Section 29-4601. APPLICATION FOR CERTIFICATION

Latest version.

4601.1An application to participate in the Medicaid/MCOTT Program shall be filed on forms provided by MAA.

4601.2The MCOTT Application shall contain, but not be limited to, the following information:

(a)Name and address of the Provider organization and location of all of the Provider's places of business in the District or elsewhere in the United States;

(b)Names and addresses of the owners of the Provider organization;

(c)If the Provider organization is a corporation, the application shall include the names and addresses of all persons having a five percent (5%) or greater ownership interest and all officers and directors;

(d)The name of the physician who will be responsible for directing the services of the Provider's MCOTT Program; and

(e)The name of the Program Director.

source

Final Rulemaking published at 46 DCR 6122(July 23, 1999).

                    
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