| (a) To become an approved provider, an applicant must
submit a completed application to the department.
(b) The department will review the application and
provide a response within timeframes specified in policies and procedures.
An application will not be reviewed and considered until all information
is provided in a clear and understandable manner.
(c) Providers approved by the department must also
enroll with the Medicaid Claims Administrator as a Medicaid provider.
(d) Providers who fail to submit an application to
enroll as a state Medicaid provider within twelve months of approval
by the department must submit a new application to the department.
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