Ariz. Admin. Code § 9-25-1304

Current through Register Vol. 30, No. 40, October 4, 2024

Section R9-25-1304 - Changes Affecting Designation Status (A.R.S. Sections 36-2202(A)(4), 36-2209(A)(2), and 36-2225(A)(4))

A. An owner of a trauma center shall:

1. Notify the Department, in writing or in a Department-provided format, no later than 60 calendar days after the date of a change in the health care institution's:

a. Name,

b. Trauma program manager, or

c. If applicable, trauma medical director; and

2. Provide the effective date of the change and, as applicable, the:

a. Current and new name of the health care institution, or

b. Name of the new trauma program manager or trauma medical director.

B. An owner of a trauma center shall notify the Department in writing within three business days after:

1. The trauma center's health care institution license expires or is suspended or revoked;

2. The trauma center's health care institution license is changed to a provisional license under A.R.S. § 36-425;

3. The trauma center no longer holds verification; or

4. A change, which is expected to last for more than seven consecutive calendar days, in the trauma center's ability to meet:

a. The applicable standards specified in R9-25-1308 and Table 13.1; or

b. If designation is based on verification, the national verification organization's standards for verification.

C. At least 90 calendar days before a trauma center ceases to provide a trauma service, the owner of the trauma center shall notify the Department, in writing or in a Department-provided format, of the owner's intention to cease providing the trauma service and to relinquish designation, including the effective date.

D. The Department shall, upon receiving a notice described in:

1. Subsection (A), issue an amended designation that incorporates the name change but retains the expiration date of the current designation;

2. Subsection (B)(1), send the owner a written notice stating that the health care institution no longer meets the definition of a trauma center and that the Department intends to dedesignate the health care institution, according to R9-25-1307(J)(2);

3. Subsection (B)(2), evaluate the restrictions on the provisional license to determine if the trauma service was affected and may send the owner a written notice of the Department's intention to:

a. Dedesignate the health care institution, according to R9-25-1307(J) through (M);

b. Require a modification of the health care institution's designation within 15 calendar days after the date of the notice, according to R9-25-1305; or

c. Require a corrective action plan to address issues of compliance with the applicable standards specified in R9-25-1308 and Table 13.1, according to R9-25-1306(E);

4. Subsection (B)(3), send the owner written notice that the owner is required, within 15 calendar days after the date of the notice, to submit to the Department:

a. An application for designation at a specific Level of trauma center, according to R9-25-1303, based on meeting the applicable standards specified in R9-25-1308 and Table 13.1; or

b. Written notification of the owner's intention to relinquish designation;

5. Subsection (B)(4), send the owner written notice that the owner is required, within 15 calendar days after the date of the notice, to submit to the Department:

a. An application for modification of the health care institution's designation, according to R9-25-1305;

b. A corrective action plan to address issues of compliance with the applicable standards specified in R9-25-1308 and Table 13.1, according to R9-25-1306(E); or

c. Written notification of the owner's intention to relinquish designation; or

6. Subsection (C), (D)(4)(b), or (D)(5)(c), send the owner written confirmation of the voluntary relinquishment of designation.

E. An owner of a trauma center, who obtains verification for the trauma center during a term of designation that was based on the trauma center meeting the applicable standards specified in R9-25-1308 and Table 13.1, may obtain a new initial designation based on verification, with a designation term based on the dates of the verification, by submitting an application according to R9-25-1303.

Ariz. Admin. Code § R9-25-1304

New Section made by final rulemaking 11 A.A.R. 4363, effective October 6, 2005 (Supp. 05-4). Amended and renumbered from R9-6-1308 by final rulemaking at 23 A.A.R. 2656, effective 1/1/2018. Amended by final expedited rulemaking at 29 A.A.R. 2321, effective 9/18/2023.