1. 1. Include on the application:

   1. a. The name and address of each proposed branch office, if applicable; and

   2. b. The geographic region to be served by:

      1. i. The proposed home health agency’s administrative office, and
      2. ii. Each proposed branch office; and

2. 2. Submit to the Department a copy of a valid fingerprint clearance card issued according to A.R.S. Title 41, Chapter 12, Article 3.1 for:

   1. a. The applicant, if the applicant is an individual; or
   2. b. Each individual with a 10% or greater ownership of the business organization, if the applicant is a business organization.

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

Historical Note

Section made 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).