1. A. A person may not act as a procurement organization in this state unless the person is licensed by the Department as a procurement organization.

2. B. An applicant for a procurement organization license shall submit to the Department an application that contains:

   1. 1. The following, according to A.R.S. § 36-851.01(A), in a Department-provided format:

      1. a. The applicant’s name, mailing address, email address, and telephone number;

      2. b. The name or proposed name of the procurement organization, including the:

         1. i. Physical address;
         2. ii. Mailing address, if different from the physical address;
         3. iii. Telephone number;
         4. iv. Email address; and
         5. v. Tax ID number;
      3. c. Whether the applicant is a business organization and, if so, the type of business organization;
      4. d. Whether the applicant is accredited as a procurement organization;
      5. e. If the applicant is not accredited as a procurement organization, the name, email address, telephone number, and professional license number of the medical director;
      6. f. Whether the facility is ready for a licensing inspection by the Department;
      7. g. If the facility is not ready for a licensing inspection specified in subsection (B)(1)(f), the date the facility will be ready for a licensing inspection;
      8. h. The name, title, and contact information of an individual acting on behalf of the applicant, as specified in R9-9A-103;
      9. i. Whether the applicant complies with local zoning ordinances, building codes, and fire codes;
      10. j. Whether the applicant agrees to allow the Department to submit supplemental requests for information under R9-9A-109; and
      11. k. The applicant’s signature and the date signed;
   2. 2. If applicable, documentation that the procurement organization is accredited;
   3. 3. A floor plan, drawn to scale, of each building where the procurement organization will be located, showing the function of each room;
   4. 4. Documentation for the applicant that complies with A.R.S. § 41-1080;
   5. 5. Documentation that shows that the applicant is in good standing with the Arizona Corporation Commission; and
   6. 6. An application fee of $2,000.
3. C. Upon receipt of the application in subsection (B), the Department shall conduct an inspection of the procurement organization, if applicable.
4. D. The Department shall issue or deny a license to an applicant as specified in R9-9A-109.

Historical Note

R9-9A-104 made under Subchapter A, Article 1, by final expedited rulemaking at 30 A.A.R. 3657 (November 29, 2024), with an immediate effective date of November 5, 2024 (Supp. 24-4).