R9-22-101. Location of Definitions

A. Location of definitions. Definitions applicable to this Chapter are found in the following: Definition Section or Citation “Accommodation” R9-22-701 “Active treatment” R9-22-1301 “ADHS” R9-22-101 “Administration” A.R.S. § 36-2901 “Adult behavioral health therapeutic home” 9 A.A.C. 10, Article 1 “Adverse action” R9-22-101 “Affiliated corporate organization” R9-22-101 “Aged” 42 U.S.C. 1382c(a)(1)(A) and R9-22-1501 “Agency” R9-22-1201 “Aggregate” R9-22-701 “AHCCCS” R9-22-101 “AHCCCS inpatient hospital day or days of care” R9-22-701 “AHCCCS registered provider” R9-22-101 “Ambulance” A.R.S. § 36-2201 “Ancillary service” R9-22-101 “Anticipatory guidance” R9-22-201 “Annual enrollment choice” R9-22-1701 “APC” R9-22-701 “Applicant” R9-22-101 or R9-22-301 “Application” R9-22-101 “Assessment” R9-22-1101 or R9-22-1201 “Assignment” R9-22-101 “Attending physician” R9-22-101 or R9-22-202 “Authorized representative” R9-22-101 “Authorization” R9-22-202 “Auto-assignment algorithm” R9-22-1701 “AZ-NBCCEDP” R9-22-2001 “Behavior management services” R9-22-1201 “Behavioral health therapeutic home care services” R9-22-1201 “Behavioral health paraprofessional” R9-22-101 “Behavioral health professional” R9-22-101 “Behavioral health recipient” R9-22-201 “Behavioral health services” R9-22-1201 “Behavioral health technician” R9-22-1201 “Benefit year” R9-22-201 “BHS” R9-22-301 “Billed charges” R9-22-701 “Blind” R9-22-1501 “Burial plot” R9-22-1401 “Business agent” R9-22-701 “Calculated inpatient costs” R9-22-712.07 “Capital costs” R9-22-701 “Capped fee-for-service” R9-22-101 “Caretaker relative” R9-22-1401 “Case management” R9-22-1201 “Case record” R9-22-101 “Cash assistance” R9-22-1401 “Certified psychiatric nurse practitioner” R9-22-1201 “Charge master” R9-22-712 “Child” R9-22-1503 “Children’s Rehabilitative Services” or “CRS” R9-22-101 or R9-22-301 “Chronic” R9-22-1301 “Claim” R9-22-1101 “Claims paid amount” R9-22-712.07 “Clean claim” A.R.S. § 36-2904 “Clinical oversight” 9 A.A.C. 10 “CMDP” R9-22-1701 “CMS” R9-22-101 “Continuous stay” R9-22-101 “Contract” R9-22-101 “Contract year” R9-22-101 “Contractor” A.R.S. § 36-2901 or R9-22-210.01 “Copayment” R9-22-701 “Cost avoid” R9-22-1201 “Cost-To-Charge Ratio” or “CCR” R9-22-701 or R9-22-712 “Court-ordered evaluation” R9-22-1201 “Court-ordered pre-petition screening” R9-22-1201 “Court-ordered treatment” R9-22-1201 “Covered charges” R9-22-701 “Covered services” R9-22-101 “CPT” R9-22-701 “Creditable coverage” R9-22-2003 and 42 U.S.C. 300gg(c) “Crisis services” R9-22-1201 “Critical Access Hospital” R9-22-701 “CRS application” R9-22-1301 “CRS condition” R9-22-1301 “CRS provider” R9-22-1301 “Cryotherapy” R9-22-2001 “Customized DME” R9-22-212 “Day” R9-22-101 and R9-22-1101 “Date of the Notice of Adverse Action” R9-22-1441 “DBHS” R9-22-101 “DCSS” R9-22-301 “Department” A.R.S. § 36-2901 “Dependent child” A.R.S. § 46-101 or R9-22-1401 “DES” R9-22-101 “Diagnostic services” R9-22-101 “Direct graduate medical education costs” or “direct program costs” R9-22-701 “Direct supervision” R9-22-1201 “Director” R9-22-101 “Disabled” R9-22-1501 “Discussion” R9-22-101 “Disenrollment” R9-22-1701 “DME” R9-22-101 “DRI