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| Preface |
Includes an overview and assumptions
for the Technical Interface Guidelines.
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| Introduction |
Includes a brief history of AHCCCS,
an overview of AHCCCS as an agency, organizational structure,
and telephone numbers of key AHCCCS contacts. The following
sections are included.
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Technical
Environment |
Includes a brief overview of the
AHCCCS Prepaid Medical Management Information System (PMMIS).
The following sections are included.
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Behavioral Health Interface |
Includes information the Recipient
and Health Plan Interfaces. The following topics are covered:
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| Health
Plan Interface |
Includes information on roster and
mass adjustment data (files) that are available to the Health
Plans. The following sections are included.
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| Program
Contractor Interface |
Includes information on daily
Pre-Admission Screening (PAS) reports transmitted and printed
for Maricopa and Pima Counties. The following section is
included:
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Provider
Interface |
Includes information contracts and
agreements with health plans, program contractors, and the
Department of Health Services, which enables AHCCCS to deliver
medically necessary services to AHCCCS eligible recipients. The following sections
are
included:
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Recipient
Interface |
Includes general information on the
Eligibility Verification System (EVS) and on the Interactive
Voice Response (IVR) system. The following sections are
included.
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