State Law

Arizona Admin. Code-Title 20-Chapter 6-Article 19. Health Care Services Organizations Oversight

06/15/2020 Arizona Section R20-6-1918

Geographic Availability in a Suburban Area

Network Adequacy

Each HCSO shall provide each enrollee member living in a suburban area within the HCSO’s service area the following:

1. Primary care from a contracted PCP located within 15 miles or 45 minutes of the enrollee’s home;

2. High profile specialty care services from a contracted SPC within 20 miles or 60 minutes of the enrollee’s home; and

3. Inpatient care in a contracted hospital, or a contracted special hospital within 30 miles or 90 minutes of the enrollee’s home.