Ariz. Admin. Code § R21-1-201 - Definitions

The definitions in A.R.S. § 8-501 and the following definitions apply to this Article.

1. "AHCCCS" means the Arizona Health Care Cost Containment System, which is the State's program for medical assistance available under Title XIX of the Social Security Act and state public insurance statutes, A.R.S. Title 36, Chapter 29.

2. "AHCCCS fee schedule" means the allowable amounts established by AHCCCS for medical, dental, and behavioral health services under A.R.S. § 36-2904 .

3. "Behavioral health recipient" means a Title XIX or Title XXI CMDP Member who is eligible for, and is receiving the behavioral health services through Medicaid behavioral health contractors.

4.2. "Child Safety Worker" means the same as A.R.S. § 8-801.

5. "CMDP" or "Comprehensive Medical and Dental Program" means the program authorized by A.R.S. § 8-512 and these rules.

6. "CMDP Member" means the same as in A.R.S. § 8-512, a child who is:

1. In a voluntary placement pursuant to section 8-806 .

2. In the custody of the department in an out-of-home placement.

3. In the custody of a probation department and placed in foster care. The department shall not provide this care if the cost exceeds funds currently appropriated and available for that purpose.

7.3. "Covered services" means those benefits as described in A.R.S. Title 36, Chapter 29, Article 1 and contained in the approved Medicaid State Plan.

4. "DCS CHP Member" means the same as in A.R.S. § 8-512, child who is:

a. In a voluntary placement under A.R.S. § 8-806.

b. In the custody of the Department in out-of-home placement.

c. In the custody of a probation department and placed in foster care. The Department shall not provide this care if the cost exceeds funds currently appropriated and available for that purpose.

5. "DCS Comprehensive Health Plan" or "DCS CHP" means the program authorized by A.R.S. § 8-512 and these rules.

8. 6. "Department" or "DCS" means the Department of Child Safety.

9. "Director" means the Director of the Department of Child Safety.

10. "Foster parent" means the same as A.R.S. § 8-501 .

11. 7. "Medically necessary" means a covered service provided by a physician, or other licensed practitioner in the healing arts within the scope of practice under state law to prevent disease, disability, or other adverse health conditions or their progression, or to prolong life.

12. "Non-Title XIX Behavioral Health recipient," "non-Title XIX" or "State Only Member" means a CMDP Member who is not eligible for Title XIX or Title XXI, and is receiving all covered services including behavioral health services through CMDP.

13. 8. "Out-of-home care provider" means the person or entity with whom a child resides in out-of-home placement.

14. "Out-of-home placement" means the same as A.R.S. § 8-501 .

9. "Title XIX Member" means a DCS CHP Member who is eligible for benefits under Title XIX or Title XXI of the Social Security Act and is receiving all covered services including behavioral health services through DCS CHP.

Notes

Ariz. Admin. Code § R21-1-201

Adopted by exempt rulemaking at 21 A.A.R. 2554, effective 11/30/2015. Amended by final rulemaking at 27 A.A.R. 2518, effective 10/5/2021.