R9-25-1304. Changes Affecting Designation Status (A.R.S

§§ 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.