Ill. Admin. Code tit. 89, § 686.715 - Assistive Equipment Provider Requirements

All assistive equipment providers must:

a) meet the approval of the customer and counselor;

b) submit a completed 1413A - Waiver Program Provider Agreement for Participation in the Illinois Medical Assistance Program form; and

c) submit a completed W-9 Request for Taxpayer Identification Number and Certificate.

Notes

Ill. Admin. Code tit. 89, § 686.715

Renumbered from Section 686.700 to Section 686.715 and amended at 31 Ill. Reg. 14238, effective September 27, 2007