Arizona Administrative Code
Title 6 - ECONOMIC SECURITY
Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES
Article 15 - STANDARDS FOR CERTIFICATION OF HOME AND COMMUNITY-BASED SERVICE (HCBS) PROVIDERS
Section R6-6-1504.04 - Contents of a Complete Application Package - Renewal Certificate

Universal Citation: AZ Admin Code R 6-6-1504.04

Current through Register Vol. 30, No. 12, March 22, 2024

A renewal application is complete when the Division has all the following information:

1. From the applicant, the following items:

a. AHCCCS provider registration form;

b. Documentation of current CPR and First Aid training, current driver's license, and applicable professional licenses and certifications, if prior documentation has expired;

c. A completed declaration of criminal history every three years since the date of initial certification; and

d. Documentation that fingerprints have been taken at three-year intervals.

2. From sources other than the applicant, documentation that the applicant's home or office has passed a fire inspection every two years since the date of initial certification.

Disclaimer: These regulations may not be the most recent version. Arizona may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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