AHCCCS Tribal Consultation and Public Comment Process for Policy Changes

AHCCCS provides a 45-day public comment and Tribal Consultation period before publishing any substantial policy changes.

At the link below, you will find policies currently open for Tribal Consultation and public comment. All policies are from the AHCCCS Contractor Operations Manual (ACOM) and the AHCCCS Medical Policy Manual (AMPM).

You will receive acknowledgement that your comments have been received. All comments are reviewed, however AHCCCS cannot provide responses to individual comments. If a comment/suggestion is appropriate, it may be addressed in the final version upon publication. Refer to the Revision Memo when policies are published to the AHCCCS website.

Link to AHCCCS Tribal Consultation Notification/Public Comment of Proposed Policy Changes: https://comments.azahcccs.gov

NOTE: The policy documents are in “Red Line” format to track the changes. An explanation of each substantive proposed change is included as a footnote.

• Proposed changes adding new language or relocating existing language are Underlined.
• Proposed changes removing, relocating, or modifying existing language are Crossed Out.

AHCCCS Contractor Operations Manual (ACOM)

The AHCCCS Contractor Operations Manual (ACOM) consolidates and provides ease of access to the Administrative, Claims, Financial, and Operational Policies of the AHCCCS Administration. The ACOM provides information to Contractors and subcontractors who are delegated responsibilities under a contract.

Visit the ACOM.

ACOM Policies Currently Open for Tribal Consultation and Public Comment:

• Deadline of August 09, 2021 (EXPEDITED)
  • ACOM Policy 301 – ALTCS-EPD Program Tiered Reconciliation
  • ACOM Policy 301 – Attachment A – ALTCS EPD Program Tiered Reconciliation – Example
• Deadline of Aug 13, 2021
  • ACOM Policy 327 – Pediatric Services Initiative
• Deadline of August 16, 2021
  • ACOM Policy 448 – Housing Program
• Deadline of August 29, 2021
  • ACOM Policy 111 – AHCCCS Pharmacy and Therapeutics Committee
  • ACOM Policy 111 – Attachment A – Conflict of Interest Disclosure Form for Potential P&T Committee Members

AHCCCS Medical Policy Manual (AMPM)

The AHCCCS Medical Policy Manual (AMPM) provides information to Contractors and Providers regarding services that are covered within the AHCCCS program. The AMPM is applicable to both Managed Care and Fee-for-Service members.

Visit the AMPM.

AMPM Policies Currently Open for Tribal Consultation and Public Comment:

• Deadline of August 16, 2021
  • AMPM Policy 310-R – Nursing Facility Services
• Deadline of August 29, 2021
  • AMPM 570 – Provider Case Management
  • AMPM 570 – Attachment A-Case Management Caseload Rations and Review Cycle
  • AMPM 570 – Attachment B-Case Management Plan Checklist
  • AMPM Policy 320-N – Hepatitis C Virus (HCV) Prior Authorization Requirements for Direct Acting Antiviral (DAA) Medication Treatment