Arizona Complete Health-Complete Care Plan (Medicaid) December 2024 Provider Manual Update is Now Available
Date: 12/04/24
The Arizona Complete Health-Complete Care Plan (Medicaid) Provider Manual has been updated and is available on our website.
The table below outlines the sections revised for December 2024. We encourage you to review.
Section | Title | Revision |
---|---|---|
2.3 | Family Planning for Title XIX/XXI Adults with SMI | Added guideline on syphilis screening. |
2.4.3 | A Well-Child Exam Basic Elements | Added guideline on syphilis screening. |
4.3.13 | Further Consideration for Denials of Requested Services | Added language regarding the use of licensed psychologists as peer to peer outpatient review. |
6.1 | Introduction and Processes | Updated list of Individual Practitioners and Organizational Providers. |
8.22.2 | Identifying Other Health Insurance | Updated language regarding how providers should identify the existence of potentially liable parties and included link to AHCCCS website. |
8.22.7 | Medicaid Eligible Persons with Medicare Part A and Part B or Other Insurance | Added language regarding provider to identify if members are enrolled in insurance other than Medicare and Health Plan reimbursement responsibility when a member has other insurance. |
13.12.1 | General Requirements (Special Assistance) | Added language regarding identification and notification of members with an SMI Determination. |
13.12.2 | Persons Qualified to Make a Special Assistance Determination | Added language specifying persons/roles who are qualified to screen and make the Special Assistance Determination. |
13.12.4 | Documentation (Special Assistance) | Changes made throughout, please review in full. |
13.12.5 | Notification Requirements to the Office of Human Rights | Changes made throughout, please review in full. |
13.12.6 | Members No Longer in Need of Special Assistance | Changes made throughout, please review in fulChanges made throughout, please review in full. l. |
13.12.7 | Requirements to Help Ensure the Provision of Special Assistance | Changes made throughout, please review in full. |
13.12.8 | Integrated Health Home Reporting Requirements (Special Assistance) | Changes made throughout, please review in full. |
13.12.10 | Other Procedures (Special Assistance) | Changes made throughout, please reviewChanges made throughout, please review in full. |
13.12.11 | Transfer of a Special Assistance Member | Changes made throughout, please reviewChanges made throughout, please review in full. |
16.8 | Relias Learning Management System (LMS) | Revised the list regarding exceptions. |
16.14.9 | Peer Recovery Support Specialist and Certified Family Support Partner Reporting | Revised to include attachment B and due date. |
19 | PROVIDER MANUAL FORMS & ATTACHMENTS | Removed attachment for 3.11.1. |
To request a copy of the Medicaid Provider Manual, please email us. We will respond to your request within three business days.
If you have questions, please contact your Provider Engagement Specialist. If you need your assigned Provider Engagement