Ariz. Admin. Code § 20-6-1914

Current through Register Vol. 30, No. 50, December 13, 2024

Section R20-6-1914 - Access

An HCSO shall provide to or arrange for its enrollees services or appointments for services as follows:

1. For preventive care services from a contracted PCP, an appointment date within 60 days of the enrollee's request, or sooner if necessary, for the enrollee to be immunized on schedule.

2. For routine-care services from a contracted PCP, an appointment date within 15 days of the enrollee's request to the PCP or sooner if medically necessary.

3. For specialty care services from a contracted SCP, an appointment date within 60 days of the enrollee's request or sooner if medically necessary.

4. In-area urgent care services from a contracted provider seven days per week.

5. Timely non-emergency inpatient care services from a contracted facility.

6. Timely services from a contracted physician or practitioner in a contracted facility including inpatient emergency care.

7. Services from a contracted ancillary provider during normal business hours, or sooner if medically necessary.

Ariz. Admin. Code § R20-6-1914

New Section made by final rulemaking at 11 A.A.R. 4861, effective December 31, 2005 (Supp. 05-4).