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 5 - COURT-ORDERED EVALUATION AND TREATMENT
Section R9-21-502 - Emergency Admission for Evaluation
Current through Register Vol. 30, No. 38, September 20, 2024
A. An application for emergency evaluation pursuant to A.R.S. § 36-524 may be made to any evaluation agency licensed and approved by the Administration to provide such services on AHCCCS form MH-104, Titled "Application for Emergency Admission for Evaluation," set forth in Exhibit C.
B. Prior to admission of an individual under this rule, the evaluation agency shall notify the appropriate health plan of the potential admission so that the health plan may first:
C. If the evaluation agency does not provide notice pursuant to subsection (B) of this rule, the health plan shall not be obligated to pay for the services provided.
D. Only a mental health agency licensed by the Administration to provide emergency services according to A.R.S. Title 36, Chapter 4 may provide court-ordered emergency admission services under A.R.S. Title 36, Chapter 5, Article 4.