In addition to the definitions in A.R.S. §§
36-401 and
36-2171, the following definitions
apply in this Chapter unless otherwise stated:
1. "Administrative completeness review
time-frame" has the same meaning as in A.R.S. §
41-1072.
2. "AHCCCS" means the Arizona Health Care
Cost Containment System, an Arizona state agency established by A.R.S. Title
36, Chapter 29, to administer
42 U.S.C.
1396-1, Title XIX or XXI health care
programs.
3. "Applicant" means an
individual who submits to the Department an application for approval to
participate in a loan repayment program.
2.
4. "Application" means the information and documents
submitted to the Department by an individual requesting to participate in a
loan repayment program.
3. "Arizona Health Care Cost
Containment System" or "AHCCCS" means the Arizona state agency established by
A.R.S. Title 36, Chapter 29 to administer 42 U.S.C. 1396-1, Title XIX health
care programs.
4. "Arizona medically underserved
area" or "AzMUA" means a primary care area where access to primary care service
is limited as designated according to A.R.S. § 36-2352 .
5. "Arizona State Hospital" has
the same meaning as in A.R.S. §
36-202.
6. "Awardee" means an individual who has been
approved by the Department to participate in a loan repayment
program.
7. "AzMUA" means an
Arizona medically underserved area, a primary care area where access to primary
care service is limited, as designated according to A.R.S. §
36-2352.
8. "Behavioral health care provider" has the
same meaning as "behavioral health provider" in A.R.S. §
36-2171.
9. "Behavioral health residential facility"
has the same meaning as in A.A.C.
R9-10-101.
10. "Behavioral health hospital" means:
a. A special hospital, as defined in A.A.C.
R9-10-101, that is only licensed to
provide behavioral health services; or
b. A facility, operated as a hospital in this
state by the United States federal government or by a sovereign tribal nation,
that only provides behavioral health services.
5.
11.
"Calendar day" means each day, not excluding the day of the act, event, or
default from which a designated period of time begins to run and including the
last day of the period unless it is a Saturday, Sunday, statewide furlough day,
or legal holiday, in which case the period runs until the end of the next day
that is not a Saturday, Sunday, statewide furlough day, or legal
holiday.
6.
12. "Calendar year" means the period of 365 days
starting from the first day of January.
7.
13. "Cancellation"
means the discharge of an awardee's loan repayment contract based on one of the
criteria in
R9-15-108 .
a. A primary care provider
requests a discharge of the primary care provider's loan repayment contract as
allowed by this Chapter; or
b. The Department
determines:
i. There are no loan repayment
funds available;
ii. A primary care provider is not
complying with the requirements in A.R.S. Title 36, Chapter 21 or this
Chapter;
iii. A primary care provider's
service site is not complying with the requirements in A.R.S. Title 36, Chapter
21 or this Chapter; or
iv. A primary care provider fails
to meet the terms of the primary care provider's loan repayment contract with
the Department.
8. "Certified nurse midwife" means
a registered nurse practitioner approved by the Arizona State Board of Nursing
to provide primary care services during pregnancy, childbirth, and the
postpartum period.
9. "Clinical social worker" means
an individual licensed under A.R.S. § 32-3293 .
10.
14.
"Critical access hospital" means a facility certified by the Centers for
Medicare & Medicaid Services under Section 1820 of the Social Security Act.
11. "Denial" means the
Department's determination that a primary care provider is not approved
to:
a. Participate in the
LRP,
b. Renew a loan repayment
contract,
c. Suspend or cancel a loan
repayment contract, or
d. Waive liquidated damages owed
by the primary care provider for failure to comply with A.R.S. Title 36,
Chapter 21 and this Chapter.
12.
15. "Dental services"
means the same as "dentistry" in A.R.S. §
32-1201.
13.
16.
"Dentist" means an individual licensed under A.R.S. Title 32, Chapter 11,
Article 2.
14.
17. "Direct patient care" means medical services,
dental services, pharmaceutical services, or behavioral health services
provided to a specific individual by a primary care provider or behavioral
health care provider and for services provided by the primary care provider or
behavioral health care provider to or for the specific individual including:
a. Documenting the services in the specific
individual's medical records,
b.
Consulting with other health care professionals about the specific individual's
need for services, and
c.
Researching information specific to the individual's need for
services.
15.
18. "Educational expenses" has the same meaning as in
42 C.F.R. §
62.22.
16.
19. "Encounter" means a face-to-face visit, which may
include a visit using telemedicine, between a patient and an awardee during
which primary care services or behavioral health services, as applicable, are
provided.
17.
20. "Family unit" means a group of individuals
residing together who are related by birth, marriage, or adoption or an
individual who does not reside with another individual to whom the individual
is related by birth, marriage, or adoption.
18.
21. "Federal prison"
means a secure facility, managed and run by or on behalf of the Federal Bureau
of Prisons, that confines an individual convicted of a crime.
19.
22.
