HomeMy WebLinkAbout99-363 RESOLUTION NO. 99-363
A RESOLUTION OF THE MOHAVE COUNTY BOARD OF SUPERVISORS
ESTABLISHING CERTAIN REQUIREMENTS, AND APPOINTING THE
AHCCCS PROGRAM MANAGER OF THE AHCCCS DIVISION OF THE
MOHAVE COUNTY DEPARTMENT OF HEALTH AND SOCIAL SERVICES-AS
THE BOARD OF SUPERVISORS' DESIGNEE TO ESTABLISH CERTAIN
OTHER REQUIREMENTS, TO BE FOLLOWED IN SEEKING
REIMBURSEMENT FROM MOHAVE COUNTY FOR INDIGENT MEDICAL
CARE AND HOSPITALIZATION.
WHEREAS, Arizona Revised Statutes; Title 11, Chapter 2, Article 7 (A.R.S. §§
11-290, et seq.), grants the Mohave County Board of Supervisors the sole and exclusive
authority to provide for the hospitalization and medical care of the indigent sick in
Mohave County, except as provided in A.R.S. §§ 11-293 and 36-183.01 and A.R.S. Title
36, Chapter 29, and as otherwise may be set forth in the Arizona Revised Statutes; and
WHEREAS, the Arizona State Legislature enacted and the Governor approved
House Bill 2502, which makes substantial revisions to the statutes governing the
counties' responsibilities for provision of hospitalization and medical care to the indigent
sick; most of which revisions will be effective as of October 1, 1999; and
WHEREAS, House Bill 2502, among other things:
a. Requires the Mohave County Board of Supervisors to: (i) designate the
location at ~vhich notice required by A.R.S. § 11-297.01 must be provided
to Mohave County; (ii) designate whether such notice must be given in
writing or orally, and (iii) insure that hospitals and health care providers
may receive information concerning the Board's action regarding such
notice by filing a request with the Clerk of the County Board of Supervisors
[See A.R.S. § 11-297.01(I) as set forth in Section 4 of House Bill 2502];
b. Authorizes the Mohave County Board of Supervisors or its designee to: (i)
approve a notification form or notification procedure, upon submittal by a
hospital, if it results in timely notification of sufficient information that is
necessary for the County to perform its eligibility functions and process
claims; and/or (ii) waive notification requirements for patients who a
hospital classifies as emergency treat and release patients [See A.R.S. § 11-
297.01(K) as set forth in Section 4 of House Bill 2502];
c. Authorizes the Mohave County Board of Supervisors, under conditions
established by the Board, to waive documents required pursuant to A.R.S. 8
11-297.02(B) for patients who a hospital classifies as emergency treat and
release patients if the County continues to receive sufficient documentation
to justify paying or denying a claim [See A.R.S. 8 11-297.02(C) as set forth
in Section 5 of House Bill 2502];
d. Requires the Mohave County Board of Supervisors or its designee, pursuant
to and in accordance with A.R.S. § 11-297.03, to establish a claims
resolution process for use by hospitals and health care providers that receive
a denial from Mohave County of all or any portion of a claim submitted
pursuant to Arizona Revised Statutes, Title 11, Chapter 2, Article 7 (A.R.S.
§8 11-290, et seq.), which claim§ resolution process a hospital or health
care provider shall use as a condition of seeking any other relief, except as
otherwise provided for in A.R.S. § 11-297.03(H) [Sex: A.R.S. 8 11-
297.03(A through G) as set forth in Section 5 of House Bill 2502];
e. Authorizes the Mohave County Board of Supervisors or its designee and a
hospital or health care provider, pursuant to A.R.S. 8 11-297.03 (H), to
establish an altemative claims resolution process, if the alternative claims
resolution process establishes a resolution completion date [See A.R.S. §
11-297.03(H) as set forth in Section 5 of House Bill 2502]; and
f. Authorizes the Mohave County Board of Supervisors to adopt a system of
binding arbitration as provided in A.R.S. §§ 11-297.04 and 11-297.05 as the
exclusive remedy for resolving claims of hospitals and health care providers
for disputed claims of not more that Four Thousand Five Hundred Dollars
($4,500.00) after deducting any payments computed at full bill charges [S_e~e
A.R.S. §8 11-297.04 and 11-297.05 as set forth in Section 5 of House Bill
2502];
WHEREAS, the Mohave County Board of Supervisors finds that the public
interest and welfare will be furthered by the action taken hereby;
NOW THEREFORE BE IT RESOLVED THAT:
1. In accordance with A.R.S. § 11-297.01(I), the Mohave County Board of
Supervisors hereby designates the AHCCCS Division of the Mohave County
Department of Health and Social Services, 318 North Fifth Street, P.O. Box 7000,
Kingman, Arizona, 86402-7000, Facsimile No. (520) 753-0777, Answering
Machine Telephone No. (520) 753-0775, as the location at which the notices
required by and containing the information specified in A.R.S. 8 11-297.01 must
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be provided to Mohave County (the "Designated Location"), and further provides
that all such notices must be provided in writing via facsimile to the Designated
Location's facsimile number, or, if, and only if, a facsimile transmission cannot be
made, such notices must be provided orally to the Designated Location's
answering machine. A notification form that complies with the current statutory
requirements set forth in A.R.S. § 11-297.01(I) is attached to this Resolution as'
Exhibit A.
