1. A. A licensee shall ensure that:

   1. 1. The Department is notified in writing at least 30 calendar days before the effective date of:

      1. a. Except as provided in subsection (H), a change in the name of:

         1. i. A health care institution, or
         2. ii. The licensee;

      2. b. A change in the hours of operation:

         1. i. Of an administrative office, or
         2. ii. For providing physical health services or behavioral health services to patients of the health care institution;
      3. c. A change in the address of a health care institution that does not provide medical services, nursing services, behavioral health services, or health-related services; or
      4. d. A change in the geographic region to be served by the hospice service agency or home health agency; and
   2. 2. Documentation supporting the change is provided to the Department with the notification required in subsection (A)(1).

2. B. If a licensee intends to terminate the operation of a health care institution, the licensee shall ensure that the Department is notified in writing of:

   1. 1. The termination of the health care institution’s operations, as required in A.R.S. § 36-422(D), at least 30 calendar days before the termination, and
   2. 2. The address and contact information for the location where the health care institution’s medical records will be retained as required in A.R.S. § 12-2297.
3. C. A licensee shall ensure that the Department is notified in writing, according to A.R.S. § 36-425(I), of a change in the chief administrative officer of the health care institution.
4. D. If a health care institution is accredited by a nationally recognized accrediting organization, a licensee may submit to the Department the health care institution’s current accreditation report.

5. E. If a licensee is an adult behavioral health therapeutic home or a behavioral health respite home, the licensee shall ensure that:

   1. 1. The Department is notified in writing if the licensee does not have a written agreement with a collaborating health care institution, as required in R9-10-1603(A)(3) or R9-10-1803(A)(3) as applicable; and

   2. 2. The adult behavioral health therapeutic home or behavioral health respite home does not accept an individual as a resident or recipient, as applicable, or provide services to a resident or recipient, as applicable, until:

      1. a. The adult behavioral health therapeutic home or behavioral health respite home has a written agreement with a collaborating health care institution;

      2. b. The collaborating health care institution has approved the adult behavioral health therapeutic home’s or behavioral health respite home’s:

         1. i. Scope of services, and
         2. ii. Policies and procedures; and
      3. c. The collaborating health care institution has verified the provider’s skills and knowledge.

6. F. If a licensee is an affiliated outpatient treatment center, the licensee shall ensure that if the affiliated outpatient treatment center:

   1. 1. Plans to begin providing administrative support to a counseling facility at a time other than during the affiliated outpatient treatment center’s license application process, the following information for each counseling facility is submitted to the Department before the affiliated outpatient treatment center begins providing administrative support:

      1. a. The counseling facility’s name,
      2. b. The license number assigned to the counseling facility by the Department, and
      3. c. The date the affiliated outpatient treatment center will begin providing administrative support to the counseling facility; or

   2. 2. No longer provides administrative support to a counseling facility previously identified by the affiliated outpatient treatment center as receiving administrative support from the affiliated outpatient treatment center, the following information for each counseling facility is submitted to the Department within 30 calendar days after the affiliated outpatient treatment center no longer provides administrative support:

      1. a. The counseling facility’s name,
      2. b. The license number assigned to the counseling facility by the Department, and
      3. c. The date the affiliated outpatient treatment center stopped providing administrative support to the counseling facility.

7. G. If a licensee is a counseling facility, the licensee shall ensure that if the counseling facility:

   1. 1. Plans to begin receiving administrative support from an affiliated outpatient treatment center at a time other than during the counseling facility’s license application process, the following information for the affiliated outpatient treatment center is submitted to the Department before the counseling facility begins receiving administrative support:

      1. a. The affiliated outpatient treatment center’s name,
      2. b. The license number assigned to the affiliated outpatient treatment center by the Department, and
      3. c. The date the counseling facility will begin receiving administrative support;

   2. 2. No longer receives administrative support from an affiliated outpatient treatment center previously identified by the counseling facility as providing administrative support to the counseling facility, the following information for the affiliated outpatient treatment center is submitted to the Department within 30 calendar days after the counseling facility no longer receives administrative support from the affiliated outpatient treatment center:

      1. a. The affiliated outpatient treatment center’s name,
      2. b. The license number assigned to the affiliated outpatient treatment center by the Department, and
      3. c. The date the counseling facility stopped receiving administrative support from the affiliated outpatient treatment center;

   3. 3. Plans to begin sharing administrative support with an affiliated counseling facility at a time other than during the counseling facility’s license application process, the following information for each affiliated counseling facility sharing administrative support with the counseling facility is submitted to the Department before the counseling facility and affiliated counseling facility begin sharing administrative support:

      1. a. The affiliated counseling facility’s name,
      2. b. The license number assigned to the affiliated counseling facility by the Department, and
      3. c. The date the counseling facility and the affiliated counseling facility will begin sharing administrative support; or

   4. 4. No longer shares administrative support with an affiliated counseling facility previously identified by the counseling facility as sharing administrative support with the counseling facility, the following information is submitted for each affiliated counseling facility within 30 calendar days after the counseling facility and affiliated counseling facility no longer share administrative support:

      1. a. The affiliated counseling facility’s name,
      2. b. The license number assigned to the affiliated counseling facility by the Department, and
      3. c. The date the counseling facility and affiliated counseling facility will no longer be sharing administrative support.

8. H. A governing authority shall submit a license application required in R9-10-105 for:

   1. 1. A change in ownership of a health care institution;
   2. 2. A change in the address or location of a health care institution that provides medical services, nursing services, health-related services, or behavioral health services; or
   3. 3. A change in a health care institution’s class or subclass.

9. I. A governing authority is not required to submit the documentation required in R9-10-105(A)(5) for a license application if:

   1. 1. The health care institution has not ceased operations for more than 30 calendar days,
   2. 2. A modification has not been made to the health care institution,
   3. 3. The services the health care institution is authorized by the Department to provide are not changed, and
   4. 4. The location of the health care institution’s premises is not changed.

10. J. To request a duplicate license, a licensee shall submit a written request to the Department for the duplicate license in a format provided by the Department that includes:

    1. 1. The licensee’s name and address,
    2. 2. The licensee’s license number and expiration date,
    3. 3. The licensee’s signature and date of signature, and
    4. 4. If applicable, the fee in R9-10-106.

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 exempt rulemaking at 20 A.A.R. 3535, pursuant to Laws 2014, Ch. 233, § 5; effective January 1, 2015 (Supp. 14-4). Amended by final rulemaking at 25 A.A.R. 1583, effective October 1, 2019 (Supp. 19-3). Amended by final expedited rulemaking at 26 A.A.R. 551, with an immediate effective date of March 3, 2020 (Supp. 20-1). Amended by final rulemaking at 31 A.A.R. 2457 (July 25, 2025), effective August 30, 2025 (Supp. 25-3).