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Title: Section 504.2 - Application for participation.

504.2 Application for participation. (a) Information regarding application for enrollment may be obtained by writing to the Provider Enrollment Unit of the department.

(b) To apply for enrollment as a provider of services, an applicant must submit a complete, original, signed and sworn application in the form and manner as may be required by the department. The ownership and disclosure form required by Part 502 of this Title is part of the application.

(c) The department may require the provision of information relative to the applicant's ability to provide high-quality care, services and supplies and to be financially responsible. The department may use different applications for each provider type, for certain types of providers only, or for different geographic areas.



VOLUME C (Title 18)