Section R9-22-1006. AHCCCS Monitoring Responsibilities  


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  • AHCCCS shall monitor first- or third-party liability payments to a provider or noncontracting provider, which include but are not lim- ited to payments by or for:

    1.        Private health insurance;

    2.        Employment-related disability and health insurance;

    3.        Long-term care insurance;

    4.        Other   federal  programs  not  excluded  by  statute  from recovery;

    5.        Court ordered or non-court ordered medical support from an absent parent;

    6.        State worker’s compensation;

    7.        Automobile insurance, including underinsured and unin- sured motorists insurance;

    8.        Court   judgment  or  settlement   from  a  liability  insurer including settlement proceeds placed in a trust;

    9.        First-party probate estate recovery;

    10.     Adoption-related payment; or

    11.     A tortfeasor.

Historical Note

New Section made by final rulemaking at 10 A.A.R.

1146, effective May 1, 2004 (Supp. 04-1).