4123-6-02.4 Provider access to the HPP - provider recredentialing and recertification.

 

 

 

4123-6-02.4                 Provider  access  to  the  HPP  -  provider  recredentialing  and recertification.

 

 

 

(A)   The bureau shall initiate the recredentialing process by sending certified providers notice and a recertification application and agreement, which must be completed, signed and returned submitted to the bureau if the provider wishes to be considered for recertification.

 

(B)   Except as otherwise provided in paragraph (C) (E) of this rule, if the bureau receives a completed and signed recertification application and agreement from a provider, the provider's certification to participate in the HPP shall remain in effect until the bureau issues a final order approving or denying the provider's application for recertification.

 

(C)   If the bureau does not receive a completed and signed recertification application and agreement from the provider within sixty days from the date of the notice sent in accordance with paragraph (A) of this rule, the bureau shall send a second notice to the provider stating that the provider has thirty days from the date of the second notice to complete, sign and submit the recertification application and agreement to the bureau if the provider wishes to be considered for recertification.

 

(D)   If the bureau does not receive a completed and signed recertification application and agreement from the provider within thirty days from the date of the notice sent in accordance with paragraph (C) of this rule, the provider's certification to participate in the HPP shall lapse. Such lapse of certification is not an adjudication order and is not subject to appeal pursuant to rule 4123-6-17 of the Administrative Code.

 

(E)     If the bureau receives a completed and signed recertification application and agreement from a provider after the provider's certification to participate in the HPP has lapsed pursuant to paragraph (D) of this rule, the provider's certification to participate in the HPP shall be reinstated and shall remain in effect remain lapsed until the bureau issues a final order approving or denying the provider's application for recertification.

 

(F)   All recertification application and agreements are subject to credentialing review as provided in rule 4123-6-02.3 of the Administrative Code.

 

 

 

 

 

 

 

 

 

 

 

 

4123-6-02.4                                                                                                                           2

Effective:                                                     02/01/2010

R.C. 119.032 review dates:                         11/17/2009 and 02/01/2015

CERTIFIED ELECTRONICALLY

Certification

01/22/2010

Date

Promulgated Under:                           119.03

Statutory Authority:                           4121.12, 4121.121, 4121.30, 4121.31, 4123.05

Rule Amplifies:                                  4121.121, 4121.44, 4121.441, 4123.66

Prior Effective Dates:                         3/29/02