Illinois Administrative Code
Title 89 - SOCIAL SERVICES
Part 686 - PROVIDER REQUIREMENTS, TYPE SERVICES, AND RATES OF PAYMENT
Subpart H - ASSISTIVE EQUIPMENT
Section 686.715 - Assistive Equipment Provider Requirements
Universal Citation: 89 IL Admin Code ยง 686.715
Current through Register Vol. 48, No. 12, March 22, 2024
All assistive equipment providers must:
a) meet the approval of the customer and counselor;
b) submit a completed 1413A - Waiver Program Provider Agreement for Participation in the Illinois Medical Assistance Program form; and
c) submit a completed W-9 Request for Taxpayer Identification Number and Certificate.
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