41-2807. Medical services; rate structure
If a youth in a secure care facility requires health care services that the department, the facility or a provider contracted by the department cannot provide, the department shall pay approved claims from a facility or provider that provides these services as follows:
1. For inpatient and outpatient hospital services, the department shall reimburse at a level that does not exceed the reimbursement methodology established pursuant to section 36-2903.01, subsection G, unless the department has a contract with the vendor.
2. For health and medical services, the department shall reimburse at a level that does not exceed the capped fee-for-service schedule that is adopted by the Arizona health care cost containment system administration pursuant to title 36, chapter 29, article 1 and that is in effect at the time the services are delivered.
Section: Previous 41-2801 41-2802 41-2803 41-2804 41-2804.01 41-2805 41-2806 41-2807 41-2809 41-2810 41-2811 41-2812 41-2813 41-2814 41-2815 NextLast modified: October 13, 2016