Arizona Administrative Code
Title 9 - HEALTH SERVICES
Chapter 22 - ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM - ADMINISTRATION
Article 18 - PROVIDER EXCLUSION RULES
Section R9-22-1802 - Basis for Exclusion

1. Any individual or entity which has failed to comply with any requirement, term, or condition set forth in any agreement with the Administration;

2. Any individual or entity which has failed to remit any indebtedness or overpayment as required by A.A.C. R9-22-713;

3. Any entity which has a managing employee or any entity with a person with an ownership or control interest that:

4. Any individual or any entity with a managing employee or a person with an ownership or control interest that has been convicted of a criminal offense which the Administration, in its sole discretion, determines may represent an undue risk of fraud, waste, or abuse of the system or an undue risk of harm to members;

5. Any individual or entity who employs any person to furnish items or services who has been excluded from participation in the system pursuant to A.R.S. § 36-2930.05;

6. Any individual who is or was a managing employee or a person with an ownership or control interest who participated in, condoned, or was willfully ignorant of any action or failure to act of an entity which was or could have been the basis for exclusion of the entity;

7. Any individual who was an organizer, leader, manager, or supervisor of any entity activity which was or could have been the basis for exclusion of the entity; or

8. Any individual or entity in order to protect the health of members.