R911-2-700. Quick Response Provider Designation Applications

A quick response provider shall provide: (1) name of the organization and its principles; (2) name of the person or organization financially responsible for the service and documentation from that entity accepting responsibility; (3) if the applicant is privately owned, they shall submit certified copies of the document creating the entity; (4) a description of the geographical area of service; and (5) a demonstrated need for the service.