Ahcccs eligibility manual

Use and disclosure of this information is limited to purposes directly related to the administration of the Arizona Health Care Cost Containment System. The use and disclosure of this information is also subject to the privacy and security requirements of the Administrative Simplification provisions of the federal Health Insurance Portability. The AHCCCS Medical Policy Manual (AMPM) provides information to Contractors and Providers regarding services that are covered within the AHCCCS program. The AMPM is applicable to both Managed Care and Fee-for-Service members. The AMPM should be referenced in conjunction with State and Federal regulations, other Agency manuals [AHCCCS Contractors' Operations Manual (ACOM) . 9 rows · The eligibility manual walks you through searching the system for recipient eligibility and .

Eligibility Manual Chapter Determination of ALTCS Eligibility. Pre-Admission Screening The PAS is both a tool and a process used by AHCCCS to determine medical/functional eligibility for the ALTCS program. The PAS tool compiles demographic, functional, and medical information for each ALTCS applicant. reference the Assisting Behavioral Health Recipients with AHCCCS Eligibility Manual and follow the appropriate steps. Pending the outcome of the Title XIX or Title XXI eligibility determination, the person may be provided services in accordance with Section , Service Prioritization for Non-Title XIX/XXI Funding. AHCCCS Eligibility Policy Manual, Chapter , Section On September 1, , federally funded LTC services were expanded to include the ALTCS Transitional Program. This program allows currently eligible ALTCS customers who have improved and are no longer at immediate risk of institutionalization but still.

ALTCS Eligibility Requirements. To be eligible for the ALTCS program, you must be an Arizona resident over the age of You must also be able to meet certain medical and financial criteria in order to be approved for long-term care in Arizona. Veterans may also be eligible for special benefits as well. AHCCCS Medical Policy Manual (AMPM) Information Regarding COVID In response to Medicaid-related questions from providers and contractors arising from the COVID pandemic, AHCCCS has developed a list of Frequently Asked Questions (FAQs) Regarding Coronavirus Disease (COVID) which is updated regularly. The eligibility manual walks you through searching the system for recipient eligibility and enrollment status. Prior Authorization Guide A step-by-step guide for submitting online FFS prior authorizations.