inflation factor” R9-22-701 “E.P.S.D.T. services” 42 CFR 440.40(b) “Eligibility posting” R9-22-701 “Eligible person” A.R.S. § 36-2901 “Emergency behavioral health condition for a non-FES member” R9-22-201 “Emergency behavioral health services for a non-FES member” R9-22-201 “Emergency medical condition for a non-FES member” R9-22-201 “Emergency medical services for a non-FES member” R9-22-201 “Emergency medical services provider” R9-22-1201 “Emergency medical or behavioral health condition for a FES member” R9-22-217 “Emergency services costs” A.R.S. § 36-2903.07 “Emergency services for a FES member” R9-22-217 “Encounter” R9-22-701 “Enrollment” R9-22-1701 “Equity” R9-22-101 “Experimental services” R9-22-203 “Existing outpatient service” R9-22-701 “Expansion funds” R9-22-701 “FAA” R9-22-301 “Facility” R9-22-101 “Factor” R9-22-701 and 42 CFR 447.10 “FBR” R9-22-101 “Federal financial participation” or “FFP” 42 CFR 400.203 “Federal poverty level” or “FPL” A.R.S. § 36-2981 “Fee-For-Service” or “FFS” R9-22-101 “FES member” R9-22-101 “FESP” R9-22-101 “First-party liability” R9-22-1001 “File” R9-22-1101 “Fiscal agent” R9-22-210 “Fiscal intermediary” R9-22-701 “Foster care maintenance payment” 42 U.S.C. 675(4)(A) “FQHC” R9-22-101 “Freestanding Children’s Hospital” R9-22-701 “Functionally limiting” R9-22-1301 “Fund” R9-22-712.07 “Graduate medical education (GME) program” R9-22-701 “GME program approved by the Administration” or “approved GME program” R9-22-701 “Grievance” A.A.C. Chapter 34 “GSA” R9-22-101 “HCAC” R9-22-701 “HCPCS” R9-22-701 “Health care institution” A.R.S. § 36-401 “Health care practitioner” R9-22-1201 “Hearing aid” R9-22-201 “HIPAA” R9-22-701 “Home health services” R9-22-201 “Hospital” R9-22-101 “ICU” R9-22-701 “IHS” R9-22-101 “IHS enrolled” or “enrolled with IHS” R9-22-708 “IMD” or “Institution for Mental Diseases” 42 CFR 435.1010 and R9-22-101 “Income” R9-22-301 “Indirect program costs” R9-22-701 “Individual” R9-22-211 “In-kind income” R9-22-1420 “Inmate of a public institution” 42 CFR 435.1010 “Inpatient covered charges” R9-22-712.07 “Intermediate Care Facility for the Mentally Retarded” or “ICF-MR” 42 U.S.C. 1396d(d) “Intern and Resident Information System” R9-22-701 “LEEP” R9-22-2001 “Legal representative” R9-22-101 “Level I trauma center” R9-22-2101 “License” or “licensure” R9-22-101 “Licensee” R9-22-1201 “MAGI-based income” R9-22-1401 “Mailing date” R9-22-101 “Medical education costs” R9-22-701 “Medical expense deduction” or “MED” R9-22-1401 “Medical practitioner” R9-22-1201 “Medical record” R9-22-101 “Medical review” R9-22-701 “Medical services” A.R.S. § 36-401 “Medical supplies” R9-22-101 “Medical support” R9-22-301 “Medically eligible” R9-22-1301 “Medically necessary” R9-22-101 “Medicare claim” R9-22-101 “Medicare Urban or Rural Cost-to-Charge Ratio (CCR)” R9-22-701 “Member” A.R.S. § 36-2901 or R9-22-301 “Mental disorder” A.R.S. § 36-501 “Milliman study” R9-22-712.07 “Monthly equivalent” R9-22-1401 “Monthly income” R9-22-1401 “National Standard code sets” R9-22-701 “New hospital” R9-22-701 “NICU” R9-22-701 “Noncontracted Hospital” R9-22-718 “Noncontracting provider” A.R.S. § 36-2901 “Non-FES member” R9-22-101 “Non-IHS Acute