AHCCCS Grievance and Appeal System Report

The Grievance and Appeal System Reporting Guide and corresponding Attachments are developed by AHCCCS for use by AHCCCS’ Managed Care Organizations (MCOs). Instructions are provided within the Grievance and Appeal System Reporting Guide. The Grievance and Appeal System Reporting Guide reports shall be submitted to AHCCCS utilizing the corresponding Templates provided and as required by the applicable Contract.

Grievance and Appeal System Reporting Guide – Effective October 1, 2026

Grievance and Appeal System Reporting Guide – Prior to October 1, 2026

Grievance and Appeal System Reporting Guide (Updated 10/01/2022, Updated 10/01/2016, Updated 08/01/16, Updated 02/24/15, Updated 04/28/14, Updated 02/07/2014, Updated 12/30/2013, Updated 12/12/2013, Originally Posted 10/23/2013)
Grievance System Report Cover Letter Template (Updated 10/01/2022, Updated 08/01/16, Updated 02/24/15, Originally Posted 10/23/2013)
Grievance System Report Template (Updated 10/01/2022, Updated 10/01/2016, Updated 08/01/16, Updated 04/28/14, Updated 02/07/2014, Updated 12/30/2013, Updated 12/12/2013, Originally Posted 10/23/2013)

AHCCCS Grievance and Appeal System Report

Grievance and Appeal System Reporting Guide – Effective October 1, 2026

Grievance and Appeal System Reporting Guide – Prior to October 1, 2026

AVA