Arizona Administrative Code
Title 9 - HEALTH SERVICES
Chapter 22 - ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM - ADMINISTRATION
Article 18 - PROVIDER EXCLUSION RULES
Section R9-22-1805 - Reinstatement of Participation

Universal Citation: AZ Admin Code R 9-22-1805

Current through Register Vol. 30, No. 38, September 20, 2024

A. If the period of exclusion has expired, an individual or entity may apply for reinstatement of participation in the system by submission of the following:

1. An application for participation as a provider.

2. Information to demonstrate reasonable assurances that the type of actions that formed the basis for the original exclusion have not recurred and will not recur.

3. Such other information as may be requested by the Administration.

B. In making the reinstatement determination, the Administration may consider:

1. Conduct of the individual or entity occurring prior to the date of the exclusion, if not known to the Administration at the time of the exclusion;

2. Conduct of the individual or entity after the date of the exclusion;

3. Whether all fines and all debts due and owing (including overpayments) to any Federal, State, or local government that relate to Medicare, Medicaid, and all other Federal health care programs have been paid;

4. Whether the individual or entity otherwise qualifies for participation in the system;

5. Whether reinstatement is in the best interest of the system;

6. Such other information as deemed relevant by the Administration.

Disclaimer: These regulations may not be the most recent version. Arizona may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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