Chapter 10. DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING

In addition to the definitions in A.R.S. § 36-401 and R9-10-101, the following applies in this Article unless otherwise specified: 1. “Emergency room services” means medical services provided to a patient in an emergency. 2. “Pain management services” means medical services, nurs…

A. In addition to the license application requirements in A.R.S. § 36-422 and 9 A.A.C. 10, Article 1, a governing authority applying for a license as an outpatient treatment center shall submit, in a Department-provided format: 1. The days and hours of clinical operation and, if …

A. If an outpatient treatment center is operating under a single group license issued to a hospital according to A.R.S. § 36-422(F) or (G), the hospital’s governing authority is the governing authority for the outpatient treatment center. B. A governing authority shall: 1. Consis…

An administrator shall ensure that: 1. A plan is established, documented, and implemented for an ongoing quality management program that, at a minimum, includes: a. A method to identify, document, and evaluate incidents; b. A method to collect data to evaluate services provided t…

An administrator shall ensure that: 1. Contracted services are provided according to the requirements in this Article, and 2. Documentation of current contracted services is maintained that includes a description of the contracted services provided. Historical Note New Section ma…

An administrator shall ensure that: 1. The qualifications, skills, and knowledge required for each type of personnel member: a. Are based on: i. The type of physical health services or behavioral health services expected to be provided by the personnel member according to the est…

A. Except as provided in subsection (B), an administrator shall ensure that: 1. A personnel member coordinates the transport and the services provided to the patient; 2. According to policies and procedures: a. An evaluation of the patient is conducted before and after the transp…

A. An administrator shall ensure that: 1. The requirements in subsection (B) and the patient rights in subsection (C) are conspicuously posted on the premises; 2. At the time of admission, a patient or the patient’s representative receives a written copy of the requirements in su…

A. An administrator shall ensure that: 1. A medical record is established and maintained for each patient according to A.R.S. Title 12, Chapter 13, Article 7.1; 2. An entry in a patient’s medical record is: a. Recorded only by a personnel member authorized by policies and procedu…

In addition to the definitions in A.R.S. §§ 36-401(A) and 36-439, the following definitions apply in this Chapter unless otherwise specified: 1. “Abortion clinic” has the same meaning as in A.R.S. § 36-449.01. 2. “Abuse” means: a. The same: i. For an individual 18 years of age or…

A. If an outpatient treatment center provides medication administration or assistance in the self-administration of medication, an administrator shall ensure that policies and procedures for medication services: 1. Include: a. A process for providing information to a patient abou…

A. An administrator of an outpatient treatment center that is authorized to provide behavioral health services shall ensure that: 1. The outpatient treatment center does not provide a behavioral health service the outpatient treatment center is not authorized to provide; 2. The b…

A. An administrator of an outpatient treatment center that is authorized to provide behavioral health observation/stabilization services shall ensure that: 1. Behavioral health observation/stabilization services are available 24 hours a day, every calendar day; 2. Behavioral heal…

An administrator of an outpatient treatment center that is authorized to provide court-ordered evaluation shall comply with the requirements for court-ordered evaluation in A.R.S. Title 36, Chapter 5, Article 4. Historical Note Adopted as an emergency effective November 17, 1983,…

An administrator of an outpatient treatment center that is authorized to provide court-ordered treatment shall comply with the requirements for court-ordered treatment in A.R.S. Title 36, Chapter 5, Article 5. Historical Note Adopted as an emergency effective November 17, 1983, p…

An administrator of an outpatient treatment center that is authorized to provide clinical laboratory services shall ensure that: 1. If clinical laboratory services are provided on the premises or at another location, the clinical laboratory services are provided by a laboratory t…

A. An administrator of an outpatient treatment center that is authorized to provide crisis services shall comply with the requirements for behavioral health services in R9-10-1011. B. An administrator of an outpatient treatment center that is authorized to provide crisis services…

An administrator of an outpatient treatment center that is authorized to provide diagnostic imaging services shall: 1. Designate an individual to provide direction for diagnostic imaging services who is a: a. Radiologic technologist, certified under A.R.S. Title 32, Chapter 28, A…

A. In addition to the definitions in A.R.S. § 36-401, R9-10-101, and R9-10-1001, the following definitions apply in this Section: 1. “Caregiver” means an individual designated by a patient or a patient’s representative to perform self-dialysis in the patient’s stead. 2. “Chief cl…

An administrator of an outpatient treatment center that is authorized to provide emergency room services shall ensure that: 1. Emergency room services are: a. Available on the premises: i. At all times, and ii. To stabilize an individual’s emergency medical condition; and b. Prov…

A. A person may apply for a license as one of the following classes or subclasses of health care institution: 1. General hospital; 2. Rural general hospital; 3. Special hospital; 4. Behavioral health inpatient facility; 5. Nursing care institution; 6. Intermediate care facility f…

A. A governing authority of an outpatient treatment center that is authorized to provide opioid treatment services shall: 1. Ensure that the outpatient treatment center obtains certification by the Substance Abuse and Mental Health Services Administration before providing opioid …

A medical director of an outpatient treatment center that is authorized to provide pain management services shall ensure that: 1. Pain management services are provided under the direction of: a. A physician; or b. A nurse practitioner licensed according to A.R.S. Title 32, Chapte…

An administrator of an outpatient treatment center that is authorized to provide physical health services shall ensure that: 1. Medical services provided at or by the outpatient treatment center are provided under A.R.S. § 36-401(A)(33), 2. Nursing services provided at or by the …

