§ 36-2901 Definitions
§ 36-2901.01 Additional definition of eligibility for the Arizona health care cost containment system; enforcement; private right of action
§ 36-2901.02
§ 36-2901.03 Federal poverty program; eligibility
§ 36-2901.04 Medical expense deduction eligibility process
§ 36-2901.05 Breast and cervical cancer treatment; additional definition of eligibility
§ 36-2901.06 Capitation rate adjustments; limitation
§ 36-2901.07 Definition of eligible person; conditional eligibility
§ 36-2901.08 Hospital assessment
§ 36-2901.09 Hospital assessment fund
§ 36-2902 Arizona health care cost containment system administration; director; compensation
§ 36-2902.01 Arizona advisory council on Indian health care; membership; compensation; meetings
§ 36-2902.02 Arizona advisory council on Indian health care; duties; appropriation request
§ 36-2903 Arizona health care cost containment system; administrator; powers and duties of director and administrator; exemption from attorney general representation; definition
§ 36-2903.01 Additional powers and duties; report; definition
§ 36-2903.02 Quality of health care monitoring standard; development; adoption; use; additional monitoring; costs
§ 36-2903.03 United States citizenship and qualified alien requirements for eligibility; report; definition
§ 36-2903.04 Prior wards of the state; annual eligibility renewal; residency determination
§ 36-2903.05 Uniform application and eligibility process
§ 36-2903.06 Cooperation with Arizona-Mexico commission
§ 36-2903.07 Trauma and emergency services fund
§ 36-2903.08 AHCCCS uncompensated care; hospital assessments; reports
§ 36-2903.09 Waivers; annual submittal; definitions
§ 36-2903.10 AHCCCS contractors; prescription monitoring; controlled substances; review
§ 36-2903.11 AHCCCS contractors; emergency department use; annual reporting
§ 36-2903.12 Hospital charge master transparency; joint annual report
§ 36-2903.13 Inpatient psychiatric treatment; annual report
§ 36-2904 Prepaid capitation coverage; requirements; long-term care; dispute resolution; award of contracts; notification; report
§ 36-2905 Removal of medicaid special exemption for payments to contractors; civil penalty
§ 36-2905.01 Inpatient hospital reimbursement program; large counties
§ 36-2905.02 Inpatient reimbursement; rural hospitals; definition
§ 36-2905.03 Behavioral health inpatient facilities; lack of contract; reimbursement
§ 36-2905.04 Eligibility by fraud; penalties; enforcement; classification
§ 36-2905.05 Eligibility redetermination; prohibitions
§ 36-2905.06 Finger imaging; requirements; exemption
§ 36-2905.08 Nicotine replacement therapies; tobacco use medications
§ 36-2906 Qualified plan health services contracts; proposals; administration
§ 36-2906.01 Qualified commercial carriers; administration; contracts
§ 36-2907 Covered health and medical services; modifications; related delivery of service requirements; rules; definition
§ 36-2907.01 Eosinophilic gastrointestinal disorder; formula
§ 36-2907.02 Benchmark benefit package
§ 36-2907.03 Biomarker testing; coverage; definitions
§ 36-2907.04 Family planning services
§ 36-2907.05 Primary care programs; definition
§ 36-2907.06 Qualifying community health centers; rural health clinics; contracts; requirements; graduate medical education; definition
§ 36-2907.07 Tobacco tax program evaluations
§ 36-2907.08 Basic children’s medical services program; definition
§ 36-2907.09 Direct service contracts; reporting
§ 36-2907.10 Transplants; extended eligibility
§ 36-2907.11 Retaining transplant status
§ 36-2907.12 Transplants; tobacco tax allocation
§ 36-2907.13 Arizona health care cost containment system; teledentistry
§ 36-2907.14 AHCCCS; contractors; opioid treatment programs; reimbursement; report; definitions
§ 36-2907.15 Opioid use disorder treatment; standards; centers of excellence; annual report
§ 36-2908 Provision of emergency and specialty services; reimbursement
§ 36-2909 Emergency hospital services; retroactive coverage; costs
§ 36-2910 Notification to system of nonemergency services
§ 36-2911 Payment of monthly premiums
§ 36-2912 Children’s rehabilitative services program; definition
§ 36-2913 Systems funds; funding
§ 36-2914 Medical care consortiums; lawful trade practices
§ 36-2915 Lien of administration on damages recovered by injured person; perfection, recording, assignment and notice of lien
§ 36-2916 Release of claim by injured person ineffective as to system; action to enforce lien; release of lien
§ 36-2917 Review committees; immunity; confidentiality; definition
§ 36-2917.01 Clinical oversight review committee; duties; annual report
§ 36-2918 Prohibited acts; penalties; subpoena power
§ 36-2918.01 Duty to report fraud or abuse; immunity
§ 36-2919 Absence of federal financial participation; effect on system operation
§ 36-2920 Monthly financial report
§ 36-2922 Medical services stabilization fund; definition
§ 36-2923 Insurer claims data reporting requirements; administration as payor of last resort; report; definition
§ 36-2924 Child care and AHCCCS joint program
§ 36-2925 Information system; administrative services; agreements with other states; report
§ 36-2926 Use of cost savings; preparation of budget recommendations; cooperation of other agencies
§ 36-2927 Intergovernmental service fund; funding
§ 36-2928 Budget neutrality compliance fund; nonlapsing
§ 36-2929 Services to persons with disabilities; eligibility; premiums
§ 36-2930 Prescription drug rebate fund; exemption; definition
§ 36-2930.01 Members; missed medical appointments; fee; provider remedy
§ 36-2930.02 Intergovernmental agreements for county behavioral health services fund; purpose
§ 36-2930.03 340B drug pricing; requirements; applicability; annual report; definitions
§ 36-2930.04 Delivery system reform incentive payment fund; purpose; exemption; expenditure plan review
§ 36-2930.05 Provider participation; grounds for exclusion; rules; definition
§ 36-2930.06 Substance use disorder services fund; AHCCCS administration; use of monies

