Ariz. Admin. Code § 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).
Notes
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