1. A. In addition to the license application requirements in A.R.S. § 36-422 and R9-10-105, an applicant for a license as an ICF/IID shall include:

   1. 1. In a Department-provided format, whether the applicant is requesting authorization:

      1. a. To admit residents who:

         1. i. Require continuous nursing services,
         2. ii. Require intermittent nursing services, or
         3. iii. Do not require nursing services; and

      2. b. To provide:

         1. i. Active treatment to individuals under 18 years of age, including the licensed capacity requested;
         2. ii. Seclusion;
         3. iii. Clinical laboratory services;
         4. iv. Respiratory care services, or
         5. v. Services to residents who have a nursing care plan or medical care plan; and
   2. 2. Documentation of the applicant’s certification as an ICF/IID by the federal Centers for Medicare and Medicaid Services.

2. B. A licensee shall submit to the Department, with the relevant fees required in R9-10-106(C) and in a Department-provided format:

   1. 1. The information required in subsection (A)(1), as applicable, and
   2. 2. The documentation specified in subsection (A)(2).

Historical Note

Adopted as an emergency effective October 26, 1988, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 88-4). Emergency expired. Readopted without change as an emergency effective January 27, 1989, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 89-1). Emergency expired. Readopted without change as an emergency effective April 27, 1989, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 89-2). Emergency expired. Readopted without change as an emergency effective July 31, 1989, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 89-3). Permanent rules adopted with changes effective October 30, 1989 (Supp. 89-4). Section repealed, new Section adopted effective April 4, 1994 (Supp. 94-2). Section repealed; Section amended by exempt rulemaking at 19 A.A.R. 2015, effective October 1, 2013 (Supp. 13-2).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). Section R9-10-502 renumbered to R9-10-2102; new Section R9-10-502 made by exempt rulemaking at 25 A.A.R. 1222, effective April 25, 2019 (Supp. 19-2). Amended by exempt rulemaking, at 26 A.A.R. 72 with an effective date of January 1, 2020 (Supp. 19-4).