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:
- Appendix I - Community Reinvestment Activities Report Template (Posted: 03/18/2020)
- Form FQHC RHC E-9 Template
- Related Party Transactions
- Medical Loss Ratio Guidance (Updated: 01/10/2022)
- Appendix H - Annual MLR Attestation Statement
- Contract Year Annual Supplement (Updated: 11/08/2021)
AHCCCS Complete Care Contractors
Financial Reporting Guide for ACC Contractors (Updated: 12/01/2021)
- Final ACC Financial Reporting Template CYE22 (Updated: 12/02/2021)
Regional Behavioral Health Authority (RBHA) Contractors
Financial Reporting Guide for RBHA Contractors (Updated: 10/01/2021)
- RBHA Financial Reporting Template (Updated: 10/01/2021)
Arizona Long Term Care System (ALTCS) Health Care Contractors
Financial Reporting Guide for ALTCS Program Contractors (Updated: 10/01/2021)
- ALTCS Financial Reporting Template CYE22 (Updated: 10/01/2021)