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Terms Used In Arizona Laws > Title 36 > Chapter 29 > Article 1 - Arizona Health Care Cost Containment System

  • Action: includes any matter or proceeding in a court, civil or criminal. See Arizona Laws 1-215
  • Administration: means the Arizona health care cost containment system administration. See Arizona Laws 36-2901
  • Administrator: means the administrator of the Arizona health care cost containment system. See Arizona Laws 36-2901
  • Adult: means a person who has attained eighteen years of age. See Arizona Laws 1-215
  • Affidavit: A written statement of facts confirmed by the oath of the party making it, before a notary or officer having authority to administer oaths.
  • Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
  • 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.
  • Appropriation: The provision of funds, through an annual appropriations act or a permanent law, for federal agencies to make payments out of the Treasury for specified purposes. The formal federal spending process consists of two sequential steps: authorization
  • Assets: (1) The property comprising the estate of a deceased person, or (2) the property in a trust account.
  • Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
  • Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
  • Contract: A legal written agreement that becomes binding when signed.
  • Contractor: means a person or entity that has a prepaid capitated contract with the administration pursuant to section 36-2904 or chapter 34 of this title to provide health care to members under this article or persons under chapter 34 of this title either directly or through subcontracts with providers. See Arizona Laws 36-2901
  • Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • Credit report: A detailed report of an individual's credit history prepared by a credit bureau and used by a lender in determining a loan applicant's creditworthiness. Source: OCC
  • Damages: Money paid by defendants to successful plaintiffs in civil cases to compensate the plaintiffs for their injuries.
  • Department: means the department of economic security. See Arizona Laws 36-2901
  • Dependent: A person dependent for support upon another.
  • Director: means the director of the Arizona health care cost containment system administration. See Arizona Laws 36-2901
  • Discovery: Lawyers' examination, before trial, of facts and documents in possession of the opponents to help the lawyers prepare for trial.
  • Eligible person: means any person who is:

    (a) Any of the following:

    (i) Defined as mandatorily or optionally eligible pursuant to title XIX of the social security act as authorized by the state plan. See Arizona Laws 36-2901

