N.Y. Comp. Codes R. & Regs. tit. 9 § 9800.4

Current through Register Vol. 46, No. 45, November 2, 2024

Section 9800.4 - Duties of the contractor

(a) Upon receipt of a complete, original and signed application, an appropriate review, at the direction of the executive director, shall be conducted to verify or supplement the information contained in the application. Incomplete applications shall be returned to the pharmacy-applicant within three working days with deficiencies noted.

(b) The contractor may request further information from a pharmacy-applicant. In such a case, it shall make a clear and precise request to the pharmacy-applicant for the information and inform the pharmacy-applicant whether or not action on the application will be postponed pending receipt of the requested information. Delay occasioned by the pharmacy-applicant's failure to timely reply shall not be counted in calculating the time within which the contractor shall make its determination on the application.

(c) The contractor shall complete its review and determine whether or not to enroll the pharmacy-applicant within 30 calendar days after receipt of an application.

(d) If a pharmacy-applicant cannot be fully reviewed within the required time, the contractor may extend the time for acting on an application for up to one additional 30-day period from the date of receipt of the application. Written notice of this extension will be mailed to the pharmacy-applicant within 30 calendar days from the time the application was received.

(e) Upon completion of its consideration of an application, the contractor shall either:

(1) enroll the pharmacy-applicant as a provider; or

(2) deny the application, if it is in the best interests of the program to do so, specifying the reasons for denial.

N.Y. Comp. Codes R. & Regs. Tit. 9 § 9800.4