Ariz. Admin. Code § R9-28-1101 - General Requirements
Current through Register Vol. 48, No. 14, April 8, 2022
General requirements. The following general requirements apply to behavioral health services provided under this Article, and Chapter 22 subject to all exclusions and limitations.
Administration. The program shall be administered
under A.R.S. §
Provision of services. Behavioral health services
shall be provided under A.R.S. §
this Chapter and 9 A.A.C. 22, Article 12, as applicable.
"Case manager" means an individual responsible for coordinating the physical health services or behavioral health services provided to a patient at the health care institution.
"Contractor" means an ALTCS contractor or as previously known as program contractor. "Cost avoid" means the same as in A.A.C. R9-22-1201.
"Intergovernmental agreement" or "IGA" means an agreement for services or joint or cooperative action between the Administration and a tribal contractor.
"Qualified behavioral health service provider" means a behavioral health service provider that meets the requirements of R9-28-1106.
"Tribal contractor" means a tribal organization (The Tribe) or urban Indian organization defined in 25 U.S.C. 1603 and recognized by CMS as meeting the requirements of 42 U.S.C. 1396 d(b), that provides or is accountable for providing the services or delivering the items described in the intergovernmental agreement.
4. Enrollment of Native American
member. The Administration shall enroll an EPD Native American member with a
tribal contractor on a FFS basis if:
The member lives on-reservation of a Native American
tribal organization that is an ALTCS tribal contractor, or
The member lived on-reservation of a Native American
tribal organization that is an ALTCS tribal contractor immediately before
placement in an off-reservation Nursing Facility or an alternative HCBS
Services. A tribal contractor or the Administration
may authorize behavioral health services for FFS Native American members
enrolled with a tribal contractor as delineated in the intergovernmental
Enrollment of Native American members
off-reservation. Except as provided in
an EPD Native American who resides off-reservation shall be enrolled with an
ALTCS program contractor to receive behavioral health services, including case
Enrollment of developmentally disabled Native
American member. A developmentally disabled Native American member who resides
on or off-reservation shall be enrolled with the Department of Economic
Security's Division of Developmental Disabilities under
and shall receive behavioral health services from the Department of Economic
Security's Division of Developmental Disabilities.
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