Arizona Administrative Code
Title 6 - ECONOMIC SECURITY
Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES
Article 13 - COORDINATION OF BENEFITS; THIRD-PARTY PAYMENTS
Section R6-6-1304 - Monitoring and Compliance

Universal Citation: AZ Admin Code R 6-6-1304

Current through Register Vol. 31, No. 12, March 21, 2025

The Division shall monitor third-party payments made to service providers. The Division shall determine whether a service provider is in compliance with the requirements set forth in this Article by inspecting documents to assess:

1. Verifiability and reliability;

2. Appropriateness of recovery attempt;

3. Timeliness of billing;

4. Accounting for reimbursements;

5. Auditing of receipts;

6. Provision of claim and explanation of benefits to the Division;

7. Auditing of receipts;

8. Other monitoring which the Division deems reasonably necessary to ensure compliance.

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