reglab/housing_qa huggingface dataset:
AZ Rev Stat § 36-2905.03 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2905.03 - Behavioral health inpatient facilities; lack of contract; reimbursement

36-2905.03.  Behavioral health inpatient facilities;  lack of contract;  reimbursement If a behavioral health inpatient facility,  as defined in rule by the director of the department of health services,  and a contractor or regional behavioral health authority do not enter into a contract,  the reimbursement level for behavioral health services provided on dates of admission on or after July 1,  2018 for that behavioral health inpatient facility is the capped fee-for-service schedule adopted by the administration,  multiplied by ninety percent.
AZ Rev Stat § 36-2905.04 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2905.04 - Eligibility by fraud; penalties; enforcement; classification

36-2905.04.  Eligibility by fraud;  penalties;  enforcement;  classification A. A person shall not provide or cause to be provided false or fraudulent information to the state as part of an application for the system under section 36-2901,  paragraph 6,  subdivision (a). B. A person who violates subsection A of this section,  who is determined eligible for the system and who would have been ineligible for the system if the person had provided true and correct information is subject,  in addition to any other penalties that may be prescribed by federal or state law,  to a civil penalty of not to exceed the amount incurred by the system,  including capitation payments,  on behalf of the person. In addition,  the person's eligibility may be discontinued in accordance with rules adopted by the director. C. In addition to the requirements in state law,  the medicaid fraud and abuse controls that are enacted under federal law apply to all persons eligible for the system and all contractors,  noncontracting providers and subcontracted providers that provide services to persons who are eligible for the system. D. The director shall make the determination to assess a civil penalty and is responsible for collection of the penalty. The director may adopt rules that prescribe procedures for the determination and collection of civil penalties. The director may compromise civil penalties imposed under this section in accordance with criteria established in rules. E. The director shall adopt rules providing for the appeal of a decision by a person adversely affected by a determination made by the director under this section. The director's final decision is subject to judicial review in accordance with title 12,  chapter 7,  article 6. F. Amounts paid by the state and recovered under this section shall be deposited in the state general fund,  and any applicable federal share shall be returned to the United States department of health and human services. G. If a civil penalty imposed pursuant to subsection D of this section is not paid,  the state or the administration may file an action to collect the civil penalty in the superior court in Maricopa county. Matters that were raised or could have been raised in a hearing before the director or in an appeal pursuant to title 12,  chapter 7,  article 6 may not be raised as a defense to the civil action. An action brought pursuant to this subsection shall be initiated within six years after the date the claim is presented. H. The department and contractors,  subcontracted providers and noncontracting providers shall cooperate with the administration to prevent,  discover and prosecute eligibility fraud. I. A person who knowingly aids or abets another person pursuant to section 13-301,  13-302 or 13-303 in the commission of an offense under this section or section 13-3713 is guilty of a class 5 felony.
AZ Rev Stat § 36-2905.06 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2905.06 - Finger imaging; requirements; exemption

36-2905.06.  Finger imaging;  requirements;  exemption A. To prevent multiple enrollment for services provided by the system,  the administration shall work with the department of economic security to expand that department's finger imaging eligibility program to specific programs that are selected by the director of the administration and that provide services pursuant to this chapter. B. By July 1,  2001,  the administration shall make the following subject to finger imaging during the enrollment process: 1. All programs where enrollment and eligibility screening occur at a department of economic security facility. 2. Any program that provides members with pharmaceutical benefits. 3. Any other program selected by the director of the administration. C. The director of the administration shall adopt rules to implement the requirements of subsections A and B of this section,  including rules to exempt children,  the elderly and any other group that the director determines would be unduly burdened by a finger imaging requirement.  D. Any pregnant woman who is eligible pursuant to section 36-2901,  paragraph 6,  subdivision (a) or who is receiving federal emergency services pursuant to section 36-2903.03 is not subject to finger imaging.
AZ Rev Stat § 36-2905.07 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2905.07 - Recipients of pharmaceutical benefits; finger imaging program; program termination

