(A) When a licensee has been determined by the board to be eligible for the quality intervention program (QUIP), in accordance with rules 4715-40-02 and 4715-40-03 of the Administrative Code, the licensee shall execute a participatory agreement with the board for the QUIP program which includes, but is not limited to, provisions which;
(1) Set forth the identified practice deficiency;
(2) Identify the specific education and/or remediation the participant must complete, including identification of educational provider(s) that will provide the prescribed educational intervention;
(3) Specify the time frame during which the participant must agree to abide by the recommendations set forth by the educational provider(s) that will provide the prescribed educational intervention;
(4) Require the participant to pay all expenses the participant incurs as a result of the required education and/or remediation;
(5) Require the participant to cooperate with any QUIP-related entity, including, but not limited to, the educational provider(s) utilized by the board;
(6) Require the participant to cause any educational provider(s) to send written progress reports regarding the participant's progress in education and/or remedication to QUIP at specified intervals;
(7) Require the participant to sign any and all waivers necessary to secure all reports required by QUIP;
(8) Require the participant to submit a written personal progress report containing the information required to QUIP at specified intervals;
(9) Require the participant to meet in person with a QUIP representative and/or QUIP panel at specified intervals;
(10) Require the participant to obey all federal, state, and local laws, including, but not limited to, all laws and rules regulating dental, dental hygiene, or dental assistant radiography practice in Ohio;
(11) Specify that the prescribed education and/or remediation intervention may not be used to satisfy the continuing education requirements for licensure renewal set forth in Chapter 4715. of the Revised Code and the rules of the board;
(12) Specify the terms and conditions the participant must meet to successfully complete the education and/or remediation, including, but not limited to, the time frames for completing both the educational and/or monitoring components of the education and/or remediation; and
(13) Set forth the grounds for termination from QUIP.
(B) A licensee determined by the board to be eligible for QUIP who refuses to enter into the participatory agreement set forth in this rule within the time frame specified by QUIP shall be subject to disciplinary action for practice deficiency in accordance with section 4715.30 of the Revised Code.