reglab/housing_qa huggingface dataset:
AZ Rev Stat § 36-2998 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2998 - Qualifying plans

36-2998.  Qualifying plans A. A qualifying plan,  as defined in section 36-2981,  may elect to participate in the children's health insurance program established pursuant to this article,  subject to all requirements established in this article and in accordance with section 36-2989. B. The director of the Arizona health care cost containment system shall establish the terms and conditions that shall be used to exercise the option to participate.
AZ Rev Stat § 36-2999.02 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2999.02 - Program; program contractors; interdisciplinary teams

36-2999.02.  Program;  program contractors;  interdisciplinary teams A. The comprehensive care for the elderly program is established to provide managed care benefits to members of the Arizona long-term care system through a comprehensive medical and social service delivery system that uses interdisciplinary teams in a center where primary and other services are provided. A program contractor may offer the comprehensive care for the elderly program as an alternative model to the Arizona long-term care system service delivery model. The comprehensive care for the elderly program shall provide services to participants pursuant to this article and all state and federal requirements that govern the Arizona long-term care system. B. A comprehensive care for the elderly organization must establish an interdisciplinary team at each comprehensive care for the elderly center to comprehensively assess and meet the individual needs of each participant. The organization must assign each participant to an interdisciplinary team functioning at the comprehensive care for the elderly center that the participant attends. The interdisciplinary team,  in coordination with the participant,  shall create a mutually agreed upon care plan that meets the medical,  health,  social and behavioral health needs of the participant. The interdisciplinary team shall provide and coordinate services that include,  at a minimum,  primary care services and all applicable long-term care services pursuant to section 36-2939. C. The administration and its program contractors shall cooperate in the development of the comprehensive care for the elderly program. D. A program contractor shall make a prospective monthly payment,  based on the capitation rate,  to the comprehensive care for the elderly organization for each participant.
AZ Rev Stat § 36-2999.03 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2999.03 - Eligibility determination; applications; enrollment

36-2999.03.  Eligibility determination;  applications;  enrollment A. In addition to the eligibility criteria prescribed in section 36-2934 and the preadmission screening conducted pursuant to section 36-2936,  to be eligible to enroll with a comprehensive care for the elderly organization,  a person must: 1. Reside in a comprehensive care for the elderly organization's service area on enrollment. 2. Agree to receive covered services through the comprehensive care for the elderly organization. 3. Be able at the time of selection of the program live in a community setting without jeopardizing the person s health or safety. B. A comprehensive care for the elderly program shall not discriminate against potential participants on the basis of the health of a member. C. The program contractor shall forward relevant information pertinent to the potential participant to the program. Organization staff who shall assess the applicant's appropriateness for participation in the program. D. The program must comply with the time frames and procedures for all grievances and requests for hearings established through rule by the administration pursuant to section 36-2932.
AZ Rev Stat § 36-2999.04 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2999.04 - Case management; definition

36-2999.04.  Case management;  definition A. In addition to services prescribed in section 36-2939,  the comprehensive care for the elderly organization shall provide case management to coordinate services and promote access to all necessary medical,  social and other services. Case management services include the following: 1. An in-depth assessment to determine the level of case management needed and services to be accessed. 2. An individual case management service plan outlining needed services and access plans. 3. Service plan implementation to include counseling to encourage the comprehensive care for the elderly participant s cooperation,  service authorization,  referral for services and case coordination. 4. A review of the service plan to be conducted on an as-needed basis,  at a minimum of at least once each three month period of coverage. B. A comprehensive care for the elderly organization shall provide payment or reimbursement only for services provided pursuant to this article under referral from its interdisciplinary team that conducts case management unless it is an emergency service. C. For the purposes of this section,  " case management"  means a service that will direct participants to the most appropriate amount,  duration and type of services and continually monitor and reassess a participant's need for services provided pursuant to this article.
AZ Rev Stat § 36-2999.05 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2999.05 - Establishment of capitation rate

