Updated Arizona Complete Health-Complete Care Plan (Medicaid) Provider Manual Is Now Available
Date: 11/01/23
The Arizona Complete Health-Complete Care Plan (Medicaid) Provider Manual has been updated and is available on our website: https://www.azcompletehealth.com/providers/resources/provider-manual.html.
The table below outlines the sections revised in October 2023. We encourage you to review.
Section | Title | Revision |
|---|---|---|
1.4 | Provider Responsibilities | Added language on the AHCCCS Provider Enrollment Portal. |
4.10 | Disease Management | Revisions throughout section; please review in full. |
8.2 | The Health Plan Grievance Resolution Process | Clarified language on resolution timelines, notifications, and final status. |
8.3 | Extension of standard appeal resolution timeframe | Revised wording from “review” to “appeal”. |
8.4.10 | Extension of standard appeal resolution timeframe | Revisions throughout section; please review in full. |
8.4.15 | Extension of expedited appeal resolution timeframe | Revisions throughout section; please review in full. |
8.5.5 | Appeal Process for Persons with Serious Mental Illness | The entity managing SMI determination is now managed by Solari. |
9.2 | Cultural Competence System of Care Requirements | Revisions throughout section; please review in full. |
12.3.1 | SABG Block Grant Populations | Updated language for priority populations. |
12.7 | SMI and SED Eligibility Determination | Revised this section to add requirements related to Serious Emotional Disturbance (SED) Eligibility Determinations. |
12.10.12 | Substance Abuse Block Grant (SABG) Specific Requirements – CFDA #93.959 | Updated language for priority populations. |
12.10.14 | Medication Assisted Treatment – Prescription Drug and Opioid Addiction (MAT PDOA) Criminal Justice Project – CFDA #93.243 | Removed this section; following sections have had their numbering updated to reflect this change. |
12.10.17 | State Pilot Grant for Treatment for Pregnant and Postpartum Women (PPW-PLT) – SFDA #93.243 | Removed this section; following sections have had their numbering updated to reflect this change. |
14.1.1 | Behavioral Health Home Urgent Engagement Responsibility | Revisions throughout section; please review in full. |
14.21 | Behavioral Health Services for Children in DCS Care, Kinship Placement, or Adopted | New section added. |
15.11 | Peer Support/Recovery Support Training, Certification, and Supervision Requirements | Revisions throughout section; please review in full. |
15.12 | Parent/Family Support Training, Certification, and Supervision Requirements | Revisions throughout section; please review in full. |
NA | Throughout Manual | Revised wording from “Medication Assisted Treatment (MAT)” to “Medications for Opioid Use Disorder (MOUD)”. |
To request a copy of the Medicaid Provider Manual, please email AzCHProviderManual@azcompletehealth.com. We will respond to your request within three business days.
If you have questions, please contact your Provider Engagement Specialist. If you need your assigned Provider Engagement Specialist’s contact information, please email us at AzCHProviderEngagement@azcompletehealth.com.