Section R9-34-402. Definitions

A.       "AHCCCS" means the AHCCCS Administration as defined in

A.R.S. § 36-2901.

B.       "Claim dispute" means a dispute involving a payment of a claim, denial of a claim, imposition of a sanction or reinsur­ ance.

C.       "Contractor" means contractor or program contractor as defined in A.RS. Title 36, Chapter 29; the Comprehensive Medical Dental Program in the Department of Economic Security; and the Children's Rehabilitation Services and Behavioral Health Services in the Arizona Department of Health Services.

D.       "Day" means calendar day unless otherwise specified.

E.       "Director" means the Director of the Arizona Health Care Cost Containment System Administration or designee.

F.        "Director's Decision" means the final administrative decision under A.R.S. § 41-1092(5).

G.       "FPS member" means an FPS member eligible for AHCCCS under A.R.S. Title 36, Chapter 29, and who is enrolled with AHCCCS on an FPS basis and not enrolled with an AHCCCS contractor.

H.       "Filed" means the date that AHCCCS receives a request as established by a date stamp on the request or other record of receipt.

I.         "State Fair Hearing" means an administrative hearing under

A.R.S. Title 41, Chapter 6, Article 10.

Historical Note

New Section made by final rulemaking at 10 A.A.R. 828, effective April 3, 2004 (Supp. 04-1).