2. The Mohave County Board of Supervisors hereby directs the Clerk of the Board of
Supervisors to provide a copy of this Resolution to any hospital and/or health care
provider that files with the Clerk of the Board a request for information concerning
action taken by the Board of Supervisors pursuant to Arizona Revised Statutes,
Title 11, Chapter 2, Article 7 (A.R.S. §§ 11-290, et seq.) regarding notice.
3. Pursuant to its authority under A.R.S. § 11-297.01(K) and A.R.S. § 11-297.02(C),
respectively, the Mohave County Board of Supervisors hereby declines to waive
notification requirements for patients who a hospital classifies as emergency treat
and release patients, and further declines to waive submittal of the documents
required pursuant to A.R.S. § 11-297.02(B) for patients who a hospital classifies as
emergency treat and release patients.
4. Pursuant to its authority under A~R.S~ § 11-297.0 i(K), the Mohave County Board
of Supervisors hereby appoints the AHCCCS Program Manager of the AHCCCS
Division of the Mohave County Department of Health and Social Services as the
Board's designee, who shall have the authority to approve an alternative
notification form and/or alternative notification procedure, upon submittal of any
such alternative form or procedure by a hospital, if such alternative notification
form or procedure will result in timely notification of sufficient information that is
necessary for the County to perform its eligibility functions and process claims.
5. Pursuant to its authority under A.R.S. § 11-297.03, the Mohave County Board of
Supervisors hereby appoints the AHCCCS Program Manager of the AHCCCS
Division of the Mohave County Department of Health and Social Services as the
Board's designee to establish a claims r~solution process in accordance with
A.R.S. § 11-297.03 for use by hospitals and health care providers that receive a
denial from Mohave County of all or any portion of a claim submitted pursuant to
Arizona Revised Statutes, Title 11, Chapter 2, Article 7 (A.R.S. §§ 11-290, et
seq.), which claims resolution process all hospitals and health care providers shall
be required to use as a condition of seeking any other relief, except as otherwise
provided in A.R.S. § 11-297.03(H), and further appoints the AHCCCS Program
Manager of the AHCCCS Division of the Mohave County Department of Health
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and Social Services as the Board's designee for purposes of establishing, pursuant
to A.R.S. § 11-297.03(H), in agreement with a hospital or health care provider, an
alternative claims resolution process, so long as the alternative claims resolution
process establishes a resolution completion date.
6. Pursuant to its authority under A.R.S. § 11-297.04, the Mohave County Board 6f
Supervisors hereby declines to adopt a system of binding arbitration under A.R.S.
§§ 11-297.04 and 11-297.05 as the exclusive remedy for resolving claims of
hospitals and health care providers for disputed claims of not more that Four
Thousand Five Hundred Dollars ($4,500.00) after deducting any payments
computed at full bill charges.
7. This Resolution shall be effective from and after October 1, 1999.
8. If any provision of this Resolution is declared void, unenforceable, or invalid, or is
construed as requiring an act in violation of any Constitutional provision, law or
regulation, in whole or in part, such provision shall be deemed severed from this
Resolution and this Resolution shall otherwise remain in full force and effect.
PASSED, APPROVED, AND ADOPTED ON THIS 7th DAY OF
SEPTEMBER, 1999.
MOH~~,~E C~GARD OF SUPERVISORS