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Substantive Policy Statements
 
Pursuant to A.R.S. § 41-1013, notices of the following substantive policy statements have been published in the Arizona Administrative Register.  You may access a notice on the Secretary of State's web site by clicking on the Register Citation. You may have to page through other agency materials to find the Department of Health Services' notice of substantive policy statement. The notice contains the effective date of the substantive policy but does not include the substantive policy statement.

To access a substantive policy statement, click on the PDF or WORD links for "Substantive Policy Statement" under the title of the appropriate substantive policy statement.  Acrobat Reader is required to open a document in PDF format. 
  

 Licensing ServicesPublic Health Services  |  Behavioral Health

  
Division of Licensing Services           HCI  |  CC
  
Health Care Institutions Policies:

  
  bullet  SP-034-DLS-OMF: Emergency Medical Technicians (EMTs) Practicing in Hospitals
   Notice of Substantive Policy Statement 13 AAR 2532
   Substantive Policy Statement [PDF 60K] [WORD 54K]
  
  bullet  SP-028-DLS-OMF: Interpretation of the Staffing Requirements for Intensive Care Unit Nursing Services
   Notice of Substantive Policy Statement 11 AAR 1572
   Substantive Policy Statement [PDF 18K] [WORD 24K]
  
  bullet  SP-027-DLS-OMF: Implementation of a hospital acuity plan
   Notice of Substantive Policy Statement 11 AAR 1572
   Substantive Policy Statement [PDF 17K] [WORD 23K]
  
  bullet  SP-026-DLS-OAD: Clarification of fingerprinting requirements for residential care institutions, nursing care institutions and home health agencies
   Notice of Substantive Policy Statement 11 AAR 1452
   Substantive Policy Statement [PDF 36K] [WORD 31K]
  
  bullet  SP-020-ALS-ALL: Determining Eligibility for Exemption under A.R.S. § 36-402(8)
   Notice of Substantive Policy Statement 9 AAR 482
   Substantive Policy Statement [PDF 10K] [WORD 23K]
  
  bullet  SP-019-ALS-OAD: Interpretation of definition of "Health Care Institution" in 
A.R.S. § 36-401(22)
   Notice of Substantive Policy Statement 9 AAR 481
   Substantive Policy Statement [PDF 9K] [WORD 22K]
  
  bullet  SP-018-ALS-OAD: Direct Risk to Life, Health or Safety of Patients or Residents in a Residential Care Institution
   Notice of Substantive Policy Statement 9 AAR 120
   Substantive Policy Statement [PDF 9K] [WORD 22K]
  
  bullet  SP-017-ALS-OAD: Considerations Before Taking Action under A.R.S. § 36-427(A)(1) 
   Notice of Substantive Policy Statement 8 AAR 5238
   Substantive Policy Statement [PDF 9K] [WORD 20K]
  
  bullet  SP-015-ALS-OMF: Clarification of Physical Plant Health and Safety Compliance Requirements under R9-10-816(A)(2), R9-1-412(A)(8) and R9-10-104
   Notice of Substantive Policy Statement 9 AAR 2125
   Substantive Policy Statement [PDF 21K] [WORD 25K]
  
  bullet  SP-014-ALS-OMF: Clarification of Requirements Regarding Approval of Architectural Plans and Specifications in 9 A.A.C. 10, Article 1
   Notice of Substantive Policy Statement 9 AAR 2124
   Substantive Policy Statement [PDF 13K] [WORD 23K]
  
  bullet  SP-013-ALS-OAD: Clarification of Health Care Institution Licensure Requirements for Health Care Institutions Providing Off-Site Services 
   Notice of Substantive Policy Statement 8 AAR 4490
   Substantive Policy Statement [PDF 9K] [WORD 21K]
  
  bullet  SP-012-ALS-OAD: Clarification of Health Care Institution Licensure Requirements in 9 A.A.C. 10, Article 1
   Notice of Substantive Policy Statement 8 AAR 4489
   Substantive Policy Statement [PDF 13K] [WORD 25K]
  
  bullet  SP-011-ALS-OAD: Applicable Construction Standards for Psychiatric Hospitals
   Notice of Substantive Policy Statement 7 AAR 5094
   Substantive Policy Statement [PDF 114K]
  
  bullet  SP-010-ALS-OMF: Hospice Services-Clarification of Requirements in R9-10-808(B)(5)
   Notice of Substantive Policy Statement 9 AAR 736
   Substantive Policy Statement [PDF 9K] [WORD 21K]
  
  bullet  SP-009-ALS-ALF: Assisted Living Facilities documenting compliance with Laws 2000,
Chapter 101 for influenza and pneumonia vaccinations
   Notice of Substantive Policy Statement 6 AAR 3383
   Substantive Policy Statement [PDF 60K]
  
  bullet  SP-008-ALS-LTC: Nursing Care Institutions documenting compliance with Laws 2000, Chapter 101 for influenza and pneumonia vaccinations
   Notice of Substantive Policy Statement 6 AAR 3384
   Substantive Policy Statement [PDF 53K]
  