36-2999.05.  Establishment of capitation rate A. Under a comprehensive care for the elderly program agreement the program contractor shall make a prospective monthly payment to the comprehensive care for the elderly organization of a capitation rate for each medicaid participant. B. The comprehensive care for the elderly organization must accept the capitation payment as payment in full for medicaid participants and may not bill,  charge,  collect or receive any other form of payment from the program contractor,  administration or from or on behalf of the comprehensive care for the elderly participant,  except as follows: 1. Payment with respect to the share of cost and any amounts due under the posteligibility treatment of income. 2. Medicare payment received from the centers for medicare and medicaid services or from other payors. 3. Adjustments related to enrollment and disenrollment of comprehensive care for the elderly participants in the comprehensive care for the elderly organization. 4. A fee-for-service payment by the administration or the centers for medicare and medicaid services prior to the participant being capitated.
AZ Rev Stat § 36-2999.06 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2999.06 - Organizations; additional responsibilities; exemption from title 20

36-2999.06.  Organizations;  additional responsibilities;  exemption from title 20 A. Comprehensive care for the elderly organizations shall comply with all responsibilities and requirements prescribed in sections 36-2946. B. To the extent that services are provided pursuant to this article,  a comprehensive care for the elderly organization is not subject to the provisions of title 20.
AZ Rev Stat § 36-2999.07 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2999.07 - Reporting requirements

36-2999.07.  Reporting requirements A. On an annual basis,  the administration shall report on its efforts to support the development and implementation of the program established pursuant to this article. B. The administration shall submit a copy of its report to the governor,  the president of the senate,  the speaker of the house of representatives and the chairpersons of the health committees of the senate and the house of representatives,  or their successor committees.
AZ Rev Stat § 36-2999.08 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2999.08 - Program termination

36-2999.08.  Program termination The program established by this article terminates on July 1,  2016,  pursuant to section 41-3102.
AZ Rev Stat § 36-2999.51 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2999.51 - Definitions

36-2999.51.  Definitions (Rpld. 10/1/23) In this article,  unless the context otherwise requires: 1. " Continuing care retirement community"  means an entity that provides nursing facility services and assisted living or independent living services on a contiguous campus that is either registered as a life care facility with the department of insurance and financial institutions or has assisted living and independent living beds in the aggregate that equal at least twice the number of nursing facility beds. For the purposes of this paragraph,  " contiguous"  means land that adjoins or touches the other property held by the same or a related organization and land divided by a public road. 2. " Fiscal year"  means the period beginning on October 1 and ending on September 30. 3. " Medicare resident days"  means resident days that are funded by the medicare program,  a medicare advantage or special needs plan or the medicare hospice program. 4. " Net patient service revenue"  means gross inpatient revenues from services that are provided to nursing facility patients minus reductions from gross inpatient revenue. For the purposes of this paragraph,  inpatient revenues from services do not include nonpatient care revenues such as beauty and barber income,  vending income,  interest and contributions,  revenues from the sale of meals and all outpatient revenues. 5. " Nursing facility"  means a health care institution that provides inpatient beds or resident beds and nursing services to persons who need nursing services on a continuing basis but who do not require hospital care or direct daily care from a physician. Nursing facility does not include the Arizona veterans' homes. 6. " Reductions from gross inpatient revenue"  includes bad debts,  contractual adjustments,  uncompensated care,  administrative,  courtesy and policy discounts,  adjustments and other similar revenue deductions. 7. " Resident day"  means a calendar day of care provided to a nursing facility resident,  including the day of admission and excluding the day of discharge. Resident day includes a day on which a bed is held for a patient and for which the facility receives compensation for holding the bed. 8. " Upper payment limit"  means the limitation established pursuant to 42 Code of Federal Regulations section 447.272 that disallows federal matching funds if a state medicaid agency pays certain classes of nursing facilities an aggregate amount for services that would exceed the amount that would be paid for the same services furnished by that class of nursing facilities under medicare payment principles.
AZ Rev Stat § 36-2999.52 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2999.52 - Nursing facility quality assessments; calculation; limitation; exceptions

