reglab/housing_qa huggingface dataset:
AZ Rev Stat § 36-2908 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2908 - Provision of emergency and specialty services; reimbursement

36-2908.  Provision of emergency and specialty services;  reimbursement A. Subject to the provisions of section 36-2909,  services provided to members under this article who have been determined eligible but who have not yet enrolled in the system and who are in need of medical services on an emergency basis after they have been determined eligible,  irrespective of county of residence,  shall be reimbursed,  subject to subsection B of this section,  in accordance with rules adopted by the director if such services are not otherwise covered by a provider contract. B. Services provided on an emergency basis to members or to persons after they have been determined eligible for such services but before they have enrolled in the system without a demonstrated emergency need in accordance with rules adopted by the director shall be reimbursed at no more than the rate for the service provided in other than an emergency services setting. C. The director shall prescribe rules providing for the reimbursement of specialty services provided outside of the county of residence of the member if authorized by the member's primary care physician or primary care practitioner. D. Services provided pursuant to this section shall be provided in accordance with rules adopted pursuant to section 36-2903.01,  subsection E.
AZ Rev Stat § 36-2909 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2909 - Emergency hospital services; retroactive coverage; costs

36-2909.  Emergency hospital services;  retroactive coverage;  costs A. If a member receives emergency hospitalization and medical care on or after the date of eligibility determination or the eligibility effective date from a hospital that does not have a contract to care for the person,  the administration or the contractor is liable only for the costs of emergency hospitalization and medical care up to the time the person is discharged or until the time the person can be transferred. The administration or the contractor is also liable for further care in the following circumstances: 1. If the attending physician reasonably determines that the condition of the person receiving emergency hospitalization and medical care is such that it is medically inadvisable to transfer the person. 2. If the administration or the contractor does not transport the person from the hospital providing care after it has been determined that the person can be transferred. B. Except for charges for services subject to section 36-2908,  subsection B,  all charges incurred by an eligible person who has not yet enrolled for hospitalization and medical care under subsection A of this section are payable by the administration pursuant to section 36-2903.01,  subsection G or as specified in contract by the contractor pursuant to the subcontracted rate or section 36-2904,  subsection H or I. C. As a condition to receiving reimbursement pursuant to subsection B of this section,  a hospital that is not a contractor or subcontractor under the system must designate a primary care physician or primary care practitioner to act as a coordinator of the services provided to persons who have been determined eligible but have not yet enrolled,  before the persons' enrollment,  discharge or transfer. D. Emergency hospitalization and medical care provided pursuant to this section shall be in accordance with rules adopted pursuant to section 36-2903.01,  subsection E in order to qualify for reimbursement. E. The director shall adopt rules that provide that members who have been determined eligible shall be enrolled with contractors as soon as practicable. F. This section does not prevent the director or the contractor from denying payment for hospitalization or medical care that is not authorized or deemed medically necessary in accordance with rules adopted by the director.
AZ Rev Stat § 36-2910 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2910 - Notification to system of nonemergency services

36-2910.  Notification to system of nonemergency services A. Except as otherwise specifically provided by this article,  the system is financially responsible for only the costs of care provided by contractors to members. B. For purposes of eligibility determination and enrollment in the system,  the director may adopt rules to establish notification procedures for contractors and noncontracting providers of care provided to persons who may be eligible or who have been determined eligible. The director may condition payment for such services on the compliance of a contractor or noncontracting provider with the notification procedures. The director may adopt rules that establish procedures and notices for the transfer of members between contractors and noncontracting providers as the transfer relates to the system.
AZ Rev Stat § 36-2911 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2911 - Payment of monthly premiums

36-2911.  Payment of monthly premiums A. The administration shall pay medicare part B premiums pursuant to federal law for and on behalf of a member who is eligible pursuant to section 36-2901,  paragraph 6,  subdivision (a),  item (i) or (ii) and who is enrolled pursuant to this article and article 2 of this chapter. B. The administration shall pay the medicare part A hospital premium for each qualified person with a disability and working individual who is determined eligible pursuant to section 1905(s) of title XIX of the social security act. The administration shall determine the eligibility of all persons who are qualified with a disability and working individuals in accordance with section 6408(d) of the omnibus budget reconciliation act of 1989. The administration,  in accordance with federal law,  may require certain eligible qualified persons with a disability and working individuals to contribute to the cost of the monthly premium.
AZ Rev Stat § 36-2914 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2914 - Medical care consortiums; lawful trade practices

