Transcription of ATTACHMENT J: CRS CONTRACT REQUIREMENTS …
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ATTACHMENT J: CRS CONTRACT REQUIREMENTS …
ATTACHMENT J: CRS CONTRACT REQUIREMENTS CONTRACT /RFP No. YH09-0001 1 CYE 13 CRS CONTRACT Effective 08/01/2013 TABLE OF CONTENTS CAPITATION RATES AND CONTRACTOR SPECIFIC INFORMATION .. 4 DEFINITIONS .. 5 INTRODUCTION .. 8 1. TERM OF CONTRACT .. 9 2. ELIGIBILITY FOR SERVICES .. 10 3. EXEMPT .. 12 4. EXEMPT .. 12 5. EXEMPT .. 12 6. EXEMPT .. 12 7. RECIPIENT IDENTIFICATION CARDS .. 12 8. MAINSTREAMING OF RECIPIENTS .. 12 9. TRANSITION OF RECIPIENTS .. 12 10. SCOPE OF SERVICES .. 13 11. SPECIAL HEALTH CARE NEEDS .. 15 12. EXEMPTED .. 16 13. AHCCCS GUIDELINES, POLICIES AND MANUALS .. 16 14. MEDICAID SCHOOL BASED CLAIMING PROGRAM .. 16 15. PEDIATRIC IMMUNIZATIONS AND THE VACCINES FOR CHILDREN PROGRAM .. 16 16. STAFF REQUIREMENTS AND SUPPORT SERVICES .. 16 17. WRITTEN POLICIES, PROCEDURES AND JOB DESCRIPTIONS .. 19 18. RECIPIENT 19 19. SURVEYS .. 20 20. CULTURAL 20 21. MEDICAL RECORDS .. 20 22. ADVANCE DIRECTIVES .. 21 23. QUALITY MANAGEMENT (QM) .. 21 24. MEDICAL MANAGEMENT (MM).
attachment j: crs contract requirements contract/rfp no. yh09-0001 4 cye ‘13 crs contract effective 08/01/2013 capitation rates and contractor specific information
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