reglab/statecodes huggingface dataset:
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 22 - ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM - ADMINISTRATION › Article 20 - BREAST AND CERVICAL CANCER TREATMENT PROGRAM › Section R9-22-2005 - Application Process

Current through Register Vol. 30, No. 28, July 12, 2024
A. Application.
				A woman may apply for eligibility under this Article by submitting a complete
				application as specified in R9-22-1406.
B. Submitting the application. The woman may
				complete and submit an application at the time of the AZ-NBCCEDP screening. The
				AZ-NBCCEDP staff may mail or fax the application directly to the
				Administration.
C. Date of
				application. The date of the application is the date of the diagnostic
				procedure that results in a positive diagnosis for breast cancer or cervical
				cancer, including a pre-cancerous cervical lesion.
D. Responsibility of a woman who is applying
				or who is a member. A woman who is applying or who is a member shall:
1. Provide medical insurance information,
				including any changes in medical insurance; and
2. Inform the Administration about a change
				in address, residence, and alienage status.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 22 - ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM - ADMINISTRATION › Article 20 - BREAST AND CERVICAL CANCER TREATMENT PROGRAM › Section R9-22-2006 - Approval, Denial, or Discontinuance of Eligibility

Current through Register Vol. 30, No. 28, July 12, 2024
A. Eligibility determination. The
				Administration shall determine eligibility under this Article and send the
				notice under subsection (B) or (C) within seven days of receiving a complete
				application.
B. Approval. If a
				woman meets all the eligibility requirements in this Article, the
				Administration shall provide the woman with an approval notice. The approval
				notice shall contain:
1. The name of the
				eligible woman, and
2. The
				effective date of eligibility.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 22 - ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM - ADMINISTRATION › Article 20 - BREAST AND CERVICAL CANCER TREATMENT PROGRAM › Section R9-22-2007 - Effective and End Date of Eligibility

Current through Register Vol. 30, No. 28, July 12, 2024
AEligibility is effective on the first day of
				the month that all eligibility requirements are met, including the period
				described under R9-22-303.
B. The
				end date of eligibility:
1. For breast
				cancer, is 12 months after the last provider visit for a treatment specified in
				R9-22-2004 for the cancer or at the end of hormonal therapy for the cancer,
				whichever is later.
2. For
				pre-cancerous cervical lesion, is four months after the last provider visit for
				a treatment specified in R9-22-2004 for the pre-cancerous lesion.
3. For cervical cancer, is 12 months after
				the last provider visit for a treatment specified in R9-22-2004 for the cancer.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 22 - ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM - ADMINISTRATION › Article 20 - BREAST AND CERVICAL CANCER TREATMENT PROGRAM › Section R9-22-2008 - Redetermination of Eligibility

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				Redetermination. Except as provided in subsection (B), the Administration shall
				redetermine eligibility at least once a year. If a woman continues to meet the
				requirements of eligibility for the Breast and Cervical Cancer Treatment
				Program under this Article, the Administration shall notify the woman of
				continued eligibility. A woman is not required to be screened for breast and
				cervical cancer through AZ-NBCCEDP at redetermination.
B. Change in circumstance. The Administration
				shall complete a redetermination of eligibility if there is a change in the
				woman's circumstances that may affect eligibility, including a change in
				treatment.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 22 - ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM - ADMINISTRATION › Article 21 - TRAUMA AND EMERGENCY SERVICES FUND › Section R9-22-2101 - General Provisions

Current through Register Vol. 30, No. 28, July 12, 2024
A. A.R.S.
				§
									36-2903.07
				establishes the Administration as the authority to administer the Trauma and
				Emergency Services Fund.
B. The
				Administration shall distribute 90% of monies from the trauma and emergency
				services fund to a level I trauma center, as defined in subsection (F) of this
				Section, for unrecovered trauma center readiness costs as defined in subsection
				(F) of this Section. Reimbursement is limited to no more than the amount of
				unrecovered trauma center readiness costs as determined in subsections (D) and
				(E) of this Section. Unexpended funds may be used to reimburse unrecovered
				emergency room costs under subsection (C) of this Section.
C. The Administration shall distribute 10% of
				monies from the trauma and emergency services fund, for unrecovered emergency
				services costs, to a hospital having an emergency department, using criteria
				under
				R9-22-2103.
				Reimbursement is limited to no more than the amount of unrecovered emergency
				services costs as determined in R9-22-2103. The Administration may distribute
				more than 10% of the monies for unrecovered emergency room costs when there are
				unexpended monies under subsection (B) of this Section.
D. The Administration shall distribute a
				reporting tool and guidelines to level I trauma centers to determine, on an
				annual basis, the unrecovered trauma center readiness costs for level I trauma
				centers as defined in subsection (F) of this Section. The reporting time-frame
				is July 1 of the prior year through June 30 of the reporting year. A level I
				trauma center shall submit the requested data and a copy of the most recently
				completed uniform accounting report under A.R.S. §
									36-125.04
				to the Administration no later than October 31 of each reporting
				year.
E. When a level I trauma
				center closes in a county where there are one or more level I trauma center(s)
				remaining in operation, the following shall occur:
1. The closing level I trauma center shall
				submit the requested data under subsection (D) of this Section for the months
				of the reporting time-frame in which it met the definition of a level I trauma
				center, and
2. The data under
				subsection (D) of this Section, which is submitted by the closing level I
				trauma center, shall be added to the remaining level I trauma center(s) in that
				county for the current reporting time-frame only.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 22 - ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM - ADMINISTRATION › Article 21 - TRAUMA AND EMERGENCY SERVICES FUND › Section R9-22-2102 - Distribution of Trauma and Emergency Services Fund: Level I Trauma Centers

