410 IAC 15.2-2-3
410 IAC 15.2-2-3 Application for license
Cite as Ind. Admin. Code tit. 410, r. 15.2-2-3
Sec. 3. (a) To obtain a license to operate a REH, an application for a license to operate shall be submitted to the department within thirty
(30) days after receiving certification as an REH by CMS.
(b) The license application must include the following:
(1) An application for a license to operate an REH on a form prescribed by the department.
(2) Documents required by the department as prescribed on the application for a license to operate an REH, including a copy of the
documentation of REH status certification by CMS.
(3) The appropriate license fee.
(c) An eligible facility shall report on the application all outpatient services the REH will offer or will remain when the facility is licensed
as an REH.