Ariz. Admin. Code § R9-25-1104 - Ground Ambulance Service Contracts (A.R.S. Sections 36-2232, 36-2234(M))
A. A
certificate holder shall not institute a new service contract between the
ground ambulance service and a political subdivision of this state except as
provided in A.R.S. §
36-2234(M).
1. A cover letter
from the certificate holder, including:
a.
The name of the certificate holder;
b. The identifying number on the certificate
holder's current certificate of necessity;
c. A statement that the certificate holder is
submitting a copy of a ground ambulance service contract according to A.R.S.
§
36-2234(M);
d. The name of the other party to the ground
ambulance service contract, including, if applicable, the name of a political
subdivision;
e. The name, title,
address, e-mail address, and telephone number of an individual representing the
other party, as specified according to subsection (B)(1)(d), who the Department
may contact about the proposed ground ambulance service contract if
necessary;
f. The total number of
pages of the proposed ground ambulance service contract, and
g. The signature of the individual acting for
the certificate holder according to
R9-25-102 and the date signed;
and
2. A copy of the
proposed ground ambulance service contract that: 1.a. Includes the
certificate holder's legal name and any other name listed on the certificate
holder's current certificate of necessity;
2.d. Lists the general
public rates or contract rate or range of rates approved by the Director
according to
R9-25-1101, R9-25-1102, or
R9-25-1103;
3.e.
Complies with A.R.S. §§
36-2201 through
36-2246 and this Chapter;
and
4.f. Does not preclude use
of the 9-1-1 system or a similar system.
b. Includes the name of the other party to
the ground ambulance service contract, as specified according to subsection
(B)(1)(d);
c. Identifies each type
of service and level of service to be provided under the proposed ground
ambulance service contract;
C. Except as provided in R9-25-904(A)(2), the
Department shall not approve a proposed ground ambulance service contract
between two certificate holders.
E. The Department shall not enforce the
provisions of a ground ambulance service contract unless the executed ground
ambulance service contract has been approved by the Department and contains
language authorizing the Department to enforce the provisions of the ground
ambulance service contract.
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.