Section 14043.25.

(a) The application form for enrollment, the provider agreement, and all attachments or changes to either, shall be signed under penalty of perjury.

(b) The department may require that the application form for enrollment, the provider agreement, and all attachments or changes to either, submitted by an applicant or provider licensed pursuant to Division 2 (commencing with Section 500) of the Business and Professions Code, the Osteopathic Initiative Act, or the Chiropractic Initiative Act, be notarized.

(c) Application forms for enrollment, provider agreements, and all attachments or changes to either, submitted by an applicant or provider not subject to subdivision (b) shall be notarized. This subdivision shall not apply with respect to providers under the In-Home Supportive Services program.

(d) This section shall become inoperative on the effective date of the state plan amendment, as stated in the declaration executed by the director pursuant to Section 14043.25 as added by Section 8 of the act that added this subdivision, and is repealed on the January 1 of the following year. The department shall post the declaration on its Internet Web site and transmit a copy of the declaration to the Legislature.

(Amended by Stats. 2012, Ch. 797, Sec. 7. Effective January 1, 2013. Inoperative January 1, 2013, pursuant to its own provisions. Repealed as of January 1, 2014, pursuant to its own provisions. See later operative version added by Ch. 797.)