♦ AMPM 320-O, Attachment A – Service Plan Rights Acknowledgement Template

Do not include Personal Health Information (PHI) in your comments.

  • Please ensure to include the Policy Page Number relating to each comment.
  • You will receive acknowledgement that your comments have been received. AHCCCS cannot provide responses to individual comments.

Proposed Policy:

Attachment A,Service Plan Rights Acknowledgement Template

Comment Deadline: August 08, 2019

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