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Arizona Revised Statutes (Last Updated: March 31, 2016) |
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Title 36. Public Health and Safety |
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Chapter 29. ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM ADMINISTRATION |
| Article 1. Arizona Health Care Cost Containment System |
| Sec 36-2901. Definitions |
| Sec 36-2901. Definitions |
| Sec 36-2901.01. Additional definition of eligibility for the Arizona health care cost containment system; enforcement; private right of action |
| Sec 36-2901.02. Arizona tobacco litigation settlement fund; nonlapsing |
| Sec 36-2901.03. Federal poverty program; eligibility |
| Sec 36-2901.04. Medical expense deduction eligibility process |
| Sec 36-2901.05. Breast and cervical cancer treatment; additional definition of eligibility |
| Sec 36-2901.06. Capitation rate adjustments; limitation |
| Sec 36-2901.07. Definition of eligible person; conditional eligibility |
| Sec 36-2901.08. Hospital assessment |
| Sec 36-2901.09. Hospital assessment fund |
| Sec 36-2902. Arizona health care cost containment system administration; director; compensation |
| Sec 36-2902.01. Advisory council on Indian health care; membership; compensation; meetings |
| Sec 36-2902.02. Advisory council on Indian health care; duties |
| Sec 36-2903. Arizona health care cost containment system; administrator; powers and duties of director and administrator; exemption from attorney general representation; definition |
| Sec 36-2903.01. Additional powers and duties; report; definition |
| Sec 36-2903.02. Quality of health care monitoring standard; development; adoption; use; additional monitoring; costs |
| Sec 36-2903.03. United States citizenship and qualified alien requirements for eligibility; report; definition |
| Sec 36-2903.04. Prior wards of the state; eligibility determination |
| Sec 36-2903.05. Uniform application and eligibility process |
| Sec 36-2903.06. Cooperation with Arizona-Mexico commission |
| Sec 36-2903.07. Trauma and emergency services fund |
| Sec 36-2903.08. AHCCCS uncompensated care; hospital assessment; reports |
| Sec 36-2903.09. Waivers; annual submittal; definitions |
| Sec 36-2903.10. AHCCCS contractors; prescription monitoring; controlled substances; review |
| Sec 36-2903.11. AHCCCS contractors; emergency department use |
| Sec 36-2904. Prepaid capitation coverage; requirements; long-term care; dispute resolution; award of contracts; notification; report |
| Sec 36-2905. Removal of medicaid special exemption for payments to contractors; civil penalty |
| Sec 36-2905.01. Inpatient hospital reimbursement program; large counties |
| Sec 36-2905.02. Inpatient reimbursement; rural hospitals; definition |
| Sec 36-2905.04. Eligibility by fraud; penalties; enforcement; classification |
| Sec 36-2905.06. Finger imaging; requirements; exemption |
| Sec 36-2905.07. Recipients of pharmaceutical benefits; finger imaging program; program termination |
| Sec 36-2905.08. Nicotine replacement therapies; tobacco use medications |
| Sec 36-2906. Qualified plan health services contracts; proposals; administration |
| Sec 36-2906.01. Qualified commercial carriers; administration; contracts |
| Sec 36-2907. Covered health and medical services; modifications; related delivery of service requirements; definition |
| Sec 36-2907. Covered health and medical services; modifications; related delivery of service requirements; definition |
| Sec 36-2907.01. Eosinophilic gastrointestinal disorder; formula |
| Sec 36-2907.02. Benchmark benefit package |
| Sec 36-2907.04. Family planning services |
| Sec 36-2907.05. Primary care programs; definition |
| Sec 36-2907.06. Qualifying community health centers; contracts; requirements; definition |
| Sec 36-2907.07. Tobacco tax program evaluations |
| Sec 36-2907.08. Basic children's medical services program; definition |
| Sec 36-2907.09. Direct service contracts; reporting |
| Sec 36-2907.10. Transplants; extended eligibility |
| Sec 36-2907.11. Retaining transplant status |
| Sec 36-2907.12. Transplants; tobacco tax allocation |
| Sec 36-2907.13. Arizona health care cost containment system; teledentistry |
| Sec 36-2908. Provision of emergency and specialty services; reimbursement |
| Sec 36-2909. Emergency hospital services; retroactive coverage; costs |
| Sec 36-2910. Notification to system of nonemergency services |
| Sec 36-2911. Payment of monthly premiums |
| Sec 36-2912. Children's rehabilitative services program; definition |
| Sec 36-2913. Systems funds; funding |
| Sec 36-2914. Medical care consortiums; lawful trade practices |
| Sec 36-2915. Lien of administration on damages recovered by injured person; perfection, recording, assignment and notice of lien |
| Sec 36-2916. Release of claim by injured person ineffective as to system; action to enforce lien; release of lien |
| Sec 36-2917. Review committees; immunity; confidentiality; definition |
| Sec 36-2918. Prohibited acts; penalties; subpoena power |
| Sec 36-2918.01. Duty to report fraud or abuse; immunity |
| Sec 36-2919. Absence of federal financial participation; effect on system operation |
| Sec 36-2920. Monthly financial report |
| Sec 36-2921. Hospital loan program; residencies; fund; program termination |
| Sec 36-2922. Medical services stabilization fund; definition |
| Sec 36-2923. Insurer claims data reporting requirements; administration as payor of last resort; report; definition |
