Ariz. Admin. Code § R9-24-201 - Definitions

In addition to the definitions in A.R.S. § 36-2351, the following definitions apply in this Article, unless otherwise specified:

I. "Act, event, or default" means an occurrence or the failure of something to occur.

2 1. "Agency" has the same meaning as in A.R.S. § 41-1001.

4 2. "Arizona Medical Board" means the agency established by A.R.S. § 32-1402 to regulate physicians licensed under A.R.S. Title 32, Chapter 13.

3. "Ambulatory care sensitive conditions" means the illnesses listed in the first table of Appendix B (entitled "Ambulatory Care Sensitive Conditions") to "Using Administrative Data to Monitor Access, Identify Disparities, and Assess Performance of the Safety Net," in Tools for Monitoring the Health Care Safety Net, AHRQ Publication No. 03-0027, September 2003, Agency for Healthcare Research and Quality, Rockville, MD, and available on the web site of the Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services, at http://www.ahrq.gov/data/safetynet/billappb.htm.

5 3. "Arizona medically underserved area" means:

a. A primary care area with the designation described in R9-24-202(1), or

b. A primary care area with the designation described in R9-24-202(2).

9 4. "Board of Osteopathic Examiners in Medicine and Surgery" means the agency established by A.R.S. § 32-1801 to regulate physicians licensed under A.R.S. Title 32, Chapter 17.

5. "Census tract" means a small, relatively permanent statistical subdivision of a county established by the U.S. Bureau of Census.

6. "Arizona Regulatory Board of Physician Assistants" means the agency established by A.R.S. § 32-2502 to regulate physician assistants.

6. "Communities of color" means individuals who self identify their race/ethnicity as anything other than Non-Hispanic White.

7. "Arizona State Board of Nursing" means the agency established by A.R.S. § 32-1602 to regulate nurses and nursing assistants.

7. "Disability" means physical, mental, or sensory impairment as reported to the American Community Survey that may include hearing difficulty, vision difficulty, cognitive difficulty, ambulatory difficulty, self-care difficulty, and independent living difficulty.

8. "Birth life expectancy" means the average life span at the time of birth according to the most recent U.S. life expectancy data in the National Vital Statistics Reports of the National Vital Statistics System, available on the website of the National Center for Health Statistics, Centers for Disease Control and Prevention, U.S. Department of Health and Human Services, at http://www.cdc.gov/nchs/fastats/lifexpec.htm.

8. "Federal poverty level" means a set of money income thresholds that vary by family size and composition used by the U.S. Census Bureau to determine who is in poverty.

14 9. "First health care contact" means the initial telephone call or visit to a health care provider as defined in 45 CFR 160.103 for an individual's health issue.

10. "Boundary change" means a re-determination of the geographic limits of a primary care area.

15 10. "Full-time" means providing primary care services for at least 40 hours between a Sunday at 12:00 midnight and the next Sunday at 12:00 midnight.

11. "Census block" means a geographic unit that is:

a. The smallest unit of census geography established by the U.S. Census Bureau, and

b. One of the approximately 8 million similar units covering the entire nation.

1611. "Health organization" means:

a. A person or entity that provides medical services;

b. A third party payor defined in A.R.S. § 36-125.07(C); or

c. A trade or professional association described in 501(c)(3), (4), (5), or (6) of the Internal Revenue Code, 26 U.S.C. 501(c), that is exempt from federal income taxes.

12. "Day" means calendar day:

a. Excluding the day of the act, event, or default that triggers the running of a time-frame;

b. Excluding the last day of a time-frame if it is a Saturday, Sunday, or legal holiday; and

c. If the last day of a time-frame is excluded under subsection (12)(b), including the next day that is not a Saturday, Sunday, or legal holiday.

17 12. "Indian reservation" has the same meaning as in A.R.S. § 11-801.

13. "Family unit" means:

a. Two or more individuals related by birth, marriage, or adoption who live at the same residence; or

b. One individual who does not live at the same residence with anyone related by birth, marriage, or adoption.

19 13. "Local planning personnel" means an individual who develops programs related to the delivery of and access to medical services for places or areas:

a. Under the jurisdiction of an Arizona city or county, or

b. In an Arizona Indian reservation or less than 50 miles outside the boundaries of an Indian reservation.

14. "First health care contact" means the initial telephone call or visit to a health care provider as defined in 45 CFR 160.103 for an individual's health issue.

14. "Low birthweight" means any neonate weighing less than 2,500 grams at birth or less than 5 pounds 8 ounces.

15. "Full-time" means providing primary care services for at least 40 hours between a Sunday at 12:00 midnight and the next Sunday at 12:00 midnight.

21 15. "Medical services" has the same meaning as in A.R.S. § 36-401.

16. "Health organization" means:

a. A person or entity that provides medical services;

b. A third party payor defined in A.R.S. § 36-125.07(C) ; or

c. A trade or professional association described in 501(c)(3), (4), (5), or (6) of the Internal Revenue Code, 26 U.S.C. 501(c), that is exempt from federal income taxes.

24 16. "Nonresidential" means not primarily used for living and sleeping.

25 17. "Person" has the same meaning as in A.R.S. § 41-1001.

18. "Legal holiday" means a state service holiday listed in A.A.C. R2-5-402 .

