♦ AMPM 1310-A, Attachment B- Arizona Health Care Cost Containment System Agency with Choice Individual Representative Form

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:

1310-A, Attachment B, Arizona Health Care Cost Containment System Agency with Choice Individual Representative Form

Comment Deadline: January 20, 2020

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