Ariz. Admin. Code § R9-10-502 - Supplemental 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 an ICF/IID shall include:

1. In a Department-provided format, whether the applicant is requesting authorization:

a. To admit residents who:

i. Require continuous nursing services,

ii. Require intermittent nursing services, or

iii. Do not require nursing services; and

b. To provide:

a. i. Active treatment to individuals under 18 years of age, including the licensed capacity requested;

b. ii. Seclusion;

c. iii. Clinical laboratory services;

d. iv. Respiratory care services, or

e. v. Services to residents who have a nursing care plan or medical care plan; and

2. Documentation of the applicant's certification as an ICF/IID by the federal Centers for Medicare and Medicaid Services.

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. The documentation specified in subsection (A)(2).

Notes

Ariz. Admin. Code § R9-10-502

Adopted as an emergency effective October 26, 1988, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 88-4). Emergency expired. Readopted without change as an emergency effective January 27, 1989, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 89-1). Emergency expired. Readopted without change as an emergency effective April 27, 1989, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 89-2). Emergency expired. Readopted without change as an emergency effective July 31, 1989, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 89-3). Permanent rules adopted with changes effective October 30, 1989 (Supp. 89-4). Section repealed, new Section adopted effective April 4, 1994 (Supp. 94-2). Section repealed; Section amended by exempt rulemaking at 19 A.A.R. 2015, effective October 1, 2013 (Supp. 13-2).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. Adopted by final rulemaking at 25 A.A.R. 1222, effective 4/25/2019. Amended by exempt rulemaking at 26 A.A.R. 72, effective 1/1/2020.