The Arizona Revised Statutes have been updated to include the revised sections from the 56th Legislature, 1st Regular Session. Please note that the next update of this compilation will not take place until after the conclusion of the 56th Legislature, 2nd Regular Session, which convenes in January 2024.
DISCLAIMER
This online version of the Arizona Revised Statutes is primarily maintained for legislative drafting purposes and reflects the version of law that is effective on January 1st of the year following the most recent legislative session. The official version of the Arizona Revised Statutes is published by Thomson Reuters.
If a prisoner in a secure care facility requires health care services that the department, the facility or a private prison provider contracted by the department cannot provide, the department shall pay approved claims from a facility or provider that provides these services as follows:
1. Except as provided in paragraph 3 of this section, for inpatient and outpatient hospital services, the department shall reimburse at a level that does not exceed the reimbursement methodology established pursuant to section 36-2903.01, subsection G.
2. For health and medical services, the department shall reimburse at a level that does not exceed the capped fee-for-service schedule that is adopted by the Arizona health care cost containment system administration pursuant to title 36, chapter 29, article 1 and that is in effect at the time the services are delivered.
3. For inpatient and outpatient hospital services that are provided in a fully locked unit setting, the department may establish an alternative reimbursement rate that does not exceed one hundred twenty percent of the current medicare rate. For the purposes of this paragraph, "fully locked unit setting":
(a) Means a ward or wing in which treatment and services are provided and that is secured in a manner that prevents patients from leaving the ward or wing at will.
(b) Does not include a ward or wing that is locked only for the purpose of preventing unauthorized entry and that allows a patient to exit the ward or wing at will.