Arizona Administrative Code
Title 6 - ECONOMIC SECURITY
Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES
Article 15 - STANDARDS FOR CERTIFICATION OF HOME AND COMMUNITY-BASED SERVICE (HCBS) PROVIDERS
Section R6-6-1510 - Amending an Hcbs Certificate

Universal Citation: AZ Admin Code R 6-6-1510

Current through Register Vol. 30, No. 12, March 22, 2024

A. A service provider shall request an amendment to the HCBS certificate when any of the following information or circumstances change:

1. Name, address, or telephone number;

2. Addition of a service to the Division's service contract;

3. Deletion of a service to the Division's service contract;

4. Change in the Tax ID#; or

5. Change in AHCCCS provider type.

B. The service provider shall file a request for amendment not more than 30 days after the change by sending a written request to the Division.

C. The Division shall mail the service provider written notice of amendment approval or denial within 30 days of receipt of the written request.

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