  • Entitlement: A Federal program or provision of law that requires payments to any person or unit of government that meets the eligibility criteria established by law. Entitlements constitute a binding obligation on the part of the Federal Government, and eligible recipients have legal recourse if the obligation is not fulfilled. Social Security and veterans' compensation and pensions are examples of entitlement programs.
  • Equitable: Pertaining to civil suits in "equity" rather than in "law." In English legal history, the courts of "law" could order the payment of damages and could afford no other remedy. See damages. A separate court of "equity" could order someone to do something or to cease to do something. See, e.g., injunction. In American jurisprudence, the federal courts have both legal and equitable power, but the distinction is still an important one. For example, a trial by jury is normally available in "law" cases but not in "equity" cases. Source: U.S. Courts
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Ex officio: Literally, by virtue of one's office.
  • Federal poverty guidelines: means the poverty guidelines as updated annually in the federal register by the United States department of health and human services. See Arizona Laws 1-215
  • Fiscal year: The fiscal year is the accounting period for the government. For the federal government, this begins on October 1 and ends on September 30. The fiscal year is designated by the calendar year in which it ends; for example, fiscal year 2006 begins on October 1, 2005 and ends on September 30, 2006.
  • Fixed Rate: Having a "fixed" rate means that the APR doesn't change based on fluctuations of some external rate (such as the "Prime Rate"). In other words, a fixed rate is a rate that is not a variable rate. A fixed APR can change over time, in several circumstances:
    • You are late making a payment or commit some other default, triggering an increase to a penalty rate
    • The bank changes the terms of your account and you do not reject the change.
    • The rate expires (if the rate was fixed for only a certain period of time).
  • Fraud: Intentional deception resulting in injury to another.
  • Graduate medical education: means a program, including an approved fellowship, that prepares a physician for the independent practice of medicine by providing didactic and clinical education in a medical discipline to a medical student who has completed a recognized undergraduate medical education program. See Arizona Laws 36-2901
  • Grantee: includes every person to whom an estate or interest in real property passes, in or by a deed. See Arizona Laws 1-215
  • Guardian: A person legally empowered and charged with the duty of taking care of and managing the property of another person who because of age, intellect, or health, is incapable of managing his (her) own affairs.
  • including: means not limited to and is not a term of exclusion. See Arizona Laws 1-215
  • Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
  • Lien: A claim against real or personal property in satisfaction of a debt.
  • Litigation: A case, controversy, or lawsuit. Participants (plaintiffs and defendants) in lawsuits are called litigants.
  • Malice: means evil intent and outrageous, oppressive or intolerable conduct that creates a substantial risk of tremendous harm to others. See Arizona Laws 36-2901
  • Member: means an eligible person who enrolls in the system. See Arizona Laws 36-2901
  • Minor: means a person under eighteen years of age. See Arizona Laws 1-215
  • Minority leader: See Floor Leaders
  • Month: means a calendar month unless otherwise expressed. See Arizona Laws 1-215
  • Noncontracting provider: means a person who provides health care to members pursuant to this article but not pursuant to a subcontract with a contractor. See Arizona Laws 36-2901
  • Oversight: Committee review of the activities of a Federal agency or program.
  • Person: includes a corporation, company, partnership, firm, association or society, as well as a natural person. See Arizona Laws 1-215
  • Physician: means a person who is licensed pursuant to Title 32, Chapter 13 or 17. See Arizona Laws 36-2901
  • Population: means the population according to the most recent United States decennial census. See Arizona Laws 1-215
  • Prepaid capitated: means a mode of payment by which a health care contractor directly delivers health care services for the duration of a contract to a maximum specified number of members based on a fixed rate per member notwithstanding:

    (a) The actual number of members who receive care from the contractor. See Arizona Laws 36-2901

  • Primary care physician: means a physician who is a family practitioner, general practitioner, pediatrician, general internist, or obstetrician or gynecologist. See Arizona Laws 36-2901
  • Primary care practitioner: means a nurse practitioner or certified nurse midwife who is certified pursuant to Title 32, Chapter 15 or a physician assistant who is licensed pursuant to Title 32, Chapter 25. See Arizona Laws 36-2901
  • Process: means a citation, writ or summons issued in the course of judicial proceedings. See Arizona Laws 1-215
  • Prosecute: To charge someone with a crime. A prosecutor tries a criminal case on behalf of the government.
  • Public law: A public bill or joint resolution that has passed both chambers and been enacted into law. Public laws have general applicability nationwide.
  • Quorum: The number of legislators that must be present to do business.
  • Remainder: An interest in property that takes effect in the future at a specified time or after the occurrence of some event, such as the death of a life tenant.
  • Settlement: Parties to a lawsuit resolve their difference without having a trial. Settlements often involve the payment of compensation by one party in satisfaction of the other party's claims.
  • Special health care district: means a special health care district organized pursuant to Title 48, Chapter 31. See Arizona Laws 36-2901
  • Statute: A law passed by a legislature.
  • Subpoena: A command to a witness to appear and give testimony.
  • System: means the Arizona health care cost containment system established by this article. See Arizona Laws 36-2901
  • United States: includes the District of Columbia and the territories. See Arizona Laws 1-215
  • Writing: includes printing. See Arizona Laws 1-215