36-2905.07.  Recipients of pharmaceutical benefits;  finger imaging program;  program termination A. Subject to legislative appropriation and available federal matching monies,  the administration shall fully implement a point of service finger imaging program for all persons who receive pharmaceutical benefits pursuant to this chapter. The administration may expand this program to other system programs and services. B. The program shall require that the recipient,  or that person's designee,  place that person's finger on a finger imaging reader device at the pharmacy and instantly have the person's finger image compared to the finger image record maintained by the administration. If a match occurs the program shall authorize the pharmacist to fill the prescription. If a match does not occur the program shall prescribe a procedure that the pharmacist must follow. C. The administration shall provide pharmacies that participate in the program with a finger imaging point of service device. D. The program shall require that pharmacies that participate in the program comply with rules adopted by the administration to implement the program. E. The administration shall adopt rules to implement the program that,  at a minimum: 1. Allow a person designated by a person who receives services pursuant to this chapter to use the designee's finger image to secure pharmaceuticals for the member. 2. Allow prescriptions to be filled on a temporary basis if finger images do not match. 3. Exempt persons whose participation in the program would create an undue hardship on them,  their families or their caretakers. 4. Exempt pharmacies that do not have the computerized infrastructure to participate in the program. F. The program established by this section ends on July 1,  2005 pursuant to section 41-3102.
AZ Rev Stat § 36-2905.08 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2905.08 - Nicotine replacement therapies; tobacco use medications

36-2905.08.  Nicotine replacement therapies;  tobacco use medications A. Notwithstanding section 36-2989,  for contract years beginning October 1,  2008,  the administration may expend monies to provide nicotine replacement therapies and tobacco use medications to members eligible pursuant to this article or article 2 or 3 of this chapter.  B. The administration shall not use monies from the state general fund for the purposes of this section.
AZ Rev Stat § 36-2906.01 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2906.01 - Qualified commercial carriers; administration; contracts

36-2906.01.  Qualified commercial carriers;  administration;  contracts A. Entities,  including insurers as defined in section 20-104,  hospital,  medical,  dental and optometric service corporations as defined in title 20,  chapter 4,  article 3 and health care services organizations as defined in section 20-1051,  are prohibited from contracting with the administration as a system contractor unless the entity establishes an affiliated corporation whose only authorized business is to provide services or coverage pursuant to a contract with the administration to persons defined as eligible in section 36-2901,  paragraph 6,  subdivisions (a),  (f) and (g). B. If there is an insufficient number of,  or an inadequate member capacity in,  contracts awarded to contractors,  the director may request that the director of the department of insurance and financial institutions grant a temporary exemption from the requirements of subsection A of this section for an entity regulated by the department of insurance and financial institutions,  and otherwise qualified to be a system health plan,  in order for that entity to enter into an arrangement with the administration to provide services to persons defined as eligible in section 36-2901,  paragraph 6,  subdivisions (a),  (f) and (g). On a written request from the administration,  the director of the department of insurance and financial institutions may grant a onetime exemption to an entity for a period not to exceed one year. During the temporary exemption,  the entity must comply with all applicable provisions of both this article and the applicable chapter or article of title 20 under which the entity is licensed to operate. C. With respect to entities that have been granted an exemption pursuant to subsection B of this section,  the provisions of section 36-2903,  subsection M,  relating to the direct operation of a provider,  shall not apply. If the director determines that the operations of the entity would otherwise meet the circumstances specified in contract under which the administration could operate the entity directly or that the public health,  safety or welfare require emergency action relative to the entity,  the director shall notify the director of the department of insurance and financial institutions and may request that the department of insurance and financial institutions take appropriate actions.
AZ Rev Stat § 36-2907.01 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2907.01 - Eosinophilic gastrointestinal disorder; formula

36-2907.01.  Eosinophilic gastrointestinal disorder;  formula A. Any coverage that is offered by a contractor providing services to persons eligible pursuant to section 36-2901 and that contains a prescription drug benefit shall cover amino acid-based formula that is ordered by a physician or a registered nurse practitioner if: 1. The person has been diagnosed with an eosinophilic gastrointestinal disorder. 2. The person is under the continuous supervision of a physician who is licensed pursuant to title 32,  chapter 13 or 17 or a registered nurse practitioner who is licensed pursuant to title 32,  chapter 15. 3. There is risk of a mental or physical impairment without the use of the formula. B. This section does not apply to limited benefit coverage as defined in section 20-1137.
AZ Rev Stat § 36-2907.02 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2907.02 - Benchmark benefit package

