Which statement about expiration and renewal of an ACO license is true?

• A. Renewal is always possible after any expiration
• B. Renewal is possible only if license is renewed annually
• C. Renewal is not possible after 5 years of expiration
• D. Renewal is not possible after 3 years of expiration

Answer: (D)

Expiration ends a license’s authority unless you renew within a set window. For an ACO license, if it has been expired for more than three years, renewal is not possible; you must start over with a new license application and meet the current requirements, which may include retaking exams and paying applicable fees. This rule ensures anyone operating under an ACO license stays current with laws and practices.

The other statements don’t fit because renewal isn’t guaranteed after any expiration, and there isn’t an annual-only renewal rule tied to an expiration period. The specific threshold here is three years, not five.