Section R9-22-701. Standard for Payments Related Definitions

Section R9-22-701.01. Reserved

Section R9-22-701.02. Reserved

Section R9-22-701.03. Reserved

Section R9-22-701.04. Reserved

Section R9-22-701.05. Reserved

Section R9-22-701.06. Reserved

Section R9-22-701.07. Reserved

Section R9-22-701.08. Reserved

Section R9-22-701.09. Reserved

Section R9-22-701.10. Scope of the Administration’s and Contractor’s Liability

Section R9-22-702. Charges to Members

Section R9-22-703. Payments by the Administration

Section R9-22-704. Repealed

Section R9-22-705. Payments by Contractors

Section R9-22-706. Repealed

Section R9-22-707. Repealed

Section R9-22-708. Payments for Services Provided to Eligible American Indians

Section R9-22-709. Contractor’s Liability to Hospitals for the Provi- sion of Emergency and Post-stabilization Care

Section R9-22-710. Payments for Non-hospital Services

Section R9-22-711. Copayments

Section R9-22-712. Reimbursement: General

Section R9-22-712.01. Inpatient Hospital Reimbursement for claims with admission dates and discharge dates from October 1, 1998 through September 30, 2014

Section R9-22-712.02. Reserved

Section R9-22-712.03. Reserved

Section R9-22-712.04. Reserved

Section R9-22-712.05. Graduate Medical Education Fund Allocation

Section R9-22-712.06. Reserved

Section R9-22-712.07. Rural Hospital Inpatient Fund Allocation

Exhibit 1. Pool Example

Section R9-22-712.08. Reserved

Section R9-22-712.09. Hierarchy for Tier Assignment through Septem- ber 30, 2014

Section R9-22-712.10. Outpatient Hospital Reimbursement: General

Section R9-22-712.11. Reserved

Section R9-22-712.12. Reserved

Section R9-22-712.13. Reserved

Section R9-22-712.14. Reserved

Section R9-22-712.15. Outpatient Hospital Reimbursement: Affected Hospitals

Section R9-22-712.16. Reserved

Section R9-22-712.17. Reserved

Section R9-22-712.18. Reserved

Section R9-22-712.19. Reserved

Section R9-22-712.20. Outpatient Hospital Reimbursement: Methodol- ogy for the AHCCCS Outpatient Capped Fee-For-Service Schedule

Section R9-22-712.21. Reserved

Section R9-22-712.22. Reserved

Section R9-22-712.23. Reserved

Section R9-22-712.24. Reserved

Section R9-22-712.25. Outpatient Hospital Fee Schedule Calculations: Associated Service Costs

Section R9-22-712.26. Reserved

Section R9-22-712.27. Reserved

Section R9-22-712.28. Reserved

Section R9-22-712.29. Reserved

Section R9-22-712.30. Outpatient Hospital Reimbursement: Payment for a Service Not Listed in the AHCCCS Outpatient Capped Fee-For-Service Schedule

Section R9-22-712.31. Reserved

Section R9-22-712.32. Reserved

Section R9-22-712.33. Reserved

Section R9-22-712.34. Reserved

Section R9-22-712.35. Outpatient Hospital Reimbursement: Adjust- ments to Fees

Section R9-22-712.36. Reserved

Section R9-22-712.37. Reserved

Section R9-22-712.38. Reserved

Section R9-22-712.39. Reserved

Section R9-22-712.40. Outpatient Hospital Reimbursement: Annual and Periodic Update

Section R9-22-712.41. Reserved

Section R9-22-712.42. Reserved

Section R9-22-712.43. Reserved

Section R9-22-712.44. Reserved

Section R9-22-712.45. Outpatient Hospital Reimbursement: Outpatient Payment Restrictions

Section R9-22-712.46. Reserved

Section R9-22-712.47. Reserved

Section R9-22-712.48. Reserved

Section R9-22-712.49. Reserved

Section R9-22-712.50. Outpatient Hospital Reimbursement: Billing

Section R9-22-712.51. Reserved

Section R9-22-712.52. Reserved

Section R9-22-712.53. Reserved

Section R9-22-712.54. Reserved

Section R9-22-712.55. Reserved

Section R9-22-712.56. Reserved

Section R9-22-712.57. Reserved

Section R9-22-712.58. Reserved

Section R9-22-712.59. Reserved

Section R9-22-712.60. Diagnosis Related Group Payments

Section R9-22-712.61. DRG Payments: Exceptions

Section R9-22-712.62. DRG Base Payment

Section R9-22-712.63. DRG Base Payments Not Based on the Statewide Standardized Amount

Section R9-22-712.64. DRG Base Payments and Outlier CCR for Out- of-State Hospitals

Section R9-22-712.65. DRG Provider Policy Adjustor

Section R9-22-712.66. DRG Service Policy Adjustor

Section R9-22-712.67. DRG Reimbursement: Transfers

Section R9-22-712.68. DRG Reimbursement: Unadjusted Outlier Add- on Payment

Section R9-22-712.69. DRG Reimbursement: Covered Day Adjusted DRG Base Payment and Covered Day Adjusted Outlier Add-on Payment

Section R9-22-712.70. Covered Day Adjusted DRG Base Payment and Covered Day Adjusted Outlier Add-on Payment for FES mem- bers

Section R9-22-712.71. Final DRG Payment

Section R9-22-712.72. DRG Reimbursement: Enrollment Changes During an Inpatient Stay

Section R9-22-712.73. DRG Reimbursement: Inpatient Stays for Mem- bers Eligible for Medicare

Section R9-22-712.74. DRG Reimbursement: Third Party Liability

Section R9-22-712.75. DRG Reimbursement: Payment for Administra- tive Days

Section R9-22-712.76. DRG Reimbursement: Interim Claims

Section R9-22-712.77. DRG Reimbursement: Admissions and Dis- charges on the Same Day

Section R9-22-712.78. DRG Reimbursement: Readmissions

Section R9-22-712.79. DRG Reimbursement: Change of Ownership

Section R9-22-712.80. DRG Reimbursement: New Hospitals

Section R9-22-712.81. DRG Reimbursement: Updates

Section R9-22-713. Overpayment and Recovery of Indebtedness

Section R9-22-714. Payments to Providers

Section R9-22-715. Hospital Rate Negotiations

Section R9-22-716. Repealed

Section R9-22-717. Repealed

Section R9-22-718. Urban Hospital Inpatient Reimbursement Pro- gram

Section R9-22-719. Contractor Performance Measure Outcomes

Section R9-22-720. Reinsurance

Section R9-22-721. Reserved

Section R9-22-722. Reserved

Section R9-22-723. Reserved

Section R9-22-724. Reserved

Section R9-22-725. Reserved

Section R9-22-726. Reserved

Section R9-22-727. Reserved

Section R9-22-728. Reserved

Section R9-22-729. Reserved

Section R9-22-730. Hospital Assessment