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Claims and Payment
Remittance Advice
Electronic Transactions
Incentives Statement
Integrated Care
Prior Authorization
National Imaging Associates (NIA)
Report Fraud, Waste and Abuse
Patient Centered Medical Home Model
Clinical & Payment Policies
Opioid Training Toolkit
Biosimiliar Toolkit
Practice Guidelines
Community Resources
Cochise County
Gila County
Graham County
Greenlee County
La Paz County
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Yuma County
Online Provider Manual
Overview of the Arizona Public Health System
Covered Services and Related Program Requirements
Member Handbook
Medical Management/Utilization Management Requirements
Credentialing and Re-Credentialing Requirements
Data Systems/Reporting Requirements
Finance/Billing
Grievance and Appeal System
Compliance
Quality Management Requirements
Specific Physical Health Provider Requirements
Behavioral Health Network Provider Service Delivery Requirements
Health Plan Coordination of Care Requirements
Specific Behavioral Health Program Requirements
Training and Peer Support Supervision Requirements
Deliverable Requirements
References
Provider Manual Forms & Attachments
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RSV/Synagis Season
Please view the links below for information regarding the 2022/2023 RSV/Synagis Season:
Clinical Policy: Palivizumab (Synagis) (PDF)
Synagis PA Form (PDF)