Ariz. Admin. Code § 9-11-602

Current through Register Vol. 30, No. 50, December 13, 2024

Section R9-11-602 - Designated Database Information

A. A Board shall establish a process for requesting the information in subsection (B):

1. From an individual applying for an initial license, certification, or registration, at the time of application; and

2. From an individual regulated by the Board, in compliance with A.R.S. § 32-3249.01(A).

B. A Board shall request the following information about an individual, in a Department-provided format:

1. The individual's name;

2. The individual's date of birth;

3. The individual's gender;

4. The individual's race and ethnicity;

5. If applicable, the individual's National Provider Number;

6. Whether the individual is able to provide services to patients or clients in a language other than English and, if so, in which languages;

7. The type of license, certification, or registration held by the individual or for which the individual is applying;

8. The individual's professional license, registration, or certification number, if applicable;

9. The beginning and end date of the individual's current license, certification, or registration, if applicable;

10. The individual's highest level of training or education related to the individual's license, certification, or registration;

11. The individual's highest level of education in another field;

12. The individual's current employment status;

13. Whether the individual is currently providing direct patient care related to the individual's license, certification, or registration, as applicable, on a regular basis in Arizona and, if so:

a. The zip code of the individual's primary practice location;

b. The type of facility in which the individual is providing direct patient care at the primary practice location;

c. The number of weeks worked over the previous 12 months at the primary practice location;

d. The average hours worked per week at the primary practice location, including the percentage of time spent in:

i. Direct patient care;

ii. Administration, including any paperwork not part of direct patient care;

iii. Research;

iv. Teaching or education; or

v. Other specified activities;

e. Whether the individual expects a change in subsection (B)(13)(b), (c), or (d) in the next 12 months; and

f. If the individual expects to reduce the time spent providing direct patient care in the next 12 months, the reason for the change; and

14. If the individual is a physician, physician assistant, or registered nurse practitioner, whether the individual provides primary care services, as defined in A.A.C. R9-24-201.

Ariz. Admin. Code § R9-11-602

New section made by final rulemaking at 28 A.A.R. 1481, effective 11/7/2022.