Ariz. Admin. Code § R9-25-1305 - Modification of Designation (A.R.S.Sections 36-2202(A)(4), 36-2209(A)(2), and 36-2225(A)(4))

A. An owner of a trauma center who desires to obtain a designation that requires fewer resources and capabilities than the trauma center's current designation shall, at least 30 days before ceasing to provide trauma services consistent with the current designation, send the Department an application for modification of the trauma center's designation, including:

1. The name, address, and main telephone number of the trauma center for which the owner seeks modification of designation;

2. The owner's name, address, and telephone number and, if available, fax number and e-mail address;

3. A list of the applicable ACS or state criteria for the current designation with which the owner no longer intends to comply;

4. An explanation of the changes being made in the trauma center's resources or operations related to each criterion listed under subsection (A)(3);

5. The state Level of designation requested;

6. Attestation that the owner knows the state standards for the Level of designation requested and will ensure that the trauma center meets the state standards if modified designation is issued;

7. Attestation that the information provided in the application is accurate and complete; and

8. The dated signature of the owner, as prescribed in R9-25-1304(A)(1)(l) .

B. The Department shall process an application as provided in R9-25-1315 .

C. The Department shall issue a modified designation if the Department determines that, with the changes being made in the trauma center's resources and operations, the trauma center will meet the state standards for the Level of designation requested.

D. An owner who obtains modified designation shall, during the term of the modified designation, ensure that the owner's trauma center meets the state standards that were the subject of the owner's attestation described in subsection (A)(6).

E. The Department may:

1. Investigate, as provided under R9-25-1311, a trauma center that is the subject of a modified designation; and

2. Revoke, as provided under R9-25-1312, a modified designation.

F. An owner who holds modified designation shall, before the expiration date of the modified designation:

1. If the owner desires to retain designation based on the trauma center's meeting the state standards at the Level of the modified designation, apply for renewal of designation under R9-25-1306 ; or

2. If the owner desires to obtain designation based on verification or based on the trauma center's meeting the state standards at a Level other than the Level of the modified designation, apply for initial designation under R9-25-1304 .

A. Except as provided in R9-25-1304(D)(3)(b) and (5)(a), at least 30 calendar days before ceasing to provide a trauma service consistent with a trauma center's current designation, an owner of a trauma center may request a designation that requires fewer resources and capabilities than the trauma center's current designation by submitting to the Department an application for modification of the trauma center's designation, in a Department-provided format, that includes:

1. The name and address of the trauma center for which the owner is requesting modification of designation;

2. A list of the criteria for the current designation with which the owner no longer intends to comply;

3. An explanation of the changes being made in the trauma center's resources or operations, related to each criterion specified according to subsection (A)(2), to ensure the health and safety of a patient;

4. The Level of designation being requested;

5. An attestation that:

a. The owner will be in compliance with all applicable requirements in A.R.S. Title 36, Chapter 21.1 and this Article for the Level of designation requested if modified designation is issued; and

b. The information provided in the application is accurate and complete; and

6. The dated signature of the applicable individual according to R9-25-102.

B. The Department shall review the application submitted according to R9-25-1307(I) to determine whether, with the changes being made in the trauma center's resources and operations, the trauma center will be in substantial compliance based the applicable standards specified in R9-25-1308 and Table 13.1 for the Level of designation requested.

C. To retain trauma center designation for a health care institution, an owner who holds modified designation shall, before the expiration date of the modified designation:

1. Apply for renewal of designation according to R9-25-1303, based on the health care institution's meeting the applicable standards specified in R9-25-1308 and Table 13.1, for the Level of the modified designation; or

2. Apply for initial designation according to R9-25-1303, based on the health care institution meeting the applicable standards specified in R9-25-1308 and Table 13.1, for a Level other than the Level of the modified designation.

Notes

Ariz. Admin. Code § R9-25-1305

New Section made by final rulemaking 11 A.A.R. 4363, effective October 6, 2005 (Supp. 05-4). Amended and renumbered from R9-6-1309 by final rulemaking at 23 A.A.R. 2656, effective 1/1/2018.