Section R9-15-101. Definitions

In this Chapter, unless otherwise specified:

1.        “AHCCCS” means Arizona Health Care Cost Contain- ment System.

2.        “Ambulatory care services” means all types of primary care services that are provided only on an  outpatient basis.

3.        “Arizona medically underserved area” means a primary care area that is designated by the Secretary of the United States Department of Health and Human Services as a health professional shortage area or that is designated by the  Department  using   the  methodology  described  in

A.A.C. R9-24-203.

4.        “Business organization” means an entity such as a sole proprietorship, an unincorporated association, a corpora- tion, a limited liability company, a partnership, or a gov- ernmental entity.

5.        “Commercial loan” means an advance of money made by a bank, credit union, savings and loan association, insur- ance company, school, or other financial or credit institu- tion that is subject to examination and supervision in its capacity as a lender by an agency of the United States or of the state in which the lender has its principal place of business.

6.        “Complete application” means a submission from a pri- mary care provider that contains all documents and infor- mation listed in either R9-15-209(A) and R9-15-210(A) and (B) or R9-15-309(A) and R9-15-310(A) and (B).

7.        “Days” means calendar days, 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, or legal holiday, in which event the period runs until the end of the next day that is not a Saturday, Sunday, or legal holiday.

8.        “Dentist” means an individual licensed under A.R.S. Title 32, Chapter 11, Article 2.

9.        “Department” means the Arizona Department of Health Services.

10.     “Educational expenses” has the same meaning as in 42

C.F.R. § 62.22.

11.     “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 individ- ual to whom the individual is related by birth, marriage, or adoption.

12.     “Fiscal year” means the 12-month period from July 1 of one calendar year to June 30 of the following calendar year.

13.     “Full-time” means for at least 40 hours during the seven- day period between Sunday at 12:00 a.m. and Saturday at 11:59 p.m.

14.     “Government loan” means an advance of money made by a federal, state, county, or city agency.

15.     “Health professional school” has the same meaning as “school” in 42 C.F.R. § 62.2.

16.     “Health professional shortage area” means a geographic region designated by the Secretary of the United States Department  of  Health and  Human   Services  under  42

U.S.C. § 254e.

17.     “Immediate family” means an individual in any of the following relationships to the primary care provider:

a.        Spouse,

b.        Natural or adopted child,

c.        Stepchild,

d.        Natural or adoptive parent,

e.        Stepparent,

f.         Full or partial brother or sister,

g.        Stepbrother or stepsister,

h.        Grandparent or spouse of grandparent,

i.         Grandchild or spouse of grandchild,

j.         Father-in-law or mother-in-law,

k.        Brother-in-law or sister-in-law, and

l.         Son-in-law or daughter-in-law.

18.     “Living expenses” has the same meaning as in 42 C.F.R.

§ 62.22.

19.     “Mid-level provider” has the same meaning as in A.R.S.

§ 36-2171.

20.     “Nurse midwife” means a registered nurse practitioner who is certified by the Arizona State Board of Nursing to perform as a midwife.

21.     “Physician” has the same meaning as in A.R.S. § 36- 2351.

22.     “Physician assistant” has the same meaning as in A.R.S.

§ 32-2501.

23.     “Population” means the total of permanent residents, according to the most recent decennial census published by the United States 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.

24.     “Poverty level” means the annual income for a family unit of a particular size included in the poverty guidelines updated annually in the Federal Register by the United States Department of Health and Human Services.

25.     “Primary care area” means a geographic region desig- nated as a primary care area by the Department under

A.A.C. R9-24-204.

26.     “Primary care index” means the report in which the Department designates primary care areas as medically underserved   by  using   the  methodology  described  in

A.A.C. R9-24-203.

27.     “Primary care provider” means:

a.        One of the following providing direct patient care in general or family practice, general internal medi- cine, pediatrics, or obstetrics:

i.         A physician,

ii.        A physician assistant,

iii.      A registered nurse practitioner, or

iv.      A nurse midwife; or

b.        A dentist.

28.     “Primary care services” means health care provided by a primary care provider.

29.     “Private” means owned by and operated under the direc- tion of an entity other than the federal or state govern- ment or a political subdivision of the state.

30.     “Public” means owned by and operated under the direc- tion of the federal or state government or a political sub- division of the state.

31.     “Reasonable educational expenses” means educational expenses that are equal to or less than the health profes- sional school’s estimated standard student budget for edu- cational expenses for the course of study and for the year or years during which the primary care provider pursued the course of study.

32.     “Reasonable living expenses” means living expenses that are equal to or less than the health professional school’s estimated standard student budget for living expenses for the course of study and for the year or years during which the primary care provider pursued the course of study.

33.     “Registered nurse practitioner” has the same meaning as in A.R.S. § 32-1601.

34.     “Rural” has the same meaning as in A.R.S. § 36-2171.

35.     “Service site” means a medical or dental practice provid- ing primary care services.

36.     “Student” means an individual pursuing a course of study at a health professional school.

37.     “Tuition” means the amount actually paid for instruction at a health professional school.

Historical Note

Adopted effective November 16, 1983 (Supp. 83-6).

Repealed effective February 7, 1995 (Supp. 95-1). New Section made by final rulemaking at 7 A.A.R. 2823, effective August 9, 2001 (Supp. 01-2).