Arizona Laws 36-3413. Grievance and appeal process
A. The administration shall require all regional behavioral health authorities to establish and implement a grievance and appeal process for use by service providers and by individuals receiving and requesting services. The administration shall stipulate any required elements of the process in the request for proposal issued to solicit bids from entities that wish to become a regional behavioral health authority.
Terms Used In Arizona Laws 36-3413
- Administration: means the Arizona health care cost containment system administration. See Arizona Laws 36-3401
- Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
- Director: means the director of the administration. See Arizona Laws 36-3401
- Process: means a citation, writ or summons issued in the course of judicial proceedings. See Arizona Laws 1-215
- Regional behavioral health authority: means an organization under contract with the administration to coordinate the delivery of mental health services in a geographically specific service area of the state for eligible persons. See Arizona Laws 36-3401
- Service provider: means an organization or mental health professional that meets the criteria established by the administration and has a contract with the administration or a regional behavioral health authority. See Arizona Laws 36-3401
B. The process shall be as prescribed in Title 41, Chapter 6, Article 10, subject to the exceptions in Section 36-2903.01, subsection B, paragraph 4 and rules adopted by the director, for grievances and appeals filed by regional behavioral health authorities and by service providers and individuals receiving and requesting services that have already exhausted the regional behavioral health authority grievance and appeal process. In the case of individuals receiving behavioral health services by a service provider that has contracted directly with the administration instead of through a regional behavioral health authority, the administration’s grievance and appeal process is considered the primary process.