Ariz. Admin. Code § R9-10-1002 - Supplemental Application and Documentation Submission Requirements

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 different from the days and hours of clinical operation, the days and hours of administrative operation; and

2. A request to provide one or more of the following services:

a. Behavioral health services and, if applicable;

i. Behavioral health observation/stabilization services,

ii. Children's behavioral health services,

iii. Court-ordered evaluation,

iv. Court-ordered treatment,

v. Counseling,

vi. Crisis services,

vii. Opioid treatment services,

viii. Pre-petition screening,

ix. Respite services,

x. Respite services for children on the premises,

xi. DUI education,

xii. DUI screening,

xiii. DUI treatment, or

xiv. Misdemeanor domestic violence offender treatment;

b. Diagnostic imaging services;

c. Clinical laboratory services;

d. Dialysis services;

e. Emergency room services;

f. Pain management services;

g. Physical health services;

h. Rehabilitation services;

i. Sleep disorder services; or

j. Urgent care services provided in a freestanding urgent care center setting.

B. In addition to the license application requirements in A.R.S. § 36-422 and 9 A.A.C. 10, Article 1, a governing authority of an:

1. Affiliated outpatient treatment center applying for a license for the affiliated outpatient treatment center shall submit, in a Department-provided format, the following information for each counseling facility for which the affiliated outpatient treatment center is providing administrative support:

a. Name, and

b. Either:

i. The license number assigned to the counseling facility by the Department; or

ii. If the counseling facility is not currently licensed, the:

(1) Counseling facility's street address, and

(2) Date the counseling facility submitted to the Department an application for a health care institution license; and

2. Outpatient treatment center, applying for a license that includes a request for authorization to provide respite services for children on the premises, shall include the requested respite capacity.

C. A licensee of an affiliated outpatient treatment center shall submit to the Department the information required in subsection (B)(1) with the relevant fees required in R9-10-106(C) or (D), as applicable.

D. A licensee of an outpatient treatment center authorized to provide respite services for children on the premises shall submit to the Department with the relevant fees in R9-10-106(C) or (D), as applicable:

1. The respite capacity, and

2. The specific 10 continuous hours per day during which the outpatient treatment center provides respite services on the premises.

E. A licensee of an outpatient treatment center authorized to operate as a collaborating outpatient treatment center shall submit to the Department with the relevant fees in R9-10-106(C) or (D), as applicable:

1. The information and documentation required in R9-10-1031(D)(1) ; and

2. A floor plan that shows:

a. Each colocator's proposed treatment area, and

b. The areas of the collaborating outpatient treatment center shared by a colocator and collaborating outpatient treatment center.

Notes

Ariz. Admin. Code § R9-10-1002

New Section made by final rulemaking at 14 A.A.R. 294, effective March 8, 2008 (Supp. 08-1). Section amended by exempt rulemaking at 19 A.A.R. 2015, effective October 1, 2013 (Supp. 13-2). Amended by exempt rulemaking at 20 A.A.R. 1409, effective 7/1/2014. Amended by exempt rulemaking at 20 A.A.R. 3535, effective 1/1/2015. Amended by exempt rulemaking at 22 A.A.R. 1035, effective 5/1/2016. Amended by final rulemaking at 25 A.A.R. 1583, effective 10/1/2019.