27 18. "Political subdivision" means a county, city, town, district, association, or authority created by state law.

28 19. "Population" means the number of residents of a place or an area, according to: the most recent American Community Survey prepared by the U.S. Census Bureau.

a. The most recent decennial census prepared by the U.S. Census Bureau and available at http://www.census.gov; or

b. The most recent Population Estimates for Arizona's Counties, Incorporated Places and Balance of County prepared by the Department of Economic Security Arizona Office of Economic Opportunity and available at http://www.workforce.az.gov/ ?PAGED=67&SUBID=137.

20. "Low-weight birth" means the live birth of an infant weighing less than 2500 grams or 5 pounds, 8 ounces.

30 20. "Primary care area" means a geographic region determined by the Department under R9-24-204.

31 21. "Primary care HPSA" means primary care health professional shortage area designated by the U.S. Department of Health and Human Services under 42 U.S.C. 254e, 42 CFR 5.1 through 5.4, and 42 CFR Part 5, Appendix A.

22. "Mobility limitation" means an individual's physical or mental condition that:

a. Has lasted for at least six months,

b. Impairs the individual's ability to go outside the individual's residence alone, and

c. Is not a temporary health problem such as a broken bone that is expected to heal normally.

32 22. "Primary care index" means the document in which the Department designates primary care areas as medically underserved according to R9-24-203 and Table 2.1.

23. "Motor vehicle" has the same meaning as in A.R.S. § 28-101 .

23. "Primary care physician" means an Arizona licensed practitioner who:

a. Except for emergencies, is an individual's first health care contact; and

b. Provides primary care services in general or family practice, general internal medicine, pediatrics, or obstetrics and gynecology.

33. "Primary care provider" means a physician, physician assistant, or registered nurse practitioner who:

a. Except for emergencies, is an individual's first health care contact; and

b. Provides primary care services in general or family practice, general internal medicine, pediatrics, or obstetrics and gynecology.

34 24. "Primary care services" means health care provided by a primary care physician, including:

a. Illness and injury prevention,

b. Health promotion and education,

c. Identification of individuals at special risk for illness,

d. Early detection of illness,

e. Treatment of illness and injury, and

f. Referral to specialists.

35 25. "Primary care services utilization pattern" means a distribution of the use of primary care services resulting from the factors listed in R9-24-204(A)(3)(a) .

26. "Physician assistant" has the same meaning as in A.R.S. § 32-2501 .

38 26. "Resident" means an individual who lives and sleeps in a place or an area more than one-half of the time.

36. "Registered nurse practitioner" has the same meaning as in A.R.S. § 32-1601 .

37. "Residence" means a structure or part of a structure where an individual lives and sleeps.

39 27. "Residential" means primarily used for living and sleeping.

40. "Self-care limitation" means an individual's physical or mental condition that:

a. Has lasted for at least six months;

b. Impairs the individual's ability to perform activities such as dressing, bathing, or moving around inside the individual's residence; and

c. Is not a temporary health problem such as a broken bone that is expected to heal normally.

41 28. "Specialist" means an individual who:

a. Is regulated under:

i. A.R.S. Title 32, Chapters 7, 8, 11, 13, 14, 15, 15.1, 16, 17, 18, 19, 19.1, 25, 28, 29, 33, 34, 35, 39, or 41;

ii. A.R.S. Title 36, Chapter 6, Article 7; or

iii. A.R.S. Title 36, Chapter 17; and

b. Meets the education, knowledge, and skill requirements generally recognized in the profession related to a specific service or procedure, patient category, body part or system, or type of disease.

42. "Street route" means a course of travel by road.

43. "Temporary" means lasting for a limited time.

29. "Poverty threshold" means calendar year income relative to family unit size that:

a. Determines an individual's poverty status,

b. Is defined annually by the U.S. Census Bureau, and

c. Is available for the most recently completed calendar year at http://www.census.gov/hhes/poverty/threshld.html

44 29."Topography" means the surface configuration of a place or region, including elevations and positions of the physical features.

45 30. "Travel pattern" means a prevalent flow of vehicles resulting from:

a. The configuration of streets, and

b. The location of residential and nonresidential areas.

46 31. "Value" means a number within a value range.

47 32. "Value range" means, for a criterion listed in R9-24-203(B) and Table 2.1, a measurement:

a. Consisting of a scale between upper and lower limits, except for the supplementary criteria score under R9-24-203(B)(8); and

b. To which Table 2.1 assigns points or 0 points.

48. "Work disability" means an individual's physical or mental condition that:

a. Has lasted for at least six months,

b. Limits the individual's choice of jobs or prevents the individual from working for more than 34 hours per week, and

c. Is not a temporary health problem such as a broken bone that is expected to heal normally.

Notes

Ariz. Admin. Code § R9-24-201

Adopted effective July 27, 1978 (Supp. 78-4). R9-24-201 recodified from R9-24-121 (Supp. 95-2). Section repealed; new Section adopted by final rulemaking at 7 A.A.R. 715, effective January 17, 2001 (Supp. 01-1). Amended by final rulemaking at 12 A.A.R. 3048, effective September 30, 2006 (Supp. 06-3). Amended by final expedited rulemaking at 26 A.A.R. 1969, effective 9/4/2020.