Child Care Policies:

  
  bullet  SP-033-DLS-CCL: Clarification of R9-5-401(3)(a), of Current and Continuous Enrollment in High School or a High School Equivalency Class, to be an Assistant Teacher-Caregiver
   Notice of Substantive Policy Statement 12 AAR 1430
   Substantive Policy Statement [PDF 18K] [WORD 29K]
  
  bullet  SP-032-DLS-CCL: Interpretation and Clarification of Child Care Licensing Rules in 9 A.A.C. 5
   Notice of Substantive Policy Statement 12 AAR 1348
   Substantive Policy Statement [PDF 360K] [WORD 639K]
  
  bullet  SP-031-DLS-CCL: Interpretation of the Term "Tutoring Provided by Public Schools Solely to Improve School Performance" in A.R.S. § 36-884(5)
   Notice of Substantive Policy Statement 12 AAR 781
   Substantive Policy Statement [PDF 21K] [WORD 32K]
  
  bullet  SP-030-DLS-CCL: Clarification on Whether a Child Care Group Home May Require a Release of Liability as a Condition of Enrollment or for Participation in an Activity, Including a Field Trip
   Notice of Substantive Policy Statement 11 AAR 2758
   Substantive Policy Statement [PDF 17K] [WORD 29K]
  
  bullet  SP-029-DLS-CCL: Clarification on Whether a Child Care Facility May Require a Release of Liability as a Condition of Enrollment or for Participation in an Activity, Including a Field Trip
   Notice of Substantive Policy Statement 11 AAR 2757
   Substantive Policy Statement [PDF 18K] [WORD 29K]
  
  bullet  SP-023-DLS-CCL: Determining whether an individual providing child care services in a residential setting is required to be certified as a child care group home
   Notice of Substantive Policy Statement 9 AAR 4088
   Substantive Policy Statement [PDF 16K] [WORD 28K]
  
  bullet  SP-022-ALS-CCL: Interpretation of "Residential Facility" in Definition of "Child Care Group Home"
   Notice of Substantive Policy Statement 9 AAR 3429
   Substantive Policy Statement [PDF 9K] [WORD 22K]
 
  bullet  SP-021-ALS-CCL: Using Unlicensed Space for the Provision of Child Care Services 
   Notice of Substantive Policy Statement 9 AAR 3428
   Substantive Policy Statement [PDF 14K] [WORD 26K]
   
  bullet  SP-009-ALS-CCL: Immunization Records Required in a Child Care Facility
   Notice of Substantive Policy Statement 7 AAR 4165
   Substantive Policy Statement [PDF 13K] [WORD 25K]
   
Division of Public Health Services        EMS | EDC | VR | LAB | Hrg Screening
   
Emergency Medical Services Policies:

  
  bullet  SP-083-PHS-EMS:  Interpretation of A.R.S. § 36-2220(A) through (D), as Related to Disclosures by ADHS 
   Notice of Substantive Policy Statement 13 AAR 490
   Substantive Policy Statement [PDF 33K] [WORD 40K]
  
  bullet  SP-082-PHS-EMS:  Emergency Medical Technicians (EMTs) Practicing in Hospitals
   Notice of Substantive Policy Statement 13 AAR 2532
   Substantive Policy Statement [PDF 60K] [WORD 54K]
  
  bullet  SP-081-PHS-EMS:  Interpretation of NREMT Registration Requirements in A.A.C.
R9-25-404(B)(1)(b) and (B)(2)(b) and R9-25-406(B)(1)(b) and (B)(2)(b)
   Notice of Substantive Policy Statement 12 AAR 2724
   Substantive Policy Statement [PDF 17K] [WORD 33K]
   
  bullet  SP-079-PHS-EMS:  Interpretation of the EMT Certification Prerequisites for the Arizona EMT-I Course and the Arizona EMT-P Course
   Notice of Substantive Policy Statement 12 AAR 2249
   Substantive Policy Statement [PDF 19K] [WORD 33K]
  
