♦ AMPM Exhibit 1620-7 – Fee-For-Service Out of State Nursing Facility Placement Request 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:

AMPM Exhibit 1620-7 – Fee-For-Service Out of State Nursing Facility Placement Request Form

Comment Deadline: September 21, 2021