By way of example: Say a provider signed up July 1, 2011 and got her first patient card Aug 10, 2011. She sent in her fingerprints to DPHHS on September 24th. After review from the US Justice Department, they are returned to DPHHS on October 10, 2011. DPHHS considers October 10, 2012 to be the provider’s expiration date. In this example, the provider will get a renewal packet from DPHHS by the second week of September and all of her renewal materials must be received by October 10, 2012.