Arizona Administrative Code
Title 9 - HEALTH SERVICES
Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING
Article 5 - INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES
Section R9-10-502 - Supplemental Application Requirements and Documentation Submission Requirements

Universal Citation: AZ Admin Code R 9-10-502

Current through Register Vol. 30, No. 38, September 20, 2024

A. In addition to the license application requirements in A.R.S. § 36-422 and R9-10-105, an applicant for a license as an ICF/IID shall include:

1. In a Department-provided format, whether the applicant is requesting authorization:

a. To admit residents who:

i. Require continuous nursing services,

ii. Require intermittent nursing services, or

iii. Do not require nursing services; and

b. To provide:

i. Active treatment to individuals under 18 years of age, including the licensed capacity requested;

ii. Seclusion;

iii. Clinical laboratory services;

iv. Respiratory care services, or

v. Services to residents who have a nursing care plan or medical care plan; and

2. Documentation of the applicant's certification as an ICF/IID by the federal Centers for Medicare and Medicaid Services.

B. A licensee shall submit to the Department, with the relevant fees required in R9-10-106(C) and in a Department-provided format:

1. The information required in subsection (A)(1), as applicable, and

2. The documentation specified in subsection (A)(2).

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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