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Current as of January 01, 2025 | Updated by Findlaw Staff
In this article, unless the context otherwise requires:
1. “Administration” means the Arizona health care cost containment system administration.
2. “Capitation rate” means a mode of payment which the program contractor receives for the delivery of services to members pursuant to this article and which is based on a fixed rate per person notwithstanding the amount of services provided to a member.
3. “Department” means the department of economic security.
4. “Director” means the director of the Arizona health care cost containment system administration.
5. “Eligible person” means a person who:
(a) Is a resident of this state and a United States citizen or a person who meets the requirements for qualified alien status as determined pursuant to § 36-2903.03, who entered the United States on or before August 21, 1996 or who entered the United States on or after August 22, 1996 and who is a member of an exception group under Public Law 104-193, § 412.
(b) Meets the eligibility criteria pursuant to § 36-2934.
(c) Needs institutional services as determined pursuant to § 36-2936.
(d) Is defined as eligible pursuant to § 1902(a)(10)(A)(ii)(XV) and (XVI) of title XIX of the social security act and who meets the income requirements of § 36-2950.
6. “Home and community based services” means services described in § 36-2939, subsection B, paragraph 2 and subsection C.
7. “Institutional services” means services described in § 36-2939, subsection A, paragraph 1 and subsection B, paragraph 1.
8. “Member” means an eligible person who is enrolled in the system.
9. “Noncontracting provider” means a person who provides services as prescribed by § 36-2939 and who does not have a subcontract with a program contractor.
10. “Program contractor” means the department or any other entity that contracts with the administration pursuant to § 36-2940 or 36-2944 to provide services to members pursuant to this article.
11. “Provider” means a person who subcontracts with a program contractor for the delivery of services to members pursuant to this article.
12. “Special health care district” means a special health care district organized pursuant to title 48, chapter 31. 1
13. “State plan” means a written agreement between the centers for medicare and medicaid services and the Arizona health care cost containment system administration that describes eligibility, covered services and the requirements for participation in the medicaid program except those requirements that are waived pursuant to the research and demonstration waiver pursuant to § 1115 of the social security act.
14. “System” means the Arizona long-term care system.
15. “Uniform accounting system” means a standard method of collecting, recording and safeguarding Arizona long-term care system data.
Cite this article: FindLaw.com - Arizona Revised Statutes Title 36. Public Health and Safety § 36-2931. Definitions - last updated January 01, 2025 | https://codes.findlaw.com/az/title-36-public-health-and-safety/az-rev-st-sect-36-2931/
FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature before relying on it for your legal needs.
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