Authority: IC 12-23-1-6

Affected: IC 12-27

Sec. 2. Before commencing services, an entity must be certified for regular certification or outpatient certification. The entity shall file an application with the division. The application shall contain the following:

1. (1) The legal name of the applicant.
2. (2) A description of the organizational structure and mission statement of the applicant, including the services to be provided and the populations to be served.
3. (3) The location of all operational sites of the applicant.
4. (4) A copy of the applicant's procedures to ensure protection of consumer rights under IC 12-27 and confidentiality under 42 CFR 2.
5. (5) All materials requested by the division.

(Division of Mental Health and Addiction; 440 IAC 4.4-2-2; filed Apr 17, 1997, 10:00 a.m.: 20 IR 2401; readopted filed May 10, 2001, 2:30 p.m.: 24 IR 3235; filed Feb 11, 2002, 4:30 p.m.: 25 IR 2221; readopted filed Apr 7, 2008, 3:40 p.m.: 20080507-IR- 440070745RFA; readopted filed Aug 11, 2014, 11:21 a.m.: 20140910-IR-440140240RFA; readopted filed Nov 9, 2020, 3:09 p.m.: 20201209-IR-440200502RFA)