Section 8.45.420. Rehabilitation specialist application.

	(a)  To be added to the administrator's rehabilitation specialists' list under 8 AAC 45.400, a person who qualifies under 8 AAC 45.410(a) must file a completed application that includes  
		(1) a signed and notarized statement that  
			(A) lists the person's legal name, primary domicile address, and telephone number;  
			(B) lists the business address and telephone number where the person will be receiving evaluation and plan referrals; and  
			(C) includes an attestation that the rehabilitation specialist will personally provide the reemployment services to assigned employees in accordance with AS 23.30.041;  
		(2) proof that the person's primary domicile and business addresses are in the same geographical area, if the person is applying to be added to the section prepared under 8 AAC 45.400(b)(1) with respect to rehabilitation specialist whose primary domicile and business addresses are in the state;  
		(3) proof  
			(A) of a current certification as a certified insurance rehabilitation specialist, as defined in 8 AAC 45.415(1);  
			(B) of a current certification as a certified rehabilitation counselor as defined in 8 AAC 45.415(2);  
			(C) of a current certification as a certified disability management specialist, defined in 8 AAC 45.415(3)(B); or  
			(D) that the person meets the requirements of 8 AAC 45.415(3)(A);  
		(4) a certificate of workers' compensation insurance if the person has employees; the certificate of insurance must provide for 30 days' prior notice to the board of cancellation, nonrenewal, or material change of the policy; and  
		(5) a resume stating the  
			(A) person's education, training, and work experience; and  
			(B) names and addresses of the professional organizations that have certified the person or in which the person is an active member.  
	(b)  Names will be added to the geographical listing in order of the receipt date of the completed application. If more than one completed application is received in a day, the names for that day will be placed on the list in alphabetical order. If a person's name is not added to the list, the administrator will notify the person and state in writing the reason for exclusion. Reasons for exclusion include an incomplete or illegible application or accompanying documents, misrepresentation, or not meeting the requirements of AS 23.30.041(r)(6).  
	(c)  When the rehabilitation specialist's primary domicile or business addresses are no longer in the same geographic area where the rehabilitation specialist was receiving referrals, the rehabilitation specialist must notify the administrator within 14 days, so that the rehabilitation specialist's name can be removed from the geographic list.  

Authorities

23.30.005;23.30.041

Notes

Reference

8 AAC 45.410

Authority

AS 23.30.005 AS 23.30.041

History

Eff. 7/1/88, Register 107; am 7/20/97, Register 143; am 7/2/98, Register 146; am 4/16/2010, Register 194