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Current as of January 01, 2025 | Updated by Findlaw Staff
A. Program contractors shall establish and submit to the director for the director's approval utilization control systems comprised of prior authorization, concurrent review and retrospective review of services.
B. If a member is no longer eligible for the system, the program contractor and the department shall notify the administration in accordance with rules adopted pursuant to § 36-2932, subsection G. If that member may be eligible for services under article 1 of this chapter, the program contractor shall refer the person to the administration and arrange for the transfer of records to the appropriate provider as defined in § 36-2901 on notice by the administration.
Cite this article: FindLaw.com - Arizona Revised Statutes Title 36. Public Health and Safety § 36-2947. Program contractors; additional responsibilities - last updated January 01, 2025 | https://codes.findlaw.com/az/title-36-public-health-and-safety/az-rev-st-sect-36-2947/
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