Current through Register Vol. 30, No. 28, July 12, 2024
A. On or after
				November 1, 2003, the Administration shall distribute monies, under
				R9-22-2101(B),
				to level I trauma centers using monies available in the trauma and emergency
				services fund at the time of payment. The Administration shall take into
				consideration the proportion of those hospitals' trauma case volume. The
				Administration shall:
1. Recalculate the
				November 2003 payments in July 2004 using the formula in subsection (B) of this
				Section;
2. Recoup November 2003
				overpayments by reducing the July 2004 distributions under subsection (C) as
				appropriate; and
3. Redistribute
				recouped funds, with the July 2004 payment, to level I trauma centers underpaid
				in November 2003.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 22 - ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM - ADMINISTRATION › Article 21 - TRAUMA AND EMERGENCY SERVICES FUND › Section R9-22-2103 - Distribution of Trauma and Emergency Services Fund: Emergency Services

Current through Register Vol. 30, No. 28, July 12, 2024
On or after June 30 of each year, the Administration shall
				  distribute monies available in the trauma and emergency services fund at the
				  time of payment as follows:
1. As
				allocated under R9-22-2101(C),
2.
				To hospitals that had an emergency department from July 1 through June 30 of
				the prior year, and
3. On a pro
				rata share of each hospital's cost of uncompensated emergency care as a
				percentage of the total statewide cost of uncompensated emergency care provided
				by hospitals under subsection (2) as reported in the uniform accounting reports
				to the Arizona Department of Health Services under A.R.S. §
									36-125.04.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 22 - ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM - ADMINISTRATION › Article 21 - TRAUMA AND EMERGENCY SERVICES FUND › Section R9-22-2104 - Additional Trauma and Emergency Services Payments under the Section 1115 Waiver

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				Notwithstanding R9-22-2101(D), for the reporting years ending June 30, 2011 and
				June 30, 2012, the Administration shall distribute an amount equal to the
				balance of the Trauma and Emergency Services fund in the following manner:
1. Ninety percent of the amount shall be
				distributed to Level I trauma centers based upon each center's pro rata share
				of each center's acuity-adjusted volume as a percentage of the total
				acuity-adjusted volume for all centers in the state. The acuity-adjusted volume
				is calculated by multiplying the Injury Severity Score employed by trauma.org
				by the number of trauma cases at that level treated at the center during the
				reporting year. Hospitals shall report trauma scores and case volume on a
				worksheet prescribed by the Administration.
2. Ten percent of the amount shall be
				distributed proportionately to hospitals that had an emergency department from
				July 1 through June 30 of the reporting year based the pro rata share of each
				hospital's cost of emergency care as a percentage of the total statewide cost
				of emergency care provided by hospitals as reported on the Worksheet B, column
				27, line 61 of the hospital's most current Medicare Cost Report as of January
				31 following the end of each reporting year.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 23 - DEPARTMENT OF HEALTH SERVICES - ORAL HEALTH › Article 1 - DEFINITIONS › Section R9-23-101 - Definitions

Current through Register Vol. 30, No. 28, July 12, 2024
In this Chapter, unless the context otherwise
				  requires:
1. "Child" means an individual who is:
a. 18 years of age or less, or
b. More than 18 years of age and attending school.
2. "Contact person" means an individual in charge of an oral
				  health program at a school.
3. "Dental care" means oral health prevention, maintenance,
				  and treatment of diseases, injury, or other dental conditions.
4. "Dental sealant services" means activities related to the
				  application of a dental sealant by a dentist or dental hygienist, including
				  dental care provided to a child.
5. "Department" means the Arizona Department of Health
				  Services.
6. "National School Lunch Program" means the federally funded
				  assisted meal program as established under
				  42 U.S.C.
				  1751 to
				  42 U.S.C. 1769
				  h.
7. "Optimally fluoridated" means the level of fluoride in
				  water recommended by the Centers for Disease Control and Prevention to prevent
				  tooth decay.
8. "Parent" has the same meaning as in A.R.S. §
									15-101.
9. "School" has the same meaning as in A.R.S. §
									36-671.
10. "School year" means the period between July 1 and the
				  following June 30.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 23 - DEPARTMENT OF HEALTH SERVICES - ORAL HEALTH › Article 2 - ARIZONA DENTAL SEALANT PROGRAM › Section R9-23-201 - Application Process