36-2907.02.  Benchmark benefit package A. The administration shall establish a benchmark benefit package pursuant to section 6044 of the deficit reduction act of 2005 and section 1937 of the social security act. B. Enrollment in the benchmark benefit package is mandatory for persons who are eligible pursuant to: 1. Section 36-2901.01 as covered under the section 1115 waiver and who are not covered under the state plan. 2. Section 36-2924. C. Enrollment in the benchmark benefit package is optional for all other title XIX eligible persons. D. This section shall be implemented subject to approval of the benchmark benefit package from the centers for medicare and medicaid services and on the condition that any changes to health benefits under this section would not jeopardize the state's ability to receive any enhanced federal matching rate.
AZ Rev Stat § 36-2907.04 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2907.04 - Family planning services

36-2907.04.  Family planning services A woman whose eligibility under section 36-2901,  paragraph 6,  subdivision (a),  item (ii) ended no earlier than March 1,  1995 and who is not otherwise enrolled in the system is eligible to receive voluntary family planning services for two years,  if approval of the waiver requesting family planning services pursuant to this section is approved by the United States department of health and human services. This two year period begins on the first day following the end of that woman's sixty day federal eligibility period that begins on the last day of her pregnancy. Family planning services under this section are limited to those available pursuant to section 36-2907,  subsection A,  paragraph 8.
AZ Rev Stat § 36-2907.07 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2907.07 - Tobacco tax program evaluations

36-2907.07.  Tobacco tax program evaluations A. Subject to the availability of monies,  the administration may enter into an intergovernmental agreement pursuant to title 11,  chapter 7,  article 3 to contract with the auditor general to conduct or cause to conduct program evaluations of programs that both receive tobacco tax monies pursuant to section 36-774 and are administered by the department of health services. B. If the administration contracts for the annual program evaluations: 1. The auditor general shall establish a schedule for periodic reviews of the programs. The auditor general shall notify the joint legislative audit committee of the schedule for the periodic reviews of the programs. The joint legislative audit committee shall review the schedule and may approve or modify it. 2. The evaluations shall examine the effectiveness of the programs,  the organizational structure of the programs and the efficiency of the programs. 3. The evaluations shall include but are not limited to the following utilization information: (a) The level and scope of services being offered. (b) The type of services being used. (c) The frequency of services being used. (d) The personal characteristics of the program participants who receive services. (e) The demographic characteristics of the program participants who receive services. 4. The evaluations shall include but are not limited to: (a) Information on the number of the program participants. (b) Information on program contractors and program service providers. (c) Information on program revenues and expenditures. (d) Information on the average cost for each program participant receiving services and information on the average cost of providing each service. (e) Information on the administrative costs to operate each program. (f) An evaluation of the methods used by the department of health services for selecting eligible contractors. (g) An estimate of the benefits and effects of providing health care services to persons who cannot afford those services or for whom there would otherwise be no coverage. 5. The department of health services shall provide data necessary to complete the evaluations. 6. The auditor general shall submit an annual report to the director of the joint legislative budget committee regarding the evaluations no later than November 1 of each year.
AZ Rev Stat § 36-2907.09 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2907.09 - Direct service contracts; reporting

36-2907.09.  Direct service contracts;  reporting (Conditionally Rpld.) The director of the department of health services shall provide to the legislature the following information for services provided pursuant to sections 36-2907.06 and 36-2907.08: 1. The number of members served. 2. The number of encounters and the average cost for each encounter. 3. The number of services and the average cost for each service. 4. The actual year to date expenditures and projected annual expenditures.
AZ Rev Stat § 36-2907.10 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2907.10 - Transplants; extended eligibility

