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AHCCCS Comments
  • ACOM
  • AMPM

Chapter 200, Claims

  • Posted on November 21, 2016
  • Posted by

ACOM

  • Chapter 100, Administration
    • ♦ ACOM Policy 103 – Fraud, Waste, and Abuse
      • ♦ ACOM Policy 103 – Attachment A- Representations and Certifications of Contractor
      • ♦ ACOM Policy 103 – Attachment A-1 – Disclosure Information: Disclosure of Ownership and Control
      • ♦ ACOM Policy 103 – Attachment B – Corporate Compliance Plan Sample
      • ♦ ACOM Policy 103 – Attachment C – External Audit Plan Template
  • Chapter 200, Claims
    • ♦ ACOM Policy 201 – Medicare Cost Sharing for Members Covered by Medicare and Medicaid
      • ♦ ACOM Policy 201 – Attachment A – AHCCCS Notification to Waive Medicare Part D Copayment
  • Chapter 300, Finance
    • ♦ ACOM Policy 305 – Performance Bond and Equity per Member Requirements
  • Chapter 400, Operations
    • ♦ ACOM Policy 404 – Contractor Website and Member Information
      • ♦ ACOM Policy 404 – Attachment A – Organizations Recognized by AHCCCS
      • ♦ ACOM Policy 404 – Attachment B – Contractor Website Checklist
      • ♦ ACOM Policy 404 – Attachment C – Member Information Attestation Statement
    • ♦ ACOM Policy 405 – Cultural Competency, Language Access Plan, and Family/Member Centered Care
      • ♦ ACOM Policy 405 – Attachment A – Cultural Competency Plan, Assessment, Language Access Plan, and Family-Member Centered Care Reporting Checklist
    • ♦ ACOM Policy 406 – Member Handbook and Provider Directory
      • ♦ ACOM Policy 406 – Attachment A – Member Handbook Checklist
      • ♦ ACOM Policy 406 – Attachment B – Definitions for AHCCCS Members Pursuant to 42 CFR 438.10
    • ♦ ACOM Policy 434 – Coordination of Benefits and Third Party Liability
      • ♦ ACOM Policy 434 – Attachment A – Total Plan Case Settlement Notification Form
      • ♦ ACOM Policy 434 – Attachment B – Trauma Code ICD-10 List
    • ♦ ACOM Policy 436 – Network Standards
      • ♦ ACOM Policy 436 – Attachment A – Minimum Network Requirements Verification Template
      • ♦ ACOM Policy 436 – Attachment B – Mobile Crisis Team Response Reporting
    • ♦ ACOM Policy 438 – Administrative Services Subcontractor Evaluation
      • ♦ ACOM Policy 438 – Attachment A – Administrative Services Subcontract Checklist
      • ♦ ACOM Policy 438 – Attachment B – Administrative Services Subcontractor Evaluation Report Template
    • ♦ ACOM Policy 447, Employment
      • ♦ ACOM Policy 447 – Attachment A – Psychiatric Rehabilitation Progress Report Specifications for RBHA and ACC Contractors
    • ♦ ACOM Policy 449 – Behavioral Health Services for Children in DCS and Adopted Children
      • ♦ ACOM Policy 449 – Attachment A – DCS and Adopted Children Services Reporting – Access to Services
      • ♦ ACOM Policy 449 – Attachment B – DCS and Adopted Children Services Reporting – Calls and Emails and Rapid Response Reconciliation

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