Ariz. Admin. Code § R9-10-2202 - Supplementary Application Requirements and Documentation Submission Requirements
A. In
addition to the license application requirements in A.R.S. §
36-422 and
R9-10-105, an applicant for a
license as a nursing-supported group home shall include:
1. In a Department-provided format, whether
the applicant is requesting authorization:
a.
To admit residents who:
i. Are on a
ventilator,
ii. Have a tracheostomy
tube, or
iii. Receive total
parenteral nutrition; or
b. To provide:
i. Services to individuals under 18 years of
age, including the licensed capacity requested;
ii. Restraint;
iii. Clinical laboratory services;
or
iv. Respiratory care services;
and
2. A copy
of the applicant's service provider award letter with the Division.
B. A licensee shall submit to the
Department, with the relevant fees required in
R9-10-106(C) and
in a Department-provided format:
1. The
information required in subsection (A)(1), as applicable; and
2. Documentation of the licensee's service
provider contract with the Division.
Notes
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