Ariz. Admin. Code § 9-15-101
Current through Register Vol. 30, No. 50, December 13, 2024
Section R9-15-101 - DefinitionsIn addition to the definitions in A.R.S. §§ 36-401 and 36-2171, the following definitions apply in this Chapter unless otherwise stated:
1. "Administrative completeness review time-frame" has the same meaning as in A.R.S. § 41-1072.2. "AHCCCS" means the Arizona Health Care Cost Containment System, an Arizona state agency established by A.R.S. Title 36, Chapter 29, to administer 42 U.S.C. 1396-1, Title XIX or XXI health care programs.3. "Applicant" means an individual who submits to the Department an application for approval to participate in a loan repayment program.4. "Application" means the information and documents submitted to the Department by an individual requesting to participate in a loan repayment program. 5. "Arizona State Hospital" has the same meaning as in A.R.S. § 36-202.6. "Awardee" means an individual who has been approved by the Department to participate in a loan repayment program.7. "AzMUA" means an Arizona medically underserved area, a primary care area where access to primary care service is limited, as designated according to A.R.S. § 36-2352. 8. "Behavioral health care provider" has the same meaning as "behavioral health provider" in A.R.S. § 36-2171.9. "Behavioral health residential facility" has the same meaning as in A.A.C. R9-10-101.10. "Behavioral health hospital" means: a. A special hospital, as defined in A.A.C. R9-10-101, that is only licensed to provide behavioral health services; orb. A facility, operated as a hospital in this state by the United States federal government or by a sovereign tribal nation, that only provides behavioral health services.11. "Calendar day" means each day, not excluding the day of the act, event, or default from which a designated period of time begins to run and including the last day of the period unless it is a Saturday, Sunday, statewide furlough day, or legal holiday, in which case the period runs until the end of the next day that is not a Saturday, Sunday, statewide furlough day, or legal holiday.12. "Calendar year" means the period of 365 days starting from the first day of January.13. "Cancellation" means the discharge of an awardee's loan repayment contract based on one of the criteria in R9-15-108. 14. "Critical access hospital" means a facility certified by the Centers for Medicare & Medicaid Services under Section 1820 of the Social Security Act. 15. "Dental services" means the same as "dentistry" in A.R.S. § 32-1201.16. "Dentist" means an individual licensed under A.R.S. Title 32, Chapter 11, Article 2.17. "Direct patient care" means medical services, dental services, pharmaceutical services, or behavioral health services provided to a specific individual by a primary care provider or behavioral health care provider and for services provided by the primary care provider or behavioral health care provider to or for the specific individual including: a. Documenting the services in the specific individual's medical records,b. Consulting with other health care professionals about the specific individual's need for services, andc. Researching information specific to the individual's need for services.18. "Educational expenses" has the same meaning as in 42 C.F.R. § 62.22.19. "Encounter" means a face-to-face visit, which may include a visit using telemedicine, between a patient and an awardee during which primary care services or behavioral health services, as applicable, are provided.20. "Family unit" means a group of individuals residing together who are related by birth, marriage, or adoption or an individual who does not reside with another individual to whom the individual is related by birth, marriage, or adoption.21. "Federal prison" means a secure facility, managed and run by or on behalf of the Federal Bureau of Prisons, that confines an individual convicted of a crime.22. "Full-time" means working at least : a. 40 hours per week for at least 45 weeks per service year, for a loan repayment program under Article 2 orb. An average of 36 hours per week for at least 45 weeks per service year, for a loan repayment program under Article 3.23. "Free-clinic" means a facility that provides primary care services, on an outpatient basis, to individuals at no charge.24. "Governing authority" has the same meaning as in A.R.S. § 36-401. 25. "Half-time" means working at least 20 hours per week, but not more than 39 hours per week, for at least 45 weeks per service year.26. "Health professional school" has the same meaning as "school" in 42 C.F.R. § 62.2.27. "Health professional service obligation" means a legal commitment in which an individual agrees to provide primary care services or behavioral health services for a specified period of time in a designated area or through a designated service site. 28. "Health service experience to a medically underserved population" means at least 500 clock hours of medical services, dental services, pharmaceutical services, or behavioral health services provided by an individual, including clock hours completed during the individual's residency or graduate education: a. Under the direction of a governmental agency, an accredited educational institution, or a non-profit organization; andb. At a service site located in:i. A medically underserved area designated by the U.S. Department of Health and Human Services according to 42 CFR § 51c.102,ii. A medically underserved population,iv. A HPSA designated by a federal agency.29. "Health service priority" means the number assigned by the Department to an application and used to determine whether loan repayment funds are allocated to an applicant requesting approval to participate in a loan repayment program.30. "HPSA" means a health professional shortage area, a geographic region, population group, or public or non-profit