36-2914.  Medical care consortiums;  lawful trade practices Notwithstanding title 44,  chapter 10,  article 1,  actions taken by providers,  potential providers,  contractors and other bidders in specific accordance with this article in forming consortiums or in otherwise entering into contracts to provide medical care shall be deemed to be conducted at the direction of this state and shall be considered to be lawful trade practices.
AZ Rev Stat § 36-2916 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2916 - Release of claim by injured person ineffective as to system; action to enforce lien; release of lien

36-2916.  Release of claim by injured person ineffective as to system;  action to enforce lien;  release of lien A. A release of a claim on which a lien is imposed pursuant to section 36-2915 is not valid or effective as against the lien unless the director joins in the release or executes a release of the lien. B. If any amount has been or is to be collected by the injured person or his legal representative from or on account of the person,  firm or corporation,  including insurance carriers liable for liability or indemnity damages by reason of a judgment,  settlement or compromise,  the director may enforce the lien by action against the patient or the person,  firm or corporation,  including insurance carriers,  liable for liability or indemnity damages. Such action shall be commenced and tried in the county in which the lien is filed,  unless the court orders that the action be removed to another county for cause. If the director prevails in the action,  the court may allow the administration its reasonable attorney fees and disbursements. Such an action shall be commenced within two years after the entry of the judgment or the making of the settlement or compromise. C. Within thirty days after a lien established pursuant to section 36-2915 is satisfied,  the director shall issue a release of the lien to the person,  firm or corporation against which the lien was claimed. The release shall be a document which conforms to the requirements of section 11-480.
AZ Rev Stat § 36-2917.01 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2917.01 - Clinical oversight review committee; duties; annual report

36-2917.01.  Clinical oversight review committee;  duties;  annual report A. The director shall establish an internal clinical oversight review committee to review clinical data specific to agency initiatives and populations identified by the director,  including data on behavioral health services for persons receiving behavioral health services administered by the administration. B. The committee shall include the director or the director's designee and experts within the administration in the areas of quality performance,  behavioral health,  operations,  finance and data analytics. C. The committee shall do all of the following: 1. Meet at least once every three months. 2. Review clinical data specific to populations and initiatives being undertaken by the administration. 3. Analyze and review clinical quality performance metrics that are indicative of overall system performance and make recommendations on metrics that may enhance system performance,  clinical outcomes and member experience. 4. Advise the director on challenges,  successes and data trends and identify potential service delivery improvements. 5. For behavioral health services,  solicit additional information and perspectives related to the clinical data or clinical quality performance metrics reviewed by the committee from patients,  patient advocates and other informed parties. D. The committee is a review committee of the system pursuant to section 36-2917 and its activities are subject to that section. E. On or before February 1,  2018 and February 1 of each year thereafter,  the administration shall provide a report to the governor,  the president of the senate,  the speaker of the house of representatives,  the chairperson of the health and human services committee,  or its successor,  in the senate and the chairperson of the health committee,  or its successor,  in the house of representatives and shall provide a copy of this report to the secretary of state. The report shall include a summary of topics reviewed by the clinical oversight review committee in the preceding year and any recommendations relating to quality performance metrics stemming from the committee's activities.
AZ Rev Stat § 36-2918.01 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2918.01 - Duty to report fraud or abuse; immunity

36-2918.01.  Duty to report fraud or abuse;  immunity A. All contractors,  subcontracted providers of care and noncontracting providers shall notify the director or the director's designee immediately in a written report of any cases of suspected fraud or abuse. The director shall review the report and conduct a preliminary investigation to determine if there is sufficient basis to warrant a full investigation. If the findings of a preliminary investigation give the director reason to believe that an incident of fraud or abuse has occurred,  the matter shall be referred to the attorney general. B. Any person making a complaint or furnishing a report,  information or records in good faith pursuant to this section is immune from any civil liability by reason of that action unless that person has been charged with or is suspected of the fraud or abuse reported. C. Any contractor,  subcontracted provider of care or noncontracting provider who fails to report pursuant to this section commits an act of unprofessional conduct and is subject to disciplinary action by the appropriate professional regulatory board or department.
AZ Rev Stat § 36-2919 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2919 - Absence of federal financial participation; effect on system operation

