Updated Arizona Complete Health-Complete Care Plan (Medicaid) Provider Manual Is Now Available

2.4.2

PCP EPSDT Regulatory Requirements

Added instructions for PCPs to provide breastfeeding information and support for families.

2.4.3

EPSDT Well-Child Basic Elements

Revised age range on fluoride varnish application.

2.4.15

Behavioral Health Screening and Services provided by a PCP

Added language on Adolescent Substance Use Disorder (SUD) screening.

2.5.2

PCP Application of Fluoride Varnish

Updated website for AHCCCS recommended training on fluoride varnish application.

2.5.3

Preventive Dental Services

Revised language on dental sealants.

2.5.13

Dental Home Assignment for EPSDT age Members under the age of 21

Revised age of member assignment to a dental home.

4.2

Securing Services that Do Not Require Prior Authorization

Removed language related to clinical documentation packets.

4.3.13

Further Considerations for Denials of Requested Services

Revised section on “Special Instructions for Submitting Documentation to Support Medical Necessity.”

14.12.3.1

Behavioral Health Hospital Discharge Plan

Revised timeline for submission of discharge summaries to within one (1) business day of discharge.

9.1

Member Rights

Updated weblinks related to member rights and responsibilities.

10.2.1

Complete Care & Regional Behavioral Health (RBHA) Integrated Performance Measures

Updated table on HEDIS measures.

10.7

Medical Institution Reporting of Medicare Part D

Revised list of medical institutions.

12.12.1

Admissions

Added language on role and responsibility of Health Plan ASH Liaison.

12.12.6

ASH Conditional Release Requirements

Revisions made throughout section – please review in full .

15.6

Required Training Specific to Child and Family Team (CFT) Initiatives

Revisions made throughout section – please review in full.

16

Deliverable Requirements

Revised RF-1024 DME Service Delivery Reporting required providers to submit.