20231211 11501800 1.0 TRUE Map A Certificate of Necessity (“CON”) is required to operate a ground ambulance and transport patients in Arizona. The Arizona Department of Health Services (“ADHS”) regulates the operating and response times of ambulance services to meet the needs of the public and ensure adequate service, pursuant to Arizona Revised Statute (“A.R.S.”) § 36-2232. Under A.R.S. § 36-2232(A)(3), response times shall follow uniform standard definitions for urban, suburban, rural, and wilderness geographic areas within a CON. Under Arizona Administrative Code (“A.A.C.”) R9-25-901, “Scene locality” is defined as an urban, suburban, rural, or wilderness area. Scene locality is sometimes also referred to as “urbanicity”. The current scene locality / urbanicity maps were developed based on the 2020 Census urban areas and block groups, to geographically represent areas within a CON defined under A.A.C. R9-25-901 as the following:<ol><li>“Urban area” means a geographic region delineated as an urbanized area by the United States Department of Commerce, Bureau of the Census. </li><li>“Suburban area” means a geographic region within a 10-mile radius of an urban area that has a population density equal to or greater than 1,000 residents per square mile.</li><li>“Rural area” means a geographic region with a population of less than 40,000 residents that is not a suburban area. </li><li>“Wilderness area” means a geographic region that has a population density of less than one resident per square mile.</li></ol>Additional Information:<ul><li>The 2010 definition for urbanized areas is applied, as the 2020 Census doesn't delineate urban into two categories.</li><li>Updates occur as needed based on the most recent decennial census, adhering to Administrative Statute and Code.</li><li>Regulatory authority and definitions for scene localities can be found in the <a href='https://www.azdhs.gov/documents/preparedness/emergency-medical-services-trauma-system/statutes-rule-book.pdf' target='_blank' rel='nofollow ugc noopener noreferrer'>Statute and Rule Book</a>, under A.R.S. § 36-2232 and A.A.C. R9-25-901.</li></ul><div>For more information about the Certificates of Necessity program, please visit the ADHS Ground Ambulance Program <a href='https://www.azdhs.gov/preparedness/emergency-medical-services-trauma-system/index.php#ambulance-ground-program-home' target='_blank' rel='nofollow ugc noopener noreferrer'>website</a> or call (602) 364-3150. </div><div> </div><div>Last Updated: </div><div>Update Frequency: As Needed; requires Administrative Code change</div> Scene localities Certificate of Necessity Emergency Medical Services ground ambulance Arizona Department of Health Services A Certificate of Necessity (“CON”) is required to operate a ground ambulance and transport patients in Arizona. The Arizona Department of Health Services (“ADHS”) regulates the operating and response times of ambulance services to meet the needs of the public and ensure adequate service, pursuant to Arizona Revised Statute (“A.R.S.”) § 36-2232. Under A.R.S. § 36-2232(A)(3), response times shall follow uniform standard definitions for urban, suburban, rural, and wilderness geographic areas within a CON. Arizona Department of Health Services While every effort has been made to ensure the accuracy of these data, the Arizona Department of Health Services (ADHS) provides them on an “as is” and “as available” basis. ADHS makes no representations or warranties, express or implied, regarding the accuracy, completeness, reliability, or suitability of the data for any particular purpose. ADHS shall not be liable for any errors, inaccuracies, or omissions, nor for any damages, losses, or liabilities arising from the use of, or reliance on, these data. Pursuant to A.R.S. § 37-178, a public agency that shares geospatial data of which it is the custodian is not liable for errors, inaccuracies, or omissions and shall be held harmless from and against all damage, loss, or liability arising from any use of shared geospatial data. The information contained in these datasets is dynamic and may change over time. Users are responsible for reviewing and using the data in a manner consistent with the purpose, limitations, and update frequency described in the associated metadata. Any boundary, linear, or point locations contained in these datasets or displayed in associated applications are approximate and should not be used for authoritative, regulatory, or legal location purposes. Users should independently research, investigate, and verify all information to determine whether the data quality is appropriate for their intended use. 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