36-2919.  Absence of federal financial participation;  effect on system operation If at any time federal monies as described in section 36-2903.01,  subsection B,  paragraph 5 are denied,  not renewed or become unavailable for any reason the provisions of this article relating to the operation of the system are suspended and the director shall notify each provider of that fact. Neither the administration nor a provider shall provide services otherwise authorized by this article or be liable for the cost of services provided after federal monies become unavailable.
AZ Rev Stat § 36-2920 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2920 - Monthly financial report

36-2920.  Monthly financial report A. The director shall submit a monthly report to the president of the senate and the speaker of the house of representatives of the following: 1. The actual year to date expenditures and projected annual expenditures. 2. The actual member months by rate code. 3. The actual caseload,  showing separately the caseload for title XIX and qualified medicare beneficiary populations. 4. The number of vacant positions,  by division. 5. Monies recovered monthly from third party payors. 6. Monies received under agreements pursuant to section 36-2925 and the actual year to date expenditures. B. The report shall be submitted on or before the twenty-fifth day of the following month.
AZ Rev Stat § 36-2922 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2922 - Medical services stabilization fund; definition

36-2922.  Medical services stabilization fund;  definition A. Subject to the availability of monies,  the medical services stabilization fund is established. The administration shall administer the fund as directed by the joint legislative budget committee pursuant to subsection E of this section. B. The fund shall be used only to offset increases in the cost of providing levels of services established pursuant to this article. C. Notwithstanding chapter 6,  article 8 of this title,  the fund may also be used to offset increases in the cost of providing levels of services established pursuant to this article to persons eligible for those services pursuant to section 36-2901,  paragraph 6,  subdivision (a) if the increase results from a decrease in federal funding for levels of service including a decrease in the federal match rate for levels of service provided to persons eligible pursuant to section 36-2901,  paragraph 6,  subdivision (a). D. If,  during a fiscal year,  the administration determines that the amount the legislature appropriated for that fiscal year for services provided to persons who are determined to be eligible for services pursuant to section 36-2901,  paragraph 6,  subdivision (a) is insufficient to pay for unanticipated increases in the cost of providing those services,  the administration shall provide written notice of the deficiency to the chairperson of the joint legislative budget committee and the director of the governor's office of strategic planning and budgeting with evidence supporting the determination of deficiency. E. On receiving notice under subsection D of this section,  the chairperson of the joint legislative budget committee shall call a public committee meeting to review the evidence of the deficiency presented by the administration. After reviewing the evidence,  the committee may recommend to the administration to withdraw an amount from the fund that is equal to the deficiency to pay the increases in the cost of providing levels of service. F. For the purposes of this section,  " levels of service"  means the provider payment methodology,  eligibility criteria and covered services established pursuant to this article and in effect on July 1,  1993.
AZ Rev Stat § 36-2924 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2924 - Child care and AHCCCS joint program

36-2924.  Child care and AHCCCS joint program The department of economic security and the Arizona health care cost containment system administration shall establish and,  as provided in the empower waiver,  maintain a joint program that extends child care for twenty-four months and Arizona health care cost containment system benefits for twelve months beginning October 1,  2002 for current and former recipients of title XIX medicaid under the provisions of Public Law 104-193,  section 431 and cash assistance who are employed and meet federal requirements for such transitional benefits as defined in the family support act of 1988 (P.L. 100-485,  42 United States Code section 607).
AZ Rev Stat § 36-2925 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2925 - Information system; administrative services; agreements with other states; report