Hospital” R9-22-701 “Nursing facility” or “NF” 42 U.S.C. 1396r(a) “Observation day” R9-22-701 “Occupational therapy” R9-22-201 “Offeror” R9-22-101 “Operating costs” R9-22-701 “OPPC” R9-22-701 “Organized health care delivery system” R9-22-701 “Outlier” R9-22-701 “Outpatient hospital service” R9-22-701 “Ownership change” R9-22-701 “Ownership interest” 42 CFR 455.101 “Partial Care” R9-22-1201 “Participating institution” R9-22-701 “Peer group” R9-22-701 “Peer-reviewed study” R9-22-2001 “Penalty” R9-22-1101 “Person” R9-22-1101 “Pharmaceutical service” R9-22-201 “Physical therapy” R9-22-201 “Physician” R9-22-101 “Physician assistant” R9-22-1201 “Post-stabilization services” R9-22-201 or 42 CFR 422.113 “PPS bed” R9-22-701 “Practitioner” R9-22-101 “Pre-enrollment process” R9-22-301 “Prescription” R9-22-101 “Primary care provider” or “PCP” R9-22-101 “Primary care provider services” R9-22-201 “Prior authorization” R9-22-101 “Prior period coverage” or “PPC” R9-22-101 “Procedure code” R9-22-701 “Procurement file” R9-22-601 “Proposal” R9-22-101 “Prospective rates” R9-22-701 “Psychiatrist” R9-22-1201 “Psychologist” R9-22-1201 “Psychosocial rehabilitation services” R9-22-201 “Public hospital” R9-22-701 “Qualified alien” A.R.S. § 36-2903.03 “Qualified behavioral health service provider” R9-22-1201 “Quality management” R9-22-501 “Radiology” R9-22-101 “RBHA” or “Regional Behavioral Health Authority” R9-22-201 “Reason to know” or “had reason to know” R9-22-1101 “Rebase” R9-22-701 “Redetermination” R9-22-1301 “Referral” R9-22-101 “Rehabilitation services” R9-22-101 “Reinsurance” R9-22-701 “Remittance advice” R9-22-701 “Resident” R9-22-701 “Residual functional deficit” R9-22-201 “Resources” R9-22-301 “Respiratory therapy” R9-22-201 “Respite” R9-22-1201 “Responsible offeror” R9-22-101 “Responsive offeror” R9-22-101 “Revenue Code” R9-22-701 “Review” R9-22-101 “Review month” R9-22-101 “RFP” R9-22-101 “Rural Contractor” R9-22-718 “Rural Hospital” R9-22-712.07 and R9-22-718 “Scope of services” R9-22-201 “Section 1115 Waiver” A.R.S. § 36-2901 “Service location” R9-22-101 “Service site” R9-22-101 “SOBRA” R9-22-101 “Specialist” R9-22-101 “Specialty facility” R9-22-701 “Speech therapy” R9-22-201 “Spendthrift restriction” R9-22-1401 “Sponsor” R9-22-301 “Sponsor deemed income” R9-22-301 “Sponsoring institution” R9-22-701 “Spouse” R9-22-101 “SSA” 42 CFR 1000.10 “SSI” 42 CFR 435.4 “SSN” R9-22-101 “Stabilize” 42 U.S.C. 1395dd “Standard of care” R9-22-101 “Sterilization” R9-22-201 “Subcontract” R9-22-101 “Submitted” A.R.S. § 36-2904 “Substance abuse” R9-22-201 “SVES” R9-22-301 “Tax dependent” 42 CFR 435.4 “Taxi” A.R.S. § 28-101(53) “Taxpayer” R9-22-1401 “Third-party” R9-22-1001 “Third-party liability” R9-22-1001 “Tier” R9-22-701 “Tiered per diem” R9-22-701 “Title IV-D” R9-22-1401 “Title IV-E” R9-22-1401 “Total Inpatient payments” R9-22-712.07 “Trauma and Emergency Services Fund” A.R.S. § 36-2903.07 “TRBHA” or “Tribal Regional Behavioral Health Authority” R9-22-1201 “Treatment” R9-22-2004 “Tribal Facility” A.R.S. § 36-2981 “Unrecovered trauma center readiness costs” R9-22-2101 “Urban Contractor” R9-22-718 “Urban Hospital” R9-22-718 “USCIS” R9-22-301 “Utilization management” R9-22-501 “WWHP”