Arizona Health Care Cost Containment System Administration v. Carondelet Health System

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, we affirm the superior court.

I. FACTS AND PROCEDURAL HISTORY

This is a consolidated case which involves the medical treatment of two…