Bill Text: AZ HB2510 | 2014 | Fifty-first Legislature 2nd Regular | Introduced


Bill Title: AHCCCS; verification system

Spectrum: Partisan Bill (Republican 26-0)

Status: (Introduced - Dead) 2014-02-03 - Referred to House HEALTH Committee [HB2510 Detail]

Download: Arizona-2014-HB2510-Introduced.html

 

 

 

REFERENCE TITLE: AHCCCS; verification system

 

 

 

State of Arizona

House of Representatives

Fifty-first Legislature

Second Regular Session

2014

 

 

HB 2510

 

Introduced by

Representatives Seel, Borrelli, Forese, Smith, Townsend: Allen, Barton, Gray, Kwasman, Lesko, Livingston, Lovas, Mitchell, Montenegro, Olson, Petersen, Pierce J, Thorpe, Senators Burges, Crandell, Farnsworth D, Griffin, Melvin, Murphy, Ward, Yarbrough

 

 

AN ACT

 

Amending title 36, chapter 29, article 1, Arizona Revised Statutes, by adding section 36‑2930.02; relating to the Arizona health care cost containment system.

 

 

(TEXT OF BILL BEGINS ON NEXT PAGE)

 


Be it enacted by the Legislature of the State of Arizona:

Section 1.  Title 36, chapter 29, article 1, Arizona Revised Statutes, is amended by adding section 36‑2930.02, to read:

START_STATUTE36-2930.02.  Service providers; fraud prevention; verification of enrollment and identity

A.  Beginning October 1, 2016, before providing nonemergency medical care pursuant to this chapter, a health care provider must verify that the person seeking that care is an eligible member who is currently enrolled pursuant to this chapter.  The provider shall verify the person's status and identity using a verification system prescribed by the administration.

B.  A health care provider must provide documentation of verification with each claim for reimbursement submitted pursuant to this chapter as prescribed by the administration.  The administration may not process a claim without proper documentation.

C.  Pursuant to a request for proposals, the administration shall implement a verification system to prevent fraud at the point of service.  The system shall allow physicians and other health care providers to accurately verify before providing nonemergency medical care that the person seeking that care is an eligible member who is currently enrolled in the system pursuant to this chapter.  The administration shall implement the verification system on or before October 1, 2016. END_STATUTE

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