If an ACO license is expired for three years, what is its renewal status?

• A. It can be renewed
• B. It cannot be renewed
• C. It can be renewed with a late fee
• D. It requires reapplication as a new license

Answer: (B)

When an ACO license has been expired for a long period, renewal is no longer an option. After a three-year lapse, the licensing rules require starting over with a brand-new license application rather than renewing the old credential. In practical terms, you’d submit a new application, pay the full license fees, and complete any required steps for new licensure (such as background checks or exams) as if applying anew. The idea of renewing with a late fee isn’t available after such a long gap, and the license cannot simply be extended or revived as-is. So, the renewal is not possible; a new license application is required.