Arizona Administrative Code
Title 9 - HEALTH SERVICES
Chapter 21 - ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM (AHCCCS) BEHAVIORAL HEALTH SERVICES FOR PERSONS WITH SERIOUS MENTAL ILLNESS
Article 4 - APPEALS, GRIEVANCES, AND REQUESTS FOR INVESTIGATION FOR PERSONS WITH SERIOUS MENTAL ILLNESS
Section R9-21-403 - Initiating a Grievance or Investigation

Universal Citation: AZ Admin Code R 9-21-403

Current through Register Vol. 30, No. 52, December 27, 2024

A. Any individual may file a grievance regarding an abridgement by a mental health agency of one or more of a client's rights in Article 2 of this Chapter,

B. Any individual may request an investigation regarding a condition requiring investigation.

C. An employee of or individual under contract with one of the following shall file a grievance if the employee has reason to believe that a mental health agency has abridged one or more of a client's rights in Article 2 of this Chapter or that a condition requiring investigation exists, and shall receive disciplinary action for failure to comply with this subsection:

1. A service provider,

2. A health plan,

3. An inpatient facility, or

4. The Administration.

D. A service provider or health plan shall file a grievance if it:

1. Receives a non-frivolous allegation that:
a. A mental health agency has abridged one or more of a client's rights in Article 2 of this Chapter, or

b. A condition requiring investigation exists; or

2. Has reason to believe that there exists or has occurred a condition requiring investigation in a mental health agency or program.

E. The Administration shall request an investigation if:

1. The Administration determines that it would be in the best interests of a client, the Administration, or the public; or

2. The Administration receives a non-frivolous allegation or has reason to believe that:
a. A mental health agency has abridged one or more of a client's rights in Article 2 of this Chapter, or

b. A condition requiring investigation exists.

F. To file a grievance, an individual shall communicate the grievance orally or submit the grievance in writing to a mental health agency who shall forward the grievance to the appropriate person as identified in R9-21-404. If asked to do so by a client, an employee shall assist the client in making an oral or written grievance or shall direct the client to the available supervisory or managerial staff who shall assist the client in making an oral or written grievance.

G. Any grievance or request for investigation shall be accurately and completely reduced to writing on an Administration-provided grievance or request for investigation form by:

1. The individual filing the grievance or request for investigation, or

2. The mental health agency to whom the grievance or request for investigation is made.

Disclaimer: These regulations may not be the most recent version. Arizona may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.