Provisional Licensing 620-01-80-01

(Revised 3/20/12 ML #3317)

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  1. If the authorized agent feels the request is warranted, the authorized agent shall request that a provisional license be issued by the regional office.

 

  1. Regional office shall contact central office to discuss request on a case-by-case basis.

 

  1. If the decision is made to issue a provisional license, a written agreement with the provider must be signed by the provider, authorized agent, and regional office.
  1. The word “provisional” and the explanation for the provisional license must be written on the face of the license.