Arizona Administrative Code
Title 9 - HEALTH SERVICES
Chapter 11 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTION FACILITY AND HEALTH PROFESSIONALS WORKFORCE DATA
Article 6 - HEALTH PROFESSIONALS WORKFORCE DATABASE
Section R9-11-602 - Designated Database Information

Universal Citation: AZ Admin Code R 9-11-602

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

A. A Board shall establish a process for requesting the information in subsection (B):

1. From an individual applying for an initial license, certification, or registration, at the time of application; and

2. From an individual regulated by the Board, in compliance with A.R.S. § 32-3249.01(A).

B. A Board shall request the following information about an individual, in a Department-provided format:

1. The individual's name;

2. The individual's date of birth;

3. The individual's gender;

4. The individual's race and ethnicity;

5. If applicable, the individual's National Provider Number;

6. Whether the individual is able to provide services to patients or clients in a language other than English and, if so, in which languages;

7. The type of license, certification, or registration held by the individual or for which the individual is applying;

8. The individual's professional license, registration, or certification number, if applicable;

9. The beginning and end date of the individual's current license, certification, or registration, if applicable;

10. The individual's highest level of training or education related to the individual's license, certification, or registration;

11. The individual's highest level of education in another field;

12. The individual's current employment status;

13. Whether the individual is currently providing direct patient care related to the individual's license, certification, or registration, as applicable, on a regular basis in Arizona and, if so:
a. The zip code of the individual's primary practice location;

b. The type of facility in which the individual is providing direct patient care at the primary practice location;

c. The number of weeks worked over the previous 12 months at the primary practice location;

d. The average hours worked per week at the primary practice location, including the percentage of time spent in:
i. Direct patient care;

ii. Administration, including any paperwork not part of direct patient care;

iii. Research;

iv. Teaching or education; or

v. Other specified activities;

e. Whether the individual expects a change in subsection (B)(13)(b), (c), or (d) in the next 12 months; and

f. If the individual expects to reduce the time spent providing direct patient care in the next 12 months, the reason for the change; and

14. If the individual is a physician, physician assistant, or registered nurse practitioner, whether the individual provides primary care services, as defined in A.A.C. R9-24-201.

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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