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Administrative Actions are documents to record regulatory
actions by AHCCCS and responses from contracted Health Plans. The absence of information
implies that the Contractor is operating within contractual standards.
Types of Administrative Actions include:
A Corrective Action Plan (CAP) is a Contractor developed measure to improve performance
in a particular area of contractual responsibility. Any CAP must identify the following:
A Notice to Cure (NTC) is a formal written notice to a Contractor regarding specific
non-compliance. The NTC contains specific timelines for meeting performance standards
and possible penalties for continued non-compliance. An NTC may contain specific
activities or reporting requirements that must be adhered to as the Contractor works
toward compliance. Failure to achieve compliance as the result of a Notice to Cure
may result in the imposition of a Sanction.
A Sanction is a penalty assessed or applied for failure to demonstrate compliance
in one or more areas of contractual responsibility. A sanction may take the form
of a monetary penalty; an enrollment cap; or other actions as deemed appropriate
Administrative Action documents are updated on a periodic and regular basis.
For questions about Acute Care health plan actions email Virginia Rountree at VXRountr@azahcccs.gov.
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