Current through Register Vol. 71, No. 33, August 16, 2024
Rule 29-4601 - APPLICATION FOR CERTIFICATION4601.1An application to participate in the Medicaid/MCOTT Program shall be filed on forms provided by MAA.
4601.2The MCOTT Application shall contain, but not be limited to, the following information:
(a) Name and address of the Provider organization and location of all of the Provider's places of business in the District or elsewhere in the United States;(b) Names and addresses of the owners of the Provider organization;(c) If the Provider organization is a corporation, the application shall include the names and addresses of all persons having a five percent (5%) or greater ownership interest and all officers and directors;(d) The name of the physician who will be responsible for directing the services of the Provider's MCOTT Program; and(e) The name of the Program Director.D.C. Mun. Regs. r. 29-4601
Final Rulemaking published at 46 DCR 6122(July 23, 1999)