Resources


Plans and Reports

Program Integrity Plan

The Program Integrity Plan describes the role of AHCCCS in reducing and preventing Medicaid fraud, waste, and abuse. Given current fiscal challenges, program integrity efforts are particularly important. This Plan, which is updated regularly, proposes a variety of strategies designed to promote program integrity throughout all AHCCCS operations and ensure the best possible use of limited resources.


Regulations/Guidelines

Federal

Federal Statutes and Rules

Proposed Federal Rules [PDF]

 

State

Proposed State Rules
Governor Janice Brewer's Regulatory Review Plan, issued in January, 2009, suspended most rulemaking until June 30, 2011. Rulemaking that was already initiated will remain in proposed status until a public hearing can be held after the suspension period expires.

Arizona Revised Statutes, Title 36, Chapter 29
Arizona Revised Statues (A.R.S.) are laws enacted by the Legislature.

  • A.R.S. 36-2918 - Medicaid false statements
  • A.R.S. 36-2918.01 - Duty to report fraud or abuse
  • A.R.S. 13-2311 - Fraudulent schemes and practices
  • A.A.C. R9-22-101 - Civil Monetary Penalties and Assessments

 

Training

Fraud Awareness for Providers

Fraud Awareness for the Public


 

CONG Meetings

Compliance Officers Network Group Meetings

 

Adobe Acrobat Reader is required to view PDF files. This is a free program available from the Adobe web site. Follow the download directions on the Adobe web site to get your copy of Adobe Acrobat Reader.