Current through Register Vol. 30, No. 28, July 12, 2024
A. For a school
				to participate in the Arizona Dental Sealant Program for a school year and
				receive dental sealant services, a contact person shall submit to the
				Department a completed application form provided by the Department that
				contains:
1. The contact person's name,
				title, telephone number, fax number, and if applicable, e-mail
				address;
2. The school's name,
				street address, and telephone number;
3. The school's mailing address if different
				than the school's street address;
4. The name of the school district and county
				where the school is located;
5. The
				percentage of children attending the school that participated in the National
				School Lunch Program during the current school year; and
6. The number of children attending second
				and sixth grades.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 23 - DEPARTMENT OF HEALTH SERVICES - ORAL HEALTH › Article 2 - ARIZONA DENTAL SEALANT PROGRAM › Section R9-23-202 - Approval Criteria for Participation

Current through Register Vol. 30, No. 28, July 12, 2024
The Department uses the following criteria when determining
				  whether to approve a school for participation in the Arizona Dental Sealant
				  Program:
1. The amount of funding
				available for the Arizona Dental Sealant Program,
2. The time and date the Department received
				the application,
3. The school's
				percentage of children attending the school that participated in the National
				School Lunch Program, and
4.
				Whether the school has at least 25 children in second and sixth grades when the
				number of children in each grade is added together.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 23 - DEPARTMENT OF HEALTH SERVICES - ORAL HEALTH › Article 2 - ARIZONA DENTAL SEALANT PROGRAM › Section R9-23-203 - Participation Requirements

Current through Register Vol. 30, No. 28, July 12, 2024
The contact person for a participating school shall ensure
				  that each child participating in the Arizona Dental Sealant Program has on file
				  at the school a parental consent form provided by the Department that
				  includes:
1. The child's name,
				and
2. A parent's signature
				indicating permission to participate in the Arizona Dental Sealant Program.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 23 - DEPARTMENT OF HEALTH SERVICES - ORAL HEALTH › Article 3 - ARIZONA FLUORIDE MOUTHRINSE PROGRAM › Section R9-23-301 - Application Process

Current through Register Vol. 30, No. 28, July 12, 2024
A. For a school
				to participate in the Arizona Fluoride Mouthrinse Program for three years, a
				contact person shall submit a completed application form provided by the
				Department to the Department that contains:
1. The contact person's name, title,
				telephone number, fax number, and if applicable, e-mail address;
2. The school's name, street address, mailing
				address, and telephone number;
3.
				The name of the school district and county where the school is
				located;
4. The grades in the
				school that will participate in the Arizona Fluoride Mouthrinse Program during
				the next school year;
5. The
				anticipated number of children that will participate in the Arizona Fluoride
				Mouthrinse Program during the next school year;
6. The percentage of children attending the
				school that participated in the National School Lunch Program during the
				current school year; and
7. The
				flavor and amount of fluoride mouthrinse needed.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 23 - DEPARTMENT OF HEALTH SERVICES - ORAL HEALTH › Article 3 - ARIZONA FLUORIDE MOUTHRINSE PROGRAM › Section R9-23-302 - Approval Criteria for Participation

Current through Register Vol. 30, No. 28, July 12, 2024
The Department uses the following criteria when determining
				  whether to approve a school for participation in the Arizona Fluoride
				  Mouthrinse Program:
1. The amount of
				funding available for the Arizona Fluoride Mouthrinse Program,
2. The time and date the Department received
				the application,
3. The school's
				percentage of children attending the school that participated in the National
				School Lunch Program,
4. Whether
				the school is located in a community where the water is not optimally
				fluoridated,
5. Whether the school
				participated in the Arizona Fluoride Mouthrinse Program during the previous
				school year, and
6. If the school
				did participate in the Arizona Fluoride Mouthrinse Program, whether the school
				complied with R9-23-304.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 23 - DEPARTMENT OF HEALTH SERVICES - ORAL HEALTH › Article 3 - ARIZONA FLUORIDE MOUTHRINSE PROGRAM › Section R9-23-303 - Participation Requirements

Current through Register Vol. 30, No. 28, July 12, 2024
The contact person for a participating school shall:
1. Ensure that each child participating in
				the Arizona Fluoride Mouthrinse Program has a parental consent form provided by
				the Department that includes:
a. The child's
				name, and age;
b. The school's
				name;
c. The child's
				grade;
d. A parent's signature
				indicating permission to participate in the Arizona Fluoride Mouthrinse
				Program; and
e. The date the parent
				signed the parental consent form;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 23 - DEPARTMENT OF HEALTH SERVICES - ORAL HEALTH › Article 3 - ARIZONA FLUORIDE MOUTHRINSE PROGRAM › Section R9-23-304 - Continuing Participation