36-2999.52.  Nursing facility quality assessments;  calculation;  limitation;  exceptions (Rpld. 10/1/23) A. Beginning October 1,  2012,  the administration shall charge a quality assessment on health care items and services provided by nursing facilities in order to obtain federal financial participation in the services provided pursuant to this chapter. The administration shall use these monies for supplemental payments to nursing facilities for covered medicaid expenditures,  not to exceed the medicare upper payment limit program requirements. B. Each nursing facility shall pay the assessment prescribed pursuant to this section to the department of revenue for deposit on a quarterly basis in the nursing facility assessment fund established by section 36-2999.53. C. Unless otherwise required by law,  title 42,  chapter 5,  article 1 governs the administration of the assessment prescribed pursuant to this section except that: 1. A separate license is not required for the assessment. 2. If a nursing facility does not have a transaction privilege tax license,  it shall obtain one pursuant to section 42-5005. 3. Each facility shall report and pay the assessment on forms prescribed by the department of revenue. 4. A separate bond is not required of employees of the department of revenue who administer the assessment. 5. The assessment may be included without segregation in any notice and lien filed for unpaid transaction privilege taxes. D. The administration shall calculate the quality assessment on the net patient service revenue of all nursing facilities that are subject to the quality assessment. The quality assessment may not exceed three and one-half per cent of net patient service revenue and shall be calculated and paid on a per resident day basis exclusive of medicare resident days. Except as prescribed in this section,  the per resident day assessment is the same amount for each affected facility. E. Pursuant to 42 Code of Federal Regulations section 433.68(e)(1) and (2),  the administration shall request a waiver of the broad-based and uniform provider assessment requirements of federal law to exclude certain nursing facilities from the quality assessment and to permit certain high volume medicaid nursing facilities or facilities with a high number of total annual patient days to pay the quality assessment at a lesser amount per nonmedicare resident day. F. Subject to federal approval pursuant to 42 Code of Federal Regulations section 433.68(e)(2),  the following nursing facility providers are exempt from the quality assessment: 1. Continuing care retirement communities. 2. Nursing facilities with fifty-eight or fewer beds. G. The administration shall lower the quality assessment for either certain high volume medicaid nursing facilities or certain facilities with high patient volumes to meet the redistributive test of 42 Code of Federal Regulations section 433.68(e)(2).
AZ Rev Stat § 36-2999.53 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2999.53 - Nursing facility assessment fund

36-2999.53.  Nursing facility assessment fund (Rpld. 10/1/23) A. The nursing facility assessment fund is established consisting of the following: 1. Monies received by the administration from nursing facility assessments pursuant to this article. 2. Federal monies and federal matching monies received by the administration as a result of expenditures made by the administration that are attributable to monies deposited in the fund. 3. Interest or penalties collected pursuant to this article. 4. Legislative appropriations. 5. Private grants,  gifts,  contributions and devises from any source received to assist in carrying out the purposes of this article. B. The administration shall administer the fund. Monies in the fund are continuously appropriated. C. The administration shall use fund monies only for the following: 1. To qualify for federal matching funds for supplemental payments for nursing facility services within medicare upper payment limit program requirements. 2. To pay administrative expenses incurred by the administration or its agents in performing the activities authorized by this chapter,  provided that these expenses may not exceed one per cent of the aggregate assessment funds collected for the fiscal year. 3. To reimburse the medicaid sharer of the quality assessment. 4. To provide medicaid supplemental payments to fund covered services to nursing facility medicaid beneficiaries within medicare upper payment limits. D. 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.
AZ Rev Stat § 36-2999.54 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2999.54 - Assessments; failure to pay; suspension or revocation

