Bill Amendment: AZ HB2599 | 2016 | Fifty-second Legislature 2nd Regular
Bill Title: AHCCCS; provider participation; exclusions
Status: 2016-05-17 - Chapter 302 [HB2599 Detail]
Download: Arizona-2016-HB2599-HOUSE_PROPOSED_AMENDMENT_Appropriations.html
Fifty-second Legislature Appropriations
Second Regular Session H.B. 2599
PROPOSED
HOUSE OF REPRESENTATIVES AMENDMENTS TO H.B. 2599
(Reference to printed bill)
Page 1, line 4, after "exclusion" insert "; rules; definition"
Line 5, strike "a provider"
Line 6, after "system" strike remainder of line
Strike lines 7 through 15, insert "any individual or entity that meets any basis for mandatory exclusion described in 42 Code of Federal Regulations section 1001.101."
Line 16, strike "may exclude"; strike "a provider" insert "may exclude"
Line 17, after "system" strike remainder of line
Line 18, strike "the provider's agreement with the administration if the provider" insert "any individual or entity that"
Strike lines 20 through 38, insert:
"1. Met any basis for permissive exclusion described in 42 Code of Federal Regulations section 1002.210.
2. Committed any act prohibited by section 36‑2918 or 36‑2957."
Renumber to conform
Page 2, line 8, strike "policy as determined" insert "any rule adopted"
Strike lines 9 through 12, insert:
"D. The director shall adopt rules that prescribe procedures for determining the length of exclusion, appealing the exclusion determination and requesting reinstatement following an exclusion.
E. For the purposes of this section, "exclude" means that items and services furnished, ordered or prescribed by a specified individual or entity will not be reimbursed by the administration, a contractor or any agent of the administration or a contractor. Exclude includes the termination of a provider agreement or the administration's refusal to enter into a provider agreement."
Amend title to conform