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Addiction Treatment Center Resources - Arizona

Frequently Asked Questions

Overview

1. What kinds of facilities provide addiction services in Arizona?

Types of Facilities

Behavioral Health Inpatient Facilities

A health care institution that provides continuous treatment to a patient experiencing a View More

2. Which facilities are exempt from licensure requirements?

The following facilities are exempt from licensure requirements:  View More

3. What does it mean to be ‘licensed’, ‘certified’, ‘registered’ or ‘accredited’ in this industry?

A license means that a facility or professional may operate or may deliver services with the advance and continuous authorization of a designated government agency, which is done to ensure protection of public health, safety, and welfare. View More


Licensing

4. Which body licenses behavioral health and substance abuse treatment facilities in the State of Arizona?

The Arizona Department of Health Services, Division of Behavioral Health Services (DBHS) licenses behavioral health facilities according to the level of care and services they are capable of providing to their clients. View More

5. What information must be provided in my initial application for licensure?

The Arizona Department of Health Services will provide the format for the initial application. The initial application is comprised of basic identifying information, date for onsite inspection, ownership information, previous licensing history of owners and physical plant specifications. This application format is used for all facilities applying for licensure. View More

Renewal

6. Does a license have to be renewed?

The license must be renewed annually, at least 60 days, but ...View More

Timelines

7. How long does a licensing application usually take?

Type of Approval

Overall Time Frame

Administrative Completeness Timeframe

Substantive Review Timeframe

Approval of architectural plans and specifications

105 calendar days

 45 calendar days

View More

 

On-site Review

8. What kinds of on-site audits or inspections will there be for licensure determination and how can I prepare?

When submitting an application for an initial health care institution license, the applicant must provide written notice that the facility is ready for a licensing inspection. View More

9. What kinds of things could affect a license once granted?

Certain changes or modifications to services must be reported to Arizona Department of Health Services, Division of Behavioral Health Services, and sometimes a new license must be applied for. It is important to await an approval or an amended license from DBHS before proceeding in the following circumstances: View More

Certification

10. Does our facility have to be certified and what are the practical benefits of certifying my facility?

Programs in Arizona do not have to be certified, although...View More

11. How do I apply for certification?

In order to become certified by the Arizona Recovery Housing Alliance (AzHRA), it is necessary to join the association by paying the application fee... View More

12. What should I do in preparation for the on-site compliance review?

The Arizona Recovery Housing Association (AzHRA) criteria for site inspection is available here: http://www.myazrha.org/sites/default/files/Inspection-Form-2015-2016.pdf. This should be reviewed alongside... View More

13. How often must I renew certification?

The Arizona Recovery Housing Association conducts annual inspections. View More

Zoning and Land Use

14. What are the protections afforded to small group homes used for the purpose of residential substance abuse treatment?

The regulation of land use and zoning is traditionally reserved to state and local governments, except... View More


15. Are there any proximity restrictions regulating how close treatment centers may be to each other? Can I open a residential treatment center right next to one that is already there?

There is no statewide rule or regulation preventing multiple facilities from operating in close proximity. Notwithstanding... View More

16. What are the basic physical plant requirements for treatment facilities?

Please note, these regulations relate to space and do not constitute all environmental requirements....View More

Care, Treatment and Services

Admissions Agreement

17. What client information should be collected during intake and what should we put in our admissions agreement?

Discussions with the client, or the person responsible for the client, should be in simple, non-technical terms and in the client’s primary language. View More

Screening

18. How does a program decide if a patient or resident is suitable for the services they can provide?

Facilities have an obligation to provide adequate and appropriate services to their patients or clients, which must be delivered with objectivity, respect and integrity. View More

Treatment Plan

19. What information should go into a treatment plan?

A treatment plan must be developed and implemented for each patient of a behavioral health inpatient or residential facility... View More

Contact Requirements

20. What are the required services that a facility must provide to a client/patient?

An administrator must ensure that counseling services are offered as described in the facility’s scope of services, according to the frequency and number of hours identified in the client’s/patient’s treatment plan and provided by an appropriately qualified member of staff.View More

Restraint & Seclusion

21. How can facilities manage an aggressive client/patient?

Facilities have a responsibility not to admit a client who is beyond their ability to help, or whose behavior or symptoms exceed their ability to manage. View More

22. How should staff manage client medications?

The facility must develop written procedures for managing clients’ medications, which must include storage, administration, documentation, inventory, and disposal. View More

Client Rights

23. What rights are guaranteed to clients?

Clients’ rights must be respected and protected. Each facility has a responsibility to provide clients, or their representatives, with a copy of their rights, in a language they can understand on admission, and inform them of the complaints and appeal process. Clients, or their representatives, must sign to confirm they have received a copy of their rights and a copy must also be posted in plain sight at the facility. View More

Discharge

24. What grounds are needed in order to dismiss a client from a program?

There are four types of discharge. First, successful completion of program means that the client has met the goals of their recovery plan. View More

25. What documentation is required to demonstrate appropriate discharge planning?

Behavioral health inpatient and behavioral health residential facilities are required to develop a discharge plan with the client, prior to discharge, setting out the level of care that is thought appropriate to meet the client’s needs after discharge. View More

26. I need to discharge a client that relapsed, but am I at risk if he or she overdoses tonight and how can I protect myself?

The discharge of a client must be handled carefully given the risks if a client suffers negative health consequences in the aftermath of discharge. View More

Privacy

27. How must clients’ privacy be protected?

Client confidentiality is an important issue covered by both federal and state laws. These laws set forth specific requirements regarding how and when patient information may be shared and the protections that must be in place... View More

Governance and Staffing

28. What kind of governance structure should a substance abuse facility have?

Behavioral health residential, inpatient and substance abuse facilities are led by governing authorities consisting of one or more individuals who are responsible for the organization, operation and administration of the facility. View More

Payment

29. How should I respond to clients who are unable to pay the required deductibles? Can I waive a program participant’s financial responsibility?

Clients seeking drug and alcohol rehabilitative services often face financial difficulties, whether as a result of the consequences of their addiction or as a result of the expense of multiple, prior failed treatment programs. View More

30. What are the key issues insurers raise to demand recoupment of fees from substance abuse treatment programs?

Insurers may demand recoupment of fees based on any defect in the billing claim or supporting documentation and/or based on any noncompliance with federal or state laws. The most common defects in the billing claim that insurers assert are lack of medical necessity and insufficient documentation to support the claim. View More

Marketing

31. What marketing practices are prohibited?

The most widespread prohibited marketing practices in addiction treatment appear to revolve around inappropriate inducements and inaccurate marketing claims. View More

32. What are the limits of gift giving to potential referral sources?

State and federal regulators prohibit the exchange of... View More

33. What kind of benefits can I offer existing or new clients?

Facilities should avoid giving gifts to clients or referral sources based on anti-kickback statutes which prohibit patient brokering... View More

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