ACOM Chapter 400
Operations

Print Chapter 400: Operations

Chapter Table of Contents

• 401 Change of Plan: Acute Care Contractors (Health Plans)
• 402 Member Transition for Annual Enrollment Choice, Open Enrollment and Other Plan Changes: Acute Care and Arizona Long Term Care System (ALTCS) Contractors
• 403 Enrollment Choice in a Choice County and Change of Contractor Policy: Arizona Long Term Care System (ALTCS) and Elderly/Physically Disabled (EPD) Contractors
• 404 Member Information
• 405 Cultural Competency and Family/Patient Centered Care
• 406 Reserved
• 407 Reserved
• 408 Sanctions
• 409 Intra-Agency Care Coordination for Services
• 410 Reserved
• 411 Pre-paid Medical Management Information Systems (PMMIS) Interface
• 412 Claims Reprocessing
• 413 Gap-In-Services
• 414 Notices of Action for Service Authorizations
  • Attachment 414 C - Guide to Language in Notices of Action (NOA)
  • Attachment 414 D - Notice of Extension
• 415 Provider Network Development and Management Plan; Periodic Network Reporting Requirements
  • Attachment 415 F, Ga and Gb
• 416 Provider Network Information
• 417 Appointment Availability Monitoring and Reporting
• 418 Provider and Affiliate Advance
• 419 ALTCS Network Standards
• 420 Reserved
• 421 Contract Termination: Nursing Facilities and Alternative Residential Settings
• 422 AzSH Coordination
• 423 Court Ordered Evaluation/Treatment Policy for DUI/Domestic Violence Offenses
• 424 Verification of Receipt of Paid Services
• 425 Social Networking
• 426 Eligibility Reviews for CRS Applicants and Referrals
• 427 CRS Contractor No-Show
• 428 CRS Service Authorization Processes
• 429 Direct Care Worker Training and Testing Program
• 430 Electronic Member Change Report (MCR)
• 431 Copayment
• 432 Benefit Coordination and Fiscal Responsibility for Behavioral Health Services Provided to Members Enrolled in the Acute Care Services Program
• 433 Member Identification Cards