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Cost Containment System

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Reinsurance

This page contains information for health plans and program contractors concerning reinsurance under the AHCCCS acute care and ALTCS long term care programs. 

Publications

(Note: Some of these documents are in PDF format. You will need to have the Adobe Acrobat plug-in installed on your computer to open them.)

Forms

  • Reinsurance Action Request Form (MS-Word format, 60 Kb)
  • Reinsurance Case Creation Request (MS-Excel format, 20 Kb)
    (Posted March 25, 2008)
  • Transplant Outlier Template (MS-Excel format, 19 Kb)
  • Transplant Stage Invoice Cover Sheet (MS-Word format, 55.50 Kb)
    (Updated March 25, 2008)
  • Transplant Transportation Lodging Form (MS-Word format, 35 Kb)
  • Guides/Manuals

    Related Links

    Reinsurance Hot News

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    Contacts

    Patricia Peers Carrie Stamos Linda Frost
    Reinsurance Supervisor Reinsurance Analyst Reinsurance Analyst
    (602) 417-4539 (602) 417-4658 (602) 417-4156
    Patricia.Peers@azahcccs.gov Carrie.Stamos@azahcccs.gov Linda.Frost@azahcccs.gov

     

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    This page was last modified on Wednesday, April 09, 2008 at 10:50:46 AM
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