Skip to Main Content

State Only Enrollment Process Pinal Cty Members Updates

Date: 09/16/22

Updates for Arizona Complete Health-Complete Care Plan (AzCH-CCP) State Only Enrollment (SOE) Process including how the 10/1/2022 Pinal County transition will be managed, changes to administrative SOE terminations and a new Technical Assistance Template.

  1. Pinal County RBHA Members Move to Mercy Care: Effective 10/1/2022, members living in Pinal County will transition to the Central region under the Mercy Care ACC-RBHA plan.  Here is the link to the AHCCCS web page that discusses this change: https://www.azahcccs.gov/AHCCCS/Initiatives/CareCoordination/behavioralhealth.html The change is called out under the “Important upcoming changes” section.
  2. Pinal County State Only Member Transition: AzCH-CCP will administratively terminate all active State Only members living in Pinal County effective 9/30/2022. Mercy Care will then re-enroll members under their plan effective 10/1/2022. Please work with Mercy Care for additional information on how their re-enrollment process will work if needed.
  3. Effective 9/26/2022: Any new State Only enrollments submitted to us for members living in Pinal County MUST include an end date less than or equal to 9/30/2022. Any submission received for a Pinal County member without an end date will be rejected and sent back to you via the response file process.
  4. State Only Administrative Termination Update: To align with AHCCCS requirements, effective 10/1/2022, we will administratively terminate any active State Only members without claims activity in the past 120 days rather than the current 180 days specification.
  5. New SOE and “Crisis” AzCH-CCP Enrollment Technical Assistance Form: Effective immediately, when you require assistance on a SOE or “crisis” enrollment, please use our new Technical Assistance form (included with this communication).

 

If you have questions, please reach out to your Provider Engagement Specialist.  If you need confirmation of your assigned Provider Engagement Specialist contact information, please email AzchProviderEngagement@azcompletehealth.com.