N.D. Admin. Code 33-03-37-04

Current through Supplement No. 392, April, 2024

Section 33-03-37-04 - [Effective 4/1/2024] Employer eligibility

To participate in the program an employer shall:

1. Provide services in a service area or site that is or is located in a defined area of need established under section 33-03-37-02;

2. Submit an employer application in the form and manner approved by the department;

3. Maintain clinical and employment documentation for auditing and provide required documents within thirty days upon the department's request;

4. Maintain a designated representative authorized by the employer to:

a. Review and sign contract and program participation documents; and

b. Submit progress reports in the form and manner approved by the department for participating health care professionals;

5. Ensure that each eligible health care professional charges for provided services at the usual and customary rates in the employer's area, unless a service recipient is unable to pay a fee set at those rates. An individual unable to pay may be charged at a reduced rate or not charged any fee;

6. Provide services to patients covered by Medicare and Medicaid, and submit a twelve-month billing summary with its application;

7. Verify each eligible health care professional's credentials using a process that includes reference review, licensure verification, and a query of the national practitioner data bank;

8. Employ a health care professional that qualifies under section 33-03-37-03; and

9. Contractually commit to provide matching funds equal to the amount required by North Dakota Century Code section 43-12.3-06.

N.D. Admin Code 33-03-37-04

Adopted by Administrative Rules Supplement 2024-392, April 2024, effective 4/1/2024.

General Authority: NDCC 50-06-16

Law Implemented: NDCC 43-12.3-03, 43-12.3-04