| Sec 36-2924. Child care and AHCCCS joint program |
| Sec 36-2925. Information system; administrative services; agreements with other states; report |
| Sec 36-2926. Use of cost savings; preparation of budget recommendations; cooperation of other agencies |
| Sec 36-2927. Intergovernmental service fund; funding |
| Sec 36-2928. Budget neutrality compliance fund; nonlapsing |
| Sec 36-2929. Services to persons with disabilities; eligibility; premiums |
| Sec 36-2930. Prescription drug rebate fund; exemption; definition |
| Sec 36-2930.01. Members; missed medical appointments; fee; provider remedy |
| Article 2. Arizona Long-Term Care System |
| Sec 36-2931. Definitions |
| Sec 36-2932. Arizona long-term care system; powers and duties of the director; expenditure limitation |
| Sec 36-2933. Eligibility determination; application; enrollment |
| Sec 36-2934. Eligibility criteria; qualifications for coverage; liquidation of assets |
| Sec 36-2934.01. Creation of trusts; eligibility for the system; share of cost |
| Sec 36-2934.02. Financial instruments; eligibility for the system |
| Sec 36-2935. Estate recovery program; liens |
| Sec 36-2936. Preadmission screening programs; functional tests; screening review |
| Sec 36-2937. Effective date of program contractor's responsibility |
| Sec 36-2938. Case management; definition |
| Sec 36-2939. Long-term care system services |
| Sec 36-2940. Program contractors; annual plan |
| Sec 36-2941. Establishment of capitation rates |
| Sec 36-2942. Payments to the department |
| Sec 36-2943. Provider subcontracts; hospital reimbursement |
| Sec 36-2944. Qualified plan health service contracts; proposals; administration; contract terms |
| Sec 36-2944.01. Removal of medicaid special exemption for payments to program contractors; civil penalty |
| Sec 36-2945. Provision of services without contract; requirements |
| Sec 36-2946. Coordination of benefits; third party payments |
| Sec 36-2947. Program contractors; additional responsibilities |
| Sec 36-2948. Prohibited collection practices |
| Sec 36-2949. Exemption from insurance law |
| Sec 36-2950. Services to persons with disabilities; eligibility; premiums |
| Sec 36-2951. Self-directed attendant care services; rules; definition |
| Sec 36-2952. County or special health care district long-term care system fund; uniform accounting |
| Sec 36-2953. Department long-term care system fund; uniform accounting |
| Sec 36-2954. Erroneous eligibility determination; state liability |
| Sec 36-2955. Inappropriate services; federal sanctions |
| Sec 36-2956. Liens on damages for injuries; notification |
| Sec 36-2957. Prohibited acts; penalties |
| Sec 36-2958. Absence of federal financial participation; effect on system operation |
| Sec 36-2959. Reimbursement rates; capitation rates; annual review |
| Sec 36-2960. Persons with developmental disabilities; cost-effective study rate; report |
| Article 3. Qualified Medicare Beneficiary |
| Sec 36-2971. Definitions |
| Sec 36-2972. Rights, authority and responsibilities of the director and the administration |
| Sec 36-2973. Qualified medicare beneficiary only; eligibility determination; application; enrollment |
| Sec 36-2974. Dual eligibles; qualifications for coverage; enrollment |
| Sec 36-2975. Specified low income medicare beneficiary; eligibility |
| Sec 36-2976. Qualifying individuals |
| Article 4. Children's Health Insurance Program |
| Sec 36-2981. Definitions |
| Sec 36-2982. Children's health insurance program; administration; nonentitlement; enrollment limitation; eligibility |
| Sec 36-2983. Eligibility for the program |
| Sec 36-2985. Enrollment cap; program termination; spending limitation |
| Sec 36-2986. Administration; powers and duties of director |
| Sec 36-2987. Reimbursement for the program |
| Sec 36-2988. Delivery of services; health plans; requirements |
| Sec 36-2989. Covered health and medical services; modifications; related delivery of service requirements |
| Sec 36-2989. Covered health and medical services; modifications; related delivery of service requirements |
| Sec 36-2990. Quality of health care monitoring standard; development; adoption; use; additional monitoring; costs |
| Sec 36-2991. Fraud; penalties; enforcement; violation; classification |
| Sec 36-2992. Duty to report fraud or abuse; immunity; unprofessional conduct |
| Sec 36-2993. Prohibited acts; penalties |
| Sec 36-2994. Monthly financial report |
| Sec 36-2995. Children's health insurance program fund; sources of monies; use; reversion; claims |
| Sec 36-2998. Qualifying plans |
| Article 5. Comprehensive Care for the Elderly Program |
| Sec 36-2999.01. Definitions |
| Sec 36-2999.02. Program; program contractors; interdisciplinary teams |
| Sec 36-2999.03. Eligibility determination; applications; enrollment |
| Sec 36-2999.04. Case management; definition |
| Sec 36-2999.05. Establishment of capitation rate |
| Sec 36-2999.06. Organizations; additional responsibilities; exemption from title 20 |
| Sec 36-2999.07. Reporting requirements |
| Sec 36-2999.08. Program termination |
| Article 6. Nursing Facility Provider Assessments |
| Sec 36-2999.51. Definitions |
| Sec 36-2999.52. Nursing facility quality assessments; calculation; limitation; exceptions |
| Sec 36-2999.53. Nursing facility assessment fund |
| Sec 36-2999.54. Assessments; failure to pay; suspension or revocation |
| Sec 36-2999.55. Adjustment of payments; definition |
| Sec 36-2999.56. Modifications |
| Sec 36-2999.57. Discontinuance of assessments |