Ariz. Admin. Code § 2-8-301

Current through Register Vol. 30, No. 25, June 21, 2024

Section R2-8-301 - Definitions

The following definitions apply to this Article unless otherwise specified:

1. "Attending Physician" means a provider:

a. Who is a qualified medical provider or other legally qualified practitioner of a healing art that the claims administrator recognizes or is required by law to recognize;

b. Whose medical training and clinical experience are qualified to treat the member's disabling condition;

c. Whose diagnosis and treatment is consistent with the diagnosis of the disabling condition, according to guidelines established by medical, research, and rehabilitative organizations;

d. Who is licensed to practice in the jurisdiction where care is being given;

e. Who is practicing within the scope of the license; and

f. Who is not related to the member by blood or marriage.

2. "Direct Care" means the member is actively receiving treatment from a provider for the member's disability at least once per calendar year.

2. "Estimated Social Security disability income amount" means the same as in R2-8-801(2).

3. "Legal proceeding" means an appeal of an appealable agency decision at the Office of Administrative Hearings pursuant to A.R.S. § 41-1092 et seq. or an appeal of a Social Security determination at the Social Security Administration, or any other review by a formal body, which determines the rights and responsibilities of the member or survivor.

4. "LTD" means the Long-Term Disability program described in A.R.S. § 38-797 et seq.

5. "LTD benefit" means the amount of funds the member receives from the ASRS or the ASRS contracted LTD claims administrator, for the period of time a member has an eligible disability as described in A.R.S. § 38-797.07(A)(11).

6. "LTD contribution" means the amount of funds the member remits to the ASRS from the member's compensation as payment for the LTD program.

Ariz. Admin. Code § R2-8-301

New Section made by final rulemaking at 23 A.A.R. 2746, effective 11/13/2017. Amended by final rulemaking at 25 A.A.R. 2471, effective 11/3/2019.