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 April 19, 2021
  • ACOM Policy 401 – Change of Contractor, AHCCCS Complete Care Contractors
  • ACOM Policy 401 – Attachment A – Change of Contractor, AHCCCS Complete Care Contractors
• Deadline of May 06, 2021
  • ACOM Policy 412 – Claims Recoupments and Refunds
  • ACOM Policy 417 – Appointment Availability, Transportation Timeliness, Monitoring, and Reporting
  • ACOM Policy 417 – Attachment A – Appointment Availability, Transportation Timeliness, Monitoring, and Reporting
  • ACOM Policy 425 – Social Networking
  • ACOM Policy 425 – Attachment A – Social Networking
• Deadline of May 10, 2021
  • ACOM Policy 439 – Material Changes: Provider Network and Business Operations
  • ACOM Policy 439 – Attachment A – Material Changes: Provider Networks and Business Operations

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 April 19, 2021
  • AMPM 1620-O – Abuse, Neglect, and Exploitation Reporting Standard
• Deadline of April 20, 2021
  • AMPM Policy 310-P – Medical Equipment, Medical Appliances, and Medical Supplies
  • AMPM Policy 310-P – Attachment A – Medical Equipment Service Delivery Reporting
• Deadline of May 06, 2021
  • AMPM 950 – Credentialing and Recredentialing Processes
  • AMPM Policy 950 – Attachment A – Credentialing and Recredentialing Processes
• Deadline of May 10, 2021
  • AMPM 510 – Primary Care Providers
• Deadline of May 21, 2021
  • AMPM Policy 310-BB – Transportation
  • AMPM Policy 310-BB – Attachment A – Community Based Support Programs
  • AMPM Policy 320-U – Pre-Petition Screening, Court Ordered Evaluation, and Court Ordered Treatment
  • AMPM Policy 320-U- Attachment A – Reserved
  • AMPM Policy 320-U – Attachment B – A.R.S. 12-136 Flow Chart, Recognition of Tribal Court Order Process
  • AMPM Policy 1620-G – Behavioral Health Standards