"Full-time" means working at least :
a. 40
hours per week for at least 45 weeks per service year, for a loan repayment
program under Article 2 or
b. An
average of 36 hours per week for at least 45 weeks per service year, for a loan
repayment program under Article 3.
20.
23. "Free-clinic"
means a facility that provides primary care services, on an outpatient basis,
to individuals at no charge.
24.
"Governing authority" has the same meaning as in A.R.S. §
36-401.
21. "Government student loan"
means an advance of money made by a federal, state, county, or city agency that
is authorized by law to make the advance of money.
22.
25.
"Half-time" means working at least 20 hours per week, but not more than 39
hours per week, for at least 45 weeks per service year.
23.
26.
"Health professional school" has the same meaning as "school" in
42 C.F.R. §
62.2.
24.
27. "Health
professional service obligation" means a legal commitment in which an
individual agrees to provide primary care services or behavioral health
services for a specified period of time in a designated area or through a
designated service site.
25. "Health professional shortage
area" or "HPSA" means a geographic region, population group, or public or
non-profit private medical facility or other public facility determined by the
U.S. Department of Health and Human Services to have an inadequate number of
primary care providers under 42 U.S.C. § 254e.
26.
28.
"Health service experience to a medically underserved population" means at
least 500 clock hours of medical services, dental services, pharmaceutical
services, or behavioral health services provided by an individual, including
clock hours completed during the individual's residency or graduate education:
a. Under the direction of a governmental
agency, an accredited educational institution, or a non-profit organization;
and
b. At a service site located
in:
i. A medically underserved area designated
by the U.S. Department of Health and Human Services according to
42 CFR §
51c.102,
ii. A medically underserved
population,
iii. An AzMUA,
or
ii.
iv. A HPSA designated by a federal agency.
27.
29. "Health service priority" means the number
assigned by the Department to an application and used to determine whether loan
repayment funds are allocated to an applicant requesting approval to
participate in a loan repayment program.
30. "HPSA" means a health professional
shortage area, a geographic region, population group, or public or non-profit
private medical facility or other public facility determined by the U.S.
Department of Health and Human Services under
42 U.S.C. §
254e to have an inadequate number of
providers of medical services, dental services, or behavioral health
services.
28.
31. "Immediate family" means an individual in any of
the following relationships to an awardee:
a.
Spouse;
b. Natural, adopted,
foster, or stepchild;
c. Natural,
adoptive, or stepparent;
d. Brother
or sister;
e. Stepbrother or
stepsister;
f. Grandparent or
spouse of a grandparent;
g.
Grandchild or spouse of a grandchild;
h. Father-in-law or mother-in-law;
i. Brother-in-law or sister-in-law;
or
j. Son-in-law or
daughter-in-law.
29. "Licensee"
means:
a. An owner approved by the
Department to operate a health care institution, or
b. An individual licensed under
A.R.S. Title 32.
30.
32. "Living expenses"
has the same meaning as in 42 C.F.R. §
62.22.
31.
33.
"Loan repayment funds" means:
a. Monies
provided to the Department from the U.S. Department of Health and Human
Services, Health Resources and Services Administration, for use in a loan
repayment program;
b. Monies
specified by the Arizona State Legislature and provided to the Department for
use in a loan repayment program; or
c. Monies donated to the Department and
designated for use as part of a loan repayment program.
32. "Loan Repayment Program" or
"LRP" means the unit in the Department that implements the Primary Care
Provider Loan Repayment Program, established according to A.R.S. §
36-2172, and the Rural Private Primary Care Provider Loan Repayment Program,
established according to A.R.S. § 36-2174 .
34. "Loan repayment program" means
one of the following, according to this Chapter:
a. The Primary Care Provider Loan Repayment
Program, established according to A.R.S. §
36-2172;
b. The Rural Private Primary Care Provider
Loan Repayment Program, established according to A.R.S. §
36-2174; or
c. The Behavioral Health Care Provider Loan
Repayment Program, established according to A.R.S. §
36-2175.
33. "Marriage and family
therapist" means an individual licensed under A.R.S. § 32-3311
.
35.
"Medically underserved population" means a group of individuals who have
limited access to health services, as designated by the U.S. Department of
Health and Human Services under
42 CFR §
51c.102.
34.
36. "Newly employed"
means that a primary care provider's first-time employee start date with a
service site or employer identified in an initial application occurred within
12 months before the primary care provider's initial application submission
date.
35. "Non-government student loan"
means an advance of money made by a bank, credit union, savings and loan
association, insurance company, school, or other financial or credit
institution that is subject to examination and supervision in its capacity as a
lender by an agency of the federal government or of the state in which the
lender has its principle place of business.
36.
37.
"Overall time-frame" has the same meaning as in A.R.S. §
41-1072.
37.
38.
"Pharmaceutical services" has the same meaning as "practice of pharmacy" in
A.R.S. §
32-1901.
38.
39.
