Arizona Health Care
Cost Containment System

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Contracting & RFPs

Open RFPs

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Bidder's Library

Contract Amendments

Bidder's Library
Data Warehouse and Decision Support System (DW/DSS)

Additional Bidders' Library items identified in the RFP will be added as soon as possible. Please check the Bidders' Library daily for additional information.

Forms and Templates

Name	Type	Format
Pricing Schedules (Revised July 15, 2004)	Template	MS-Excel
Exhibit A, Client References	Template	MS-Word
Exhibit B, Client Letter of Reference (Revised July 15, 2004)	Template	MS-Word
Exhibit C, Key Staff Letters of Reference	No Template Needed
Exhibit D, Project Staffing Charts	Template	MS-Excel
Exhibit E, Proposed Hours by Task Charts	Template	MS-Excel
Exhibit F, Financial Disclosure	Template	MS-Word
Certificate of Insurance		MS-Word
Bidders' Questions		MS-Word
Offer and Acceptance		MS-Word

PMMIS Data Models

The following models are provided in Adobe PDF format.

PMMIS Overview
Subsystem Overview	Subsystem Detail
Recipient Overview	Recipient
Provider Overview	Provider
Health Plan Overview	Health Plan
Encounter Overview	Encounters
Claims Overview	Claims Claims In Process
Reference Overview	Reference

Sample Management Reports

AHCCCS Population by County [PDF]
AHCCCS Population by Contractor [PDF]
Acute Enrollment
Acute-UR Reports [142 Kb, PDF]
Beneficiary Groups-UR Reports [108 Kb, PDF]
Health Plan Paid Report [19 Kb, PDF]
Rate Change Impacts Report [9 Kb, PDF]
Total Enrollment - 2003
Provider Directory Report [45 Kb, PDF]

Questions about this page's content should be directed to Michael Veit, Contracts and Purchasing.

Phone:	(602) 417-4762
FAX:	(602) 417-5957
e-mail:	Michael.Veit@azahcccs.gov

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AHCCCS, 801 E. Jefferson, Phoenix, AZ 85034, (602) 417-4000

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Copyright 2003 Arizona Health Care Cost Containment System (AHCCCS), All Rights Reserved

This page was last modified on Wednesday, May 02, 2007 at 8:07:53 AM

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