Ariz. Admin. Code § R9-28-712 - County of Fiscal Responsibility
A. General requirements.
1. The Administration shall determine the
county of fiscal responsibility under A.R.S. §
36-2913
for an applicant or member who is elderly or physically disabled.
2. A program contractor shall cover services
and provisions specified in 9 A.A.C. 22, Articles 2 and 7 and Article 11 of
this Chapter.
B.
Criteria for determining county of fiscal responsibility for an applicant.
1. If the applicant resides in the
applicant's own home, the county of fiscal responsibility is the county where
the applicant currently resides.
2.
This applies only if subsection (B)(3) does not apply. If the applicant is
residing in a NF or alternative HCBS setting, the county of fiscal
responsibility is the county in which the applicant last resided in the
applicant's own home.
3. If the
applicant moves from another state directly into a NF or alternative HCBS
setting in this state, the county of fiscal responsibility is the county in
which the person currently resides.
4. If the applicant moves from the Arizona
State Hospital (ASH) into a NF or alternative HCBS setting, or is an inmate of
a public institution moving from the public institution into a NF or
alternative HCBS setting, the county of fiscal responsibility is the county in
which the applicant resided in the applicant's own home prior to admission to
ASH or the public institution.
C. Criteria for determining if there is a
change in county of fiscal responsibility for a member moving from one county
to another county.
1. No change in the county
of fiscal responsibility. There is no change in the county of fiscal
responsibility for a member if:
a. The member
moves from a NF to another NF in a different county,
b. The member moves from a NF to an
alternative HCBS setting in a different county,
c. The member moves from an alternative HCBS
setting to another alternative HCBS setting in a different county,
d. The member moves from an alternative HCBS
setting to a NF in a different county,
e. The member moves from the member's own
home to an alternative HCBS setting in a different county,
f. The member moves from the member's own
home to a NF in a different county,
g. The member moves from a NF or alternative
HCBS setting into ASH, or
h. The
member moves from ASH to a NF or alternative HCBS setting.
2. Change in the county of fiscal
responsibility. If a member moves from one county to another, the county of
fiscal of responsibility changes to the new county if the member moves from:
a. An alternative HCBS setting to the
member's own home in a different county,
b. A NF to the member's own home in a
different county,
c. The member's
own home to the member's own home in a different county, or
d. ASH to the member's own home.
3. Transfers between program
contractors. The county of fiscal responsibility changes if the Administration
transfers a member from one program contractor to a different program
contractor and if:
a. Both program contractors
agree, or
b. The Administration
determines that it is in the best interest of the member.
Notes
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