An administrator of an outpatient treatment center that is authorized to provide pre-petition screening shall comply with the requirements for pre-petition screening in A.R.S. Title 36, Chapter 5, Article 4. Historical Note Adopted as an emergency effective November 17, 1983, pur…

An administrator shall ensure that if an outpatient treatment center is authorized to provide: 1. Occupational therapy services, an occupational therapist provides direction for the occupational therapy services provided at or by the outpatient treatment center; 2. Physical thera…

A. In addition to the definitions in A.R.S. § 36-401, R9-10-101, and R9-10-1001, the following definitions apply in this Section: 1. “Emergency safety response” has the same meaning as in R9-10-701. 2. “Outing” means travel by a child, who is receiving respite services provided b…

An administrator of an outpatient treatment center that is authorized to provide sleep disorder services shall ensure that: 1. A physician provides direction for the sleep disorder services provided by the outpatient treatment center; 2. At least one of the following is present o…

An administrator of an outpatient treatment center that is authorized to provide urgent care services in a freestanding urgent care setting shall ensure that: 1. In addition to the policies and procedures required in R9-10-1003(D)(1), policies and procedures are established, docu…

An administrator shall ensure that: 1. An infection control program is established, under the direction of an individual qualified according to the outpatient treatment center’s policies and procedures, to prevent the development and transmission of infections and communicable di…

A. An administrator shall ensure that policies and procedures for providing emergency treatment are established, documented, and implemented that protect the health and safety of patients and include: 1. A list of the medications, supplies, and equipment required on the premises …

A. A health care institution license is required for each health care institution facility except: 1. A facility exempt from licensing under A.R.S. § 36-402, or 2. A health care institution’s administrative office. B. Unless required by another Article in this Chapter, the Depart…

A. An administrator shall ensure that: 1. An outpatient treatment center’s premises are: a. Sufficient to provide the outpatient treatment center’s scope of services; b. Cleaned and disinfected according to the outpatient treatment center’s policies and procedures to prevent, min…

A. In addition to the definitions in A.R.S. §§ 36-401 and 36-439 and R9-10-101 and R9-10-1001, the following definition applies in this Section: “Patient” means an individual who enters the premises of a collaborating outpatient treatment center to obtain physical health services…

A. For the construction or modification of a health care institution that is required by this Chapter to comply with any of the physical plant codes and standards incorporated by reference in R9-10-104.01, an applicant shall submit as part of the health care institution license a…

A. For a health care institution that is required by this Chapter to comply with any of the physical plant codes and standards incorporated by reference in this Section, an applicant shall follow the requirements in subsection (B), except as follows: 1. Physical plant standards s…

A. A person applying for an initial a health care institution license shall submit to the Department an application packet that contains: 1. An application in a Department-provided format provided by the Department including: a. The health care institution’s: i. Name; ii. Street …

A. An applicant submitting an application for a health care institution license shall submit to the Department a nonrefundable application fee of $50. B. Except as provided in subsection (C), an applicant submitting an application for a health care institution license or a licens…

A. An applicant for a health care institution license shall submit the applicable licensing fees in R9-10-106 to the Department: 1. Within 60 calendar days after the date of the written notice of approval in R9-10-108(C)(3); or 2. Within 90 calendar days after the date of the wri…

A. The overall time-frame for each type of approval granted by the Department is listed in Table 1.1. The applicant and the Department may agree in writing to extend the substantive review time-frame and the overall time-frame. The substantive review time-frame and the overall ti…

A. A licensee shall ensure that: 1. The Department is notified in writing at least 30 calendar days before the effective date of: a. Except as provided in subsection (H), a change in the name of: i. A health care institution, or ii. The licensee; b. A change in the hours of opera…

A. A licensee shall submit a request for approval of a modification of a health care institution when planning to make: 1. An addition or removal of an authorized service; 2. An addition or removal of a colocator; 3. A change in a health care institution’s licensed capacity, lice…

In addition to the definitions in A.R.S. § 36-401 and R9-10-101, the following applies in this Article, unless otherwise specified: “Care plan” means a written program of action for a participant’s care based upon an assessment of the participant’s physical, nutritional, psychoso…

In addition to the license application requirements in A.R.S. § 36-422 and R9-10-105, an applicant for a license as an adult day health care facility shall include on the application the number of participants for whom the applicant is requesting authorization to provide adult da…

A. A governing authority shall: 1. Consist of one or more individuals responsible for the organization, operation, and administration of an adult day health care facility; 2. Establish, in writing: a. An adult day health care facility’s scope of services, and b. Qualifications fo…

An administrator shall ensure that: 1. A plan is established, documented, and implemented for an ongoing quality management program that, at a minimum, includes: a. A method to identify, document, and evaluate incidents; b. A method to collect data to evaluate services provided t…

An administrator shall ensure that: 1. Contracted services are provided according to the requirements in this Article, and 2. Documentation of current contracted services is maintained that includes a description of the contracted services provided. Historical Note Adopted effect…

A. An administrator shall ensure that: 1. The qualifications, skills, and knowledge required for each type of personnel member: a. Are based on: i. The type of physical health services or behavioral health services expected to be provided by the personnel member according to the …

A. An administrator shall ensure that a participant provides evidence of freedom from infectious tuberculosis: 1. Before the participant’s participation, and 2. As specified in R9-10-113. B. Before or at the time of enrollment, an administrator shall ensure that a participant or …

An administrator shall ensure that a care plan for a participant: 1. Is developed within seven calendar days after the completion of the participant’s comprehensive assessment; 2. Has input from: a. The participant or participant’s representative, b. The registered nurse who perf…