Current through Register Vol. 30, No. 28, July 12, 2024
A. By
				March 15 in each year of participation, the contact person for a participating
				school shall submit to the Department a written program evaluation on a form
				provided by the Department that includes:
1.
				The contact person's name, title, address, telephone number, fax number, and if
				applicable, e-mail address;
2. The
				school's name, street address, mailing address, and telephone number;
3. The name of the school district and county
				where the school is located;
4. The
				number of years the school has participated in the Arizona Fluoride Mouthrinse
				Program;
5. The percentage of
				children attending the school that participated in the National School Lunch
				Program during the current school year;
6. The grades in the school that participated
				in the Arizona Fluoride Mouthrinse Program;
7. The grades in the school that will
				participate in the Arizona Fluoride Mouthrinse Program during the next school
				year;
8. The number of children
				that participated in the Arizona Fluoride Mouthrinse Program during the current
				school year;
9. The number of
				children the contact person anticipates will participate in the Arizona
				Fluoride Mouthrinse Program during the next school year;
10. The number of packets or boxes of
				fluoride mouthrinse unused at the end of the current school year, if
				applicable;
11. The number of
				packets or boxes of fluoride mouthrinse needed for the next school year;
				and
12. The flavor of fluoride
				mouthrinse.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 24 - DEPARTMENT OF HEALTH SERVICES - ARIZONA MEDICALLY UNDERSERVED AREA HEALTH SERVICES › Article 2 - ARIZONA MEDICALLY UNDERSERVED AREAS › Section R9-24-201 - Definitions

Current through Register Vol. 30, No. 28, July 12, 2024
In addition to the definitions in A.R.S. §
									36-2351,
				  the following definitions apply in this Article, unless otherwise
				  specified:
1. "Agency" has the same
				meaning as in A.R.S. §
									41-1001.
2.
				"Arizona Medical Board" means the agency established by A.R.S. §
									32-1402
				to regulate physicians licensed under A.R.S. Title 32, Chapter 13.
3.
				"Arizona medically underserved area" means:
a. A primary care area with the designation
				described in
				R9-24-202(1),
				or
b. A primary care area with the
				designation described in
				R9-24-202(2).
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 24 - DEPARTMENT OF HEALTH SERVICES - ARIZONA MEDICALLY UNDERSERVED AREA HEALTH SERVICES › Article 2 - ARIZONA MEDICALLY UNDERSERVED AREAS › Section R9-24-202 - Arizona Medically Underserved Area Designation

Current through Register Vol. 30, No. 28, July 12, 2024
The Department shall designate as Arizona medically
				  underserved areas:
1. The primary care
				areas designated as primary care HPSAs by the U.S. Department of Health and
				Human Services, and
2. The primary
				care areas designated as medically underserved by the Department under
				R9-24-203 and
				Table 2.1.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 24 - DEPARTMENT OF HEALTH SERVICES - ARIZONA MEDICALLY UNDERSERVED AREA HEALTH SERVICES › Article 2 - ARIZONA MEDICALLY UNDERSERVED AREAS › Section R9-24-203 - Primary Care Index

Current through Register Vol. 30, No. 28, July 12, 2024
A. Every 24
				months, the Department shall prepare, according to this Section, a primary care
				index for designating primary care areas determined under
				R9-24-204
				as Arizona medically underserved areas.
1.
				For each primary care area determined under
				R9-24-204,
				the Department shall calculate the value for each criterion in subsection (B).
a. After calculating the value for each
				criterion in subsection (B), the Department shall assign points to each value
				according to Table 2.1.
b. A
				primary care area's score is the sum of the points received by the primary care
				area for each criterion in subsection (B).
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 24 - DEPARTMENT OF HEALTH SERVICES - ARIZONA MEDICALLY UNDERSERVED AREA HEALTH SERVICES › Article 2 - ARIZONA MEDICALLY UNDERSERVED AREAS › Table 2.1 - Primary Care Index Scoring

Current through Register Vol. 30, No. 28, July 12, 2024
CRITERIA
VALUE RANGE
POINTS
Population-to-primary care physician ratio
<= 3000:1
0
3001:1 to 3500:1
2
3501:1 to 4000:1
4
4001:1 to 5000:1
6
5001:1 to 10,000:1
8
>10,000:1 or no physician
10
Travel distance to nearest primary care
							 physician
<= 10.0 miles
0
10.1 - 20.0 miles
2
20.1 - 30.0 miles
4
30.1 - 40.0 miles
6
40.1 - 50.0 miles
8
> 50.0 miles
10
Percentage of population with annual income less than
							 200% of Federal poverty level
<= 20.0%
0
20.1 - 32.0%
2
32.1 - 39.0%
4
39.1 - 51.0%
6
> 51.0%
8
Percentage of population who do not have health
							 insurance
<= 6.2%
0
6.3 - 9.6%
2
9.7 - 12.2%
4
12.3 - 17.2%
6
> 17.2%
8
Low Birthweight Rate (percent of births)
<= 6.2%
0
6.3 - 6.9%
2
7.0 - 7.5%
4
7.6 - 8.2%
6
> 8.2%
8
Late or No Prenatal Care Rate (percent of
							 births)
<= 4.6%
0
4.7 - 6.2%
2
6.3 - 8.2%
4
8.3 - 12.4%
6
>12.4%
8
Infant Mortality Rate (per 1,000 live births)
<= 3.5
0
3.6 - 5.4
2
5.5 - 7.0
4
7.1 - 10.0
6
>10.0
8
In addition to the criteria specified in
							 R9-24-203(B)
							 and listed above, if a primary care area satisfies one or more of the following
							 supplementary criteria, add one additional point to the primary care area score
							 for each supplementary criteria satisfied. Supplementary criteria score, based
							 on a rate greater than the state wide average for:
1. Percentage of population age 65 and older;
2. Percentage of population age 14 and
							 younger;
3. Percentage of population with a disability;
4. Percentage of population who are communities of
							 color; and
5. Percentage of population who speaks a language
							 other than English.
Key to Symbols: <= represents "less than or equal
							 to" and > represents "more than"
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 24 - DEPARTMENT OF HEALTH SERVICES - ARIZONA MEDICALLY UNDERSERVED AREA HEALTH SERVICES › Article 2 - ARIZONA MEDICALLY UNDERSERVED AREAS › Section R9-24-204 - Primary Care Area Boundaries Determination

