Arizona Administrative Code
Title 9 - HEALTH SERVICES
Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING
Article 12 - HOME HEALTH AGENCIES
Section R9-10-1202 - Supplemental Application Requirements
Universal Citation: AZ Admin Code R 9-10-1202
Current through Register Vol. 30, No. 12, March 22, 2024
In addition to the license application requirements in A.R.S. § 36-422 and R9-10-105, an applicant for a license as a home health agency shall:
1. Include on the application:
a. The name and address of each proposed
branch office, if applicable; and
b. The geographic region to be served by:
i. The proposed home health agency's
administrative office, and
ii. Each
proposed branch office; and
2. Submit to the Department a copy of a valid fingerprint clearance card issued according to A.R.S. Title 41, Chapter 12, Article 3.1 for:
a. The applicant, if the
applicant is an individual; or
b.
Each individual with a 10% or greater ownership of the business organization,
if the applicant is a business organization.
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