36-2907.10.  Transplants;  extended eligibility A. If during a redetermination process for eligibility pursuant to this article a person who is enrolled and who is eligible pursuant to this article for a medically necessary and appropriate transplant pursuant to section 36-2907,  subsection A,  paragraph 10 is determined ineligible for coverage pursuant to section 36-2901.04 due to excess income or ineligible for coverage pursuant to section 36-2901,  paragraph 6,  subdivision (a),  item (i),  (ii) or (iii) and that person has not yet received the transplant,  the person may extend the person's eligibility based on the total spend down requirement for the household divided by the number of persons in the household.  B. In order to extend eligibility the person shall enter into a contractual agreement with a hospital to pay the amount of excess income determined pursuant to this section. The hospital shall only be reimbursed by the administration at the contracted rate of the transplantation surgery,  including up to one hundred days of posttransplantation care. The administration shall deduct the amount of excess income that the person agrees to pay the hospital before payment is made to the hospital for transplant services authorized by this section. The amount of excess income shall not be changed once the extended period of eligibility begins. The administration is not responsible to pay any of the spend down amount if the person does not pay the hospital. The contracting hospital shall submit a copy of the person's contractual agreement with the hospital to the administration. C. The administration shall authorize extended eligibility services only for transplant candidates. D. Extended eligibility pursuant to this section is for one twelve-month continuous period of time and is funded only pursuant to section 36-2907.12. E. This section does not prohibit a person from applying for eligibility pursuant to any other applicable law. F. If the administration and a hospital that performed a transplant surgery on a person who is eligible pursuant to this section do not have a contracted rate,  the administration shall not reimburse the hospital more than the contracted rate established by the administration.  G. A person who has extended eligibility pursuant to section 36-2907.11 is not eligible for services pursuant to this section. H. The extended eligibility of a person who is determined to be no longer medically eligible for a transplant terminates at the end of the month in which it is determined the person is not medically eligible for the transplant unless the person is otherwise eligible for services pursuant to section 36-2901,  paragraph 6,  subdivision (a).
AZ Rev Stat § 36-2907.12 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2907.12 - Transplants; tobacco tax allocation

36-2907.12.  Transplants;  tobacco tax allocation Subject to the availability of monies in the medically needy account established by section 36-774,  the administration shall withdraw the amount necessary to pay the state share of costs for providing eligibility for transplant recipients who agree to enter into contractual agreements with hospitals pursuant to section 36-2907.10 or 36-2907.11.
AZ Rev Stat § 36-2907.13 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2907.13 - Arizona health care cost containment system; teledentistry

36-2907.13.  Arizona health care cost containment system;  teledentistry In addition to services provided pursuant to section 36-2907,  subsection A,  paragraph 7,  the Arizona health care cost containment system administration shall implement teledentistry services for enrolled members who are under twenty-one years of age.
AZ Rev Stat § 36-2907.15 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2907.15 - Opioid use disorder treatment; standards; centers of excellence; annual report

36-2907.15.  Opioid use disorder treatment;  standards;  centers of excellence;  annual report A. On or before December 31,  2019,  the administration and the department of health services shall establish standards for designating centers of excellence for treating opioid use disorder statewide. The director of the Arizona health care cost containment system shall publish the draft standards on the administration's public website and hold at least two public hearings to receive input before implementing the standards. The administration shall publish the final standards for designating centers of excellence for treating opioid use disorder on its public website. B. At a minimum,  the standards established pursuant to subsection A of this section shall include: 1. Information regarding opioid treatment program providers and facilities. 2. Information regarding office-based opioid agonist treatment providers. 3. Parameters to ensure coordination of care that includes behavioral health,  physical health and medication-assisted treatment for opioid use disorder. 4. Tracking and reporting requirements that identify: (a) Treatment capacity.  (b) Quantitative metrics related to quality of care and patient outcomes.  (c) Qualitative metrics related to patient satisfaction. 5. An annual evaluation by a third-party auditor of the accuracy and completeness of data provided by the centers of excellence. C. The administration shall establish a statewide learning collaborative to share best practices and establish peer-to-peer support between centers of excellence. D. The administration shall maintain an accurate list of designated centers of excellence,  including contact information,  on its website.  E. Designated centers of excellence shall: 1. Increase capacity for treating opioid use disorder in opioid treatment programs and office-based opioid agonist treatment statewide. 2. Demonstrate effective delivery of medication-assisted treatment for opioid use disorder using evidence-based practices as defined by the substance abuse and mental health services administration,  a federally designated accreditation agency for rehabilitation facilities and the administration. 3. Comply with all tracking,  reporting and evaluation requirements.  4. Participate in the statewide learning collaborative. F. On or before January 15 of each year,  the administration shall submit a report to the governor,  the president of the senate and the speaker of the house of representatives,  and shall provide a copy to the secretary of state,  outlining: 1. The standards for designating centers of excellence. 2. The statewide list of designated centers of excellence. 3. A summary of the performance of the centers of excellence.