Current through Register Vol. 30, No. 28, July 12, 2024
A. The Department shall determine the
				boundaries of primary care areas for the entire state. A primary care area's
				boundaries shall meet the following requirements:
1. The geographic area within the boundaries
				corresponds to or is larger than a census tract identified for the geographic
				area in the most recent American Community Survey prepared by the U.S. Census
				Bureau;
2. The boundaries are
				consistent with the population's primary care services utilization patterns;
				and
3. The primary care utilization
				patterns are determined by considering:
a.
				The geographic area's:
i.
				Topography,
ii. Social and cultural
				relationships of the people living within the geographic area,
iii. Political subdivision boundaries,
				and
iv. Travel patterns;
				and
b. Data about the
				type, amount, and location of primary care services used by the geographic
				area's population, obtained from local planning personnel, government
				officials, health organizations, primary care physicians, and residents of the
				geographic area.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 24 - DEPARTMENT OF HEALTH SERVICES - ARIZONA MEDICALLY UNDERSERVED AREA HEALTH SERVICES › Article 3 - COORDINATING MEDICAL PROVIDERS › Section R9-24-301 - Definitions

Current through Register Vol. 30, No. 28, July 12, 2024
In addition to the definitions in A.R.S. §
									36-2351
				  and 9 A.A.C. 24, Article 2, the following definitions apply in this Article,
				  unless otherwise specified:
1. "CMP"
				means coordinating medical provider.
;
2. "Continuing education" means instruction
				that meets the requirements in:
a. A.A.C.
				R4-17-205
				for a physician assistant licensed under A.R.S. Title 32, Chapter 25;
				or
b. A.A.C.
				R4-19-511
				for authorization from the Arizona State Board of Nursing for a registered
				nurse practitioner to prescribe and dispense drugs and
				devices.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 24 - DEPARTMENT OF HEALTH SERVICES - ARIZONA MEDICALLY UNDERSERVED AREA HEALTH SERVICES › Article 3 - COORDINATING MEDICAL PROVIDERS › Section R9-24-302 - CMP Functions

Current through Register Vol. 30, No. 28, July 12, 2024
A. A CMP
				shall:
1. Participate in planning for the
				delivery of medical services and support services within the Arizona medically
				underserved area that includes ways to increase access to medical services and
				support services for the Arizona medically underserved area's
				residents;
2. Develop written
				protocols that:
a. Describe the manner and
				frequency that a registered nurse practitioner or a physician assistant at a
				medical clinic will communicate with the CMP, in addition to the face-to-face
				meeting required in subsection (A)(5);
b. Specify the criteria used by a registered
				nurse practitioner at the medical clinic in making an independent decision to
				refer an individual to a physician; and
c. Specify procedures to be followed by a
				physician assistant at the medical clinic when the CMP's supervision of the
				physician assistant is by a means other than physical presence;
3. Approve or disapprove the
				selection of registered nurse practitioners and physician assistants who will
				work at the medical clinic;
4.
				Provide:
a. Medical direction to the
				registered nurse practitioners at the medical clinic, and analysis
b. Supervision to the physician assistants at
				the medical clinic;
5.
				At least weekly, conduct a face-to-face meeting with each registered nurse
				practitioner and each physician assistant at the medical clinic to evaluate the
				medical services provided by the registered nurse practitioner or physician
				assistant;
6. For continuing
				education of a medical clinic's medical personnel:
a. Recommend specific areas of instruction,
				including instruction in referral sources; and
b. Develop a written plan for work schedule
				coverage to accommodate continuing education; and
7. At least annually, meet with the medical
				clinic's governing authority to evaluate the medical clinic's program and the
				medical care provided by the medical clinic's medical personnel.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 1 - GENERAL › Section R9-25-101 - Definitions (Authorized by A.R.S. Sections 36-2201, 36-2202, 36-2204, and 36-2205)

