AHCCCS Financial Reporting Guidelines
The Arizona Health Care Cost Containment System (AHCCCS) provides Financial Reporting Guides for the following Contractors: Acute Health Care, Regional Behavioral Health Authorities (RBHA), Arizona Long Term Care System (ALTCS), the Comprehensive Medical and Dental Program (CMDP) and Children’s Rehabilitative Services (CRS).
The purpose of the Financial Reporting Guides is to set forth the monthly, quarterly, annual and ad hoc financial related reporting requirements for all of the AHCCCS programs.
The following templates are utilized by more than one Contractor Type:
- Community Reinvestment Report Template (Posted: 03/01/2019)
- Final Form-FQHC E-9 Template
- Related Party Transactions
AHCCCS Complete Care Contractors
Financial Reporting Guide for AHCCCS Complete Care Contractors (Updated: 02/14/2019)
- Financial Reporting Template (Updated: 05/29/2019)
- ACC Mapping Matrix
Regional Behavioral Health Authority (RBHA) Contractors
Financial Reporting Guide for RBHA Contractors (Updated: 08/15/2019)
- RBHA Financial Reporting Template (Updated: 05/30/2019)
- Behavioral Health Mapping Matrix (Updated: 02/14/2019)
- Physical Health Mapping Matrix
Arizona Long Term Care System (ALTCS) Health Care Contractors
Financial Reporting Guide for ALTCS Program Contractors (Updated: 02/14/2019)
- ALTCS Mapping Matrix CYE2019
- Financial Reporting Template (Updated: 04/23/2019)
Reporting Guide for Contractor Rates Deliverable
Comprehensive Medical and Dental Program (CMDP) Contractor
Financial Reporting Guide for CMDP Program Contractor (Updated: 02/14/2019)