Ariz. Admin. Code § 6-5-7403

Current through Register Vol. 30, No. 25, June 21, 2024

Section R6-5-7403 - Letter of Intent - New Applicant

A. The prospective applicant shall prepare a responsive letter of intent to proceed with licensure, and return it to the Licensing Authority. The letter of intent shall include the following information:

1. The applicant's name, address, and telephone and telefacsimile numbers;

2. The name of the applicant's chief executive officer or administrator, with a description of that person's qualifications to operate the agency;

3. A description of community or statewide need for the service or program the applicant intends to provide;

4. A plan for financing the proposed agency during the first year of operation;

5. A statement that the applicant has conferred with the school district where the facility will be located to advise the district of any special needs that children likely to be in care at the facility may have; and

6. A description of the proposed agency's program and services, which shall address the following areas, if applicable:

a. Any organization from which the applicant will seek accreditation;

b. The form of on-campus educational programs the applicant will offer;

c. The characteristics of the children the applicant plans to serve;

d. The applicant's primary source of referrals;

e. The frequency and method by which the applicant will provide or offer psychiatric, psychological, or counseling services;

f. Whether the applicant will employ behavioral health practitioners, or contract for behavioral health services; and

g. A general description of the number and qualifications of the applicant's professional staff.

B. Within 10 work days of receiving a letter of intent, a licensing representative shall contact the applicant.

1. If the Licensing Authority determines that an applicant may require licensure as a behavioral health service agency under A.R.S. § 36-405 and 9 A.A.C. 20, the Licensing Authority shall refer the applicant to the Department of Health Services for evaluation. In determining whether to refer an applicant to DHS, the Licensing Authority shall consider the factors set forth on Appendix 1.

2. For all other applicants, the representative shall schedule an appointment for a licensing consultation. The appointment shall occur within 45 calendar days of the date the Licensing Authority receives the letter of intent, unless the applicant requests a later consultation.

3. If DHS declines to license an applicant as a behavioral health service agency, and refers an applicant to the Department for licensure as a child welfare agency, the applicant shall contact the Licensing Authority to request a licensing consultation. The Licensing Authority shall schedule the consultation within 45 calendar days of the date of the request, unless the applicant requests a later consultation.

Ariz. Admin. Code § R6-5-7403

Adopted effective May 19, 1977 (Supp. 77-3). Amended subsection (O), paragraph (1) effective January 21, 1985 (Supp. 85-1). Former Section R6-5-7403 repealed; new Section R6-5-7403 filed with the Secretary of State's Office May 15, 1997; adopted effective July 1, 1997 (Supp. 97-2).