AHCCCS Technical Interface Guidelines (TIG)

Behavioral Health Interface - Recipient Daily Health Plan Change File Layout


BHS Recipient Health Plan Change File is created as a result of an enrollment change occurring on members who are currently active with BHS in the AHCCCS system. The Health Plan Change file will contain the AHCCCS demographic data of ADHS members and the member's new enrollment health plan. ADHS is to use this data for coordination of care with the member's health plan.

FIELD NAME TYPE SIZE DESCRIPTION
AHCCCS-ID X 9 MEMBER'S AHCCCS ID
LAST-NAME X 20 LAST NAME
FIRST-NAME X 10 FIRST NAME
SEX X 1 GENDER
DAT-OF-BIR X 8 (CCYYMMDD)
DATE OF BIRTH
BHMIS-ID X 10 BHMIS ID NUMBER
SITE X 2 SITE
HP-ID X 6 ENROLLED HP ID NUMBER
ENRL-BEG-DAT X 8 BEGIN DATE OF ENROLLMENT