Ariz. Admin. Code § R9-10-1031 - Colocation Requirements
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 or behavioral health services from the collaborating outpatient treatment center or a colocator that shares areas of the collaborating outpatient treatment center's premises.
B. Only
one outpatient treatment center in a facility may be designated as a
collaborating outpatient treatment center for the facility.
C. The following health care institutions are
not permitted to be a collaborating outpatient treatment center or a colocator
in a collaborating outpatient treatment center:
1. An affiliated counseling
facility;
2. An outpatient
treatment center authorized by the Department to provide dialysis services
according to
R9-10-1018 ;
3. An outpatient treatment center authorized
by the Department to provide emergency room services according to
R9-10-1019 ; or
4. An outpatient treatment center operating
under a single group license according to A.R.S. §
36-422(F) or
(G).
D. In addition to the requirements for a
license application in
R9-10-105, a governing authority of
an outpatient treatment center requesting authorization to operate or continue
to operate as a collaborating outpatient treatment center shall submit, in a
Department-provided format:
1. The following
information for each proposed colocator that may share an area of the
collaborating outpatient treatment center's premises and nontreatment personnel
at the collaborating outpatient treatment center:
a. For each proposed associated licensed
provider:
i. Name,
ii. The associated licensed provider's
license number or the date the associated licensed provider submitted to the
Department a license application for an outpatient treatment center or a
counseling facility license,
iii.
Proposed scope of services, and
iv.
A copy of the written agreement with the collaborating outpatient treatment
center required in subsection (E); and
b. For each exempt health care provider:
i. Name,
ii. Current health care professional license
number,
iii. Proposed scope of
services, and
iv. A copy of the
written agreement required in subsection (F) with the collaborating outpatient
treatment center; and
2. In addition to the requirements in
R9-10-105(A)(5)(b)(vi),
a floor plan that shows:
a. Each colocator's
proposed treatment area, and
b. The
areas of the collaborating outpatient treatment center's premises shared with a
colocator.
E.
An administrator of a collaborating outpatient treatment center shall have a
written agreement with each associated licensed provider that includes:
1. In a Department-provided format:
a. The associated licensed provider's
name;
b. The name of the associated
licensed provider's governing authority;
c. Whether the associated licensed provider
plans to share medical records with the collaborating outpatient treatment
center;
d. If the associated
licensed provider plans to share medical records with the collaborating
outpatient treatment center, specific information about which party will obtain
a patient's:
i. General consent or informed
consent, as applicable;
ii. Consent
to allow a colocator access to the patient's medical record; and
iii. Advance directives;
e. How the associated licensed provider will
transport or transfer a patient to another colocator within the collaborating
outpatient treatment center;
f. How
the associated licensed provider will ensure controlled substances stored in
the associated licensed provider's licensed premises are not
diverted;
g. How the associated
licensed provider will ensure environmental services in the associated licensed
provider's licensed premises will not affect patient care in the collaborating
outpatient treatment center;
h. How
the associated licensed provider's personnel members will respond to a
patient's sudden, intense, or out-of-control behavior, in the associated
licensed provider's treatment area, to prevent harm to the patient or another
individual in the collaborating outpatient treatment center;
i. A statement that, if any of the colocators
include children's behavioral health services in the colocator's scope of
services, the associated licensed provider will ensure that all employees and
personnel members of the associated licensed provider comply the fingerprint
clearance card requirements in A.R.S. §
36-425.03;
j. A statement that the associated licensed
provider will:
i. Document the following each
time another colocator provides emergency health care services in the
associated licensed provider's treatment area:
(1) The name of the colocator;
(2) If different from the name of the
colocator, the name of the physician, physician assistant, registered nurse
practitioner, or behavioral health professional providing the emergency health
care services;
(3) A description of
the emergency health care services provided; and
(4) The date and time the emergency health
care services were provided;
ii. Maintain the documentation in subsection
(E)(1)(j)(i) for at least 12 months after the emergency health care services
were provided; and
iii. Submit a
copy of the documentation to the collaborating outpatient treatment center
within 48 hours after the provision of the emergency health care
services;
k. A statement
that the associated licensed provider will:
i. Document the following each time the
associated licensed provider provides emergency health care services in another
colocator's treatment area:
(1) If different
from the name of the associated licensed provider, the name of the physician,
physician assistant, registered nurse practitioner, or behavioral health
professional providing the emergency health care services;
(2) The name of the colocator;
(3) A description of the emergency health
care services provided; and
(4) The
date and time the emergency health care services were provided;
ii. Maintain the documentation in
subsection (E)(1)(k)(i) for at least 12 months after the emergency health care
services were provided; and
iii.
Submit a copy of the documentation to the collaborating outpatient treatment
center within 48 hours after the provision of the emergency health care
services;
l. An
attestation that the associated licensed provider will comply with the written
agreement;
m. The signature of the
associated licensed provider's governing authority according to A.R.S. §
36-422(B) and
the date signed; and
n. The
signature of the collaborating outpatient treatment center's governing
authority according to A.R.S. §
36-422(B) and
the date signed; and
2.
A copy of the associated licensed provider's scope of services, including
whether the associated licensed provider plans to provide behavioral health
services for children.
