9402.1 A provider may be required to remit an application fee at the time of submission of the application for initial enrollment, re-enrollment, or revalidation of enrollment. Assignment of application fees shall be subject to the following principles:

(a) The amount of the application fee is established annually by the CMS and published in the Federal Register.

(b) DHCF requires an application fee from all providers except the following:

(1) Individual physicians, non-physician practitioners, or other non-institutional providers;

(2) Providers that are enrolled in Medicare or another state's Medicaid program; and

(3) Providers that have remitted the applicable application fee to Medicare or another state's Medicaid program.

(c) Application fees are non-refundable.

9402.2 A provider may request a hardship exception to the application fee requirement by submitting a request to CMS. Any provider granted a hardship exception to the application fee requirement must include a copy of the notification from CMS with its application submitted to DHCF.

SOURCE: Final Rulemaking published at 60 DCR 10041 (July 12, 2013); as amended by Final Rulemaking published at 68 DCR 4255 (April 23, 2021).