36-2925.  Information system;  administrative services;  agreements with other states;  report A. Notwithstanding any other law,  the administration may enter into an agreement with other states to design,  develop,  install and operate an information system and related services or other administrative services. B. An agreement entered into pursuant to this section shall require that the administration is compensated for all agreed on direct and indirect costs associated with providing the information system and services. C. An agreement with another state entered into pursuant to this section shall include specific terms that hold the state harmless from the imposition of any damages,  sanctions or penalties or the withholding of any monies due the state for services provided,  with respect to any matter related to performance under that agreement. D. The agreement must result in a cost savings to the administration that is designated in the agreement as a portion of the administration's operating costs that the contracting state agrees to pay. E. All monies that are received by the administration and that are based on the agreement shall be deposited,  pursuant to sections 35-146 and 35-147,  in the administration's intergovernmental service fund established by section 36-2927. F. The administration may enter into intergovernmental agreements with other agencies of this state to provide the facilities,  equipment or services that are necessary to fulfill an agreement entered into pursuant to this section. The intergovernmental agreement shall specify whether the payment for facilities,  equipment or services shall be made by the contracting state directly to the agency or through the intergovernmental service fund established by section 36-2927. G. The administration shall submit all intergovernmental agreements entered into pursuant to this section to the governor for approval before it finalizes the agreement. H. The administration shall report annually by January 1 on the status of any agreement with another state to the speaker of the house of representatives,  the president of the senate and the chairmen of the house and senate appropriations committees. The report shall include the status report of the specific projects that are subject to the agreement,  the financial status of the project and a description of any personnel initiatives that the administration has initiated with monies received from the agreement with another state.
AZ Rev Stat § 36-2926 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2926 - Use of cost savings; preparation of budget recommendations; cooperation of other agencies

36-2926.  Use of cost savings;  preparation of budget recommendations;  cooperation of other agencies A. The administration shall use the cost savings generated from agreements entered into pursuant to section 36-2925 to supplement monies that are appropriated by the legislature. The administration shall use the cost savings to: 1. Subject to title 41,  chapter 4,  article 4,  develop and operate employee recruitment and retention programs that may include creating positions,  special salary plans and pay practices and performance compensation programs approved by the director and the department of administration. 2. Implement technology projects to upgrade hardware or software used by the administration in the operation of the system. B. The governor's office of strategic planning and budgeting and the joint legislative budget committee shall not recommend using the cost savings generated by section 36-2925 to supplant state or federal monies used for the operation or administration of the programs operated by the administration. C. The department of administration shall assist the administration in developing and operating employee recruitment and retention programs specified in subsection A of this section.
AZ Rev Stat § 36-2927 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2927 - Intergovernmental service fund; funding

36-2927.  Intergovernmental service fund;  funding A. The intergovernmental service fund is established. The administration shall administer the fund as a continuing appropriation. On notice from the administration,  the state treasurer shall invest and divest monies in the fund as provided by section 35-313,  and monies earned from investment shall be credited to the fund. B. The fund shall be used to pay all costs,  including staff positions,  incurred pursuant to an agreement entered into pursuant to section 36-2925 and for the purposes authorized by section 36-2926. C. Separate accounts may be established within the fund for each agreement and the activities authorized by section 36-2926. D. The intergovernmental service fund consists of: 1. All monies deposited in the fund pursuant to an agreement authorized by section 36-2925. 2. The cost savings that are received pursuant to section 36-2925,  subsection D and that are earned from the appropriations made by this state for the costs of operating the system in this chapter. 3. Federal monies available to this state for the operation of the system in this chapter. 4. Gifts,  donations and grants from any source. 5. Interest on monies deposited in the fund. E. Monies in the fund are exempt from the provisions of section 35-190 relating to lapsing of appropriations. The cost savings that are earned from appropriations made by this state and remaining in the fund at the end of the fiscal year do not revert to the fund from which they were appropriated. F. The administration may continue to make expenditures from the fund,  subject to the availability of monies in the fund,  to fulfill its commitments under an agreement authorized by section 36-2925 for costs incurred but not processed by the administration during the fiscal years in which the agreement was in effect. G. The administration shall account for all payments from the intergovernmental service fund by the fiscal year in which the costs were incurred,  regardless of the fiscal year in which the payments were made.