How to Start an Administrator License Application
Create your account in the Applicant Portal
Choose: "New user? Apply Now"
For Administrator License Requirements, please review all of Article 2 of the Board Rules found at: https://nciaboard.az.gov/about/board-directory-rules
Frequently used forms:
Character Certification Form: https://nciaboard.az.gov/resources/character-certification-form
Administrator in Training:
Questions about the Arizona Administrator in Training Program? Please review the Arizona AIT FAQ's - If you need additional information, please contact Misti Valentino and the email or cell phone number listed below
For applicants needing to complete an Administrator-in-Training Program (AIT) in Arizona or for information on how to become an AIT Preceptor, please contact:
Administrator-in-Training Program Advisory Committee
Arizona Chapter, American College of Healthcare Administrators
Misti Valentino-AIT PAC Chair
Email: [email protected]
Cell: (702)-273-7800
AZ AIT Program Advisory Committee
1959 South Power Road, Ste 103-359
Mesa, AZ 85206
ARTICLE 2.
NURSING CARE INSTITUTION ADMINISTRATOR LICENSING
R4-33-201 Requirements for Initial License by Examination
To be eligible to receive an initial license by examination as a nursing care institution administrator,
an individual shall:
1. Education and training.
a. Hold a minimum of a baccalaureate degree from an accredited college or university and
successfully complete an AIT program;
b. Hold a minimum of a master’s degree in either a health-related field or business
administration from an accredited college or university; or
c. Hold a minimum of an associate of arts degree in nursing from an accredited college or
university and:
i. Be currently licensed as a registered nurse under A.R.S. § 32-1632,
ii. Have worked as a registered nurse for five of the last seven years, and
iii. Successfully complete an AIT program.
2. Examination.
a. Obtain the scaled passing scores on both the NAB core of knowledge and line of service
examinations or qualify with NAB as a Health Services Executive, and
b. Obtain a score of at least 80 percent on the Arizona examination;
3. Fingerprint clearance card. Have a valid fingerprint clearance card issued under A.R.S. Title
41, Chapter 12, Article 3.1; and
4. Application. Submit all applicable information required under R4-33-204.
R4-33-202. Requirements for Initial License by Reciprocity
To be eligible for an initial license by reciprocity as a nursing care institution administrator, an
individual shall:
1. Substantially equivalent educational requirement.
a. Hold a minimum of a baccalaureate degree from an accredited college or university, or
b. Hold ACHCA certification;
2. Substantially equivalent examination requirement.
a. Hold a valid and current license as a nursing care institution administrator.
i Issued at least two years ago
ii Issured by a state or territory, and
iii Obtained by passing the NAB examination; or
b. Have evidence of qualification by NAB as a Health Services Executive; and
c. Obtain a score of at least 80 percent on the Arizona examination;
3. Never have had a nursing care administrator license suspended, revoked, or otherwise
restricted by any state or territory;
4. Fingerprint clearance card. Have a valid fingerprint clearance card issued under A.R.S. Title
41, Chapter 12, Article 3.1; and
5. Application.
a. Submit all applicable information required under R4-33-204,
b. Have submitted directly to the Board a certified copy of the valid and current license
issued by a state or territory, and
c. Have submitted directly to the Board by NAB:
i The examination score referenced under subsection (2)(a), or
ii Evidence of qualification as a Health Services Executive.
R4-33-203. Requirements for Temporary License
A. To be eligible for a temporary license as a nursing care institution administrator, an individual
shall:
1. Meet the requirements specified in R4-33-201 or R4-33-202 except for the requirement at
R4-33-201(2) or R4-33-202(2)(c);
2. Have the owner of an a nursing care institution that intends to appoint the applicant as
administrator if the applicant is successful in obtaining a temporary license submit to the
Board a Letter of Intent to Appoint on a form that is available from the Board. The owner of
the nursing care institution shall include the following in the Letter of Intent to Appoint:
a. Name of the owner of the nursing care institution;
b. Name and address of the nursing care institution;
c. Name of the applicant;
d. An affirmation of intent to appoint the applicant;
e. Reason for requesting a temporary license for the applicant;
f. License number of the nursing care institution; and
g. Signature of the owner of the nursing care institution affirming the information provided
is true and complete;
3. Not have held an Arizona temporary license as a nursing care institution administrator within
the past three years; and
4. Not have failed the Arizona or NAB examination before applying for a temporary license.
B. At the Board's request, an applicant for a temporary license shall appear or be available by
telephone for an interview with the Board.
C. A temporary license is valid for 150 days and is not renewable. Before expiration of the
temporary license, the temporary licensee shall become licensed under A.R.S. § 36-446.04 and
this Article or discontinue as administrator of the nursing care institution.
D. If a temporary licensee fails the Arizona or NAB examination during the term of the temporary
license, the temporary license is automatically revoked and the former licensee shall discontinue
as administrator of the nursing care institution.