R9-21-502. Emergency Admission for Evaluation

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 Section, the evaluation agency shall notify the appropriate health plan of the potential admission so that the health plan may first: 1. Offer and provide services or treatment to the individual as an alternative to admission; or 2. Authorize admission of the individual. C. If the evaluation agency does not provide notice pursuant to subsection (B), 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.