Ariz. Admin. Code § R6-6-2102 - Applicability

Current through Register Vol. 27, No. 52, December 24, 2021

A. This Article shall apply to services purchased by the Division under the authority of A.R.S. § 36-557 and to reimbursement rates established by the Division under the authority of A.R.S. § 36-2959. This Article does not apply to services purchased by the Division under the Arizona Procurement Code, A.R.S. Title 41, Chapter 23.

B. Under this Article, the Division may:

1. Enter into Qualified Vendor Agreements for the delivery of statewide community developmental disability services;

2. Amend Qualified Vendor Agreements in accordance with these rules;

3. Establish, review, and update reimbursement rates for the purchase of services for persons with developmental disabilities in the Arizona long-term care system and the state only program;

4. Purchase community developmental disability services from provider organizations, Professional Independent Providers and Individual Independent Providers who have submitted a Qualified Vendor application, have become qualified as a vendor and have signed a Qualified Vendor Agreement or an Individual Service Agreement with the Division;

5. Create a list of Qualified Vendors based on applications received that meet the criteria defined at R6-6-2104;

6. Reimburse a Qualified Vendor for the provision of community developmental disability services based on published rates or negotiated rates;

a. The Division shall determine if the reimbursement methodology will be published rate or negotiated rate for each service purchased.

b. The Division shall use only one reimbursement methodology per service.

7. Issue an authorization to a Qualified Vendor who has been selected to provide the service for a specific consumer;

8. Establish a process for the consumer or the consumer's representative to select a provider from a list of Qualified Vendors or Individual Independent Providers; and

9. Maintain an open and continuous process of accepting applications to become a Qualified Vendor.

C. A Professional Independent Provider shall become a Qualified Vendor in order to provide community developmental disability services for the Division.

D. An Individual Independent Provider may become a Qualified Vendor but is not required to become a Qualified Vendor in order to provide community developmental disability services under an agreement with the Division.

Notes

Ariz. Admin. Code § R6-6-2102

New Section made by exempt rulemaking at 9 A.A.R. 170, effective February 1, 2003 (Supp. 03-1).