24.29.2366    RENEWAL CERTIFICATION

(1) The department will review all renewal applications for completeness. The department may request that a MCO provide additional information. If the MCO declines to provide the additional information requested by the department, the department will process the application and either approve or deny the renewal application based upon the information supplied by the MCO.

(2) Within 60 days of receipt of a complete renewal application, the department will approve renewal applications which meet the criteria established by these rules and relevant statutes. The failure to have timely filed all required reports and information is grounds for the department denying a renewal application. A MCO that is aggrieved by a decision of the department may request administrative review of the decision or request a contested case hearing.

(3) Upon approval of a renewal application, the department will certify the MCO for an additional two years. The certification is subject to being suspended or revoked by the department for cause. The renewal certification will specify when annual reporting (see 24.29.2351) must be filed with the department.

(4) The department may briefly extend a MCO's certification while the renewal process is pending.

History: Sec. 39-71-203, 39-71-1103 and 39-71-1105 MCA; IMP, Sec. 39-71-1103 and 39-71-1105 MCA; NEW, 1994 MAR p. 420, Eff. 3/1/94.