Current through Register Vol. 30, No. 28, July 12, 2024
In addition to the definitions in A.R.S. §
									36-2201, the following definitions
				  apply in this Chapter, unless otherwise specified:
1. "Administer" or "administration" means to
				directly apply or the direct application of an agent to the body of a patient
				by injection, inhalation, ingestion, or any other means and includes adjusting
				the administration rate of an agent.
2. "AEMT" has the same meaning as "advanced
				emergency medical technician" in A.R.S. §
									36-2201.
3. "Agent" means a chemical or biological
				substance that is administered to a patient to treat or prevent a medical
				condition.
4. "ALS" has the same
				meaning as "advanced life support" in A.R.S. §
									36-2201.
5. "ALS base hospital" has the same meaning
				as "advanced life support base hospital" in A.R.S. §
									36-2201.
6. "Applicant" means a person requesting
				certification, licensure, approval, or designation from the Department under
				this Chapter.
7. "BLS" has the same
				meaning as "basic life support" in A.R.S. §
									36-2201.
8.
				"Chain of custody" means the transfer of physical control of and accountability
				for an item from one individual to another individual, documented to indicate
				the:
a. Date and time of the
				transfer,
b. Integrity of the item
				transferred, and
c. Signatures of
				the individual relinquishing and the individual accepting physical control of
				and accountability for the item.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 1 - GENERAL › Section R9-25-102 - Individuals to Act for a Person Regulated Under This Chapter (Authorized by A.R.S. Section 36-2202)

Current through Register Vol. 30, No. 28, July 12, 2024
When a person regulated under this Chapter is required by
				  this Chapter to provide information on or sign an application form or other
				  document, the following individual shall satisfy the requirement on behalf of
				  the person regulated under this Chapter:
1. If the person regulated under this Chapter
				is an individual, the individual; or
2. If the person regulated under this Chapter
				is a business organization, political subdivision, government agency, or tribal
				government, the individual who the business organization, political
				subdivision, government agency, or tribal government has designated to act on
				behalf of the business organization, political subdivision, government agency,
				or tribal government and who:
a. Is a U.S.
				citizen or legal resident, and
b.
				Has an Arizona address.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 2 - MEDICAL DIRECTION; ALS BASE HOSPITAL CERTIFICATION › Section R9-25-201 - Administrative Medical Direction (Authorized by A.R.S. sections 36-2201, 36-2202(A)(3) and (A)(4), 36-2204(5), (6), and (7), 36-2204.01, and 36-2205(A) and (D))

Current through Register Vol. 30, No. 28, July 12, 2024
A. An emergency
				medical services provider or ambulance service shall:
1. Except as specified in subsection (B) or
				(C), designate a physician as administrative medical director who meets one of
				the following:
a. Has emergency medicine
				certification issued by a member board of the American Board of Medical
				Specialties;
b. Has emergency
				medical services certification issued by the American Board of Emergency
				Medicine;
c. Has emergency medicine
				certification issued by the American Osteopathic Board of Emergency
				Medicine;
d. Has emergency medicine
				certification issued by the American Board of Physician Specialties;
e. Has
				completed an emergency medicine residency training program accredited by the
				Accreditation Council for Graduate Medical Education or approved by the
				American Osteopathic Association; or
f. Is an emergency
				medicine physician in an emergency department located in Arizona and has
				current certification in:
i. Advanced
				emergency cardiac life support that includes didactic instruction and a
				practical skills test, consistent with training recognized by the American
				Heart Association;
ii. Advanced emergency trauma life
				support that includes didactic instruction and a practical skills test,
				consistent with training recognized by the American College of Surgeons;
				and
iii. Pediatric advanced
				emergency life support that includes didactic instruction and a practical
				skills test, consistent with training recognized by the American Heart
				Association;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 2 - MEDICAL DIRECTION; ALS BASE HOSPITAL CERTIFICATION › Section R9-25-202 - On-line Medical Direction (Authorized by A.R.S. sections 36-2201, 36-2202(A)(3) and (A)(4), 36-2204(5), (6), and (7), 36-2204.01, and 36-2205(A) and (D)) licensed

Current through Register Vol. 30, No. 28, July 12, 2024
A. In this
				Section, "physician" means an individual
1.
				According to A.R.S. Title 32, Chapter 13 or 17; or
2. When working in a health care institution
				operating under federal or tribal law as an administrative unit of the U.S.
				government or a sovereign tribal nation, by a similar licensing board in
				another state.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 2 - MEDICAL DIRECTION; ALS BASE HOSPITAL CERTIFICATION › Section R9-25-203 - ALS Base Hospital General Requirements (Authorized by A.R.S. sections 36-2201, 36-2202(A)(3) and (A)(4), and 36-2204(5), (6), and (7))

Current through Register Vol. 30, No. 28, July 12, 2024
A. A person shall
				not operate as an ALS base hospital without certification from the
				Department.
B. The Department shall
				certify an ALS base hospital if the applicant:
1. Is:
a.
				Licensed as a general hospital under 9 A.A.C. 10, Article 2; or
b. A facility operated as a hospital in this
				state by the United States federal government or by a sovereign tribal
				nation;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 2 - MEDICAL DIRECTION; ALS BASE HOSPITAL CERTIFICATION › Section R9-25-204 - Application Requirements for ALS Base Hospital Certification (Authorized by A.R.S. sections 36-2201, 36-2202(A)(3) and (A)(4), and 36-2204(5))

