Transcription of I. PURPOSE - azahcccs.gov
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I. PURPOSE - azahcccs.gov
AHCCCS CONTRACTOR operations MANUAL CHAPTER 400 - operations Page 439 - 1 of 6 439 material CHANGES: provider network AND business operations EFFECTIVE DATE: 10/01/15, 07/01/16 REVISION DATE: 04/21/16 STAFF RESPONSIBLE FOR POLICY: DHCM operations I. PURPOSE This Policy applies to Acute Care, ALTCS/EPD, CRS, DCS/CMDP (CMDP), DES/DDD (DDD), and RBHA Contractors. This Policy establishes guidelines for AHCCCS Contractors regarding the identification and assessment of material changes to a Contractor s provider network and business operations and the approval process for such changes. II. DEFINITIONS ADMINISTRATIVE SERVICES SUBCONTRACTS An agreement that delegates any of the requirements of the contract with AHCCCS, including, but not limited to the following: a. Claims processing, including pharmacy claims, b. Credentialing, including those for only primary source verification ( Credential Verification Organization), c.
ahcccs contractor operations manual chapter 400 - operations 439 - page 1 of 5 439 – material changes: provider network and business operations effective dates: 10/01/15, 07/01/16, 10/01/18 revision dates: 04/21/16, 08/02/18 i. purpose this policy applies to ahcccs complete care (acc), altcs e/pd, dcs/cmdp (cmdp), des/ddd (ddd), and rbha contractors.
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