Article 7 - STANDARDS FOR PAYMENTS

  1. § R9-22-701 - Standards for Payments Related Definitions
  2. § R9-22-701.01 - Reserved
  3. § R9-22-701.02 - Reserved
  4. § R9-22-701.03 - Reserved
  5. § R9-22-701.04 - Reserved
  6. § R9-22-701.05 - Reserved
  7. § R9-22-701.06 - Reserved
  8. § R9-22-701.07 - Reserved
  9. § R9-22-701.08 - Reserved
  10. § R9-22-701.09 - Reserved
  11. § R9-22-701.10 - Scope of the Administration's and Contractor's Liability
  12. § R9-22-702 - Charges to Members
  13. § R9-22-703 - Payments by the Administration
  14. § R9-22-704 - [REPEALED]
  15. § R9-22-705 - Payments by Contractors
  16. § R9-22-706 - [REPEALED]
  17. § R9-22-707 - [REPEALED]
  18. § R9-22-708 - Payments for Services Provided to Eligible American Indians
  19. § R9-22-709 - Contractor's Liability to Hospitals for the Provision of Emergency and Post-stabilization Care
  20. § R9-22-710 - Payments for Non-hospital Services
  21. § R9-22-711 - Copayments
  22. § R9-22-712 - Reimbursement: General
  23. § R9-22-712.01 - Inpatient Hospital Reimbursement for Claims with Admission Dates and Discharge Dates from October 1, 1998 through September 30, 2014
  24. § R9-22-712.02 - Reserved
  25. § R9-22-712.03 - Reserved
  26. § R9-22-712.04 - Reserved
  27. § R9-22-712.05 - Graduate Medical Education Fund Allocation
  28. § R9-22-712.06 - Supplemental Graduate Medical Education Fund Allocation
  29. § R9-22-712.07 - Rural Hospital Inpatient Fund Allocation
  30. Exhibit 1 - Pool Example, version 4
  31. § R9-22-712.08 - Federally Qualified Health Center and Rural Health Clinic Graduate Medical Education Program
  32. § R9-22-712.09 - Hierarchy for Tier Assignment through September 30, 2014
  33. § R9-22-712.10 - Outpatient Hospital Reimbursement: General
  34. § R9-22-712.11 - Reserved
  35. § R9-22-712.12 - Reserved
  36. § R9-22-712.13 - Reserved
  37. § R9-22-712.14 - Reserved
  38. § R9-22-712.15 - Outpatient Hospital Reimbursement: Affected Hospitals
  39. § R9-22-712.16 - Reserved
  40. § R9-22-712.17 - Reserved
  41. § R9-22-712.18 - Reserved
  42. § R9-22-712.19 - Reserved
  43. § R9-22-712.20 - Outpatient Hospital Reimbursement: Methodology for the AHCCCS Outpatient Capped Fee-for-service Schedule
  44. § R9-22-712.21 - Reserved
  45. § R9-22-712.22 - Reserved
  46. § R9-22-712.23 - Reserved
  47. § R9-22-712.24 - Reserved
  48. § R9-22-712.25 - Outpatient Hospital Fee Schedule Calculations: Associated Service Costs
  49. § R9-22-712.26 - Reserved
  50. § R9-22-712.27 - Reserved
  51. § R9-22-712.28 - Reserved
  52. § R9-22-712.29 - Reserved
  53. § R9-22-712.30 - Outpatient Hospital Reimbursement: Payment for a Service Not Listed in the Ahcccs Outpatient Capped Fee-for-service Schedule
  54. § R9-22-712.31 - Reserved
  55. § R9-22-712.32 - Reserved
  56. § R9-22-712.33 - Reserved
  57. § R9-22-712.34 - Reserved
  58. § R9-22-712.35 - Outpatient Hospital Reimbursement: Adjustments to Fees
  59. § R9-22-712.36 - Reserved
  60. § R9-22-712.37 - Reserved
  61. § R9-22-712.38 - Reserved
  62. § R9-22-712.39 - Reserved
  63. § R9-22-712.40 - Outpatient Hospital Reimbursement: Annual and Periodic Update
  64. § R9-22-712.41 - Reserved
  65. § R9-22-712.42 - Reserved
  66. § R9-22-712.43 - Reserved
