- (a) If a provider or authorized representative of the provider requests a reconsideration, the request shall be filed within 15 days after the date of receipt of notice of the determination that the provider does not qualify as a Medi-Cal provider. The request shall be filed with the Director of the Department of Health Services or the designee authorized to accept such requests.
(b) A request for reconsideration shall:
- (1) Be in writing.
- (2) State the reasons upon which the provider disagrees with the determination.
- (3) Include relevant evidence.
Note: Authority cited: Sections 10725 and 14124.5, Welfare and Institutions Code. Reference: Section 14100.1, Welfare and Institutions Code.