440 IAC 4.4-2-2
440 IAC 4.4-2-2 Requirements for certification
Cite as Ind. Admin. Code tit. 440, r. 4.4-2-2
Sec. 2. Before commencing services, an entity must be certified for regular certification or outpatient certification. The entity shall file an
application with the division. The application shall contain the following:
(1) The legal name of the applicant.
(2) A description of the organizational structure and mission statement of the applicant, including the services to be provided and the
populations to be served.
(3) The location of all operational sites of the applicant.
(4) A copy of the applicant's procedures to ensure protection of consumer rights under IC 12-27 and confidentiality under
42 CFR 2.
(5) All materials requested by the division.