NDAC 33-03-37-04
Employer eligibility
Cite as N.D. Admin. Code ยง 33-03-37-04
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.