not meet the requirements for certification under § 108 of the Act, D.C. Code, 2001 Ed. §44-301.08, and § 6008 of these rules;
(b)The IRO is operating in a manner that is significantly inconsistent with its basic organizational documentation;
(c)The IRO has failed substantially to comply with the Act or these rules; or
(d)The IRO cannot demonstrate sufficient financial, managerial or technical expertise to efficiently and timely review and issue final decisions.
6009.2The denial, suspension or revocation of a certification shall be in writing, and shall be final.