1. A. A health care institution license is required for each health care institution facility except:

   1. 1. A facility exempt from licensing under A.R.S. § 36-402, or
   2. 2. A health care institution’s administrative office.

2. B. Unless required by another Article in this Chapter, the Department does not require a separate health care institution license for:

   1. 1. A satellite facility of a hospital under A.R.S. § 36-422(F);
   2. 2. An accredited facility of an accredited hospital under A.R.S. § 36-422(G);

   3. 3. A facility operated by a licensed health care institution that is:

      1. a. Adjacent to and contiguous with the licensed health care institution premises; or

      2. b. Not adjacent to or contiguous with the licensed health care institution but connected to the licensed health care institution facility by an all-weather enclosure and:

         1. i. Owned by the health care institution, or
         2. ii. Leased by the health care institution with exclusive rights of possession;
   4. 4. A mobile clinic operated by a licensed health care institution; or
   5. 5. A facility located on grounds that are not adjacent to or contiguous with the health care institution premises where only ancillary services are provided to a patient of the health care institution; or

   6. 6. A home health agency or hospice agency that provides off-site services, as specified as medical services, nursing services, behavioral health services, health-screening services, or health-related services provided by a licensed health care institution in an area that is:

      1. a. Not located on the health care institution’s premises;
      2. b. Used to provide medical services, nursing services, behavioral health services, health-screening services, or health-related services of a limited duration; and
      3. c. Used for purposes other than providing medical services, nursing services, behavioral health services, health-screening services, or health-related services when not used by the health care institution.
3. C. A health care institution shall maintain at the health care institution, a current and valid documentation of any certificate or permit issued by a local jurisdiction related to the operation of the health care institution and provide copies to the Department for review upon request.

Historical Note

New Section made by final rulemaking at 8 A.A.R. 3559, effective August 1, 2002 (Supp. 02-3). Amended by exempt rulemaking at 19 A.A.R. 2015, effective October 1, 2013 (Supp. 13-2). Amended by exempt rulemaking at 20 A.A.R. 1409, pursuant to Laws 2013, Ch. 10, § 13; effective July 1, 2014 (Supp. 14-2). Amended by final rulemaking at 31 A.A.R. 2457 (July 25, 2025), effective August 30, 2025 (Supp. 25-3).