Ariz. Admin. Code § 6-5-5008

Current through Register Vol. 30, No. 50, December 13, 2024

Section R6-5-5008 - Provider Exclusion or Removal

A. The Department may direct a Contractor to exclude or remove a provider from the database according to the process in R6-5-5009, for the following reasons:

1. The provider fails or refuses to provide information as requested by the Department or a Contractor;

2. A regulatory agency or sponsoring organization verifies that the provider's license, certificate, or alternate approval has been denied, revoked, terminated, or dropped for cause;

3. The Department learns that information in the written, sworn, and notarized statements submitted by the provider under R6-5-5002(C) is false;

4. The provider is subject to removal or exclusion for any reason listed in A.R.S. § 41-1967(E); or,

5. The provider fails to comply with these rules.

B. A Contractor may summarily and without notice remove a provider from the CCR&R database for the following reasons:

1. The Contractor is unable to contact the provider because:

a. The provider's phone is disconnected;

b. The provider is no longer at the last known address and has given no forwarding address; or

c. The provider has died; or

2. The provider requests removal.

C. A provider removed under subsection (B) may request reinstatement by calling the Contractor for the provider's SDA and providing current information.

D. Upon receipt of a request for reinstatement, the Contractor shall update the information listed in R6-5-5002 and, if applicable, confirm that the provider has submitted information requested by the Department or Contractor.

E. The Contractor shall reinstate the provider unless there are grounds for removal under subsections (A)(1) through (5).

Ariz. Admin. Code § R6-5-5008

Adopted effective November 19, 1996 (Supp. 96-4). Amended by exempt rulemaking at 8 A.A.R. 2956, effective July 1, 2002 (Supp. 02-2).