Section R9-28-701.10. General Requirements

The following Sections of A.A.C. Chapter 22, Articles 2 and 7, are applicable   to  reimbursement  for   services  provided  under   the

ALTCS program, except that the term “program contractor” shall be substituted for “contractor.”

1.        Scope of the Administration’s and Contractor’s Liability, R9-22-701.10;

2.        Charges to Members, R9-22-702;

3.        Payments by the Administration or by a program contrac- tor, R9-22-703 and R9-22-705;

4.        Contractor’s Liability to Hospitals for the Provision of Emergency and Post-stabilization Care, R9-22-709;

5.        Payment for Non-hospital services, R9-22-710;

6.     Specialty   Contracts,   R9-22-712(G)(3),   R9-22-712.01

(10) and Article 2;

7.        Payments by the Administration for Hospital Services Provided to an Eligible Person, R9-22-712; R9-22-712.01 and R9-22-712.10;

8.        Overpayment and Recovery of Indebtedness, R9-22-713;

9.        Payments to Providers, R9-22-714;

10.     Hospital Rate Negotiations, R9-22-715; and

11.     Reinsurance, R9-22-720.

Historical Note

New Section made by final rulemaking at 13 A.A.R. 458, effective April 7, 2007 (Supp. 07-1).