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AZ HEALTH CARE COST v. CARONDELET HEALTH

Nos. 1 CA-CV 93-0175, 1 CA-CV 93-0335.

188 Ariz. 266 (1996)

935 P.2d 844

ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM ADMINISTRATION, an agency of the State of Arizona; and Leonard D. Kirschner, M.D., in his capacity as director of AHCCCS, Appellants, v. CARONDELET HEALTH SYSTEM, an Arizona corporation d/b/a St. Mary's Hospital and Health Care Center, Appellee.

Court of Appeals of Arizona, Division 1, Department D.

Reconsideration Denied October 18, 1996.

Review Denied April 29, 1997.

Attorney(s) appearing for the Case

Johnston Maynard Grant & Parker by Catherine M. Dodd, Anne C. Longo, Phoenix, for Defendants/Appellants.

Gammage & Burnham by Richard B. Burnham, Cameron C. Artigue, Stephen W. Anderson, Phoenix, for Plaintiff/Appellee.

OPINION

PATTERSON, Judge.

Arizona Health Care Cost Containment System Administration ("AHCCCS") denied a claim filed by Carondelet Health Services ("Carondelet") for services provided to the AHCCCS eligible patients involved in this appeal. AHCCCS denied the claim because it concluded that the patients did not meet the statutory or regulatory requirements for "emergency" services. The superior court reversed the administrative decision. For the following reasons...

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