Current through Register Vol. 30, No. 52, December 27, 2024
A. This Article
shall apply to services purchased by the Division under the authority of A.R.S.
§
36-557
and to reimbursement rates established by the Division under the authority of
A.R.S. §
36-2959.
This Article does not apply to services purchased by the Division under the
Arizona Procurement Code, A.R.S. Title 41, Chapter 23.
B. Under this Article, the Division may:
1. Enter into Qualified Vendor Agreements for
the delivery of statewide community developmental disability
services;
2. Amend Qualified Vendor
Agreements in accordance with these rules;
3. Establish, review, and update
reimbursement rates for the purchase of services for persons with developmental
disabilities in the Arizona long-term care system and the state only
program;
4. Purchase community
developmental disability services from provider organizations, Professional
Independent Providers and Individual Independent Providers who have submitted a
Qualified Vendor application, have become qualified as a vendor and have signed
a Qualified Vendor Agreement or an Individual Service Agreement with the
Division;
5. Create a list of
Qualified Vendors based on applications received that meet the criteria defined
at
R6-6-2104;
6. Reimburse a Qualified Vendor for the
provision of community developmental disability services based on published
rates or negotiated rates;
a. The Division
shall determine if the reimbursement methodology will be published rate or
negotiated rate for each service purchased.
b. The Division shall use only one
reimbursement methodology per service.
7. Issue an authorization to a Qualified
Vendor who has been selected to provide the service for a specific
consumer;
8. Establish a process
for the consumer or the consumer's representative to select a provider from a
list of Qualified Vendors or Individual Independent Providers; and
9. Maintain an open and continuous process of
accepting applications to become a Qualified Vendor.
C. A Professional Independent Provider shall
become a Qualified Vendor in order to provide community developmental
disability services for the Division.
D. An Individual Independent Provider may
become a Qualified Vendor but is not required to become a Qualified Vendor in
order to provide community developmental disability services under an agreement
with the Division.
