AHCCCS Technical Interface Guidelines (TIG)

 

Health Plan Interface - Prior Plan Listing Process


Introduction

Prior Plan Listing identifies members who have been enrolled into a new Health Plan that were previously disenrolled from another Health Plan up to 90 days in the past. Prior Plan Listing process provides information to the previous Health Plan of members who have now enrolled into a different Health Plan for transition of care.

 

Schedules

  • Prior Plan Listing normally completes between 8:00 p.m. and 11:59 p.m. each night for the day's activity. File is named ccyymm.PPL and is available in the plan’s folder under AZ/hpmnemonic/PROD/OUT

 

Media

Prior Plan Listing notifications are produced in data file format. Health Plans, or their services bureaus, must login to the Arizona Health Care Cost Containment System (AHCCCS) FTP server and download the data file for batch processing.

 

Testing

Prior Plan Listing notification file transmissions must be tested in coordination with the AHCCCSA ISD operations staff prior to production implementation of a new Health Plan or change in service bureau, or as a result of changes. Typical testing of file transmission takes approximately one week and must be completed prior to implementation of any new processing arrangement.

 

Reference Documents