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Arizona Complete Health-Complete Care Plan (Medicaid) January 2025 Provider Manual Update is Now Available

Date: 01/03/25

The Arizona Complete Health-Complete Care Plan (Medicaid) Provider Manual has been updated and is available on our website.

The table below outlines the sections revised for January 2025. We encourage you to review.

Section
TitlesRevisions
2.4.1EPSDT Coverage
The list of covered EPSDT services now includes breastfeeding support.
2.10Statewide Housing Programs and Requirements  This section has been renamed and all subsections have been revised; please review 2.10.1 through 2.10.6 thoroughly. 
4.3.2Prior Authorization ProcessAdded language that providers are responsible for validation that services are delivered in alignment with expectations in the AHCCCS Covered Behavioral Health Services Guide regardless of prior authorization. 
8.14
Vaccines for Children Billing ProceduresRevised note related to service code 90461 as it was end dated by AHCCCS as of 10/01/24.
10.2Cultural Competency System of Care Requirements
Replaced “American Sign Language (ASL)” with “Sign Language (SL)” and updated associated language throughout this section.
12.6Social Determinants of HealthAdded additional z-codes.
14.5Partnerships with Families and Family-Run Organizations in the Children and Adult Behavioral Health SystemUpdated AHCCCS Medical Policy Manual (AMPM) Reference.
16.5Child and Adolescent Level of Care Utilization System (CALOCUS)Revised the instructions for registering for the CALOCUS training.
16.8Relias Learning Management System (LMSRevised “AzAHP Training Plans” to “AWFDA Training Plans. Revised the 90 day training plan and the annual training plan.
16.13.7Continuing Education and Ongoing LearningUpdated continuing education from 4 hours to 8.
17 Deliverable RequirementsRemoved OI-214, revised the due date for OI-235 , and added RF-1035.

To request a copy of the Medicaid Provider Manual, please email . us. 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..