Bidder's Library
Acute Care RFP YH-03

Refer to the following material for general coverage information.

General

• Transplant Type Overview Sheet with Rates [PDF, 31 Kb]
  (Posted August 2, 2006)

• 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 [PDF, 772 Kb]

• Prospective Offerors Orientation [PDF, 572 Kb]

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 [PDF, 1035 Kb]
  (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)

• Minimum Subcontract Provisions [PDF]
  (Posted May 22, 2006)

• 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]

• Claims Processing by Subcontracted Providers Policy [PDF]

• Title XIX Waiver Reconciliation Policy [PDF]

• AHCCCS HIV/AIDS Supplemental Payments [PDF]

Letters of Intent

• Health Plan Letter of Intent [PDF, 139 Kb]

• Provider Letter of Intent [PDF, 142 Kb]

Rules

• AHCCCS Rules R9-22

• AHCCCS Rules R9-31

Manuals

• AHCCCS Medical Policy Manual (AMPM)

• Reinsurance Claims Processing Manual [PDF, 415 Kb]

• Encounter Reporting User Manual [Self-extracting zip, 1358 Kb]

Rates

• Transplant Rates 2006 - All Transplants [ZIP, MS-Excel, 12 Kb]
  (Posted November 3, 2005)

• Transplant Rates [ZIP, 161 Kb]
  (Effective October 1, 2004 through September 30, 2005)
  (Posted May 25, 2005)

• Transplant Rates [ZIP, 47 Kb]
  (Effective October 1, 2003 through September 30, 2004)

Fee-for-Service Payment Rates

• AHCCCS Fee-for-Service Schedule

Forms

• Marketing Attestation Statement [PDF]

• AHCCCS Medicare Research Request Form [PDF]

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