Transcription of 436 - Network Standards - azahcccs.gov
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436 - Network Standards - azahcccs.gov
AHCCCS CONTRACTOR OPERATIONS MANUAL CHAPTER 400 - OPERATIONS 436 - Page 1 of 15 436 - Network Standards EFFECTIVE DATES: 10/01/13, 01/01/14, 10/01/15, 07/01/16, 10/01/17 , 10/01/18, 10/01/19, 10/01/20 APPROVAL DATES: 10/01/13, 12/19/13, 09/17/15, 03/17/16, 11/01/16, 03/30/17 , 11/02/17, 02/05/18, 04/05/18, 09/19/19, 03/19/20 I. PURPOSE This Policy applies to ACC, ALTCS E/PD, DCS/CMDP (CMDP), DES/DDD (DDD), and RBHA Contractors. The Contractor shall develop and maintain a provider Network that is sufficient to provide all covered services to AHCCCS members as specified in Contract, Policy, 42 CFR Part 457, and 42 CFR Part 438.
Provider type, 18 “Physician Assistant” with the specialty code: a. 798 – Physician’s Assistant. The time and distance for these providers is measured using ... at least one of the specialty codes: a. 050-Family Practice, b. 150-Pediatrician, c. 176 Adolescent Medicine or 2. Provider type 19 “Registered Nurse Practitioner” with the
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