private medical facility or other public facility determined by the U.S. Department of Health and Human Services under 42 U.S.C. § 254e to have an inadequate number of providers of medical services, dental services, or behavioral health services.31. "Immediate family" means an individual in any of the following relationships to an awardee: b. Natural, adopted, foster, or stepchild;c. Natural, adoptive, or stepparent;e. Stepbrother or stepsister;f. Grandparent or spouse of a grandparent;g. Grandchild or spouse of a grandchild;h. Father-in-law or mother-in-law;i. Brother-in-law or sister-in-law; orj. Son-in-law or daughter-in-law. 32. "Living expenses" has the same meaning as in 42 C.F.R. § 62.22.33. "Loan repayment funds" means: a. Monies provided to the Department from the U.S. Department of Health and Human Services, Health Resources and Services Administration, for use in a loan repayment program;b. Monies specified by the Arizona State Legislature and provided to the Department for use in a loan repayment program; orc. Monies donated to the Department and designated for use as part of a loan repayment program. 34. "Loan repayment program" means one of the following, according to this Chapter: a. The Primary Care Provider Loan Repayment Program, established according to A.R.S. § 36-2172;b. The Rural Private Primary Care Provider Loan Repayment Program, established according to A.R.S. § 36-2174; orc. The Behavioral Health Care Provider Loan Repayment Program, established according to A.R.S. § 36-2175. 35. "Medically underserved population" means a group of individuals who have limited access to health services, as designated by the U.S. Department of Health and Human Services under 42 CFR § 51c.102.36. "Newly employed" means that a primary care provider's first-time employee start date with a service site or employer identified in an initial application occurred within 12 months before the primary care provider's initial application submission date. 37. "Overall time-frame" has the same meaning as in A.R.S. § 41-1072.38. "Pharmaceutical services" has the same meaning as "practice of pharmacy" in A.R.S. § 32-1901.39. "Pharmacist" has the same meaning as in A.R.S. § 32-1901.40. "Physician" has the same meaning as in A.R.S. § 36-2351.41. "Physician assistant" has the same meaning as in A.R.S. § 32-2501.42. "Population" means the total number of permanent residents according to the most recent decennial census published by the U.S. Census Bureau or according to the most recent Population Estimates for Arizona's Counties and Incorporated Places published by the Arizona Department of Economic Security.43. "Poverty level" means a measure of income, issued annually by the U.S. Department of Health and Human Services and published in the Federal Register.44. "Primary care area" has the same meaning as in A.A.C. R9-24-201. .
45. "Primary care provider" means one of the following providing direct patient care: a. A physician practicing: v. Obstetrics-gynecology, orb. A physician assistant practicing: c. A registered nurse practitioner practicing:d. A certified nurse midwife, a registered nurse practitioner approved by the Arizona State Board of Nursing to provide primary care services during pregnancy, childbirth, and the postpartum period;e. A dentist practicing: ii. Geriatric dentistry, oriii. Pediatric dentistry;g. A behavioral health care provider .
46. "Primary care services" means medical services, dental services, pharmaceutical services, or behavioral health services provided on an outpatient basis by a primary care provider.47. "Private practice" means an individual or entity in which: a. One or more primary care providers provide primary care services; andb. Each primary care provider is an owner who can be held personally responsible for the primary care services provided by any of the primary care providers. 48. "Qualifying educational loan" means an advance of money:a. Used for the actual costs paid for educational expenses and living expenses that occurred during the undergraduate or graduate education of an applicant, andb. Obtained before the submission of an initial application.49. "Qualifying health plan" means health insurance coverage provided to a consumer through the Arizona State Health Insurance Marketplace established by 42 U.S.C.A. § 18001 (2010).50. "Registered nurse practitioner" has the same meaning as in A.R.S. § 32-1601.51. "Service site" means a health care institution that provides primary care services or behavioral health services, as applicable, at a specific location. 52. "Sliding-fee schedule" has the same meaning as in A.A.C. R9-1-501. 53. "State prison" means a secure facility, managed and run by or on behalf of the Arizona Department of Corrections, in which an individual convicted of a crime is confined. .
54. "Substantive review time-frame" has the same meaning as in A.R.S. § 41-1072.55. "Suspend" means to temporarily interrupt a loan repayment contract for a specified period of time, based on a request submitted by the awardee.56. "Telemedicine" has the same meaning as: a. "Telehealth" as defined in A.R.S. § 36-3601,b. "Teledentistry" as defined in A.R.S. § 36-3611, orc. "Telepractice" as defined in A.R.S. § 32-2061.57. "Working day" means a Monday, Tuesday, Wednesday, Thursday, or Friday that is not a federal and state holiday or a statewide furlough day.Ariz. Admin. Code § R9-15-101
Adopted effective November 16, 1983 (Supp. 83-6). Repealed effective February 7, 1995 (Supp. 95-1). New Section made by final rulemaking at 7 A.A.R. 2823, effective August 9, 2001 (Supp. 01-2). Amended by exempt rulemaking at 22 A.A.R. 851, effective 4/1/2016. Amended by emergency rulemaking at 28 A.A.R. 3684, effective 11/15/2022. Amended by emergency rulemaking at 29 A.A.R. 1274, effective 5/14/2023. Amended by final rulemaking at 29 A.A.R. 3837, effective 12/6/2023.