A. A direct primary care agreement may not require more than twelve months of the periodic fee to be paid in advance. On discontinuing the agreement all payments prepaid for months following termination of the agreement shall be returned to the patient.

Terms Used In Arizona Laws 44-1799.94

  • Direct primary care agreement: means a contract between a primary care provider and an individual patient or the patient's legal representative in which the primary care provider agrees to provide primary care services to the individual patient for an agreed periodic fee and period of time. See Arizona Laws 44-1799.91
  • Direct primary care provider: means a primary care provider who enters into a direct primary care agreement with a patient or the patient's legal representative. See Arizona Laws 44-1799.91
  • Primary care services: means routine, periodic health care procedures that are ordered and supervised by a primary care provider, including medical visits, laboratory testing, imaging, pathology testing, prescribing and administering medication, diagnosing, treating and managing acute and chronic conditions and other health care procedures provided to patients on a routine, periodic basis that may be performed or supervised by a primary care provider with training and experience in that procedure, or dental services that may be performed or supervised by a dentist who is licensed pursuant to title 32, chapter 11. See Arizona Laws 44-1799.91

B. A direct primary care agreement shall prohibit the direct primary care provider from submitting a claim for reimbursement to the patient’s health care insurer for primary care services that are provided to the patient and that are covered under the direct primary care agreement.

C. A direct primary care agreement may allow the periodic fee and any additional fees for ongoing care under the agreement to be paid by a health care insurer or other third party.

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