Section R9-28-1102. ALTCS Contractor or Tribal Contractor Respon- sibilities

A.      ALTCS contractor. A contractor shall arrange for behavioral health services to all enrolled members, including American Indian members who are not enrolled with a tribal contractor.

B.       Tribal contractor. A tribal contractor shall provide behavioral health services to an American Indian member who is enrolled with a tribal contractor as prescribed in R9-28-1101. When a tribal contractor determines that an  EPD American Indian member residing on a reservation needs behavioral health ser- vices under R9-28-415, the member shall receive services as authorized by the Administration or a tribal contractor under

A.A.C. R9-22-1205 from any AHCCCS-registered provider.

C.      A program or tribal contractor shall cooperate when a transi- tion of care occurs and ensure that medical records are trans- ferred in accordance with A.R.S. §§ 36-2932, 36-509, and R9- 28-514 when a member transitions from:

1.        A behavioral health provider to another behavioral health provider,

2.        A RBHA or TRBHA to a contractor,

3.        A contractor or tribal contractor to a RBHA or TRBHA, or

4.        A contractor to a tribal contractor or vice versa.

D.      The Administration, a tribal contractor, or a contractor, as appropriate, shall authorize medical necessary behavioral health services for American Indian members.

Historical Note

Adopted under an exemption from A.R.S. Title 41, Chap- ter 6, pursuant to Laws 1992, Ch. 301, § 61, effective November 1, 1992; received in the Office of the Secretary of State November 25, 1992 (Supp. 92-4). Amended under an exemption from A.R.S. Title 41, Chapter 6, pur- suant to Laws 1992, Ch. 301, § 61, effective July 1, 1993 (Supp. 93-3). Amended under an exemption from A.R.S. Title 41, Chapter 6, pursuant to Laws 1995, Ch. 204, § 11, effective October 1, 1995; filed with the Office of the Secretary of State September 29, 1995 (Supp. 95-4). Sec- tion repealed; new Section adopted by final rulemaking at 6 A.A.R. 200, effective December 13, 1999 (Supp. 99-4).

Amended by final rulemaking at 13 A.A.R. 1090, effec- tive May 5, 2007 (Supp. 07-1). Amended by final

rulemaking at 20 A.A.R. 3122, effective January 4, 2015

(Supp. 14-4).