Current through Register Vol. 30, No. 28, July 12, 2024
A. An applicant for
				ALS base hospital certification shall submit to the Department an application,
				including:
1. The following information in a
				Department-provided format:
a. The
				applicant's name, address, and telephone number;
b. The name, email address, and telephone
				number of the applicant's chief administrative officer;
c. The name, email address, and telephone
				number of the applicant's chief administrative officer's designee if the chief
				administrative officer will not be the liaison between the ALS base hospital
				and the Department;
d. Whether the
				applicant is applying for certification of a:
i. General hospital licensed under 9 A.A.C.
				10, Article 2;
ii. Special hospital
				licensed under 9 A.A.C. 10, Article 2, that provides surgical services and
				emergency services only to children; or
iii. Facility operating as a federal or
				tribal hospital;
e. The
				name of each emergency medical services provider or ambulance service for which
				the applicant has a proposed written agreement described in A.R.S. §
											36-2201(4)
				 to provide administrative medical direction
				or on-line medical direction;
f.
				The name, address, email address, and telephone number of each administrative
				medical director;
g. The name of
				each physician providing on-line medical direction;
h. Attestation that the applicant meets the
				requirements in
				R9-25-202(D);
i. Attestation that the applicant will comply
				with all requirements in A.R.S. Title 36, Chapter 21.1 and this
				Chapter;
j. Attestation that all
				information required as part of the application has been submitted and is true
				and accurate; and
k. The signature
				or electronic signature of the applicant's chief administrative officer or the
				chief administrative officer's designated representative and date of signature
				or electronic signature;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 2 - MEDICAL DIRECTION; ALS BASE HOSPITAL CERTIFICATION › Section R9-25-205 - Changes Affecting an ALS Base Hospital Certificate (Authorized by A.R.S. sections 36-2201, 36-2202(A)(3) and (A)(4), and 36-2204(5) and (6))

Current through Register Vol. 30, No. 28, July 12, 2024
A. No later than 30
				days after the date of a change in the name listed on the ALS base hospital
				certificate, an ALS base hospital certificate holder shall notify the
				Department of the change, in a Department-provided format, including:
1. The current name of the ALS base
				hospital;
2. The ALS base
				hospital's certificate number;
3.
				The new name and the effective date of the name change;
4. Documentation supporting the name
				change;
5. Documentation of
				compliance with the requirements in A.A.C.
				R9-10-109(A),
				if applicable;
6. Attestation that
				all information submitted to the Department is true and correct; and
7. The signature or electronic signature of
				the applicant's chief administrative officer or the chief administrative
				officer's designated representative and date of signature or electronic
				signature.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 2 - MEDICAL DIRECTION; ALS BASE HOSPITAL CERTIFICATION › Section R9-25-206 - ALS Base Hospital Authority and Responsibilities (Authorized by A.R.S. sections 36-2201, 36-2202(A)(3) and (A)(4), 36-2204(5) and (6), 36-2208(A), and 36-2209(A)(2))

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				ALS base hospital certificate holder shall:
1. Have the capability of providing both
				administrative medical direction and on-line medical direction;
2. Provide administrative medical direction
				and on-line medical direction to an EMCT according to:
a. A written agreement described in A.R.S.
				§
											36-2201(4);
b. The requirements in
				R9-25-201
				for administrative medical direction; and
c. The requirements in
				R9-25-202
				for on-line medical direction;
3. Ensure that personnel are available to
				provide administrative medical direction and on-line medical direction;
				and
4. Establish, document, and
				implement policies and procedures, consistent with A.R.S. Title 36, Chapter
				21.1 and this Chapter, that include a quality assurance process to evaluate the
				effectiveness of the on-line medical direction provided to EMCTs.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 2 - MEDICAL DIRECTION; ALS BASE HOSPITAL CERTIFICATION › Section R9-25-207 - ALS Base Hospital Enforcement Actions (Authorized by A.R.S. sections 36-2201, 36-2202(A)(3) and (A)(4), and 36-2204(7))

Current through Register Vol. 30, No. 28, July 12, 2024
A. Except as provided in subsection (C), the
				Department may take an action listed in subsection (B) against an ALS base
				hospital certificate holder who:
1. Does not
				meet the certification requirements:
a. In
				R9-25-203(B)(1)
				or (2); or
b. For a special hospital, in R9-25-203(B)(2)
				and being licensed under 9 A.A.C. 10, Article 2, as a special
				hospital;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 3 - TRAINING PROGRAMS › Section R9-25-301 - Application for Certification (Authorized by A.R.S. Sections 36-2202(A)(3) and (4) and 36-2204(1) and (3))

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				To apply for certification as a training program, an applicant shall submit an
				application to the Department, in a Department-provided format, including:
1. The applicant's name, address, and
				telephone number;
2. The name,
				telephone number, and e-mail address of the applicant's chief administrative
				officer;
3. The name of each course
				the applicant plans to provide;
4.
				Attestation that the applicant has the equipment and facilities that meet the
				requirements established according to A.R.S. §
										36-2204 and available through the
				Department at
www.azdhs.gov/ems-regulatory-references
for the courses specified in subsection (A)(3);
5. The name, telephone number, and e-mail
				address of the training program medical director;
6. The name, telephone number, and e-mail
				address of the training program director;
7. Attestation that the applicant will comply
				with all requirements in A.R.S. Title 36, Chapter 21.1 and 9 A.A.C.
				25;
8. Attestation that all
				information required as part of the application has been submitted and is true
				and accurate; and
9. The signature
				or electronic signature of the applicant's chief administrative officer or the
				chief administrative officer's designated representative and date of signature
				or electronic signature.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 3 - TRAINING PROGRAMS › Section R9-25-302 - Administration (authorized by A.r.s. Sections 36-2202(a)(3) and (4) and 36-2204(1) and (3))

