Section R9-31-1601. General Requirements

A.      An American Indian who is a member may receive:

1.        Covered acute care services specified in  this Chapter from:

a.         Indian Health Service (IHS) under A.R.S. § 36-2982 if IHS has a signed agreement with the Administra- tion,

b.        A Tribal Facility under A.R.S. § 36-2982,

c.         A contractor under A.R.S. § 36-2901, or

d.        An AHCCCS registered provider.

2.        Covered behavioral health care services as specified in this Chapter from:

a.         IHS under A.R.S. § 36-2982 if IHS has a signed agreement with the Administration,

b.        A Tribal Facility under A.R.S. § 36-2982, or

c.         A RBHA or TRBHA.

B.       IHS, a Tribal facility, or a referred provider shall meet the requirements in this Chapter and A.A.C. Chapter 22, Articles 2 and 7 to receive reimbursement for AHCCCS-covered ser- vices. Title 9 A.A.C. 22, Articles 2 and 7 are applicable to reimbursement for AHCCCS-covered services provided to an American Indian member under the KidsCare program, except that the term “IHS,” “Tribal facility,” or “referred provider” is substituted for “provider.”

Historical Note

Adopted under an exemption from A.R.S. Title 41, Chap- ter 6, pursuant to Laws 1998, Ch. 4, § 11, 4th Special Ses-

sion, effective October 23, 1998 (Supp. 98-4). Amended by final rulemaking at 7 A.A.R. 5846, effective Decem- ber 7, 2001 (Supp. 01-4). Amended by final rulemaking

at 13 A.A.R. 671, effective April 7, 2007 (Supp. 07-1). Amended by final rulemaking at 17 A.A.R. 1681, effec- tive August 2, 2011 (Supp. 11-3).