1. A. Except as provided in R9-25-1304(D)(3)(b) and (5)(a), at least 30 calendar days before ceasing to provide a trauma service consistent with a trauma center’s current designation, an owner of a trauma center may request a designation that requires fewer resources and capabilities than the trauma center’s current designation by submitting to the Department an application for modification of the trauma center’s designation, in a Department-provided format, that includes:

   1. 1. The name and address of the trauma center for which the owner is requesting modification of designation;
   2. 2. A list of the criteria for the current designation with which the owner no longer intends to comply;
   3. 3. An explanation of the changes being made in the trauma center’s resources or operations, related to each criterion specified according to subsection (A)(2), to ensure the health and safety of a patient;
   4. 4. The Level of designation being requested;

   5. 5. An attestation that:

      1. a. The owner will be in compliance with all applicable requirements in A.R.S. Title 36, Chapter 21.1 and this Article for the Level of designation requested if modified designation is issued; and
      2. b. The information provided in the application is accurate and complete; and
   6. 6. The dated signature of the applicable individual according to R9-25-102.
2. B. The Department shall review the application submitted according to R9-25-1307(I) to determine whether, with the changes being made in the trauma center’s resources and operations, the trauma center will be in substantial compliance based the applicable standards specified in R9-25-1308 and Table 13.1 for the Level of designation requested.

3. C. To retain trauma center designation for a health care institution, an owner who holds modified designation shall, before the expiration date of the modified designation:

   1. 1. Apply for renewal of designation according to R9-25-1303, based on the health care institution’s meeting the applicable standards specified in R9-25-1308 and Table 13.1, for the Level of the modified designation; or
   2. 2. Apply for initial designation according to R9-25-1303, based on the health care institution meeting the applicable standards specified in R9-25-1308 and Table 13.1, for a Level other than the Level of the modified designation.

Historical Note

New Section made by final rulemaking 11 A.A.R. 4363, effective October 6, 2005 (Supp. 05-4). Section R9-25-1305 repealed; new Section R9-25-1305 renumbered from R9-25-1309 and amended by final rulemaking at 23 A.A.R. 2656, effective January 1, 2018 (Supp. 17-3).