Ariz. Rev. Stat. § 36-2903. Arizona health care cost containment system; administrator; powers and duties of director and administrator; exemption from attorney general representation; definition: Arizona Health Care Cost Containment System – Arizona
Status: Enacted Year Enacted: 2010
The Arizona health care cost containment system is established consisting of contracts with contractors for the provision of hospitalization and medical care coverage to members. Except as specifically required by federal law and by § 36-2909, the system is only responsible …
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Ariz. Rev. Stat. § 36-2903.01. Additional powers and duties; report; definition: Arizona Health Care Cost Containment System – Arizona
Status: Enacted Year Enacted: 2016
Outlines the reimbursement requirements for hospitals.
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Ariz. Rev. Stat. § 36-2903.02. Quality of health care monitoring standard; development; adoption; use; additional monitoring; costs: Arizona Health Care Cost Containment System – Arizona
Status: Enacted Year Enacted: 1984
The administration shall develop by rule a standard for contractors to use to monitor the quality of health care received by members. Each contractor shall adopt and use the standard developed by the administration. See …
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Ariz. Rev. Stat. § 36-2903.12. Hospital charge master transparency; joint annual report: Arizona Health Care Cost Containment System – Arizona
Status: Enacted Year Enacted: 2019
On or before January 2, 2020 and each year thereafter, the director of the Arizona health care cost containment system administration and the director of the department of health services shall submit a joint report …
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Ariz. Rev. Stat. § 36-2904. Prepaid capitation coverage; requirements; long-term care; dispute resolution; award of contracts; notification; report: Arizona Health Care Cost Containment System – Arizona
Status: Enacted Year Enacted: 1981
Authorizes the director of the AZ Medicaid program to execute capped fee-for-service contracts for health and medical services (except hospital services) and discount advance payment contracts for hospital services.
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Ariz. Rev. Stat. § 36-2905.02. Inpatient reimbursement; rural hospitals; definition: Arizona Health Care Cost Containment System – Arizona
Status: Enacted Year Enacted: 2005
If monies are appropriated for rural hospitals, the Arizona health care cost containment system administration shall request the centers for medicare and medicaid services to approve federal matching medicaid funding
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Ariz. Rev. Stat. § 36-2906. Qualified plan health services contracts; proposals; administration: Arizona Health Care Cost Containment System – Arizona
Status: Enacted Year Enacted: 1981
Outlines requirements for AZ’s Medicaid program’s contracts. Includes section on reinsurance
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Ariz. Rev. Stat. § 36-2907. Covered health and medical services; modifications; related delivery of service requirements; definition: Arizona Health Care Cost Containment System – Arizona
Status: Enacted Year Enacted: 1981
Subject to the limitations and exclusions specified in this section, contractors shall provide the following medically necessary health and medical services. See definition section Ariz. Rev. Stat. § 36-2901.
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Ariz. Rev. Stat. § 36-2907.05. Primary care programs; definition: Arizona Health Care Cost Containment System – Arizona
Status: Enacted Year Enacted: 1995
Subject to the availability of monies, the administration shall enter into an intergovernmental agreement pursuant to title 11, chapter 7, article 3 with the department of health services to establish community based primary care programs …
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Ariz. Rev. Stat. § 36-2907.06. Qualifying community health centers; contracts; requirements; definition: Arizona Health Care Cost Containment System – Arizona
Status: Enacted Year Enacted: 1995
Persons who qualify for Medicaid and receive care from a qualifying community health center will be charged for services based on a sliding fee schedule. In awarding contracts, the department of health services may give preference to …
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Ariz. Rev. Stat. § 36-2909. Emergency hospital services; retroactive coverage; costs: Arizona Health Care Cost Containment System – Arizona
Status: Enacted Year Enacted: 1981
If a member receives emergency hospitalization and medical care on or after the date of eligibility determination or the eligibility effective date from a hosital that does not have a contract to care for the …
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Ariz. Rev. Stat. § 36-2913. Systems funds; funding: Arizona Health Care Cost Containment System – Arizona
Status: Enacted Year Enacted: 1981
The Arizona health care cost containment system fund, long-term care system fund and the third-party liability and recovery audit fund are established. The funds shall be used to pay administrative and program costs associated with …
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Ariz. Rev. Stat. § 36-2914. Medical Care Consortiums; Lawful Trade Practices: Arizona Health Care Cost Containment System – Arizona
Status: Enacted Year Enacted: 1981
Notwithstanding title 44, chapter 10, article 1, actions taken by providers, potential providers, contractors and other bidders in specific accordance with this article in forming consortiums or in otherwise entering into contracts to provide medical …
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Ariz. Rev. Stat. § 36-2930.04. Delivery system reform incentive payment fund; purpose; exemption; expenditure plan review: Arizona Health Care Cost Containment System – Arizona
Status: Enacted Year Enacted: 2016
The delivery system reform incentive payment fund is established. The fund shall be used to pay all costs incurred pursuant to the section 1115 waiver authority associated with delivery system reform incentive payments and designated …
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Ariz. Rev. Stat. § 36-2941. Establishment of capitation rates: Arizona Health Care Cost Containment System Administration — Arizona Long-term Care System – Arizona
Status: Enacted Year Enacted: 1987
The administration shall establish capitation rates based on an actuarial study for the department. The capitation rate shall be based on the estimated cost of providing services pursuant to this article to members who have …
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Ariz. Rev. Stat. § 36-2942. Payments to the department: Arizona Long-term Care System – Arizona
Status: Enacted Year Enacted: 1987
The AZ Medicaid program’s administration shall make at least monthly capitation payments to the department consisting of a portion of the capitation rate provided by the federal government. Prior to making the capitation payment, the …
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