GUIDES AND MANUALS
FOR HEALTH PLANS AND PROVIDERS
- ALTCS MEMBER CHANGE REPORT USER GUIDE
- BEHAVIORAL HEALTH DIAGNOSIS LIST
- CLAIMS DASHBOARD REPORTING
- CONTRACT AND POLICY DICTIONARY
- Contractor Expenditure Report (CER) Form and Instructions
- CONTRACTOR OPERATIONS MANUAL (ACOM)
- DUGless Portal Guide (Updated Oct. 2020)
- DATA VALIDATION TECHNICAL DOCUMENT JULY 2023
- Dental Uniform Warranty
- ENROLLMENT RATE CODES AND VALUES
- ENROLLMENT RATE CODES AND VALUES
- EVV SERVICE CONFIRMATION PORTAL MANUAL
- FEE-FOR-SERVICE PROVIDER MANUAL
- FINANCIAL REPORTING GUIDES
- GRIEVANCE AND APPEAL SYSTEM REPORT
- GUIDE TO LANGUAGE IN NOTICES OF ACTION (NOA) AND NOA DICTIONARY
- IHS/TRIBAL PROVIDER BILLING MANUAL
- Maternal Child Health and EPSDT Services
- Maternity and Family Planning Services and Supplies Program Plan Checklist
- Early and Periodic Screening, Diagnostic, and Treatment Program Plan Checklist
- Dental Program Plan Checklist
- MEDICAL POLICY MANUAL (AMPM)
- PROGRAM INTEGRITY REPORTING GUIDE
- PROVIDER AFFILIATION TRANSMISSION (PAT) MANUAL
- QUALITY MANAGEMENT/PERFORMANCE IMPROVEMENT (QM/PI) REPORTING TEMPLATES & CHECKLISTS
- REINSURANCE POLICY MANUAL
- SMI PORTAL USER MANUAL
- STRUCTURED PAYMENT TRANSMISSION MANUAL
- TECHNICAL INTERFACE GUIDELINES (TIG)
- TUTORIAL GUIDE FOR PRE-PAID MEDICAL MANAGEMENT INFORMATION SYSTEMS INTERFACE FOR ALTCS CASE MANAGEMENT
- Uniform Prior Authorization List of Dental Codes
- ARCHIVED ADHS/DBHS BEHAVIORAL HEALTH GUIDES & MANUALS
Provider and Contractor guidelines and checklists pertaining to maternity care, women’s health, family planning, oral health, EPSDT services, and Children’s Rehabilitative Services (CRS) can be found below and are applicable to all AHCCCS Contractors and Providers.
Program Plan Checklists: