New York Codes, Rules and Regulations
Title 9 - EXECUTIVE DEPARTMENT
Subtitle KK - Program for Elderly Pharmaceutical Insurance Coverage
Part 9800 - Enrollment Of Pharmacies
Section 9800.6 - Acceptance of an application

Universal Citation: 9 NY Comp Codes Rules and Regs ยง 9800.6

Current through Register Vol. 46, No. 12, March 20, 2024

(a) Upon acceptance of an application, the contractor shall issue to the provider a provider agreement, identification number and instructions on participation in the program and filing of claims for payment. Upon receipt of a complete, signed provider agreement, the contractor shall enroll the provider within 15 working days.

(b) Enrollment, including the use of the identifying number, is not assignable or transferable but is strictly limited to the provider to which it was issued, unless authorized in writing by the contractor prior to the assignment or transfer.

(c) A provider's participation may begin only on or after the date specified in the notification of acceptance. A provider may participate in the program for the period specified in the notice of acceptance, unless participation has been otherwise terminated or suspended.

(d) A provider may submit claims only for services provided by the provider or another person under his supervision and in compliance with this Subtitle.

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