(DOWNLOAD) "St. Mary ''S Hospital And Health Center V. State" by Arizona Court of Appeals " eBook PDF Kindle ePub Free
eBook details
- Title: St. Mary ''S Hospital And Health Center V. State
- Author : Arizona Court of Appeals
- Release Date : January 19, 1986
- Genre: Law,Books,Professional & Technical,
- Pages : * pages
- Size : 69 KB
Description
The Arizona hospitals and health care providers named as plaintiffs in this case (providers) appeal from a judgment in favor of the State of Arizona, Arizona Department of Health Services and Arizona Health Care Cost Containment System Administration (AHCCCS) (hereinafter referred to collectively as the 'state' unless the context calls for a different designation), dismissing their complaint without prejudice on the ground that they had failed to exhaust administrative remedies. The complaint claimed damages arising from the failure of Arizona Physicians IPA, Inc. (APIPA) to pay providers for services rendered to eligible indigent members of AHCCCS. Some services were furnished by providers pursuant to contract with APIPA and some by others without contract. Emergency services required by law were provided by both those contracting with APIPA and noncontractors. The providers failed to file claims and grievances for nonpayment with the state according to the terms of their contract with APIPA and the rules and regulations of AHCCCS. The complaint seeks to establish liability upon the state for APIPA's nonpayment for services provided to indigents because it is obligated to guarantee APIPA's payment to the providers directly and because it failed to monitor and assure the solvency of its contractor (APIPA).
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