1. (a) Each hospital and community health center that is subject to the submission requirements shall submit a registration to the department, or its designee, within one month of the effective date of these rules, and annually thereafter, with the following information:

   1. (1) The hospital's name and mailing address;
   2. (2) The community health center's name and mailing address;
   3. (3) The name and mailing address of all healthcare providers included in the report;
   4. (4) The national provider identification number of each healthcare provider who is included in the report; and
   5. (5) The name, e-mail address, and mailing address of the person completing the registration.
2. (b) Healthcare providers that are owned or legally controlled by a hospital shall be identified by the hospital and the report shall specifically describe the relationship.
3. (c) Healthcare facilities that become operational at a later date shall submit a registration within one month of becoming operational, and annually thereafter.
4. (d) When any of the information in Ins 4202.05 (a)-(c) changes, hospitals shall submit the new information within 30 days of the change.

Source. #9806, eff 11-1-10