Section R9-1-502. Family Member Determination

A provider shall determine the family members of an uninsured individual seeking medical services.

1.        A family with one member consists of:

a.        A non-pregnant child who does not live with:

i.         A parent;

ii.        A spouse;

iii.      An individual with whom the child has a com- mon biological or adopted child;

iv.      A biological or adopted child; or

v.        A biological or adopted child of an individual with whom the child has a common biological or adopted child; or

b.        A non-pregnant individual who is at least age 19 who does not live with:

i.         A spouse;

ii.        An individual with whom the individual who is at least age 19 has a common biological or adopted child;

iii.      A biological or adopted child; or

iv.      A biological or adopted child of an individual with whom the individual who is at least age 19 has a common biological or adopted child.

2.        A family with two or more members consists of:

a.        An individual and:

i.         The biological or adopted children who live with the individual; and

ii.        If the individual or a child under subsection (2)(a)(i) is pregnant, each fetus;

b.        Two individuals, who have a common biological or adopted child and who live together, and:

i.         The common biological or adopted children living with the two individuals;

ii.        The biological or adopted children of either individual living with the two individuals; and

iii.      If an individual or a child under subsection (2)(b)(i) or subsection (2)(b)(ii) is pregnant, each fetus; or

c.        Two individuals, who are married to each other, who live together, and who do not have a common bio- logical or adopted child, and

i.         The biological or adopted children of either individual living with the two individuals; and

ii.        If an individual or a child under subsection (2)(c)(i) is pregnant, each fetus.

Historical Note

New Section made by final rulemaking at 12 A.A.R. 3990, effective December 4, 2006 (Supp. 06-4).