Definitions

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36-3401. Definitions

In this chapter, unless the context otherwise requires:

1. " Administration" means the Arizona health care cost containment system administration.

2. " Advisory council" means the Arizona state advisory council on the seriously mentally ill.

3. " Children" means persons who are under the age of nineteen years or persons who are under the age of twenty-two years and enrolled in an educational facility.

4. " Clean claim" means a claim that can be processed without obtaining additional information from the service provider or from a third party. Clean claim does not include claims under investigation for fraud or abuse or claims under review for medical necessity.

5. " Director" means the director of the administration.

6. " Regional behavioral health authority" means an organization under contract with the administration to coordinate the delivery of mental health services in a geographically specific service area of the state for eligible persons.

7. " Service provider" means an organization or mental health professional that meets the criteria established by the administration and has a contract with the administration or a regional behavioral health authority.


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