F. An administrator of a collaborating
outpatient treatment center shall have a written agreement with each exempt
health care provider that includes:
1. In a
Department-provided format:
a. The exempt
health care provider's name;
b. The
exempt health care provider license type and license number;
c. Whether the exempt health care provider
plans to share medical records with the collaborating outpatient treatment
center;
d. If the exempt health
care provider plans to share medical records with the collaborating outpatient
treatment center, specific information about which party will obtain a
patient's:
i. General consent or informed
consent, as applicable;
ii. Consent
to allow a colocator access to the patient's medical record; and
iii. Advance directives;
e. How the exempt health care provider will
transport or transfer a patient to another colocator within the collaborating
outpatient treatment center;
f. How
the exempt health care provider will ensure controlled substances stored in the
exempt health care provider's designated premises are not diverted;
g. How the exempt health care provider will
ensure environmental services in the exempt health care provider's licensed
premises will not affect patient care in the collaborating outpatient treatment
center;
h. How the exempt health
care provider and any staff of the exempt health care provider will respond to
a patient's sudden, intense, or out-of-control behavior, in the exempt health
care provider's treatment area, to prevent harm to the patient or another
individual in the collaborating outpatient treatment center;
i. A statement that, if any of the colocators
include children's behavioral health services in the colocator's statement of
services, the exempt health care provider will ensure that all employees and
staff of the exempt health care provider comply with the fingerprint clearance
card requirements A.R.S. §
36-425.03;
j. A statement that the exempt health care
provider will:
i. Document the following each
time another colocator provides emergency health care services in the exempt
health care provider's treatment area:
(1) The
name of the colocator;
(2) If
different from the name of the colocator, the name of the physician, physician
assistant, registered nurse practitioner, or behavioral health professional
providing the emergency health care services;
(3) A description of the emergency health
care services provided; and
(4) The
date and time the emergency health care services were provided;
ii. Maintain the documentation in
subsection (F)(1)(j)(i) for at least 12 months after the emergency health care
services were provided; and
iii.
Submit a copy of the documentation to the collaborating outpatient treatment
center within 48 hours after the provision of the emergency health care
services;
k. A statement
that the exempt health care provider will:
i.
Document the following each time the exempt health care provider provides
emergency health care services in another colocator's treatment area:
(1) If different from the name of the exempt
health care provider, the name of the physician, physician assistant,
registered nurse practitioner, or behavioral health professional providing the
emergency health care services;
(2)
The name of the colocator;
(3) A
description of the emergency health care services provided; and
(4) The date and time the emergency health
care services were provided;
ii. Maintain the documentation in subsection
(F)(1)(k)(i) for at least 12 months after the emergency health care services
were provided; and
iii. Submit a
copy of the documentation to the collaborating outpatient treatment center
within 48 hours after the provision of the emergency health care
services;
l. An
attestation that the exempt health care provider will comply with the written
agreement;
m. The signature of the
exempt health care provider and the date signed; and
n. The signature of the collaborating
outpatient treatment center's governing authority according to A.R.S. §
36-422(B) and
the date signed; and
2.
A copy of the exempt health care provider's scope of services, including
whether the exempt health care provider plans to provide behavioral health
services for children.
G. As part of the policies and procedures
required in this Article, an administrator of a collaborating outpatient
treatment center shall ensure that policies and procedures are established,
documented, and implemented to protect the health and safety of a patient based
on the scopes of services of all colocators that:
1. Cover job descriptions, duties, and
qualifications, including required skills, knowledge, education, and experience
for nontreatment personnel who may provide services in the areas of the
collaborating outpatient treatment center's premises shared with a
colocator;
2. Cover orientation and
in-service education for nontreatment personnel who may provide services in the
areas of the collaborating outpatient treatment center's premises shared with a
colocator;
3. Cover cardiopulmonary
resuscitation training, including:
a. The
method and content of cardiopulmonary resuscitation training, which includes a
demonstration of the individual's ability to perform cardiopulmonary
resuscitation;
b. The
qualifications for an individual to provide cardiopulmonary resuscitation
training;
c. The time-frame for
renewal of cardiopulmonary resuscitation training; and
d. The documentation that verifies that an
individual has received cardiopulmonary resuscitation training;
4. Cover first aid
training;
5. Cover patient
screening, including a method to ensure that, if a patient identifies a
specific colocator, the patient is directed to the identified
colocator;
6. Cover the provision
of emergency treatment to protect the health and safety of a patient or
individual present in an area of the collaborating outpatient treatment
center's premises shared with a colocator according to the requirements for
emergency treatment policies and procedures in
R9-10-1029(A)
;
7. If medication is stored in an
area of the collaborating outpatient treatment center's premises shared with a
colocator, cover obtaining, storing, accessing, and disposing of medications,
including provisions for controlling inventory and preventing diversion of
controlled substances;
8. Cover
biohazardous wastes, if applicable;
9. Cover environmental services in an area of
the collaborating outpatient treatment center's premises shared with a
colocator that affect patient care; and
10. Cover how personnel members and
nontreatment personnel will respond to a patient's sudden, intense, or
out-of-control behavior to prevent harm to the patient or another individual in
an area of the collaborating outpatient treatment center's premises shared with
a colocator.
H. An
administrator of a collaborating outpatient treatment center shall ensure that:
1. Areas of the collaborating outpatient
treatment center's premises shared with a colocator are:
a. Sufficient to accommodate the outpatient
treatment center's and any colocators' scopes of services;
b. Cleaned and disinfected according to the
outpatient treatment center's policies and procedures to prevent, minimize, and
control illness and infection; and
c. Free from a condition or situation that
may cause an individual to suffer physical injury;
2. A written log is maintained that documents
the date, time, and circumstances each time a colocator provides emergency
health care services in another colocator's designated treatment area;
and
3. The documentation in the
written log required in subsection (H)(2) is maintained for at least 12 months
after the date the colocator provides emergency health care services in another
colocator's designated treatment area.
I. If any colocator at a collaborating
outpatient treatment center includes children's behavioral health services as
part of the colocator's scope of services, an administrator of the
collaborating outpatient treatment center shall ensure that the governing
authority, employees, personnel members, nontreatment personnel, and volunteers
of the collaborating outpatient treatment center comply with the fingerprint
clearance card requirements in A.R.S. §
36-425.03.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.