"Pharmacist" has the same meaning as in A.R.S. §
32-1901.
39.
40.
"Physician" has the same meaning as in A.R.S. §
36-2351.
40.
41.
"Physician assistant" has the same meaning as in A.R.S. §
32-2501.
41.
42.
"Population" means the total number of permanent residents according to the
most recent decennial census published by the U.S. Census Bureau or according
to the most recent Population Estimates for Arizona's Counties and Incorporated
Places published by the Arizona Department of Economic Security.
42.
43.
"Poverty level" means a measure of income, issued annually by the U.S.
Department of Health and Human Services and published in the Federal
Register.
43.
44. "Primary care area" has the same meaning as in
A.A.C.
R9-24-201 .
44. "Primary care loan" means a
long-term, low-interest-rate financial contract between the U.S. Department of
Health and Human Services, Health Resources and Services Administration and a
full-time student pursuing a degree in allopathic or osteopathic
medicine.
47.
45. "Primary care
provider" means one of the following providing direct patient care:
a. A physician practicing:
i. Family medicine,
ii. Internal medicine,
iii. Pediatrics,
iv. Geriatrics,
v. Obstetrics-gynecology, or
vi. Psychiatry;
b. A physician assistant practicing:
i. Adult medicine,
ii. Family medicine,
iii. Pediatrics,
iv. Geriatrics,
v. Women's health, or
vi. Behavioral health;
c. A registered nurse practitioner
practicing:
i. Adult medicine,
ii. Family medicine,
iii. Pediatrics,
iv. Geriatrics,
v. Women's health, or
vi. Behavioral health;
d. A certified nurse midwife, a registered
nurse practitioner approved by the Arizona State Board of Nursing to provide
primary care services during pregnancy, childbirth, and the postpartum
period;
e. A dentist practicing:
i. General dentistry,
ii. Geriatric dentistry, or
iii. Pediatric dentistry;
f. A pharmacist; or
g. A behavioral health care provider
i. A psychologist,
ii. A clinical social
worker,
iii. A marriage and family
therapist, or
iv. A professional
counselor.
48.
46. "Primary care
services" means medical services, dental services, pharmaceutical services, or
behavioral health services provided on an outpatient basis by a primary care
provider.
49.
47. "Private practice" means an individual or entity
in which:
a. One or more primary care
providers provide primary care services; and
b. Each primary care provider is an owner who
can be held personally responsible for the primary care services provided by
any of the primary care providers.
48. "Professional counselor" means
an individual licensed under A.R.S. § 32-3301 .
49. "Psychiatrist" means a
physician who is board certified or board eligible to provide behavioral health
services.
50. "Psychologist" has the same
meaning as in A.R.S. § 32-2061 .
51. "Public" means
any:
a. State or local government;
or
b. Department, agency, special
purpose district, or other unit of a state or local government, including the
legislature.
52.
48. "Qualifying educational loan" means an advance of
money:
a. Used for the actual costs paid for
educational expenses and living expenses that occurred during the undergraduate
or graduate education of an applicant, and
b. Obtained before the submission of an
initial application.
53.
49. "Qualifying health
plan" means health insurance coverage provided to a consumer through the
Arizona State Health Insurance Marketplace established by
42 U.S.C.A. §
18001 (2010).
54.
50. "Registered nurse
practitioner" has the same meaning as in A.R.S. §
32-1601.
55.
51.
"Service site" means a health care institution that provides primary care
services or behavioral health services, as applicable, at a specific location.
56. "Service verification form"
means a document confirming a primary care provider's full-time or half-time
continuous employment at the primary care provider's approved service
site.
57.
52. "Sliding-fee
schedule" has the same meaning as in A.A.C.
R9-1-501 .
58. "State-appropriated funds"
means monies provided to the Department for the Primary Care Provider Loan
Repayment Program, established according to A.R.S. § 36-2172, and the
Rural Private Primary Care Provider Loan Repayment Program, established
according to A.R.S. § 36-2174 .
59. "State loan repayment funds"
means monies provided to the Department from the U.S. Department of Health and
Human Services, Health Resources and Services Administration.
60.
53. "State prison" means a secure facility, managed
and run by or on behalf of the Arizona Department of Corrections, in which an
individual convicted of a crime is confined.
61. "Student" means an individual
pursuing a course of study at a health professional school.
62.
54. "Substantive review time-frame" has the same
meaning as in A.R.S. §
41-1072.
63.
55.
"Suspend" means to temporarily interrupt a loan repayment contract for a
specified period of time, based on a request submitted by the
awardee.
64.
56. "Telemedicine" has the same meaning as:
a. "Telehealth" as defined in A.R.S. §
36-3601,
b. "Teledentistry" as defined in A.R.S.
§
36-3611, or
c. "Telepractice" as defined in A.R.S. §
32-2061.
65.
57.
"Working day" means a Monday, Tuesday, Wednesday, Thursday, or Friday that is
not a federal and state holiday or a statewide furlough day.
