Approved Provider Application Fees - Effective Jan 1, 2018

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Effective January 1, 2018

Approved Provider Renewal Cycles/Processes


Pay Provider Fees

NOTE: All Fees are non-refundable
APPROVED PROVIDER SUBMISSION FEES
Single Provider Application1 (1 Facility)
Due with submission of Provider Unit Application
$2,000
System Provider Application2 (2 to 6 Facilities) 
Due with submission of Provider Unit Application
$3,000
Mega System Provider Application3 (7 or More Facilities )
Due with submission of Provider Unit Application
$4,800
Intent to Apply or Intent to Reapply fee inclusion of Educational Opportunity w/ NPR
Intent to Reapply fee: Due within 60 days of original notification of renewal letter
$500


ADDITIONAL FEES
Single Provider Annual Review4 $100
System Provider Annual Review4 $150
Mega System Provider Annual Review4 $240
Extension Fee
Extensions up to 1 cycle may be granted at the discretion of the WMSD Accredited Approver Unit and must be requested in writing with explanation of cause.  Extension dates will not change the original approval period.  For example, the expiration cycle date is 3/1/2018, an extension is granted to the next cycle date of 7/1/2018.  Application is submitted and approved and expiration date is 3/1/2021, a three-year period based on your original expiration date. Note time table for WMSD cycle periods.
$200 Single1

$300 System2

$500 Mega System3
Provisional Status Fee
Organization provisional status is granted to those who require resubmission of Self Study for substantive documentation deficiencies and/or process improvements.
$500
Monitoring/Progress Report Submission Fees $250
Late Submission Fees
Includes late submission of intent to reapply, self-study documents, provisional status reports, and/or monitoring/progress reports
$250
Decision Appeal Fee
Fees cover a second review and consensus call by different 2 Nurse Peer Reviewers
$500
Submission Instructions
Step 1: Submit Payment Information through the Online Payment Submission form.

Step 2: Send completed application, Self-Study, and payment order confirmation
  • Mail: 4 Hard Copiescollated, double-sided, hard copies -see Self Study Instructions
    Western Multistate Division
    Attention: CNE
    1850 E. Southern Avenue, Suite 1
    Tempe, AZ 85282
      • Only 1 submission must be professionally bound
      • 3 sets may be assembled/bound with heavy duty file clips 

  • Email: At this time, no electronic file submissions are permitted. 
    However, PDF’d book marked submissions may be required in the near future. Direct questions to education@westernmsd.org.


1SINGLE PROVIDER:
A single agency or hospital Approved Provider Unit who may be part of a larger corporate system however awards contact hours for only one agency/hospital named in the application.

2SYSTEM PROVIDER:
A multi‐agency or multi-hospital health care system with two to six agencies/hospitals with a centralized Approved Provider Unit awarding contact hours system wide for continuing education activities.

 3
MEGA SYSTEM PROVIDER:
A multi‐agency or multi-hospital health care system with seven or more agencies/hospitals with a centralized Approved Provider Unit awarding contact hours system wide for continuing education activities.

 4
ANNUAL PROVIDER REVIEW
All approved providers are required to submit an annual report of awarded activities through the NARS System each calendar year, excluding organizations re-applying in the same year. This data is monitored and reviewed by the WMSD Accredited Approver Unit for completeness and compliance with ANCC Standards. A sample audit of activities may be requested.
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