Reinsurance Information

AHCCCS offers Reinsurance as a stop-loss mechanism to provide contractors with partial reimbursement for specified contract service costs incurred by a member.

• Annual Workshop Presentation
• 2025 AHCCCS Annual Reinsurance Workshop
• 2024 AHCCCS Annual Reinsurance Workshop
• 2023 AHCCCS Annual Reinsurance Workshop
• 2022 AHCCCS Annual Reinsurance Workshop
• 2021 AHCCCS Annual Reinsurance Workshop
• 2020 AHCCCS Annual Reinsurance Workshop
• 2019 AHCCCS Annual Reinsurance Workshop
• Reinsurance Hot News
• Reinsurance Policy Manual
• Reinsurance Processing Manual Effective 10/01/2025
• Reinsurance Processing Manual Effective 10/01/2024
• Reinsurance Processing Manual Effective 10/01/2023
• Reinsurance Processing Manual Effective 10/01/2022
• Reinsurance Processing Manual Effective 10/01/2021
• Reinsurance Processing Manual Effective 10/01/2020
• Reinsurance Processing Manual Effective 10/01/2019
• Reinsurance Processing Manual Effective 10/01/2018
• Reinsurance Processing Manual Effective 10/01/2017
• Reinsurance Processing Manual Effective 12/01/2016
• Reinsurance Processing Manual Effective 10/01/2016
• Reinsurance Processing Document
• Reinsurance Finance Prepaid Medical Management Information System (PMMIS) Training Manual
• Reinsurance Transplant Case Key Entry Instructions
• Reinsurance Edit Resolution Document
• Reinsurance Forms
• Reinsurance Monthly Batch Cycle Visual
• Reinsurance Action Request Form
• Action Request Form Instructions
• Reinsurance Case Creation Request
• Request for Catastrophic Reinsurance
• The Non-Transplant Catastrophic Reinsurance Member List
• Catastrophic Case CRN Transfer Form
• Instructions for completing Catastrophic Case CRN Transfer Form
• Request for Transplant Reinsurance
• Transplant Stage Invoice Cover Sheet
• Transplant Stage Submission Checklist
• Transplant CRN Transfer Form
  • Instructions for completing the Transplant CRN Transfer Form
• Day 11+ or 61+ Transplant Component Worksheet and Instructions
• Transplant Outlier Template Effective October 1, 2016
• Quarterly Transplant Log
• Contractor Transplant Crossover Template
• Transplant Transportation Lodging Form
• SNF-Habilitation-Residential Care Rate Form
• Reinsurance Review
• Reinsurance Review
• Biologic and High-Cost Specialty Drug List
• High-Cost Specialty Drug List
• Transplant Contracts
• Transplant Contract 10/01/2025
• Transplant Contract
• Attachment A – Covered Transplant Services List
• Transplant Contract Amendment Language Changes 10/01/2024
• Transplant Contract Amendment Language Changes 10/01/2022
• Transplant Contract Amendment Language Changes 10/01/2021
• Transplant Rates