Section 686.715  Assistive Equipment Provider Requirements

All assistive equipment providers must:

a)         meet the approval of the customer and counselor;

b)         submit a completed 1413A − Waiver Program Provider Agreement for Participation in the Illinois Medical Assistance Program form; and

c)         submit a completed W-9 Request for Taxpayer Identification Number and Certificate.

(Source:  Renumbered from Section 686.700 to Section 686.715 and amended at 31 Ill. Reg. 14238, effective September 27, 2007)