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4290-4 DEPARTMENT OF HEALTH BACKGROUND VARIANCEREVIEW COMMITTEE .................. 475 4290-5 VARIANCEDECISION NOTIFICATIONAND POSTING ............. 476 4290-6 VARIANCE RENEWAL..................................................................... 477 4300 PROVIDER REPORTS OF CHANGE ............................................ 478 4300-1 CHANGES REPORTED FOR ANY PARTICIPATING PROVIDER . ............................................................................................................. 478 4300-1 A. TERMINATING SERVICES ............................................... 479 4300-1 B. RATES ...................................................................................... 480 4300-1 C. HOURS OR SCHEDULE OF OPERATION...................... 484 4300-1 D. HOUSEHOLD MEMBERS .................................................. 485 4300-1 E. MAILING ADDRESS ............................................................ 488 4300-1 F. PHYSICAL LOCATION ........................................................ 489 4300-1 G. NAME CHANGE .................................................................... 494 4300-1 H. TAX IDENTIFICATION NUMBER ................................... 497 4300-1 I. BUSINESS NAME ................................................................. 498 4300-1 J. BUSINESS TYPE ................................................................... 500 4300-1 K. LICENSED PROVIDER OWNERSHIP CHANGE .......... 501 4300-1 L. SIGNATORY AUTHORITY CHANGE ............................... 503 4300-2 ADDITIONAL CHANGES REPORTED FOR LICENSED PROVIDERS ....................................................................................... 504 4300-3 CHILDREN CARED FOR BY AN APPROVED RELATIVE PROVIDER ......................................................................................... 505 4300-4 IN-HOME CAREGIVER .................................................................... 506 4300-4 A. IN-HOME CAREGIVER ENDING ...................................... 507 4300-4 B. IN-HOME CAREGIVER BEGINNING............................... 507 4310 CHANGING PROVIDER TYPE ...................................................... 508