  bullet  SP-078-PHS-EMS:  Interpretation of "act as an EMT-B, EMT-I, or EMT-P" in A.A.C. R9-25-401(A), as Applied to a Student Enrolled in a Course
   Notice of Substantive Policy Statement 12 AAR 2248
   Substantive Policy Statement [PDF 17K] [WORD 33K]
   
  bullet  SP-077-PHS-EMS:  Interpretation of "Rapid infuser system" in 9 A.A.C. 25, Article 13,
Exhibit I
   Notice of Substantive Policy Statement 12 AAR 2248
   Substantive Policy Statement [PDF 17K] [WORD 31K]
   
  bullet  SP-076-PHS-EMS:  Continuous Positive Airway Pressure (CPAP) Within EMT-P Scope of Practice Under A.A.C. R9-25-502
   Notice of Substantive Policy Statement 12 AAR 1036
   Substantive Policy Statement [PDF 20K] [WORD 33K]
   
  bullet  SP-075-PHS-EMS:  Combining Enrollees for the Didactic Instruction Portion of a Course
   Notice of Substantive Policy Statement 12 AAR 918
   Substantive Policy Statement [PDF 26K] [WORD 32K]
   
  bullet  SP-073-PHS-EMS:  Approval of Medical Devices
   Notice of Substantive Policy Statement 11 AAR 5551
   Substantive Policy Statement [PDF 17K] [WORD 29K]
   
  bullet  SP-072-PHS-EMS:  Interpretation of "authorized federal or state emergency response deployment" in R9-25-407
   Notice of Substantive Policy Statement 11 AAR 5335
   Substantive Policy Statement [PDF 17K] [WORD 30K]
   
  bullet  SP-069-PHS-EMS:  Automatic Extension of EMT Certification for Active Duty Military Personnel Under Governor's Executive Order 2003-10
   Notice of Substantive Policy Statement 11 AAR 2987
   Substantive Policy Statement [PDF 22K] [WORD 30K]
   
  bullet  SP-066-PHS-EMS:  Clarification of EMT-Ps' Authority to Perform Rapid Sequence Intubation (RSI)
   Notice of Substantive Policy Statement 11 AAR 3265
   Substantive Policy Statement [PDF 35K] [WORD 38K]
   
  bullet  SP-060-PHS-EMS: Clarification of Service Area's Dispatch Under 9 A.A.C. 25, Article 9
   Notice of Substantive Policy Statement 10 AAR 2953
   Substantive Policy Statement [PDF 22K]
   
  bullet  SP-057-PHS-EMS: Clarification of Observance of Service Area under 9 A.A.C. 25, Article 9
   Notice of Substantive Policy Statement 10 AAR 1556
   Substantive Policy Statement [PDF 9K] [WORD 25K]
   
  bullet  SP-055-PHS-EMS: Clarification of Requirements for a Transfer of a Certificate of Necessity
   Notice of Substantive Policy Statement 9 AAR 5068
   Substantive Policy Statement [PDF 11K] [WORD 25K]
   
  bullet  SP-053-PHS-EMS: Clarification of Requirements of an Invoice Prepared for a Third-Party Payor Under 9 A.A.C. 25, Article 11
   Notice of Substantive Policy Statement 8 AAR 3261
   Substantive Policy Statement [PDF 10K] [WORD 23K]
   
  bullet  SP-052-PHS-EMS: Clarification on When a Transfer of Certificate of Necessity is Required under A.R.S. § 36-2236 and 9 A.A.C. 25, Article 9
   Notice of Substantive Policy Statement 8 AAR 3260
   Substantive Policy Statement [PDF 12K] [WORD 27K]
   
  bullet  SP-041-PHS-EMS: Informal interview conducted under A.R.S. § 36-2211(C) 
   Notice of Substantive Policy Statement 7 AAR 3061
   Substantive Policy Statement [PDF 9K] [WORD 24K]
   
