R9-25-1305. Modification of Designation (A.R.S. §§ 36- 2202(A)(4), 36-2209(A)(2), and 36-2225(A)(4))

A. Except as provided in R9-25-1304(D)(3)(b) and (5)(a), at least 30 calendar days before ceasing to provide a trauma service consistent with a trauma center’s current designation, an owner of a trauma center may request a designation that requires fewer resources and capabilities than the trauma center’s current designation by submitting to the Department an application for modification of the trauma center’s designation, in a Department-provided format, that includes: 1. The name and address of the trauma center for which the owner is requesting modification of designation; 2. A list of the criteria for the current designation with which the owner no longer intends to comply; 3. An explanation of the changes being made in the trauma center’s resources or operations, related to each criterion specified according to subsection (A)(2), to ensure the health and safety of a patient; 4. The Level of designation being requested; 5. An attestation that: a. The owner will be in compliance with all applicable requirements in A.R.S. Title 36, Chapter 21.1 and this Article for the Level of designation requested if modified designation is issued; and b. The information provided in the application is accurate and complete; and 6. The dated signature of the applicable individual according to R9-25-102. B. The Department shall review the application submitted according to R9-25-1307(I) to determine whether, with the changes being made in the trauma center’s resources and operations, the trauma center will be in substantial compliance based the applicable standards specified in R9-25-1308 and Table 13.1 for the Level of designation requested. C. To retain trauma center designation for a health care institution, an owner who holds modified designation shall, before the expiration date of the modified designation: 1. Apply for renewal of designation according to R9-25- 1303, based on the health care institution’s meeting the applicable standards specified in R9-25-1308 and Table 13.1, for the Level of the modified designation; or 2. Apply for initial designation according to R9-25-1303, based on the health care institution meeting the applicable standards specified in R9-25-1308 and Table 13.1, for a Level other than the Level of the modified designation.