Section R9-24-201. Definitions

In addition to the definitions in A.R.S. § 36-2351, the following definitions apply in this Article, unless otherwise specified:

1.        “Act, event, or default” means an occurrence or the fail- ure of something to occur.

2.        “Agency” has the same meaning as in A.R.S. § 41-1001.

3.        “Ambulatory care sensitive conditions” means the ill- nesses listed in the first table of Appendix B (entitled “Ambulatory Care Sensitive Conditions”) to “Using Administrative Data to Monitor Access, Identify Dispari- ties, and Assess Performance of the Safety Net,” in Tools for Monitoring the Health Care Safety Net, AHRQ Publi- cation No. 03-0027, September 2003, Agency for Health- care Research and Quality, Rockville, MD, and available

on the web site of the Agency for Healthcare Research and Quality, U.S. Department of Health and Human Ser- vices, at http://www.ahrq.gov/data/safetynet/bil- lappb.htm.

4.        “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.

5.        “Arizona medically underserved area” means:

a.         A primary care area or part of 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).

6.        “Arizona Regulatory Board of Physician Assistants” means the agency established by A.R.S. § 32-2502 to reg- ulate physician assistants.

7.        “Arizona State Board of Nursing” means the agency established by A.R.S. § 32-1602 to regulate nurses and nursing assistants.

8.        “Birth life expectancy” means the average life span at the time of birth according to the most recent U.S. life expectancy data in the National Vital Statistics Reports of the National Vital Statistics System, available on the web site of the National Center for Health Statistics, Centers for Disease Control and Prevention, U.S. Department of Health and Human Services, at http://www.cdc.gov/nchs/ fastats/lifexpec.htm.

9.        “Board of Osteopathic Examiners in Medicine and Sur- gery” means the agency established by A.R.S. § 32-1801 to regulate physicians licensed under A.R.S. Title 32, Chapter 17.

10.     “Boundary change” means a re-determination of the geo- graphic limits of a primary care area.

11.     “Census block” means a geographic unit that is:

a.         The smallest unit of census geography established by the U.S. Census Bureau, and

b.        One of approximately 8 million similar units cover- ing the entire nation.

12.     “Day” means calendar day:

a.         Excluding the day of the act, event, or default that triggers the running of a time-frame;

b.        Excluding the last day of a time-frame if it is a Sat- urday, Sunday, or legal holiday; and

c.         If the last day of a time-frame is excluded under sub- section (12)(b), including the next day that is not a Saturday, Sunday, or legal holiday.

13.     “Family unit” means:

a.         Two or more individuals related by birth, marriage, or adoption who live at the same residence; or

b.        One individual who does not live at the same resi- dence with anyone related by birth, marriage, or adoption.

14.     “First health care contact” means the initial telephone call or visit to a health care provider as defined in 45 CFR

160.103 for an individual’s health issue.

15.     “Full-time” means providing primary care services for at least 40 hours between a Sunday at 12:00 midnight and the next Sunday at 12:00 midnight.

16.     “Health organization” means:

a.         A person or entity that provides medical services;

b.        A third party payor defined in A.R.S. § 36- 125.07(C); or

c.         A trade or professional association described in 501(c)(3), (4), (5), or (6) of the Internal Revenue Code, 26 U.S.C. 501(c), that is exempt from federal income taxes.

17.     “Indian reservation” has the same meaning as in A.R.S. § 11-801.

18.     “Legal holiday” means a state service holiday listed in

A.A.C. R2-5-402.

19.     “Local planning personnel” means individuals who develop programs related to the delivery of and access to medical services for places or areas:

a.         Under the jurisdiction of an Arizona city or county, or

b.        In an Arizona Indian reservation or less than 50 miles outside the boundaries of an Indian reserva- tion.

20.     “Low-weight birth” means the live birth of an infant weighing less than 2500 grams or 5 pounds, 8 ounces.

21.     “Medical services” has the same meaning as in A.R.S. § 36-401.

22.     “Mobility limitation” means an individual’s physical or mental condition that:

a.         Has lasted for at least six months,

b.        Impairs the individual’s ability to go outside the individual’s residence alone, and

c.         Is not a temporary health problem such as a broken bone that is expected to heal normally.

23.     “Motor vehicle” has the same meaning as in A.R.S. § 28- 101.

24.     “Nonresidential” means not primarily used for living and sleeping.

25.     “Person” has the same meaning as in A.R.S. § 41-1001.

26.     “Physician assistant” has the same meaning as in A.R.S.

