AHCCCS Technical Interface Guidelines (TIG)

Behavioral Health Interface - Monthly Capitation Summary Report

• Introduction
• Schedules
• Media
• Reporting
• Reference Documents

Introduction

The Monthly BHS Capitation Summary is created once a month by AHCCCS. This file contains summary data of AHCCCS eligible members included in the monthly capitation calculation.

Schedules

• Monthly BHS Capitation Summary Report runs on the third day before the 1st of the next month as part of the Monthly cycle and is available in the /AZ/BHS/PROD/OUT folder

Media

Monthly BHS Capitation Summary Report file will be sent to the AHCCCS FTP server.

Reporting

This process produces the Monthly BHS Capitation Summary reports of Title XIX, Title XIX with Navajo Nation and Gila River, TXXI, Title XXI with Navajo Nation and Gila River, HIFA II and HIFA II with Navajo Nation and Gila River.

The reports created in this process will be sent to the AHCCCS FTP server and will be available for download and printed by ADHS.

Reference Documents

• Monthly Capitation Summary Report
• Monthly Capitation Summary Report for Navajo & Gila River Community
• Monthly KidsCare Capitation Summary Report
• Monthly KidsCare Capitation Summary Report for Navajo & Gila River Community
• Monthly HIFA II Capitation Summary Report
• Monthly HIFA II Capitation Summary Report for Navajo & Gila River Community
• Monthly Capitation Detail File Layout