Acute Care Services RFP CYE '04

* This RFP has been awarded. * 

AHCCCS will award Acute Care Services contracts for the provision of covered services to eligible populations based on Geographic Service Areas (GSA). A GSA is a specific county or a defined group of counties. Currently, members are served by Contractors in nine GSAs. The GSA map defines each of the seven GSAs that will be awarded for contracts effective October 1, 2003, including current population statistics by county and GSA. 

Bidders Conference:  February 21, 2003.

• Acute Care Services RFP Milestone Dates
  (Updated: January 29, 2003)

Questions:  Questions concerning this solicitation shall be submitted to Michael Veit, in writing, via telefax or e-mail (preferred). Telephonic questions shall not be accepted

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

The RFP Document:	This RFP is available in PDF format only. (753 Kb)
	(Posted February 3, 2003)
Amendment 4	This amendment is available is PDF format only. This amendment contains round two of questions and responses. (311 Kb)
	(Posted March 17, 2003)
Amendment 3	This amendment is available is PDF format only. (13 Kb)
	(Posted March 7, 2003)
Amendment 2	This amendment is available is PDF format only. (272 Kb)
	(Posted February 28, 2003)
Amendment 1	This amendment is available is PDF format only. (39 Kb)
	(Posted February 10, 2003)
Bidder's Library:	Offerors may refer to the following material for general coverage information.

• Delivery Payment Information. (PDF)
  (Posted March 24, 2003)

• Acute Care Questions and Answers (PDF)
  This document contain both round one and two questions and answers.
  (Posted March 17, 2003)

• Bidders Conference Presentations (February 21, 2003)

  • New Offerors Orientation (772 Kb) (PDF)

  • Prospective Offerors Orientation (572 Kb) (PDF)

• Reference

  • RFP YH04-0001 Document H in MS-Excel format (239 Kb)
    (Posted March 14, 2003)

  • RFP YH04-0001 Document K in MS-Excel format (38 Kb)
    (Posted March 14, 2003)

  • RFP YH04-0001 Document M in MS-Excel format (18 Kb)
    (Posted March 14, 2003)

  • Section G - Representations and Certifications (Rich Text Format) (47 Kb)
    (Posted March 10, 2003)

  • Data Supplement (1035 Kb) (PDF)
    (Updated March 17, 2003)

  • Geographic Service Areas (GSA) Map (PDF)

  • Executive Order 2003-3: Increasing Access to Affordable Prescription Drugs (PDF)  
    (Posted: January 30, 2003)

  • Web Based Capitation Rate Proposal Application
    (Posted March 7, 2003)

• Policies

  • 401 Marketing Policy (PDF) 

  • 402 Change of Plan Policy (PDF) 

  • 403 Member Transition for Annual Enrollment Choice, Open Enrollment and Other Plan Changes (PDF) 

  • 404 Member Information Policy (PDF) 

  • Business Continuity Planning Policy (PDF) 

  • Federally Qualified Health Care Center (FQHC) Reasonable Cost Reimbursement Policy (PDF)

  • Performance Bond and Equity per member requirements (PDF) 

  • Medicare Cost Sharing for Members in Medicare FFS (PDF)

  • Medicare Risk Sharing for Members in Medicare HMO (PDF)

  • Physician Incentive Plan Disclosure by Contractors (PDF)

  • Prior Period Coverage Reconciliation (PDF)
    (Updated November 8, 2004)

  • Claims Processing by Subcontracted Providers Policy (PDF)

  • Title XIX Waiver Reconciliation Policy (PDF)
    (Updated November 8, 2004)

  • AHCCCS HIV/AIDS Supplemental Payments (PDF)

• Letters of Intent

  • Health Plan Letter of Intent (139 Kb) (PDF)

  • Provider Letter of Intent (142 Kb) (PDF)

• Rules

  • AHCCCS Rules R9-22

  • AHCCCS Rules R9-31

• Manuals

  • AHCCCS Medical Policy Manual (AMPM)

  • Reinsurance Claims Processing Manual (PDF) 

  • Encounter Reporting User Manual (1358 Kb) (Self-extracting zip)

• Rates

  • Transplant Rates (47 Kb)

• Fee-for-Service Payment Rates

  • AHCCCS Fee-for-Service Schedule

• Forms

  • Marketing Attestation Statement (PDF) 

  • AHCCCS Medicare Research Request Form (PDF)

  • Third Party Liability (TPL) Change Form (PDF)

 

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