R9-10-702. Supplemental Application and Documentation Submission Requirements

A. In addition to the license application requirements in A.R.S. § 36-422 and R9-10-105, an applicant for a license as a behavioral health residential facility shall include on the application: 1. Whether the applicant is planning to provide: a. Behavioral health services to individuals under 18 years of age, including the licensed capacity requested; b. Behavioral health services to individuals 18 years of age and older, including the licensed capacity requested; or c. Respite services; 2. Whether the applicant is requesting authorization to provide an outdoor behavioral health care program, including: a. The requested licensed capacity for providing the outdoor behavioral health care program to individuals 12 to 17 years of age, and b. The requested licensed capacity for providing the outdoor behavioral health care program to individuals 18 to 24 years of age; 3. Whether the applicant is requesting authorization to provide: a. Court-ordered evaluation, b. Court-ordered treatment, c. Behavioral health services to individuals 18 years of age or older whose behavioral health issue limits the individuals’ ability to function independently, or d. Personal care services; 4. Whether the applicant is requesting authorization to provide recidivism reduction services as an adult residential care institution, including the requested licensed capacity for providing recidivism reduction services; 5. For a behavioral health residential facility requesting authorization to provide respite services, the requested number of individuals the behavioral health residential facility plans to admit for respite services who: a. Are included in the requested licensed capacities in subsections (A)(1)(a) and (b), b. Are under 18 years of age and who do not stay overnight in the behavioral health residential facility, and c. Are 18 years of age and older and who do not stay overnight in the behavioral health residential facility; and 6. For an outdoor behavioral health care program, a copy of the outdoor behavioral health care program’s current accreditation report. B. A licensee of an outdoor behavioral health care program shall submit a copy of the outdoor behavioral health care program’s current accreditation report to the Department with the relevant fees required in R9-10-106(C).