Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 21 - DIVISION PROCUREMENT AND RATE SETTING - QUALIFIED VENDORS › Section R6-6-2101 - Definitions

Current through Register Vol. 30, No. 28, July 12, 2024
The following definitions apply to this Article:
1. "Agreement file" means the public, documented record of
				  procurement transactions that is maintained by and available at the Division
				  contracts management office.
2. "AHCCCS" means the Arizona Health Care Cost Containment
				  System as established by A.R.S. §
									36-2901 et
				  seq.
3. "Application" means the Qualified Vendor application,
				  including any amendments, supplements, or updates submitted by the
				  applicant.
4. "Assistant Director" means the Assistant Director of the
				  Department of Economic Security, Division of Developmental Disabilities.
5. "Authorization" means the approval by the Division or its
				  designee identifying the type and number of units of service a Qualified Vendor
				  is authorized to provide to a specific consumer.
6. "Community developmental disability services" means any
				  service or support the Division is authorized to purchase under A.R.S. §
									36-557
				  on behalf of individuals with developmental disabilities and their families or
				  guardians.
7. "Conflict of interest" means that a Qualified Vendor
				  applicant, a Qualified Vendor, or an officer or employee of a Qualified Vendor
				  applicant or Qualified Vendor has a relative as defined in A.R.S. §
									38-502 who
				  is an employee of the Division with direct or indirect responsibility for
				  purchasing, authorizing, monitoring or evaluating community developmental
				  disability services or vendors.
8. "Consumer" means an individual authorized to receive
				  community developmental disability services from the Division.
9. "Consumer and family choice" means the consumer's or
				  consumer's representative's expressed preference to receive services from a
				  specific provider.
10. "Contract list" means a roster of agencies,
				  organizations, and professional independent providers who, on January 1, 2003
				  have a valid contract or agreement with the Division to provide community
				  developmental disability services.
11. "Day" means calendar day unless otherwise
				  specified.
12. "Department" means the Arizona Department of Economic
				  Security.
13. "Department procurement officer" means the person, or his
				  or her designee, authorized by the Department to make written determinations
				  with respect to purchasing processes or agreements authorized under A.R.S. §
									36-557.
14. "Division" means the Division of Developmental
				  Disabilities of the Department of Economic Security.
15. "Division web site" means the Division of Developmental
				  Disabilities internet web site.
16. "Emergency need" means a situation that requires an
				  immediate change in services, in service providers, or in both services and
				  service providers, and is necessary for the health or safety of the
				  consumer.
17. "Independent assessment" means a review by a third party
				  of an authorization decision.
18. "Independent rate model" means a methodology for rate
				  development that includes the definition of the cost components and assumptions
				  used in the development of a reimbursement rate.
19. "Individual Independent Provider" means a person who is
				  qualified to provide service, has a provider identification number and an
				  individual service agreement or a qualified vendor agreement with the Division
				  to provide community developmental disability services.
20. "Individual service agreement" means the legally binding
				  contract between the Division and an individual independent provider to provide
				  community developmental disability services.
21. "Individual support plan" or "ISP" means a written
				  statement of services to be provided to an individual with developmental
				  disabilities including habilitation goals and objectives and a listing of the
				  services, if any, the consumer is authorized to receive. The ISP incorporates
				  and replaces the Individual Program Plan, the placement evaluation, the
				  individualized service program plan and the service program plan used in A.R.S.
				  §
									36-557,
				  and for the purposes of these rules incorporates the Individual Family Service
				  Plan (IFSP) as defined in Section 809.1 of the Division of Developmental
				  Disabilities Policy and Procedures Manual.
22. "Individual support plan team" or "ISP Team" means a
				  group of persons including the consumer, the consumer's representative, and
				  other persons selected by the consumer, assembled by the Division and
				  coordinated by the consumer's support coordinator in compliance with A.R.S. §§
									36-551 and
				  36-560 to
				  develop the consumer's individual support plan.
23. "Itemized service budget" means a description of the cost
				  of services and includes documentation that results in a defined unit
				  rate.
24. "List serv" means an electronic mailing list maintained
				  by the Division for purposes of sending information via electronic mail to a
				  predefined directory of intended recipients.
25. "Negotiated rate" means the amount per unit of service a
				  provider will be paid for services rendered based on successful negotiation of
				  a price with the Division.
26. "Network development plan" means the annual plan
				  developed by the Division that identifies the services and supports anticipated
				  to be needed by consumers throughout the state.
27. "Non-identifying information" means a description that
				  does not provide information that could lead the recipient of the information
				  to recognize a consumer.
28. "Notice of Protest" means a written document signed by
				  the protester and submitted to the Department procurement officer to protest a
				  procurement process or decision under this Article.
29. "Open and continuous process" means that responses to a
				  Request for Qualified Vendor Applications may be submitted by an applicant to
				  the Division at any time during the time period the Request is posted to the
				  Division web site and identified as being open.
30. "Personal financial statement" means documentation of the
				  applicant's financial status for the past three years as represented by copies
				  of federal income tax statements, an accountant's statement of assets and
				  liabilities or other similar documentation of financial status.
31. "Professional Independent Provider" means a person who is
				  licensed or certified under Title 32, Arizona Revised Statutes, who provides
				  services for consumers as a Qualified Vendor and is not an employee or
				  subcontractor of a provider agency.
32. "Program plan" means a response to a requirement
				  specified in the Qualified Vendor application that identifies the services to
				  be provided and the service specific methodology to be followed by the
				  applicant.
33. "Provider" means a Qualified Vendor or an Individual
				  Independent Provider.
34. "Provider organization" means a corporation, professional
				  corporation, partnership, limited liability company, or joint venture that is
				  or applies to be a Qualified Vendor.
35. "Published rate" means the payment amount per unit of
				  service established by the Division for the purchase of a community
				  developmental disability service.
36. "Qualified Vendor" means a provider of community
				  developmental disability services that has applied for Qualified Vendor status,
				  meets the criteria for Qualified Vendor status, and has entered into a
				  Qualified Vendor Agreement with the Division.
37. "Qualified Vendor Agreement" means the legal, binding
				  document between the Division and a Qualified Vendor describing the services
				  the Qualified Vendor is qualified to provide and the terms and conditions
				  governing the relationship between the Division and the Qualified Vendor
				  including any amendments, attachments, schedules, or exhibits.
38. "Qualified vendor list" means the roster of vendors who
				  have entered into Qualified Vendor Agreements with the Division.
39. "Quality management plan" means the procedures used to
				  monitor service and system performance and to define and implement actions that
				  will result in service and system improvements.
40. "Request for Problem Solving" means a written document,
				  signed by the protester and submitted to the Division to protest a procurement
				  process or decision under this Article that requests informal problem solving
				  actions be taken by the Division.
41. "Request for Qualified Vendor Applications" means a
				  notice issued by the Division requesting vendors to apply to be Qualified
				  Vendors for the delivery of community developmental disability services.
42. "Vendor Call for Services" means a notice from the
				  Division inviting Qualified Vendors and individual independent providers to
				  submit a response indicating their availability to provide services for a
				  specific consumer or specific group of consumers, based on the requirements
				  defined in the consumer's ISP.
43. "Vendor Call Response" means a response to a Vendor Call
				  for Services that indicates the provider's availability to provide the
				  requested service or services and describes how the provider proposes to meet
				  the special accommodations needed for a specific consumer or specific group of
				  consumers, based on the consumer's ISP.
44. "Title XIX" means that section of the federal Social
				  Security Act that authorizes the provision of Medicaid services including acute
				  care and long-term care services.