| (a) A person who seeks a certificate to operate as
a workers' compensation health care network must file an application
on the forms prescribed under this subchapter, accompanied by a non-refundable
fee of $5,000.
(b) The applicant, an officer, or other authorized
representative of the applicant must verify the application by attesting
to the truth and accuracy of the information in the application.
(c) Prescribed forms for a certificate application
may be obtained from:
(1) the department's website; or
(2) the MCQA mailing address.
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