R9-31-701.10.General. Requirements

The following Sections of A.A.C. Chapter 22, Articles 2 and 7 are applicable to reimbursement for AHCCCS-covered services provided to a member under the KidsCare program, except that the term “Children’s Health Insurance Program Fund” shall be substituted for “AHCCCS fund” and “A.R.S. § 36-2986” shall be substituted for “A.R.S. § 36-2903:” 1. Scope of the Administration’s and Contractor’s Liability, R9-22-701.10; 2. Charges to Members, R9-22-702; 3. Payments by the Administration and Payments by Contractors, R9-22-703 and R9-22-705; 4. Payments for Newborns, R9-22-707; 5. Contractor’s Liability to Hospitals for the Provision of Emergency and Post-stabilization Care, R9-22-709; 6. Payments for Non-hospital Services, R9-22-710; 7. Copayments, R9-22-711; 8. Specialty Contracts, R9-22-712(G)(3), R9-22-712.01(10) and Article 2; 9. Overpayment and Recovery of Indebtedness, R9-22-713; 10. Payments to Providers, R9-22-714; 11. Hospital Rate Negotiations, R9-22-715; 12. Contractor Performance Measure Outcomes, R9-22-719; and 13. Reinsurance, R9-22-720.