Arizona Administrative Code
Title 9 - HEALTH SERVICES
Chapter 28 - ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM - ARIZONA LONG-TERM CARE SYSTEM
Article 11 - BEHAVIORAL HEALTH SERVICES
Section R9-28-1102 - ALTCS Contractor or Tribal Contractor Responsibilities

Universal Citation: AZ Admin Code R 9-28-1102

Current through Register Vol. 30, No. 38, September 20, 2024

A. ALTCS contractor. A contractor shall arrange for behavioral health services to all enrolled members, including American Indian members who are not enrolled with a tribal contractor .

B. Tribal contractor. A tribal contractor shall provide behavioral health services to a American Indian member who is enrolled with a tribal contractor as prescribed in R9-28-1101. When a tribal contractor determines that an EPD American Indian member residing on a reservation needs behavioral health services under R9-28-415, the member shall receive services as authorized by the Administration or a tribal contractor under A.A.C. R9-22-1205 from any AHCCCS-registered provider.

C. A program or tribal contractor shall cooperate when a transition of care occurs and ensure that medical records are transferred in accordance with A.R.S. §§ 36-2932, 36-509, and R9-28-514 when a member transitions from:

1. A behavioral health provider to another behavioral health provider,

2. A RBHA or TRBHA to a contractor,

3. A contractor or tribal contractor to a RBHA or TRBHA, or

4. A contractor to a tribal contractor or vice versa.

D. The Administration, a tribal contractor, or a contractor, as appropriate, shall authorize medical necessary behavioral health services for American Indian members.

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.
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