Arizona · Regulations
Chapter 34 — Arizona Health Care Cost Containment System - Grievance System
70 sections
70 sections
- R9-34-101R9-34-101. Application of Chapter
- R9-34-102R9-34-102. Definitions
- R9-34-103R9-34-103. Computation of Time
- R9-34-104R9-34-104. Petitioner’s Rights
- R9-34-105R9-34-105. Who May File
- R9-34-106R9-34-106. Requesting a State Fair Hearing
- R9-34-107R9-34-107. Time-frame for Requesting a State Fair Hearing
- R9-34-108R9-34-108. Format and Contents of the Request for a State Fair Hearing
- R9-34-109R9-34-109. Notice of Hearing
- R9-34-110R9-34-110. Denial of a Request for a State Fair Hearing
- R9-34-111R9-34-111. AHCCCS Time-frame for Resolution of a State Fair Hearing
- R9-34-112R9-34-112. Withdrawal of a Request for a State Fair Hearing
- R9-34-113R9-34-113. Motion for Rehearing or Review
- R9-34-114R9-34-114. AHCCCS Coverage During the State Fair Hearing Process
- R9-34-201R9-34-201. Purpose
- R9-34-202R9-34-202. Definitions
- R9-34-203R9-34-203. Computation of Time
- R9-34-204R9-34-204. Language and Format of the Notice of Action
- R9-34-205R9-34-205. Content of the Notice of Action
- R9-34-206R9-34-206. Contractor Notice of Action Time-frame for Service Authorization Requests
- R9-34-207R9-34-207. Contractor Notice of Action Time-frame for Service Termination, Suspension, or Reduction
- R9-34-208R9-34-208. Who May File
- R9-34-209R9-34-209. Enrollee Time-frame for Filing an Appeal or Grievance with the Contractor
- R9-34-210R9-34-210. Contractor General Requirements for Grievance or Appeal Process
- R9-34-211R9-34-211. Contractor Special Requirements for the Appeal Process
- R9-34-212R9-34-212. Contractor Time-frame for Standard Disposition of a Grievance
- R9-34-213R9-34-213. Contractor Time-frame for Standard Resolution of an Appeal
- R9-34-214R9-34-214. Contractor Process for an Expedited Resolution of an Appeal
- R9-34-215R9-34-215. Contractor Time-frame for an Expedited Appeal Resolution
- R9-34-216R9-34-216. Content of Contractor Notice of Appeal Resolution
- R9-34-217R9-34-217. Enrollee Request for a State Fair Hearing
- R9-34-218R9-34-218. AHCCCS Time-frame for Resolution of a State Fair Hearing
- R9-34-219R9-34-219. Enrollee’s Request for an Expedited State Fair Hearing
- R9-34-220R9-34-220. AHCCCS Time-frame for Resolution of an Expedited State Fair Hearing
- R9-34-221R9-34-221. Withdrawal of a Request for a State Fair Hearing
- R9-34-222R9-34-222. Denial of a Request for a State Fair Hearing
- R9-34-223R9-34-223. Motion for Rehearing or Review
- R9-34-224R9-34-224. Continuation of Services While the Contractor Appeal and the State Fair Hearing Are Pending
- R9-34-225R9-34-225. Reversed Appeal Resolutions
- R9-34-301R9-34-301. Purpose
- R9-34-302R9-34-302. Definitions
- R9-34-303R9-34-303. Computation of Time
- R9-34-304R9-34-304. Language and Format of the Notice of Action
- R9-34-305R9-34-305. Content of the Notice of Action
- R9-34-306R9-34-306. Time-frame for Notice of Action for Service Authorization Requests
- R9-34-307R9-34-307. Time-frame for Notice of Action for Service Termination, Suspension, or Reduction
- R9-34-308R9-34-308. Who May File
- R9-34-309R9-34-309. Time-frame for Filing an Appeal
- R9-34-310R9-34-310. General Requirements for the Appeal Process
- R9-34-311R9-34-311. Special Requirements for the Appeal Process
- R9-34-312R9-34-312. Time-frame for Standard Resolution of an Appeal
- R9-34-313R9-34-313. Content of the Notice of Appeal Resolution
- R9-34-314R9-34-314. Request for a State Fair Hearing
- R9-34-315R9-34-315. Time-frame for Resolution of State Fair Hearing for a Standard Resolution of an Appeal
- R9-34-316R9-34-316. Request for Expedited Resolution of an Appeal
- R9-34-317R9-34-317. Time-frame for Resolution of Expedited State Fair Hearing
- R9-34-318R9-34-318. Withdrawal of a Request for a State Fair Hearing
- R9-34-319R9-34-319. Denial of a Request for a State Fair Hearing
- R9-34-320R9-34-320. Motion for Rehearing or Review
- R9-34-321R9-34-321. Continuation of Services While the Appeal and the State Fair Hearing are Pending
- R9-34-322R9-34-322. Reversed Appeal Resolutions
- R9-34-401R9-34-401. Purpose
- R9-34-402R9-34-402. Definitions
- R9-34-403R9-34-403. Computation of Time
- R9-34-404R9-34-404. Content of Claim Dispute
- R9-34-405R9-34-405. Filing a Claim Dispute for a Claim Involving a Member Enrolled with a Contractor
- R9-34-406R9-34-406. Filing a Claim Dispute From a Contractor for Reinsurance
- R9-34-407R9-34-407. Filing a Claim Dispute for a Claim Involving an FFS Member
- R9-34-408R9-34-408. Denial of a Request for a State Fair Hearing
- R9-34-409R9-34-409. Motion for Rehearing or Review