Arizona Laws 36-2990. Quality of health care monitoring standard; development; adoption; use; additional monitoring; costs
Current as of: 2023 | Check for updates
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A. The administration shall develop standards of care that each contractor shall use to monitor the quality of health care received by members.
Terms Used In Arizona Laws 36-2990
- Administration: means the Arizona health care cost containment system administration. See Arizona Laws 36-2981
- Contractor: means a health plan that contracts with the administration to provide hospitalization and medical care to members according to this article or a qualifying plan. See Arizona Laws 36-2981
- Director: means the director of the administration. See Arizona Laws 36-2981
B. The director shall periodically determine whether each contractor has properly adopted and implemented standards to ensure the quality of health care. If the director determines that a contractor is out of compliance, the director shall undertake additional efforts to monitor and assess the quality of health care provided by that contractor for the period of time that the director deems necessary. The director shall determine the cost incurred in undertaking these special efforts and shall deduct that amount from any payment owed to the contractor.