AHCCCS Technical Interface Guidelines (TIG)

Health Plan Interface - Contract Type Codes (RF410)


TYPE CONTRACT CODE DESCRIPTION CAP
Ind
FFS
Ind
% CRS/CAP Children's Rehab Services, Capitation Y N
@ DES/DD/RI DES DD Reinsurance Indicator N N
A ACU/CAP Acute Capitated Y N
B ACU/CAP/PAR Acute Partially Capitated Y Y
C ACU/CAP/ACU Acute Capitated Acute SVCS Only Y N
D ACU/FFS/ACU Acute Fee for Service Acute Only N Y
E ACU/FFS Acute Fee for Service N Y
F ACU/FFS/EMO Acute FFS Emergency Services Only N Y
G ACU/FFS/FPS Acute Fee For Service, Family Planning Services N Y
H ACU/PPC Acute Prior Period Coverage Y N
I ACU/PPC/EMO Acute Prior Period Coverage Emergency Svcs Y N
J LTC/CAP Long Term Care Capitated Y N
K MHS/CAP/ACU Mental Health Svcs, Cap Acute Only Y N
L LTC/CAP/ACU Long Term Care Cap Acute Only Y N
M LTC/PPC Long Term Care Prior Period Coverage Y N
N ACU/NBN Acute Newborn Non-Capped N N
O LTC/PPC/ACU Long Term Care Prior Period Coverage Acute Y N
P LTC/CAP/PAR Long Term Care Partial Cap Y Y
Q ACU/CAP/FPS Acute Capitated FPS Only Y N
R LTC/FFS Long Term Care FFS N Y
S MHS/CAP/DD Mental Health Services Cap DD Y N
T LTC/FFS/ACU Long Term Care FFS Acute Only Y Y
U UNDOC/FFS/EM Undoc. Aliens, FFS, Emg Svc Only N Y
V MHS/Cap/KC Mental Health Services Capitated Kidscare Y N
W ACU/KC/NoPay ADHS Direct Services Kidscare No Payment N N
X ACU/FFS/KC Acute FFS Kidscare N Y
Y ACU/CAP/KC Acute Capitated Kidscare Y N
2 LTC/VD/CAP/F LTC Vent Dependent Cap Full Svc Y N
3 LTC/FFS/VD Long Term Care FFS VD Y Y
4 LTC/VD/CAP/A LTC Vent Dependent Cap Acute Svc Y N
5 LTC/FFS/VHA Long Term Care FFS VD Acute Only Y Y
8 NON/PAY No Payment Permitted N N