§ 32-2501.

27.     “Political subdivision” means a county, city, town, dis- trict, association, or authority created by state law.

28.     “Population” means the number of residents of a place or an area, according to:

a.         The most recent decennial census prepared by the

U.S.   Census   Bureau   and    available   at   http:// www.census.gov; or

b.        The most recent Population Estimates for Arizona’s Counties, Incorporated Places and Balance of County prepared by the Department of Economic Security and available at http://www.work- force.az.gov/?PAGED=67&SUBID=137.

29.     “Poverty threshold” means calendar year income relative to family unit size that:

a.         Determines an individual’s poverty status,

b.        Is defined annually by the U.S. Census Bureau, and

c.         Is available for the most recently completed calendar year at http://www.census.gov/hhes/poverty/ threshld.html.

30.     “Primary care area” means a geographic region deter- mined by the Department under R9-24-204.

31.     “Primary care HPSA” means primary care health profes- sional shortage area designated by the U.S. Department of Health and Human Services under 42 U.S.C. 254e, 42 CFR 5.1 through 5.4, and 42 CFR Part 5, Appendix A.

32.     “Primary care index” means the document in which the Department designates primary care areas as medically underserved according to R9-24-203 and Table 1.

33.     “Primary care provider” means a physician, physician assistant, or registered nurse practitioner who:

a.         Except for emergencies, is an individual’s first health care contact; and

b.        Provides primary care services in general or family practice, general internal medicine, pediatrics, or obstetrics and gynecology.

34.     “Primary care services” means health care provided by a primary care provider, including:

a.         Illness and injury prevention,

b.        Health promotion and education,

c.         Identification of individuals at special risk for ill- ness,

d.        Early detection of illness,

e.         Treatment of illness and injury, and

f.         Referral to specialists.

35.     “Primary care services utilization pattern” means a distri- bution of the use of primary care services resulting from the factors listed in R9-24-204(A)(3)(a).

36.     “Registered nurse practitioner” has the same meaning as in A.R.S. § 32-1601.

37.     “Residence” means a structure or part of a structure where an individual lives and sleeps.

38.     “Resident” means an individual who lives and sleeps in a place or an area more than one-half of the time.

39.     “Residential” means primarily used for living and sleep- ing.

40.     “Self-care limitation” means an individual’s physical or mental condition that:

a.         Has lasted for at least six months;

b.        Impairs the individual’s ability to perform activities such as dressing, bathing, or moving around inside the individual’s residence; and

c.         Is not a temporary health problem such as a broken bone that is expected to heal normally.

41.     “Specialist” means an individual who:

a.         Is regulated under:

i.      A.R.S. Title 32, Chapters 7, 8, 11, 13, 14, 15,

15.1, 16, 17, 18, 19, 19.1, 25, 28, 29, 33, 34, 35,

39, or 41;

ii.        A.R.S. Title 36, Chapter 6, Article 7; or

iii.      A.R.S. Title 36, Chapter 17; and

b.        Meets the education, knowledge, and skill require- ments generally recognized in the profession related to a specific service or procedure, patient category, body part or system, or type of disease.

42.     “Street route” means a course of travel by road.

43.     “Temporary” means lasting for a limited time.

44.     “Topography” means the surface configuration of a place or region, including elevations and positions of the physi- cal features.

45.     “Travel pattern” means a prevalent flow of motor vehi- cles resulting from:

a.         The configuration of streets, and

b.        The location of residential and nonresidential areas.

46.     “Value” means a number within a value range.

47.     “Value range” means, for a criterion listed in R9-24- 203(B) and Table 1, a measurement:

a.         Consisting of a scale between upper and lower lim- its, except for the supplementary criteria score under R9-24-203(B)(12); and

b.        To which Table 1 assigns points or 0 points.

48.     “Work disability” means an individual’s physical or men- tal condition that:

a.         Has lasted for at least six months,

b.        Limits the individual’s choice of jobs or prevents the individual from working for more than 34 hours per week, and

c.         Is not a temporary health problem such as a broken bone that is expected to heal normally.

Historical Note

Adopted effective July 27, 1978 (Supp. 78-4). R9-24-201 recodified from R9-24-121 (Supp. 95-2). Section

repealed; new Section adopted by final rulemaking at 7

A.A.R. 715, effective January 17, 2001 (Supp. 01-1). Amended by final rulemaking at 12 A.A.R. 3048, effec-

tive September 30, 2006 (Supp. 06-3).