§ 34.1.14 Provider Claims For Eligible Persons Not Enrolled With Contractor.
| Jurisdiction | Arizona |
§ 34.1.14 Provider Claims For Eligible Persons Not Enrolled With Contractor. A provider that has a claim against AHCCCS involving services rendered to an FFS member, must file a written claim dispute with AHCCCS within the time limits of A.R.S. § 36-2903(01)(B)(4). See § 34.1.12. AHCCCS shall send a written notice of decision to the provider within 30 days after the claim is filed. The notice of decision must inform the contractor of the right to a state fair hearing and the legal and factual basis of the...
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