  67. § R9-22-712.44 - Reserved
  68. § R9-22-712.45 - Outpatient Hospital Reimbursement: Outpatient Payment Restrictions
  69. § R9-22-712.46 - Reserved
  70. § R9-22-712.47 - Reserved
  71. § R9-22-712.48 - Reserved
  72. § R9-22-712.49 - Reserved
  73. § R9-22-712.50 - Outpatient Hospital Reimbursement: Billing
  74. § R9-22-712.51 - Reserved
  75. § R9-22-712.52 - Reserved
  76. § R9-22-712.53 - Reserved
  77. § R9-22-712.54 - Reserved
  78. § R9-22-712.55 - Reserved
  79. § R9-22-712.56 - Reserved
  80. § R9-22-712.57 - Reserved
  81. § R9-22-712.58 - Reserved
  82. § R9-22-712.59 - Reserved
  83. § R9-22-712.60 - Diagnosis Related Group Payments
  84. § R9-22-712.61 - DRG Payments: Exceptions
  85. § R9-22-712.62 - DRG Base Payment
  86. § R9-22-712.63 - DRG Base Payments Not Based on the Statewide Standardized Amount
  87. § R9-22-712.64 - DRG Base Payments and Outlier CCR for Out-of-State Hospitals
  88. § R9-22-712.65 - DRG Provider Policy Adjustor
  89. § R9-22-712.66 - DRG Service Policy Adjustor
  90. § R9-22-712.67 - DRG Reimbursement: Transfers
  91. § R9-22-712.68 - DRG Reimbursement: Unadjusted Outlier Add-on Payment
  92. § R9-22-712.69 - DRG Reimbursement: Covered Day Adjusted DRG Base Payment and Covered Day Adjusted Outlier Add-on Payment
  93. § R9-22-712.70 - Covered Day Adjusted DRG Base Payment and Covered Day Adjusted Outlier Add-on Payment for FES members
  94. § R9-22-712.71 - Final DRG Payment
  95. § R9-22-712.72 - DRG Reimbursement: Enrollment Changes During an Inpatient Stay
  96. § R9-22-712.73 - DRG Reimbursement: Inpatient Stays for Members Eligible for Medicare
  97. § R9-22-712.74 - DRG Reimbursement: Third Party Liability
  98. § R9-22-712.75 - DRG Reimbursement: Payment for Administrative Days
  99. § R9-22-712.76 - DRG Reimbursement: Interim Claims
  100. § R9-22-712.77 - DRG Reimbursement: Admissions and Discharges on the Same Day
  101. § R9-22-712.78 - DRG Reimbursement: Readmissions
  102. § R9-22-712.79 - DRG Reimbursement: Change of Ownership
  103. § R9-22-712.80 - DRG Reimbursement: New Hospitals
  104. § R9-22-712.81 - DRG Reimbursement: Updates
  105. § R9-22-712.90 - Reimbursement of Hospital-based Freestanding Emergency Departments
  106. § R9-22-713 - Overpayment and Recovery of Indebtedness
  107. § R9-22-714 - Payments to Providers
  108. § R9-22-715 - Hospital Rate Negotiations
  109. § R9-22-716 - [REPEALED]
  110. § R9-22-717 - [REPEALED]
  111. § R9-22-718 - Urban Hospital Inpatient Reimbursement Program
  112. § R9-22-719 - Contractor Performance Measure Outcomes
  113. § R9-22-720 - Reinsurance
  114. § R9-22-721 - Behavioral Health Inpatient Facilities
  115. § R9-22-722 - Reserved
  116. § R9-22-723 - Reserved
  117. § R9-22-724 - Reserved
  118. § R9-22-725 - Reserved
  119. § R9-22-726 - Reserved
  120. § R9-22-727 - Reserved
  121. § R9-22-728 - Reserved
  122. § R9-22-729 - Reserved
  123. § R9-22-730 - [Effective until10/1/2022]Hospital Assessment Fund - Hospital Assessment
  124. § R9-22-730 - [Effective10/1/2022]Hospital Assessment Fund - Hospital Assessment, version 2
  125. § R9-22-731 - Health Care Investment Fund - Hospital Assessment

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