Section R6-6-1504.04. Contents of a Complete Application Package - Renewal Certificate

A renewal application is complete when the Division has all the fol- lowing information:

1.        From the applicant, the following items:

a.         AHCCCS provider registration form;

b.        Documentation of current CPR and First Aid train- ing, current driver’s license, and applicable profes- sional licenses and certifications, if prior documentation has expired;

c.         A completed declaration of criminal history every three years since the date of initial certification; and

d.       Documentation that fingerprints have been taken at three-year intervals.

2.        From sources other than the applicant, documentation that the applicant’s home or office has passed a fire inspection every two years since the date of initial certifi- cation.

Historical Note

Adopted effective February 1, 1998 (Supp. 98-1).