Technical Interface Guidelines

Table of Contents The sections of the Technical Interface Guidelines (TIG) listed below have been replaced as follows: Encounter Interface and Reference Interface Guidelines are now incorporated in the Encounter Reporting User Manual.

Preface	Includes an overview and assumptions for the Technical Interface Guidelines. Overview Assumptions

Introduction	Includes a brief history of AHCCCS, an overview of AHCCCS as an agency, organizational structure, and telephone numbers of key AHCCCS contacts. The following sections are included. Objective Disclaimer Statement HIPAA Resources Key Contacts

Technical Environment	Includes a brief overview of the AHCCCS Prepaid Medical Management Information System (PMMIS). The following sections are included. Communications Requirements Data Communications Interface Request Procedure Prepaid Medical Management Information System (PMMIS)

Behavioral Health Interface	Includes information the Behavioral Health Interfaces. The following topics are covered: BHS Recipient Interface BHS Health Plan Interface

Health Plan Interface	Includes information on data (files) that are available to the Acute and Long Term Care Contractors. The following sections are included. Active Care Listing Process Annual Enrollment Potential Transition Listing Process Daily Enrollment Notification Process Daily Rate Code Summary Process Early Intervention Program (EIP) File Manual Payment Process Mass Adjustment Process Members With Choice Process Monthly Enrollment Notification Process Monthly Rate Code Summary Process Open Enrollment Potential Transition Listing Process Prior Plan Listing Process Review File Third Party Leads Submission Process Third Party Liability Process

Program Contractor Interface	Includes information on daily Pre-Admission Screening (PAS) reports transmitted and printed for Maricopa and Pima Counties. The following section is included: Remote Elderly and/or Physically Disabled (E/PD) Pre-Admission Screening (PAS) Print Process

Provider Interface	Includes information which enables AHCCCS to deliver medically necessary services to AHCCCS eligible recipients. The following sections are included: Provider Affiliation Process Weekly Provider Files

Recipient Interface	Includes general information on the Eligibility Verification Systems available. The following sections are included. Eligibility Verification System (EVS) Interactive Voice Response (IVR) System WEB Based Verification System

Technical Interface Guidelines

Table of Contents