YH04-0001 Acute Care Bidders Library

General

• Closure Date: March 31, 2003, 3:00P.M. MST
• Request for Proposal (RFP) YH04-0001
• Transplant Type Overview Sheet with Rates [PDF, 31KB]
• Delivery Payment Information [PDF, 83KB]
• Acute Care Questions and Answers [PDF, 294KB]

Bidders Conference Presentations

• New Offerors Orientation [PDF, 772KB]
• Prospective Offerors Orientation [PDF, 572KB]

Reference

• RFP YH04-0001 Document H [Excel, 239KB]
• RFP YH04-0001 Document K [Excel, 38KB]
• RFP YH04-0001 Document M [Excel, 18KB]
• Section G - Representations and Certifications [Word, 47KB]
• Data Supplement [PDF, 1.03MB]
• Geographic Service Areas (GSA) Map [PDF, 44KB]
• Executive Order 2003-3: Increasing Access to Affordable Prescription Drugs [PDF, 7KB]
• Minimum Subcontract Provisions [PDF, 38KB]
• Web Based Capitation Rate Proposal Application [PDF, 47KB]

Policies

• 401 Marketing Policy [PDF, 17KB]
• 402 Change of Plan Policy [PDF, 19KB]
• 403 Member Transition for Annual Enrollment Choice, Open Enrollment and Other Plan Changes [PDF, 28KB]
• 404 Member Information Policy [PDF, 27KB]
• Business Continuity Planning Policy [PDF, 17KB]
• Federally Qualified Health Care Center (FQHC) Reasonable Cost Reimbursement Policy [PDF, 16KB]
• Performance Bond and Equity per member requirements [PDF, 19KB]
• Medicare Cost Sharing for Members in Medicare FFS [PDF, 13KB]
• Medicare Risk Sharing for Members in Medicare HMO [PDF, 16KB]
• Physician Incentive Plan Disclosure by Contractors [PDF, 18KB]
• Prior Period Coverage Reconciliation [PDF, 36KB]
• Claims Processing by Subcontracted Providers Policy [PDF, 21KB]
• Title XIX Waiver Reconciliation Policy [PDF, 38KB]
• AHCCCS HIV/AIDS Supplemental Payments [PDF, 18KB]

Letters of Intent

• Health Plan Letter of Intent [PDF, 139 KB]
• Provider Letter of Intent [PDF, 142 KB]

Rules

• AHCCCS Rules R9-22
• AHCCCS Rules R9-31

Manuals

• AHCCCS Medical Policy Manual (AMPM)
• Reinsurance Claims Processing Manual
• Encounter Reporting User Manual

Fee-For-Service (FFS) Rates

• FFS Rate Index
  • Transplant Rates Effective October 1, 2004 [ZIP, 161 KB]
  • Transplant Rates Effective October 1, 2003 [ZIP, 47 KB]

Forms

• Marketing Attestation Statement [PDF, 17KB]
• AHCCCS Medicare Research Request Form [PDF, 5KB]

Contact

Questions about Solicitations, Contracts & Purchasing should be directed to Meggan Harley:

• Phone: (602) 417-4538
• FAX: (602) 417-5957
• Email: Meggan.Harley@azahcccs.gov