36-2999.54.  Assessments;  failure to pay;  suspension or revocation (Rpld. 10/1/23) A. Each nursing facility shall pay a quality assessment as prescribed pursuant to this article. The administration shall determine the assessment rate prospectively for the applicable fiscal year on a per resident day basis,  exclusive of medicare resident days. The administration shall adopt rules for facility reporting of nonmedicare resident days and for payment of the assessment. B. A nursing facility may increase its charges to other payors to incorporate the assessment but may not establish a separate line-item charge on the bill reflecting the assessment. C. If an entity conducts,  operates or maintains more than one nursing facility,  the entity must pay a quality assessment for each nursing facility separately.  D. If a nursing facility does not pay the full amount of the assessment when due,  the director of the Arizona health care cost containment system administration may suspend or revoke the nursing facility's Arizona health care cost containment system provider agreement registration. If the nursing facility does not comply within one hundred eighty days after the director of the Arizona health care cost containment system administration suspends or revokes the nursing facility's provider agreement,  the director of the Arizona health care cost containment system administration shall notify the director of the department of health services,  who shall suspend or revoke the nursing facility's license pursuant to section 36-427.
AZ Rev Stat § 36-2999.55 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2999.55 - Adjustment of payments; definition

36-2999.55.  Adjustment of payments;  definition (Rpld. 10/1/23) A. A nursing facility is eligible for quarterly nursing facility adjustments based on nursing facility days from the most recent cost report before the start of the fiscal year. If cost report data is unavailable for a nursing facility,  the administration may use other data sources or request patient day information from the facility to estimate nursing facility days.  B. The administration shall make adjustment payments on a quarterly basis to reimburse the medicaid portion of the assessment and other covered medicaid expenditures in the aggregate within the upper payment limit. Each quarterly payment shall be made not later than thirty days after the end of the calendar quarter with the initial adjustment payment due within thirty days after approval by the centers for medicare and medicaid services of the quality assessment waiver and state plan reflecting the nursing facility adjusted payments. C. Subject to approval by the centers for medicare and medicaid services,  a nursing facility that is located outside of this state may not receive payments pursuant to this article. D. For the purposes of this section,  " nursing facility days"  means the days of nursing facility services,  including bed hold days,  paid for by the Arizona medical assistance program for the applicable state fiscal year.
AZ Rev Stat § 36-2999.56 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2999.56 - Modifications

36-2999.56.  Modifications (Rpld. 10/1/23) The administration may modify the categories of facilities exempt from the quality assessment and the rate adjustment provisions of this article if this is necessary to obtain and maintain approval by the centers for medicare and medicaid services and if the modification is consistent with purposes of this article.
AZ Rev Stat § 36-2999.57 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2999.57 - Discontinuance of assessments

36-2999.57.  Discontinuance of assessments (Rpld. 10/1/23) A. The department of revenue shall discontinue collection of all assessments if any of the following applies: 1. The quality assessment waiver or the state plan amendment reflecting the quarterly nursing facility adjustment payments is not approved by the centers for medicare and medicaid services. 2. The administration reduces funding for nursing facility services below the state appropriation in effect on the effective date of this article. 3. The administration or any other state agency attempts to use monies in the nursing facility assessment fund established pursuant to section 36-2999.53 for any use other than those permitted pursuant to this article. 4. Federal financial participation to match the quality assessments made pursuant to this article becomes unavailable under federal law,  in which case the administration must terminate the imposition of the assessments beginning on the date the federal statutory,  regulatory or interpretive changes take effect. B. If the department of revenue discontinues collection of the assessment pursuant to this section,  it shall return all monies in the nursing facility assessment fund established by section 36-2999.53 to the nursing facilities from which the assessment was collected on the same basis as the assessments were assessed.
AZ Rev Stat § 36-2999.71 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2999.71 - Definitions

36-2999.71.  Definitions (Conditionally Rpld.) In this article,  unless the context otherwise requires: 1. " Administration"  has the same meaning prescribed in section 36-2901. 2. " Base reimbursement level" : (a) Means the total expenditures by the Arizona health care cost containment system and its contracted health plans for hospital services to eligible persons in state fiscal year 2019-2020. (b) Does not include directed payments made pursuant to this article or payments made through the pediatric services initiative pursuant to 42 Code of Federal Regulations section 438.6(c). 3. " Director"  has the same meaning prescribed in section 36-2901.