36-2971. Definitions In this article, unless the context otherwise requires: 1. " Administration" means the Arizona health care cost containment system administration. 2. " Contractor" means a person or entity that has a prepaid capitated contract with the administration pursuant to section 36-2904 to provide health care to members under this article either directly or […]
36-2972. Rights, authority and responsibilities of the director and the administration A. Subject to continued federal financial participation as provided in sections 36-2919 and 36-2958, the director shall plan for and take all steps necessary to implement the qualified medicare beneficiary program under title XIX of the social security act, as amended. B. The administration […]
36-2973. Qualified medicare beneficiary only; eligibility determination; application; enrollment A. The administration shall determine the eligibility of all applicants who may be eligible as qualified medicare beneficiaries only. The administration shall ensure that the calculation of income eligibility requirements is in accordance with federal law and the section 1115 waiver. On determination of qualified medicare […]
36-2974. Dual eligibles; qualifications for coverage; enrollment A. For purposes of this section all contractors and program contractors are required to provide services to members. B. For a member who is dually eligible the director may implement a policy permitting a choice of contractors or program contractors to the extent the director deems feasible consistent […]
36-2975. Specified low income medicare beneficiary; eligibility The administration shall determine the eligibility of all persons who are specified low income medicare beneficiaries in accordance with federal law. The administration shall pay the monthly premiums under part B of title XVIII of the social security act on behalf of each specified low income medicare beneficiary.
36-2976. Qualifying individuals A. The administration shall determine the eligibility of all persons who are determined to be qualifying individuals pursuant to section 36-2971, paragraphs 12 and 13. B. The administration shall pay the medicare part B monthly premiums on behalf of each qualifying individual 1 and shall pay the medicare part B monthly amount […]
