Section R9-28-504. Standards of Participation, Licensure, and Certi- fication for HCBS Providers

A.      A noninstitutional long-term care provider shall not register with the Administration unless the provider meets the require- ments of the Arizona Department of Health Services’ rules for licensure, if applicable.

B.       Additional qualifications to provide services to a member:

1.        A community residential setting and a group home for a person with developmental disabilities shall be licensed by the appropriate regulatory agency of the state as described in A.A.C. R9-33-107 and A.A.C. R6-6-714;

2.        An adult foster care home shall be certified or licensed under 9 A.A.C. 10;

3.        A home health agency shall be Medicare-certified and licensed under 9 A.A.C. 10;

4.        A person providing a homemaker service shall meet the requirements specified in the contract between the person and the Administration;

5.        A person providing a personal care service shall meet the requirements specified in the contract between the person and the Administration;

6.        An adult day health care provider shall be licensed under 9 A.A.C. 10;

7.        A therapy provider shall meet the following require- ments:

a.         A physical therapy provider shall meet the require- ments in 4 A.A.C. 24;

b.        A speech therapist provider shall meet the applicable requirements under 9 A.A.C. 16, Article 2.

c.         An  occupational  therapy  provider  shall  meet  the requirements in 4 A.A.C. 43; and

d.        A  respiratory   therapy  provider  shall  meet  the requirements in 4 A.A.C. 45;

8.        A respite provider shall meet the requirements specified in contract;

9.        A hospice provider shall be Medicare-certified and licensed under 9 A.A.C. 10;

10.     A provider of home-delivered meal service shall comply with the requirements in 9 A.A.C. 8;

11.     A provider of non-emergency transportation shall be licensed by the Arizona Department of Transportation, Motor Vehicle Division;

12.     A provider of emergency transportation shall meet the licensure requirements in 9 A.A.C. 13;

13.     A day care provider for the developmentally disabled under A.R.S. § 36-2939 shall meet the licensure require- ments in 6 A.A.C. 6;

14.     A habilitation provider shall meet the requirements in

A.A.C. R6-6-1523 or the therapy requirements in this Section;

15.     A service provider, other than a provider specified in sub- sections (B)(1) through (B)(14), approved by the Director shall meet the requirements specified in a program con- tractor’s contract with the Administration;

16.     A behavioral health provider shall have all applicable state licenses or certifications and meet the service speci- fications in A.A.C. R9-22-1205; and

17.     An assisted living home or a residential unit shall meet the requirements as defined in A.R.S. § 36-401 and as authorized in A.R.S. § 36-2939.

Historical Note

Adopted effective October 1, 1988, filed September 1,

1988 (Supp. 88-3). Amended effective June 6, 1989

(Supp. 89-2). Amended effective July 13, 1992 (Supp.

92-3). Amended effective November 5, 1993 (Supp. 93-

4). Amended effective December 8, 1997 (Supp. 97-4). Amended by final rulemaking at 5 A.A.R. 874, effective March 4, 1999 (Supp. 99-1). Amended by final rulemak-

ing at 11 A.A.R. 4286, effective December 5, 2005

(Supp. 05-4).