Current through Register Vol. 30, No. 28, July 12, 2024
A. A training
				program certificate holder shall ensure that a training program medical
				director:
1. Is a physician or exempt from
				physician licensing requirements under A.R.S. §§
										32-1421(A)(7)
				 or
				32-1821(3);
2. Meets one of the following:
a. Has emergency medicine certification from
				a specialty board recognized by the Arizona Medical Board or the Arizona Board
				of Osteopathic Examiners in Medicine and Surgery;
b. Has completed an emergency medicine
				residency training program accredited by the Accreditation Council for Graduate
				Medical Education or approved by the American Osteopathic Association;
				or
c. Is practicing emergency
				medicine and has:
i. Proficiency in advanced
				emergency cardiac life support,
ii.
				Proficiency in advanced trauma life support, and
iii. Proficiency in pediatric emergency care;
				and
3. Before
				the start date of a course session, reviews the course content outline and
				final examinations to ensure consistency with the national educational
				standards for the applicable EMCT level.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 3 - TRAINING PROGRAMS › Section R9-25-303 - Changes Affecting a Training Program Certificate (Authorized by A.R.S. Sections 36-2202(A)(3) and (4) and 36-2204(1) and (3))

Current through Register Vol. 30, No. 28, July 12, 2024
A. No later than 10 days after a change in
				the name, address, or e-mail address of the training program certificate holder
				listed on a training program certificate, the training program certificate
				holder shall notify the Department of the change, in a Department-provided
				format, including:
1. The current name,
				address, and e-mail address of the training program certificate
				holder;
2. The certificate number
				for the training program;
3. The
				new name, new address, or new e-mail address and the date of the name, address,
				or e-mail address change;
4. If
				applicable, attestation that the training program certificate holder has
				insurance required in
				R9-25-302(C) that
				is valid for the new name or new address;
5. Attestation that all information submitted
				to the Department is true and correct; and
6. The signature or electronic signature of
				the applicant's chief administrative officer or the chief administrative
				officer's designated representative and date of signature or electronic
				signature.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 3 - TRAINING PROGRAMS › Section R9-25-305 - Supplemental Requirements for Specific Courses (Authorized by A.R.S. Sections 36-2202(A)(3) and (4) and 36-2204(1) and (3))

Current through Register Vol. 30, No. 28, July 12, 2024
A. Except as specified in subsection (B), a
				training program certificate holder shall ensure that a certification course
				offered by the training program:
1. Covers
				knowledge, skills, and competencies comparable to the national education
				standards established for a specific EMCT classification level;
2. Prepares a student for:
a. A national certification organization
				examination for the specific EMCT classification level, or
b. A standardized certification test under
				the state certification process;
3. Has no more than 24 students enrolled in
				each session of the course; and
4.
				Has a minimum course length of:
a. For an EMT
				certification course, 130 hours;
b.
				For an AEMT certification course, 244 hours, including:
i. A minimum of 100 contact hours of didactic
				instruction and practical skills training, and
ii. A minimum of 144 contact hours of
				clinical training and field training; and
c. For a Paramedic certification course, 1000
				hours, including:
i. A minimum of 500 contact
				hours of didactic instruction and practical skills training, and
ii. A minimum of 500 contact hours of
				clinical training and field training.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 3 - TRAINING PROGRAMS › Section R9-25-306 - Training Program Notification and Recordkeeping (Authorized by A.R.S. Sections 36-2202(A)(3) and (4) and 36-2204(1) and (3))

Current through Register Vol. 30, No. 28, July 12, 2024
A. At least 10 days before the start date of
				a course session, a training program certificate holder shall submit to the
				Department the following information in a Department-provided format:
1. Identification of the training
				program;
2. Identification of the
				course;
3. The name of the training
				program medical director;
4. The
				name of the training program director;
5. The name of the course session's lead
				instructor;
6. The course session
				start date and end date;
7. The
				physical location at which didactic training and practical skills training will
				be provided;
8. The days of the
				week and times of each day during which didactic training and practical skills
				training will be provided;
9. The
				number of clock hours of didactic training and practical skills
				training;
10. If applicable, the
				number of hours of clinical training and field training included in the course
				session;
11. The date, start time,
				and location of the final examination for the course;
12. Attestation that the lead instructor is
				qualified under
				R9-25-304(A)(4)(a);
				and
13. The name and signature of
				the chief administrative officer or program director and the date
				signed.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 3 - TRAINING PROGRAMS › Section R9-25-307 - Training Program Enforcement Actions (authorized by A.r.s. Sections 36-2202(a)(3) and (4) and 36-2204(1) and (3))

Current through Register Vol. 30, No. 28, July 12, 2024
A. The Department may take an action listed
				in subsection (B) against a training program certificate holder who:
1. Violates the requirements in A.R.S. Title
				36, Chapter 21.1 or 9 A.A.C. 25; or
2. Knowingly or negligently provides false
				documentation or information to the Department.