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Arizona Administrative Code

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Standards for Payments

Arizona Health Care Cost Containment System - Administration

R9-22-701Standards for Payments Related Definitions R9-22-702Charges to Members R9-22-703Payments by the Administration R9-22-705Payments by Contractors R9-22-708Payments for Services Provided to Eligible American Indians R9-22-709Contractor’s Liability to Hospitals for the Provision of Emergency and Post-stabilization Care R9-22-710Payments for Non-hospital Services R9-22-711Copayments R9-22-712Reimbursement: General R9-22-712.01Inpatient Hospital Reimbursement for claims with admission dates and discharge dates from October 1, 1998 through September 30,R9-22-712.05Graduate Medical Education Fund Allocation R9-22-712.06Supplemental Graduate Medical Education Fund Allocation R9-22-712.07Rural Hospital Inpatient Fund Allocation R9-22-712.08Federally Qualified Health Center and Rural Health Clinic Graduate Medical Education Program R9-22-712.09Hierarchy for Tier Assignment through September 30,R9-22-712.10Outpatient Hospital Reimbursement: General R9-22-712.15Outpatient Hospital Reimbursement: Affected Hospitals R9-22-712.20Outpatient Hospital Reimbursement: Methodology for the AHCCCS Outpatient Capped Fee-For-Service Schedule R9-22-712.25Outpatient Hospital Fee Schedule Calculations: Associated Service Costs R9-22-712.30Outpatient Hospital Reimbursement: Payment for a Service Not Listed in the AHCCCS Outpatient Capped Fee-For-Service Schedule R9-22-712.35Outpatient Hospital Reimbursement: Adjustments to Fees R9-22-712.40Outpatient Hospital Reimbursement: Annual and Periodic Update R9-22-712.45Outpatient Hospital Reimbursement: Outpatient Payment Restrictions R9-22-712.50Outpatient Hospital Reimbursement: Billing R9-22-712.60Diagnosis Related Group Payments R9-22-712.61DRG Payments: Exceptions R9-22-712.62DRG Base Payment R9-22-712.63DRG Base Payments Not Based on the Statewide Standardized Amount R9-22-712.64DRG Base Payments and Outlier CCR for Out-of-State Hospitals R9-22-712.65DRG Provider Policy Adjustor R9-22-712.66DRG Service Policy Adjustor R9-22-712.67DRG Reimbursement: Transfers R9-22-712.68DRG Reimbursement: Unadjusted Outlier Add-on Payment R9-22-712.69DRG Reimbursement: Covered Day Adjusted DRG Base Payment and Covered Day Adjusted Outlier Add-on Payment R9-22-712.70Covered Day Adjusted DRG Base Payment and Covered Day Adjusted Outlier Add-on Payment for FES members R9-22-712.71Final DRG Payment R9-22-712.72DRG Reimbursement: Enrollment Changes During an Inpatient Stay R9-22-712.73DRG Reimbursement: Inpatient Stays for Members Eligible for Medicare R9-22-712.74DRG Reimbursement: Third Party Liability R9-22-712.75DRG Reimbursement: Payment for Administrative Days R9-22-712.76DRG Reimbursement: Interim Claims R9-22-712.77DRG Reimbursement: Admissions and Discharges on the Same Day R9-22-712.78DRG Reimbursement: Readmissions R9-22-712.79DRG Reimbursement: Change of Ownership R9-22-712.80DRG Reimbursement: New Hospitals R9-22-712.81DRG Reimbursement: Updates R9-22-712.90Reimbursement of Hospital-based Freestanding Emergency Departments R9-22-713Overpayment and Recovery of Indebtedness R9-22-714Payments to Providers R9-22-715Hospital Rate Negotiations R9-22-718Urban Hospital Inpatient Reimbursement Program R9-22-719Contractor Performance Measure Outcomes R9-22-720Reinsurance R9-22-721Behavioral Health Inpatient Facilities R9-22-730Hospital Assessment Fund - Hospital Assessment R9-22-731Health Care Investment Fund - Hospital Assessment