Epidemiology & Disease Control Policies:

  
  bullet  SP-088-PHS-EDC:  Residential Pool Safety Requirements and Recommendations (revision of substantive policy statement #SP-001-PHP)
   Notice of Substantive Policy Statement 14 AAR 852
   Substantive Policy Statement [PDF 22K] [WORD 56K]
  
  bullet  SP-087-PHS-EDC:  Bars and Restaurants Are Not Retail Tobacco Stores Under Smoke-Free Arizona (revision of substantive policy statement #SP-086-PHS-EDC)
   Notice of Substantive Policy Statement 14 AAR 172
   Substantive Policy Statement [PDF 20K] [WORD 39K]
  
  bullet  SP-067-PHS-EDC:  Deferral of 10 Year Td Requirement until October 31, 2005
   Notice of Substantive Policy Statement 11 AAR 2660
   Substantive Policy Statement [PDF 13K] [WORD 22K]
  
  bullet  SP-065-PHS-EDC:  Interpretation of "Outbreak" in Reporting Requirements
   Notice of Substantive Policy Statement 11 AAR 718
   Substantive Policy Statement [PDF 32K] [WORD 32K]
  
  bullet  SP-059-PHS-EDC:  Outbreak Reporting in the Health Care Institution Setting
   Notice of Substantive Policy Statement 10 AAR 4282
   Substantive Policy Statement [PDF 70K] [WORD 27K]
  
  bullet  SP-058-PHS-EDC:  Health Care Institution Administrator Reporting
   Notice of Substantive Policy Statement 10 AAR 4281
   Substantive Policy Statement [PDF 18K] [WORD 26K]
  
  bullet  SP-039-PHS-EDC: Bureau of Epidemiology and Disease Control, school and child care entry immunizations - procedure for when shortage of vaccine for diseases listed in R9-6-701
   Notice of Substantive Policy Statement 7 AAR 2240
   Substantive Policy Statement [PDF 35K]
   
Vital Records Policies:

  
  bullet  SP-064-PHS-VRS:  Clarification of the term "responsible person"
   Notice of Substantive Policy Statement 10 AAR 3980
   Substantive Policy Statement [PDF 14K] [WORD 24K]
  
  bullet  SP-063-PHS-VRS:  Interpretation of when a body is considered stored under very low temperatures in A.A.C. R9-19-314(C)
   Notice of Substantive Policy Statement 10 AAR 3843
   Substantive Policy Statement [PDF 12K] [WORD 21K]
  
  bullet  SP-051-PHS-VRS: Relatives Eligible to Obtain Certified Copies of Death Certificates - Clarification of term "immediate family" in R9-19-405
   Notice of Substantive Policy Statement 8 AAR 2502
   Substantive Policy Statement [PDF 7K] [WORD 19K]
   
  bullet  SP-044-PHS-VRS: Procedure for Issuing Certificate of Death Resulting in Stillbirth 
   Notice of Substantive Policy Statement 7 AAR 5728
   Substantive Policy Statement [PDF 6K] [WORD 22K]
  
  bullet  SP-038-PHS-VRS: Office of Vital Records, eligibility for certified copies of death 
certificates - Clarification of term "other vital interests" used in R9-19-405
   Notice of Substantive Policy Statement 7 AAR 2786
   Substantive Policy Statement [PDF 67K]
   
State Lab Policies:

  
  bullet  SP-061-PHS-OLL: Clarification of "Signature" in A.A.C. R9-14-617(F)(9)
   Notice of Substantive Policy Statement 10 AAR 3096
   Substantive Policy Statement [PDF 8K] [WORD 23K]
   
Hearing Screening Policies:

  
  bullet  SP-045-PHS-CFH: Hearing Screening Program: Clarification of Requirements in 
A.R.S. § 36-1921(6)
   Notice of Substantive Policy Statement 8 AAR 3854
   Substantive Policy Statement [PDF 9K] [WORD 21K]
    
Division of Behavioral Health Services
Behavioral Health Policies:
  
  bullet  SP-001-BHS-BHS: Policy and Procedure to establish standards for the establishment of the Regional Health Authorities (RHBAs) that have contracts with the Department to provide health services to residents of Arizona 
   Notice of Substantive Policy Statement 8 AAR 944
   Substantive Policy Statement [PDF 94K]
  
  bullet  SP-001-BHS-BHS: Policy and Procedure to establish standards for the establishment of the Regional Health Authorities (RHBAs) that have contracts with the Department to provide health services to residents of Arizona
   Notice of Substantive Policy Statement 8 AAR 943
   Substantive Policy Statement [PDF 107K]
  
  bullet  SP-001-BHS-BHS: Behavioral Health Services policy and procedures manual: Arizona level of functioning assessment; Use of telemedicine; Disclosure of confidential information to human rights committees
   Notice of Substantive Policy Statement 7 AAR 679
   Substantive Policy Statement [PDF 119K]

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