Ariz. Admin. Code § 20-6-1809

Current through Register Vol. 30, No. 45, November 8, 2024

Section R20-6-1809 - Contract Requirements

A. An Organization shall have a written contract with each provider that documents the requirements for providing services under the prepaid dental plan and the terms of the agreements between the parties. The Organization shall ensure that the provider complies with all contract requirements.

B. In addition to the requirements in subsection (A), an Organization shall ensure that its contract with a provider includes the following provisions:

1. That the Organization has authority to review the provider's records,

2. That the provider is responsible to implement and maintain a process to inform assigned members of the need to schedule periodic preventive dental services based on the member's oral health status, and

3. That the provider is responsible to complete any procedure undertaken upon a member if the contract is terminated or expires.

Ariz. Admin. Code § R20-6-1809

New Section made by final rulemaking at 8 A.A.R. 463, effective January 10, 2002 (Supp. 02-1).