Section R9-31-701.10. General Requirements

The following Sections of A.A.C. Chapter 22, Articles 2 and 7 are applicable to reimbursement for AHCCCS-covered services pro- vided to a member under the KidsCare program, except that the term “Children’s Health Insurance Program Fund” shall be substi- tuted for “AHCCCS fund” and “A.R.S. § 36-2986” shall be substi- tuted for “A.R.S. § 36-2903:”

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 and Payments by Con- tractors, R9-22-703 and R9-22-705;

4.        Payments for Newborns, R9-22-707;

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

6.        Payments for Non-hospital Services, R9-22-710;

7.        Copayments, R9-22-711;

8.     Specialty Contracts, R9-22-712(G)(3), R9-22-712.01(10) and Article 2;

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

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

11.     Hospital Rate Negotiations, R9-22-715;

12.     Contractor Performance Measure Outcomes, R9-22-719; and

13.     Reinsurance, R9-22-720.

Historical Note

New Section made by final rulemaking at 13 A.A.R. 671, effective April 7, 2007 (Supp. 07-1).

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 8 A.A.R. 3350, effective July 15, 2002 (Supp. 02-3). Amended by final rulemaking at 11

A.A.R. 3246, effective October 1, 2005 (Supp. 05-3). Section repealed by final rulemaking at 13 A.A.R. 671,

effective April 7, 2007 (Supp. 07-1).